Primary Care Specialized Care Collaborative Care Testimonials

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"Our approach to patients and their families fosters a gradual shift of responsibility for a young person’s health from parents to self. We strive to engender openness and to preserve confidentiality."

Primary Care

The scope of Adolescent-Young Adult Medicine ranges from primary care for those in good health to specialized care for patients with serious or complex health needs. Primary care addresses the healthcare needs of all pre-teens, adolescents and young adults, including those who also have specialized needs. In fact, most of our patients are in good health and utilize our practice principally for primary care.

Check-ups, health maintenance and preventive health screening

We recommend a comprehensive annual check-up once a year for all of our patients, including those we see regularly at more focused visits. The annual check-up is an excellent time to discuss a broad range of health issues and have a complete physical examination. It is not just about filling out a health form (which we certainly do!) but, more importantly, to renew our relationship, update immunizations and laboratory tests, and screen for any physical or psychosocial problems or health-risk behaviors that may need attention or anticipatory guidance. Many adult health problems have their origins in adolescence and young adulthood, so discussions about smoking, alcohol and drug use, sexuality, mood, nutrition, sleep and exercise are among the important subjects we review.

For more information on immunizations, please download Immunization News 2017 (PDF).

For "15 health tips for everyone," please download Feel Healthy, Be Healthy (PDF).

Treatment of acute illnesses and skin disorders

As primary care physicians we are generally the first to be consulted about acute illnesses and skin conditions. For acute illnesses (such as respiratory infections, abdominal pain, urinary symptoms) we offer same day visits, and if urgent, care on weekends.  Dermatologic conditions (such as acne, allergic reactions, infections, and other eruptions) are also managed at our office. When necessary, we refer our patients to sub-specialists or dermatologists.

For more information on skin disorders, please download Basic Instructions for the Care of Acne (PDF).

Nutritional guidance and education

Nutrition is one of the three health basics, along with sleep and exercise. When the three health basics are going well, we feel better; we have more energy and are in a better mood!  Adolescents and young adults often have questions and concerns regarding their nutrition related to eating a “balanced diet” that provides sufficient nutrients (such as iron, calcium, vitamin D, vitamin B12), appropriate proportions and amounts of energy (derived from carbohydrates, protein and fat), and ample quantities of fluids. Many of our patients request help managing a vegetarian or vegan diet and some patients need help figuring out how to deal with periodic discomfort in their abdomen that may be related to food choices or patterns of eating. Some patients need guidance if their cholesterol or triglyceride levels are not in a favorable range and others request information pertaining to bone health, especially if there is a family history of osteoporosis.

For more information on nutrition, please download our clinical handouts on Iron (PDF), Calcium (PDF), Fiber (PDF), and Cholesterol (PDF).

For "15 health tips for everyone," please download Feel Healthy, Be Healthy (PDF).

Click here for information about eating disorders.

Gynecologic and sexuality-related care

We are “experts” in performing the first gynecologic examination for our patients. We want to be sure that the first exam is explained in advance, and performed slowly and without discomfort, so that this routine aspect of female care is not viewed with trepidation. The first examination may be performed when a patient has a gynecologic concern or at some time soon after the onset of sexual activity (intercourse). If a patient has never had a gynecologic examination and has never had intercourse, we generally recommend the first routine examination take place between age 18 and 21.

Gynecologic care provided in our office most often pertains to menstrual problems (periods which are too long, too heavy, too frequent and/or too painful), vaginal discharge or discomfort, breast development or lumps, and sexuality-related care.

Sexuality-related care includes discussion of relationships, counseling regarding birth control and sexually transmitted diseases, prescribing birth control, and screening for and treating gynecologic, including sexually transmitted, infections.

For information on birth control, please download our clinical handouts on Contraception (PDF), The Pill (PDF), The Diaphragm (PDF), and The Nuva Ring (PDF).

Click here for more information

Male health and sexuality-related care

Adolescence introduces particular challenges for our male patients. We strive to provide information and reassurance in a supportive office environment.

Boys enter puberty and experience their growth spurt, on average, two years later than girls, and particularly during the middle school years appear younger and smaller than their female friends. A later-maturing boy may especially feel impatient or anxious about his development and  expectations to be manly, strong and competent.

A majority of boys in the mid stages of puberty will experience gynecomastia, a swelling of their breasts that may last for several months or longer. Boys are prone to developing acne during adolescence, sometimes severe, and later adolescents may even notice signs of early-onset baldness. Body image concerns and worries about sexual activity, sexually transmitted diseases, sexual preferences and identity may emerge at any stage of adolescence.

Counseling

As primary care physicians, we are always available to talk with our patients about anything on their minds, including disagreements with parents or friends, roommate problems, romantic matters, stress at school or at work, or career direction. Some patients seek advice regarding matters pertaining to substance use or sexuality. Such counseling is generally brief (a few visits) and focused. Some adolescents or young adults may experience more serious developmental or emotional difficulties which require further in depth evaluation and treatment.

Please review our specialized care page for more information related to developmental and emotional difficulties at home or school or with peers, and health-risk behaviors such as smoking, alcohol and drug use.

Travel health

We are always delighted to help out when our patients travel the world with their families, with groups or on their own. We offer all travel immunizations including yellow fever, appropriate travel medications and counseling regarding travel safety.

For information regarding your particular destination and itinerary, please consult the Centers for Disease Control & Prevention website and download our Travel Health Checklist (PDF).

Supervision of hospitalization

We have admitting privileges as attending physicians at the Mount Sinai Medical Center. When the need arises, we prefer to refer a patient to the emergency room and/or in-patient services at Mount Sinai, so that we may manage our patient’s care in collaboration with the onsite medical staff. If one of our patients is in the emergency room or hospitalized elsewhere, we are pleased to speak with the staff at that institution, but cannot directly participate in the care.

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