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What is Internal Medicine?

Physicians who are specialists in Internal Medicine are Doctors for Adults. They spend three years training after medical school in the care of the adult patient. They do not care for children, perform surgery and do not deliver babies. 

Internists care for patients age 14 and up. 


Scope of the Practice

Because healthcare is a tough business, it is not possible for Dr. Schuermann to offer all the services that his patients might want or need. He believes that delivering patient care with an "old fashioned" personality with modern efficiency is not only possible but is the future of primary care. This does not mean that he will do "everything" as the doc used to do in the old days. 

Dr. Schuermann is committed to doing things as best he can, and he will not do things that he feels will harm the business or that he cannot do as well as he thinks they should be done. 


Office Procedures

Phlebotomy (drawing blood) is not be done in the office . This can be accomplished at hospital labs or freestanding labs in the community. 

Immunizations -- a limited number of immunizations (vaccines) will be given by Dr. Schuermann in the office. Allergy shots will not be given. 

Electrocardiograms (ECGs, EKGs) will be done in the office as indicated. 

Other procedures may be done as the needs of the practice dictate and if the business can accomplish them with adequate skill. 


Hospitals

Because of the demands of a modern outpatient practice and the current trends in healthcare, Dr. Schuermann will not see patients admitted to the hospital. He will coordinate care with hospitalists -- physicians who only provide care in the hospital. 

This "old fashioned" part of being a doctor is quickly becoming financially unsound for doctors who do not have an office next to a hospital. Dr. Schuermann wants to practice in the community and has therefore decided on concentrating on outpatient problems and their prevention and management.

Hospitals and insurance companies are focusing more and more on simply getting patients out of the hospital and not on their health. The medications that can be used is more and more limited. Patients often have to bring medications from home or accept "substitutes" that are not exactly the same as what they take at home. Physicians are forced to accept these changes without much chance to do what they think is best for the patient. These changes have also made it more difficult to practice in the hospital in good conscience. 

 

 

Copyright 2004-2006 Matthew G Schuermann, MD
Last modified: June 24, 2008