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Denise Punger MD FAAFP IBCLC
What we do
What we do
Making an Appointment
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Breastfeeding Task Force
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My Pregnancy and Birth Stories
Concern about VBACs
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"Breastfeeding Inspiration
and other quotes from my kids"
Parenting Articles
Breastfeeding Success Stories
Mother to Mother
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Occupational Medicine

So exactly what do we do?


Stop by for Free Adult Blood Pressure, Glucose or Baby Weight Checks


We see all ages, from newborn to nursing home.


We provide comprehensive preventative health visits:

   Pap and breast exams (well-woman)

   Natural family Planning/Birth Control Counseling

   Prostate exam

   $25 School Physicals

   employment, and pre-participation physicals

   Periodic visits for babies and children (which include re-inforcement

        that  baby wearing, co-sleeping,

        breastfeeding and delaying the introduction of solids, and much more are

        okay) I ask that mom establish when a young baby establishes. It is only common sense in a practice seeing birth and breastfeeding as a continuum. And affects both.

   Vaccinations and Religious/Philisophical exemption

   Prenatal Consultation ~36weeks that would include preparations for breastfeeding and a very thorough discussion attachment parenting/slings/diapering/how labor-birth effects infants health--infact if you know you will establish a newborn in our practice it is highly recommended that you come in before your baby is born

Breastfeeding line for established patients answered by an "MD, IBCLC"



   Skin care:

         Laceration and skin tears

         Abscess drainage

         Rash and itch

          Freezing warts and AK’s

          Removal and/or biopsy (as appropriate) of moles, skin tag

          Botox--free initial consultation 


Acute Care:

    As a new office, we can accommodate most minor emergencies and walk-ins for:

         Respiratory, ear, eye, skin, infection

         Asthma and wheezing/ Nebulizer Treatment and Oxygen



         In-grown toe nail



         Post hurricane stress and greif

         mold exposure and treatment

         IV Fluids

         Pregnancy test and referral to compassionate care

         Almost anything you would go to the urgent-care center for, we can




Chronic Care:

      High Blood Pressure



      Connective Tissue Disease

      Sleep apnea


      Depression and post partum depression

      Smoke cessation

      Weight loss counseling--free initial phone consult with Dr. Coquelet

       flu shots (seasonally)

       B12 shots




In house lab testing:

     Urine Analysis

     Pregnancy Testing

     Intracellular Vitamin Analysis

     Rapid Strep

     Rapid Influenza

     Rapid Mono

     Hemecult (stool for blood)


We have a lending library of popular health books of interest to our patients.   









      During pregnancy medical conditions that are usually treated by a Family 

      Doctor can be treated in our office in co-operation with midwife or

      obstetrician. Common examples include nausea, rash, UTI, and most of

       the above 


       Lactation Visits:

       Many mother/baby dyads will have been evaluated by an IBCLC

        already  for latch and milk transfer.

       If you have not that is okay also. The most comprehensive

       evaluations will often include medication compatibility, maternal disease

       compatibility, infant/child disease compatibility with phone call and/or

       e-mail follow-up, phone call/dictated notes to other physicians or

       employers. Research is the most up-to-date because  I belong to several

       active forums with the leading experts in the field: a 3000 member

       group of fellow IBCLC’s from around the world, a 300 member group of

       physicians of all specialties that have an interest in breastfeeding, a state

       group, and herb and breastfeeding group. I can retrieve informatio quickly

       twenty four hours a day through the archives and on- going discussion.  


       Not all lactation services will be covered by insurance, but many are. It is

       preferred that both mother and baby establish with my practice and

        be evaluated together.*


I anticipate new babies entering my practice will be go on to be breastfed for two or three years. (Many babies from my Hobe Sound practice are breastfeeding at 3-4 years old!) A mother should NEVER be told that she can’t continue to breastfeed. Very few conditions are incompatible with breastfeeding. Some conditions are compatibility with partial breastfeeding. It is my goal that every new mother knows help is available and seeks help when well-intended health care provider, relative, friend, employer, etc… tells her to stop. These mothers can benefit from lactation services. Common reasons to be told to stop breastfeeding include medication, disease, employment, twins or more, dental work, breast or nipple pain, poor weight gain, rapid weight gain, jaundice, surgery, previous breast surgery,  and prematurely. All these and many more situations can be worked with to maximize the duration of breastfeeding.


It is a myth that our practice won’t see bottle-fed babies. All parents deserve the most accurate information and then have the right to make an informed decision. Our practice does not turn families away for infant feeding choices. Reasons for breastfeeding failure and accurate information will be addressed in these cases.



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Denise Punger MD FAAFP IBCLC
4640 S. 25th Street
Ft. Pierce, Florida, 34981
Copyright 2005