How It Works
Interested in connecting with Dr. DiMassa to talk about UTIs or other issues?
Here’s what you need to know.
We will arrange (through the PUSH portal) to connect.
Obviously, the easiest way is texting - but sometimes we need to get on the phone and have a conversation or even a video call. Depending on what you need, I am available to help with all three. Messages can easily be sent over the confidential platform. Pictures can be shared. Questions can be answered.
Step 1Sign up online to speak with me (Dr. DiMassa) via my PUSH page.
Once you sign up for PUSH Health, we are linked together as patient and provider. So whatever questions you may have in the future, I will be available to you. It is like having a concierge doctor for a much lower price.
Step 2We can stay in touch as you need for follow up or any additional issues.
Any time you messages on Push Health platform, we will get the message. My team is available every day of the week to help with all aspects of your care.
Step 3Your prescription is generated.
Either you can request a prescription or I can write one for you. If you request the prescription, as soon as I accept it, it will go to the pharmacy. If I wrote for the prescription, as soon as you accept it, it will go to the pharmacy.
In case there's an issue with your pharmacy—for example, if it is closed or they don't have the medicine—I can switch pharmacies up to two times.
Step 4The medication that you choose often depends on a few things:
First, if you have tried medication in the past, and there s a medicine that works particularly well for you, please let us know as that would often be our first choice.
Also, obviously, people do have allergies to some medication and that can rule out full classes of antibiotics.
One of the best medicines currently is Macrobid, which penetrates the bladder very well and has a lower resistance profile. It is also well-tolerated.
Bactrim is another medicine that works well—but it is a sulfa drug, and many patients are allergic to sulfa drugs. It can also cause diarrhea more significantly.
Medications like ciprofloxacin and levofloxacin are also used, but they are experiencing a higher resistance pattern—meaning more and more bacteria or resistance to them. So they are not typically our first-line agents.
A couple of other medicines that are often used with antibiotics are antifungal medications like Diflucan. It is not uncommon to develop a yeast infection while taking antibiotics. The other medication that sometimes helps is Pyridium. It is anti-inflammatory/ anti-spasmodic agent that directly targets the bladder. It does turn your urine bright orange but can often help for patients who are having quite a bit of pain.
Which UTI treatment is right for you?
How Push Health Works
Through Push Health, patients can connect with independent, licensed doctors and medical providers through the Push Health software platform, which can be accessed through any mobile device or computer with Internet access.
Once registered, patients can use Push Health to request or receive help for minor medical services virtually and send secure messages to Dr. DiMassa. Approved prescriptions for medications are e-routed to the patient’s chosen pharmacy and lab orders are e-routed to Quest Diagnostics.
Once you are connected to Dr. DiMassa on Push Health, you can request care through your Push Health account, fill out the requested information and pay any applicable fees. Dr. DiMassa will be notified that there is a pending request.
He will follow up with you through Push Health if there are additional questions about your health history or medical needs. Please note that controlled medications cannot be prescribed through Push Health and Push Health does not currently ship medications to patients.