#primary care doctor katy | Explore Tumblr Posts and Blogs

theinconvenientlifestyle · 21 days

Text

GPs across England will start capping the number of patients they are willing to see, after the British Medical Association (BMA) announced an immediate work-to-rule action.

The BMA has told its members they can limit appointments to 25 a day – some GPs see more than 40 at times - in a dispute over funding levels.

In a ballot, 98% of GP members backed taking action, with the union saying a lack of funding is putting practices at risk.

NHS England has warned the action could cause significant disruption beyond just GP services.

In a letter to senior NHS managers last month it said this could include increasing pressure and waits in A&E, slowing down the discharge of patients to hospital, and disrupting referrals into hospital for planned treatments, like hip and knee operations.

It warned that, as with other disputes, “maintaining services for patients with urgent needs, such as deteriorating conditions” was key.

But NHS England national director for primary care Dr Amanda Doyle said if a patient needs to see a GP they should "continue to come forward for care as practices will remain open".

General practice 'broken'

The BMA is suggesting a range of different actions could be taken by GPs, but it will be up to GPs themselves to decide what they want to do.

One option is to limit the number of patients they see to 25 a day – which the BMA deems to be the safe level. If every GP stuck to that it would reduce the number of appointments by a third, but it is unclear how many will follow the work-to-rule.

Not all GPs are BMA members and turnout in the ballot was just under 70%. The BMA said the impact is likely to be a "slow burn" rather than a "big bang".

GPs could also refuse to carry out tests and assessments for hospitals pre or post-treatment, and could ignore guidelines on rationing treatments that are put in place to allow the NHS to prioritise the most in-need patients.

The BMA believes none of this action will put GPs in breach of their contract. GP practices are essentially independent businesses, so they are paid a lump sum by the NHS to deliver care and therefore are not directly employed.

BMA GP leader Dr Katie Bramall-Stainer said: “GPs are at the end of their tether. This is an act of desperation. For too long, we’ve been unable to provide the care we want to.

"We're witnessing general practice being broken. The era of the family doctor has been wiped out by consecutive governments and our patients are suffering as a result."

The action being taken does not count as formal industrial action and therefore the union can carry on with the work-to-rule indefinitely.

Punish patients

Louise Ansari, chief executive of patient watchdog Healthwatch England, said she was worried about the action, given the difficulties patients already face getting access to GPs.

“Without proactive communications to patients, the work-to-rule action could exacerbate access problems or even deter people from seeking help altogether.

“Patient safety must be paramount. We strongly urge all GP practices to inform their patients if and when they are taking part in the action and where to go for alternative help.

“Ultimately, it’s essential that the BMA and NHS England work with urgency to resolve the GP contract dispute.”

Health Secretary Wes Streeting expressed disappointment too. "I can totally understand why GPs would want to punish the previous Conservative government, but this action, if it goes ahead, will only punish patients.

"The Conservatives already got their kicking at the general election and we now have a Labour government that's really committed to working with GPs to rebuild general practice so that people can get a GP appointment when they need one."

#uk politics #ukpol

1 note · View note

pccwellness · 1 month

Text

Staff Spotlight

Katy Wehrmann - Certified Nurse Midwife

(she/her/hers)

At PCC, we're proud to highlight the incredible achievements of our team members who continually strive to enhance the care we provide. This week, we're shining a spotlight on Katy Wehrmann, who recently earned her Menopause Society Certified Practitioner (MSCP) certification in Menopause Care. Her dedication to improving midlife care is a testament to her commitment to serving our patients with the highest level of expertise.

Q: What inspired you to pursue the MSCP certification in Menopause Care?

A: Katy recognized a significant gap in her training when it came to addressing female midlife changes compared to reproductive and prenatal care. She saw an increasing number of patients experiencing issues related to perimenopause and menopause and felt underprepared to help. When she discovered the MSCP certification, she knew it was the perfect opportunity to gain the knowledge she needed. Notably, there are only about 25 certified providers in the Chicagoland area, with none serving Federally Qualified Health Centers (FQHCs). Katy was driven to bring this specialized care to PCC's patients.

Q: How do you see this certification benefiting your patients and colleagues at PCC?

A: Katy believes her certification allows her to provide comprehensive care during a life stage that is often misunderstood and underrecognized. She offers patients the time and space to discuss their symptoms and explore both hormonal and nonhormonal management options. Her familiarity with Medicaid coverage and low-cost options ensures accessible care for all patients. Additionally, Katy is a resource for her colleagues, welcoming referrals to provide specialized menopause care while patients continue to receive primary care from their usual providers.

Q: Can you share any key takeaways from your certification process?

A: The national certification process, which is available to Nurse Practitioners (NPs), Doctors of Osteopathy (DOs), and Medical Doctors (MDs), was an eye-opening experience for Katy. She was surprised by how much she had not learned in midwifery school and how much the field has evolved over the past 11 years.

Q: What advice would you give to others considering this certification or similar advanced training?

