No Choice But to Move On

It’s been three years. Three years of sanity, three years of road trips for house calls, instantly learning more about each patient than you could ever learn in an office visit, making friends with their dogs and having all their cats climb into my leather house call bag, three years of virtual visits from home with the dogs sleeping at my feet. But it is all coming to an end very soon. Read on and I’ll tell you…

The nitty gritty details are for my paid Substack subscribers. I need to figure out how to level the reader playing field for my WordPress subscribers.

Here’s some more from behind the Substack paywall, telling more of the story:

A couple of weeks ago, I found out that our practice lost its contract with our major (insurance) payer. Without them, we couldn’t possibly continue operating in Maine. So by the end of the year, our practice will cease to exist. My hours are, as of Monday, reduced from full time to 0.8 full time equivalents and I am slotted to go down to 0.6 FTE by November 1.

In the coming days, my quit date with Galileo and start date with two of Northern Light’s primary care offices in Caribou and Fort Fairfield will be nailed down. Each one is about 10 minutes from my house, so my driving will go from one extreme to another. My home territory with Galileo, Aroostook County, is as big as Connecticut and Rhode Island combined. And since last November I have also been serving, mostly remotely, the Bangor market which stretches 80 miles west, south and east of our Bangor office.

https://acdw.substack.com/p/no-choice-but-to-move-on?r=254ice&utm_campaign=post-expanded-share&utm_medium=web

1 Response to “No Choice But to Move On”


  1. lcorbu's avatar 1 lcorbu September 26, 2026 at 7:35 pm

    Good luck Dr Duvefelt. The patients are waiting for your expertise and devotion.


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I just realized none of the posts show on an iPad or a computer, but they do show on an iPhone. WordPress is working on this. In the meantime, please visit my Substack.

 

 

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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