NOTE:  For the medical safety and well-being of our patients, if your appointment is tied to a specific episode or symptom based issue, office staff will make a tentative appointment.  However, a follow up phone call from a medical professional will be made for confirmation to insure the best and safest appointment option for you.  

Appointments for follow up care or standard health maintenance visits, will not likely require a follow up phone call.  If you’re concerned about your symptoms and would like a follow up call from a medical professional, please advise upon calling. 

All Encompassing Health Care

Staying true to our mission to deliver optimal, integrated healthcare to all ages and populations, we are pleased to offer an ever-expanding variety of medical care. Whether you are looking for a highly skilled and professional primary care provider to a friendly and caring healthcare community provider you will find it at our health center.

  • Specialty and primary care options
  • Same day and walk in care appointments
  • Primary health maintenance and care
  • Wide variety of Pain management options: including some breakthrough treatments such as Prolotherapy, Platelet Rich Plasma (PRP) therapy, Trigger point therapy and injections.
  • Weight loss options including bio-metric screenings, prescriptions, custom diets, diet counseling and support.
  • Custom Cosmetic procedures.
  • NOWCare Clinic Services for Primary Health Care

Women’s Health through the Lifespan

Comprehensive health- wellness physicals with gynecological exams

Comprehensive physicals include evaluation of all systems with recommendations for health screenings such as lab testing for pap-testing, cholesterol, electrolytes, liver, thyroid, Diabetes screening, complete blood counts and immunizations as needed. Full Laboratory and Immunization services in clinic.

Head -to-Toe Skin exams looking for abnormalities such as pre-cancerous or cancerous lesions with biopsy or excision, (removal) in clinic if needed.

-X-ray and EKG services on site

-Referral for Mammograms and Colonoscopy

Health Diagnoses treated are endless

Examples of commonly treated needs or conditions include:

Diabetes

High Blood Pressure

Chronic pain

Migraines

Lyme Disease

Chronic Fatigue

Asthma and breathing disorders

Heart Disease

Obesity

Depression

Family planning, Birth control, preconception consult and visits

Disorders of Menopause including Bio-Identical hormone treatment for hot flashes, decreased libido and vaginal dryness.

Episodic visits- Specific reason driven visits. Same Day Visits Available

Cough

Sore-throat

Muscle, bone or joint pain

Rashes

Headache including Migraine treatment

Pain

Pain with urination/bladder infections

Screening and treatment of sexually transmitted diseases

Birth Control Options

Natural calendar rhythm planning education

Prescription Oral or injection contraceptives

IUD placement and removal

Progesterone implant and removal

Nuvaring

Other Women’s Health Services

Medical weight loss options

Evaluation, treatment of stress incontinence, (leaking urine with cough, sneeze or lifting), including referral for surgical consultations.

Pregnancy Care through 20 weeks gestation with referral for birth services

Post-Partum Care with Well baby exams- in home visits as needed

Breastfeeding and Lactation services available or referral as need to specialists

Snow Bird Care

Unique services for individuals who travel to out of state destinations during the Winter. Services include tele-visits, prescriptions and treatment as needed via internet or phone.

 

 

 

Men’s Health through the Lifespan

Comprehensive health- wellness physicals

Comprehensive physicals include evaluation of all systems with recommendations for health screenings such as lab testing for cholesterol, electrolytes, liver, thyroid, prostate screening antigen, complete blood counts, Diabetes screening and immunizations as needed. Full Laboratory and Immunization services in clinic.

Head -to-Toe Skin exams looking for abnormalities such as pre-cancerous or cancerous lesions with biopsy or excision, (removal) in clinic if needed.

