Sunday, September 28, 2014

Marketing & the Healthcare Industry



TAB’S BLOG:  MARKETING & THE HEALTHCARE INDUSTRY

So this blog is a little bit different than my usual blogs – not so much about health improvement but about a soapbox of mine as well as about where Insight and Restore are headed. 

This past year at Insight has been particularly difficult for us.  With the changes that are coming about with the Affordable Care Act and with where our nation’s healthcare system is headed, we have been hit particularly hard.  We have been labeled by several health insurance companies as “poor quality”. 

When we called to find out why, we were told that we don’t see enough patients (i.e. doing 5-15 minute appointments and herding people through) and that we don’t prescribe enough prescription drugs.  For instance, they consider us giving poor quality care when we diagnose someone with high cholesterol but they don’t see the patient go to the pharmacy and buy a cholesterol lowering drug.  They are tracking this kind of stuff and the accepted “standard of care” is to prescribe a drug to treat a symptom.

Well, that’s not what we do at all!  Synthetic prescription drug therapy is so far from the mission of Insight Family Health Center that it is almost laughable.  We are all about preventing disease and partnering with our patients to get them off prescription drugs and headed towards their personal level of optimal health.

Our business model of seeing a patient every 30 minutes to 1 hour and accepting insurance reimbursement has always been tenuous financially.  We have struggled a lot just to stay afloat and some years we’ve gone in the hole.  Trust me; you make a lot more money seeing a patient every 5-15 minutes!  Scarily, you can do enough in 5 minutes to qualify for the same reimbursement that you get for a 30 minute visit.  Been there, done that.  Felt guilty for doing it and opened my on practice so I could spend more time with my patients.

The whole idea that quality healthcare is tied to seeing more and more patients and prescribing synthetic prescription drugs is frightening.  It scares me for your future.  It scares me for my future.  I tell people frequently to stay healthy and not need the doctor as much as possible.  I also say frequently that I’d rather take a hundred vitamins just to avoid taking even one synthetic prescription drug.  I never want to be dependent on the healthcare system as it is now or as it is going to be if we keep going in the same direction.  I want to be healthy and vital and active till the day I die and I want to spend my life helping my patients do the same.

So because the care provided at Insight is such “poor quality”, the plan of the health insurance companies is to penalize you for coming here (higher co-pays) and to penalize us by cutting our reimbursement rate.  Considering that they barely pay us enough now to stay afloat, if they make cuts, we are in deep trouble.  The cuts are starting in January.  L

So we are forced to figure out what else we can do to stay open and provide the type of care to you that we do.  I really don’t want to be part of a system that thinks “quality” care is seeing a patient every 10 minutes and just prescribe drugs.  I worked in that system before and realized I couldn’t give the type of care that actually helped people change the course of their health for the better in 10 minutes!  That’s why I opened this office in the first place! 

Over the next months you are going to be receiving lots of emails and Facebook posts and advertising.  Just like a lot of offices in this town, we have to increase our services that are not dependent on health insurance reimbursement in order to keep the doors open.  What I want to ask of you is that you read all of it and share it with your friends and help us survive.

I’ve struggled with the concept of advertising in healthcare and of advertising extra services that are offered in this business.  And because of that inner struggle, I’ve not been consistent with our advertising.  But now, I either advertise and grow the business in other ways or close down.  And growing the business can’t be within the health insurance system because they are just planning to cut our reimbursement.

It seems a little yucky to advertise in a business that is about caring and healing people.  But the bottom line is that I do what I do because I love helping people heal themselves but I also have to support myself and pay my staff.  I can’t keep running a business that is not breaking even much less making a profit.  Insight is not a non-profit or grant supported business.  We didn’t even qualify for any subsidies provided by the government to upgrade to electronic records.  We live by what we make.  Period.

So, as we go forward, as I said, you will be receiving lots of advertising from us.  Please read it, partake of our services, and share it.  Our guarantee to you is that we don’t provide and won’t advertise any service through Insight or Restore that will not help you or that has any great potential for harm.  For the most part, the staff at Insight partakes of all of our services so that we can reach our optimal health goals.  I often experiment on myself with a particular treatment before offering it to our patients.  Trust me, we won’t offer anything that we haven’t tried or think isn’t helpful!

