Carol’s Plans

Carol N. Rowsemitt

I look around me and see people my age retiring. And I say, “Huh? Why are they doing that?” I love what I do. Why would I want to stop doing this??? I have NO plans to retire. I love working with my patients and plan to continue doing so for many years. However, on the opposite side of the country is my only child and a group of cousins and other close friends. So how do I work out this conflict as the years go on? Well, I’ve come up with a compromise answer.

I’ll be moving to the Boston area in June of 2019 but will keep the practice going via telehealth care and come back in the winters mid-November to mid-March to see you in person. My patients will schedule appointments as usual, come into the office for vital signs, etc., and I’ll be there on the computer screen. We’ll cover everything we need to with video conferencing. I’ll still try to keep you laughing. (And I’ll still say, “No extra charge for the Kleenex” if I see that you’re fighting back tears.) By coming back in the winters, I’ll get to see you in person and avoid shoveling snow. Also, I can only see new or restarting patients in person. Most summers, I plan to come out for a month to start new patients. This summer since I’m leaving in June, I plan to just return for the SLO Triathlon, which is pretty much an annual event for me. (Always with the emphasis on SLOW and TRY. (Check out my finish time online by starting at the bottom of the list.)

I’ll still be available by phone in the usual ways. I’ll just be in a different time zone. (Sounds like an insult: Hey, that one’s in a different time zone, isn’t she?) So, I’ll be 3 hours ahead of you. I’ll be there as usual to discuss any new symptoms or problems at the same phone number.

I’ll certainly miss seeing you all in person. But, for those of you who Skype or FaceTime with friends and family, be assured that I’ll be using a reliable HIPAA-compliant program and we’ll be able to continue working together to improve your health. In the meantime, I’m practicing my Bostonian: “Pahk yah cah in Hahvahd yahd,” to regain fluency in my native tongue. And you’re welcome to tease me about my accent when we meet online or in person.

If you or someone you know wants to start or restart my program, please call the office soon so that we can get them in before the end of May.

Local Plan

As Janet Leach, acupuncturist, is retiring, I needed to find new space below the grade. As of April 15, I will be renting office space from Dr. Lucas Phifer, Atlas Chiropractic 415 El Camino Real, Arroyo Grande. It’s just off the Halcyon exit. I will continue to be in that part of the county on Thursdays, but my hours will be 7:00 AM – 2:00 PM.


Help with weight loss in San Luis Obispo County

Since Sept 2015, Carol has been working with Dr. Steven McAllen, MD, as her supervisory physician. Dr. McAllen earned his medical degree from UCSD and did his residency in internal medicine at UC Irvine. He has been in practice for 26 years.

 

Carol Rowsemitt may be just the weight loss solution you are looking for.

Just eat less and exercise more!! Tired of hearing that? So am I. If you have trouble losing weight and keeping it off, then you’re in the right place. You know it’s more complicated than that. You succeed at many other things, but this just isn’t working. Maybe you’ve lost 10 or 20 pounds. Then the system seems to put on the brakes. You keep doing the same behaviors that helped you lose that weight, but now the scale doesn’t budge. And you seem to be thinking about food even more than usual. The starchy, fatty foods are calling your name.

Many of us know these things and we think it’s just lack of will power. But the body of scientific evidence grows weekly. Here’s the truth:

Primitive parts of your brain can tell when there’s not enough food coming in. The brain says, “Hey, if we can’t find more food, we’re going to die!” So changes in brain chemistry and hormones cause several things:

  • Increased interest in food.
  • More food in the stomach is needed to feel full.
  • Resets your body’s metabolism to burn fewer calories at rest.
  • The lowered metabolism makes you tired, and possibly depressed, so you become less active.
  • Makes your muscles become more efficient, so when you do work out, you burn fewer calories for the same amount of work.
  • These changes have been studied as far out as one year after weight loss. And guess what? These changes still haven’t returned to normal.

So now you know what you’re up against. It’s not weakness – it’s your primitive body doing what it’s supposed to do to keep you alive when there’s not enough food coming into your stomach. It’s going to take superhuman will power to continue to lose weight and to keep it off. That’s why this is such a challenge.

Getting help for these problems involves using medications that decrease appetite and interest in food. For some people, getting the metabolism back to normal is also part of the process.

While most people accept the idea that we should treat type 2 diabetes, high blood pressure, and cholesterol problems with medications, some people continue to think that we should not use medications to help with weight loss and maintenance. But problems such as high blood pressure, diabetes, etc., generally improve with weight loss. And there’s a very long list of other things that improve with weight loss including liver problems, weight-related arthritis pain, sleep apnea, and many more. Weight loss also can decrease the risk of developing cancer.

A variety of prescription medications can be used alone or in combinations to help you lose weight and keep it off. Some of these medications are approved by the FDA for weight loss, others are approved for other problems but have decreased appetite as a side effect.

Working with Dr. Thomas Najarian in Los Osos, CA, for seven years, I learned and contributed to the evolution of his approaches to helping people lose weight and keep it off. San Luis Obispo weight loss is my specialty and my experience can help make a difference in the way you feel about yourself and give you confidence.

Thyroid

I also work with people who have thyroid disorders with or without weight issues. Many providers pay more attention to thyroid stimulating hormone (TSH) than to any other factor when evaluating thyroid. I assess a variety of lab values as well as listening to your report of symptoms to determine how to evaluate and treat thyroid problems.

Many people have found my philosophy and style to be very helpful for supporting them in their weight loss efforts over the long-term as well as to keep that weight off. Take a look around the website; you will find information about my experience and philosophy. If you are looking for a great program for weight loss in San Luis Obispo, please come see me.

 

Costs:

New Patient Visits: $190, 1-hour appointment

A deposit of $100 is required to hold the appointment time. The deposit will be applied to your first visit.

Follow-up Visits: $95, 30-min appointment

Follow-up visits for weight management are every 6-8 weeks.

Once you reach your goal, maintenance visits are approximately 3-4 months.

For thyroid-only patients, follow-up visits vary from 3- 6 months.

 

Restart  $170

If your health insurance is a PPO, I will provide a receipt/superbill so that you can submit a claim to your insurance company. It’s easy to do.  In many cases, they will provide some level of reimbursement directly to you.

 

Call today for help losing weight and keeping it off. (805) 748-0954