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Monday - slow start to the morning, Picked up in the afternoon. 27 patients total. Even though I took the Crew for lunch, to sendoff our Nurse Practitioner student who completed her rotation with us, Mondays for the past year. A lot of the 'Summer Cold' cough and congestion with low grade fever - NOT flu. Drug Screening. Otitis media and otitis externa. One with a chronic tympanic membrane 'flap perforation' from blowing nose too hard. Nursing Physical and PPD placement. Abscessed tooth. Male Hormone Replacement Injection. Pharyngitis with laryngitis. Plantar Fasciitis. Insomnia. Mood Disorders. Left rib contusion with costo-chondral ligament and intercostal Muscle strains - rule out fracture. Re-assess new MRI showing healed left lateral femoral condyle fracture. Sports Physicals. Med refills. Seekers who do not realize that the Georgia Prescription Drug Registry reveals the 3 MP's : multiple Providers, multiple Prescriptions, and multiple Pharmacies, and the 4rth MP - we are Prohibited from providing them More medication. Left Arm restricted Range of Motion c/c Rotator cuff injury - declined MRI,referral, will trx conservatively x1 week, then see back. Repack Diabetic Ulcer I&D. Post MVA recheck, and work clearance. Hypertension and Hypothyroid Management. Asthma management. Heading to Judo. ... See MoreSee Less

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Sunday 15 patients. 3 in the door at opening. 3 in the door at closing. Sub-acute Hypothyroidism. UTI with Renal calculus and Pyelonephritis. Refractory Hypertension. Otitis media with Otitis externa from water-ski camp. Uncomplicated UTI. Med refills. Adult ADD/ADHD. Recheck, pull wick and redress I&D of perivulvar MRSA abscess. DOT physical. Electrofulgaration of nevus, and general skin check. Recheck and repacking of granulating diabetic Ulcer. Paraonychitis. Elizabeth drove up with keath, and we spent the Afternoon and evening, in Dahlonega, touring the town square, and having dinner. ... See MoreSee Less

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Busy Saturday, even after the rain came in. 20 Patients in clinic. A rush on the door at opening, another rush after 12 noon. DOT physical. Recheck of Right S2 dermatome shingles, improving, but pt. wanted more Acyclovir cream. COPD Exacerbation. Lumbar-sacral back strain while lifting on the job. Verrucus electrofulgaration left submentum below lip. Poison ivy. Wasp Sting with localized Anaphylactoid Allergic Reaction. I&D of Right peri-vulvar follicular MRSA Abscess. Single use razor blades only please. Repack Diabetic Ulcer, gaining slowly. Excoriative, erythematous chafing exanthem on Right flank. Arm & Hand /c Ulnar neuropathy & carpal tunnel syndrome. Acute panic attack in anxiety patient treated yesterday. Asthma exacerbation. Med refills. Candida Balanitis with secondary cellulitis in Diabetic. Chronic Paiin management. Chainsaw multiple laceration repairs to Left forearm. Pharyngitis, Sinusitis, Bronchospasm, and RAD masking as a 'summer cold'. HTN management. Heading home. Elizabeth saw Iain off at the airport to train Judo in Korea. Should have the evening free. ... See MoreSee Less

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Friday. Busy until 4:00 PM, then quiet until 6:15 PM with a small rush. 31 patients. Started with a hospice check on a long term COPD patient. Several Sports Physicals. Weight Loss x3. Plantar Wart excision and electrofulgaration off Left Great Toe Pad. Fatigue. Urinary tract infections. Pain management. Anxiety Disorders. Insomnia with PTSD. Hypertension management. Med refills. Several with Noncompliance. Chronic pain. Several Pharyngitis with Broncho-spasm. Isolated Crop of Vesicular Lesions on Erythematous base with proximal cellulitis on volar arm. Lab consults. DFAC's Drug Screening. Hospice patient deceased. Sharp debridement and repacking of Diabetic ulcer. Heading home to light Candles Will say Kaddish. No Judo tonight. Iain has to pack. He is leaving for Korea tomorrow mid-day, for a week of Judo Training at Kyung-Min High School and Yong-In University. ... See MoreSee Less