A: For Katy, gaining this certification has been both personally and professionally energizing. She has always loved guiding people through the life-changing experience of becoming a parent, and now she finds equal fulfillment in supporting patients through the transition of midlife. The demand for menopause care is growing, and Katy is eager to see more providers join this field. She encourages anyone interested in midlife care, especially in the telehealth space, to reach out to her for a conversation.

Katy's achievement not only broadens the scope of care at PCC but also underscores our commitment to meeting the diverse needs of our community. We are incredibly proud to have her as part of our team and look forward to the positive impact her expertise will have on our patients and colleagues.

#PCCWellness #StaffSpotlight #PCCPulse #Newsletter #Healthcare

0 notes

karismed4 · 9 months

Text

KarisMed Family Medicine

KarisMed Family Medicine is a primary care physician practice located in Katy, Texas, servicing Fulshear, Richmond, Brookshire, Wallis, Simonton and the surrounding areas. Our patients are served by highly trained, skilled experts who are patient advocates, problem-solvers and medical team leaders.

A social constructionist perspective was used to analyze the richness of residents’ articulations about their professional identification as family physicians before and after curricular changes.

Our Mission

KarisMed Family Medicine is an innovative, cutting-edge membership Direct Primary Care (DPC) medical practice that provides personalized and comprehensive medical services to patients without health insurance in Katy, Fulshear, Richmond, Brookshire, Wallis, Simonton, Cypress and the surrounding areas of Texas. Unlike traditional health insurance, our patients pay a monthly fee that covers all their primary care needs such as unlimited doctor visits, same day appointments, free annual comprehensive health screenings, specialist care coordination and no co-pay or deductible. We believe that everyone should have access to quality healthcare. That is why we are here to serve you. We call it "Healthcare, your way". Contact us to learn more about our mission and how we can provide you with the best healthcare around.

Our Team

KarisMed Family Medicine is staffed with board-certified and highly-trained primary care physicians who are committed to providing the best possible access to healthcare for our patients. Our team is dedicated to the individual needs of each patient and strives to provide the highest quality medical care for the whole family – infants, children, adolescents, adults, and seniors. We offer a wide range of medical services, including physical exams, vaccines, screenings, and chronic illness management. Our primary care doctors serve Katy, Fulshear, Richmond, Brookshire, Wallis, Pattison, Cypress, Simonton, and surrounding areas in Texas. We believe that everyone should have access to affordable healthcare. That’s why we offer the lowest co-pays for all of our patients at KarisMed Family Medicine. Contact us to see how we can help you!

Our Facilities

Our clinics are located in Katy, Fulshear, Richmond and Brookshire, Texas. We are expanding rapidly, so register below to stay in touch and find out when KarisMed Family Medicine will be coming to your community. Free onsite parking, an onsite pharmacy, telemedicine, secure messaging and virtual visits are just some of the ways we’re committed to making healthcare easier for you. You can count on your doctor at KarisMed Family Medicine to listen, be thorough and care about you and your health. Your membership includes direct access to your doctor 24/7 – by telephone, secured messaging and telemedicine. We look forward to serving you! – Dr. Vera is an AWESOME doctor! She is very thorough and takes her time with you. She really cares about her patients!” -Jayde H.

Our Services

We offer a wide range of medical services to meet your needs. From annual physicals and well visits to diagnostic testing, vaccinations, and much more. We also provide access to your doctor 24/7 via telephone, secure messaging and telemedicine. We serve patients in Katy, Fulshear, Richmond, Brookshire, Wallis, Cypress and throughout Texas. Karismed Family Medicine is a membership-based primary care medical practice that believes healthcare is something everyone should have access to. We strive to give our patients the best access and quality of care at affordable rates. Call today to schedule your appointment. We look forward to seeing you!

