Latest / One on One With a Professional / MEDCLUB BARTLESVILLE
Transcript
- 0:02Speaker 1: Good morning, Good morning, good morning, and welcome to ask
- 0:04Speaker 1: the doctor. And the doctor is Carrie Williams with med
- 0:07Speaker 1: Club Barteles Direct primary Care. Some folks have heard it,
- 0:10Speaker 1: but they don't know exactly what it means, but it
- 0:12Speaker 1: pretty much means what it says.
- 0:13Speaker 2: It does. It means that that patient contracts directly with
- 0:17Speaker 2: that position for primary care.
- 0:19Speaker 1: And you do that at med Club Bartlesville, right here
- 0:22Speaker 1: in Bartlesville, across from Jimmy's Egg on seventy five.
- 0:25Speaker 2: Yes, and we've been doing it in Bartlesville since twenty seventeen.
- 0:29Speaker 1: Now, this is kind of a cool model. It's something
- 0:31Speaker 1: that got started really up from Kansas, didn't it. It did, Yeah,
- 0:34Speaker 1: and this is it started kind of when Obamacare was
- 0:37Speaker 1: coming about and people were looking for different ways to
- 0:40Speaker 1: you know, affordable see a doctor and make it work
- 0:44Speaker 1: not only for the patient, but for the doctor and
- 0:46Speaker 1: for the health of a community.
- 0:47Speaker 2: As a matter of fact, Yes, and doctors are a
- 0:49Speaker 2: lot happier because they're not dealing with a lot of
- 0:52Speaker 2: insurance companies and administration. No.
- 0:55Speaker 1: In fact, you have one monthly fee and that takes
- 0:58Speaker 1: care of a lot of things. Doesn't take care of everything,
- 1:00Speaker 1: but by guy. He takes care of a pretty good
- 1:02Speaker 1: swath of it.
- 1:03Speaker 2: It does, and you know what to expect. There's transparency,
- 1:08Speaker 2: Oh yeah, very much.
- 1:09Speaker 1: So it's all right there in black and white. Plus
- 1:10Speaker 1: you'll tell.
- 1:11Speaker 2: Them too, yes. And also at Nick Club, we offer
- 1:14Speaker 2: discounted labs and prescriptions and you know how much you're
- 1:17Speaker 2: going to cost before you leave.
- 1:19Speaker 1: My goodness, sakes, so all of the mystery is taken
- 1:22Speaker 1: out and you can get down to medicine. Yes, Oh,
- 1:26Speaker 1: how rare is that?
- 1:28Speaker 2: That is very rare in our medical climent today?
- 1:31Speaker 1: Oh my goodness. You know, I was taking a look
- 1:34Speaker 1: at some of these facts and figures here. Whenever I
- 1:38Speaker 1: need a medical constitation or looked at it for anything
- 1:42Speaker 1: I call, I'm either there that afternoon or the next day.
- 1:47Speaker 1: We try very hard, ninety nine times out of one hundred,
- 1:50Speaker 1: but going the traditional route, we got some late times
- 1:54Speaker 1: that are kind of I wasn't aware, and I'm glad
- 1:57Speaker 1: that I didn't go that route.
- 1:59Speaker 2: Well, introduce practices. Yeah, there's nearly a thirty day wait
- 2:04Speaker 2: to get an appointment, and as a new patient will
- 2:07Speaker 2: be even longer. And if you go to a specialty clinic,
- 2:11Speaker 2: it'll be over thirty days, more like thirty five or
- 2:14Speaker 2: forty days to get an appointment because there's not enough
- 2:17Speaker 2: doctors in the United States.
- 2:19Speaker 1: Well, you know, I just took a look at a
- 2:21Speaker 1: chart there, and you're absolutely correct. When we talk about
- 2:24Speaker 1: primary care workforce projections, we start out with what looks
- 2:30Speaker 1: like a lot of doctors, but in comparison to how
- 2:32Speaker 1: many people there are, the ratio pardon my grammar, ain't
- 2:38Speaker 1: that great, No.
- 2:39Speaker 2: Sir, it's not. In primary care physicians they're basically what
- 2:45Speaker 2: populates rule Oklahoma, rural America, and there's not enough of them.
- 2:51Speaker 2: And because our population as a nation is growing, so
- 2:57Speaker 2: you ratio it and doctors can see so many patients
- 3:00Speaker 2: today and that limits how many patients they have.
- 3:06Speaker 1: Indeed, and when we talk about as the demand for doctors,
- 3:09Speaker 1: it's it's almost off the scale and it all comes
- 3:14Speaker 1: down in numbers. But it's nice to know that you're
- 3:16Speaker 1: here and you're abailable.
