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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 this week

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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