30 May 2021
As usual, the office will be closed tomorrow (Monday) for Memorial Day. The office will also be closed from Thursday, June 10 thru Sunday, June 20, for family visits. We'll also be doing some upgrade work on our office cybersecurity and the DrChrono electronic medical records system that week in light of the major health care systems all being hit by ransomware. I will be in town, however, and will respond to answering service pages to address urgent matters, as well as non-urgent Onpatient Portal messages.
Update: our phone system is currently working, but Spectrum Business is still having issues in transitioning to our new 1 GB fiber connection.
I've added a mini-crash course to our patient education section (responding to popular request). It's for the adults in the room and it's all about the lube... This ties in with an updated FAQ entitled "I believe in sex, drugs, and rock 'n roll. Will you talk "dirty" to me?
Now that more of the region has been vaccinated, my nurse friend, Pamela, and I have resumed our visits to Tijuana to care for Guatemalan refugees in their camps. We usually venture down south every 2 months or so for a Saturday. We are always looking for donations of clothing, toiletries, and toys. If you have anything that you'd like to donate, you many drop them off at our office. Monetary donations are always helpful to help us purchase medications when we're treating these poor families and 100% of the funds go directly to their care. [To donate: please Paypal: firstname.lastname@example.org. Thanks!]
13 April 2021
We're experiencing problems with our phone system. We can now receive calls, but are unable to call out from the system. Best to use Onpatient portal for nonurgent messages.
9 April 2021
It's taken a lot of time and effort, but - voila! - our site is back up, stable, and (hopefully) secure. [You'll notice the small lock just to the left of the url address. This indicates that the data transferred between you and our website is encrypted.] Most of the files and links are working again, and I've cleaned up and deleted outdated files. Not 100% yet, but damn close...
Out of necessity, Laurie and I finally bit the bullet and decided to participate in some insurance plans. There were far too many patients who wanted to see us, but felt obligated to instead use a provider within their insurance networks as they pay so much out to the insurance companies on a monthly basis. We were simply inadvertently turning too many people away.
This introduced a whole new level of complexity to the running of our office and steps had to be taken in order to maintain the goddess' sanity. Specifically, we had to hire a billing company to handle coding and billing responsibilities. This, in turn, added significantly to our overhead requiring a modest raising of our charges for our patients. [Despite this, according to numbers provided by fairhealth.org, our charges remain signifantly lower than other local practices and urgent care clinics. And, per our online reviews, we apparently remain an excellent value for the services that we provide!]
So aside from accepting assigment from Medicare (including "Medi-Medi" patients) and Tricare, we are now considered as "in-network" providers for: Aetna, Anthem Blue Cross, Healthnet, and United Healthcare. (There are a few other plans pending.)
Back to cybersecurity: if you've been following the news reports over the past year or so, there's been a marked increase in computer systems compromised by malware launched by overseas agents. These have affected all levels of government, large corporations and industry, financial institutions, colleges/universities, countless mom/pop businesses, and many more victims. Local hospitals (Rady Children's and Sharp) have been the victims of unscrupulous ransomware attacks. Healthcare providers and clinics have been prime targets of foreign agents trying to harvest protected patient data.
To help us to beef up our protection against such intrusions, we're working with a cybersecurity expert, Nir Daliot. He's doing wonders to insure the integrity of our patients' personal information. We're also working together on a project (under the auspices of MIM Technologies, a new division of Medcine in Motion) to provide simple, yet secure, physician-patient communications for remote office visits. [After all, who wants to waste 20 minutes of prescious time learning how to use Zoom Meeting? BTW, I recently had a cybersecurity article accepted for publication in Medical Economics Magazine. You can read the pre-publication draft here.]
On the pandemic front, All of our office staff have been fully vaccinated. However, it is still important to follow the safe practices of wearing masks (when indicated) and hand washing. [One benefit of the latter is that I've seen only one patient with flu thus far since December. Handwashing clearly has benefits!] Masks remain required for entry into our office.
