Downeast Primary Care

Downeast Primary Care I'm a Family Medicine Doctor with more than 10 years experience in broad-spectrum primary care. Welcome!

I'll be sharing my thoughts on health and wellness, updates from my life and career, as well as some current events in medicine. Dr. Gilbert, or just David to most folks, is a native of Pitt County having grown up in Winterville and Farmville. He went to ECU for undergraduate and Brody for medical school. He is a board-certified Family Medicine Doctor with a special interest in medical education and lifestyle medicine.

11/13/2025

https://downeastprimarycare.com/blog/f/dpc-faqs

A little while back I made a post answering a few questions about myself and Direct Primary Care (DPC) Now may be the right time to explore what I think is a better model for primary care for you and your family.

Send a message to learn more

Get to know XEOMIN®—my go-to treatment for softening those expression lines we all get from living our best lives.It's s...
11/06/2025

Get to know XEOMIN®—my go-to treatment for softening those expression lines we all get from living our best lives.

It's similar to other botulinum toxin options like Botox®, but without the additives some others use for extended shelf life. This means, in my opinion, a more pure product.

Contact me for a complimentary consult. I offer in-home treatment for your convenience.

Pronounced /zeo-min/, ai use this trusted neurotoxin to temporarily smooth frown lines, forehead lines, and crow’s feet.

Ready to add “smooth skin” to the definition of “you”? DM us to book a consultation today!

Xeomin® (IncobotulinumtoxinA) is an FDA-approved treatment used to temporarily improve the look of moderate to severe upper facial lines (frown lines, forehead lines, and crow’s feet) in adults. Ask your doctor to tell you all about Xeomin. The effects of Xeomin may spread hours to weeks after injection causing serious symptoms. Alert your doctor right away as difficulty swallowing, speaking, breathing, eye problems or muscle weakness can be a sign of a life-threatening condition. Side effects may include allergic reactions or injection site pain, eyelid drooping, and swelling. These are not all the possible side effects of XEOMIN. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.

Xeomin is available by prescription only. Individual results may vary. Intended for US audiences only.

Did you know your DPC membership covers both complex management and in-office procedures? We're here for the usual, and ...
11/04/2025

Did you know your DPC membership covers both complex management and in-office procedures? We're here for the usual, and the 'unusual'!

A quick look at some of the things I've done recently:

Joint and Nerve Care: Knee and shoulder injections, and evaluating issues like Cubital tunnel (like carpal tunnel, but at the elbow).

Hormone & Men's Health: Testosterone replacement therapy and Perimenopausal hormone therapy.

Preventative & Post-Acute: Newborn and well child visits, and essential follow-ups after an ER visit, surgery, or hospital stay.

We manage it all without surprise bills. The only additional fees are typically low-cost labs (routine labs often less than $20 total)

If you're curious about us and our model of healthcare, visit us at AccessMedicine

In just the past week or so, I've managed conditions from common colds and ear infections to chronic issues like diabete...
10/23/2025

In just the past week or so, I've managed conditions from common colds and ear infections to chronic issues like diabetes, blood pressure, and COPD. I also handled procedures like skin tag removals and skin biopsies.
More than once I've heard 'I had no idea you could do that!'
Come see how DPC simplifies your healthcare.
No copays or visit fees—it's all covered by your membership!
Visit us at AccessMedicine.md or schedule a complimentary meet and greet!
"

10/15/2025

With all the talk about healthcare spending, costs, and waste, I think it's a good time to point out part of what makes a DPC practice standout. We eliminate as much overhead and "middleman" spending as possible. At AccessMedicine, every person on the payroll contributes directly to patient care, essentially eliminating the "administrative bloat" that is so common in most practices. Like spending money at any other local business, the vast majority of your membership fees go directly to the people in your community instead of to a corporate office somewhere you'll never see.

If you're looking for a primary care doctor who cares about and can care for your whole family without the headache of insurance hassles contact me here or at AccessMedicine in Williamston.

We're hoping to open some limited availability in the Greenville area in the coming months, so you may want to come out and meet us and make your decision soon.

