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Dr. Brian Hilgeman, MD, AAHIVS

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Specializes in: Internal Medicine (Adult Medicine) and Hospital Medicine (Hospitalist)

University of Wisconsin School of Medicine and Public Health (2010)

Professional interests include: type 2 diabetes, chronic illness, depression, and more.

8850 William Coffey Drive
Milwaukee, WI 53226

(414) 805-6850

Dr. Brian Hilgeman, MD, AAHIVS is an internist in Milwaukee, WI specializing in internal medicine (adult medicine) and hospital medicine (hospitalist). He graduated from University of Wisconsin School of Medicine and Public Health in 2010 and has 14 years of experience. Dr. Brian Hilgeman, MD, AAHIVS is affiliated with Froedtert Hospital, Froedtert & the Medical College of Wisconsin Regional Health Network, THE MEDICAL COLLEGE OF WISCONSIN INC and SIXTEENTH STREET COMMUNITY HEALTH CENTERS INC.

Office Locations

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Address:

8850 William Coffey Drive
Milwaukee, WI 53226

Some issues Dr. Brian Hilgeman, MD, AAHIVS can help you with:

Asthma

Asthma is a chronic lung disease where the tissue and airways of the lungs become extremely sensitive to certain substances. When these substances are breathed in, the lungs become inflamed. The muscles around the airways tighten and squeeze the lungs, and passages within the lungs swell and tighten. The airways themselves produce mucus, which further clogs the tightened, swollen airways. A person having an asthma attack finds it very difficult to breathe, and a severe attack can even be fatal.

Asthma affects people of all ages, but people with asthma are most often diagnosed as children. Symptoms can include wheezing, a tight feeling in the chest, shortness of breath, and coughing. Some people have mild symptoms all the time, and some people have no symptoms at all, but everyone with asthma is susceptible to occasional severe attacks or flare-ups of symptoms when they are exposed to triggers. Triggers vary widely but can include:

Allergens (dust mites, pet fur, mold, pollen, grass)
Irritants (smoke, pollution, dust, chemicals)
Viral infections
Physical activity, especially outdoors
Certain medications or chemicals in foods (aspirin, sulfites)

Treatment for most asthma patients involves three steps. Patients learn what their asthma triggers are and avoid them. They take a daily control medication, usually an inhaled corticosteroid, to reduce inflammation in the lungs. Also, they have rescue medication with them at all times to take in case of a severe attack. These quick-acting inhaled medications relax the muscles around the airways and allow the lungs to open up for air.

There is no cure for asthma, but with treatment it should not interfere with daily life and activities.

Depression

Everyone knows what it feels like to get the blues once in a while. But depression is a serious illness that is more severe than a bad day and lasts much longer. Symptoms of depression stop a person from being able to function and enjoy daily activities for weeks or months at a time. It can happen to anyone, and it isn't something that people can control by force of will or "snap out of it."

Some common symptoms of depression include:

Feeling sad, guilty, empty or hopeless
Fatigue and a lack of energy and motivation
A loss of pleasure in activities that were previously enjoyed
Unusual sleep or eating habits
Mental fog -- trouble concentrating, remembering, or making decisions
Physical aches and pains
Suicidal thoughts or a preoccupation with death

We don't yet know what causes depression, but it's thought that it is a combination of genetic, biological, environmental, and social influences. Because of this, the most effective treatments for depression combine medication with psychotherapy. Therapy, especially cognitive-behavioral therapy, can be extremely helpful in resolving the negative thoughts and feelings that come with depression. It gives patients new tools that they can use themselves to cope when their depression is making them feel down.

Some of the common medications used to treat depression include antidepressants such as SSRI's (Prozac, Paxil, Zoloft) or atypical antidepressants (Cymbalta, Wellbutrin). It's important to remember that these medications have different effects on everybody, and no one medication works right for everyone. Patients may have to try a couple before finding the one that works just right for them. If the first medication they try doesn't work, they should talk to their doctor about trying something else. In extreme cases where medication is not enough, electro-convulsive therapy and hospitalization may be the answer to keeping a severely depressed person safe.

Depression is a difficult illness to deal with, but it is more common than believed and there are many people who can help. With the right treatment, individuals with depression can get back to fully enjoying life again.

Joint Injections

A joint is any area of the body where two bones connect. Due to injury or disease, the space between the two bones can sometimes become swollen and inflamed, which leads to pain and a loss of mobility. Injection and aspiration are two tools that physicians use to treat joint pain locally without needing to perform surgery.