-X-ray and EKG services on site

-Referral for Colonoscopy

Health Diagnoses treated are endless examples of commonly treated needs or conditions include:

Diabetes

High Blood Pressure

Chronic pain

Migraines

Lyme Disease

Chronic Fatigue

Asthma and breathing disorders

Heart Disease

Obesity

Depression

Erectile Dysfunction

Enlarged Prostate causing frequent urination

Episodic visits- Specific reason driven visits. Same Day Visits Available

Cough

Sore-throat

Muscle, bone or joint pain

Rashes

Headache including Migraine treatment

Pain

Pain with urination/bladder infections

Screening and treatment of sexually transmitted diseases

 

Other Men’s Health Services

Medical weight loss options

Testosterone testing and if needed hormone replacement treatment

Hairless treatments or prescriptions

Prescription treatments for enlarged prostate

Prescription treatments for decreased libido or erectile dysfunction

Snow Bird Care

Unique services for individuals who travel to out of state destinations during the Winter. Services include tele-visits, prescriptions and treatment as needed via internet or phone.

 

Pediatric Health-Care

Special attention is paid to promoting a safe, trusting relationship with your child and your family

Comprehensive health- wellness physicals for newborns to young adults

Comprehensive physicals include evaluation of all systems with recommendations for health screenings. Focus is on wellness and prevention of injury and disease.

Sports and School Physicals: include baseline concussion testing with print-out for keeping with child or parent at sporting events.

Immunizations in clinic

Head -to-Toe Skin exams looking for abnormalities such as pre-cancerous or cancerous lesions with biopsy or excision, (removal) in clinic if needed.

-X-ray and if needed lab testing for cholesterol, electrolytes, liver, thyroid, complete blood counts, Diabetes screening,

Health Diagnoses treated are endless examples of commonly treated needs or conditions include:

Chronic Ear infections

Migraines

Asthma and breathing disorders

Allergies

Obesity

Episodic visits- Specific reason driven visits. Same Day Visits Available

Just some, (list is not all- inclusive) of the conditions seen:

Cough

Sore-throat

Muscle, bone or joint pain

Rashes

Headache including Migraine treatment

X-Rays of Sprains/strains/stitches/wound care/splinting and minor casting

Pain with urination/bladder infections

Family Visits

We would love to see you and your family members in one visit- this promotes trust with healthcare providers and your children. Our clinic is non-threatening and promotes healthy living.

Snow Bird Care

Unique services for individuals who travel to out of state destinations during the Winter. Services include tele-visits, prescriptions and treatment as needed via internet or phone.

 

Specialty Care Services

Pain Management: treatment of acute and chronic pain and fatigue

-Prescription treatments, Physical treatments including Joint or trigger point injections, physical therapy, or combinations of services offered.

Lyme Disease Evaluation and Treatment

-Screening and treatment of acute and chronic Lyme Disease

Acute Migraine Treatment

-Intravenous fluid hydration, pain and anti-nausea medications given in IV

 

 

Cosmetic and Rejuvenation Treatments

BOTOX® and Injectables

There are various tried and true cosmetic injectable services offered, all performed under the precise care of Dr. Janice James. If fine lines and wrinkles are your concern, we offer BOTOX®.  We also utilize the therapeutic benefits of BOTOX® to assist patients who are concerned about excessive sweating. If you would like to treat excessive sweating of the hands, feet, or underarms, BOTOX® for Hyperhidrosis is a fantastic treatment option that yields long-term results. Many of our BOTOX® patients also seek to treat deep lines and facial folds. JUVÉDERM® dermal filler is an excellent treatment option for adding volume to lips, smoothing out the lines on the side of your mouth (marionette lines) and the lines between your nose and your mouth (also known as nasolabial folds).

Finally, patients that desire steroid injections to help treat blemishes and nodules can receive treatment with intralesional corticosteroid injections, known as Kenalog and Cortisone.

Micro-needling skin rejuvenation

Microneedling is a minimally invasive skin rejuvenation technique designed to improve skin affected by signs of age, discoloration, and many other common conditions. A quick procedure with little to no downtime typically required, Collagen Induction Therapy (CIT) with the micro-needling can renew your appearance with beautiful, long-lasting results.

