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Our Services

Brio partners with patients to achieve and maintain a healthy lifestyle throughout adulthood. We consult with every patient about his/her current and future health, then map out a plan to help the patient achieve his/her goals. Whether that means treating allergies, managing diabetes, or simply staying up to date on annual check-ups and flu shots, Brio provides the services you need to stay healthy.

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In-House Lab Work

One service that we are proud to provide our patients is a certified on-site lab so that you get faster results. Drawing your lab work in our offices puts the results in your provider's hands quickly to guide decisions for your care.

Our priority is to complete as much labwork as possible in-house, the remaining will be sent to LabCorp or another reference lab as requested by patients depending on insurance coverage.

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Care & Specialty Teams:

Here at Brio our top priority is to know our patients and their families and to serve you with love and compassion, while providing the best, most up-to-date medical care possible. We call it "The Brio Way" and believe it is what sets us apart as a practice. To retain the smaller, more personal, more connected feel as we add more locations and services, Brio set up Care Teams to ensure that patients see the same team of providers and nurses they are comfortable with.

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Services

Our providers are committed to your health. You'll find that we offer all the services you and your family need to achieve and maintain a healthy lifestyle including:

Acute Illnesses
Such as bronchitis, allergies, skin conditions and minor laceration repair
Chronic Diseases
Such as ADD, anxiety, diabetes, cholesterol and blood pressure management
Sports Injuries & Sports Physicals
To help you maintain an active lifestyle
Physicals
Including those for annual checkups, preoperative medical evaluations, and Welcome to Medicare
Gynecologic Care
Including Pap smears, birth control and menopausal care
Minor Surgeries
Such as mole, cyst and wart removals
Preventative Care
Taking care of yourself, so you can care for others
Flu shots & Immunizations
For annual needs and special travel
Same-day Appointments
Sore throats, sinusitis, & ear aches welcome
In-House Labs
Convenient at all locations
Brio Aesthetics
Your Greenville Home for Obagi & CoolSculpting

On-Site Testing

Certified by the CLIA (Clinical Laboratory Improvement Amendments), our priority is to complete as much labwork as possible in-house for faster results to guide physician decisions in patient care. The remaining labwork will be sent to LabCorp or another reference lab as requested by the patient depending on insurance coverage.

EKGs are performed in house and should only take 10 minutes of your time. EKGs measure the electrical activity of your heart by making small trace marks on a piece of paper. Your heart contains 4 chambers and the EKG can test the to make sure that each chamber is functioning properly.

Your provider can suggest for you to have an EKG during your annual check up or for many other reasons. EKGs are performed to measure the thickness of the chambers of your heart, and to see if you have an irregular heartbeat due to symptoms such as chest pain, shortness of breath, and dizziness.

Spirometry tests are performed in house and typically repeated 3 times while the patient is in the office. A spirometry test can be used to measure the effectiveness of your breathing, as well as assessing asthma and COPD. This test also shows how well your lungs function while inhaling and exhaling and measures the amount of air you exhale as well as how quickly.

Brio provides a full range of diagnostic radiology testing in some of our locations. X-rays are used to look at possible bone injuries, arthritis and certain types of infection.

Women who are pregnant or are breastfeeding must alert their physician and technologist before the examination.

General Radiology examines:
  • Sinuses
  • Chest or Ribs
  • Spine
  • Pelvis
  • Abdomen Series or KUB
  • Hips
  • Extremities
  • Joints

This test is done by measuring blood pressure at the ankle and in the arm while a person is at rest. The ankle-brachial index (ABI) result is used to predict the severity of peripheral arterial disease (PAD).


Why It Is Done:
  • This test is done to check for peripheral arterial disease of the legs. It is also used to see how well a treatment is working (such as medical treatment, an exercise program, angioplasty, or surgery).
  • This test might be done to check your risk of heart attack and stroke. The results can help you and your doctor make decisions about how to lower your risk.

Results:
  • Normal: A normal resting ankle-brachial index is 1.0 to 1.4. This means that your blood pressure at your ankle is the same or greater than the pressure at your arm, and suggests that you do not have significant narrowing or blockage of blood flow.
  • Abnormal:Abnormal values for the resting ankle-brachial index are 0.9 or lower and 1.40 or higher. If the ABI is 0.91 ro 1.00, it is considered borderline abnormal. Abnormal values might mean you have a higher chance of having narrowed arteries in other parts of your body. This can increase your risk of a heart attack or stroke.

What To Think About:

An abnormal ABI test result may require more testing to determine the location and severity of PAD that might be present.

We are able to write a prescription for patients to go for their Bone Density Test. Bone Density tests are much like having an X-ray done. These tests measure the density of your bones in your lower arms, legs, heels, fingers, hips, and spine. A bone density test is also known as a DXA. The main reason to have a bone density test done is to check for osteoporosis, which can cause your bones to become more fragile and susceptible to fractures.

