Let's start here with answering some of the most common questions I am asked:
Who is 'Living Water Adult Family Practice' and What is a Nurse Practitioner? How are you trained? Are you a Doctor (MD)?
No, Nurse Practitioners are not medical doctors (MD). However training is similar to MD's but our title is 'NP.' We have a Masters' degree and go through rigorous training. I have more than 25 years as a registered nurse (RN) and Master's degree in advanced medical care with rigorous training in theory and practice. I also trained with an internal MD for ten years while going through school.
Many people are not aware that I as a Nurse Practitioner in Oregon, can provide all of your medical needs as your independent primary care provider. I do not hospitalize patients however I have an agreement with the local hosptials for inpatient stays. So, who am I? I am a Nurse Practitioner, your partner in health care. Because I'm an 'advanced practice nurse' my model of care is based on the individual, not the disease and I partner with you to give you the best care possible, and I am not only a primary care provider, but your patient advocate. I also provide all of your medical needs with referrals as necessary, as any other provider might.
What kinds of services do you provide?
Primary care Physical exams, ODL exams, well-women care, well-men care, dermatology procedures, diabetes management. Management of most simple and complex medical needs including hypertension, arthritis, emphysema, asthma, sleep apnea, name something! I am not only your patient-centered 'home base' if you will, I ame able to refer as needed to specialists as needed, just like any other primary care provider. Urgent Care Urgent care visits may be brief - or not. Most of the time I can schedule your visit within 24 hours or less. I depend on my patients to call the office as soon as possible if they are unable to keep an appointment so that I can see patients in need of an urgent visit. Education Bringing you the latest medical updates and helping apply them for my patients requires that I am occasionally out of the office attending teaching seminars. Even in seminars, I remain on call as your Nurse Practitioner and will be available even then. I provide education for our patients, individually and in groups. Recipes Recipes will be updated from time to time with new and exciting foods. I encourage you to submit recipes and I will publish them here with your permission. Healthy Living Society bears a lot of responsibility for our health. The majority of parents encouraged us to eat our vegetables but beyond that, they were not trained to teach us healthy living habits. Thus, our generations have seen fast foods, convenience stores grow and become the norm of our way of living. Part of the education process, individually and in groups will be tips on healthy lifestyle changes from diet to exercise to emotional well-being. Also, grown ups bear part of the responsibilty by accepting or denying these food choices. Ah, you can't deny that quite quick. However I can say there are medical conditions that imitate poor lifestyles. Dermatology procedures Hard to get into a dermatologist for routine skin exams and liquid nitrogen treatments? For routine skin evaluations and "spot removals" I can have you make a special appointment just for that. For advanced dermatology needs I can send you to a participating provider. Tobacco Cessation For those who wish to quit smoking yet are having trouble with quitting, I have guidance and are your cheering section. I will work with you at your pace! There are some exciting changes in the way we think about treatment, and it does not include more pills. Weight Management Maintaining your weight is sometimes a struggle, particularly through the stages of life. Pre-pregnancy, post pregnancy gain, mid-life weight gain, and peri and post menopausal weight gain are some of the issues for women. For men, healthy eating patterns are often a challenge and may begin in childhood. I will help teach you principles of weight management across adult lifespan that will help you keep fit. I will also address the reasons why weight may be difficult to maintain for individuals with various medical disorders such as sleep apnea, thyroid dysfunction, PCOS and diabetes. Diabetes Management
Basic diabetes management is managed in the office by me. Complimentary and Alternative Medicines I believe in the right of an individualís desire to maintain their health with traditional medicine and alternative medications including vitamins, minerals and herbals. I heavily rely on the NIH for up to date information. Associations I am nationally board certified through the ANCC and am a member of the Society of Hospital Medicine and the AANP (American Association of Nurse Practitioners).
How are you licensed?
Through the State Board of Nursing for advanced practice, and Board certified with national exams, recognized by all major insurances and credentialed locally with Mid Rogue Independent Physicians and CareSource, Family Care and nationally by Medicare as primary care providers.
How do I pay you?
Bring your insurance information with you to your visits and especially with any change in insurance. Your insurance is billed just like any other provider. Because I am not aspecialist (i.e. a surgeon, rheumatologist, endocrinologist, you get the idea) your co-pay if you have one, will be the same as any other primary care provider (i.e. Family Physician). Don't forget to look at the SYNAPSE page. This has some exciting new information on affordable health care.
If my Doctor retired or moved, can I come to you as a patient?
Absolutely. Give Living Waters Family Practice a call and schedule an appointment. If you read this on a Saturday, just leave a message for the receptionist and he or she will return your call on Monday. If you have a medical emergency of course, please go to the hospital right away!
What if I get sick on the weekend?
Remember, I am on call 24 hours a day. You can reach me the on call after hours phone at 541-450-4520. This number is not for narcotic refills or scheduling.
A WORD ABOUT THE PHONE SYSTEM: ITS BETTER! A WORD ABOUT ELECTRONIC MEDICAL RECORDS: Because of new healthcare legislation, we are mandated to use secure but convoluted computer systems (in fact, all providers) that are now at the whimsy of your insurance company or Medicare or OHP. All providers now face fines for not having this in place. It has been a frustrating and burdensome transition for me to learn a system and waiting times in the lobby have become untenable. You will find this going on in every practice. Please call the office an hour before your appointment and simply ask if I am on time. I appreciate any condolances for my loss of freedom in your health care, it's tough arguing with Congress and your insurance fitting in the room at the same time...
Providing Health Care for the Whole Person
Living Waters Family Practice 181 NW Bunnell Ave Grants Pass, Oregon 97526 541-474-9400