Micro-needling pen device resembles an ordinary pen. The pen is guided over the areas targeted for rejuvenation. This pen utilizes a series of tiny needles to create microscopic channels in the surface layers of the skin – a process known as Collagen Induction Therapy (CIT). This helps the skin to begin repairing itself naturally, stimulating the production of new elastin and collagen, which can lead to smoother, more even-toned skin and a healthier, more youthful appearance.

Collagen Induction Therapy (CIT) with micro-needling pen can be performed on all skin types. This procedure can improve the appearance of several common aesthetic conditions, including:

    Wrinkles

    Fine lines

    Uneven skin tone

    Acne scars

    Stretch marks

    Enlarged pores

    Thinning hair

The Micro-needling pen procedure can be used on a range of body areas, including the face, neck, décolletage, abdomen, arms, hands, back, and legs. A unique feature of the micro-needling is the system’s ability to be highly customized with settings that can be adjusted to suit your unique needs and expectations.

Platelet-Rich Plasma (PRP) Therapy for the Face and Neck

When micro-needling pen is combined with a procedure called Platelet-Rich Plasma (PRP) Therapy, you can achieve enhanced facial and neck rejuvenation using the power of your own blood cells. PRP first isolates your platelet blood cells before reintroducing them into the target area. The platelet blood cells combined with micro-needling can enhance collagen and elastin stimulation for a more youthful complexion.

Platelet Rich Plasma for Hair Growth

Hair loss is a frequently expressed cosmetic concern among patients. Our society views, a full head of hair has been associated with increased energy, vigor, strength, and youth. If you are experiencing premature hair loss or thinning hair, Dr. Janice James can help reverse this common sign of age with a revolutionary hair restoration technique called Platelet-Rich Plasma (PRP) Therapy.

What is Platelet Rich Plasma Therapy?

Platelet-Rich Plasma (PRP) Therapy is an innovative hair restoration procedure that employs your body’s own platelet blood cells. By injecting these cells into the target area, dormant hair follicles can become reactivated, providing you with a fuller head of hair.

How does Platelet Rich Plasma Therapy work?

PRP, a technique that has been successfully used for many years in other cosmetic procedures such as facial rejuvenation, works by isolating the platelet-rich plasma of the blood and reintroducing it to the target site. This technique, which has been used in the past to repair and regenerate cells, can now be used to target and reactivate dormant hair follicles.

What are the benefits of Platelet Rich Plasma Therapy?

PRP is considered a minimally invasive procedure. For patients who are experiencing premature hair loss or thinning hair, PRP can reactive hair follicles that have become inactive. Many patients will see the regrowth of their normal, natural hair pattern as well as notice a thickening of the hair.

What is a typical procedure like?

Dr. James will begin your PRP treatment by extracting a small amount of blood in order to separate and isolate your platelet blood cells. These isolated cells are then prepared to be injected at the target site. The next step of your PRP treatment is a micro-needling procedure, which uses a handheld device called the Eclipse MicroPen™ to further stimulate areas of the scalp that are thinning or balding. To enhance your comfort, lidocaine will be injected into the scalp before the procedure begins.

Who is a candidate for Platelet Rich Plasma Therapy?

Ideal candidates for PRP will have hair follicles that are dormant and can benefit from reactivation. PRP is designed to simulate healthy but inactive hair follicles, patients with no hair follicles at the target site will not benefit from this treatment. During the consultation process, Dr. James will evaluate your scalp, discuss your needs and expectations, and determine your candidacy for this hair restoration procedure.

How long before I notice my Platelet Rich Plasma Therapy results?

The recovery period for PRP is typically very brief. Some patients may experience a sensation like a mild sunburn in the days immediately following treatment. As your dormant hair follicles react to the plasma injections and begin to function properly again, you can see your normal hair pattern return and gradually have your hair restored. Some of our patients opt to undergo multiple PRP treatment sessions to optimize their results.

Contact Us

If you have questions about hair regrowth with PRP, or would like to schedule a consultation, please contact our office today.