- 3:18Speaker 2: Yes, And you know, because there's a decrease ratio of
- 3:25Speaker 2: physicians of patients in the United States because of the
- 3:28Speaker 2: increase in our populations, are filling in with other medical
- 3:32Speaker 2: providers like nurse practitioners and physicians, assistants.
- 3:37Speaker 1: Now I look at family physicians. Yeah, maybe you get
- 3:42Speaker 1: six percent a year coming into the field, but the
- 3:45Speaker 1: increase is thirteen percy. Wow, kind of losing ground there.
- 3:52Speaker 2: We are losing ground.
- 3:53Speaker 1: Goodness ages a general, internal physicians, it's almost double. That's
- 3:59Speaker 1: crazy in the ratios that go on here. Nurse practitioners
- 4:05Speaker 1: in primary care there seems to be a bunch of those,
- 4:08Speaker 1: but the increase in demand is only sixteen percent. So
- 4:11Speaker 1: we've got like a little crossing there of the on
- 4:15Speaker 1: the diagram as far as supply and demand.
- 4:17Speaker 2: But it all depends what you're looking for it does,
- 4:19Speaker 2: and what that patience goals are. And one of the
- 4:22Speaker 2: questions I asked my patients with age, do you think
- 4:25Speaker 2: you're going to get healthier? And Andrews absolutely not no,
- 4:30Speaker 2: And you think your medical conditions are going to get
- 4:34Speaker 2: less complicated.
- 4:36Speaker 1: With age with age, and.
- 4:40Speaker 2: So you need someone with the experience has spent a
- 4:44Speaker 2: lot of time with patients, and it's seen a lot
- 4:47Speaker 2: of patients. By the time we complete residency, which in
- 4:50Speaker 2: family medicine is three years, we've seen a lot of patients.
- 4:56Speaker 2: We've worked a lot of hospitals, we've worked a lot
- 4:58Speaker 2: of clinics, and I did a fellowship in emergency medicine
- 5:03Speaker 2: and also can do that and am boards ordified in
- 5:08Speaker 2: hospice and pality medicine. It's so seeing that many patients
- 5:14Speaker 2: having much experience, you can kind of we through the
- 5:18Speaker 2: complications a lot more quickly.
- 5:21Speaker 1: You can now death rates. I'm just taking a look
- 5:25Speaker 1: at that because you know, I'm sixty four and I
- 5:29Speaker 1: didn't quite really care about this until he turned like
- 5:32Speaker 1: sixty two. I don't know why I was. At sixty
- 5:34Speaker 1: two was like, hey, I better check up on this.
- 5:36Speaker 1: But it's amazing here in the United States. You think
- 5:39Speaker 1: you're going to live forever, Well, none of us get
- 5:41Speaker 1: out of here alive, you know, But there are art
- 5:43Speaker 1: facts and hard numbers and real reasons why you should
- 5:47Speaker 1: really be in good hands of a position knows what's
- 5:51Speaker 1: going on.
- 5:51Speaker 2: Well, you know, with age, you know, ourselves get damaged, Yeah,
- 5:57Speaker 2: just by injury and stress in DNA mutations, and our
- 6:01Speaker 2: body has a lessoned ability to correct those problems, so
- 6:07Speaker 2: the disease processes will creep up on you, and you know,
- 6:12Speaker 2: the deterioration of the organs. In the United States, cardiovascular
- 6:17Speaker 2: disease is the number one cause of death cancer is
- 6:20Speaker 2: right behind it. So those two together of all the
- 6:24Speaker 2: deaths in the United States, contribute to over forty percent.
- 6:27Speaker 1: And a lot of times we can kind of control
- 6:31Speaker 1: the encroachment of that.
- 6:33Speaker 2: We can we can start doing preventive messions. And a
- 6:37Speaker 2: lot of people will not address their health concerns until
- 6:40Speaker 2: they have a catastrophic event, they have their heart attack,
- 6:43Speaker 2: their stroke, their cancer. They won't keep up with their maintenance.
- 6:49Speaker 2: They will spend more time on their car, changing the oil,
- 6:53Speaker 2: doing the maintenance on their car than they will themselves.
- 6:56Speaker 2: And then when the catastrophic event happens, then it's expensive.
- 7:00Speaker 1: Wait, that is that is something else, you know, when
- 7:03Speaker 1: we think that our body is what we have that's
- 7:06Speaker 1: gonna take us to where we need to go, that
- 7:08Speaker 1: the folks wait to think about their conveyances more than
- 7:12Speaker 1: you know, what's keeping them alive, what's keeping you you?
- 7:14Speaker 1: And we've got to change the mind shift here on this.
- 7:17Speaker 2: It's hard, yeah, because you have to come to groups
- 7:21Speaker 2: with your own mortality, and most people don't like doing it.
- 7:26Speaker 2: No one likes doing it. Let's do it that way.