Lipidology refers to the management of lipids to stabilize plaque and regress atherosclerosis in order to detect and prevent cardiovascular disease. A variety of tests help answer three fundamental questions that enable your physician to target and manage cholesterol abnormalities and inflammation in developing cardiovascular disease. The chosen regimen will likely include a nutrition and exercise plan for most, coupled with medication for the moderate-high risk patients.

1. Is the patient making plaque?

The most common lipid abnormalities which cause plaque formation are associated with LDL, HDL, and VLDL particles. Tests that help us determine this include the lipid panel, advanced lipid testing using NMR, apo B-100, Lp(a) and cholesterol balance:

  • Lipid Panel: This measures total cholesterol, HDL cholesterol, LDL cholesterol, and triglycerides. Cholesterol and triglycerides are carried in lipoproteins of which there are three: LDL, HDL, and VLDL. In the VLDL particles, there are both triglycerides and some cholesterol. On a standard lipid panel, the amount of cholesterol carried in the LDL particles is estimated and these estimates are frequently inaccurate when the triglycerides are higher than 150.
  • NMR: - LDL particles are a better predictor of the atherosclerotic disease than the measurement of LDL cholesterol. These particles can be measured via NMR or Apo B-100 tests both of which are available in advanced lipid testing.
  • Lp(a): This is a variant of LDL. When present in abnormally high quantities, it is a plaque-producer and places patients automatically at a high risk for developing coronary artery disease. This test is especially useful when there is a family history of unexplained heart attacks at an early age.
  • Cholesterol Balance: This test helps the medical provider know if the cause of the elevated LDL is due to increased absorption through the GI tract (diet), or increased production by the liver. Knowing the answer to this can help guide therapy toward diet or medications and can even help narrow down the type of medication which will work the best.
2. Is the plaque inflamed and vulnerable to rupture?

Tests that measure the degree of inflammation in the arteries are most helpful here. These include C-reactive protein and Lp-PLA-2.

  • CRP: This protein is an indicator of inflammation. Many cholesterol medications, including statins, lower not only cholesterol, but also inflammation. Patients with increased inflammation have a greater risk of plaque rupture and sudden heart attack.
  • Lp-PLA2: This inflammatory marker is elevated in vulnerable plaque and is an independent risk factor for heart attacks. It is a very useful test in patients who have underlying inflammatory conditions, such as rheumatoid arthritis where the CRP is unreliable. It appears to be more specific to plaque inflammation than CRP.
3. How much plaque has been made?

The preceding tests all pertained to risk for plaque formation and rupture. To determine the amount that has already been formed requires additional studies. In the past, these have typically been done by stress testing. The problem is stress testing usually is only able to detect advanced disease. Early plaque formation is often missed with this type of cardiac testing. Calcium scoring, carotid IMT, and ankle-brachial index are better at detecting early disease.

  • Cardiac Calcium Scoring: This test is based upon the detection of calcium deposited in atherosclerotic plaque within the coronary arteries. The amount of calcium present reflects the overall burden of atherosclerosis. It is most useful in intermediate-risk patients over the age of 50 who have a family history of early heart attacks. Most radiology centers will offer this test for roughly $100 cash as it is not covered by commercial insurance nor Medicare.
  • Carotid IMT: This is an ultrasound test used to quantify the amount of atherosclerosis in the carotid arteries. With deposition of cholesterol, the innermost lining of the carotid artery becomes thickened. The amount of thickening is an indication of the amount of atherosclerosis present in the patient. Patients with marked thickening or plaque are at high risk for heart attack and stroke and should have aggressive treatment of their lipids and blood pressure.
  • Ankle-Brachial Index: This is used to detect peripheral artery disease. When there is arterial vascular obstruction in the legs, there is increased risk of vascular obstruction in the heart as well. This test is performed by measuring the blood pressure in the legs and comparing it to the blood pressure in the arms. If there is a difference in the blood pressures, peripheral artery disease is likely present and risk factors for heart disease should be aggressively targeted.

Clinical Care Teams

Brio Clincal Care Teams create a place of comfort and familiarity while providing the best medical care and establishing lifelong relationships.

Our Brio providers are here to serve.

While we are excited to be able to offer more convenience, better access, and additional services to you and your family through our three locations, the most important thing is to keep the heart of Brio the same Brio that you know and love.

To achieve this "growing smaller as we grow bigger," we have care teams at each location. What that means for you is that while we are growing bigger to offer you the highest level of quality internal medicine care in the Upstate, we want to feel smaller, more personal, and more connected to you than ever. You will not be frustrated by, "I don't remember the name of the doctor we saw last time" or "We don't recognize any of the new staff." When you can easily see your provider and a care team of providers and nurses that you are comfortable and confident with, you not only receive the best medical care available for you or your family member, but you also get life-long relationships and lasting memories.

