Comprehensive Chronic Disease Management 

Assessment and management of interconnected metabolic risk factors — abdominal adiposity, elevated blood glucose, abnormal cholesterol and high blood pressure — through individualized lifestyle interventions, risk reduction and clinically appropriate treatment.

Physician-led evaluation and ongoing management focused on glycemic control, cardiovascular risk reduction, lifestyle modification, medication management when appropriate, and prevention of long-term complications.

Evaluation and management of common thyroid conditions, including hypothyroidism, hyperthyroidism and selected stable thyroid disorders, with laboratory monitoring and specialist referral when indicated.

Assessment and management of the metabolic risk factors associated with fatty liver disease — insulin resistance, obesity, dyslipidemia and type 2 diabetes — including risk assessment, appropriate noninvasive evaluation and specialist referral when clinically indicated.

Formerly known as polycystic ovary syndrome (PCOS). Metabolic assessment and management of insulin resistance, weight-related concerns and associated cardiometabolic risk factors in patients with PMOS.

Management of elevated LDL cholesterol, low HDL cholesterol, hypertriglyceridemia and related cardiovascular risk markers, with individualized risk assessment, nutrition and lifestyle counseling, and appropriate lipid-lowering therapy.

Evaluation and ongoing management of high blood pressure, including home blood pressure monitoring, medication optimization, lifestyle interventions and cardiovascular risk reduction.

Individualized assessment of blood pressure, cholesterol, diabetes, smoking history, weight, family history and other relevant indicators, with an emphasis on prevention before cardiovascular disease develops.

Management of the risk factors associated with atherosclerotic disease — lipid disorders, hypertension, diabetes and metabolic dysfunction. This is preventive risk management; advanced vascular disease is referred for specialist treatment.

Monitoring of selected stable, early-stage kidney disease, including kidney function assessment, blood pressure optimization, diabetes management, medication review and appropriate nephrology referral.

Evaluation and treatment of common reflux symptoms through lifestyle modification, appropriate medication and assessment of symptoms that require further investigation.

Evaluation and ongoing management of IBS symptoms, including dietary factors, symptom patterns and appropriate treatment, with referral when further evaluation is needed.

Assessment of persistent upper abdominal discomfort, bloating and indigestion, with individualized management and referral for further evaluation when necessary.

Evaluation and management of common bowel habit concerns, including dietary factors, hydration, medication effects and appropriate treatment strategies.

Initial assessment of selected non-emergency abdominal symptoms, with appropriate testing, in-person evaluation or specialist referral when clinically indicated.

Screening, risk assessment and coordination of diagnostic testing and ongoing management, including weight-related risk reduction and appropriate sleep medicine referral.

Management of selected stable asthma, including symptom assessment, inhaler medication review, trigger identification and appropriate follow-up.

Ongoing management of selected stable COPD, including symptom monitoring, medication review, preventive care and referral when appropriate.

Evaluation and management of common environmental allergies, allergic rhinitis and associated upper airway symptoms.

Assessment of bone health and fracture risk, appropriate screening, lifestyle interventions, and clinically indicated treatment or specialist referral.

Conservative management of selected chronic joint symptoms, including activity modification, weight-related interventions, medication review and referral for physical therapy or specialist care when appropriate.

Evaluation and management of gout and elevated uric acid, including flare prevention, lifestyle modification, medication management when indicated and ongoing monitoring.

Assessment of common sleep difficulties, sleep habits and contributing medical factors, with evidence-based management and referral for specialized sleep evaluation when necessary.

Evaluation of persistent fatigue and possible contributing factors, such as sleep disorders, anemia, thyroid dysfunction, nutritional deficiencies and metabolic conditions.

Evaluation and management of selected uncomplicated, recurrent headache disorders, including trigger assessment, preventive strategies and appropriate medication.

Initial assessment and management of selected stress-related symptoms and mild-to-moderate mood concerns within the physician's scope, with behavioral health referral when indicated. Firm Hill does not provide specialized psychiatric care.

Evaluation and management of selected common anemias, including laboratory assessment, nutritional factors, appropriate supplementation, and investigation or referral when indicated.

Assessment and management of clinically indicated vitamin and mineral deficiencies, including appropriate laboratory testing, dietary counseling and supplementation.

Individualized screening recommendations based on age, history, risk factors and established guidelines, with coordination of laboratory testing, cancer screening, immunizations and preventive follow-up.

Evaluation and treatment of selected uncomplicated urinary tract infections, including appropriate testing and prescription treatment when clinically indicated.

Assessment and management of selected mild respiratory illnesses, with in-person examination or diagnostic imaging arranged when needed.

Evaluation and management of common non-emergency respiratory infections, including symptom relief, appropriate testing and antibiotic stewardship.

Assessment and management of selected mild skin infections and inflammatory conditions when telemedicine evaluation is appropriate, with referral for in-person examination or procedures when required.