Carlsbad Family Medicine, A Professional Corporation
2808 Roosevelt St., Ste 100
Carlsbad, CA 92008
760-688-0411
760-645-6385 FAX
www.medicine-in-motion.com

 

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News Updates

28 June 2019

Summer has finally arrived so "good bye" to June gloom and "hello" to all sorts of fun activities!

First, some business items: the 4th of July is next week; as this is also our wedding anniversary, my wife will abscond with me for an extended weekend, hence the office will be closed on Thursday (7/4) and Friday (7/5). We will return on Monday (7/8). I will remain on call for emergencies - simply follow the instructions on the office message machine. We ask that you please do NOT call/leave messages for routine prescription renewals or appointments as we'll be unable to do anything about them until we return on Monday anyway.

We are pleased to offer cryotherapy once again for small skin problems such as warts, skin tags, and other superficial lesions. We have purchased a cryopen for this which employs a cannister of nitrous oxide, rather than the usual liquid nitrogen. It's not as uncomfortable and can be used in a more precise manner for difficult to reach areas. In keeping with our philosophy of trying to keep charges reasonable for cash patients, we charge $130 for the destruction of benign lesions up to #14 (most practices in our region charge insurances approx $200 for the same CPT code, 17110) and $125 for destruction of skin tags up to #15 (most offices would charge insurances about $240 for the same, according to https://www.fairhealthconsumer.org).

Thanks to those who've taken the time to share their reviews on social media sites such as Google, Yelp, and others. To quote Sally Fields: https://www.youtube.com/watch?v=rl_NpdAy3WY. Please, feel free to keep those reviews coming!

We are so lucky to have several wonderful venues for music and the arts nearby, and we gladly support them in light of the cutbacks in Federal support. Currently, the New Village Arts Theatre (Carlsbad) is performing the musical version of "The Little Shop of Horrors" and the Moonlight Amphitheature (Vista) has Mel Brook's hysterical musical, "The Producers." We've seen both and they're excellent with quality on par with Broadwayi - please go see these!

Also, Carlsbad hosts the TGIF Concerts in the Park series, rotating parks around the city throughout the city. Check these out as well at https://www.carlsbadca.gov/services/depts/arts/events/tgif.

In the meantime, Folgers and I will be counting down the days until Burning Man! Have a wonderful summer!

1 May 2019

Happy (almost) Birthday to me! The goddess in the front office will be whisking me away for the upcoming weekend hence the office will be closed this Friday (in addition to the normally closed Thursday). The office will re-open on Monday, May 5.

Other upcoming events in May: my son will be graduating from Sonoma State and the office will likewise be closed on Friday, May 17th). The following week is the excellent Pri-Med conference, a continuing medical education event for primary care physicians on the West Coast. I'll be in attendance, hence the office will also be closed from after noon on Tuesday (May 21) thru Friday (May 24).

I will remain available for urgent telephone calls for each of these absences. Information will be on our answering machine. Should you need to be seen by a primary care physician in our neck of the woods, I recommend Dr. Lawrence Wong (located around the corner from our office).

Finally, apparently you still like us - thanks for those great reviews on Yelp and Google!

8 April 2019

Next week's schedule: I will only be in the office on Monday, April 15, as I will be finally getting my knee 'scoped on Tuesday, April 16. I will be available to check for messages and urgent calls. For the same reason, I will not be performing bar magic at the Grand Avenue Bar & Grill that night, either.

23 March 2019

We made the most recent edition of the Coast News. Read about here!

26 February 2019

Patients often wonder what determines a physician's office visit charges and why we are not able to quote them an exact price. Office visits are characterized by the complexity of the issues that need to be addressed and can range from brief/simple to long/complex. It's difficult to quote a price without knowing what will be involved, but we'll do our best to provide a realistic range for you. [NOTE: you'll find a link below, in the Jan 11, 2019 update, that will allow you to see our usual charges.]

We've been receiving many calls of late inquiring about charges for HRT (hormone replacement therapy) consultation visits. Two prospective patients told us that their clinics are now charging them an astronomical $3000 per visit! (not including labs or medication!) In our office, a new patient 30 minute/detailed visit is only $150. [Be aware, that per Fair Health Org, the typical office charge in our region is $285 for the same service. We're able to charge less because our overhead is low by not dealing with insurance companies.]

For most women starting HRT, no special labs need to be ordered as the diagnosis is fairly obvious. If Dr. Pearson is your primary care physician, he might find that you're due for routine labs or other studies (e.g. mammography, DEXA) and might have to order those. If, on the other hand, you're a member of Kaiser Permanente (or some other medical group) and are seeing Dr. Pearson in consultation for HRT only, those studies can be ordered by your primary care physician within that system.

Men will need baseline studies (testosterone, CBC, PSA, lipids, CHEM panel) before the start of their therapy, however. We refer them to local laboratories. [For patients without insurance, we've found that West Pacific Medical Labs are the most affordable.]