0 notes

ledenews · 1 year

Text

Penz and Kacmarik Join West Liberty University Foundation Board

West Liberty University Foundation announced the appointment of two new board members, Denise Penz and Katie Kacmarik, during its July meeting. Penz is an alumna of WLU and is the co-founder, CEO, and vice-chairman of The Preferred Legacy Trust Company, established in 2020. She began her banking career in 1996 after serving in the United States Navy. Penz has led all areas of banking, including trust, private banking, brokerage, retail banking, mortgage lending, and all support areas of the commercial bank at both community banks and large regional banks. Penz received a Bachelor of Science in Accounting & Management from WLU (then West Liberty State College), a Master of Business Administration from Wheeling Jesuit University, and a graduate-level certificate from Cannon Trust Schools. She is very active in her community as a member of the board of trustees for A Special Wish Foundation, a member of The Women’s Giving Circle, a founding member of Women’s Impact, a board member of Beyond BASIC, and president of the capital campaign committee for the YWCA-Wheeling. Penz was the Keynote Speaker at the WLU Spring Commencement in 2023. She resides in Summerville, S.C. Katie Kacmarik is an alumna and the Clinical Services Coordinator and managing pharmacist at Pharmacole, Inc., which owns and operates Moundville Pharmacy, Sistersville Pharmacy, Pine Grove Pharmacy, and New Martinsville Pharmacy. Kacmarik earned her bachelor’s degree in biology at West Liberty in 2008 and went on to earn a Doctor of Pharmacy degree at West Virginia University in 2012. While at WLU, she served with the Student Government Association, was advertising manager of the Trumpet, president of the Biology Club, and spent summer months with the WV-INBRE biomedical research program. While at West Virginia University, she served as National Community Pharmacists Association (NCPA) chapter president and received the Dean’s Volunteer Service Award and NCPA Presidential Scholarship. Kacmarik’s primary focus areas are in pharmacy compounding, long-term care, and compliance administration. She is certified in diabetes, immunizations, and medication therapy management and collaborates with the WVU Extension on its Dining with Diabetes education program. In 2016, she was recognized as the Ohio-Marshall County Pharmacist of the Year. In 2015, she shared in the recognition of Pharmacy Development Services’ Pharmacist of the Year for co-developing SyncRx. She co-facilitates intensive trainings for pharmacy owners and teams throughout the country. Kacmarik currently serves as secretary and is the immediate past president of the Ohio-Marshall County Pharmacists Association and is immediate past president of the West Virginia Pharmacists Association, from which she received the WVPA Distinguished Young Pharmacist Award in 2021. She is a member of the Professional Compounding Centers of America, National Community Pharmacists Association, and American Pharmacists Association. She also serves on WLU’s College of Sciences Advisory Board. Kacmarik was named to the WLU Alumni “Wall of Honor” in 2017. She resides in Wheeling. Penz and Kacmarik join a board that includes 20 other members, led by Chairman Daniel I. Joseph ’75, Wheeling, W.Va., and including: Jeremy West ’99 (Vice Chair), Wheeling, W.Va.; David Croft ‘89 (Treasurer), Wheeling, W.Va.; Anissa Anderson ‘94 (Secretary), New Martinsville, W.Va.; Marty Adams ’75, Naples, Fla.; Jason Blair ‘95, Mount Pleasant, S.C.; John Bonassi ’69, Pittsburgh, Pa.; Clyde Campbell ’53, Wheeling, W.Va.; Christine Carder ’72, Wheeling, W.Va.; Todd Cover ’98, Wheeling, W.Va.; John Dolan ’78, Indiana, Pa.; Linda Edwards ’64, Wellsburg, W.Va.; James Frum ’61, Wheeling, W.Va.; Diane Gongaware ’78, Fairfax, Va.; John McCullough, Triadelphia, W.Va.; Donald Nickerson ’82, Wheeling, W.Va.; E. Alex Paris III ’82, Avella, Pa.; Clifton Spinner ’87, Columbus, Ohio; Samuel Stone, Morgantown, W.Va.; Beth Weaver ’85, Wheeling, W.Va. The West Liberty University Foundation supports the University through the cultivation, investment, and stewardship of private funds. For more information, please contact Executive Director Betsy Delk at [email protected] or 304-336-8847. Read the full article

0 notes

college-girl199328 · 2 years

Text

Some doctors in Ontario are offering their patients the option of extra health care at a price: seven-day-a-week rapid access to appointments with a nurse practitioner for a fee of around $30 a month.

It's perfectly legal under both the federal and provincial Medicare rules. But since it involves charging for health care, it adds fuel to a growing debate over two-tier health care in Canada.

Kindercare Pediatrics in Toronto launched its nurse practitioner program in response to overwhelming demand from parents during the surge in respiratory illnesses among kids last fall, said the practice owner, Dr. Dan Flanders.

"We couldn't keep up," said Flanders in an interview. "Everybody was working their brains out, and we were still turning away close to 100 patients a day."

The program he developed is called Kindercare365, and it is pitched as "on-demand health care for kids." It relies on nurse practitioners, who are authorized in Ontario to provide many of the same services as family physicians, including diagnosing illnesses and prescribing medications.

The optional subscription costs $29 per month (plus HST) for one child or $59 per month for two to five children. It promises an immediate virtual appointment with a nurse practitioner from 8 a.m. to 9 p.m. any day of the week and, if necessary, an in-person appointment no later than the next day.

"This has opened up a door so that more young families can have access to healthcare," said Flanders. "It's not ideal that patients have to pay, but it's something that's going to help increase access."

The Canada Health Act prohibits charging patients for medically necessary services that are covered under provincial health plans. Since nurse practitioner services are not covered by the Ontario Health Insurance Plan (OHIP), it's legal for doctors to charge.

Flanders says if nurse practitioners in family health teams improve patients' access to health care, the province should extend that funding to other primary care providers.

"For those people who say this should be publicly funded, I say I 100 percent agree," he said. "If the government paid for this, it would be a very efficient use of health care dollars."

Dr. Danielle Martin, chair of the University of Toronto's department of family and community medicine, says this disparity is inequitable and unfair, particularly since less affluent patients tend to be less likely to be enrolled in family health teams.

"Why aren't we funding team-based care for all Ontarians when we know that this is the most effective way to provide healthcare services?" Martin said this in an interview with CBC News.

While Martin acknowledges it's perfectly legal for Kindercare365 to charge for the option of rapid appointments with a nurse practitioner, she has concerns.

"I do think that this is a form of two-tier health care, in that we're talking about giving better or faster access to some patients," said Martin.