The great thing about natural therapies is that they usually only help and never hurt.  So there won’t be any disclaimers at the end saying “this treatment may cause cancer, heart attack, stroke, arthritis, etc….” like many of the pharmaceutical drug commercials do.  Those remedies are synthetic and have great potential for harm.  The treatments we offer are natural and have little potential for harm.  Sadly, because we live in such a litigious society with an FDA and medical board that doesn’t like anything natural, we do have to put a general disclaimer on everything we do.  L

At this time, we only offer 1 service that is 100% just about vanity and that is the VI Peel.  Total vanity that I personally take great pleasure in partaking of.  I often tell patients that I’m not completely natural in everything because I really do like to not have wrinkles and spots on my face and hands!  Getting ready to start my winter face peel series in October! J

So, I wanted to be up front and honest with each of you.  I want you to understand what’s happening and why we are doing what we are doing when it comes to advertising.  I hope you will continue to help us grow but more importantly allow us to partner with you in reaching your optimal level of health.  Our patients rock and we love helping you!

Sincerely,
Tabetha L. Smith, FNP-C & Wanna Be Advertising Guru J
September 2014

*Disclaimer: We make no claim of providing superior services, nor do we guarantee any specific outcomes from the services we provide. These statements have not been evaluated by the Food & Drug Administration.  The information, opinions & products on this site are not intended to diagnose, treat, cure, or prevent any disease.

Tuesday, September 23, 2014

Cold & Flu Season 2014



Cold & Flu season is upon us & I want to share with you how I prepare and prevent viruses.

I know that obtaining the flu vaccine is a VERY controversial subject.  I personally chose 2 years ago to stop receiving it even though it is highly recommended for health care professionals.  However, I encourage everyone to research the subject themselves and make an informed decision.  I think one of the best resources of information on the flu vaccine can be found at the following link: 

Things to Consider Before Getting the Flu Vaccine


When I chose not to receive the flu vaccine, I also chose to be very vigilant in taking the following nutraceutical regimen to hopefully prevent the flu as well as other viruses:

1.      PhysioLogics Quercetin C 2 capsules daily
2.      Vitamin D3 5,000 IU (take enough to obtain a Vitamin D 25 Hydroxy blood level of 65-100)
3.      Vital Plan Immune Advantage 2 capsules daily

This regimen worked the first year.  But in 2013 there was a particularly nasty virus going around that mimicked the flu.  Despite my vigilance, I did get this virus.  I followed all the recommendations that I give on our Cold & Flu Handout and it didn’t work.  I had the symptoms of this virus for around 21 days (I counted in my misery!).  I did not take any antibiotics even though it went past the 14 day mark because I knew it was a virus and my body would eventually win.

I then learned about a product called Monolaurin .  I knew about it but just hadn’t understood it or utilized it.  During the 2013-2014 flu season, I added taking Ecological Formulas Monolaurin 600 mg 2 times a day to my prevention regimen.  I have not been sick for any extended period of time since!  At my first sign of a cold (which is usually a sore throat), I tripled my dose of Vitamin C, Vital Plan Immune Advantage, and Ecological Formulas Monolaurin for 1-2 days and all of the symptoms resolved.  I also tripled my dose for a day if I was around anyone that I knew was sick (like some of my patients!).

So now my daily prevention nutraceutical regimen includes the following:

1.      PhysioLogics Quercetin C 2 capsules daily
2.      Vitamin D3 5,000 IU (take enough to obtain a Vitamin D 25 Hydroxy blood level of 65-100)
3.      Vital Plan Immune Advantage 2 capsules daily
4.      Ecological Formulas Monolaurin 2 capsules daily

I HAVE PROVIDED THE LINKS TO OUR COLD & FLU HANDOUT AS WELL AS A MONOLAURIN INFORMATION SHEET ON.  I HIGHLY RECOMMEND THAT YOU READ AND FOLLOW THE INSTRUCTIONS EVEN IF YOU RECEIVED THE FLU VACCINE.

