A Country Doctor Writes

MAY 18, 2025

There, as medical director, I had a friend and ally in the behavioral health director, and both our departments underwent years of rapid growth. The organization now employs a single psychiatric nurse practitioner for medication management. A Country Doctor Writes: is a reader-supported publication. No counseling is offered.

Primary Care 130

Primary Care Patient-Centered Nurse Practitioner Primary Care Doctor 130

GeriPal

JULY 21, 2022

Emmy: But we know that physiologic changes with aging, like decreasing night vision and so forth, as well as medications, as well as medical conditions, can all affect whether you can drive. When you think about getting your groceries, going to doctor’s appointments, going to religious services, if that’s important to you.

Families 102

Families IT Family Diagnosis 102

GeriPal

MARCH 24, 2022

I worry, as a ex-primary care doctor, how much time I have. So I do think it often does happen that younger adults appoint a surrogate when they engage in estate planning, for example. And I don’t think necessarily, that appointment needs to be a medicalized process. It created a lot of challenges.

Illness 73

Illness IT Healthcare Patient-Centered 73

GeriPal

FEBRUARY 6, 2025

We have two new FDA-approved medications that reduce that amyloid buildup and modestly slow down the progression of the disease. So, the question becomes, what, if anything, should we do differently in the primary care setting to diagnose the disease? How should we screen for cognitive impairment? Great to be back.

Primary Care 96

Primary Care Diagnosis Screening IT 96

Family Medicine Initiative

APRIL 10, 2024

Family medicine is neither the most prestigious nor the highest paid medical profession. As a general practitioner and primary care researcher, it was always fascinating for me to delve into the scientific literature to investigate this issue. Is that appropriate, or should it be the opposite? Over time, more trust develops.

Family Physician 130

Family Physician Families Family GP 130