Please note that these services are not intended for any emergency medical situations. If you are having a life-threatening or serious condition that may require hospitalization, including, but not limited to, high-grade fever; low or high blood pressure; active serious infection, including, but not limited to, COVID; chest pain; shortness of breath; severe pain; or stroke-like symptoms, please call 911 immediately or go to a nearby emergency center as quickly as possible.
If you do not have a physician's order for labs or non-invasive radiology services, you may request it through our network of affiliated physicians/providers in selected states for an additional non-refundable fee, as listed (asynchronous consultation). Please note that an asynchronous consultation or physician-order service for diagnostics is not available for radiology tests requiring IV contrast. Patients needing a diagnostic study with IV contrast must complete an online visit with our physician first and, likely, will also need to have a lab test for their kidney function before a diagnostic study with IV contrast can be scheduled.
Once you request our provider or physician's order service, you will receive an email from us inquiring more details about your medical history. Based on the information you provide, one of our affiliated physicians or providers will make a determination about processing the order for the requested service. In some cases, as determined by our affiliated medical team, you may be required to provide additional clinical information or may be asked to have a more detailed online visit (an additional fee may apply) before your order can be processed. Please note that in some situations, or based on available clinical information, our team may even decide not to process the requested diagnostic order service and rather may recommend you to seek immediate medical attention in person or go to the nearest urgent care or ER. In that case, any advanced payment for the diagnostic service(s) will be refunded, but the physician's consultation or order request fee will remain non-refundable.
Please also note that any post-diagnostic service follow-up visit(s) or treatment(s) is not covered in this service fee and the ordering physician is not responsible to provide any continued care unless you sign-up for that service separately. Depending on your situation or test results, you may be advised to seek consultation with either primary care or a specialist physician (local or online) for further work-up and treatment. If you are unsure or have any questions, please call our customer support service before placing an order.
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Addison’s disease, also called hypocortisolism or adrenal insufficiency, occurs when the body is not producing adequate cortisol and sometimes aldosterone. Cortisol is produced by the adrenal glands, also known as the suprarenal gland, situated over the kidneys. The proper functioning of those tiny triangle-shaped glands is essential and controlled by higher centers in the brain. The adrenal gland is the endocrine gland, and it releases hormones in the blood. In Addison’s disease, the outer part of the adrenal gland, called the cortex, is damaged, failing Cortisol, aldosterone, androgens, and estrogen production. Some of the vital functions of cortisol are it helps control blood sugar levels, decreases inflammation after cellular injury, and assists in metabolism and memory control. Cortisol is also called a stress hormone and is actively released when there is any stress, flight, or fight situation in the body. For example, When the body is under stress, the hypothalamus, the high center of the brain, signals to the pituitary gland, which then enables the adrenal cortex to secret cortisol in the bloodstream, which increases the heart rate, activates the glucose production to be used by the active muscles, etc. and deactivates the other mechanisms of the body which are not needed in that immediate situation. Addison's disease, in its initial course, is unnoticed. It’s only alarming when the symptoms worsen and need immediate attention and a management plan.