Medical Services

Focusing on the health & wellness of the “whole patient”

Marlboro Internal Medicine is proud to offer a variety of medical services on site for your convenience.

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Immunization or Vaccination is a safe, effective and simple way to prevent life threatening illnesses not only for infants and kids, but also for adults.  In fact, adults in the United States have a far greater risk of dying from a vaccine-preventable disease than kids.  Adults are 100 times more likely to die from vaccine-preventable diseases than kids.  The good news is that immunizations can protect you.

As an adult, immunizations you get depends on your age, your general health… even your lifestyle or profession can make a difference in which immunizations you need, if you are not sure, talk to your provider on your next visit.

At Marlboro Internal Medicine, our internists usually recommend and offer the following vaccinations among others:

Influenza (the flu)
Every year a wave of influenza sweeps the nation. For healthy adults, it can mean days in bed with a fever and severe cough. But it can be life-threatening for people age 50 or older or those with chronic health conditions.  For healthy adults, one vaccination every fall prevents the virus. For high-risk adults, it prevents complications.  We hold Annual flu Clinics in our practice, please ask about it the next time you visit our office.

Pneumococcal Infections (pneumonia)
These infections of the lungs, blood-stream or brain cause 15,000 deaths each year in the United States, while a single shot protects against them.  If you’re over 65 and your pneumococcal vaccination was more than five years ago, ask your provider about a booster.

Adults need a one-dose “Td” booster every 10 years to protect themselves against these life-threatening infections.  Not sure if you’re due?  Check with your internist on your next visit.

The CDC’s Advisory Committee on Immunization Practices (ACIP) recommends these 3 vaccines:
* Tetanus-diphtheria-acellular pertussis vaccine (Tdap)
* Meningococcal vaccine (MCV4)
* Human Papilloma Virus (HPV) vaccine series
– The HPV vaccine is also known as the “cervical cancer vaccine”.  In June 2006, ACIP recommended the HPV vaccine series for females only based on research results available at that time.  If future research shows that the vaccine is also safe and effective for males, additional recommendations may be made.

Older children should get the following vaccinations if they did not receive all recommended doses when younger:
* Hepatitis B series
* Polio series
* Measles-mumps-rubella (MMR) series
* Varicella (chickenpox) series – A second catch-up varicella shot is now recommended for children, adolescents, and adults who have previously received one dose.

Our expertly trained, nationally certified diabetes educator, Estrela Chaves NP, CDE, provides excellent patient care, performs health and learning assessments, develops and updates your individualized self-management education plan.

Our nutrition educator, Barbara Casaceli, effectively addresses the challenges of weight control, modifies food choices based on your medical history, and keeps you up to date on the latest diabetes and nutrition information.
Most of our patients are in good health and we want to help them stay that way.  We screen for cancer, high cholesterol, high blood pressure, diabetes, neurological illnesses, and many other diseases.  We screen for conditions where screening has been scientifically proven to be of benefit, using the best current technologies. Screening can be customized, based on your family history, lifestyle, risk factors, and current medical issues and concerns.

Lab Services

At Marlboro Internal Medicine, many of our services are performed on site, saving you time.

On-site laboratory testing includes:

  • Cholesterol tests
  • Hemoglobin A1C and glucose for Diabetic Patients
  • PT/INR for patients on Coumadin Therapy
  • Urinary Pregnancy Testing (UPT)

Other testing is drawn in our office and sent to a lab and we have results within 24 hours in most cases.

We feel that a periodic physical is appropriate for adults every year even if they do not have any known medical problems.  Our physicals include blood tests such as a complete blood count to screen for anemia and bone marrow disorders, and a comprehensive chemistry panel to check for diabetes, kidney disease, liver disease, etc.  These are standard tests done by our peers around the country.  We also do other tests as may be indicated by sex and age – i.e. mammograms and prostate cancer blood screens.

Annual exams are performed for patients who have a medical condition that requires regular prescription medication.  Several conditions such as diabetes, hypertension, and elevated cholesterol may require multiple visits per year.  We rely on in-depth laboratory and x-ray analysis as well as clinical exam and history to make diagnoses and treatment plans.

As internists, much of our medical therapy is through the use of prescription medications.  We strive to explain to you the rationale for our prescriptions and how to take them properly.  We ask that you follow these directions as well as those of your pharmacist.

If you think you are having problems with any medication or if it is ineffective for your condition, please call us.

If you are on more than three medications or if you receive additional prescriptions from other providers, please bring all your medications to your clinic appointments in their original containers.  This helps us to keep track of how you are using the drugs.