About
Dr. Emily O'Rourke founded Fountain Direct Primary Care in Chesapeake, Virginia in October 2018. She trained in outpatient family medicine and spent three years in traditional practice before making the transition to direct primary care. She also worked urgent care shifts, seeing 20 to 30 patients per shift before choosing a different path.
Dr. O'Rourke holds board certification in family medicine. Her clinical passions include bioidentical hormone replacement therapy, testosterone pellets, thyroid management, sublingual allergy immunotherapy, and low-carb nutrition for weight loss. She personally lost over 30 pounds by eliminating sugar and flour, and she brings that lived experience into her weight loss work with patients. She has led 12-week wellness challenges combining physical and mental health goals. " She also performs Aviation Medical Exams for Class 2 and 3 pilots and DOT physicals. Dr. O'Rourke is passionate about meditation and mindfulness as practical tools for health. She lives in the area with her husband and children. "
Education & Training
Family Medicine (outpatient)
Conditions Treated
Who is Dr. O'Rourke right for?
Dr. O'Rourke is a strong fit for adults and children ages 5 and up who want an ongoing relationship with their doctor. Patients managing thyroid conditions, hormone deficiency, or menopause benefit from her in-depth approach to hormonal health. She works well with patients focused on weight loss, allergy management, or chronic disease like diabetes and hypertension. Pilots needing Class 2 or 3 Aviation Medical Exams and commercial drivers needing DOT physicals will also find her practice well-equipped. Patients who value direct access and unhurried visits tend to thrive in her care.
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Frequently Asked Questions
Dr. O'Rourke treats a wide range of conditions across family and preventive medicine. Her clinical focus includes hypothyroidism, Hashimoto's thyroiditis, hyperthyroidism, hormone deficiency, testosterone deficiency, menopause, obesity, diabetes, hypertension, high cholesterol, allergic rhinitis, asthma, eczema, chronic fatigue, osteoporosis, anxiety, depression, insomnia, urinary tract infections, sinusitis, and bronchitis.
Yes, Dr. O'Rourke holds board certification in family medicine. She trained in outpatient family medicine before founding Fountain Direct Primary Care in 2018.
Yes, hormone replacement therapy is one of Dr. O'Rourke's primary clinical focuses. She offers bioidentical hormone therapy and testosterone pellet implants. Members receive a 29% discount on testosterone pellets. She also manages thyroid conditions using a thorough approach that includes reverse T3 and Hashimoto's-specific evaluation.
Dr. O'Rourke takes a science-based approach rooted in low-carb and high-fat nutrition, intermittent fasting, sleep optimization, and stress reduction. She has personal experience losing over 30 pounds through dietary changes and shares those insights directly with patients. She has also led structured 12-week wellness challenges that helped participants lower weight, blood pressure, blood sugar, and cholesterol.
Yes, Dr. O'Rourke offers allergy testing and sublingual immunotherapy as a treatment option. Members receive 50% off allergy testing. Sublingual immunotherapy costs members less than $800 per year. She focuses on this area with particular depth given Hampton Roads' year-round allergen exposure.
Yes, Dr. O'Rourke performs Aviation Medical Exams for Class 2 and Class 3 pilots. She also performs DOT physicals for commercial drivers. Patients can schedule these directly through the practice.
Dr. O'Rourke integrates mental wellness into her primary care practice. She is passionate about meditation and mindfulness as practical health tools. Her 12-week wellness challenges addressed both physical and mental health goals simultaneously. She treats anxiety, depression, and insomnia as part of her regular clinical scope.
Yes, Dr. O'Rourke accepts Medicare patients. The practice does not bill Medicare, but Medicare patients can receive care without co-pays under the membership model.
Dr. O'Rourke sees patients ages 5 through adult, including seniors 65 and older. She does not treat children under 5, as vaccination requirements fall outside the membership scope. She refers younger children to Dr. Dianne McNeill at Cornerstone Pediatrics, located next door.
Doctor profile last updated April 10, 2026