All of the nutraceutical products mentioned on the handouts are available here at Insight Family Health Center.  Our office hours are Monday-Thursday 7:45 AM-5:00 PM (closed 11:45 AM- 12:45 PM).  You can also purchase them at www.vitalplan.com or at Medical Center Pharmacy.

I encourage you to be proactive in protecting your health this cold & flu season.  Don’t just depend on the flu vaccine.  Last year it was less than 60% effective!

Sincerely,
Tabetha L. Smith, FNP-C
September 2014

Disclaimer: We make no claim of providing superior services, nor do we guarantee any specific outcomes from the services we provide. These statements have not been evaluated by the Food & Drug Administration.  The information, opinions & products on this site are not intended to diagnose, treat, cure, or prevent any disease.

Sunday, September 21, 2014

BHRT Pellet Therapy - Huh?



BHRT Pellet Therapy – Huh?

As many of you know, I have practiced Bioidentical hormone replacement therapy (BHRT) with my patients since 2005.  When I started learning about BHRT, it radically changed how I thought about medicine and about how I best could treat my patients.  I have been prescribing BHRT using creams and patches on almost all of my patients since then.  I personally use progesterone cream and have since 2005.

I wanted to take this time to let you know about an exciting addition to my practice.  One of my greatest goals, as part of your health care team, is to provide you with alternative, but healthy and safe choices that will enhance your health and well-being.  I am pleased to present BioTE® Medical Hormone Pellet Therapy for women and men.  I decided BioTE® was the right choice for my patients because restoring and balancing one’s hormones makes a significant difference in their quality of life!

I have been investigating BHRT pellet therapy for years.  I have received marketing information from different companies as well as treated patients who had received this type of therapy in the past.  What I discovered was that most of the companies and most of the practices offering this service did not seem to have any consistency and quality in service and dosing.  Almost all of the patients that I spoke to felt the best they ever had when the dosing was correct and loved the consistency of how the 24 hour release of the hormone made them feel.  However, when the dosing or consistency was off, they felt horrible for months!

When I discovered BioTE®, I found my answer.  From my investigation, I had thought pellet therapy would be ideal for my patients but was nervous about the quality and consistency of the system.  BioTE® seems to answer and resolve all of my concerns.  They have a comprehensive system and rigorous quality control that ensures that I will be able to provide the best pellet therapy for my patients.  I complete my training with them on October 18th and plan to start my first pellet insertions on October 23rd. 

As I always say about all of my recommendations, BioTE® BHRT pellet therapy is not a magic cure.  I’m still looking for the magic cure! J  In conjunction with eating real food, exercising, quality sleep, adequate water intake, stress reduction, nutrient repletion, this therapy has the potential to amp up your health and augment the benefits from all of the other lifestyle changes that you make.

I’m excited to have this type of therapy available to my patients.  I plan to use it myself and am excited to see the results!  I encourage all of my current BHRT patients (women & MEN!) to attend the information seminars that we have coming up.  This seminar will be required in order to get the pellet therapy so get in on the ground floor now!  If any of your friends have been asking you about the BHRT you use, share this email with them and encourage them to attend the new patient seminar.

Tens of thousands of women and men nation-wide have helped regain their lives with BioTE® Hormone Balancing & Restoration Therapy.  How about You?

Sincerely,
Tabetha L. Smith, FNP-C
Fellow Sojourner on the Path to Optimal Health
September 2014

Disclaimer: We make no claim of providing superior services, nor do we guarantee any specific outcomes from the service we provide.  These statements have not been evaluated by the Food & Drug Administration.  The information, opinions & products on this site are not intended to diagnose, treat, cure, or prevent any disease.

Tuesday, April 8, 2014

LIFE OVERHAUL: STRIVING TOWARDS OPTIMAL HEALTH

LIFE OVERHAUL:  STRIVING TOWARDS OPTIMAL HEALTH
April 8, 2014

I recently returned from an Integrative Medicine conference in Asheville, NC that really confirmed for me that what we do at Insight & Restore is right on track!  It was very exciting to hear the speakers and how the integrative medicine world is changing.

