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When I started thinking about this new adventure, I spent a lot of time trying to come up with a name. I knew I was going to be starting at horse shows, but I’m hoping that it will extend far beyond these first beginnings. I want to help people show up in their own lives in the bodies they earned. I wanted something to capture BEING THERE with people where they live, not that they have to come to me. I wanted to show that I plan to be WITH THEM during each step. I want t

Ears Up! Here's what to expect from this blog. This is a really fair question! What can you expect to get from me if you get this newsletter in your email box? Let's be honest, we all get more than enough email, so I really want this to be useful to you and maybe a little bit of entertainment as well. I am constantly watching the science and medical news for new ways to help keep patients healthy and recover from illness and injury. I also watch for influencer trends th

Accidentally going down the fence If you've poked around this website at all, you've probably noticed something a little unusual: I don't bill insurance. No co-pays, no prior authorizations, no explanation of benefits forms showing up six weeks after your visit with a number that makes no sense. Just a straightforward price, paid directly. That's it. I know that probably raises some questions. Let me explain what this model actually is, why more and more doctors and patient

Life happens. I was active duty Air Force, so every year, had weigh ins and measurements and physical fitness tests. I worked out, met standards, and lived my life. However, over time, weight crept up on me. I’d always been a softly rounded kid, even despite gymnastics and dance and cheerleading and rodeo and watching every bite I put in my mouth. That was just how it was for me. I hit my 30s. Two kids. Deployments. Working full time. Working nights. Leaving the mil

PresenceMD was born out of a desire to be there at the beginning. I’m an ER doc and have been for 20 years. I see the end result of disease processes. I see the dialysis, the heart attacks, the strokes. Once something like that happens, I’m in damage control mode. I’ve spent decades stepping in once things have reached the breaking point. Unfortunately, once the heart attack or stroke has happened, a lot of damage is done. When I tell someone that they now have diabet