Who is an internist, and what do they do?
An internist is a medical professional specializing in preventing, diagnosing, and treating diseases and disorders affecting adults. They are often the initial point of contact for patients seeking personalized, patient-centered care.Â
Internists have advanced cardiology, gastroenterology, endocrinology, infectious diseases, pulmonology, rheumatology, and hematology training. It allows them to provide comprehensive treatment for acute illnesses like infections and injuries and chronic conditions like hypertension, diabetes, and heart disease. Some of the everyday tasks that an internist may perform include:
- Conducting routine physical exams to monitor and maintain patients' health
- Ordering and interpreting medical tests, such as blood tests and imaging studies
- Prescribing medication and treatment for various medical conditions
- Providing education and counseling to patients on disease prevention, healthy lifestyle practices, and managing chronic conditions
- Referring patients to specialists for additional treatment or evaluation when necessary
Internists may practice in hospitals, clinics, or private practices. They work closely with other doctors, such as specialists, primary care physicians, and surgeons, to provide a team-based approach to patient care. They also collaborate with nurses, nurse practitioners, and physician assistants to develop care plans, monitor patients, and educate on disease management.
Education and training of internists
The education and medical training required to become an internist are extensive and rigorous. The first step is to complete a pre-medical undergraduate degree, which typically takes four years. After completing a pre-medical degree, aspiring internists must then attend medical school for an additional four years. During this time, they study various subjects, including anatomy, physiology, pharmacology, and medical ethics.
Internists must then complete a three-year residency program in internal medicine. Here, they receive hands-on training in internal medicine, including patient care, diagnosis, and treatment of adult diseases. They also rotate through different medical specialties, such as cardiology, gastroenterology, and infectious diseases, to gain a broad understanding of adult health.
After completing their residency program, internists may pursue further specialization through a fellowship program typically lasting two to three years. These fellowship programs are available in various areas, including cardiology, gastroenterology, and oncology. The final step involves obtaining a medical license as per their state requirements. Internists must maintain their licensure by completing continuing education requirements and passing regular examinations.
Common conditions treated by internists
The following are some of the common conditions that internists typically address:
- Hypertension: High blood pressure is a common situation that can sometimes lead to heart disease, stroke, and kidney failure. Internists can help individuals control their blood pressure through lifestyle changes, medication, and regular monitoring.
- Diabetes: Diabetes is a long-term disorder in which the body cannot regulate blood sugar levels. In addition to prescribing medicines and monitoring blood sugar levels, internists can assist patients in managing their diabetes through dietary and lifestyle changes.
- Arthritis: Arthritis leads to joint pain and stiffness because of various factors, including age, injury, and autoimmune diseases. Patients who have arthritis can benefit from medication, physical therapy, and lifestyle changes prescribed by their internist.
- Asthma: Asthma,a long-term condition, results in difficulty breathing, coughing, and wheezing. Internists can work with patients to manage their asthma symptoms through medication, avoiding triggers, and developing an asthma action plan.
- Gastrointestinal disorders: Internists can diagnose and treat various gastrointestinal disorders, including inflammatory bowel disease, gastroesophageal reflux disease, and irritable bowel syndrome. Treatment plans for these conditions include medication, dietary changes, and other lifestyle modifications.
- Cardiovascular disease: Internists are trained to identify and treat cardiovascular illnesses like coronary artery disease, heart failure, and arrhythmias. They collaborate with their patients to create treatment plans involving medication, lifestyle changes, and cardiac rehabilitation.
- Infectious diseases: Internists can diagnose and treat various infectious diseases, like urinary tract infections, pneumonia, and sexually transmitted infections. The treatment plan includes medication and lifestyle changes.Â
What can one expect on their first visit to an internist?
Here's what you can expect on your first visit to an internist near you:
- Medical history: Your internist will likely begin by asking about your medical history, including any past illnesses, surgeries, or hospitalizations. They may also ask about your family history of medical conditions.
- Medications and supplements: Your provider will want to know your ongoing medicines and whether you had any past allergies or adverse reactions to medicines.
- Physical exam: The internist will then perform a physical exam, which may include measuring your blood pressure, heart rate, and weight, listening to your heart and lungs, and checking your reflexes.
- Tests and screenings: Depending on your medical background, your internist may recommend specific tests or screenings, such as blood work or imaging studies.
- Discussion of health goals: They may also ask about your health goals and concerns and discuss strategies for achieving optimal health and wellness.
- Follow-up: Before you leave, your internist will likely arrange a follow-up appointment to review test results and discuss further treatment options.
How can internists help manage diabetes and heart failure?
Here's how an internist can help control diabetes and prevent heart failure.
Diabetes
- Monitor potential complications
Diabetes increases the risk of various complications in the body. Diabetes can cause health issues like foot disorders, heart problems, and hearing loss. Internists can help you understand diabetic risk factors, monitor these complications, and prevent their occurrence.Â
Internists can help track your physical, mental, and emotional health. They can monitor your diabetes symptoms and check if it affects other body parts. They ensure you stay healthy and active despite your chronic condition. You need to consult the internist if you feel anything abnormal with your body, and they can help you with proper care.
