Frequently Asked Questions About Our Practice

 

Do you use naturally desiccated thyroid like Armour, WP Thyroid, Nature-Throid?

Though we don't conform to one-size-fits-all thyroid management, we do find that these types of medications, or other medications that include T3 in them, often work best for patients. We do a full analysis of how each person's thyroid is functioning and base treatment on that, but in short, we are a fan of natural desiccated thyroid.

Check out Why Synthroid Doesn't Work on our You Tube channel.

Do you see patients by phone/tele-medicine?

Thanks to recent changes to the Texas medical laws regarding telemedicine, we are now excited to offer telephone and virtual appointments to our patients. If you are Texas resident, you can be seen virtually or via telephone appointment 100% of the time with no need to come into the office. If you live outside of Texas, your first appointment MUST be in person, but all other appointments thereafter can be via phone call or virtual using online video conference call on your computer or smart device.

How do I pay for a phone / virtual appointment if I’m not in the office?

When you set up your first appointment with us we will ask for credit card information as a "deposit" to hold your appointment. We do not charge your card until you have actually had an appointment with your provider.  We keep that credit card information on file and will charge it for any subsequent phone or virtual appointments that you may have.  The credit card information is kept securely by our payment system, Square.

Do you take HSA or FSA accounts as payment?

Absolutely!  We accept any type of debit or credit card, cash or check as payment.

Do you treat Hashimoto’s?

100% yes!  This is the area where functional medicine truly thrives. 

Do you use Low Dose Naltrexone (LDN)?

Yes, we use Naltrexone to treat the appropriate patients.

I definitely want to make an appointment, how do I do that?

You can call our office to start the new patient process. After you complete all of our new patient paperwork and consent forms, we’ll set up an appointment for you on our schedule.

I made my appointment, now what can I expect during my first visit?

Our office space is not your typical medical office.  We are located inside the beautiful new Alive + Well building with Hill Country Apothecary and Elle’s Café. Our office is right across the hall from the yoga room.  When you arrive please check in at the Alive + Well front desk and they’ll let us know you are here.  Feel free to grab a drink at the café while you wait but our practitioners do their very best to be on time, or as close to it as possible.

Your provider will find you in the waiting area and escort you back to the office where you’ll have an in-depth but relaxed conversation about the current state of your health and what brings you to Modern Thyroid Clinic.  At the end of your visit your provider will do a very short physical exam where they will listen to your heart, take your blood pressure, and feel your neck and thyroid area.  No changing clothes, no weighing, no nurses, and no exam table; just a couch, a desk, a clinician and you!

After your appointment, if McCall is your provider you’ll check out with Laura, who will take your payment, give you a quick debrief about what happens next and you’ll schedule your follow-up appointment.  An appointment plan with all of the information that was discussed during your appointment, including prescriptions and future lab orders can be found in your patient portal later that day.

If you are seeing one of our other providers, they’ll do her own debrief & discuss their appointment instructions with you.

What if I have medical questions in between appointments?

We understand that at times it may be necessary to communicate with our office via email or phone call regarding certain aspects of your medical care or other administrative needs, such as scheduling or cancelling appointments or asking a MINOR medical question and that’s OK; however, providing medical advice or treatment via email is not an ideal or an effective way for our providers to practice medicine. If you have more than 1-2 BASIC questions or if you have an issue that requires discussion, questions regarding a new health issue, what to do next or a change in protocol, or questions that require access to your chart or clinical decision making by your provider then you will be asked to schedule a brief follow-up appointment so that the proper attention can be given to your issue.

Please note that our clinicians and administrative staff receive an overwhelming number of email messages and phone calls on a daily basis, so we have a 48-BUSINESS HOUR return message policy. We make every attempt to return your messages in a timely manner, but it may take up to 48 business hours to get back to you.

It is VERY IMPORTANT to note that Modern Thyroid Clinic is NOT an acute-care or emergent-care facility and does not take after-hours calls. We highly recommend that you keep a primary care doctor or other physician on your health care team to manage acute care situations. We are not equipped to manage life-threatening emergencies. If you are experiencing an emergency, you should call 9-1-1 or report to the nearest emergency room.




What labs do you typically order?

We do an in-depth thyroid panel to fully understand your thyroid function, allowing us to fix and perfect even the most minor or complex of issues.  Our normal thyroid panel includes:  TSH, Free T4, Free T3, Reverse T3, Thyroid-peroxidase Antibodies, & Thyroglobulin Antibodies

Do you take insurance?

We are a cash-based practice and do not accept insurance. We pride ourselves on spending a great deal of time with patients to understand the state of their health by gathering information, analyzing symptoms, educating them, and giving each one the time and attention they fully deserve that is critical to their medical care. Because of this, it is impossible to follow the insurance model of medicine, which generally allots only 15 minutes per patient. We can, however, provide a Superbill upon request, for you to submit to your insurance for possible out-of-network coverage.

Can I use insurance for labs?

We do our absolute best to order labs that are hopefully covered by your insurance in order to limit your out-of-pocket expenses whenever possible.  If you have HMO insurance, we try to work directly with your primary care doctor to get your labs covered or we can refer you to a specific lab that offers discount cash prices.

Do you treat adrenal fatigue?

All day, every day!  We believe if someone has prolonged thyroid dysfunction that hasn’t been properly treated, they end up with some level of adrenal fatigue.  This has to be addressed to give people their life back.

Do you treat hormones and use hormone replacement therapy?

Yes, we offer hormone replacement for both men and women and also help pre-menopausal women balance their hormones. 

Do you order food allergy testing?

Yes, we order food allergy testing whenever necessary or requested, especially for Hashimoto patients.  Our food allergy testing is done through a third-party lab, Alletess Laboratory, and they test your sensitivity to almost 200 foods. We have test kits in our office, or one can be shipped to your address. After you get your blood drawn and return the test kit to the lab, we receive the results in about 2 weeks.  We recommend you see our health coach, Hayley Adams, for a consultation to review the results.

How do I get refills for my medication / prescriptions?

Your provider will prescribe enough medication to get you through to your next follow-up visit but if you need refills in between appointments you can request a refill through your pharmacy so that we have the proper documentation.  Requests will be processed within 48 BUSINESS HOURS of receipt in our office so please do not delay in requesting your refill.  Also, note that compounded medications can take an additional 24-48 hours to make at the pharmacy.

Please also note the following information regarding our refill policy:

We refill medication that your provider has prescribed to you as long as certain guidelines are followed.

  • All medication refill requests need to be made via your PHARMACY so that we have the proper documentation.

  • Pharmacies can send us refill requests electronically via our prescribing system or via fax.

  • Requests from pharmacies can be faxed to (512) 309-7023.

  • Please request refills PRIOR to exhausting your supply of medication.

  • Assuming the request is safe and appropriate, we will refill your prescription(s) in a timely manner within 48-72 business-hours.

  • Compounded, or specially-made prescription medications, can often-times take 48 hours for pharmacies to make so it is CRITICAL that you NOT wait until you are out of medication before requesting a refill.

  • We CANNOT refill prescriptions or prescribe new medications after hours, on weekends, or holidays.

Modern Thyroid Clinic does not write prescriptions for Schedule II drugs, or those that require a triplicate process. This includes certain medications for on-going psychiatric care and pain management, as we do not provide treatment for those specific conditions so you may be referred to a specialist as deemed appropriate by our provider/clinician.