Fort Madison Med Spa & Direct Care

05/22/2026

Friday, May 22, 2026
As my final days in the office approach, I wanted to take a moment to say thank you.
Caring for this community has been one of the greatest honors of my life. The relationships built here—your trust, your stories, and your commitment to your health—are things I will carry with me always.
In the coming days, I will be stepping away to begin an 18-month medical mission in Brazil. While I feel called to this work, it is not easy to say goodbye to patients who have meant so much to me.
If you have not yet finalized your ongoing care, please be sure to do so:
• GLP-1 patients: continue your care with Chris Castello. He and Kayleigh have my full faith and confidence. And they have access to me in any concern that arises. Call at 765-330-6150.
That number is essential: 765.330.6150
• All other patients: establish with a primary care provider to ensure continuity.
My office remains available to assist with any final questions or medical record needs during this transition.
Thank you again for allowing me to be part of your lives and your care. It has truly been a privilege.
With sincere gratitude,

Rich Goddard MD

05/12/2026

I already sent this out but want to do it again. I have an amazing, supportive wife who looks out for me. After much thought and prayer, I want to share an important update with my patients and community.
In the coming months, I will be stepping away from my practice to serve on an 18-month medical mission in Brazil. This is a deeply meaningful opportunity for me, but it is also not an easy decision—caring for each of you has been one of the greatest privileges of my life.
To ensure continuity of care:
• Patients currently receiving GLP-1 treatment will have the option to continue their care with a trusted colleague, who shares my commitment to quality and patient-centered care. Chris Castello will take care of you like I would.
• For all other medical needs, I kindly ask that you begin transitioning to a primary care provider who can continue to support your ongoing health.
I understand that change can be difficult, and I truly wish I could continue alongside you during this time. Please know that this decision comes with both purpose and a heavy heart. I am profoundly grateful for the trust you have placed in me, and for the relationships we have built together.
Over the next several weeks, my office will provide guidance and support to help make your transition as smooth as possible. If you have questions or need assistance, please don’t hesitate to reach out.
Thank you for allowing me to be part of your care. You will remain in my thoughts and prayers, and I carry your stories with me as I begin this next chapter.
With sincere gratitude,
Rich Goddard MD

05/12/2026

The radio show was a lot of fun. I feel like an actual dude with no name!

05/11/2026

They promised me I can stay alcohol-free. But why do I look serious/stern?

💥SUPERHERO DUDES💥Featuring Dr Feelgood, Troopzies, Coop, and Mikey. Listen LIVE from 6-7pm on Z93.9FM, radiokeokuk.com, and the Radio Keokuk app. Powered by Excel I.T. Services, Dr. Deliveries, and Bar-B-Dude sammiches! Podcast available.

04/20/2026

I want to share an important update with my patients and community.
In the coming months, I will be stepping away from my practice to serve on an 18-month medical mission in Brazil. This is a deeply meaningful opportunity for me, but it is also a difficult decision. It has been a true privilege to care for you, and I am sincerely grateful for the trust you’ve placed in me.
To ensure a smooth transition:
• Patients receiving GLP-1 treatment will have the option to continue their care with a trusted colleague who shares my commitment to high-quality, patient-centered care.
• For all other medical needs, I encourage you to begin establishing care with a primary care provider who can support you moving forward.
Over the next weeks, my office will work closely with you to make this transition as seamless as possible, including coordinating records and answering any questions. I am still working! Nobody need go without a prescription or a refill!
Thank you for allowing me to be part of your care. This community has meant more to me than I can fully express, and I carry that with me as I begin this next chapter.
With gratitude,
Rich Goddard MD
Fort Madison Med Spa & Direct Care

03/20/2026

I am looking for a NP or PA who has interest to manage part of what is growing here. DM me through FB or call for details.

Rich Goddard MD

01/26/2026

There is still time to get your honey a gift certificate for Valentine's Day.

01/14/2026

Start the new year with achievable, healthy goals. I can help!

01/12/2026

Startthe New Year with a good healthy attitude!

12/25/2025

Wishing you happy holidays and peace for the nwe year.

12/18/2025

What do you want for Christmas?
What does he or she want?
Let me know how I can help.