Send a message to learn more

Unlock your journey to better health by visiting our website today. Discover a wealth of resources and insights that can...
07/08/2025

Unlock your journey to better health by visiting our website today. Discover a wealth of resources and insights that can guide you towards a healthier lifestyle.

05/15/2025

Want to learn about a really useful medical test? It's called Hemoglobin A1c (HbA1c)! The short version is that as your red blood cells travel through your bloodstream they're constantly exposed to glucose (blood sugar). Over time, some of this sugar sticks to the hemoglobin in these cells. You could almost say your red blood cells are getting sugar coated.
The A1c test measures the percentage of your red blood cells that have glucose attached. Since red blood cells live for about 2-3 months, this test gives us an average of your blood sugar levels during that period.
For most people without diabetes, an A1c below 5.5% is considered normal. Higher levels can suggest your body isn't processing glucose properly, which could be a sign of prediabetes or diabetes.
We use the A1c test both to screen for diabetes and to keep an eye on how well diabetes treatments are working. A common target for good blood sugar management is an A1c between 6.5% and 7%, but your individual target might be different. Make sure to discuss your screening and monitoring needs with your doctor!!

Send a message to learn more

05/15/2025

I'm still learning the meta dashboard tools, so I figured I'd try something.

I know a lot of people have questions and concerns about finding, and actually getting to see, a primary care doctor for themselves and their family. What would you put on your "must have" list for a primary care doctor? Leave a comment and let me know!

I put together a short FAQ covering some questions about me and Direct Primary Care model on my blog.  Take a look and l...
05/14/2025

I put together a short FAQ covering some questions about me and Direct Primary Care model on my blog. Take a look and let me know if you have any questions, I'm always happy to chat!

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Let’s talk rosacea.  It’s a common, chronic skin condition that affects as many as one in twenty adults and can manifest...
03/28/2022

Let’s talk rosacea. It’s a common, chronic skin condition that affects as many as one in twenty adults and can manifest as one of several subtypes. The cause isn’t completely clear, and like many chronic conditions likely has a number of factors at play. The symptoms usually affect the central part of the face and nose and include erythema (redness) that can be either temporary like flushing, or permanent. The redness can sometimes appear as what some call “spider veins” or telangiectasias as well. Some patients will also have burning or stinging sensations, plaques, pustules (bumps), dry skin, or even eyelid involvement. Some people report triggers like sun exposure, emotional stress, exercise, wind exposure, alcohol or spicy foods causing worsening symptoms.
As always, I would recommend you consult with your trusted healthcare professional if you have these symptoms as they may rarely indicate a more serious condition. Treatment may include topical and/or oral antibiotic medication to help treat secondary infections, especially during flare-ups. While “gold-standard” medial research is hard to conduct on things like skincare, medical professionals agree that gentle cleansers and moisturizers are crucial for keeping your skin healthy and minimizing symptoms and flares of rosacea. It's also important to avoid scrubbing or overly-abrasive products as this will make symptoms worse. I would suggest pairing our gentle cleanser with BioCream or BioSerum to address the redness and inflammation of rosacea while promoting healthy skin. If you need something with an SPF ingredient (always a good idea if you aren’t using something already) Journee may be a good option for daytime use paired with the BioSerum at night. (Photo from American Academy of Family Practice journal article. For more information, https://familydoctor.org/condition/rosacea/ is a good place to start)

03/27/2022

Missing a go to night cream? Neocutis has one you will love.

-Oily skin you will want to go with the Bio Gel
- Dry Skin you will want to pick out Bio Cream

WHAT YOU'LL LOVE

While you sleep, Bio Cream deeply hydrates and reduces the appearance of fine lines and wrinkles, soothes your skin and restores moisture after aesthetic procedures and treatments.

-Apply to face, neck and décolleté
-Reduces the appearance of fine lines and wrinkles
-Promotes suppleness and smoothness with moisturizing lipids
-Replenishes skin after cosmetic or dermatological procedures
-Great for normal, dry or combination skin types.

Address

Greenville, NC

Website

http://accessmedicine.md/

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