- Manage blood sugar levels
Internists can assist you in checking and managing your blood sugar levels. They can help you take supplemented insulin when required. They can even guide you on how to self-check your blood sugar levels and explain the process of using an automatic insulin pump when needed. It can help you lead an active and independent life.Â
- Prepare an appropriate diet plan
Consuming healthy and nutritious foods is essential to manage diabetes effectively. Internists can help you prepare a healthy diet and monitor your portion size. They may advise you to include more fruits, green veggies, and whole grains and instruct you to avoid processed foods and soda. Internists can help you maintain a balance in your eating habits. It will help you manage your diabetes symptoms and lead a better, disease-free lifestyle.Â
Heart failure
Patients suffering from heart conditions are generally prescribed a combination of medicines to suppress symptoms and enable proper heart functioning. Managing these medications is very important as it helps prevent severe heart complications. Internists can help you take the necessary steps to address the side effects of some medicines and help you lead an active lifestyle.Â
Obesity and being overweight are the top causes of heart problems. Internists can recommend effective ways to achieve and maintain a healthy body weight. They can create a lifestyle plan and recommend exercises to reduce weight and maintain a healthy heart.Â
Your body needs proper nutrition to enhance the positive benefits of medications. Internists can design a specific meal plan that benefits the heart and the body. An ideal heart-healthy diet should include negligible amounts of sodium, lots of fruits and green vegetables, low-fat dairy products, and lean proteins.
Benefits of visiting an internist near you
Visiting an internist offers several distinct advantages, often making them the preferred choice for diagnosing, treating, and preventing illness. Here are four key benefits:
Precise diagnosis
Internists have the expertise to diagnose a broad range of conditions. Many specialize in fields like cardiology, immunology, or gastroenterology, ensuring they can accurately identify even complex medical issues. If needed, they can refer patients to another specialist, ensuring the diagnosis is both timely and precise.
Preventive care
Internists focus not only on treating current problems but also on preventing potential health problems. They develop personalized prevention plans by assessing a patient’s medical history and lifestyle. This proactive approach helps alleviate the risk of serious illnesses before they occur, allowing patients to take control of their health early on.
Effective treatment
With years of specialized education and extensive residency training, internists are well-equipped to offer effective treatments tailored to the patient’s condition. They are more likely to diagnose problems quickly and initiate the appropriate treatment, whereas general or family doctors might need more time to identify the root cause of an issue.
Quality communication
Trust and communication are crucial in healthcare. Internists excel in listening to patients, answering their questions, and addressing concerns clearly and compassionately. If additional care from another specialist is needed, they can ensure a smooth referral process, maintaining a high level of care throughout the patient's treatment journey.
Finding the best internist near you
Are you looking for the best internist in Fort Worth, Texas? Look no further than Zocdoc, an online platform that connects patients with qualified, experienced healthcare providers. With Zocdoc, you can effortlessly search for and find the best internists in Fort Worth. Enter your location and the type of doctor you require, and the platform will immediately present you with a list of internists in your area.
Zocdoc makes it easy to narrow down your search by using filters such as location, gender, and insurance provider. If you have more than one insurance plan, you can add medical, dental, and vision plans to your Zocdoc account. However, when searching for and booking an appointment, you can only use one insurance plan at a time. If you have multiple plans, you can mention your secondary insurance in the notes for the provider during the final step of booking. Additionally, if your provider uses Zocdoc's Intake forms, you'll have the option to include your secondary insurance while completing those forms online. For more insurance-related information, you can visit Zocdoc's patient help center.
You can also read reviews from other patients to get an idea of the care each internist provides. Once you find an internist that meets your needs, you can book an appointment directly through Zocdoc. Choose a time and date, and you will get a confirmation email that includes all the specifics of your appointment.
With Zocdoc, you can book an appointment with a trusted provider in just a few clicks instead of spending hours researching and calling different internists. All bookings on Zocdoc are accessible, secure, and 100% free!Â
Prevalence of diabetes and heart diseases in Fort Worth, Texas
According to America's Health Rankings, 13.9% of adults in Texas were diagnosed with diabetes in 2022. Amongst them, 13.4% were females, and 14.4% were males. Furthermore, the age groups that suffered from diabetes include 18-44 (5.1%), 45-64 (19.2%), and 65 and above (28.4%). As per the 2022 Centers for Disease Control and Prevention data, 38% of adults 18 years and older were diagnosed with prediabetes in the US. And 48.8% of US adults having prediabetes were aged 65 plus.
Texas has a high prevalence of risk factors for heart diseases, such as obesity, diabetes, high blood pressure, and a sedentary lifestyle. It is partly due to the state's cultural and dietary preferences, which often involve high-fat, high-sugar foods and a lack of physical activity. According to 2022 America's Health Rankings, approximately 7.3% of the Texas population was diagnosed with heart disease or stroke. Around 7.1% of them were females, while 7.4% were males. Apart from this, the age brackets affected include 18-44 (1.7%), 45-64 (8.2%), and 65 and older (20.8%).Â
By scheduling regular appointments with an internist, patients can stay up-to-date on recommended screenings, manage chronic conditions, and address new health concerns. In the long run, this can result in better health outcomes and reduced healthcare costs. Therefore, if you value your health and well-being, scheduling appointments with an internist is a necessary and wise decision.
Sources
WebMD
Medical News Today
Intercoastal Medical Group
Castle Connolly
Indus Medical Associates
America’s Health Rankings[1]
America’s Health Rankings[2]
Centers for Disease Control and PreventionÂ
Dr. Briones Medical Weight Loss Center
Johnson Memorial Health
Center for Adult Medicine and Preventive Care
