Dr. Nancy Shibayama is an internal medicine physician who runs her own practice in Auburn, California. Born and raised in Honolulu, Hawaii, she earned her medical degree at Tufts University Medical School in Boston and then served a residency in Internal Medicine at UC Davis. After earning a board certification in Internal Medicine, she worked at UC Davis Medical Group in Auburn and Kaiser Permanente in Roseville. Dr. Shibayama started her own practice in 2004. Dr. Shibayama became interested in laser treatments as a way to improve the pigment in her own skin. She was impressed by the results and, thus, decided to add aesthetic treatments to her practice.
What Kinds of Services Does Dr. Shibayama Offer?
Dr. Shibayama provides both aesthetic treatments and internal medicine. Examples of aesthetic treatments she provides include the following:
• Laser skin resurfacing
• Dermal fillers
• Body contouring
What is an Internist?
An internist is a doctor who specializes in the diagnosis and treatment of health problems and diseases that occur in adults. They are very different from interns, who are newly-minted doctors serving their first year of a residency.
An internist can be a generalist or a specialist. The latter are doctors who concentrate on a single organ or system. For example, a cardiologist is an internist who specializes in treating diseases that affect the heart. General internists diagnose and treat conditions that affect any and all of the organ systems. They thus have backgrounds in infectious diseases, endocrinology, geriatrics, rheumatology and many other fields that would enable them to care for an adult patient.
An internist differs from a family doctor in that the internist typically treats only adults, while the family doctor treats children and adults. The family doctor thus needs and gets training in fields like pediatrics and obstetrics while the internist does not.
Internists treat and diagnose chronic diseases that affect adults like diabetes or arthritis. They can also advise patients on how to reduce their chances of developing a chronic disease. They can, for example, help patients control their cholesterol or blood pressure. While internists can prescribe medications and recommend therapies, they do not perform surgery.
What Conditions Does an Internist Treat?
There are eleven sub-specialties within internal medicine: Allergy/Immunology, Cardiology, Endocrinology, Gastroenterology, Geriatrics, Hematology/Oncology, Hepatology, Infectious Diseases, Nephrology, Pulmonology and Rheumatology.
Endocrinology is the treatment of glands and hormones, while gastroenterology focuses on the digestive system. An internist who specializes in gastroenterology is sometimes called a “GI doctor,” and the initials stand for “Gastro-Intestinal.” Hepatology is the treatment of liver disease, and nephrology focuses on the kidneys. A specialist in pulmonology treats lung problems like asthma or emphysema. A rheumatologist specializes in treating autoimmune disorders like lupus or rheumatoid arthritis. They can also treat some joint problems.
Common conditions and diseases that can be treated by a general internist or the relevant specialist include the following:
• Heart disease
An internist can treat relatively minor conditions like a cold, and they can treat life-threatening diseases. They can treat both acute and chronic conditions.