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Monday. 32 patients. Rain came in fiercely right at closing. Folliculitis. Tricare Pulmonology referral. Pharyngitis and Sinusitis. Left otalgia and injected Tympanic Membrane. Hip and Knee pain /c Multiple Co-morbidities, weight loss, and insomnia. Viral Syndrome. Upper Respiratory Tract Infection. Testosterone replacement. Medication renewals. Sinusitis with Otitis. Follow up on Olecranon Bursa effusion I&D with packing, pulled wick, draining well. Axillaryy Staph lesions with Folliculitis. Single use razor blades folks. DOT Physical. Right arm strain. Follow up on nuchal Scalp sebaceous cyst I&D - pulled wick redressed scalp. Several in-depth Internal Medicine cases /c multiple complaints needing addressing. Persistent cough. Erosive Gastritis. Heading home. ... See MoreSee Less

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Sunday - Strawberry Full Moon and Father's Day. 15 patients. Three right at closing. A few with the Reactive Airway cough - post infection, a few /c active Sinus and Respiratory congestion and the racking spastic cough. Bilateral Knee Chondromalacia - injected. Immediate relief. Med refills. Two fingers sliced by a carving knife, dorsally over middle phalanges, just rostral to PIP jt. No extensor tendon damage. Repaired. Recurrent Elbow effusion, infected after self-drainage, I&D'd & iodoform wick placed for drainage, started on antibiotics. Bladder and Kidney infection. Follow up & pulled wick from Dog Bite Multi-Laceration repair, extended abx coverage for Pasturella Multocida. Tetanus Vaccine update after fall off porch & abrasion. Gastritis & Reflux in Liver transplant patient. Multiple contusions and abrasions on legs.after fall in garden. Follow up Arachnodermonecrosis I&D, now granulating well, released to home care daily, and wet to dry providone dressing. I&D Infected sebaceous cyst midline nuchal scalp, gotta wash those hat bands guys. Heading Home, then to the Gym with Iain. Relax tonight with Champagne, Saki, Sushi, and Cigars. ... See MoreSee Less

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Saturday. Saw the Bigs off to New York on an early Flight. Went into clinic early to catch up on charts. Ambushed in the parking lot - 29 patients on the day - 8:30 AM plantar wart excision, then 4 more patients before we opened at 10. Then 8 in the door in 10 minutes. Multiple Bee stings with localized redness, swelling, cellulitis. Lower Right abdominal flank pain, ruled out appendix, appears to be intermittent diverticulosis. UTI, and Polyuria in Diabetes, with volume depletion, blood pressure instability, and presyncope - advised to come into clinic by the paramedics - normalized with a liter of lactated ringer's and IV Rocephin, sent home on PO meds, and told to drink more fluids, avoid caffeine. Multiple Dog Bites to R hand, repaired, tetanus and antibiotic prophylaxis. DOT Physical and Drug Screen. Tinea Versicolor. Weight Loss and Weight Maintenance. Painful Diverticulosis flare up. New onset of an Allergic Reaction to Bactrim. F/U #4 for R forearm I&D of large Arachnodermonecrosis - now granulating. Med refills. Patient with Bed-Bug or Chigger Bites all over torso Trombiculidae vs Cimicidae. Left-side Low Back Pain /c Sciatica responded to L4,L5,S1 injections. Low T3 Syndrome, Thyroid Management, Rule Out Hashimoto's Ds. Cramps & Gastritis. Flare of Herpes Simplex. A handful of Sinusitis with Bronchospasm. Lab work adjustments. Heading Home, then the Gym. Will try to find a Jazz Club tonight, under the Strawberry Moon. I heard there was a new one in Cumming, 5-Boroughs. ... See MoreSee Less

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Friday. 26 patients. The aches, chills, fevers, sinus drainage, and relentless coughing bug continues to make its rounds. A half dozen patients so afflicted. A half handful of burning Urinary Tract Infections - dehydration working out of doors seems to be the culprit. DOT Physicals. Camp Physicals. Left Elbow swelling, Olecranon Bursa with warm, red, fluctuant effusion, drained 38 cc of sero-sanquine fluid. Sinusitis. Strep Throat. Med refills. Disability parking. Friction Blisters on palms from swinging on Monkey Bars. Poison Sumac. Weight Loss. Mood Disorders. Muscle Spasms and Myalgia. Chemical Conjunctivitis. Recheck, pull wick, and repack infected, necrotic, spider bite, now healing. Ascites Fluid Cytology shows Atypical epithelial cells. Awaiting blood labs. Referral to Imaging, and Heme-Onc. Boys are only home one more night. Looks like it is home for game night at the Berliner Internet Cafe and Lounge, formerly our Formal Dining and Tea Room. ... See MoreSee Less