One of the things we’ve “preached” (J) here forever is that even a little bit of change towards a better overall healthy lifestyle can have an exponential impact on your future health.  At the conference, the research that was presented confirmed this message.  There is a whole new field of study out there called “epigenetics” that looks at how our lifestyle choices can actually turn on and off good and bad genes. 

We heard Dr. Dean Ornish speak on his groundbreaking research into the impact of healthy lifestyle choices on physical health.  He has actually looked at genes and validated the good ones turning on and the bad ones turning off with healthy changes in nutrition, exercise, stress reduction and love/companionship.  He has proved without a shadow of doubt that there is a direct correlation:  the more a person changed the more they improved their health NO MATTER WHAT THEIR AGE WAS. 

Dr. Ornish has proven that our genes are not our fate!  We do not have to be a victim to our genes.  Our genes just pre-dispose us to certain disease processes but our lifestyle choices actually turn those genes on or off.

Dr. Ornish has also researched what enables people to make sustainable lifelong health changes.  And it’s not fear of disease and death.  Fun, freedom, pleasure and love are the key motivators for lifelong sustainable health behavior change. 

It is not just about how long we live but how well we live!  I don’t want to be 80 and sick in a nursing home.  I want to be 80 and fit and healthy and enjoying my life to the fullest.  And the lifestyle choices I make today have the power to dramatically impact my future health goals.

Sadly, we have had not one person sign up to attend our 4 Pillars Permanent Weight Loss series.  As I stated in previous blogs, the entire 4 Pillars program is about making permanent changes in your lifestyle that lead to lifelong change and health.  We know that there are a lot of you out there that need the support and encouragement that can come from this program in order to help you make the changes that you need to make in your life.

Before going to the conference, I had asked the person in our first series who had the most physically measurable amount of success (i.e. lost the most weight!) to write a testimonial about the program.  She sent me the testimonial the week after the conference and it amazed me how much it lined up with what the purpose of the program was and with what we learned at the conference.  I’ve posted it below and I hope and pray it will inspire some of you to make this commitment to a true “life overhaul” that will help you in your journey towards optimal health.

“Hello,
I am writing this with excitement in my heart and the highest of hopes that at least some of what I share with you will help you along your journey to achieve what is called...“Optimal Health”.  I have no idea if you are one of those folks that struggles with being overweight; but, honestly, I have most of my life… at least I did…..until recently!

Not so long ago I sat at the table, clutching in my hand, the results of my blood work…overwhelmed by what I saw, not fully comprehending the words “Critical” but understanding that I was headed full speed ….down a slippery slope of declining health and it was just a short matter of time before some horrible event like a stroke or heart attack tackled and incapacitated me.  I struggled to make  sense of how I, a vegetarian ….for a number of years , had become so unhealthy and so overweight……looking for comfort…..I reached for another bite of a fresh lemon filled Krispy Cream doughnut that just happened to be laying on the table in front of me.  Soon after,  I stumbled across an email from Insight Family Health announcing the start date and description of a brand new twelve week program “4 Pillars of Permanent Weight Loss”   I thought…hum…maybe this is a sign! As I read about the content of the program, I decided at that moment it was time to take that step, to move forward and make some sort of positive change in my life.  But first, I made a phone call to my mom, and together we started a brand new chapter in our lives.

When I started this program…I was desperate for change……I was totally depleted, exhausted, run down with little energy left to do anything after I got off of work.  I was stressed to the max, disappointed with my own quality of life, desperately wanting to be able to wake up in the morning and feel energized which just seemed so far out of my reach. I really had no idea what to expect on that first night, but I was determined to drop it all at the door, enter as an empty slate and absorb…learn everything that I could in the amount of time that I had.  My mom by my side, my husband cheering us on…we were determined!

