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