Raj Dalal, M.D. Professional Association Board Certified in Internal Medicine, 192, Abner Jackson Parkway, Lake Jacskon, TX-77566 Your primary doctor for complete care: Diagnostic, therapeutic and preventive health.
Raj Dalal, M.D. Professional AssociationBoard Certified in Internal Medicine,192, Abner Jackson Parkway,Lake Jacskon, TX-77566 Your primary doctor for complete care:Diagnostic, therapeutic and preventive health.

Your Health is What Matters to Us

I became an Internal Medicine physician to provide a complete care to my patients.  Human body is very complex and Doctor of Medicine (M.D.) gets a 12 years hospital based and clinic based training to provide a thourough care for the patients.  You have a choice of many kinds of providers but you must know about differnence between an M.D. and other providers.  Internal Medicine physicians provide detailed preventive, diagnostic and therapeutic care during each visit rather than superficial care you may see at some other places.  It is very confusing for patients when they are picking a doctor to provide long term care to stay healthy.  There are many providers with trainig that can't match with M.D. (Doctor of Medicine).  Internal Medicine doctors provide urgent care as well as long term care to keep you healthy.

 

Since 1996 I have taken care of 20,000 patients with more than 100,000 visits to my clinic. 

It is easy to take care of acute and chronic problems as long as patients are co-operative with recommendations.  It is easy to give an antibiotic but it is not easy to prevent infections and decide not to give excessive medications. Over the time I have learned more and more about natural preventive protocols in addition to modern allopathic medicines.  I have been able to prevent infections like sinusitis, urinary tract infections, pneumonia, heart attacks, diabetes etc.  I have advised patients on cancer, Alzheimer's disease, arthritis preventive products.  Most of the patients who try these natural products are happy about the results.  I also follow a detailed preventive protocol advises by guidelines derived from extensive and up-to-date medical research.

 

I provide in hospital care at St. Luke's CHI, Brazosport, Lake Jackson, TX.  

 

I am an A.B.I.M. (American Board of Internal Medicine) certified physician.

I also am certified in wound healing and hyperbaric medicine.

Medical Services

Raj Dalal, M.D.  offer a range of services and treats problems in the following area

  • Infections: 
    Upper respiratory infections, Sinusitis, Conjunctivitis (eye infections)Inner ear, Middle ear and Outer ear infections, Skin infections, MRSA infections, Chronic cough, Bronchitis, Pneumonia, Endocarditis, Pericarditis, Diagnose and manage cholecystitis, appendicitis, diverticulitis, Urinary tract infections, prostatitis, orchitis, Shingles, Cellulitis etc.
  • Endocrinology problems: 
    Diabetes, High and low thyroid function, Diagnosis and treatment plan for Hyperparathyroidism, Addison's disease, hypogonadism, impotency etc.
  • Prenvetive management: 
    Prevention nad early diagnosis of cancers like colorectal cancers, Prostate cancer, Breast cancer, Cervical cancer, testicular cancer, lung cancer, esophageal cancer, Melanoma, Basal cell cancer.
  • Prevention of coronary disease by smoking cessation, cholesterol management and Diabetes management.
  • Cardiac problems: Long term management of atrial fibrillation, prevention of stroke, congestive heart failure, Mitral valve prolapse, Palpitations, Early diagnosis of aneurysm etc.
  • Pulmonary (Lung) problems like Emphysema, Asthma, COPD, Bronchitis, Pneumonia, Lung nodules, Sleep apnea.
  • Diagnosis and management of many causes of Chronic fatigue like sleep apnea, Hepatitis C, B12 or thyroid deficiencies. Polymyalgia rheumatica is another common cause of fatigue in elderly.
  • Abdominal(Gastrointestinal) problems like GERD (heartburns), Acid peptic diseae, Gall bladder problems diagnostics and further referrals, Diverticulitis, Chronic constipation, Irritable Bowel syndrome, Chronic diarrhea workup, Chronic nausea, and more.
  • Urogenital problems like Incontinence, UTI, Pyelonephritis ,Kidney stones etc.
  • In-hospital care for Pneumonia, dehydration, heart failure, angina, strokes and any approved inpatient diagnosis etc.
  • Wound Healing treatments at Wound Healing Center of Brazosport Regional Health System since 2001.
  • Prevention, treatment and appropriate specialist referral for patients in need- for almost all of the medical problems.
  • Long term care at Transitional care unit, Rehabilitation unit or assisted living facilities.

 

Raj Dalal, M.D. performs procedures like

ACP (From American College of Physicians)

 

Internal Medicine vs. Family Medicine

This is perhaps one of the most confusing questions for many students (and patients alike), particularly when referring to internists who practice general internal medicine. However, there are fundamental differences in the focus, training, and patient care activities of these two specialties.

Historically, internal medicine and family medicine developed from very different backgrounds. Internal medicine grew out of the increasing application of scientific knowledge into the practice of medicine starting in the late 1800s. This “scientific” approach to medicine was unique at the time and was progressively applied to the wide spectrum of diseases that commonly affect adults. With the growth and development of pediatrics as a separate specialty devoted to the care of children in the early 1900s, internal medicine continued its primary focus on adult patients. 

The specialty of family medicine grew out of the general practitioner movement in the late 1960s in response to the growing level of specialization in medicine that was seen as increasingly threatening to the primacy of the doctor-patient relationship and continuity of care. Conceptually, family medicine is built around a social unit (the family) as opposed to either a specific patient population (i.e. adults, children, or women), organ system (i.e., otolaryngology or urology), or nature of an intervention (i.e., surgery). Consequently, family physicians are trained with the intent to be able to deal with the entire spectrum of medical issues that might be encountered by the members of a family unit. 

