FAQ's

How long is the first visit?

The doctor spends anywhere from 1.5 to 4 hours with new patients, depending on the complexity of the case.  Your visit type will be determined during the scheduling process, and is based on what you are seeking help for.

 

What should I bring to my first visit?

Your first visit can be quite in depth. Ensure that you fill out all new patient paperwork. We recommend that you send ahead any lab results that you have, and provide a list of ALL medications and supplements. This list should include the brand, the name, your dosage, as well as time of day that you take the medication/supplement. For in-office visits, you may want to bring bring a snack and a beverage. We do offer water, electrolytes and tea in our office. It is also a great idea to bring a friend or family member, and/or a recording device.

 

How do we do new patient visits?

Your first visit may be in person at our office (if you meet criteria and follow office safety procedures, such as wearing a mask) or over video phone (we use HIPAA-compliant formats such as Doxy.me and FaceTime).  We like to do an in-person visit at some point, if the first visit is over video format.  During your visit, the doctor will take a thorough health history, review past labs, perform a physical examination (as able over video), and create an individualized treatment plan, which often includes further testing.

How do we do follow-up visits?

Follow-up appointments may be done in person or by using our HIPAA compliant video conferencing options.  At this time, the doctor will provide you with an updated treatment plan and recommendations, and give you a printed copy as well as post an electronic copy on your electronic chart where you'll always have access to it.

What is an exposure history?

An exposure history is a detailed timeline of exposure to mold, water damaged buildings, tick bites, spider bites, toxic algae, incidences of food poisoning, illnesses while traveling, and so on. Dr. Thomson appreciates a list of building where you've lived, and whether there was known water-damage or musty smeels associated with the structure.

 

What is a health history?

A health history is a time line of all illnesses, injuries, surgeries, and serious accidents that you have experienced since birth.  

Do you take insurance, and how do I submit?

We do not directly bill insurance, but will give you everything you need to self-submit your claim to your insurance company.   We recommend sending the superbill we provide to the address on the back of your insurance card to receive reimbursement.

Do you accept payment plans or partial payments?

No, in order to keep costs as low as possible for our patients we do not accept partial payments or payment plans, as this would require additional staff to manage payments. 

What therapies do you use?

Dr. Thomson uses a wide variety of therapies, depending on the patient and their condition.  These include pharmaceuticals; IV therapy; peptides; hormones; supplements; herbal remedies; homeopathics; diet and lifestyle modifications; and sometimes naturopathic treatments such as hydrotherapy and sauna. 

 

Do you treat histamine intolerance?

Yes! Dr. Thomson is well-versed in histamine intolerance. She will explore the cause of this intolerance to best treat it with supplements, medicines, and diet and lifestyle changes, depending on the situation.

Do you treat Multiple Chemical Sensitivity (MCS)?

Yes. We treat many patients with MCS.  We also have a scent-free policy (even essential oils) at our office, and use cleaning products that people generally don’t react to.

Do you treat methylation issues?

Yes. Dr. Thomson treats methylation issues as well as other genetic imbalances with an array of therapies.  Nutritional balancing is done with IV or oral supplementation, or both, and can have huge impact on mood issues and other manifestations of methylation defects.

Can you prescribe pharmaceuticals?

Yes, Dr. Thomson can prescribe pharmaceuticals. Most pharmacies in other states accept prescriptions from out of state physicians. One exception is non-national compounding pharmacies, but we work with many compounders with national licenses.

 

What kinds of other treatments do you offer?

We offer IV nutritional therapy, in office blood draws, specialty lab testing, peptide therapy, ozone therapy, hydrotherapy, dietary counseling, Walsh nutrient therapy for mood disorders and ADD,  homeopathy, weight loss programs, regenerative medicine for anti-aging, individualized herbal remedy formulation, biological hormone replacement therapy (bHRT), ketamine therapy for PTSD and depression, and more. 

Do you treat other conditions besides biotoxin illness?

Of course! We do everything from general check-ups to specific concerns (food allergies, thyroid issues, hormonal issues, acute illness, mood disorders, and weight loss; see "Conditions").

What types of testing do you do?

All general labs, food sensitivity panels, stool panels, hormone panels, adrenal assessment, osteoporosis assessment, specialty testing for CIRS and Lyme disease, telomere testing for anti-aging therapies, urines tests for nutrient status and bone loss, and more. We also refer out for X-ray, MRI, ultrasound, colonoscopy, mammography, and others when appropriate.

How long does treatment take for Lyme and mold illnesses?

The speed of recovery depends on many factors, including repeated exposure, adherence to the treatment protocol, and the complexity of the case.   Most people recover completely within 1 to 3 years, but it can be much shorter.

 

Do you ERMI test your office?

Yes. We do an Environmental Relative Mold Index test in our office 1-2 times per year to make sure that all of our patients are getting care in a safe environment. 

What is an IEP?

IEP stands for Indoor Environmental Professional. Basically, think of an IEP as a doctor for your house. They diagnose the problem and make recommendations for your local remediation company to fix it. This is very different than a remediation company. 

 

What is a remediation company?

A remediation company are people who remove and clean a home based on specific recommendations from an IEP. Your IEP and your remediation company should NOT be the same person or work for the same company, due to conflict of interest.

Are there support groups for mold and Lyme patients?

Yes. We have a clinic support forum on Facebook for our patients. We also refer patients to specific support groups depending on circumstances.

What is the elevation of Bozeman?

Bozeman sits at 4820’ in elevation. Our patients generally feel great while visiting us!  The air is relatively clean, and the sun is warming.

 

What do you use to treat Lyme disease?

Our approach to treating Lyme disease is highly individualized and can include therapies such as antibiotics, herbal anti-microbials, immune support, IV nutritional and medication therapy, ozone, peptides and detox support. 

What if I have BOTH Lyme and mold?

These illness are both biotoxin illnesses. Because of this, they are well-suited to treat at the same time. This is achieved through a variety of therapies including pharmaceuticals, IV therapy, ozone, peptides, supplements, herbal remedies, diet and lifestyle modification, and more.

How do you test for tick borne illnesses?

Blood, urine, brain MRI, and visual testing for brain inflammation are available. The tests can assess specific infections as well as inflammatory and immune markers abnormalities. Dr. Thomson orders tests based on your individual history and symptom picture. 

 

Do you ever use antibiotics?

Yes, Dr. Thomson uses IV and oral antibiotics when clinically indicated. Patients do get to choose natural therapies versus antibiotics in most cases. 

 

Do you use other treatments besides antibiotics?

Yes, we use herbal antimicrobials, other prescription medicines, nutrient therapy, natural peptides, ozone therapy, and IV medicines instead of, or in addition to, antibiotics.

© 2020 by Robin Thomson, ND