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Thursday Slammed in the clinic after 11:45n AM. 39 patients for day. Housecall and another COPD Hospice consult. Gout. Pt. with diabetes and Chronic Idiopathic Hives and Urticaria, referred to Rheumatology. FAA Basic medical Flight Physical. Gastroenteritis. Med refills and change of PCP consults. Dog bite, multiple small lacerations, repaired. Malignant High Blood Pressure and noncompliance, Hypertension management. Oral Birth Control. Partial suture removal and recheck of head Laceration repair. Strep Throat with early peritonsilar abscess. Infected ingrown toenail removal. Hot olive oil in a left eye causing traumatic subconjunctival Hemorrhage. A half dozen Sports physicals, Camp physicals, DOT physicals. Rhus Dermatitis. Tick Bite Prophylaxis. Another handful of summer colds. Shingles in Right S2 dermatome, very tender region. Fatigue and headache with mid-epigastric pain - noted a couplet dysrhythmia - sent for stress echo. Chronic fatigue. Resolving shingles, and noncompliance, leading to herpetic neuropathy. More gout. More chronic pain. Recheck on Hospice patient at home. Heading to Judo & Jiu-jitsu. Late. ... See MoreSee Less

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Wednesday moderately paced. 27 patients. Hospice called to relate the death of a long term COPD patient. The family was understandably upset, even though the end was predictable, and calm. A half dozen PSBR cases - a summer cold that has gone to great lengths to make inroads in the community. Left Shoulder impingement. Insomnia. A half handful of Sport physicals. School starts again in 3 weeks. Hypertension management. Med refills. Recheck on thumb amputation and flap over - healing well. All final sutures removed. Drug Screening. One DOT physical. Lunch break with the crew of Custom Coach - picked up the 1976 Lister Jag. Right foot pain - rule out gout. Electrofulgaration of thumb pad wart. Otitis Media. Repacked Diabetic Ulcer. Weight Loss. Non-strep Pharyngitis. Then just after closing - Left 5th finger crush injury, and Right shoulder 4rth degree AC separation - repaired several crush lacerations, and small tuft fracture on finger tip splinted. Shoulder placed in sling and pt. referred to Ortho for surgical repair. Headed to pick up Iain and do a Judo & Jiu-jitsu work out. ... See MoreSee Less

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Tuesday. Fast and slow. 27 patients. First of the day was a housecall on quadriplegic patient with multiple medications. Recheck on Greater Occipital Nerve ablation, pt. is now pain free. DOT Physicals. A half dozen Sinusitis with bronchospasm. A half handful of ear infections. Arthritis and tendonosis in the wrist. Asthma exacerbations due to the heat. Two cases of heat prostration. Hypertension management. Weight Management. Diabetes management. Staph folliculitis on a buttock. Drug Screening. Mood Disorders with anxiety. Rhus Dermatitis. Male hormone (low-T) replacement. Vaginosis. Staph folliculitis in the scalp and beard. Last case of the day was a recheck from the weekend on a drug induced tachy-dysrhythmia, now controlled by propranolol. I provided written clearance for them to enter rehab. The patient then proceeded to nod in the office from a drug they had taken just before coming to clinic. They collapsed while trying to leave, and were resuscitated with Narcan, Epi, and Oxygen. Once again lucid, the patient insisted on leaving, no ambulance, no hospital. The friend drove them both away. I am heading to Judo and Jiu-jitsu. ... See MoreSee Less

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Monday. Flew in from Grand Rapids last night. The four days I was gone were steady with about 15 patients daily. Today we were back up to standard. 40 patients. Two had infections in teeth and gums, and an uncomfortable or painful Parotitis. Purulent discharge milked from the parotid duct. Hammer laceration (superficial) right supra-orbit. Perineum with small, draining follicle abscess, treated conservatively with oral abx, no I&D. Pyo-effusions in ears behind Tympanic Membranes, with fever, affecting hearing. Hypertension management. Fatigue, weight loss, diarrhea, x1 month in long time smoker - running labs. Two patients with End-Stage (terminal) COPD - now in respiratory crisis with anxiety - hospice sent to one, arranging home visit for the other. Hemorrhoids. Tetanus Injection. Work excuse for ectropion & corneal lesion. Sinusitis with Otitis x4. Chronic pain. Nailplate avulsion and foreign body removal. B-12 injection. Hormone injections. Med refills. Tricare GYN Referral. DFACs Drug Screening. DOT physical. Diabetes management. Insect Bite. Smoking cessation. Diabetic Ulcer repacking. Follow up from Hospital after IV repletion from Heat prostration and dehydration. If Working in the sun in Georgia in the Summer, stay hydrated, drink constantly. Tinea Corpus. Plantar Fasciitis, and old hairline metatarsal fracture. Anxiety, Mood and Affective Disorders. New onset and re-onset Hypertension. Heading to Judo. Have a house-call on Quadriplegic in the AM. ... See MoreSee Less

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Wednesday, July 4rth, a dozen patients in the hours between 10 and 1. Phone rang off the hook. Four Urinary tract infections. Malignant Hypertension. Med refills. Weight Loss. Three with sinusitis, otitis, and pharyngitis. Heading home then to Donal's. ... See MoreSee Less

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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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