Toronto resident Katie Winstanley also feels that charging for access to a nurse practitioner amounts to two-tier health care. Her family doctor has told her he will soon join a larger practice where there is a $30 per month charge for NP access, and she says she felt pressured to sign up.

"I'm outraged by it, the more that I've thought about it," said Winstanley. "I felt like he was saying, 'You don't really have a choice. If you want a family doctor, you must pay this fee to remain a patient with me."

CBC News is not naming Winstanley's doctor because he could not be reached for comment.

Winstanley, Martin, and Flanders all agree on one thing: they wish Ontario would cover the cost of nurse practitioner services in all circumstances.

"If we're going to ask that people see nurse practitioners so that we can relieve some of the pressure on family doctors, then it has to be funded," said Winstanley.

Given the shortage of family physicians in Ontario, Martin said the provincial government should be looking to bolster primary care by funding nurse practitioners in interprofessional teams.

She points to the clinic where she works as a family doctor, the Family Practice Health Center at Women's College Hospital, on a team that includes nurses, a nurse practitioner, and a pharmacist.

"We have… incredible, amazing resources that allow me to take care of more people and allow us to give better quality care as a team, and all of that is funded by the government of Ontario," said Martin.

CBC News asked Ontario Health Minister Sylvia Jones on Tuesday for the government's view on clinics charging monthly fees for access to nurse practitioners. Jones said she needed to know more specifics before she could comment.

Improving family health services is one of the four priorities of the $46 billion health care deal struck between Prime Minister Justin Trudeau's government and the provinces and territories.

According to Flanders, the healthcare system is in crisis, with hundreds of thousands of families unable to access primary care.

"We can continue to wait for the government to fix it," he said. "When is that going to happen and can you help?"

0 notes

pigeesblog · 2 years

Photo

Primary care and internal medicine provided by a katy family physicians. The pimah medical staff places a strong emphasis on identifying, diagnosing, and treating illnesses in adults. Our mission in katy is to deliver comprehensive, kind, and personalised medical treatment. We constantly work to provide the highest level of patient care while accurately diagnosing and treating our patients. In katy, we make sure that adult family members receive current pharmaceutical management. Enjoy a strong family dynamic. Most public and private insurance policies are accepted by our office. Additionally, we provide discounted rates for the majority of treatments to individuals paying in cash.

For More Visit: https://pimah.com/family-physicians-katy-tx/

#KatyFamilyPhysicians #Katy_Family_Physicians #FamilyDoctor #Family_Doctor #Doctors_in_Katy #DoctorsinKaty #Doctors #Katy

1 note · View note

irvinenewshq · 2 years

Text

Kari Lake would not decide to accepting Arizona election consequence if she loses

CNN — Arizona Republican Kari Lake wouldn’t commit Sunday to accepting the outcomes of her upcoming election for governor if she loses. “I’m going to win the election, and I’ll settle for that consequence,” the GOP nominee informed CNN’s Dana Bash on “State of the Union” after being requested thrice whether or not she would settle for the election’s final result. Lake dodged the query the primary two instances. “Should you lose, will you settle for that?” Bash requested, to which Lake replied once more: “I’m going to win the election, and I’ll settle for that consequence.” Lake, who has the backing of former President Donald Trump, has repeatedly promoted his false claims in regards to the 2020 election. A former information anchor at a neighborhood Fox station in Phoenix, she has stated that she wouldn’t have licensed President Joe Biden’s 2020 victory in Arizona, repeatedly calling the election “stolen” and “corrupt.” She stated Sunday that the “actual problem” is that “the folks don’t belief our elections.” Lake is presently in an in depth race together with her Democratic opponent, Katie Hobbs, who presently serves as Arizona’s secretary of state. Hobbs’ nationwide profile rose within the aftermath of the 2020 election amid Republican efforts to sow doubt over the presidential lead to Arizona. In a separate look on “State of the Union” on Sunday, immediately following Lake’s interview, Hobbs stated Lake’s refusal to say whether or not she would settle for the outcomes of their election was “disqualifying.” “That is anyone who could have a stage of authority over our state’s elections, the flexibility to signal new laws into regulation, the duty of certifying future elections. And he or she has not solely, as you heard, refused to say if she’s going to settle for the outcomes of this election, but additionally whether or not or not she would certify the 2024 presidential election if she’s governor,” Hobbs stated. She continued, “That is disqualifying. It is a fundamental core of our democracy.” Hobbs on Sunday defended her refusal to debate Lake within the gubernatorial election, saying the Republican was “solely excited by making a spectacle.” Hobbs stated she believed Arizonans wouldn’t base their voting resolution on whether or not or not there was a debate between the 2 candidates. Lake had earlier slammed Hobbs’ resolution to not have interaction in a debate, accusing her opponent of “cowardice.” Hobbs explains why she will not debate Kari Lake Bash pressed Hobbs on her stance on abortion rights, and the Democrat declined to specify what, if any, restrictions she would assist in an abortion regulation. “So simply to be clear, in the event you turn into governor, you’ll push for a regulation that has completely no limits in any level of the being pregnant on abortion? That’s your place? That’s what you’ll wish to be the regulation of the land in Arizona?” Bash requested. Hobbs responded: “The very fact is correct now that we’ve got very restricted choices and that we have to get politicians out of the best way and let medical doctors present the care that they’re educated to offer, the well being care that their sufferers want. Politicians don’t belong in these choices.” An Arizona appeals courtroom earlier this month briefly blocked the enforcement of a ban on almost all abortions throughout the state. The ruling briefly permits well being care suppliers to carry out abortions as much as 15 weeks of being pregnant till Deliberate Parenthood Arizona’s enchantment is resolved. Abortion has been a key problem on this yr’s midterm elections following the US Supreme Court docket’s resolution to overturn of Roe v. Wade that held there was now not a federal constitutional proper to an abortion. A current survey from the Kaiser Household Basis discovered that about half of US registered voters stated they have been extra motivated to vote within the midterm elections due to the excessive courtroom’s abortion ruling. Originally published at Irvine News HQ

