Family doctors are primary care experts and have the training to manage 85% of all health conditions. Many patients don’t realize the full potential of a primary care doc because in the United States, our profit-driven healthcare system is heavily biased toward specialty services, so primary care is not easily accessible or prioritized by your health insurance company. Dr. Holt is trained to provide medical care across the age spectrum. She has focused her current practice on young adults (ages 18-45) and provides preventative, chronic and acute health care. Examples include well checks, STI screening, pap smears, breast exams, high blood pressure, diabetes, hypothyroidism, migraines, Irritable Bowel Syndrome and PCOS (to name a few). Mental health conditions like anxiety, depression, eating disorders, ADHD and insomnia are well within her scope of practice. She can also manage minor traumas and urgent issues like sprained ankles, UTIs, respiratory infections and rashes!

Doctors of Osteopathic Medicine, or DOs, are physicians just like MDs, but they must complete additional training in hands-on medicine called Osteopathic Manipulative Medicine. Both DOs and MDs must complete a college degree, take specific “premed” classes, score well on the MCAT (a standardized test to get into medical school), go to a four year medical school, and complete a residency (3+ additional years of training) in a specialty of medicine or surgery, and pass standardized medical exams along the way in order to ultimately be “board certified physicians.” The American Osteopathic Association explains, “DOs receive special training in the musculoskeletal system, your body’s interconnected system of nerves, muscles and bones. By combining this knowledge with the latest advances in medical technology, they offer patients the most comprehensive care available today….DOs bring a unique, patient-centered approach to every specialty across the full spectrum of medicine. They are trained to listen and partner with their patients to help them get healthy and stay well. DOs practice in all medical specialties, including primary care, pediatrics, OBGYN, emergency medicine, psychiatry and surgery. Moreover, DOs hold some of the most prominent positions in medicine today, including overseeing care for the President of the United States, the NASA medical team, Olympic athletes and many who serve in the uniformed services. From their first days of medical school, DOs are trained to look beyond your symptoms to understand how lifestyle and environmental factors impact your well-being. They practice medicine according to the latest science and technology, but also consider options to complement pharmaceuticals and surgery.” Dr. Holt went to an osteopathic medical school so she benefited from learning this extra musculoskeletal training. Her residency program at Columbia University was more MD-focused, so she did not refine her skills in manipulative medicine (using her hands to manipulate the musculoskeletal system). She does, however, highly appreciate this approach, and can connect patients to practitioners who use it as a complement to other medical services.

Direct Care is great for college or graduate students. Often, students get sick much more frequently than they are used to when they join a campus and are suddenly exposed to germs they haven't encountered before. Students also often need help with things like sexually transmitted infection testing, contraception, or mental health medications like for anxiety or depression. Members can have unlimited visits with Dr. Holt for sick visits, get rapid testing for things like mono, strep, pregnancy and an initial test for urinary tract infection for free with membership, rapid flu tests for $11, rapid COVID for $12, and rapid HIV for $14. If they need a typical primary or urgent care medication, Dr. Holt can dispense it on site without using their insurance (for example, Dr. Holt sells amoxicillin for $0.20 per tablet, so a prescription for a typical course of amoxicillin for strep throat, for example, would cost the patient $4.00 plus tax, and it would be dispensed on site at the time of your appointment so no waiting around at pharmacies). Busy students can text or call Dr. Holt, and enjoy same day or next day visit options instead of waiting around for a campus health appointment or going to Urgent Care.

No, membership is month-to-month. You can cancel at any time with 30 days notice (to ensure a safe transfer of care).

Yes! We trust our members to define their families and significant relationships for themselves, so the only requirement for a group discount with the Sustainable Membership Tier is that there is a single payer. Discounts are automatically applied at the time of enrollment: 10% off for groups of 2-3 members, and 15% off for groups of four or more. This can be particularly helpful for roommates or housemates.

Most insurance companies will allow us to refer you to your specialists in the same way your previous doctor might have. Some exceptions are HMOs (eg. Kaiser) and TSHIP, which require you to see one of their providers to get any referral approved by their insurance coverage. In these instances, we can make suggestions to your insurance-based doctor about what to do, but we cannot complete the referral ourselves. For TSHIP (Tulane's student health insurance program), you can use your insurance for things Dr. Holt orders as long as you have a referral from Tulane Campus Health to see Dr. Holt. A frequent example of why Tulane students pay for membership fees to Poppy even though they have TSHIP is that college students tend to get sick often, and being a member of Poppy virtually ensures same day or next day care from Dr. Holt herself. Often, college students also need help with things like sexually transmitted infection testing, contraception, or mental health medications like for anxiety or depression. Tulane students don't need a referral from Campus Health in order to benefit from Poppy's on-site labs or prescription dispensing for wholesale prices. Members can have unlimited visits with Dr. Holt for sick visits, get rapid testing for things like mono, strep, pregnancy and an initial test for urinary tract infection for free with membership, and rapid flu tests for $11, rapid COVID for $12, and rapid HIV for $14. If they need a typical primary or urgent care medication, Dr. Holt can dispense it on site without using their insurance (for example, Dr. Holt sells amoxicillin for $0.06 per tablet, so a prescription for a typical course of amoxicillin for strep throat, for example, would cost the patient $1.20 plus tax, and it would be dispensed on site at the time of your appointment so no waiting around at pharmacies).

Concierge practices typically charge a (higher) monthly or annual membership fee and they bill your insurance. We do not charge your insurance for our services, but instead get paid by you directly. This means we are working for you instead of the insurance company. This allows us to keep our hearts and resources where we think they should be: invested in you and our local community.

Sort of… Poppy DPC has normal business hours, is closed on weekends and holidays, and Dr. Holt and staff do take vacations (with plenty of notice to patients)...caring for ourselves in this way helps us avoid “burn out” that has become so pervasive in primary care, and keeps us rested and energized to care for others. Often, patients have a random question that they don’t want to forget, or are studying at 2am and have a question…when that happens, feel free to text! We won’t see it until the morning or after the weekend, when we will promptly respond. Don’t worry, Dr. Holt doesn’t wake up to text dings. If you want to make an appointment for the morning, you can do it straight from our website, and if there isn’t a time that works, text and we’ll find a better time. If you have a concern that can’t wait until the morning or after the weekend, or if you’re not sure if you need to go to the ER, just call, and Dr. Holt will try to answer and talk through whether it's something that can wait or not.

No. As long as you enroll at or before age 65 years, we will not cancel your membership when you turn 66. However, we cannot under any circumstances see patients in direct primary care if they have Medicare for health insurance. If you get on a Medicare plan at age 65, we will help you safely transition to a different practice that can see patients with Medicare.

Yes.

No, of course not. Dr. Holt is a physician. She does not discriminate her care for humans based on immigration status.