Without hesitation, I can tell you that deciding to participate in this program has turned out to be one of the Greatest most rewarding things that I could have ever done for myself.  I really loved the way that this program encompasses and focuses on the “whole” person, not just the weight loss aspect. It surpasses any program that I have utilized in the past where you just kind of get bits and pieces.  This program I must say is the whole package!  Mom and I decided to take advantage of all that was offered to us.  This included the Myer’s vitamin infusions, the B12 shots, the saunas, the counseling sessions and the group classes…all working together to lead us down the path of a “total lifestyle change.” My mom, well…I’m so very proud of her, she has lost over 18 lbs and the weight is still falling off, she says she feels better than she has in years! I must admit having a support team really helps and my husband has also been right there with me every step of the way on this new journey.  I enjoy our quality time as we both get in the kitchen and cook healthy meals together, take walks at night and we are working toward the same goal...”Optimal Health!”

This program truly has been a life saver for me.  I’m down 23 lbs and for me that is huge! I have more energy than I have had in years. I’m actually able to sleep all night and wake up refreshed and rested in the morning. My overall physical and mental well-being has improved greatly.  I’m finally off my blood pressure medication that I have been on forever and my skin is clearer.  I honestly feel like I have “woken up.”

If you are at the place in your life where you are tired of the weight gain struggles, tired of not feeling well, really needing a life “over haul” then this program is for you!  All you have to do is take the first step….you will find all the support you need from this amazing team of folks here at Insight Family Health & Restore Health & Wellness.  They are truly a God send and an answered prayer!   A little advice, the first two weeks will be your hardest;  but, once you make it past that marker and you start seeing results, you will no longer want to nose dive in your co-workers lunch plate……trust me…it will be well worth it! Stay focused, stay determined, and believe in yourself! Best of luck to you as you start this Awesome Journey!”                                                     B.P., 50 year old female

Space is limited for the 4 Pillars series.  Trying to make change and be healthy in our culture is ridiculously difficult because of all the pressure we get from media, family and friends to make unhealthy choices.  I encourage you to either find a friend or family member to sign up with or just do it yourself and make a decision TODAY towards positive, sustainable lifestyle change.  As B.P. said in her testimonial, IT’S NOT EASY BUT IT’S WORTH IT!

Sincerely,
Tabetha Smith, FNP-C

Fellow Traveler on the Journey towards Optimal Health

Monday, March 17, 2014

PERMANENT WEIGHT LOSS? REALLY?

We are getting ready to launch a new 4 Pillars Permanent Weight Loss seminar series and I wanted to follow up on how things went with the first class.  I discovered that some of the participants came to the class looking for a quick weight loss scheme and some came looking to make some permanent changes in their lifestyle.  I thought when I sent out the first email advertising the series with the blog about quick weight loss that it would have clarified that this program was NOT a quick weight loss program.  So, please let me further clarify.

I’m sure that it is true for many of you, just as it is with me, that those of us who have struggled with weight gain and weight loss have tried many different “diet” plans to give us “quick” weight loss results.  One of the homework assignments for the class was to count how many diet books and different weight loss programs you have tried.

I personally have tried the Adkins diet.  I lasted one day.  I found that even though I am definitely an animal protein eater, I couldn’t just eat that.  By the end of the first day, I was nauseous.  Yuck!  I’ve tried the cabbage soup diet.  Again, not the yummiest thing ever.  I’ve tried the diet by either the Heart Association or Mayo clinic where you eat a lot of tuna and cottage cheese.  I’m not a real fan of either! J  I’ve tried low glycemic.  I’ve tried different detox diets.  I feel like over my lifetime I’ve bought gazillions of diet books.

And what did it all leave me with?  Still struggling with constant weight gain and weight loss issues.  That yo-yo pattern of nutrition is not very healthy.  I challenge you to GOOGLE the research on the damage it can do to your body and your natural ability to regulate hunger and fullness.

I don’t believe me teaching you just another quick weight loss scheme is really going to help you.  I gave it my final attempt when I did the HCG diet plan with my patients back in 2012.  Out of the 30+ patients who completed the program only about 3 or 4 have kept their weight off.  Not very good odds.  Most have gained the weight back and more.  Sadly, I saw one of them back in the office recently and he is now heavier than he was the first time I ever saw him for a visit!  L

My health and weight dramatically changed 3 years ago when I got off the “diet” merry-go-round and started making permanent changes in my lifestyle and food choices.  At that point, I was over 180 pounds.  I’ve lost over 30 pounds and kept it off and I DID NOT lose the weight quickly.  I set a target weight goal.  I slowly made changes that helped me gradually lose weight.  Several times, I’ve plateaued and gained a few pounds.  At those times, I reset my focus and started again.  I finally reached my goal in the middle of 2013.  And I’ve maintained it.

