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How Fishtown Medicine works — and why it feels so different

From same-day messaging to strategic prevention, here’s how we help you feel better, stay ahead of illness, and stay out of the system.

Updated over 3 months ago

Welcome to Fishtown Medicine!

At Fishtown Medicine, we work differently and intentionally.

Our care model is designed for people who want clarity, access, and a long-term strategy - not just another rushed visit or refill.

Here’s how it works, and what you can expect:

The Promise

Feel better. Stay ahead of illness. Have a doctor who actually knows your story - and helps you act early while it still matters.

Step 1: Same-day connection

Care starts with a message. No portals, no apps, no waiting rooms.

Most concerns begin with a text or call. We respond same-day, guide what happens next, and make sure nothing gets lost between symptoms and solutions.

Step 2: Right-size the visit

Depending on your needs, we may follow up with:

  • A phone or video visit

  • A home or worksite visit (yes, we come to you)

  • Continued messaging - if that’s all it takes

You don’t have to know what kind of visit to book. We decide together, based on what’s most effective and least disruptive.

Step 3: Deep annual planning

Once a year (or more if needed), we go deep:

  • Labs, history, genomics, and lifestyle review

  • Prevention-focused strategy: energy, sleep, metabolism, recovery, focus

  • A personalized care plan that works in your real life

This is where everything connects - your past, your risks, your goals, your plan.

What’s included:

  • Unlimited messaging

  • Same-day access

  • In-person visits when needed

  • Structured chronic condition support

  • Preventive planning that evolves with you

  • Clear coordination with labs, imaging, prescriptions, and outside specialists

Why it works:

We reduce:

  • Delay - same-day responses

  • Friction - no long portals, no travel, no guessing

  • Guesswork - data + lived experience + follow-through

We increase:

  • Confidence in what to do next

  • Relationship and continuity

  • Early action and long-term outcomes

Cost transparency:

We charge a flat monthly fee that covers all core services. You can use insurance for labs, imaging, prescriptions, and specialists.

You’ll never receive a surprise bill from us.

This is for people who want to stop guessing, stop waiting, and start building the kind of health that holds up - now and long term.

Let us know if you’re ready to take the first step.

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