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Thursday. Sunny. 7:30 AM housecall on quadriplegic patient. Finished out at 24 patients. R anterior costal margin pain x1 year, non-traumatic, has seen many doctors, specialists, had benign imaging. Appears to be erosive gastritis and referred Costo-phrenic nerve pain. Gout flare Left great toe. Croup style cough, congestion, stridor. Med refills. DOT Physicals. County Fire-fighter physical. Gastritis. left Pyelonephritis r/o nephrolith. Recheck and remove steri-strips from x2 Sebaceous cyst I&D's. Recheck #2, repacking of I&D R forearm Arachnodermonecrosis with secondary MRSA infection. Improving. Malignant/Refractory Hypertension. Anxiety. Diverticulitis Flare. Left posterior rib contusions r/o fx. Uncontrolled blood pressure & serum glucose in DOT exam. Referral for MRA of hip. referral for MRI of 5th finger boutonniere deformity. Heading to Judo & Jiu-Jitsu. ... See MoreSee Less

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Wednesday. Threatened to storm all day. Wind and overcast, but no rain. 33 patients. Gout Flare R wrist. Recheck of largely healed leg laceration. Recheck of distal radius fracture, still painful in cast, but patient is using arm, lifting, and carrying, and not wearing sling. Pull wick & repack I&D of infected insect bite R leg. Vertigo with otalgia. Tonsillitis. DOT physicals. A handful of Pharyngitis, Sinusitis, Bronchospasm and Reactive Airway cases, wet rattling coughs. Allergic Reaction and angioedema from Bee sting. Recheck, pull wick, and repack I&D of large Arachnodermonecrosis R forearm - tissue sparing debridement. Diverticulitis vs. Infectious Gastroenteritis. Med refills. Sports physicals. Multiple bee stings on arms and fingers. Poison Ivy (Rhus Dermatitis). Insect bite with superficial secondary infection and rash. Cored center foci, and treated conservatively. Right leg laceration repair. Constipation with obstipation and cramps. Neck pain and Anxiety. TB testing. Thyroid labs. Asthma and COPD exacerbations. Heading to Judo and Jiu-Jitsu. Hamstring is still tender, no rumbling. ... See MoreSee Less

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Tuesday Started slow. PT session at 7 AM. Replaced the Hot-water heater. Then folk didn't start coming in until about 11AM. Finished out at 40 patients. Epstein-Barr Virus follow-up, just needed reassurance. A half dozen or so of this nasty Summer cold that resembles Croup - with severe Bronchospasm and draining sinuses. I&D of infected 'Wen' (sebaceous cyst) on left posterior scalp /c purse string repair. 10 large skin tags removed from R axilla and Back. Tarry Black Melena r/o blood in stool (was just Peptobismal). Gout in Left wrist. LS strain treated conservatively. Tricare referrals for Breast enhancement, and ADHD. I&D of left forearm with severe Arachnodermonecrosis /c secondary MRSA infection. Debrided extensive necrotic tissue, packed wound. Travel plans follow ups for respiratory issues. Cardiac insufficiency follow up. DOT and Sport physicals. DOT and personal Drug Screens. Pt. /c myalgia experiencing Mood Medication withdrawal symptoms - resumed prescription. Med refills. Urinary tract infections. Sinusitis. Optometry referral. Molluscum Contagiosum. Eczema. Lake Lanier Larval Migrans. I&D of dorsal wrist Ganglion cyst /c purse string repair. Migraine. Mood Disorders. Chronic pain. Candida. Chronic Cough. Heading to Jiu-Jitsu and Judo. Kell and Ari can teach Judo tonight. . ... See MoreSee Less

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Our Hours

Monday-Friday 8:30am-6:30pm
Saturday-Sunday 10am-3pm
After hours by arrangement

Contact Info

(706) 265-6866
Emergency Contact number:
(770)699-1800
2395 Thompson Rd.
Dawsonville, GA 30534

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Patient Information Sheet
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