Dr. Philip Bretsky trained in genetic epidemiology, completed residency at Cedars-Sinai, and chose primary care deliberately. An independent practice with hospital privileges, built to manage your health across every setting.
Santa Monica Primary Care is an independent internal medicine practice offering personalized, high-quality care. We focus on prevention, long-term health, and continuity of care across both outpatient and hospital settings.
A new symptom should always be evaluated. It might be a different medical issue, a reaction to medication, or an exacerbation of your chronic condition. Waiting could cause your condition to worsen — it is always better to have it assessed promptly.
Include when it began, how severe it is, how long it typically lasts, and whether anything triggers it — such as eating, drinking, or exercise.
For tests like blood glucose, fasting ensures the most accurate results. If you eat during the fasting window, let the technician know — they may reschedule or note it as a non-fasting test.
Voice your concerns — Dr. Bretsky wants to know. Discussion may open the door to an alternative treatment or allow him to explain the clinical reasoning behind the recommendation. The relationship works best when both sides are heard.
Yes, for the vast majority of people. Flu complications can be life-threatening, and the vaccine is one of the most effective preventive tools available. Rare contraindications exist — if you have concerns, discuss them before your next visit.
Always. Many supplements interact with medications or affect lab results. Bring a full list of everything you take — prescriptions, over-the-counter drugs, herbs, and vitamins.
Lead with your most pressing concerns. Bring a prioritized list of questions. Give concise summaries so there is time for thorough responses — anything not covered can be addressed at a follow-up.
Tests serve different purposes: screening, diagnosis, or tracking progress. What's ordered depends on the clinical question being asked. If you're unsure why a test was recommended, ask — understanding the purpose improves compliance and outcomes.
