Dr Tina Chee

Dr Tina Chee Dr. Tingyin Tina Chee is a board certified internal medicine physician.

We lose more physician time to insurance red tape than the entire size of the doctor shortage we keep hearing about.
08/26/2026

We lose more physician time to insurance red tape than the entire size of the doctor shortage we keep hearing about.

07/14/2026

🎉 Exciting News for Direct Care in New York! 🎉

The President, Dr. Laura Petrescu MD, CPE, MSCP, DipABLM along with Vice President Dr. Ashanthi Gajaweera MD, MSCP, DipABPN and Board of Directors: Dr. Rutvic Amin MD, Dr. Tina Chee MD, Dr. Sandra Koehn DO, Dr. Catherine Dailey Agricola MD, Dr. Disha Spath MD, Dr. Harika K. Pal, MD are proud to announce the official launch of the New York State Direct Care Physicians Alliance (NYSDCPA)!

The NYSDCPA was founded to unite and support physicians practicing Direct Primary Care (DPC) and Direct Specialty Care (DSC) across New York State. We are a non profit organization with a mission to advocate for patient-centered healthcare, promote physician autonomy, and advance innovative care models that strengthen the doctor-patient relationship.

As healthcare continues to evolve, Direct Care offers a refreshing alternative—one that prioritizes accessibility, transparency, prevention, and meaningful connections between patients and their physicians.

Through education, advocacy, collaboration, and professional support, NYSDCPA will work to:

âś… Advance Direct Care throughout New York State
âś… Support physicians transitioning to or practicing Direct Care
âś… Educate policymakers, employers, and communities about the benefits of Direct Care
âś… Foster collaboration and shared best practices among members
âś… Protect and strengthen physician-patient relationships

We invite physicians, healthcare leaders, employers, and community members who share our vision to join us as we build a healthier future for New Yorkers.

Together, we are creating a healthcare system where physicians can practice medicine the way it was meant to be practiced—and where patients receive the personalized care they deserve.

🌟 Better Care. Stronger Relationships. Healthier Communities.

Learn more and follow our journey as we work to expand Direct Care across New York State.

More energy. More confidence. More you.Weight loss isn’t just about the number on the scale—it’s about how you feel when...
05/31/2026

More energy. More confidence. More you.
Weight loss isn’t just about the number on the scale—it’s about how you feel when you wake up every morning.

If you’ve tried everything and still feel stuck, it’s not your fault—you just need the right approach.

Our medically guided program focuses on sustainable results, not quick fixes.
Because you deserve a transformation that actually lasts.

✨ Ready to start your journey?
Visit our website at UpdesignHealth.com or call us to reserve your spot now!







05/30/2026

A 77-year-old marathon walker started having headaches. She went to her primary care office and saw a nurse practitioner. Then a PA. Then back to the PA. Then an ER. Then the PA again. The PA decided she had anxiety and prescribed fluoxetine. Then she finally got back to her neurologist, who took her history, examined her temporal arteries, and ordered a sed rate. It was 41. She had giant cell arteritis, a vision-threatening diagnosis that had been sitting in front of every clinician she saw for months.

Reeta Achari, MD, a neurologist in solo private practice in Houston for 25 years, is the one who finally caught it.

By the time the patient reached her, she had been through two Medrol dose packs, a course of NSAIDs, a misdiagnosis of anxiety, an ER visit that bounced her back to the same primary care office, and four separate clinicians across the cascade, none of whom was her physician. She had never actually seen her primary care physician. She saw "people in that clinic." The patient herself told Dr. Achari, "if you think I need fluoxetine I'll be on it, but I don't think I'm anxious and this headache is just crazy."

The team-based-care model treats physician time as substitutable. It is not. Holistic differential diagnosis on a multi-system presentation in a 77-year-old requires single-clinician continuity. The cascade above is what non-continuity produces. Giant cell arteritis is not simple. You have to think about it. You have to connect a headache, joint pain, jaw claudication, and an elevated sed rate in a patient who has never had headaches before. You have to put your hand on her temple. None of that happens in a five-stop cascade where every clinician inherits a partial story.

Dr. Achari opted out of Medicare years ago. She now runs a subscription model with a quarterly fee that middle-class patients can afford, with scholarships for the patients she has cared for over decades. She is a fourth-generation physician. She watched her father practice 40 years ago, when not everybody had managed care. She is not nostalgic. She is operational. Her argument is simple: if physician time is the diagnostic instrument, then a workflow that puts the physician at the end of a five-step escalation has broken the instrument.

"No physician touched her."

Listen to the full conversation on The Podcast by KevinMD. Link in the comments.