Also, unlike many of those clinics, we do not sell any hormone products to patients. We prefer to support local compounding pharmacies for our bio-identical hormone (BHRT) prescriptions.

Further questions? Please give us a call at 760-688-0411 and we'll do our best to help you!

11 February 2019

I will be attending the Annual Meeting (for Continuing Medical Education) of the Osteopathic Physicians & Surgeons of California (OPSC) from Thursday 2/14 thru Sunday 2/17. Because of this, the office will be closed on Friday, February 15. It is being held locally, in San Diego, so I'll still be available for patient calls if needed.

11 January 2019

Welcome to the new year! We're back up and running after taking a few unexpected days off on account of my mom's passing. Thank you to those of you who have expressed your condolences.

We're very pleased that our patients appreciate our "no nonsense/old school" approach to practice e.g. no hassling patients at the front desk over insurance cards. After an initial glitch due to a practice code, patients with PPO's or HSA accounts are now finding it easy to get reimbursed for their visits. And our cash paying patients appreciate how we're able to keep our pricing reasonable and affordable compared to other practices and urgent care centers. [As a reminder, we proudly post our charges online here for purposes of comparison shopping. And, if you're not aware of it, there is a website (and phone app) called Fair Health that allows one to look up typical medical charges for a particular zip code.]

On a magical note, we are pleased to also offer appointments for personal 1/2 hour close-up magic shows for $100. Take advantage of a private entertaining show by a member of the Academy of Magical Arts (aka the Magic Castle). Also, we start another year of performing bar magic at the Grand Avenue Bar & Grill (aka the "G-Spot") in Carlsbad on most Tuesday nights starting at 8 PM. Please come join us for fun and good food/drink at locals prices!

Now, go out and do something fun!

 

18 December 2018

Happy Holidays to all!  Our office will be closing early (5 PM) on Wednesday, December 19, because I'll be performing magic at Senior Grubby's Charity event for Got Your Back San Diego.

We'll also be closed for the week starting Monday, December 24 (Christmas Eve) through Tuesday, January 1, 2019 (New Years Day). We'll be back treating patients again on Wednesday, January 2, 2019. I WILL BE AVAILABLE BY PHONE SHOULD A PATIENT NEED TO SPEAK WITH ME. Please all the office (760-688-0411) and follow the instructions in the message. This should be for urgencies only. Please do not call for routine prescription refills or to schedule appointments.

Finally, check out our new 1/2 page ad for Carlsbad Magazine starting in January!

 

21 November 2018

Aside from Thanksgiving, the office will also be closed on "Black Friday" (11/23/18). I will be available by phone if needed for urgencies. Call 760-575-4011. [NOTE: for emergencies, call 9-1-1. For routine things such as prescription refills, scheduling an appointment, please wait until Monday.]

27 October 2018

We survived our first 4 weeks! We've been slowly ramping up as we learn our software and things have been going very well. What a difference in the new practice, compared to working with the large group - much less stressful without having to deal with the hassles of the insurance companies. Our patients have noticed and their experiences have been overwhelmingly positive. We'll keep doing everything that we can to keep our patients' experiences as good as they've been in the past years.

Also, in the interest of returning transparency to medical offices, we've now posted our most common office charges so that potential patients can make informed medical decisions. They can be found here. Please note that effective November 1, 2018, a $5 processing charge will be applied to all credit card payments.

Finally, Dr. Desi Gamboa and his wonderful staff (at Carlsbad Chiropractic) couldn't be nicer to us. We love sharing their office with them and look forward to doing fun things together in the future!

16 October 2018

Another short week: must leave early today (Tuesday) for a doctors appointment and no office hours on Friday as Laurie and I will be attending Youtopia, the regional San Diego "Burn." [sdyoutopia.com]

Youtopia is being held at the La Jolla Indian Reservation off of Highway 76, near Palomar Mountain. I should be able to receive calls for emergencies while I'm away (Thursday thru Sunday), but if for some reason I'm not able to be reached, Dr. Curtis Buck (my former student!) will be available to handle questions that arise. His contact information will be on the office recording. Obviously, if a true emergency exists, the answer is always "9-1-1."

1 October 2018

"Soft opening" today! Giving our new software a testdrive and we're still waiting on some supplies and prescription forms to be delivered. We won't be entirely up to speed, but patients may now call office to schedule appointments.

Once we have your name and basic information, we'll send you a link to our patient portal, called "OnPatient' where you can complete the registration, history, etc from the comfort of your home. Don't have a computer at home? Arrive early for your appointment and compete this information on our iPad Pro tablet.

Reminder: we will be fee for service only. No insurances will be billed. We will, however, provide you with a "superbill" that you can can submit to your insurance company (or Medicare) for reimbursement, if applicable. We will be following the Medicare fee schedule for non-participating physicians, which is generally lower than those of private insurances (and, visits for the most common maladies will, for the most part, be cheaper than the average urgent care visit of $150 AND you'll get seen by an experienced/seasoned physician rather than a nurse practitioner or physician assistant).  Our fee schedule will be posted under office information soon - there are lots of codes to go through!

