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My  Personal Thank You: Building a Different Medical Practice For You

12/31/2016

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 I chose to make a different contribution to you, my community  when back in 2014 I opened Innova Medical Care. This post gets personal when I share with you it would have made more financial sense to be employed by a group of doctors then, but my heart was set in embarking on a different journey by starting a small, personable  family owned medical practice.
Family owned? Yes, for my husband felt strong about supporting me financially by lending me the monies from his retirement plan to make this happen. And since,  he and my kids have been very present in the nitty gritty of it all.
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Why am I  sharing this piece of my life story with you? There is power in family working together! There is power in your life mission when you are operating in it!  Communities get positively impacted by the difference you build up; and as you give, you are also transformed! I have been blessed by you, and I want to thank you.
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As a small family owned small business,  I really wanted my medical office to be a stand alone Family Practice office, committed to personable medical care, without big buildings and big staff. That is how Innova was born in the East part of Orlando and how we have been serving. Isabel is my right hand,  she loves what she does and her work extends mine. She is family to  me.


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Many times I have been tempted to move back to the old way and give a more financially pompous life to my kids, but then I remember that is not the legacy I want to be remembered by.
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I  take time to take the trash out, I answer phones when I can, our furniture is simple, my kids help me carrying stuff back and forth from and to office, my husband fixes most of the broken and damaged items.  This is not embarassing nor a secret.  It is WORK and I take pride in it. I want this extra effort from our part benefit the pockets of  my patients.  And this is one of  my family gifts to you.

On my day to day, I thrive on patients' successes, improvements, stories of healing and thanksgiving.  Many are finally trusting 'the medical system' again through our care. Like one patient told me (S.H.)    "At last, I am trusting doctors again". Isn't this what we all need, a place of trust?  My heart refreshes when I hear these remarks over and over again.  I want to bring this as another of our gifts: a space of trust between you and your physician.

  Without you we couldn't have done it. Thanks for all the words of appreciation, all the  gifts of love ( from delicious 'pasteles', and desserts, to  surprising heartfelt gifts); the innumerable words of encouragement, prayers received privately and in secret; and for your sincere smiles, Facebook posts and emojis, referrals (as there is no office without patients), reviews, and the list goes on! These make my heart beat stronger!


My thanks would not be complete if I did not apologize for  being impatient sometimes, or if you saw a moody face here and there.  And I hope you have not minded  my wearing  jeans. (By the way, you may not see my intellectual white coat as often from now on...).

​ I cherish you, and as year 2017 begins, my genuine desire is for you to know I appreciate your trust and your presence in my life. I have learned lots from you, more than you can fathom. Allow me also to encourage and give you hope as you 'walk the walk', for it is about legacy and giving of who you are, so  the world of others is enhanced. Make your mark. Leaving the
 legacy you are called for  will absolutely make your life more joyful and fulfilled.  "There is more joy in giving than receiving". It has to me.
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Last , but not least,  I believe that without  my Heavenly Father and his gifts of  health, family support and the committed love so indispensable in the steadfast giving of myself to you (for which I thank Him daily)  I would not be who I am nor doing what I do. 

I  humbly pray that my patients and all those lives touched through many medical encounters  have experienced the positive,  long lasting meaning and significance of my service.  
It is also my  hope you can  share with others  what  we are  warmly bringing  into our community especially to those who are in need of
  "A New Kind of Medicine".


With my deepest gratitude, have a powerful 2017!

​Dr. Maribel Aviles, M.D.
Innova Medical Care
A New Kind of Medicine

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I go to the doctor once a year... Is Direct Primary Care good for me?

12/2/2016

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PictureHappy patients=Happy doctors
    I used to go to the doctor only once a year. I was young then, and  many young and not so young people see the doctor annually these days, especially people without insurance or the under-insured.
But even when our office is one fo the few with a " Pay As You Go" (cash) program increasing accessibility to medical care, our Direct Care Membership might make much more sense to obtain medical care. Let's see why. 1.  This option is only available to people who really need to see the doctor once a year ( as they do not take medications, don't need to have repeat blood tests, and are in optimal health). They just want their physical exam or well woman exam  annually.  2. Chances that something out of the norm will happen to these folks will be "minimal" ,  and won't need to call me at all in the interim.They may risk it and go to the ER or Urgent Care.
But is this indeed the norm? Not really, But if you are one of those, you may think  covering  a monthly membership fee for this is plain crazy,  out of you comfort zone,  or  represents an unnecessary out of pocket expenses. Maybe!   Maybe not!
3. Check this example out:

​Young female  visits Doctor X. She is uninsured , healthy, without risk factors  and just wants an annual exam. Wants to avoid a county clinic (which is always an option) or a non profit organization:

First Office Visit                                               $150 (some gynecologists may charge up to $250)
Blood Work with urine analysis (basics) :       $150 
PAP cytology:                                                       $200 
Chlamydia and Gonorrhea (based on age)     $100 
Total:                                                                $500-$600* (low side of estimate)
(*If no further discussion is needed with the physician (everything is normal)-  this patient will get a call and be advised by the office or medical assistant that 'everything is ok' (what does that really mean, anyways?).

All done!  But, ouch!  Some lab results are off!  She must visit the doctor again.
Follow Up Visit                                              Up to $100 ( or more?)
New testing:                                                  $XX.XX  (repeat test for example)
New total:                                                  $585-$685 plus $XX.XX (if applicable)

Three months later she gets a bladder infection and needs antibiotics. Unless she decides to take a risky chance in self administering the 'leftover" antibiotics from last bronchitis (not advisable), she MUST visit the doctor again.   Follow Up visit: Up to $100   Urinalysis-$20 (or more)   Urine Culture - up to $100   Subtotal:  $220  
New total:     Over $850  (now she has spent $200 more than with her membership at Innova.

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​Potential savings: Over $200 by  signing up for Innova's Direct Primary Care 
For only $50/mo ( less than $2/day)  she could have received 'all of the above' plus:
1. Still have unlimited visits if needed later for urgent issues (saving pricey urgent care fees obtained from unfamiliar clinicians)
2. More than basic blood tests 
3. In house tests at no extra charge
4. Full and  detailed discussion of results with treatment options.
5. Have a preventive program in place where the natural and standard remedies meet.
6. Have a  thorough, personal and advocating doc 24/7 without having to miss work unnecessarily. 7. And much more.  Got it?

 I respect my patients' choices and decisions. It is each person's prerrogative to determine their best course of action. My job is to inform and educate. And my  hope is for people to pay close attention, get informed and save health monies while getting the best medical care, in an environment where you are advocated for and personally known. Only when  you understand the  real value  behind Direct Primary Care and take the steps to join,  will  you realize what you have been missing all along.  Nevertheless, if a "Pay as You Go" option is what you feel you need,  we will  be glad to help.  Just Call us for pricing and check if you meet our criteria.  ​And join our pioneering health care in Orlando and nationally, Innova Direct Primary Care.
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Dr. Aviles
​ 407-394-1336


​





Innova Medical Care

First Direct Primary Care in Orlando and...
​A New Kind of Medicine!

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