App\Models\Doctor Object
(
    [connection:protected] => mysql
    [table:protected] => doctor
    [primaryKey:protected] => doc_id
    [keyType:protected] => int
    [incrementing] => 1
    [with:protected] => Array
        (
        )

    [withCount:protected] => Array
        (
        )

    [preventsLazyLoading] => 
    [perPage:protected] => 15
    [exists] => 1
    [wasRecentlyCreated] => 
    [escapeWhenCastingToString:protected] => 
    [attributes:protected] => Array
        (
            [doc_id] => 216
            [doc_name] => Tessa
            [doc_lastname] => Janovsky
            [doc_location] => Phoenix, Arizona, USA
            [doc_degree] => PA-C
            [doc_description] => Tessa Janovsky obtained her Masters in Physician Assistant Studies from Rosalind Franklin University of Medicine and Science in 2017. She accepted a position in the Gastroenterology Department at Valleywise Health in 2017 where her passion for Liver Disease was born with special interest in MASLD/MASH. Caring for a primarily underserved population with a large proportion of Hispanic patients, Tessa quickly realized that there were gaps in timely diagnosis and proper treatment for MASLD/MASH patients. Her interest in liver disease led her to accept a position at Banner University Liver Transplant Center where she would gain knowledge and experience in liver transplant selection and post liver transplant care. During that time, Tessa obtained a certification in Obesity Management from the Obesity Medicine Association with a goal to help patients optimize their journey with weight loss, which is a primary focus in MASLD/MASH treatment.

Tessa now practices in an outpatient Hepatology Clinic at Arizona Liver Health, where she has been for the past 3 years. With a primary focus on patients with MASLD/MASH, she strives to take an individualized approach with each patient to optimize treatment strategies, including lifestyle interventions, pharmacologic management, and clinical trial opportunities.
            [doc_image] => 1344775963novsky.png
            [doc_status] => 1
            [doc_executive_steering] => 0
            [doc_feature_status] => 0
            [doc_order] => 26
            [doc_created_at] => 2025-01-22 20:22:19
            [doc_updated_at] => 2025-04-09 19:57:48
            [doc_deleted_at] => 
            [doc_mash] => 1
            [doc_rheum] => 0
            [doc_rhapp] => 0
            [doc_ghweb] => 0
            [doc_ghapp] => 
            [doc_status_mash] => 1
            [doc_status_rheum] => 1
            [doc_status_rhapp] => 1
            [doc_status_ghweb] => 1
            [doc_feature_status_mash] => 0
            [doc_feature_status_rheum] => 0
            [doc_feature_status_rhapp] => 0
            [doc_feature_status_ghweb] => 0
            [doc_latitude] => 33.4483771
            [doc_longitude] => -112.0740373
            [doc_zipcode] => 85008
            [doc_disease_state] => 25
            [doc_speciality] => 23
            [doc_region] => 4
            [doc_phone_number] => 123-456-7810
            [doc_type] => GI
            [doc_email] => tessajanovsky@gmail.com
            [doc_city] => Phoenix
            [doc_state] => AZ
            [doc_video_type] => youtube
            [doc_video] => 
            [mid] => 992
            [mtype] => doctor
            [m_type_id] => 216
            [m_status] => 1
            [m_siteid] => 5
            [m_feature] => 1
            [m_pin] => 0
            [m_notify] => 1
            [m_archive] => 0
            [m_ai] => 0
            [meta_title_en] => 
            [meta_keywords_en] => 
            [meta_desc_en] => 
            [m_slug] => tessa-janovsky
            [state_id] => 25
            [state] => Hepatology
            [state_image] => 115706471516.png
            [state_type] => disease
            [state_created_at] => 2025-01-21 19:55:57
            [state_updated] => 
        )

    [original:protected] => Array
        (
            [doc_id] => 216
            [doc_name] => Tessa
            [doc_lastname] => Janovsky
            [doc_location] => Phoenix, Arizona, USA
            [doc_degree] => PA-C
            [doc_description] => Tessa Janovsky obtained her Masters in Physician Assistant Studies from Rosalind Franklin University of Medicine and Science in 2017. She accepted a position in the Gastroenterology Department at Valleywise Health in 2017 where her passion for Liver Disease was born with special interest in MASLD/MASH. Caring for a primarily underserved population with a large proportion of Hispanic patients, Tessa quickly realized that there were gaps in timely diagnosis and proper treatment for MASLD/MASH patients. Her interest in liver disease led her to accept a position at Banner University Liver Transplant Center where she would gain knowledge and experience in liver transplant selection and post liver transplant care. During that time, Tessa obtained a certification in Obesity Management from the Obesity Medicine Association with a goal to help patients optimize their journey with weight loss, which is a primary focus in MASLD/MASH treatment.

Tessa now practices in an outpatient Hepatology Clinic at Arizona Liver Health, where she has been for the past 3 years. With a primary focus on patients with MASLD/MASH, she strives to take an individualized approach with each patient to optimize treatment strategies, including lifestyle interventions, pharmacologic management, and clinical trial opportunities.
            [doc_image] => 1344775963novsky.png
            [doc_status] => 1
            [doc_executive_steering] => 0
            [doc_feature_status] => 0
            [doc_order] => 26
            [doc_created_at] => 2025-01-22 20:22:19
            [doc_updated_at] => 2025-04-09 19:57:48
            [doc_deleted_at] => 
            [doc_mash] => 1
            [doc_rheum] => 0
            [doc_rhapp] => 0
            [doc_ghweb] => 0
            [doc_ghapp] => 
            [doc_status_mash] => 1
            [doc_status_rheum] => 1
            [doc_status_rhapp] => 1
            [doc_status_ghweb] => 1
            [doc_feature_status_mash] => 0
            [doc_feature_status_rheum] => 0
            [doc_feature_status_rhapp] => 0
            [doc_feature_status_ghweb] => 0
            [doc_latitude] => 33.4483771
            [doc_longitude] => -112.0740373
            [doc_zipcode] => 85008
            [doc_disease_state] => 25
            [doc_speciality] => 23
            [doc_region] => 4
            [doc_phone_number] => 123-456-7810
            [doc_type] => GI
            [doc_email] => tessajanovsky@gmail.com
            [doc_city] => Phoenix
            [doc_state] => AZ
            [doc_video_type] => youtube
            [doc_video] => 
            [mid] => 992
            [mtype] => doctor
            [m_type_id] => 216
            [m_status] => 1
            [m_siteid] => 5
            [m_feature] => 1
            [m_pin] => 0
            [m_notify] => 1
            [m_archive] => 0
            [m_ai] => 0
            [meta_title_en] => 
            [meta_keywords_en] => 
            [meta_desc_en] => 
            [m_slug] => tessa-janovsky
            [state_id] => 25
            [state] => Hepatology
            [state_image] => 115706471516.png
            [state_type] => disease
            [state_created_at] => 2025-01-21 19:55:57
            [state_updated] => 
        )

    [changes:protected] => Array
        (
        )

    [casts:protected] => Array
        (
        )

    [classCastCache:protected] => Array
        (
        )

    [attributeCastCache:protected] => Array
        (
        )

    [dateFormat:protected] => 
    [appends:protected] => Array
        (
        )

    [dispatchesEvents:protected] => Array
        (
        )

    [observables:protected] => Array
        (
        )

    [relations:protected] => Array
        (
        )

    [touches:protected] => Array
        (
        )

    [timestamps] => 1
    [hidden:protected] => Array
        (
        )

    [visible:protected] => Array
        (
        )

    [fillable:protected] => Array
        (
        )

    [guarded:protected] => Array
        (
            [0] => doc_id
        )

)