#Irvine News HQ

0 notes

katyprimarycareclinic · 3 years

Link

Telemedicine uses digital information and communication technologies to access healthcare services remotely and manage a patient’s healthcare. In addition, devices such as computers and smartphones are used to support or improve the quality of health care services.

#Primary care physician Katy #katy family physicians #urgent care Katy #family doctor in katy

1 note · View note

hecckyeah · 2 years

Text

so uh. not to sound like a literal child but how does one acquire this thing called a primary care physician? is it like meeting a kid on a playground and asking them to be your friend? “will you be my primary care doctor?” or is it just whoever you decide to see at the closest clinic to your house for whatever random ass issues crop up? like hey becky my knee got whacked up again. hey becky i stepped on a nail, do i need another tetanus shot? hey becky my tummy hurts i think i might really be dying this time. like do they adopt you too? are they like ah yes here comes katie again with her injury prone-ness and fragile joint structure. like how does it all work???

#katie’s sleep deprived ramblings

4 notes · View notes

frenchwillaume · 5 years

Photo

Medical Clinic Katy TX

KarisMed Family Medicine at https://www.karismed.com/ is an innovative membership-based Direct Primary Care (DPC) practice, providing high-quality and personalized medical services for adults and children patients with or without health insurance. Our DPC members pay a flat, low monthly retainer fee for a wide array of convenient and quality medical services with unlimited doctor visits, unhurried visits, no waiting time, same day appointment, 24/7 access to doctor, free annual comprehensive health screening, specialist care coordination, with zero copay and no deductible. High-quality individualized primary care and functional medicines services are delivered by our skilled and dedicated providers. In everything we do, our goal is to be the most preferred and trusted primary care clinic in the communities we serve.

#medical clinic katy tx #primary care doctor katy tx #primary care physician katy tx #primary care physician #functional medicine katy tx

0 notes

keravnous · 3 years

Text

ok, very rather vague hcs for a young arthur edwards (pls, lets discuss them, I NEED TO TALK ABOUT THE OLD MAN™) help

born as Arthur James Edwards on a rainy night in Stepney, London; the boy learned from a young age that adapting oneself is the key to success

he was a quiet and easy child, he wasn't noisy or caused any mischief at home and had good grades, which often attracted the attention of bullies during his years in primary school

he tried his best to escape their torment (sometimes mean words, other times hurtful blows)

a week after Arthur's seventh birthday, his father left the house late at night and never returned, leaving him and his mother who worked as a cleaner with nearly no financial means

thus, they moved in with his mother's grandparents, a rather strict lower class couple, his grandfather had served as a pilot during ww2

while his mother was working multiple jobs during the day and nights, his grandfather took care of him after school, raising him with military-like drill

the years passed and instead of complaining or revolting, he quietly surrendered to his grandparents plans ("Your son should become a doctor, Katie", "Yeah, whatever ye say, pop")

very soon he would become interested in politics (finding an escape in both, the gleaming promises of local politicans and the way he just wanted to understand) and its correlation with society and economy (they barely had any money, thus he stole newspapers from doorsteps on his way to school or lingered around the kitchen, where his grandmother listened to the radio as she prepared dinner, "You useless boy, quit standin' around like that, will ya?")

the year he turned thirteen was the year his grandfather passed away but Arthur continued to study relentlessly hard, exerting the familiar drill on himself, which soon caught the attention of his teachers

growing more and more detached from his now always drunk grandmother and mostly absent mother, Arthur would snuck away to the attic or the nearby dilapidated playground during sleepless nights, downing his grandmother's cheap red wine and smoking the remaining cigarettes of his grandfather while reading the classics

with his grades excelling the ones of his classmates at the end of secondary school, Arthur enrolled for different scholarships, finally landing one at the London School of Economics and Political Science (the financal aid also allowed him to move into a small flat in Holborn, which he shared with two classmates, one being Roman Zelenko)

their flat was small, crammed with books and at least three times a week their electricty was shutting off but a nineteen year old Arthur still felt his heart burst with happiness as he read Weber or Marx in the dim candlelight

