On the Road and at Home in Maine: I Do House Calls


One Morning in Maine (that’s a famous children’s book, at least locally), I set off to my new office in Presque Isle. There is a fairly dense fog as I leave the house at 7:30. I usually don’t have to leave this early, but on this day I am scheduled for a mask fitting, with COVID still a close reality. 

I didn’t want to go through Caribou in the morning traffic on Route 1 to Presque Isle with lots of stops for red lights, so I am following the Grimes Road along the northern shore of the Aroostook river to Fort Fairfield. As the fog slowly lifts, I see more and more of the river and the foliage. I pass Rocking S Ranch, where there are groups of boarded horses eating round bale hay in the nearly barren fields. My own horses probably wouldn’t eat round bale; I left them munching on second cut hay, an almost rare delicacy here in northern Maine. 

Going from Fort Fairfield toward Presque Isle, I don’t turn right on my usual weekend shopping road that would bring me past Lowe’s to a fairly busy part of town, but continue past Amish country with more horses in the fields and some shackled to buggies standing outside the farm houses. In Easton I turn right and eventually pass the small hospital in Presque Isle and then turn onto a side street before I even see the very first traffic light on my journey and I actually arrive at the office in less time than if I had taken the busiest road through town.

My first house call for the day is an hour away, close to Houlton. I see Edwin Starks, a man with multiple medical problems and spotty medical care. Halfway through our one hour initial visit I know that he had been misdiagnosed and that he suffers from an iatrogenic condition (an avoidable disease caused by his previous providers’ misguided medication choices).

Read the whole post;

https://acdw.substack.com/p/on-the-road-and-at-home-in-maine

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Osler said “Listen to your patient, he is telling you the diagnosis”. Duvefelt says “Listen to your patient, he is telling you what kind of doctor he needs you to be”.

 

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