Blog

Tired of waiting?

A study from two years ago showed the following:

1. Today, it takes an average of 24 days to schedule a new physician appointment in a large U.S. city.

2. The 24-day average noted in 2017 marks a 30 percent increase since 2014, when the average was 18.5 days. The average was 20.5 days in 2009 and 21 days in 2004, according to previous Merritt Hawkins reports.

https://www.beckershospitalreview.com/patient-flow/patient-wait-times-increased-30-since-2014-5-survey-findings.html
Tired of waiting?  What about tomorrow? Is that soon enough?

We generally see new patients in 1-2 days. For instance, we have availability tomorrow if needed. This is healthcare without hassles, built for you.

Happy 3rd Birthday to Trinity Direct Primary Care!

Yesterday was our birthday! Trinity Direct Primary Care launched in 2016 and we are excited to be 3 years old. It’s nice to be out of the ‘terrible twos’, however we’re definitely still in a growth spurt which doesn’t seem to be letting up anytime soon, thankfully. Do you think we’re too old for a smash cake? Remember, you’re only young once but can be immature the rest of your life.

Honestly, we are just so very grateful for God’s sweet provision and guidance over the years and are thankful to be part of so many patient’s lives. We hope to continue for years to come.

Sing with me “Happy 3rd Birthday to US!”

How to Make Ghee

I make ghee regularly to have on hand at home. It’s got a great flavor and a high heat point so is perfect for cooking eggs or sautéing brussel sprouts for LCHF and keto. Since it removes the milk protein, ghee is Whole30 approved.

Here’s my latest batch.

Another advantage is that it is stable at room temperature for several weeks or longer, especially in these small mason jars which seal as they cool. This makes it great for camp cooking in the RV.

I’ve also started making flavored ghee. Here are my recent creations of garlic-basil and turmeric-curry. They have a great through and through flavor. Notice that the ghee solidifies and becomes opaque when it is stored in the refrigerator.

Ghee is very easy to make. Below is an article to walk you through the steps.

I’ve started using a thick bottomed tea kettle to boil the ghee. It keeps the bottom for scorching as easily and, if you’re careful, allows for you to pour off the ghee directly into the containers without straining it.

Finally, I have two bits of advice. First, don’t turn up the heat too high or the solids at the bottom can create a strong scorched nutty flavor. Second, leave it alone until it froths up a second time. It won’t be ready until then.

Hope you enjoy it as much as I do!

Learn how to make ghee (aka liquid gold), how long homemade ghee lasts, and what its health benefits are.
— Read on www.realsimple.com/food-recipes/recipe-collections-favorites/popular-ingredients/how-to-make-ghee

Covenant now offers cash prices for some advanced imaging for most patients

Covenant Health recently announced that they will be offering a simple, cash based price for advanced imaging at their Fort Sanders West Diagnostic Center.  This was my go to facility while in insurance based medicine.  They’ve always been easy to work with and the reports have been good.  So I’m very happy that another imaging center, let alone a hospital affiliated center, has entered the market with clear, cash pricing on advanced imaging.  However, these prices may not be the lowest a patient can get in town and patients with government regulated insurance like Medicare, Tricare, and Tenncare don’t qualify for these discounts.

Part of my job as your physician is to help you sort out the best overall choice for your treatment and testing.  Sometimes the price point is the biggest driver and sometimes the quality is.  However, both always need to be considered.  This is why we offer healthcare without hassles, built for you.

If you are interested in finding out more about the discounts available to DPC members around town and how to best navigate the healthcare landscape, then I invite you to become a member of our program and schedule your first appointment.  We look forward to working with you.

Imagine if We Paid for Food like We Do Healthcare

Dr Ryan Neuhofel, a fellow DPC physician, writes this intriguing look at applying our current medical industry regulations to food. I know I would never pay for a $37 burrito twice.

A thought experiment showing just how dysfunctional and distorting our health insurance system is.
— Read on www.libertarianism.org/building-tomorrow/imagine-we-paid-food-we-do-healthcare

5 Medical Practices Around The U.S. That Are Changing The Way Healthcare Is Delivered

With a focus on incredible customer experience, beautiful modern aesthetics and brilliant use of social media, these 5 medical and dental practices around the U.S. have really figured out how to deliver care.
— Read on www.buzzfeed.com/go2244/5-medical-practices-around-the-us-that-are-chang-3mpxg

Exciting to see fellow DPC practice Atlas MD and free market surgery pioneers, Surgery Center of Oklahoma make the list of most innovated changes in healthcare. It’s also noteworthy that two of the other practices are either membership based or free market based approaches to primary care services. Existing to be a part of the healthcare revolution putting patients back in the center of their care.

Interested in cost sharing programs? Check out this great summary.

Ochna Health | Health Cost Sharing 2019
— Read on ochnahealth.com/health-cost-sharing-2019/

Just gimme the facts — DPC Alliance

Just gimme the facts — DPC Alliance
— Read on www.dpcalliance.org/blog/2018/9/11/recent-fact-stats

This data represents about 1/3 of the known DPC practices in the United States. Trinity DPC is glad to be one of the 5 DPC practices in Tennessee.

I believe DPC allows physicians to provide the care they feel a patient needs. It offers us the opportunity to lower the cost of healthcare delivery and offer charity care when appropriate. In this survey 85% of DPC practices routinely offer charity care.

On a side note, with only 4.2% of DPC physicians double boarded in Internal Medicine and Pediatrics like I am, I’m still somewhat of an oddball. No surprise for anyone that knows me.

-Dr McColl

Cough, cough, fever. Welcome to RSV.

This time of year we start to see lots of kids and some adults with pretty nasty respiratory infections.  One of the worst is caused by Respiratory Syncytical Virus (RSV).

Infants are usually the most at risk for complications of RSV

Here are several quality resources for understanding RSV and managing symptoms.

CDC RSV information page
Healthychildren.org RSV information pagec

Is RSV contagious?

Yes. RSV spreads just like a common-cold virus―from one person to another. It enters the body through the nose or eyes or, usually from:

  • Direct person-to-person contact withsaliva, mucus, or nasal discharge.
  • Unclean hands (RSV can survive 30 minutes or more on unwashed hands).
  • Unclean objects or surfaces (RSV can survive up to 6 hours on surfaces, toys, keyboards, door knobs, etc).

Symptoms can appear 2 to 8 days after contact with RSV. According to the Centers for Disease Control and Prevention (CDC), people infected with RSV are usually contagious for 3 to 8 days. However, some infants and people with weakened immune systems can be contagious for as long as four weeks―even if they are not showing symptoms.

Keep in mind, children and adults can get RSV multiple times–even during a single season. Often, however, repeat infections are less severe than the first one.


Senator Alexander Advocates for DPC

Tennessee Senator Lamar Alexander discusses on the Senate floor his findings from recent testimony by Dr. Lee Gross, a DPC physician from Florida.

The full hearing for “Reducing Health Care Costs: Improving Affordability Through Innovation” can be viewed here.  Dr. Gross’s testimony can be read here.