Primary Care Medicine

Primary Care is the continued preventative medical care you receive throughout your adult life. Along with managing your daily healthcare, Primary Care also includes all outpatient care you receive after being discharged from the hospital, a surgical center or other critical care facilities. The Nurse Practitioners and Doctors who provide this type of care are referred to as Primary Care Physicians (or PCP). These providers are the primary point of contact for all other specialties and help manage your health by coordinating with these specialists to ensure the best quality of care.

The Pearl Clinic is currently accepting all patients for Primary Care. Please call Phone (302) 648-2099 or contact us today to make an appointment.

Sleep Medicine

Sleep Medicine is the medical subspecialty devoted to the diagnosis and therapy of sleep disturbances and disorders. Many sleep disorders present with similar symptoms such as excessive daytime sleepiness (EDS), which in the absence of sleep deprivation, can be caused by a treatable sleep disorder such as obstructive sleep apnea (OSA), narcolepsy, or circadian rhythm disturbances. EDS is quantified by the use of the Epworth Sleepiness Scale (ESS). Insomnia is also a common problem seen in sleep medicine that can have a variety of causes both physical and mental.

During a consultation, a detailed history is taken from the patient. This includes information about their normal sleep schedule, sleep hygiene habits, environmental factors and social behaviors.  The Epworth Sleepiness Scale (ESS) is completed, which gives an indication of excessive daytime sleepiness and can correlate with the degree of sleep apnea as well as being used as a marker for success of therapy. A sleep diary provides a subjective account of patients sleep.  It is a valuable tool to help gather information on sleep habits, sleep schedules and to track progress though treatment. If appropriate, an order for a nocturnal polysomnography (NPSG), or sleep study, is given to diagnose OSA, narcolepsy or illustrate parasomnias such as Restless Legs Syndrome (RLS) or bruxism.  Management in the varying situations can differ greatly and cannot be undertaken without a correct diagnosis.

Dr. Sherin Howett is accepting new Sleep Medicine patients. Please call Phone (302) 648-2099 or contact us today to make an appointment.

Nutrition and Weight Management

A Nutritionist is a licensed healthcare provider who assists you with managing diseases using their expert knowledge of food. They utilize a nutritional assessment to gain insight about your lifestyle and eating habits. A comprehensive eating plan is then developed based on your individual daily life goals, health needs and fitness capability.

Fill out the Nutrition Assessment Packet for us to better help you understand what changes need to be made to make you the healthiest you can be!

The Pearl Clinic is currently accepting all patients for Nutrition and Weight Management. Please call Phone (302) 648-2099 or contact us today to make an appointment.