Dr. Susan Jacob

10/16/2026

These are the ones people apologize for mentioning.

➔ Tired all the time. Not sleepy, tired. It is one of the most normalized symptoms in primary care and one of the least investigated.

➔ Weight settling around the middle that will not move. 60 percent of women over 35 have insulin resistance and are not aware of it. The look is fasting insulin next to fasting blood sugar, not blood sugar on its own.

➔ Feeling stressed when nothing in particular is stressful. Most people cannot feel elevated blood pressure. They feel what they assume is stress, and the pressure runs day in and day out underneath it.

➔ Waking several times a night. In perimenopause and menopause, alcohol is a common reason, and most people have never connected the two.

➔ Snoring that someone else notices. Untreated sleep apnea contributes to high blood pressure, cardiovascular disease, and feeling exhausted no matter how long you were in bed. A sleep study is straightforward. Bringing it up is the hard part.

➔ A cough past 10 days. Colds linger, so most of the time this is nothing. Past 10 days I want to listen to your lungs.

➔ Getting better and then getting worse again. That pattern is worth a call on its own.

Most of these turn out to be nothing, and I want to be clear about that. The point is not that you are sick. The point is that none of them get 4 minutes of attention in a 10 minute visit, so they go unmentioned for years.

Save this and bring it to your next appointment.

10/14/2026

10/13/2026

Telehealth is fast and sometimes it is exactly the right tool. I use it with my own patients.

What it cannot do is notice that something changed.

If a doctor has never listened to your heart before, they do not know that it sounds different today than it did last year. They only know it sounds like this.

The same is true for your labs, your weight, your energy, your mood. A single reading is a dot. Two readings are a line, and the line is where the information is.

That is most of what a long relationship buys you. Not warmth, though that is nice. Pattern recognition.

It is also why I ask about things that seem unrelated to why you came in.

None of this makes me better than the doctor you saw once. It makes me better informed, and those are different things.

Save this if you have been bouncing between providers and explaining your history from the beginning every time.

10/09/2026

Cold and flu season in Zionsville is here and the two feel similar enough in the first 24 hours that most people cannot tell which one they have or how urgently they need to act.

The distinction matters because the flu moves faster and hits harder, and the window to treat it effectively is narrow. A cold that lingers for two weeks is normal.

If you are not sure which one you have, that is exactly the kind of question worth sending before you decide whether to wait it out or come in.

Share this with a Zionsville family heading into the season.

10/07/2026

Most people find out how this model works after they have already spent years in the one that did not have time to explain itself.

Direct Primary Care, a membership model where one flat monthly fee replaces the per-visit billing cycle, was built around fewer patients, more time, and a doctor who picks up when you text and gets you in before the situation decides for you.

The list on screen is what that looks like in practice at FreedomDoc Zionsville.

Comment FREE below and I will send you the link to book a free meet and greet.

10/06/2026

Most of these never come up in a traditional appointment. The visit runs out of time before it gets past the reason someone came in.

These are the conversations that happen when the appointment has room for them.

Which one of these did you not know before today?

09/30/2026

Most sleep advice skips the actual problem. The issue is not that the body is not tired. It is that the brain has not been given anything specific enough to land on that is also calm enough to let go of.

The standard suggestions ask the brain to work. Counting backwards is a math problem and running through tomorrow's list is planning, and neither of those is rest. What actually helps is something just engaging enough to follow without requiring the brain to produce anything in return.

Most people have never been given that specific a direction for sleep, which is why they are still trying the same things that have never worked.

09/29/2026

An annual physical should be a strategy session for the year ahead. Most of them are a checklist somebody is trying to finish on time.

Here is what happens at ours.

You come in, and there is usually no wait. Vitals first, then an EKG depending on your age and history, then the exam.

Then the part most people have never had. We sit down and go through your lab results and the plan in detail, and you leave with your questions answered rather than a message telling you everything looked fine.

We also talk about diet, exercise, sleep and stress, which sounds generic until you get specific about the roadblocks. Some people will only exercise in the morning. Some only at the end of the day. Until we know which one you are, nothing changes.

Comprehensive labs, a review of every specialist and medication you are on, and a follow-up booked before you walk out.

Not everything gets solved at a physical. Some things need their own visit, and I will tell you when that is the case rather than rushing it into the last 5 minutes.

If this sounds different from what you have experienced before, comment FREE and I will send you the link to book a free meet and greet.

09/25/2026

Most women have already decided not to mention the symptoms.

Weight settling around the middle. Difficulty losing it. Feeling tired all the time. They have been told everything looks fine often enough that they stopped expecting a different answer.

Two things come up constantly in my practice and rarely get connected to anything. Alcohol sabotages sleep cycles, and for women in perimenopause or menopause it is one of the most common reasons for waking up several times a night without knowing why.

And sleep apnea goes undiagnosed for years. Untreated, it contributes to high blood pressure, cardiovascular disease, and feeling chronically fatigued. It is straightforward to diagnose with a sleep study, but only if somebody brings it up.

None of these are diagnosed from a single number. They are diagnosed from a conversation long enough to notice the pattern and then the right test.

That conversation is the part that does not fit in a 10-minute appointment, and it is most of what I do differently.

If you have been told everything looks fine and you are not convinced, come talk it through.

Click the link below to book a free meet and greet.

https://bit.ly/42LewSj