Both injection and aspiration are techniques that involve inserting a needle connected to a syringe directly into the joint. Aspiration involves the removal of excess fluid, and injection is the placement of medication directly into the joint space via the needle. Both procedures may be performed at the same time. In both cases a local anesthetic may be used, the skin will be cleaned and disinfected, and then the needle will be inserted. In some cases, especially if the injection or aspiration is in a large and deep joint such as the hip or spine, ultrasound may be used to guide the needle to the exact location desired.

In some cases, irritation to the joint can cause fluid to build up so significantly that the joint hurts and can no longer move well. Aspiration removes some of the excess fluid and relieves the pressure. In addition, aspiration can be used to provide a sample of joint fluid if it needs to be examined microscopically for the presence of white blood cells, bacteria, or crystal formations.

Certain injuries and diseases that affect joints are inflammatory in nature, such as rheumatoid arthritis, tendonitis or gout. These diseases may be helped by the local injection of anti-inflammatory medications directly into the affected joint. In this case, corticosteroids such as methylprednisone are usually used. Relief from the pain may be felt right away and may last for weeks or even months.

In some cases, such as with osteoarthritis, the cartilage buffer between the two bones wears down and pain comes from bones rubbing against each other. In this case, injection of a lubricating agent such as hyaluronic acid may be beneficial. It provides a slippery cushion between the bones to relieve pain that can last for months.

diabetes management	16
lab tests	39
preventive care	57
vaccines	18

**Gender**
Male	23
Female	12

**Age**
From 65 to 74	16
From 75 to 84	0
85 and over	0
Less than 65	0

diabetes management	34
lab tests	79
preventive care	89
vaccines	10

**Gender**
Male	35
Female	34

**Ethnicity**
Non-Hispanic White	0
Black	0
Hispanic	48
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	0
From 75 to 84	0
85 and over	0
Less than 65	35

Hypertension	59
High Cholesterol	54
Stroke	0
Ischemic Heart Disease	22
Depression	42
Chronic Kidney Disease	23
Asthma	22
Osteoperosis	0
Atrial Fibrilation	0
Heart Failure	0
Chronic Obstructive Pulmonary Disease	0
Diabetes	54
Dementia	0
Cancer	0

diabetes management	50
lab tests	121
preventive care	120

**Gender**
Male	72
Female	40

**Ethnicity**
Non-Hispanic White	0
Black	0
Hispanic	82
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	0
From 75 to 84	0
85 and over	0
Less than 65	56

Hypertension	57
High Cholesterol	52
Stroke	0
Ischemic Heart Disease	0
Depression	29
Chronic Kidney Disease	27
Asthma	0
Osteoperosis	0
Atrial Fibrilation	0
Heart Failure	0
Chronic Obstructive Pulmonary Disease	0
Diabetes	68
Dementia	0
Cancer	0

diabetes management	35
lab tests	90
preventive care	89

**Gender**
Male	33
Female	31

**Ethnicity**
Non-Hispanic White	15
Black	16
Hispanic	33
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	19
From 75 to 84	0
85 and over	0
Less than 65	31

Hypertension	72
High Cholesterol	48
Stroke	0
Ischemic Heart Disease	30
Depression	42
Chronic Kidney Disease	56
Asthma	30
Osteoperosis	0
Atrial Fibrilation	0
Heart Failure	30
Chronic Obstructive Pulmonary Disease	20
Diabetes	67
Dementia	25
Cancer	0

doctor visit	120
hospital care	223
inpatient care	223

**Gender**
Male	44
Female	68

**Ethnicity**
Non-Hispanic White	60
Black	0
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	34
From 75 to 84	26
85 and over	19
Less than 65	33

Hypertension	75
High Cholesterol	62
Stroke	17
Ischemic Heart Disease	51
Depression	51
Chronic Kidney Disease	75
Asthma	24
Osteoperosis	11
Atrial Fibrilation	18
Heart Failure	61
Chronic Obstructive Pulmonary Disease	34
Diabetes	65
Dementia	36
Cancer	10

doctor visit	265

**Gender**
Male	24
Female	55

**Ethnicity**
Non-Hispanic White	21
Black	44
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	23
From 75 to 84	0
85 and over	0
Less than 65	35

Hypertension	75
High Cholesterol	57
Stroke	14
Ischemic Heart Disease	59
Depression	62
Chronic Kidney Disease	75
Asthma	28
Osteoperosis	0
Atrial Fibrilation	14
Heart Failure	57
Chronic Obstructive Pulmonary Disease	37
Diabetes	71
Dementia	37
Cancer	0

diabetes management	22
doctor visit	166
lab tests	52
preventive care	51

**Gender**
Male	23
Female	56

**Ethnicity**
Non-Hispanic White	16
Black	47
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	18
From 75 to 84	0
85 and over	0
Less than 65	42

