Texting your doctor at Fishtown Medicine happens through the Ultralight app, which is HIPAA-compliant and encrypted. You can message Dr. Ash directly for clinical questions, refills, and lab reviews. Typical response time is 1 to 2 hours during business hours.
At Fishtown Medicine, you do not navigate phone trees or wait for callbacks. By providing direct, secure texting with your physician, we make sure your questions get answered quickly and your care stays continuous.
Why has the phone tree become a liability?
Most medical offices in Philadelphia still rely on technology from the 1990s. When you have a question, you call, navigate a menu, leave a message for a nurse, and wait hours or days for a callback. The friction leads to delayed care or unnecessary trips to urgent care.
We treat modern communication as a clinical tool. Direct texting removes the gatekeepers and the delays. You communicate directly with Dr. Ash, and nothing gets lost in translation across multiple staff members.
How does Fishtown Medicine use secure messaging?
We use a HIPAA-compliant platform called Ultralight for all texting, video calls, and file sharing. Ultralight is not standard SMS; it is an encrypted, medical-grade portal that keeps your information private.
1. Clinical Questions & Triage
If you wake up with a sore throat or a new rash, send a photo and a description right away. We can often triage the issue via text, prescribe medication if needed, or decide whether you need an in-person home visit.
2. Medication Refills & Logistics
Need a refill? Snap a clear photo of your bottle (label visible) and message it to us. We can coordinate with your pharmacy in minutes. The photo strategy makes sure we get the exact dose and medication name right every time.
3. Lab & Data Review
When labs come back, we do not just mail you a confusing result. We send a secure summary in the app and start a quick thread to answer initial questions while we schedule a deeper follow-up call.
Guidelines from the Clinic
How do I set up secure messaging with my physician?
Getting started with secure messaging is part of onboarding:
- Download the App: Install the Ultralight app from the App Store or Google Play.
- Link Your Profile: Use the custom link in your welcome email or here.
- Start the Thread: Send a quick "Hello" so we can verify your connection.
Actionable Steps for Philly
Optimize how you communicate with your care team.
- Stop Using Standard SMS for Medical Details: Use only the secure Ultralight app so your privacy stays protected.
- Be Explicit: When texting an urgent question, include symptoms, relevant data (like temperature), and a clear photo when helpful.
- Use the Video Feature: If a text isn't enough, jump on a video call inside the same app for a more detailed evaluation.
Dr. Ash is a board-certified internal medicine physician specializing in preventive medicine and healthspan optimization at Fishtown Medicine in Philadelphia.
Frequently Asked Questions
Common Questions
Ready when you are
Dr. Ash reads every intake himself, and answers questions personally - usually within a few hours.