I also adjusted my expectations to more realistic ones.  At my age, a 25 BMI is a realistic goal that I can maintain and still cheat a little.  I’m not a tee-totaller.  I know I’ll cheat so I may as well factor that into my plan.  To get to the weight I was in my 20’s and 30’s would be extremely difficult and I could never cheat again!  Not really my goal at this point in my life.

Now for those of you who think the BMI chart is bogus and that you could never get to a 25 BMI, I have a little bit of a reality check.  The current BMI chart factors in the fact that Americans all weigh more now.  When I started nursing 20 years ago, the normal weight for someone my height was 30 pounds less than the 25 BMI point on the chart these days!  Trust me, you can reach a 25 BMI and that is the most you should weigh.  Ever.

The success of the 4 Pillars Permanent Weight Loss seminar series depends on you.  It is a program that I created based on the principals that have played into my success with finally keeping my weight off.  It is NOT a quick weight loss scheme.  It is designed to be a program that arms you with enough information and support that you can make permanent lifestyle changes that lead to permanent weight loss.

In the program, YOU have most of the responsibility.  We give you multiple homework assignments each class.  We challenge you to become self-aware of what’s driving your weight issues.  We challenge you to begin operating with self-control and self-discipline and to make better daily moment to moment health decisions.  And, we hold you accountable to all of it.  You want be able to hide or pretend.  

The ultimate success of the program will be determined by how much YOU adhere to all of its recommendations.  Partial completion of assignments and not attending all classes/individual meetings will ultimately result in an inability to maintain any weight loss obtained during the program.

The program will work.  But it costs too much for you to sign up and make a partial commitment.  And, in reality, the participants who had the most success and lost the most weight and were the most radically changed were the ones who completed EVERY assignment, attended EVERY meeting and signed up for Level 3 which adds extra nutritional support to boost energy.  The others were successful but only to the level of their level of commitment.

If you are TRULY ready for radical commitment that results in radical lifestyle change, the 4 Pillars program is for you.  If you are already looking at the dates and finding reasons why it will be hard to attend then frankly you aren’t committed enough for this program to work.  Will it work?  Absolutely.  But only to the level that you commit to doing everything recommended.

Fighting our culture’s constant bombardment to eat junk and be a couch potato is extremely difficult even for the most disciplined.  I’ve designed the 4 Pillars Permanent Weight Loss program to equip you with the tools that I used to help me overcome and be successful and maintain weight loss. 

I urge you to take a long hard look at where you are now.  Have you had enough yet?  Are you ready to really change?  Are you ready to quit being insane and start making different decisions that will lead to different results?  If you answer a resounding “yes!” to these questions, then please consider letting us help you through the 4 Pillars program.

Sincerely,
Tabetha Smith, FNP-C

Former Yo-Yo Dieter


4 Pillars Seminar 
COST:
          Level 1:  4 Pillars Plan Only
1.      12 group or individual meetings
2.      Total Cost $426
Ø  3 Automatic Draft Payments of $142 each
Ø  Full Payment up front - $399 (save $27)
·         Level 2:  4 Pillars Plan + Energy Boost
1.      12 group or individual meetings + 12 weekly MethylB12 Injection
2.      Total Cost $510
Ø  3 Automatic Draft Payments of $170 each
Ø  Full Payment Up Front - $485 (save $25)
·         Level 3:  4 Pillars Plan + Energy Boost + Detox Boost
1.      12 group or individual meetings + 8 Myer’s MVI Intravenous Infusions with MethylB12 & Glutathione + 12 Far Infrared Sauna Sessions + 4 MethylB12 Injections
2.      Total Cost $1152
Ø  3 Automatic Draft Payments of $384
Ø  Full Payment Up Front - $1099 (save $53)