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Dr. Serge E. Depret-Guillaume, MD

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Specializes in: Family Medicine

University of Virginia School of Medicine (1991)

Professional interests include: bronchitis, chronic illness, obesity, and more.

4910 Valley View Boulevard Nw 3rd Floor
Roanoke, VA 24012

(540) 265-4210

Dr. Serge E. Depret-Guillaume, MD is a family medicine practitioner in Roanoke, VA specializing in family medicine. He graduated from University of Virginia School of Medicine in 1991 and has 34 years of experience. Dr. Serge E. Depret-Guillaume, MD is affiliated with LewisGale Medical Center, HCA Virginia and LEWIS GALE PHYSICIANS LLC.

Office Locations

Address:

4910 Valley View Boulevard Nw 3rd Floor
Roanoke, VA 24012

Some issues Dr. Serge E. Depret-Guillaume, MD 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.

Urinary Tract Infection (UTI)

A urinary tract infection, or UTI, happens when bacteria enter the body through the opening where urine is normally released. The bacteria infect the lining of the urethra and bladder, turning them red and inflamed. This causes pain in the abdomen or pelvic area, a burning sensation during urination, a sense of urgency about going to the bathroom, frequent urination, and urine that smells bad and looks cloudy, or even contains traces of blood. If the urinary tract infection is severe, it may travel all the way to the kidneys, a more serious kind of UTI called pyelonephritis. Patients with this kidney infection might have blood in their urine, feel back pain, and develop a fever.

Urinary tract infections are extremely common: 12% of all men and 40-50% of all women will have a urinary tract infection during their lifetime. They are more common in women because women have shorter urethras, so bacteria have a shorter distance to travel from the outside of the body to the bladder and cause an infection. Some people also have urethras that are an unusual shape or have an obstruction in the urethra that makes getting a UTI more likely. Also, certain chronic illnesses like diabetes weaken the immune system, so any bacteria in the body are more likely to cause an infection.

A urinary tract infection can be diagnosed very quickly by a doctor. A sample of urine can be examined under a microscope for the presence of bacteria or white blood cells. There are also diagnostic strips that can be used to test a urine sample without the need for a microscope. Once a diagnosis is made, treatment is a course of oral antibiotics, and most patients feel better within just a few days. There are some things that patients can do themselves to help reduce the risk of getting a urinary tract infection in the future. Stay well hydrated, wipe from front to back after going to the bathroom, wear breathable cotton undergarments, and don't hold it in when patients feel the urge to go.

blood draw	50
breathing treatment	24
doctor visit	971
ear procedures	15
lab tests	272
musculoskeletal imaging	11
preventive care	22
thoracic (chest) imaging	86
vaccines	22
X-rays	97

**Gender**
Male	253
Female	544

**Ethnicity**
Non-Hispanic White	736
Black	47
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	320
From 75 to 84	218
85 and over	101
Less than 65	158

Hypertension	56
High Cholesterol	47
Stroke	3
Ischemic Heart Disease	24
Depression	27
Chronic Kidney Disease	12
Asthma	8
Osteoperosis	6
Atrial Fibrilation	9
Heart Failure	11
Chronic Obstructive Pulmonary Disease	11
Diabetes	23
Dementia	7
Cancer	9

blood draw	33
breathing treatment	14
doctor visit	660
lab tests	183
preventive care	19
thoracic (chest) imaging	47
vaccines	19
X-rays	46

**Gender**
Male	197
Female	370

**Ethnicity**
Non-Hispanic White	517
Black	38
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	250
From 75 to 84	174
85 and over	65
Less than 65	78

Hypertension	61
High Cholesterol	50
Stroke	4
Ischemic Heart Disease	25
Depression	23
Chronic Kidney Disease	16
Asthma	8
Osteoperosis	7
Atrial Fibrilation	8
Heart Failure	13
Chronic Obstructive Pulmonary Disease	11
Diabetes	24
Dementia	7
Cancer	10

blood draw	26
doctor visit	522
lab tests	122
preventive care	23
thoracic (chest) imaging	26
vaccines	23
X-rays	25

**Gender**
Male	318
Female	636

**Ethnicity**
Non-Hispanic White	870
Black	46
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	474
From 75 to 84	252
85 and over	120
Less than 65	108

Hypertension	60
High Cholesterol	48
Stroke	4
Ischemic Heart Disease	23
Depression	23
Chronic Kidney Disease	15
Asthma	10
Osteoperosis	8
Atrial Fibrilation	9
Heart Failure	10
Chronic Obstructive Pulmonary Disease	9
Diabetes	24
Dementia	5
Cancer	9

blood draw	28
doctor visit	557
lab tests	90
preventive care	10
thoracic (chest) imaging	33
vaccines	10
X-rays	32

**Gender**
Male	165
Female	344

**Ethnicity**
Non-Hispanic White	466
Black	0
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	234
From 75 to 84	154
85 and over	57
Less than 65	64

Hypertension	61
High Cholesterol	46
Stroke	5
Ischemic Heart Disease	24
Depression	22
Chronic Kidney Disease	22
Asthma	15
Osteoperosis	8
Atrial Fibrilation	10
Heart Failure	9
Chronic Obstructive Pulmonary Disease	10
Diabetes	24
Dementia	6
Cancer	8

blood draw	38
doctor visit	615
lab tests	161
preventive care	12
thoracic (chest) imaging	18
vaccines	12
X-rays	17

**Gender**
Male	201
Female	379

**Ethnicity**
Non-Hispanic White	535
Black	32
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	267
From 75 to 84	173
85 and over	84
Less than 65	56

