Frequently Asked Questions
General Medical Services
Do you make house calls?
Yes! Patty Ryan, ANP provides home visits throughout Palm Springs and the Coachella Valley. We come to your home for medical consultations, wellness checks, and follow-up care. This is especially convenient for seniors or those with mobility issues.
What areas do you serve?
We serve Palm Springs, Palm Desert, Cathedral City, Desert Hot Springs, Rancho Mirage, Indian Wells, La Quinta, Indio, and surrounding Coachella Valley communities. Travel fees may apply for distant locations.
Do you accept insurance?
We operate as a cash-pay medical concierge service. While we don’t bill insurance directly, we can provide detailed receipts that you may be able to submit to your insurance for potential reimbursement. Many HSA/FSA accounts can also be used for our services.
How do I schedule an appointment?
Call us at (760) 668-1654 or use our online appointment form. We offer same-day appointments when possible and can accommodate evening and weekend visits for urgent needs.
What should I expect during a home visit?
Patty arrives with all necessary medical equipment including vital sign monitors, diagnostic tools, and emergency supplies. She’ll conduct a thorough assessment in the comfort of your home, just as you would receive in a traditional clinic setting.
Hormone Replacement Therapy (HRT)
What is hormone replacement therapy?
Hormone replacement therapy (HRT) helps restore hormone levels that decline with age. We use bioidentical hormones that are chemically identical to what your body produces naturally, delivered through EvexiPEL pellets or injections.
How do I know if I need hormone therapy?
Common signs include persistent fatigue, mood changes, brain fog, decreased libido, sleep problems, weight gain, and hot flashes. We start with comprehensive lab work to assess your current hormone levels and determine if therapy would benefit you.
What are EvexiPEL pellets?
EvexiPEL pellets are small, rice-sized pellets containing bioidentical hormones that are placed under the skin. They provide consistent hormone levels for 4-6 months, eliminating the daily pills or frequent injections required with other methods.
Is hormone therapy safe?
When properly monitored by a qualified healthcare provider, bioidentical hormone therapy is generally very safe. We use the EvexiPEL system which includes anti-inflammatory components and requires specialized training. We monitor your progress closely with regular follow-ups and lab work.
How soon will I feel better?
Most patients begin noticing improvements in energy and mood within 2-4 weeks. Full benefits typically develop over 6-8 weeks as your body reaches optimal hormone levels. Individual results may vary.
Are you trained in EvexiPEL procedures?
Yes, Patty Ryan is certified in the EvexiPEL method, ensuring consistent, safe, and effective treatments every time. This specialized training means you receive the highest standard of hormone pellet therapy.
Senior Care & Assisted Living
Do you help with assisted living paperwork?
Absolutely! We assist with all medical requirements for assisted living placement including TB tests, physical exams, medication reviews, and completing required forms like the 602 form for board and care facilities.
What is a TB test and how long does it take?
A TB (tuberculosis) test checks for TB infection and is required for most senior living facilities. We offer both TB skin tests (read in 48-72 hours) and blood tests (QuantiFERON Gold) with faster results. We handle all the timing and documentation for you.
Can you do SMMSE cognitive exams?
Yes, we perform SMMSE (Standardized Mini-Mental State Exam) cognitive assessments as required by many assisted living facilities. These exams help determine cognitive function and care needs.
Do you coordinate with families during transitions?
Yes, we work closely with families during the transition to assisted living or higher levels of care. We can communicate directly with facilities, provide medical summaries, and ensure continuity of care.
Wellness Services
Do you offer B12 shots?
Yes! We provide B12 injections for energy, mental clarity, and overall wellness. These are especially popular with patients experiencing fatigue or those following certain diets. B12 shots can be done during home visits or at our office.
What other vitamin injections do you offer?
In addition to B12, we offer various vitamin and wellness injections based on your individual needs. After assessment, we can recommend appropriate supplements and injections to support your health goals.
Can you manage chronic conditions at home?
Yes, we provide ongoing management for many chronic conditions including diabetes, hypertension, and other health issues that require regular monitoring. Home visits allow us to see how you’re managing in your daily environment.
Logistics & Practical Information
What are your fees?
Fees vary based on services provided and travel distance. We discuss all costs upfront before your appointment. Payment is expected at the time of service, and we accept cash, check, and credit cards.
Do you offer emergency services?
We provide urgent home visits for existing patients when possible. For true medical emergencies, always call 911. We can follow up after emergency room visits to provide continuity of care at home.
How do I prepare for a home visit?
Have a list of current medications, recent lab results if available, and any questions you’d like to discuss. Ensure we have a clean, well-lit area to conduct the examination. We bring all necessary medical equipment.
Can family members be present during the visit?
Absolutely! We encourage family involvement in healthcare decisions. Family members are welcome to be present during consultations and can help with care coordination and medication management.
What if I need to cancel or reschedule?
Please call us at (760) 668-1654 as soon as possible if you need to cancel or reschedule. We understand that health situations can change quickly and will work with you to find a suitable time.
Still Have Questions?
We’re here to help! Contact us for personalized answers about your specific healthcare needs.