Direct Primary Care (DPC) in Tampa, FL

Cough? Fever? Shortness of Breath?
Call Us Today!

Blog

Dr. Stasha-Gae Roberts's blog allows her to share helpful information with her patients regarding Direct Primary Care (DPC), and all things health care. Check back occasionally for new posts.

Susan is a 35-year-old female who lives in Naples, Florida. She loves to garden, enjoys long walks on the beach with her pet Labrador Smittie and for some weird reason goes running for about 4 miles every morning. Ever since she can remember she has always had a runny / stuffy nose, sneezes several times throughout the day, gets a tickle in her throat and eyes water even when she is not crying. However, for the past few weeks, she has noticed that these symptoms have increased in intensity. She has also noticed this persistent dry cough that seems to worsen at night when she lies down.

She can recall when she was a little girl her mother experiencing similar symptoms and that her younger sister was diagnosed with asthma at a very young age. However, Susan just thought, this is me, and never paid much attention to her symptoms, even though they are bothersome. Well, the other night was rough ! She sneezed so much she thought her nose was going to fall off, her nose was so runny she wondered where all that liquid was coming from and her eyes itched so intensely , she seriously thought about pouring some cold water on them. Also, she developed these dark circles under eyes that did not improve even with the use of concealer. The problem is Susan never really had a primary care clinician because she is self-employed and has no insurance. However, she recently heard about a local direct primary care clinic, Compassion Primary Care, and decided to take advantage of their non-member services because she wonders if she possibly has a sinus infection or worse constant runny nositis (not a real thing *smile*)!

Her appointment was scheduled with Dr. Roberts, nurse practitioner, who after reviewing her history and performing an examination diagnosed Susan with allergic rhinitis. Dr. Roberts explained that with her symptoms and family history, she is surprised that Susan was not diagnosed earlier! Susan is started on a nasal and oral non-sedating antihistamine, and glucocorticoid nasal spray. Susan appears to have symptoms when she is inside and outside of her home, so other things such as wearing a mask when gardening, going to the gym to exercise on days when the pollen count is high, keeping windows up in the car while driving and down while home were also suggested. In addition, rinsing the nose with a saline (salt water) solution was recommended. Lastly, encouraging Susan to shower once she comes inside from outdoor activities to remove any potential allergen exposure was advised. Dr. Roberts would call her in 3 days to evaluate if her symptoms were improving. Dr. Roberts also discussed with Susan the (a) importance of trying to identify possible allergens and triggers (i.e., where she was when symptoms started, what she was doing, was she inside or outside) (b) possibility of allergy testing to determine specific allergens that are causing her symptoms, if she did not experience improvement with the above treatment.

#allergies #allergic rhinitis #nasal congestion #sneezing #runny nose #sinusitis

Related

Concierge Medicine versus Direct Primary Care (DPCs), Similarities and Differences

Concierge Medicine versus Direct Primary Care (DPCs), Similarities and Differences

Over the last several years two healthcare models have emerged which offer different healthcare opti...

Read More >
February is recognized nationally as American Heart Month

February is recognized nationally as American Heart Month

February is recognized nationally as American Heart Month, a time set aside to focus on all things h...

Read More >
Wheezing Wilbur!

Wheezing Wilbur!

Wilbur is a 24 year old male who recently joined a local gym. He has packed on a few pounds over the...

Read More >
What is Direct Primary Care?

What is Direct Primary Care?

Direct Primary Care (DPC) is an innovative model sweeping the nation, that returns to focusing on th...

Read More >
I am healthy, why do I need a primary care provider (nurse practitioner, physician or physician assistant)?

I am healthy, why do I need a primary care provider (nurse practitioner, physician or physician assistant)?

This is a question that I often heard with my senior patients once they retired. It was usually phra...

Read More >
The nurse practitioner will see you now!

The nurse practitioner will see you now!

I have been a nurse for 20 years and a nurse practitioner for the past six years. I have seen a grea...

Read More >