Hypertension	64
High Cholesterol	41
Stroke	3
Ischemic Heart Disease	26
Depression	22
Chronic Kidney Disease	24
Asthma	8
Osteoperosis	6
Atrial Fibrilation	11
Heart Failure	12
Chronic Obstructive Pulmonary Disease	11
Diabetes	29
Dementia	8
Cancer	8

blood draw	39
doctor visit	417
lab tests	169

**Gender**
Male	140
Female	254

**Ethnicity**
Non-Hispanic White	355
Black	27
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	197
From 75 to 84	108
85 and over	45
Less than 65	44

Hypertension	60
High Cholesterol	51
Stroke	3
Ischemic Heart Disease	27
Depression	23
Chronic Kidney Disease	23
Asthma	7
Osteoperosis	8
Atrial Fibrilation	12
Heart Failure	12
Chronic Obstructive Pulmonary Disease	9
Diabetes	22
Dementia	6
Cancer	8

blood draw	14
doctor visit	298
lab tests	54
preventive care	19
vaccines	19

**Gender**
Male	102
Female	191

**Ethnicity**
Non-Hispanic White	263
Black	0
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	156
From 75 to 84	71
85 and over	33
Less than 65	33

Hypertension	58
High Cholesterol	55
Stroke	4
Ischemic Heart Disease	22
Depression	26
Chronic Kidney Disease	24
Asthma	7
Osteoperosis	9
Atrial Fibrilation	7
Heart Failure	11
Chronic Obstructive Pulmonary Disease	8
Diabetes	27
Dementia	6
Cancer	9

doctor visit	246
lab tests	46

**Gender**
Male	81
Female	143

**Ethnicity**
Non-Hispanic White	186
Black	0
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	112
From 75 to 84	60
85 and over	22
Less than 65	30

Hypertension	59
High Cholesterol	50
Stroke	0
Ischemic Heart Disease	32
Depression	24
Chronic Kidney Disease	22
Asthma	8
Osteoperosis	6
Atrial Fibrilation	9
Heart Failure	14
Chronic Obstructive Pulmonary Disease	13
Diabetes	27
Dementia	6
Cancer	11

doctor visit	676
lab tests	15

Average Medicare Procedure Volume From 2013 - 2021

Volume of procedures performed by Dr. Serge E. Depret-Guillaume, MD for Medicare patients.

The highest averages for the top procedures that Dr. Serge E. Depret-Guillaume, MD treated as a family medicine practitioner in Roanoke, VA were lab tests, X-rays, thoracic (chest) imaging and blood draw.

blood draw	32
doctor visit	553
ear procedures	15
lab tests	125
musculoskeletal imaging	11
preventive care	17
thoracic (chest) imaging	42
vaccines	17
X-rays	45

Average Medicare Patient Data From 2013 - 2021

Information about Medicare patients treated by Dr. Serge E. Depret-Guillaume, MD.

**Gender**
Male	145
Female	286

**Ethnicity**
Black / African American	19
Asian / Pacific Islander	0
Non-Hispanic White	392
Native American / Alaskan Native	0
Hispanic	0
Other	0

**Age**
85 and over	52
75 to 84	121
Less than 65	57
65 to 74	201

Average of Total of Conditions of Medicare patients treated by Dr. Serge E. Depret-Guillaume, MD From 2013 - 2021

The highest averages of the most common conditions of Medicare patients that Dr. Serge E. Depret-Guillaume, MD treated were hypertension, high cholesterol, diabetes and ischemic heart disease.

Hypertension	47
High Cholesterol	38
Stroke	2
Ischemic Heart Disease	20
Depression	19
Chronic Kidney Disease	15
Asthma	7
Osteoporosis	5
Heart Failure	9
Chronic Obstructive Pulmonary Disease	8
Diabetes	20
Atrial Fibrillation	7
Dementia	5
Cancer	7

Education & Training

Dr. Serge E. Depret-Guillaume, MD graduated from University of Virginia School of Medicine in 1991. He completed residency at Carilion Clinic. He has a state license in Virginia.

Medical School: University of Virginia School of Medicine (1991)

Residency: Carilion Clinic (1994)

Licensed In: Virginia

Affiliations & Hospitals

Dr. Serge E. Depret-Guillaume, MD is associated with these hospitals and organizations:

LewisGale Medical Center

HCA Virginia

LEWIS GALE PHYSICIANS LLC

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General Payments

These charts describe general payments received by Dr. Serge E. Depret-Guillaume, MD. Doctors may receive payments for a number of reasons, including meal compensation, travel compensation, and consulting.

**Payments by Company**
Janssen Pharmaceuticals, Inc	$124 XARELTO $124
Novo Nordisk Inc	$33 RYBELSUS $19	Ozempic $14
AbbVie Inc.	$30 VRAYLAR $30
Otsuka America Pharmaceutical, Inc.	$25 REXULTI $25
Takeda Pharmaceuticals America, Inc.	$25 Uloric $25
Other	$70 CVI $19	ELIQUIS $15	PREVNAR 20 $13	VIMOVO $13	COLOGUARD DNA CAPTURE REAGENTS $11

**Types of Payments**
Food and Beverage	$283
Education	$25

Biography

Dr. Serge Depret-Guillaume's medical specialty is family medicine. Before completing his residency at Carilion Clinic, Dr. Depret-Guillaume attended medical school at the University of Virginia School of Medicine. His clinical interests include newborn care, depression, and women's health issues. In addition to English, Dr. Depret-Guillaume speaks French. Dr. Depret-Guillaume's hospital/clinic affiliations include LewisGale Medical Center and HCA Virginia.