While I generally try to make blog entries on a unified topic, here's another split one for two days in a row.
Yesterday I wrote on a "well child fair" that our practice was doing. I'm happy to say during a 2 1/2 hr period yesterday 12 kids were screened for growth/development, vision, hearing, and updated on immunizations. The nurses felt pretty good about it, although they noted some room for improvement in efficiency. For my part, I felt very able to focus on true well child issues and not distracted by more acute problems that seem to be frequently brought up during other well child visits. I think we provided a wonderful service especially to the 11 year old kids by seeing them for a full visit instead of just sneaking in their immunization before they started sixth grade. Seeing many kids from this age group certainly made me appreciate the obesity epidemic on a whole new level.
Unrelated, I'll be flying out of the northwest today to head to the other Washington for the wedding of a medical school friend. It'll be a chance to see a few old classmates who have taken far different paths in their life than I have. Nephrologist, cardiologists, anesthesiologists, but I stand as the lone family doctor. Once more, they have become ingrained in the urban specialist driven medical culture while I'm this simple country doctor and certainly somewhat of a cowboy by their standards. It will certainly be interesting to compare notes.