David Mitchell
Joe M.
You struck a bit of a nerve with me - but sort of backwards.
I can recall so many times, hearing my Dad carping about how "Medicine" (the practice - the field) was changing. His complaint was about the trend of closing small practices (like his) and being absorbed into larger medical corporations - brougth about partly by the health Insurance companies and their complex legal and paper work requirements.
But your problem is two-pronged. Part of this equation is that your Doc is getting old (so are some other people I know). My Dad woke up one Thanksgiving morning about 1988 with a full-blown stroke. He was 79, and stilll going full speed with a full-time private practice, the Allergy Clinic at Ohio State, Buckey Girls State Reformatory (once a week Allergist), and a part-time voulnteer job as Allergist to one of those charity agencies in poverty stricken Jackson, Ohio.
But as of that day he simply could not go on practicing - period.
Some of his patients switched to his partner, many had to move on and find someone else - like you.
But get this. The authorities at Buckey Girls Girls State (somewhere up north of Delaware) would not release dad from his contract for 3 months. Since he could not drive himself any longer (lost all sense of directions) I had to keep driving him one night a week to see girls for their allergy appointments.
Here is the interesting part. His reasoning was sharp and logical, he could converse with them about their conditions, read their histories, and write correct prescriptions. But in the car, 30 minutes later, he had no recolection of the visit. And his stroke was litterlaly one sided. Certain functions were clear as a bell, others were completely gone. (He could see straight ahead, and to his right, but not to his left)
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I just had an episode that caused me to a open a discussion about a "forbidden" topic with my three grown children, and you just touched a part of it with your post. The topic is "End of Life" preparations.
Time to have this discussion with your kids.
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