Doctor Philip James Paustian, MD gave up hospitalist medicine in 2021 due to his refusal to betray his Hippocratic oath and bow to hospital directives that prevented the use of repurposed drugs to treat COVID-19. In the recent pandemic you did not have to be William Osler, MD to realize that hospitals, insurance companies, and the government alphabet agencies were not promoting optimum patient care during 2021 for the COVID-19 pandemic. They were not doing it in 2020 either but the information black out was so successful it took until summer 2021 before Dr. Paustian recognized that.
If you want a physician who answers first to you, thinks physiologically about therapy, will take time to explain it to you, answer your questions, admit if he doesn’t know and then call you back with answers after he researches your problem more, consider becoming a patient at True Medicine Telehealth. This practice is limited to 301 patients maximum to facilitate access.
This is a cash only tele-health practice, available to established patients via 24 hours a day via phone or tele-health platform. Access is based on the tier of service you choose
Initial visit is $200.00. You will need to submit lab work ideally performed within 2 weeks of your appointment and a written list of your medications, dose, how you take them and also any supplements you may be taking. You should have a reliable automated blood pressure cuff and results of measurements after sitting quietly for five minutes. You should have your current weight, ideally taken when you first wake up.
In the initial visit we will take your detailed history, review your recent lab work, review your medications, discuss what if anything can be done to ameliorate current health problems and avoid future ones.
Subsequent visits typically 15 minutes in length can be scheduled at your convenience quite rapidly and will run $140 per visit. (This is 19% less than attorneys are charging in this area to give you an idea on prices. We mention attorneys because so many hospitals have lawyers make final decisions on practice standards and hiring.)
Annual Plan: $1500.00
For patients who anticipate a need for monthly consultation : a year’s worth is $1500.00 (that is 12 telehealth video consultations in 12 months.
Annual Plan Plus: $3000.00
For patients who desire to be seen in person, I will schedule up to two in person house calls with them. In addition we will answer their phone calls 24 hours a day, 7 days per week (exceptions apply). Annual Plan Plus patients will be supplied a specific phone number to call. Since we cover a territory of 5 states, house calls cannot be made on an emergency basis. In all tiers, the initial visit is $200.00 regardless of the time it takes to complete that first visit. Knowing your history well makes for better and more efficient care later.
Optimally patients will have these lab results from within 2 weeks prior to appointment: Zinc, Vitamin D, (that is 25 Hydroxy Vitamin D also called total serum vitamin D), T4 Free (FT4), Serum Magnesium , Comprehensive Wellness Profile (CWP) and Hemoglobin A1c. (*The CWP includes a TSH, lipid panel, LFT’s, CBC with diff & indices, and kidney panel.)
Obtaining these labs from Direct Lab Services (directlabs.com) which I recommend cost the $282.00 pre-payed before the labs are drawn. You can obtain lab work from other labs at your own expense but Direct Labs was the first to make self ordered labs this simple. I have no financial interest in them but they save you money. Their cost in the past has equalled my copay if I went through insurance or was less, so I quit using insurance for lab work.
Please note the practice will not be prescribing controlled substances in Texas, Georgia, Alabama or Mississippi and we are skeptical that we will be doing that much in Florida. Chronic pain managed via opioids on a long term basis is outside the scope of this practice and will not be done.
TEXT MESSAGING: Text messaging will have to be done via a HIPPA COMPLIANT manor. Established patients will be given instructions.
Insurance: I do not accept insurance nor file it nor deal with insurance companies in any fashion. For internal medicine, insurance just adds another level of cost and a new master to the patient physician relationship. Watching insurance companies seek to discourage physicians from using safe effective repurposed drugs during the COVID-19 plandemic and instead promoted less effective, more expensive, and more dangerous therapies convinced me that insurance companies are no longer serving the policy holders best interest.