- 7:28Speaker 2: But it's an inevitable event and a lot to die.
- 7:32Speaker 2: So let's see if we can keep the misery out
- 7:35Speaker 2: of it if we can anticipate it, if we can
- 7:37Speaker 2: ward off, we can catch things early and take care
- 7:40Speaker 2: of them.
- 7:40Speaker 1: Now. The model you have is ideal for one catching
- 7:45Speaker 1: things early and to get ahead of things. Because with
- 7:49Speaker 1: the way you're set up one feet monthly feet, you
- 7:53Speaker 1: can get checked in just about any old time we
- 7:55Speaker 1: want making the appointment. You're usually there in the day
- 7:58Speaker 1: or half a day, and you give your patients anywhere
- 8:03Speaker 1: from a half hour to an hour of your time
- 8:05Speaker 1: each time you're there in order to get things explained,
- 8:08Speaker 1: examined properly and help them help themselves in getting ahead
- 8:12Speaker 1: of the curve of what's coming ahead.
- 8:14Speaker 2: Any education of it is a lot and the understanding
- 8:18Speaker 2: that the patient has of the medical system, the system,
- 8:23Speaker 2: the system, and people go, well, that's not right, they
- 8:26Speaker 2: shouldn't do it that way. I'm sorry they do do
- 8:29Speaker 2: it that way, and we have to learn to live
- 8:31Speaker 2: with it. But we have to also learn how to
- 8:34Speaker 2: manage it. Wow and what I also have a degree
- 8:40Speaker 2: in a master's in healthcare administration to try to understand
- 8:44Speaker 2: this and to understand the system.
- 8:48Speaker 1: And break it down and put it into final English
- 8:52Speaker 1: for us common folk to how this all operates and
- 8:55Speaker 1: how it's going to affect you.
- 8:56Speaker 2: Absolutely, And for a doctor to speak English, let alone
- 8:59Speaker 2: ohe English is difficult. We've spent a lot of years
- 9:03Speaker 2: learning to speak that high pollutant vocabulary.
- 9:08Speaker 1: But the thing is is that when people are looking
- 9:11Speaker 1: for answers, they're looking for direct response in the very
- 9:16Speaker 1: direct communication. And with med Club Bartlefield, everything is based
- 9:21Speaker 1: on communication and very direct communication.
- 9:23Speaker 2: Yes, and we have several means of communication, not only
- 9:25Speaker 2: a face to face appointment time, but we text an email.
- 9:29Speaker 2: I do telephone appointments. There are time times I'm going
- 9:32Speaker 2: to really almost manage to come in because I need
- 9:35Speaker 2: to see something, examine something. But a lot of the questions,
- 9:40Speaker 2: a lot of the labrary us and things are done
- 9:43Speaker 2: via the telephone or face to face something like that. Also,
- 9:47Speaker 2: some of medicine isn't what it appears. Do tell things
- 9:51Speaker 2: like metabolic problems, they don't show up until there's a problem.
- 9:57Speaker 2: We can kind of anticipate them. Also, as a primary
- 10:01Speaker 2: care physician, I'm a gatekeeper. Most of the information comes
- 10:05Speaker 2: through me or to me, and so getting different specialists
- 10:10Speaker 2: their information and getting hospital information plus my information and
- 10:15Speaker 2: being able to put a canulative together and see trends,
- 10:21Speaker 2: see reasons, see timings of problems.
- 10:25Speaker 1: Is really important, it is, it truly is. Now how
- 10:29Speaker 1: can folks get started with becoming a member of med
- 10:34Speaker 1: Club Artilesfeld.
- 10:35Speaker 2: We'll go to our website at www dot Medclub dot clinting.
- 10:41Speaker 2: That website will answer almost every question you may have
- 10:44Speaker 2: about direct primary care and med Club. Also, there's a
- 10:48Speaker 2: page on there to sign up as a patient, and
- 10:53Speaker 2: my electronic medical record will let me know that someone
- 10:56Speaker 2: new has signed up and we will get back with you.
- 10:58Speaker 1: Very good. You offer an opportunity for folks to come
- 11:02Speaker 1: in once they've gone through that portion, come in and
- 11:06Speaker 1: just ask questions.
- 11:07Speaker 2: That's great, a free there is an appointment available that
- 11:12Speaker 2: we don't provide medical advice, but we answer the questions
- 11:15Speaker 2: about direct primary care in mid club.
- 11:18Speaker 1: Sure, so you know everything, what to expect and why.
- 11:22Speaker 2: To the best of our ability.
- 11:24Speaker 1: To the best of our ability. Now with this one
- 11:27Speaker 1: month feet that is all kinds of check ups, that's visits,
- 11:31Speaker 1: that's consultations and everything else. However, you do provide some
- 11:35Speaker 1: other service at a reduced costs, like labs do them
- 11:40Speaker 1: right there.