Hypertension	75
High Cholesterol	54
Stroke	0
Ischemic Heart Disease	54
Depression	62
Chronic Kidney Disease	75
Asthma	27
Osteoperosis	0
Atrial Fibrilation	0
Heart Failure	49
Chronic Obstructive Pulmonary Disease	27
Diabetes	73
Dementia	33
Cancer	0

doctor visit	94

**Ethnicity**
Non-Hispanic White	19
Black	37
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	26
From 75 to 84	0
85 and over	0
Less than 65	29

Hypertension	75
High Cholesterol	48
Stroke	0
Ischemic Heart Disease	58
Depression	45
Chronic Kidney Disease	72
Asthma	0
Osteoperosis	15
Atrial Fibrilation	15
Heart Failure	55
Chronic Obstructive Pulmonary Disease	20
Diabetes	59
Dementia	30
Cancer	0

diabetes management	16
doctor visit	161
lab tests	15
preventive care	14

Average Medicare Procedure Volume From 2013 - 2021

Volume of procedures performed by Dr. Brian Hilgeman, MD, AAHIVS for Medicare patients.

The highest averages for the top procedures that Dr. Brian Hilgeman, MD, AAHIVS treated as an internist in Milwaukee, WI were hospital care, inpatient care, preventive care and lab tests.

diabetes management	28
doctor visit	162
hospital care	223
inpatient care	223
lab tests	66
preventive care	70
vaccines	14

Average Medicare Patient Data From 2013 - 2021

Information about Medicare patients treated by Dr. Brian Hilgeman, MD, AAHIVS.

**Gender**
Male	28
Female	33

**Ethnicity**
Black / African American	14
Asian / Pacific Islander	0
Non-Hispanic White	13
Native American / Alaskan Native	0
Hispanic	16
Other	0

**Age**
75 to 84	2
85 and over	1
Less than 65	26
65 to 74	13

Average of Total of Conditions of Medicare patients treated by Dr. Brian Hilgeman, MD, AAHIVS From 2013 - 2021

The highest averages of the most common conditions of Medicare patients that Dr. Brian Hilgeman, MD, AAHIVS treated were hypertension, diabetes, high cholesterol and chronic kidney disease.

Hypertension	54
High Cholesterol	42
Stroke	3
Ischemic Heart Disease	27
Depression	33
Chronic Kidney Disease	40
Asthma	13
Osteoporosis	2
Heart Failure	25
Chronic Obstructive Pulmonary Disease	13
Diabetes	50
Atrial Fibrillation	4
Cancer	1
Dementia	16

Education & Training

Dr. Brian Hilgeman, MD, AAHIVS graduated from University of Wisconsin School of Medicine and Public Health in 2010. He completed residency at Hennepin County Medical Center. He is certified by the Internal Medicine HIV Specialist and has a state license in Wisconsin.

Medical School: University of Wisconsin School of Medicine and Public Health (2010)

Residency: Hennepin County Medical Center (2013)

Board Certification: Internal Medicine HIV Specialist

Licensed In: Wisconsin

Affiliations & Hospitals

Dr. Brian Hilgeman, MD, AAHIVS is associated with these hospitals and organizations:

Froedtert Hospital

Froedtert & the Medical College of Wisconsin Regional Health Network

THE MEDICAL COLLEGE OF WISCONSIN INC

SIXTEENTH STREET COMMUNITY HEALTH CENTERS INC

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General Payments

These charts describe general payments received by Dr. Brian Hilgeman, MD, AAHIVS. Doctors may receive payments for a number of reasons, including meal compensation, travel compensation, and consulting.

**Payments by Company**
ViiV Healthcare Company	$261 CABENUVA $130	TRIUMEQ $55	TIVICAY $41	DOVATO $34
Gilead Sciences, Inc.	$132 Epclusa $16	$116
Janssen Biotech, Inc.	$111 PREZCOBIX $66	Symtuza $44
Janssen Products, LP	$100 Symtuza $100
AbbVie, Inc.	$57 Kaletra $45	$12
Other	$68 SUSTIVA $23	$46

**Types of Payments**
Food and Beverage	$601
Education	$128

Biography

Dr. Brian Hilgeman is a medical specialist in hospital medicine (hospitalist). These areas are among his clinical interests: pain, depression, and high cholesterol (hyperlipidemia). After completing medical school at the University of Wisconsin School of Medicine and Public Health, he performed his residency at Hennepin County Medical Center. Dr. Hilgeman speaks Spanish. He is affiliated with Froedtert Hospital. His practice in Milwaukee, WI is open to new patients as reported by Doctor.com.