Also, we will only be open Monday thru Wednesday this week as the office will be closed from Friday thru next Tuesday because I will be attending OMED, the American Osteopathic Association's annual convention, here in San Diego. It's my opportunity to earn Continuing Medical Education credits and keep my skills sharp.

Laurie and I thank you all for being so patient with us.

 

 

19 September 2018

Ramping up to opening. Much closer, but still waiting on some important items such as business license, malpractice insurance confirmation, learning how to use new software for scheduling, etc. Shooting for Monday, October 1, to begin treating patients again. I've posted our office hours under the "Office Information" page and hope to post a fee schedule shortly, as well, so that there are no surprises (unlike the current state of health care management). I plan on following the Medicare limiting charge rates for services, which is fair and affordable for most patients.

Created new business cards:

business card front Business card back

Unrelated: Now that I'm back in the "default" world (following the annual venture out to Burning Man), I've resumed my Tuesday evening gig providing close-up bar magic entertainment at the G-Spot (aka the Grand Avenue Bar & Grill) in Carlsbad. The fun starts at 8 PM so please come by and share some laughs with us locals!

17 August 2018

Medicine in Motion has found a new home! I will be sharing space with Dr. Desi Gamboa, of Carlsbad Chiropractic, in the heart of the village. It is located in the Roosevelt Center, adjacent to the U.S. Post Office. Our suite will be next to Pronto's Deli. It is just a few blocks away from Interstate 5, Carlsbad Blvd exit.

The address: 2808 Roosevelt St, Ste 100, Carlsbad, CA 92008 [phone # pending]

Not sure of exact start date as of this time. Shooting for the 2nd week of September, but depends upon getting scheduling and other systems up and running. Still finalizing office hours. I'm going to try to offer at least one day of evening hours and a day of early hours. Will post details when available.

  CBad Chiro office  

PLEASE NOTE: Next week, I will be leaving the "default world" (i.e. falling off of the grid, so to speak) to attend Burning Man once again. I will not be able to communicate either by phone or internet/e-mail after Tuesday 8/21until a few days following Labor Day.

Sideshow Camp 2017 Magic Doc at Burning Man 2017 The Man burns 2012!
Want an insider's view of our amazing Burning Man experience? Check out Tom Franks' video diary of our camp here. [Caution: some parts might not be safe viewing for work.]

 

 

21 June 2018

Effective today, I have left the Graybill Medical Group and am taking a 3 month sabbatical to recharge my batteries and discover life once again.

As many of you have noted on Facebook, the past months have been quite stressful: while I enjoyed my Graybill co-workers and staff - they've been very good to me - the tremendous burden placed upon hard working physicians by the requirements of the insurance companies and the use of electronic medical records systems finally became untenable. There was simply no way to get caught up on all of the "scutwork" while still caring for full days of patients. All work and no play makes Jeff tired and irritable. This affected my attitude towards patients and I did not like this. The "Department of Funology" was suffering. I was losing my filters (while good in improv workshops and performances, not necessarily good in the office).

In any case, I'm taking the advice that I give to my patients under similar circumstances. Take some deep breaths and get off of the "treadmill."

While many older/"seasoned" physicians have elected to simply retire because of these conditions, I expect to reopen a smaller "wellness/boutique" practice in north Carlsbad around mid-September, after my return from Burning Man. Details will be posted when they become finalized. At this time, I'll note that I am planning a practice that will focus on preventive medicine and wellness, but will continue to offer Osteopathic manipulative treatments and other basics. [Because of the issues noted above, I will NOT be participating in any insurance plans. Patients will be required to pay at the time of service and, if applicable, can submit their receipts in order to receive reimbursement from their insurance companies. Those of you who've been around for a bit will recognize that this "fee for service" model (with very straightforward posted fees) is the way things used to be before being supplanted by insurance models (where the actual fees are hidden and manipulated by the insurance companies. I believe in transparency and fairness. This will also help us to keep our charges reasonable.]

Graybill Medical Group will continue to provide medical care to my patients in my absence. Please contact them with any medical concerns that you might have until I re-establish my new office location.

Laurie and I thank you for your caring, consideration and patience. We greatly appreciate the many "best wishes" that we've received in support of our decision.

For those who wish to share a laugh with me in the meantime, you can still catch me performing bar magic most Tuesday evenings at the Grand Avenue Bar & Grill, in Carlsbad. The fun starts at 8 PM. Enjoy good food and drinks at locals prices!

Magic Doc

 
Magic Doc & Folgers

February 27, 2018

My particular style of medicine (and teaching) in the Department of Funololgy was featured by Tabitha Lipkin on Fox 5 San Diego! Check it out here.

 

 

"Latest News" items prior to 2016 have been archived. You can find them here (2002-2005) and here (2006-2016)