Primary Care & Chronic Disease Management
Comprehensive, patient-centred primary care with a strong emphasis on prevention, early detection, and identifying the factors that contribute to chronic disease.
Overview
Care at this practice starts from a particular observation: chronic, low-grade inflammation is associated with a great many common conditions — diabetes, insulin resistance, obesity, cardiovascular disease, arthritis and other metabolic disorders among them. Treated separately, each of those becomes its own appointment, its own medication and its own set of numbers to chase.
So rather than focusing only on symptoms, the practice evaluates the broader health factors that may contribute to inflammation and to disease progression, and treats those as part of the condition rather than as background.
In practice that means combining routine health evaluations, preventive screenings, laboratory monitoring, medication management, and nutrition and lifestyle counseling with individualized chronic disease care. It means assessing the things that are genuinely modifiable — excess weight, dietary patterns, physical inactivity, poor sleep, stress, and chronic conditions that are not well controlled — and taking them seriously as clinical targets.
Reducing modifiable sources of chronic inflammation and improving metabolic health are, on this view, important components of long-term disease management rather than lifestyle advice appended to the end of a visit. Through personalized treatment plans, appropriate medications, lifestyle interventions and regular follow-up, the goal is to help you improve disease control, reduce the risk of complications, maintain function, and hold onto quality of life over years rather than months.
Conditions and concerns we care for
Chronic, low-grade inflammation is associated with many common health conditions. Rather than treating each one in isolation, the practice looks at the broader picture that connects them.
Metabolic and endocrine
- Diabetes and insulin resistance
- Thyroid disorders
- Obesity and metabolic dysfunction
- Lipid and cholesterol management
Cardiovascular and respiratory
- High blood pressure
- Cardiovascular conditions
- Pulmonary and breathing conditions
Musculoskeletal and pain
- Arthritis
- Ongoing pain
Other ongoing care
- Neurological conditions
- Renal concerns
- Gastrointestinal conditions
- Dermatology concerns
- Mental health conditions
- Sports and school physicals
Some of these are managed entirely within the practice and some are best co-managed with a specialist. Which is which depends on you, and it is discussed with you rather than decided quietly.
How the care works
Look at the whole picture first
Routine health evaluation, a review of your history and medications, and preventive screening — establishing what is actually going on before anything is changed.
Test what needs testing
Laboratory monitoring appropriate to your conditions and risks, interpreted in the context of your symptoms rather than in isolation.
Treat the contributing factors, not only the numbers
Assessing what may be driving inflammation and metabolic dysfunction — excess weight, dietary patterns, physical inactivity, poor sleep, stress, and chronic conditions that are not well controlled.
Adjust over time
Medication management, nutrition and lifestyle counseling, and regular follow-up, so the plan changes as you do.
This may be the right fit if
- You want one clinician who knows your history rather than starting again at each visit
- You are managing a long-term condition and want it looked at as a whole
- You are due for preventive screening and have not had it in a while
- You have been told your numbers are borderline and want to act before they are not
- You want a provider who will talk through the reasoning with you
- You need a sports or school physical
What a visit looks like
Before you come
Bring photo identification, your insurance card if you have one, the medications and supplements you take, and any recent results or records from a previous practice.
The appointment
Mostly conversation — your history, what has been happening, what you want from your care — and then agreement on what to examine and test.
Afterwards
A plan you understand, in writing where that helps, and a clear sense of when you will be seen again and what would warrant calling sooner.
- 30+years in healthcareTessy Kadavil, DNP, FNP
- 5.0from 23 Google reviewsVerified on the practice’s Google Business Profile
- CertifiedDementia Person-Centered Care ProviderAlongside certification for buprenorphine therapy
- Mon–Fri8:00am – 5:00pmMedical Center district, San Antonio
Questions about primary care & chronic disease
Can this practice be my regular primary care provider?
Yes. Primary care and chronic disease management are the core of the practice — routine health evaluations, preventive screening, laboratory monitoring, medication management, and ongoing care for long-term conditions.
Which conditions are managed here?
The practice manages a broad range of chronic conditions, including diabetes and insulin resistance, thyroid disorders, cardiovascular and metabolic conditions, and arthritis. Some conditions are managed here and some are best co-managed with a specialist; that is decided case by case and discussed with you.
Talk it through first
Call the office, describe what is going on, and find out whether primary care & chronic disease is the right place to start.
Monday – Friday, 8:00am – 5:00pm · Medical Center district, San Antonio