- 11:40Speaker 2: Yes, in our office, we have lab pick up every day,
- 11:45Speaker 2: blood work every day we're open and we do blood
- 11:48Speaker 2: work you're in and some other things like pap smears
- 11:53Speaker 2: and the contract with the lab. We also have discounted
- 11:58Speaker 2: and that is greatly discounted. And we also have discounted prescriptions.
- 12:03Speaker 2: As a direct primary care doctor, we're going to buy
- 12:05Speaker 2: a group with other direct primary care practices and can
- 12:09Speaker 2: buy purchase prescription medications that are very discounted rate and
- 12:13Speaker 2: we don't have the markup of the retail pharmacies.
- 12:17Speaker 1: Another bonus for the patient.
- 12:19Speaker 2: Yes, and for I have some patients who are who
- 12:23Speaker 2: are snowbirds to go to different states. We mail them
- 12:26Speaker 2: prescriptions that are a small fee so they it's the
- 12:31Speaker 2: one stop shop.
- 12:33Speaker 1: Works on so many different levels for so many different people.
- 12:37Speaker 2: It does, and the main thing is accessibility and time.
- 12:43Speaker 1: Time is everything. It's fun. It's something that if you're
- 12:47Speaker 1: a patient, you want someone who's able to take the
- 12:51Speaker 1: time to explain exactly what's going on with you in
- 12:53Speaker 1: a way that you'll understand it. And you can't do
- 12:56Speaker 1: that in five minutes. I've been on the receiving end
- 13:00Speaker 1: of that and it doesn't work well.
- 13:02Speaker 2: And being able to explain it having resources there. Some
- 13:07Speaker 2: people are very visual. They need to see pictures and
- 13:11Speaker 2: understand it. They need to know where certain orders are
- 13:15Speaker 2: located on their body and to understand what certain things mean.
- 13:20Speaker 2: If I poke you here and it shows up over here,
- 13:22Speaker 2: it means so and so.
- 13:24Speaker 1: Yeah. So it's great that we have that at the
- 13:28Speaker 1: time to get that that will explain. And I'm going
- 13:31Speaker 1: to tell you folks full transparency. I'm a patient of
- 13:34Speaker 1: doctor Williams It. She'lldn't even haul out the grave anatomy
- 13:38Speaker 1: and and they'll show you exactly what's going on, and
- 13:41Speaker 1: she'll tell you where to find other information so you
- 13:44Speaker 1: can do some homework on your own and really absorb
- 13:47Speaker 1: it in your own way and in your own time
- 13:49Speaker 1: as well. On top of the longs.
- 13:52Speaker 2: That's the key to medicine is understanding and there has
- 13:56Speaker 2: been an enigma to so many people and they use
- 13:59Speaker 2: great big words and getting past that. I send almost
- 14:05Speaker 2: every new patient, I will send some type of link
- 14:08Speaker 2: to a website of some kind for them to start
- 14:11Speaker 2: their learning. Because a lot of medicine has turned into
- 14:14Speaker 2: online college classes where you have to do a lot
- 14:18Speaker 2: of it yourself to get caught up and stay caught
- 14:20Speaker 2: up any things is if medical advance has changed that
- 14:26Speaker 2: is pertinent to that patient. Sometimes out of the blue,
- 14:28Speaker 2: you'll get something from me that is relevant to you.
- 14:32Speaker 1: And that's because the doctor really takes the time to
- 14:35Speaker 1: get to know each and every individual patient. You don't
- 14:38Speaker 1: have thousands of patients like other clinics do that Club Barnlsfield.
- 14:42Speaker 1: You have a set number and that's by design.
- 14:45Speaker 2: Yes, we limit our number of patients at seven hundred
- 14:49Speaker 2: and we're still accepting new patients. And in my old
- 14:53Speaker 2: practice and a traditional method, I had over three thousand.
- 14:58Speaker 1: How'd you keep track?
- 15:01Speaker 2: You have a staff, and my staff is limited where
- 15:05Speaker 2: I'm at and a lot of the time I'm the
- 15:08Speaker 2: one doing things because and more than anything that trust
- 15:14Speaker 2: for the time and the communications is built both ways.
- 15:17Speaker 2: And our phone number is nine one eight two one
- 15:20Speaker 2: four eight two zero zero.
- 15:22Speaker 1: Very good. And of course the website the all important
- 15:25Speaker 1: website to get the ball rolling.
- 15:26Speaker 2: Yes, it's www dot medclub dot clinic.
- 15:34Speaker 1: Thanks for listening to one on lunder a professional that
- 15:37Speaker 1: paid presentation in fourteen hundred K one