Happy Spring!

While we start to become more active outdoors with the upcoming warmer weather we have been waiting all winter for, it is important to keep in mind one of the most common diseases that can occur during the spring and summer months: Lyme disease.

While Charlottesville and the surrounding countries are home to many beautiful hiking trails and outdoor parks, deer ticks which carry Lyme disease also call this area home. It is important to be aware of the early signs of Lyme disease and seek medical care if you believe you have been bitten by a deer tick.

Deer ticks have a dark red/brown or black body, eight legs, and typically have a dark spot behind their head. They are generally small and do not reach past 3 millimeters in size. If you are concerned you have been bitten by a deer tick, please make an appointment with your medical provider immediately. It is helpful to contain and bring the tick to your appointment.

The most common symptom of Lyme disease is a “bulls eye” rash that can appear within 1-2 weeks after the bite. The rash typically has a red rim with the normal skin coloring in the middle mimicking a bulls eye. The rash is not usually painful, although it can itch. Other symptoms include fatigue, loss of appetite, headache, neck stiffness, muscle aches, enlarged lymph nodes, and fevers.

If you are concerned you may have Lyme disease, please make an appointment with us. We will likely do a blood test and may prescribe an antibiotic if there is high suspicion for the disease.

Make sure to check for ticks anytime after hiking, swimming in the river, and camping. Children should always be checked when coming in from playing outside.

Enjoy the warm weather, and happy hiking!


We are following the coronavirus situation closely.

We encourage you to wash your hands frequently for 20 seconds, avoid putting your hands to your face, cover your mouth and nose when you sneeze and avoid crowds if you are feeling unwell. Continue to wear a mask and we recommend COVID vaccines as soon as one is available to you. You maybe be able to choose which vaccine you receive. Get the first one that is available.

If you develop a fever >100.4, have a cough and shortness of breath please call our office and speak with a nurse. please do not walk in the office without an appointment if · you have these symptoms.

How FMOA Providers Save You Money

There is a lot of data from the world health organization describing how the U.S. citizen pays far more for healthcare than any other developed nation, receives less benefit for their money, and can expect worse long term outcomes on average (see report for more info) But there are a few clinicians in the U.S. healthcare system that buck this trend. This article describes clinicians that sound a lot like the family medicine providers at FMOA, and explains how FMOA providers save you time and money.

Why Your Provider is Late

Being a family medicine provider is a blessing but I often feel like I’m spinning plates. A few months back I saw this article describing a typical day in a family medicine provider’s life, and why she keeps her patient’s waiting. I could definitely relate to this provider’s experience. Our responsibilities keep us busy but if our patients are patient with us, the blessing of caring for families is worth the plate spinning.