Primary care for the whole family. Most insurances accepted.
11/04/2025
New guidelines always appreciated!
ACOG now recommends considering concurrent sexual-partner treatment for recurrent BV, and even for first-time symptomatic cases!
🔹 Concurrent partner therapy (oral + topical antimicrobials) may be offered for male partners of adults with recurrent, symptomatic BV.
🔹 Shared-decision-making is advised for patients with same-sex partners or for first-episode symptomatic BV when considering partner treatment.
🔹 Recurrence is common — up to ~66 % of patients experience BV again within a year after treatment of the initial episode.
🔹 While routine partner treatment wasn’t previously recommended by the CDC, emerging evidence is prompting a shift in practice.
These recommendations are significant for those managing women with recurrent or symptomatic BV! Updating conversations around partner involvement may help reduce recurrence and improve quality of life.
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Our vision is to reduce barriers to care and increase access to bilingual primary care, including immunizations, for the young and the old regardless of financial status, documentation status, or ability to be seen in a traditional clinic setting due to mental health, physical health, or transportation.
Having been on the “other side” as a patient, I too often felt rushed, unheard, and overwhelmed while getting medical care in a traditional office setting. I felt I had a specialist for everything but not just one provider who knew me well, who saw me regularly, who understood me or had time. And then I had children, and getting to the clinic became even harder--I hoped for a different experience, something with a more old fashion approach, a medical provider that had time & patience, maybe even a more holistic approach to medicine.
As a medical provider in a traditional clinic setting, I wanted to spend quality time with my patients but my appointment slots were 15-20 minutes per patient on average. I knew I could give my patients something better. I also wanted to practice in a less conventional setting and offer my patients a more holistic approach to their care, integrating alternative medicine and preventative medicine whenever possible.
And so was birthed the idea returning to a more simple, more personal medical practice--house calls. Hearthside Medicine is unique in that patients can use their insurance or pay cash at an affordable rate. We also offer an income-based sliding scale. We offer long appointments (45-60 min directly with provider) in our clinic or in your home. We aim to remove the barriers that prevent folks from getting the care they need by coming right to their door, offering everything a clinic offers but in the comfort of home.
My practice is unique in many ways, the first being that it is small, with only one provider--myself, a dual-certified acute care and family care nurse practitioner. My practice model is to see only 5-6 patients a day, spending unrushed, quality time with them. To keep my services affordable and be able to offer sliding scale care to those in need, I keep my overhead low. That means, instead of interacting with multiple different staff members, my patients generally communicate directly with me and have increased access to me over phone or email.
I offer concierge-style medicine without concierge prices or costly membership fees, just your co-pay. I also offer a very affordable cash rate (discounted about 60%) or income-based sliding scale for those who are uninsured or under-insured. In addition, services in Spanish are provided as I am bilingual. Everyone is welcome to medical care, regardless of documentation status, gender, ethnicity, race, age, religious or political preferences, or sexual orientation.
A few of our high-focus areas of service in addition to general primary care include non-judgement, non-pressured immunization counseling and consults for those who are curious or cautious or questioning about vaccines. I serve and respect patients of all different beliefs on the topic, though I personally encourage full vaccination on schedule. I discuss vaccine ingredients, safety, pros/cons, risks/benefits as objectively as possible, knowing this topic is difficult at best, and not at all black and white.
Other areas of interest include community education and support groups, including perinatal depression and anxiety support. I founded and direct a local medical organization that provides continuing medical education to all health professionals and sometimes to the community at well, called COAPP (Central Oregon Advanced Practice Providers). Teaching and learning, networking and building community are important to me, as is community service and improving access to healthcare, a basic human right.