Much of the confusion likely arises because the majority of patients seen by family physicians are adults, thus overlapping with the patient population focused on by internists. A general estimate is that a typical family medicine practice might see 10% to 15% children, meaning that 85% to 90% of patients will be adults, the same population seen by internists. Additionally, an increasing number of family physicians do not include obstetrics, neonatology, or significant surgery as part of their practices, which makes the care provided to adults appear similar to that provided by internists. These factors make it is easy to see that the differences between general internal medicine and family medicine may not be easily understood.

However, there are significant differences in the training and clinical approach of internists and family physicians1,2. Although the length of basic training for both is three years, internal medicine focuses only on adults (internists who wish to include the care of children in their practice may choose dual training in internal medicine and pediatrics, frequently referred to as “med-peds”; you can find out more about this career path. Required internal medicine training centers on common general medical conditions, but also includes significant experience in each of the internal medicine subspecialties (such as endocrinology, rheumatology, and infectious diseases) and neurology. Trainees must also gain adequate experience in psychiatry, dermatology, ophthalmology, office gynecology, otorhinolaryngology, non-operative orthopedics, palliative medicine, sleep medicine, geriatrics, and rehabilitation medicine to comprehensively care for adults. Internal medicine training must also take place in both outpatient and inpatient settings. All trainees are required to have a longitudinal outpatient continuity clinic experience in which residents develop continuous, long-term therapeutic relationships with a panel of general medicine patients. In addition to this continuity clinic experience, trainees also see outpatients during the course of their subspecialty clinical rotations. At least one year of internal medicine training must involve caring for hospitalized patients, with at least three months of work in intensive/critical care settings. Most training programs require more than one year of hospital-based work with additional training on inpatient subspecialty services such as cardiology, hematology-oncology, or gastroenterology.  

Family medicine training is typically based in dedicated outpatient training centers in which residents work throughout the course of their training. Trainees are required to provide acute, chronic, and wellness care for a panel of continuity patients, with a minimum number of encounters being with children and older adults. Family medicine trainees are also required to have at least 6 months of inpatient hospital experience and 1 month of adult critical care, and up to 2 months of care for children in the hospital or emergency settings. Additional requirements include 2 months of obstetrics, a minimum number of newborn encounters, 1 month of gynecology, 1 month of surgery, 1 month of geriatric care, and 2 months of training in musculoskeletal medicine. Family medicine trainees must also have experiences in behavioral health issues, common skin diseases, population health, and health system management, and there is a particular emphasis on wellness and disease prevention.

These differences between internal medicine and family medicine training result in unique skill sets for each discipline and different strengths in caring for patients. Because internal medicine education focuses only on adults and includes experience in both general medicine and the internal medicine subspecialties, training in adult medical issues is comprehensive and deep. The general and subspecialty nature of training equips internists to develop expertise in diagnosing the wide variety of diseases that commonly affect adults and in managing complex medical situations where multiple conditions may affect a single individual. Internists are well prepared to provide primary care to adults through their outpatient continuity experience during training, particularly for medically complicated patients. Their training also enables them to effectively interact with their internal medicine subspecialty colleagues in co-managing complex patients (such as those with transplants, cancer, or autoimmune disease) and easily managing the transitions from outpatient to inpatient settings (and vice versa) for their patients who require hospitalization. Additionally, the extensive hospital experience during training uniquely prepares internists who choose to focus their clinical work in inpatient settings (learn more about hospital medicine).

Family medicine education is broader in nature than internal medicine since it involves training in the care of children and procedures and services often provided by other specialties. This breadth of education equips family physicians to deal with a wide range of medical issues, and this broad skill set may be particularly valuable in communities or geographical areas where certain specialists and subspecialists may not be available. Because of their broad skill set, family physicians typically adapt the nature of their practices to meet the specific medical needs of their community. Although the depth of training in adult medical issues may be less than in internal medicine, the emphasis on outpatient medicine, continuity of care, health maintenance, and disease prevention allows family physicians to function as primary care providers for adults as part of a family unit depending on individual medical need. And family physicians are trained to coordinate care among different specialists and subspecialists when these services are needed by their patients. 

Thus, it can be seen that there are important differences between internal medicine and family medicine.  Both have unique skill sets and important roles in the care of adult patients and providing primary care depending on the practice setting and the specific needs of the patient.

1Accreditation Council on Graduate Medical Education (ACGME) Revised Common Program Requirements for Internal Medicine, July 1, 2016 (Accessible at: http://www.acgme.org/)

2Accreditation Council on Graduate Medical Education (ACGME) Revised Common Program Requirements for Family Medicine, July 1, 2016  (Accessible at: http://www.acgme.org/)


 
 

 

 

Photo Gallery: A tour through our practice

Schedule an Appointment

Phone:

(979)-285-0007

New patients accepted (age 15 and older)

 

Monday to Thursday: 8:00 A.M. to 5:00 P.M.

(Closed for lunch: 12:00 Noon to 1:00 P.M.)

Friday: 8:00 A.M. to 12:00 Noon (At times closed on Friday)

Raj Dalal, M.D.

Primary care physician,

Board Certified in Internal Medicine,

 

192, Abner Jackson Parkway

Lake Jackson, TX- 77566

Connect With Us on Facebook:

Recommend this page on:

Print Print | Sitemap
© RajdalalMD