As internists, we provide both primary care and chronic illness treatment for our adult patients, including treatment for high blood pressure, diabetes, asthma, arthritis and heart disease. We also have expertise in the diagnosis and treatment of a variety of uncommon illnesses, and situations where several different illnesses may strike at the same time. Services include:

• Wellness and disease prevention
• Health screenings, including cancer and cardiovascular screenings
• Women’s health, including comprehensive well woman exams
• Illnesses, from common to complex
• Care and management of common and chronic conditions, including: diabetes, heart disease, high blood pressure and asthma
• Treatment of minor injuries
• Geriatric care

The medical specialty of endocrinology involves the diagnostic evaluation of a wide variety of symptoms and variations and the long-term management of disorders of deficiency or excess of one or more of such hormones. Services include:

• Nuclear endocrinology
• Blood glucose screenings
• Diagnostic screening
• BMI and blood pressure screenings
• Foot screening
• Educational sessions

Conditions treated:

• Adrenal disorders
• Calcium and vitamin D disorders
• Diabetes (type 1 & 2)
• Erectile dysfunction
• Menopause and perimenopause
• Hormonal imbalances
• Hypertension
• Hypoglycemia
• Hypogonadism
• Lipid disorders
• Obesity and weight disorders
• Osteoporosis and other metabolic bone diseases
• Parathyroid disease
• Pituitary disorders
• Polycystic ovarian syndrome
• Thyroid cancer
• Thyroid conditions
• Metabolic syndrome

Obstetrics and gynecology services include:

• Management of abnormal uterine bleeding
• Pap smears and abnormal pap smear care
• Comprehensive breast care
• STD screenings
• Hormone balancing including prescription of Bioidentical Hormone Therapy
• Infertility
• Vaginal bleeding
• Family planning guidance and support
• Comprehensive prenatal care and testing
• Fetal monitoring
• Birth planning
• High-risk pregnancy support
• Pain-relief options
• Assistance and care through labor and delivery (including vaginal delivery or C-section)
• Postpartum care and support

At Mission Heritage Medical Group, women can enjoy the best of both the medical and midwifery model. Women can experience a normal healthy pregnancy and birth process with medical support close at hand. We provide integrated nurse midwifery care as part of our comprehensive reproductive health services.

CNMs are advanced practice nurses trained to provide comprehensive care during pregnancy, birth, postpartum and breastfeeding. After your pregnancy, CNMs can help you with your family planning needs, wellness visits, and provide care for gynecological concerns.

Nurse-midwives offer a holistic approach to pregnancy and birth. We recognize pregnancy and birth are a powerful and transformative stage in your life. We partner with you in this process and support you to make informed, empowered choices for your health. We believe in your body’s ability to birth your baby safely, but if the need arises, our CNMs work together with our physician colleagues to provide safe and satisfying care.

Studies show that families who are attended by Nurse Midwives have fewer cesarean sections, labor inductions, medical and surgical interventions, and preterm deliveries. Midwifery care also leads to increased rates of breastfeeding, earlier detection of post-partum depression and anxiety, and increased rates of positive birth experiences.

Services include:

• Prenatal care
• Endocrinology evaluation
• Hospital birth
• Lactation support
• Pap smears & wellness promotion
• Family planning
• Infection screening
• Conception planning & fertility
• Menopause care