You can always be sure at Brio that you are the reason we do what we do - we love your family, are so thankful for your trust, and count it a true privilege and blessing to serve you every day.

Hawthorne Park Care Team
Anna Reece
Anna Reece
PA-C

Downtown Care Team
Chenille Taylor
Chenille Taylor
MBA, MS, RN, FNP-BC

Harrison Bridge Care Team

Specialty Care Teams

Brio guides patients through chronic disease management with a team of providers who specialize in their illness to maximize quality of life.

This team care approach to the treatment of Airway disease includes Asthma, COPD, chronic bronchitis, and any of our patients who use an inhaler medication.

We will partner with you to provide education on Asthma and COPD, how to use your inhaler, and how to avoid your triggers. We will come up with an Asthma action plan together. Your visit may also include pulse oximetry (measurement of your oxygen level) and spirometry ( measurement of your lung function).

Our goal is to provide better control of your asthma or COPD so you can have a better quality of life. Routine monitoring of your symptoms and lung function can reduce asthma flares and ER trips. At your follow up visits we can step up your therapy if your symptoms are not well controlled, and possibly even step down your treatment to minimize medication side effects.

We are committed to helping you on your journey to better health and well being. We use a team care approach for the treatment of diabetes, with a RN, Physician Assistant, Nurse Practioner and Physician.

As a part of this visit you will meet with our nurse educator and a provider. You will have one on one time with a nurse educator to review nutrition and set goals for improved diabetic care. During this visit, you may receive a foot exam, EKG , urine test, blood work and ABI. You will also review blood sugar readings with a provider and make any changes in medications, diet or simply adding exercise to improve your control.

After your visit we will review and discuss the best treatment options for you and continue to adjust your treatment plan as you meet established goals. You will remain in charge of your health and we hope that with each visit you will gain more knowledge and insight.

The Annual Wellness Visit is not the same thing as what many people often refer to as their yearly physical exam. Medicare is very specific about what the "Annual Wellness Visit" includes and excludes.

OUR GOAL

To complete Medicare's yearly questionnaire when the patient comes in for any blood work needed prior to the visit with the provider.

THE VISIT
  • Initial Preventative Physical Exam (IPPE): This "Welcome to Medicare" visit is only for new Medicare patients. This must be done in the first year as a Medicare patient.
  • Annual Wellness Visit, Initial (AWVI): At least 1 year after the "Welcome to Medicare" exam.
  • Annual Wellness Visit, Subsequent (AWVII): Once a year (at least 365 days after the last Wellness visit)

At the Annual Wellness Visit, our nurse will talk to you about your medical history, review your risk factors, and make a personalized prevention plan to keep you healthy. The visit does not include a hands-on exam or any testing that your doctor may recommend, nor does it include any discussion about any new or current medical problems, conditions, or medications. You may schedule another visit to address those issues.

If you would like to schedule an annual physical, including any lab work or other diagnostic testing, medication management, vaccinations, and other services, please understand that these services will be charged and covered according to Medicare's usual coverage guidelines. However, you may still develop a care plan based on the Annual Wellness Visit criteria.

We appreciate the trust you put in us to take care of your health care needs and hope that you will take advantage of this new benefit to work with your provider in creating your personalized prevention plan.

Please complete and bring the Annual Wellness Visit questionnaire with you to your appointment or arrive 15 minutes early to fill out the questionnaire in our office.


Brio Aesthetics

Brio believes in treating the entire body. Often times, there's a direct correlation between how you look and how you feel.

We want you to feel your best!
Obagi Skin Care

Expert Skin Care

Restore a youthful glow with Obagi prescription-strength skin care products. Brio is proud to provide the #1 physician-dispensed systems, helping patients overcome a variety of conditions, from aging to acne, dry to damaged skin.

CoolSculpting

Shape What You See

Almost everyone has stubborn areas of fat that are resistant to conventional diet and exercise. Love handles and muffin tops keep you from wearing your favorite clothes. Fear no more with CoolSculpting, the world's top choice for non-surgical fat-reduction. No needles. No surgery. No downtime.

See how painless and easily you can reduce the appearance of your double chin, pot-belly, muffin top, and more.

Obagi, CoolSculpting Gift Certificates

Gift Certificates

Treat those you love to Brio aesthetic services with a Brio gift certificate. These can be used to purchase Obagi Skincare products and CoolSculpting body sculpting services.

Call 864.603.5600


Brio Internal Medicine
Medical Specialists Greenville SC - Obagi Medical Specialists Greenville SC - Coolsculpting
Connect

Email: info@briointernalmedicine.com
Phone: 864.603.5600
Fax: 864.603.5601

DOWNTOWN

201 North Main Street, Second Floor
Greenville, SC 29601
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HAYWOOD

9 Hawthorne Park Court
Greenville, SC 29615
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SIMPSONVILLE

312 Harrison Bridge Rd
Simpsonville, SC 29680
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