João Victor Bohn Alves Family Medicine Specialist Book a visit
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Care for chronic conditions

High blood pressure, diabetes or several diagnoses at once: a family doctor can care for these conditions with the life between appointments in mind.

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Five hand-painted wooden matryoshka dolls from João’s office

When each professional looks after one small part of you, bringing prescriptions, tests and advice together can become difficult. As a family doctor, I care for different chronic conditions and help those decisions work together.

I care for people with high blood pressure, diabetes, asthma, chronic obstructive pulmonary disease (COPD), cholesterol problems, thyroid conditions, osteoporosis, obesity, HIV and Alzheimer’s disease, among other conditions. When another specialist needs to be involved, I organize that care with you.

Why a family doctor?

It may seem counterintuitive for one professional to manage different health conditions. Some people need care from several specialists. Even then, having a doctor you can turn to allows those decisions to come together with an accumulated understanding of you.

Knowing your preferences, habits, fears and circumstances helps build a plan you understand and can follow. A prescription can be right on paper and difficult to maintain because of timing, cost or side effects. Those difficulties need room in the conversation.

That continuity also makes it easier to review all your medicines, identify interactions and keep a clinical record of previous tests and treatments. This context helps determine what needs more attention and what could be simplified.

Adjusting and following up

The plan may include medicines, changes to your routine, monitoring tests and care to prevent complications. Understanding the reason for each proposal and checking the response at later appointments are part of treatment. Goals depend on your history, other conditions and the risks of each intervention.

Sometimes care needs to become more intensive; at other times, a prescription can be simplified. What you have managed to put into practice and the difficulties that came up help guide those choices. Any change needs reviewing to see whether it helped and whether it caused a problem.

When more than one professional is involved

If you already see other specialists, I can bring information together and help coordinate follow-up. More serious or unusual cases, or those needing specific treatments, may require shared care. My role remains to follow what all of this means for your health.

This coordination is also part of care for older adults. For those who prefer or need to be seen at home, home visits are an option, with availability confirmed when booking.

Questions before your visit

How often do I need an appointment?

The interval depends on the condition, the treatment and how stable things are. After a medication change or if new symptoms appear, you may need an earlier follow-up appointment.

Will I need to take medicine forever?

Some treatments are ongoing; others may change over time. I review the need, benefits and side effects before suggesting any adjustment. Do not reduce or stop medication on your own.

What should I bring to my first appointment?

Bring the test results and reports you have, and a list of medicines with doses, including supplements. If you already measure your blood pressure or blood sugar at home, bring your records. You do not need new tests before coming.

What patients say

Reviews published by patients on Doctoralia and Google. Original wording and language preserved.