That's enough for now. Laurie and I thank all of you for your patience as we go through these processes, as well as your glowing practice reviews and referrals. We are most appreciative and will continue to do our best to live up to the image that my dog had of us!
Oops! Almost forgot - where does one send rainbows that go "bad?" To prism, of course!
Magic Doc & Folgers
27 March 2021
Due to unavoidable forces beyond our control (the internet has been under attack over the last weeks and compromised millions of host servers around the globe), this site has been down. E-mail has also been down, as a result. We are graduallly coming back on line with a new hosting company. Hence, please bear with us as we assure that our cybersecurity measures are in place properly. As such, some of the links may not function correctly. Rest assured that we're working diligently to fix it all!
Our mobile site (www.medicineinmotioncarlsbad) remains available for viewing for cell phone access.
IMPORTANT: ABSOLUTELY NO PATIENT INFORMATION HAS BEEN BREACHED (It's hosted on a different server).
Thank you for your patience. We hope to be fully functional again within a matter of days.
26 November 2019
It's nearly Turkey Day so Folgers and I must participate in the ritual of migrating eastward so as to recharge our accents for another year! The office will be closed Wednesday 11/27 and will reopen on Wednesday 12/4. As I will not be wandering off in the desert this time, I'll be able to take my own call the whole time, with the obvious exceptions of when we're cruising around 38,000 feet above the continent. That being said, please try to hold off on phone calls, e-mails and portal messages until I return, if possible.
Same goes for bar magic at the Grand Avenue Bar & Grill (The "G-Spot") - no bar magic for the next two weeks. I'll return behind the bar on Tuesday, December 10.
Thank you for all of the positive/5-star reviews on Google, Yelp, and others. It's certainly nice to know that we're succeeding in our mission to help patients and go the extra distance to do so.
Now, off to tryptophan heaven...
23 October 2019
On the first of this month, we celebrated our one year anniversary of the opening of our new office! We are most appreciative of all who've follow us or discovered us since that time and of the reviews that you've left us. Apparently, most of you really like us! We'll continue to try and earn your trust.
Laurie and I will be attending Youtopia/Bootopia, the San Diego Regional Burning Man event held out in the high desert near California City over the next 4 days. There is no cell phone coverage out there. Should you need to speak with a physician for advice, Dr. Shaun Sanucci will cover my phone calls. Her contact information is on our office voice message. She will not renew any controlled substances or chronic medications so please do not call her for that. Best to save any nonurgent messages until we return to the office on Monday, October 28. Thank you for your understanding.
10 August 2019
The Man burns in 21 days. Just sayin'...
I am, of course, referring to the upcoming Burning Man event that Laurie and I participate in every year. In 2 weeks, we'll be "home" rejoining old friends [and 80,000 (or so) half and fully naked hippy-wannabees] on the Playa in the middle of friggin' nowhere, Nevada, to set a giant wooden man on fire at the end of the event!
OK, so that might be a slight exaggeration...(but not by much)... (Check out this 4.5 minute video for a taste of what it all looks like, then read about the Guiding Principles of Burning man here).
Laurie and I will be out of town to attend this craziness from Wed 8/21 thru 9/4. I will not be available for urgent telephone calls for this absence, but will leave the contact # for a covering physician (for after hours needs). This 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).
We listened to our patients and finally created a Facebook business page for our practice. On it, we'll post news items, pictures of fun charity events, etc. Feel free to leave comments! Look for it here.
Important announcement for our senior patients: We've made the decision to participate in Medicare AND accept assignment.
[We felt that asking our seniors to go thru the "joy" of completing government forms (so that they could be reimbursed), was too much of a hardship for many. We'll begin with this as soon as we receive the final information from the Medicare administrators, most likely early to mid-September. Until that time, we will continue on as previous.]
And, that's all for now. Laurie and I hope that you all can enjoy the rest of the summer!
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:
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.
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.
|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.]