Arthur found new and formerly unknown self-confidence due to his academic success but was still very much insecure about his upbringing and continued to be the rather quiet outsider

his efforts to join a fraternity were ineffective and more than once he witnessed upper class students mocking his accent or his demeanor (he very desperately tried to change that, late at night when his flatmates were asleep and he yet again did not find any rest)

that's probably also the reason why he never raises his vocie above a that whisper/quiet tone: he's afraid his accent's gonna pop

Arthur's insomnia started during his university years, he would often go one or two days without any sleep, consequentially collapsing on his bed or in the library around noon

he rarely went out with Zelenko and the other young man, who's name he had already forgotten a year after he had moved out and been in more countries than he could've counted with both hands, but when he did, they got so drunk that he nearly fell asleep during lectures the next day

the hangovers may have been exhausting but he soon found comfort in drinking, feeling his shoulders and tongue becoming loose and an easy feeling settling in his mind, taking itself off of his studies for a couple of hours (he would later continue to reach for a glas of wine, whenever he found himself in a stressful situation)

on a warm summer night in 1989, Zelenko takes him to a dinner with his father and his father's friends at a gentlemen's club, there he meets Janus for the first time

the former constant was immediately impressed by the quiet young man who seemed to be both, intelligent and hardworking but most importantly: incredibly ambitious

during his bachelors and master's degree he often missed lectures and classes because he was either travelling with Janus or crashing at the shared flat, still suffering from restless nights and the heavy weight of his responsibilities

as his degree approached he considered to proceed a career in political consulting but Janus quickly persuaded him to join him in their shared interest - changing the world, by any means possible

#be aware: long german sentences syndrome #a lot of commas for the dRamAtiC iNTonAtioN #listen i havent written anything in english in idk AGES #please dont be mean :(#arthur edwards #the constant #hitman games #world of assassination #hitman #hitman 2 #hitman 3 #providence

15 notes · View notes

karismed4 · 9 months

Text

Karismed Family Medicine

Karismed Family Medicine is a medical group practice located in Katy, TX. It specializes in Family Medicine.

After completing undergraduate and medical school, many aspiring physicians choose to pursue a career in primary care. These professionals are skilled experts, patient advocates, problem-solvers, and medical team leaders. Family medicine physicians treat patients of all ages, genders and diseases.

Board-Certified Family Physician

Family medicine is a medical specialty that focuses on family-centered care for all ages. It includes the diagnosis and management of chronic conditions, such as heart disease and diabetes. It also treats acute problems, such as a cold or neck pain. Often, family physicians collaborate with other specialists to provide more comprehensive patient care. They also work with patients as partners in their healthcare to promote wellness and prevent illness.

A board-certified family physician has undergone specialized training to care for patients of all ages, genders, and diseases. This training includes an undergraduate degree, medical school, and three years of a residency program in family medicine. During this time, they must complete rotations in internal medicine, pediatrics, obstetrics-gynecology, psychiatry, surgery, and emergency medicine. Additionally, they must establish and maintain a panel of continuity patients.

Dr. Karibandi loves the patient-physician dynamic that comes with family medicine. She feels that this unique partnership allows her to truly focus on her patients’ needs and concerns, while cultivating the utmost comfort and trust. She finds it most gratifying to see families over the years as they grow and change, and to be part of their health care journey. She currently serves patients in Katy, Fulshear, Richmond, Brookshire, Wallis, Cypress, Rosenberg and surrounding areas of Texas. In her spare time, she enjoys spending quality time with her husband and two sons. She also loves cooking, going on walkouts, basketball coaching, and serving in her church.

Dr. Vera Oyabure

Dr. Vera Oyabure (Igbinigie) is board certified in Family Medicine, a medical specialty focused on comprehensive health care for patients of all ages. She has a strong interest in preventive medicine and has seen the benefits of proactive primary care to reduce hospitalizations, unnecessary tests, and high healthcare costs for her patients.

Her goal is to build an enduring relationship with each patient and to help them achieve their maximum level of health. She will take the time to listen to each patient's concerns and address them with respect, empathy, and education. She will work with the patient to develop an individual plan of action for a healthy lifestyle.

At KarisMed Family Medicine, she is able to focus on the needs of each patient and provide the highest quality of care for a flat monthly retainer fee. This includes unlimited doctor visits, unhurried visits, same day appointment, 24/7 access to the doctor, free annual comprehensive health screening and specialist care coordination with zero copay or deductible.

She has over 13 years of experience in the field and is affiliated with multiple hospitals including Memorial Hermann Katy Hospital and UTMB Health. She is also a member of the American Academy of Family Physicians and Houston Medical Forum. Her office is a beautiful facility equipped with modern technology and equipment such as Dexa scans and in-office lab testing.

Direct Primary Care

Direct primary care is rapidly gaining popularity in the healthcare industry. This unique model allows physicians to eliminate third-party insurance billing and focus on providing high-quality care for their patients. In addition, it provides cost savings for both physician and patient.

Karismed Family Medicine is a leading direct primary care practice in Katy TX, serving Katy, Fulshear, Richmond, Brookshire, Wallis, Pattison, Cypress, Rosenberg and surrounding Texas communities. It offers an array of medical services, including Biometric Screening, Local Clinics, Telemedicine, and Health Coaching. Karismed’s multi-platform approach is designed to offset the continued escalation of health benefit-related expenses.

