Patient Portal

Our Philosophy

Historical Approach in Medicine

Early physicians had specialized knowledge in body function and in ways of healing.  In the first half of the 20th century, two world wars provided surgeons with many chances to learn new techniques for surgery.  Scientific advances produced wonder drugs such as sulfa and penicillin which could cure diseases as nothing ever had before.  Towards the end of the 1900s, physicians were revered and respected for their knowledge of diseases, scientific diagnostic tests, and chemical treatment methods.  People had symptoms, went to the doctor, were diagnosed, treated with medicine, and felt better.  Then came the Internet.

The Effect of Information Availability

Doctors are no longer the sole owners of medical information, diagnostic tests, or medications.  The medical knowledge base is available online; diagnostic tests (such as blood pressure tests or glucose tests) are commonly available; online diagnostic programs can provide a likely diagnosis; and some formerly prescription drugs no longer require prescriptions (e.g., decongestants, anti-inflammatory medications).  How has all of this changed the medical model?  It hasn’t.  In general, people still have symptoms, go to the doctor, receive a diagnosis, are treated with medicine, and feel better.

This has been the medical model for hundreds, if not thousands, of years.  Today, this model works well for patients who do not want an active role in their healthcare, who do not want to be involved in choosing treatment options, and who prefer to react to disease after it happens rather than take a more preventative approach.  For people who don’t want to be “patients,” there is Meducation.

For people who don’t want to be “patients,” there is Meducation.


Dr. Hersch envisions a new paradigm of healthcare, focused on anticipatory guidance and risk factor reduction through education and evidence based medicine.  Although Dr. Hersch will provide traditional Internal Medicine services, the focus for practice members will be on a collaborative process creating patient centered care, patient centered decision making, and patient advocacy.

In this system, Dr. Hersch will provide experience and expertise and serve as a consultant.  Through collaboration and open communication, you and Dr. Hersch will develop a detailed Health Management Plan.  The Health Management Plan uses evidence based medicine to be used as a guideline for your healthcare needs, but allows you to make your own decisions based on understanding your health, your level of risk tolerance, and your need for knowledge.  The Health Management Plan can be revised at any time by collaboration between the member and the physician.

Dr. Hersch would be happy to talk with you in more detail about his philosophy in a complimentary interview.  Please contact us to schedule a convenient time.