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Saturday, November 21, 2009

Types of Office Visits

My sister lives in New York and she just told me how her doctor is swamped with so many sick people that the office has cancelled well visits, so they don't make the well-people sick-people. Maybe we have lots of urgent care and emergency rooms here? Maybe her area is more populated?

I was wanting to summarize my practice in words. After 5 1/2 years most visits fall into one of these groups:

Lactation visits - in this category I include well-baby visits where the focus is breastfeeding and families where lactation continues to be a current priority. Also includes the prenatal visits to plan for breastfeeding and inquire about my well-child care philosophy.

Bio-identicals - this includes treatments for hotflashes, libido, cycle irregularities, hormones, and stabilization of mood. I work in collaboration with a compounding pharmacy.

Medicare replacement - this includes primary care for seniors (mostly) 65 and above who have chosen a medicare replacement. I have straight medicare clientele also.

Primary care for adults beyond reproduction age not yet medicare age.

Urgent Care A part of my daily schedule is set aside for same day appointment requests for skin & rashes, UTI, acute pain, Respiratory illness, and pre-op clearance.

There is a lot of misconception what I do. The distribution of my practice is evenly divided amongst the above areas. When I opened my practice I never heard of bio-identicals and subsequently that's been the fastest growing part of my practice in contrast to other areas that have seemed to plateau. The busiest times in my practice are January, February and the two weeks before public school starts.

My staff schedules patient:

Monday and Tuesday 9-3:40. I'd rather schedule through lunch first than to schedule later afternoon appointments. I stay till finished and that time can vary. On M, T, W evenings my children have heavy schedules out of the house (especially b/c the details of the karate schedule changed) and I often don't get home untill 8:30.

Wednesday 12:30ish -3:40

Friday- varies from all or none depending on the season.

Note: these times aren't office hours. They are the times my staff can schedule for me. Other requests by special arrangement. (Staff clarifies with me on my day-to-day schedule.)

I've done my best to bring honesty and integrity to medicine within my practice (and beyond with my writing). I try to speak boldly on topics allowing families and couples to make personal choices. My focus and interest is on areas where there is little understanding amongst other health care professionals and others in general.

It will be interesting(?) to see how my practice changes over the next years.

1 comment:

Christy said...

Learn something new everyday ... I've never heard of bio-identicals before. I didn't know you do primary care for seniors either.

To my family, you're Alex & I's primary doctor, who does it all. We're thankful for you and your staff. Especially for the time you take explaining things and helping us make more informed decisions.

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