Instead of using traditional healthcare models, which rely on insurance payments for most of the patient’s healthcare needs, DPC physicians charge their patients a monthly or annual membership fee, which is typically tracked and managed through a specialized DPC All-In-One membership management system. These fees are often substantially lower than a person’s monthly cell phone or cable bill, and include zero copays for doctor visits and near-wholesale pricing on medications and blood tests.

Whether you are already a DPC physician or are considering launching a DPC practice, it is important to stay up-to-date on the latest trends in the industry. One way to do this is by leveraging a DPC-specific electronic health record (EHR) solution, like Elation EHR. This EHR is specifically designed to provide support for direct primary care practices, allowing for simplified documentation and enhanced communication between physician and patient.

Family Medicine in Katy

Karismed Family Medicine is a Direct Primary Care practice located in Katy, Texas. They believe that healthcare should be affordable and accessible for all. They offer many options for patients and provide excellent customer service. They are looking for a dedicated Certified Medical Assistant to handle front and back office duties. The ideal candidate will have excellent interpersonal and clinical skills.

A family physician is a highly trained, board-certified medical professional who treats a variety of health problems for people of all ages. Their training includes a three-year residency and in-depth education across the human lifespan from birth to death. They are also experts in prevention and wellness and can offer comprehensive chronic disease management services.

At Katy Wellness Center & Family Physicians, they are committed to providing quality patient care in a timely manner. They offer same-day appointments for urgent care needs and can schedule routine physicals in advance to help prevent illness and disease. Their wellness team can also help you manage your chronic health conditions like diabetes and asthma.

A board-certified internist is a medical doctor who treats a variety of common illnesses for men and women of all ages. They can treat acute and chronic health conditions, as well as offer preventative care and lifestyle counseling. They can also prescribe medications, as needed. They often work in collaboration with specialists to ensure their patients receive the best possible care.

0 notes

voltrontranscript · 4 years

Text

VLD S8E1: Launch Date

Season 8 Episode 1: Launch Date

Transcript by @dragonofyang

Summary: It’s the final day on Earth before the protagonists launch back into space on the IGF-Atlas to face the Galra. Lance has a big question for Allura, and the Altean pilot Luca provides more questions than answers.

[Google Doc]

DOTU Pidge: Hold it, I’m getting all shook up!

Pidge: I don’t really sound like that, do I, Bae Bae?

[Cut to the medbay where Luca is surrounded by medics, as Allura observes through a window.]

Romelle: You know, back on the colony, Luca and I didn’t always get along. But despite that, I always respected Luca. She had an inner strength that many did not and a desire to be a part of something greater than herself.

Allura: If she was so desperate for something to believe in, it may have made her susceptible to being manipulated.

[Cut to the Garrison kitchens.]

Hunk: Alright, that’s all of it.

Hunk’s Mother: Here’s all our family recipes. And this is something special just for you.

Hunk: Banana cake! Mom, you’re the best!

Hunk’s Mother: Well, your father and I are just so proud of you, saving the universe and all. We love you.

Hunk: Launching tomorrow. The big day. It seems like it was forever ago when we piled into the Blue Lion and blasted out into space. Man, we had no idea what we were getting into!

Lance: Yeah.

Hunk: But, now it’s different. We’ve seen it all. We’re rugged veterans now, going back into battle one last time.

Lance: Mm, yup.

Hunk: Guess that makes us heroes or something? Like the type of heroes that would have their own TV show! Did you watch it, Lance? Ah, it’s so cool! It’s so cool. They got you spot-on, but Coran is like, he’s all super-serious and stuff. And Allura is a little… I don’t know, she’s different. Keith is friendly! He’s happy all the time. I mean, they got it so wrong. Plus, I think they’re hinting at some romance between him and Allura.

Lance: What?! Keith and Allura? No, it should be Lance and Allura!

Hunk: Ooh, a love triangle. I like where you’re taking this.

Lance: No, no. It’s not about that.

Hunk: Wait, that’s right. You said you were gonna ask Allura on a date. You asked her, didn’t you? Oh, and she said no. Oh. Oh, man. Here I am, rubbing your face in it.

Lance: She didn’t say no. I… Well, I never asked her.

Hunk: You chickened out?

Lance: I was going to ask her, but she’s been spending, like, every day in the med bay. Maybe… Maybe this just isn’t the right time.

Hunk: No, Lance. What? It’s the only time. After tomorrow, we’re back out in space fighting the Galra. There is no other time, literally. You’re asking her today, and that is final, young man.

[Scene change to a large meeting hall.]

Shiro: Everyone, welcome to our final briefing here on Earth. It’s been several months since we began to rebuild, and tomorrow we launch and continue our liberation efforts across all planets still under Galra rule. Commander Holt, what’s the latest from your team?

Sam: We’ve confirmed that there’s still no Galra activity within several galaxies of the Milky Way. It appears Earth was Sendak’s only target.

Shiro: Where are we with Earth’s defenses?