Wart, Moles and Skin Tag Removal

What are warts, moles, and skin tags?

Warts: Most commonly is a small, rough growth, typically found on the hands or feet. It will commonly have the appearance of a solid blister. They are caused by a viral infection, are contagious, and spread through broken skin. Warts may reappear after they have been removed.

Moles: Type of skin lesion known as nevi. Moles can be pigmented or flesh-colored, raised up from the skin, or flat on the skin’s surface. Some can produce dark coarse hair. There are factors that can influence a person’s moles such as genetics and UV radiation. It occurs when cells in the skin grow in a cluster instead of spreading out.

Skin Tags: Harmless, benign skin growths that resemble a small flap or soft tissue hanging off the skin by a connecting stalk. They are more common on women especially those with weight gain, and the elderly. 

What is the removal process like?

The most common treatment for the removal of these growths is cryotherapy. Cryotherapy creates a blister between the growth or lesion and the epidermal layer – low cold temperatures create ice crystals in the cells that destroy them at a cellular level – after which the growth or lesion turns into a scab and falls off by itself.

How long does treatment take?

Treatment time will vary based on the number of growths or lesions as well as the size of the growth(s).

How often do I need to repeat treatment?

Warts appearing on thinner skin may require additional treatments. Warts appearing on thicker skin can require a dozen or more treatments. They can reoccur after removal and may not be completely gone after the first treatment of cryotherapy. Overall, additional treatments may be necessary for all growths or lesions. It is recommended that patients closely follow post-care instructions provided to them.

What areas can be treated?

The areas that can be treated are: hands, face, neck, underarms, arms, chest, décolleté and sometimes the feet.

Is the treatment painful?

Patients often describe the sensation from cryotherapy as cold, tingly, and sometimes a burning sensation. The treated skin will feel quick sensations like these and then will become numb. For most patients, this treatment is easily tolerable.

Common Side-effects

Other than the treatment specifications above, there may also be localized pain and redness post treatment. Scabbing at the area of treatment is a common side effect. It is important not to interrupt the scab while it is healing as it is a normal part of the treatment process. Possible blistering is also a potential side effect. A full list of side effects is available during your consultation.

Treatment costs

Treatment cost varies from patient to patient based on the volume of growths and/or lesions treated. After consulting with Dr. James, pricing will be explained for the treatment and discounts will be offered to patients seeking treatment on more than one growth or lesion.

 

LATISSE® for Eyelash Growth

LATISSE®, known medically as bimatoprost ophthalmic solution 0.03%, is an FDA prescription treatment to treat a condition known as Hypotrichosis, which is another name for having inadequate or not enough eyelashes. Bimatoprost, the main ingredient in the LATISSE® solution, is well known for its ability to boost eyelash growth.

LATISSE® is used daily, as part of your “before bed” regimen to grow longer eyelashes. If used consistently for 16 weeks, LATISSE® will assist in growing longer, darker, fuller lashes. Studies have shown that as early as our 30’s our lashes begin to thin, become lighter, and not grow if in our teens and 20’s. LATISSE® is a possible treatment aid to grow longer lashes.

How long does treatment take?

LATISSE® application is quick and can easily be integrated into your nightly “before bed” regimen. It is important that LATISSE® is applied to a clean face, after makeup has been removed. It is recommended that contact lenses are removed before applying LATISSE®. To receive hints and tips for using LATISSE®, schedule a free consultation with Dr. James. If you have already begun using LATISSE®, feel free to contact a member of our medical staff.

What results can I expect?

Some patients begin to see initial results after approximately 8 weeks of usage. Once you have begun using LATISSE®, in as little as 13-16 weeks, you will see longer, darker, fuller lashes. Results vary from patient to patient in terms of the length, thickness and darkness achieved. LATISSE® usage must be continued in order to maintain result. Clinical studies have shown that patients using LATISSE® have seen the following benefits to their eyelashes:

  •     Fullness of eyelashes: 106% increase
  •     Thickness of eyelashes: 25% increase
  •     Darkness of eyelashes: 18% increase

What does LATISSE® literally do?

