Now I am posting as Dr. Koe!

For all who come to my clinic I am letting you know I will be out of the country for 2 1/2 weeks!  I am going to Brazil!  I will leave on Wednesday of this week and come home Sunday, January 22nd.  Judith and Brandi will be available to take care of everyone’s needs.

Over the last year I have been doing a tremendous amount of administration duties and I am ready to stop!!  I am going to hire a scribe as I have had in the past who helps so much to keep notes up to date.  My CRNPs will be seeing fewer patients and I will be seeing a full load again!!  I am so happy!!  I miss seeing as many patients as I used to!  I am feeling better physically as well due to starting medications this year for RA. Dang!! But work it more important to me and functioning is VERY important to me!!  We will be working on many projects this year including restarting diabetes group visits, starting group visits for those how have metabolic syndrome (definition below), working toward starting DPC (definition also below), re-invigorating our library, starting farm classes for fermented foods and permaculture, as well as improving patient care, patient communication through our patient portal and patient satisfaction!!  A lot to work on!!


Metabolic syndrome short definition

Several organizations have criteria for diagnosing metabolic syndrome. According to guidelines used by the National Institutes of Health, you have metabolic syndrome if you have three or more of these traits or are taking medication to control them:

  • Large waist circumference — a waistline that measures at least 35 inches (89 centimeters) for women and 40 inches (102 centimeters) for men
  • High triglyceride level — 150 milligrams per deciliter,(mg/dL), or 1.7 millimoles per liter (mmol/L), or higher of this type of fat found in blood
  • Reduced high-density lipoprotein (HDL) cholesterol — less than 40 mg/dL (1.04 mmol/L) in men or less than 50 mg/dL (1.3 mmol/L) in women of this “good” cholesterol
  • Increased blood pressure — 130/85 millimeters of mercury (mm Hg) or higher
  • Elevated fasting blood sugar — 100 mg/dL (5.6 mmol/L) or higher

Metabolic syndrome long definition!

DPC, direct primary care definitions

After reading the wikipedia definition, as they have to put in the pros and cons, many DPC physicians offer ways to use an alternative to catastrophic health care and most of the time people do not pay more but pay much less for health care.  The major issues is that if you still cannot afford a catastrophic plan the DPC plan does not qualify as health insurance for tax purposes.  But it dose offer a way to talk to an MD when one has not health care at all as there are still millions who have no health care in this country.  In the state of Alabama, the medicaid program suffers due to the state not accepting help from the federal government.

Our states very first DPC physician is in Fort Payne Alabama and I have met him!!  His name is Chad Williamson!  I am very excited to say we may be able to work together one day.  I will include his link below.  Some might say why would I put my competition on my website but he and I both know that there are many people out there with no physician and we would not be competing against each other but helping introduce people to a new form of health care.  There are too many people who need help. One MD can only take care of about 600 patients under this system!  There are so many more who don’t have health care!  I am excited because out of the whole state Chad came to Fort Payne which is only 2o minutes from me!  That just seems ironic!!

Dekalb MD, DPC in Fort Payne, Alabama!


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