Weight loss isn’t about eating less—it’s about eating smart.It’s about understanding your body, your metabolism, and wha...
05/28/2026

Weight loss isn’t about eating less—it’s about eating smart.
It’s about understanding your body, your metabolism, and what actually works for you.

That’s where we come in.

Our medically supervised program takes the guesswork out of weight loss and replaces it with a clear, personalized strategy.

đź“Ś No fads
đź“Ś No misinformation
đź“Ś Just science-backed results

Ready to do it the right way?
Visit our website at updesignhealth.com or call us

Starting over every Monday? Trying diet after diet with no lasting results?You’re not alone. Weight loss is complex, and...
05/25/2026

Starting over every Monday? Trying diet after diet with no lasting results?
You’re not alone. Weight loss is complex, and without the right medical guidance, it’s easy to feel stuck.

That’s why our program offers:
✔️ 1-on-1 care with a medical doctor
✔️ FDA-approved medications when clinically appropriate
✔️ A fully personalized plan
✔️ Ongoing education through e-books
✔️ Unlimited support whenever you need it

No more confusion. No more extremes. Just a clear, science-based path forward.
Call or Email us for more information

Not all weight loss programs are created equal.This is a doctor-led, science-backed program designed to help you lose we...
05/21/2026

Not all weight loss programs are created equal.
This is a doctor-led, science-backed program designed to help you lose weight safely and effectively—without extreme dieting or guesswork.
Your health isn’t a trend—it deserves expert care.

đź“© Email us to learn more or secure your spot by calling us at 315-256-0490

âś” Private 1 on 1 Sessions
âś” Small Group Sessions Every Other Week
âś” E-Workbook Access
âś” Unlimited Text and Email Support


05/10/2026

You called your doctor and they told you the next opening is in nine months.

It's not a doctor shortage. It's a small-office shortage. And there's a reason nobody at the front desk is allowed to say it out loud.

Fifteen years ago, 75 percent of US physicians were in private practice. Today, only about 25 percent are. The rest have been absorbed into hospitals and corporate health systems. And every door that closes makes the line longer for the rest of us.

Scott Tzorfas, a solo neurologist who has held out for 30 years, joined The Podcast by KevinMD to explain exactly how it happened.

Hospitals get paid two to three times more than independent doctors for the same office visit. For an echo or an MRI, three to five times more. Same physician work, same patient, completely different check, just because of the address on the door.

Then come the prior authorizations. His office spends hour after hour getting basic things approved. Generic headache medicine. Generic medications that did not need approval five years ago. Every MRI he orders. There are commercial insurers in his area that will approve a lumbar spine MRI but refuse a cervical spine MRI, the one that can cause paralysis if missed.

He says a typical small practice now does about 40 prior auths a week, and most of the denials come from algorithms, not from a doctor in his specialty. There is often no human on the other end of the line who can override anything.

This is what physician burnout in private practice actually looks like. It is not drama. It is the slow, deliberate strangling of the small office by paperwork until the doctor sells to a hospital, sells to private equity, or just retires. And then your wait gets longer.

Scott took a different path. He dug in. He runs his practice with his wife. He is busier now than he was 15 years ago because patients keep searching for someone who will actually look at them instead of clicking boxes.

Send this to the family member who is still waiting on a callback from a specialist. Send it to the friend who got denied an MRI last month. Send it to the new doctor in your life who has not yet been told that private practice is even an option.

Listen to the full conversation on The Podcast by KevinMD. Link in the comments.

What is the longest you have ever waited to see a specialist?

We hear it all the time: "I didn't know hormone therapy was an option for me."Here's what the FDA has approved it for:🌿 ...
04/23/2026

We hear it all the time: "I didn't know hormone therapy was an option for me."
Here's what the FDA has approved it for:

🌿 Hot flashes and night sweats that are affecting your quality of life
🌿 Protecting your bones from osteoporosis after menopause
🌿 Restoring estrogen when your ovaries aren't producing enough — whether from a medical condition, surgery, or premature menopause
🌿 Vaginal dryness, painful s*x, or vulvovaginal discomfort

You don't have to just push through these symptoms.

There are real, proven options — and we're here to help you figure out which ones make sense for you.

đź“… Book your menopause consultation today.

Hormone therapy isn't right for everyone — and that's okay. There are meaningful, evidence-based options for women who c...
04/20/2026

Hormone therapy isn't right for everyone — and that's okay.
There are meaningful, evidence-based options for women who can't or choose not to use HRT.
The right plan is built around your health history, your preferences, and your goals — not a one-size-fits-all protocol.
You have options.
Let's find yours together.

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Syracuse, NY
13209

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