LATISSE® will literally encourage hair growth from the hair follicles in two ways: it will first increase the growth phase for lashes, as well as increase the number of eyelash hairs that grow from the eyelids. Since LATISSE® does encourage hair growth from active hair follicles, it is not recommended that LATISSE® is applied to the lower eye lids as hair growth under the eye can occur.

Common side effects include irritation and itching at the site of application. Other side effects include eye irritation and dryness. LATISSE® may cause darkening of the eyelid which may be reversible. Although not reported in clinical studies, LATISSE® use may also cause increased brown pigmentation of the colored part of the eye which is likely to be permanent. It is not recommended to use LATISSE® on the lower eyelid as any area of the skin that meets LATISSE® may begin to grow hair. If too much LATISSE® has been applied to the upper eyelid, it is recommended that the excess product be blotted off with a tissue. This is by no means a complete list of side effects. A complete list of potential side effects is available during your consultation.

Medically Supervised Weight Loss Program

A weight loss program designed to assess your body’s current condition, modify diet and exercise accordingly, and shed pounds of fat in a safe, effective manner.  Dr. Janice James consults with each prospective patient one-on-one to discuss previous diet attempts, performs a physical examination, and determines if you may be suffering from an undiagnosed condition that is contributing to excess weight. Dr. James believes that obesity should be treated like a disease rather than a result of laziness or lack of self control. Consequently, she assists her patients in rebuilding healthy habits that allow them to live longer and with a higher quality of life.

Each supervised weight loss program is customized for the unique needs of the individual. The management of obesity may include any combination of three major components: behavior modification (examining diet and exercise), meal replacement plans (shakes, protein bars, etc.), and pharmacotherapy (appetite suppressants or metabolic boosters). Under the supervision of Dr. James our patients have lost significant amounts of weight in as little as four weeks. The length of our supervised weight loss programs can be tailored to accommodate your specific goals and expectations.

-Proud Sponsor of Medifast products and weight loss plans

-HCG diet Program

For more information about supervised weight loss, or to schedule a consultation with Dr. James, please contact us today.

B12 injections are designed to combat feelings of chronic fatigue and help eliminate accumulated stress. The demands of daily life can often negatively impact our strength, stamina, and focus. The benefits of B12 injections can include increased endurance and sustained energy as well as offer fat-burning advantages.

Vitamin B12, sometimes referred to as the “energy vitamin,” can be the key to supporting and maintaining a healthy nervous system. B12 is also believed to help prevent the onset of Alzheimer’s disease and senile dementia. Readily absorbed by the body, B12 injections are much easier for your system to metabolize compared to oral supplements. In addition to providing you with boosted energy, a concentrated dose of B12 can stimulate the metabolism to burn the body’s excess fats and carbohydrates while facilitating nutrient absorption. Equally advantageous, B12 promotes enhanced focus and mental awareness, allowing you to be more energetically engaged in all aspects of your life.

B12 injections are available in single as well as double doses. A single dose injection will provide increased energy levels and added benefits to your daily performance for approximately 7-12 days. Some people may experience longer results in combination with proper nutrition. The double dose injection will provide the same benefits for a period of 2-3 weeks. These injections can be received twice a month.

What are potential side effects?

B12 injections are considered very safe and often have no side effects at all. Some patients experience mild redness, swelling, or bruising at the injection site, but these side effects typically dissipate quickly. Patients who are particularly sensitive to B12 may feel “wired” after the injection, though this sensation usually lasts only 8-12 hours. If you have an allergy to cobalt, chronic liver disease, kidney disease, or any type of infection, please inform Dr. James during your consultation as you may not be an ideal candidate for B12 injections. In addition, certain medications can reduce the absorption (and therefore the benefits) associated with B12.

Contact Us

To learn more information about B12 injections and how they can help you lead a more focused, energized lifestyle, please contact our office today.