Keith: I finished my check-in with all the garrison facilities around the globe. All defenses are up and running. Earth has everything in place to keep itself safe.

Shiro: Great. And Atlas preparations?

Veronica: Repairs to the IGF-Atlas were completed early last week and it has since passed every test protocol we’ve put it through.

Shiro: Good. Any updates on the Altean pilot?

Allura: Still unresponsive, but she could wake any day now. Perhaps if we had a little more time, we could find out who sent her.

Keith: There’s no way to know when or if she’ll regain consciousness. We can’t wait any longer. We need to get back out there and end this war before the Galra can reorganize.

Shiro: Keith’s right. We’ll be in constant communication with Earth. When the Altean wakes up we’ll know. I have one more item to discuss. It’s our last night on Earth and we’ve got a lot of hard work ahead of us. We may not be back home for years. So I’m ordering you: take some time for yourselves. Be with the ones you love. You’ve earned it.

[Scene change to the hallway outside the meeting room.]

Lance: Hey, uh, Allura?

Allura: What is it, Lance?

Lance: Oh, nothing much. Just, uh, checking in. So, how are things?

Allura: I’m sorry, but I really need to be getting back.

Lance: Oh, right, yeah. Okay. Um, w-well, I don’t want to keep you, so… Oh! Uh, actually, I was wondering if--maybe, if you want to, you could have dinner with me tonight? A-and my family? Dinner with me and my family? My mom’s cooking for our last night together. I… I just thought you could join us.

Allura: That sounds wonderful, but I can’t.

Romelle: Allura, I know you’re worried about Luca, but we’re worried about you. It’ll be good to get away for a night and clear your head.

Lance: Right, yeah, all that stuff she’s saying. Totally.

Allura: Perhaps dinner would be nice. I’d love to.

Lance: Really? Awesome! Dinner tonight. Us. Yes.

Hunk: Okay, Loverboy Lance. Now walk away before she changes her mind.

[Scene change to the green room on the IGF-Atlas.]

Allura: Pidge, do you have a moment?

Pidge: Sure. What’s up?

Allura: Well, you see, I, um… I have a--

Romelle: She has a date… with pointy chin! Where are proper courting vestments obtained on your planet?

Pidge: Wait. A date? With Lance? Weird.

Allura: I was hoping you might be able to accompany me as I choose my proper attire in accordance to Earth’s custom.

Colleen: Katie? Fashion? That’s a good one.

Pidge: Well, I heard the mall has reopened. I’ve been wanting to check it out, but I’m grounded.

Romelle: Grounded? Oh, I wasn’t aware humans could float.

Pidge: No, no. It just means I’m not allowed to leave my mom’s supervision. It’s a form of punishment.

Allura: What are you grounded for?

Colleen: She’s grounded because apparently my daughter thinks that running away from home and gallivanting off into space without her mother’s permission is an acceptable activity for a fifteen-year-old.

Pidge: Well, apparently, finding my brother and saving my father [voice distorting] from an intergalactic tyrant doesn’t get me a pass!

Colleen: [voice distorting] Not on your life, young lady.

Allura: Please, Colleen, I could really use her help.

Romelle: We will not let her leave the ground once.

Colleen: Alright. But only because I know how much Katie hates shopping for clothing.

Allura: Thank you.

[Scene change to the med bay where Luca is kept.]

Sam: What is it?

Doctor: She’s stabilized, but we need to be careful about how we proceed.

[Scene change to Earth’s mall.]

Rizavi: Okay, Operation “Find Allura a Date Outfit” is go. We’re gonna take it one store at a time ‘til we come out of this place successful. Let the hunt begin! I love shopping. Don’t you, Ina?

Ina: It’s a primal urge from when collecting and gathering was a means of survival.

Rizavi: It just calms me, like skydiving. Now, come on, I’m gonna shop this mall so hard.

Pidge: Killbot Phantasm 26: Revengifiance! This is out?

Rizavi: Oh my gosh! It came out a few days before the Galra invaded. No one was ever able to reach the end.

Vendor: That’s right. I have one of the few undamaged units left.

Pidge and Rizavi: We’ll take it!

Vendor: Okay. Great to meet such passionate KBP fans. What have you got to trade?

Pidge: Trade? I, uh… I don’t really have anything.

Vendor: I’m sorry, but no trade, no game.

Rizavi: Well, that’s some way to treat a Paladin of Voltron.

Vendor: Wait what? You mean, like, from the show?

Pidge: Show? Well, kind of. It was based off me.

Vendor: My kid loves that show. The game is yours if I could just get an autograph for my daughter.

Pidge: [DOTU Pidge impression] Sure thing! Anything for the kids!

Pidge: [normal voice] Ah! Ooh?

Pidge: [DOTU Pidge impression] What?

Pidge: [high-pitched] You got it, chief! Far out!

[Scene change to Lance in a residential hallway.]

Coran: Yes? Oh, Lance! To what do I owe this visit?

Lance: Hey, Coran. I wanted to ask you about Allura.

Coran: Sure. What is it? No one knows her better than I do. Except for maybe the mice. They do have a telepathic connection to her, which seems like cheating to me.

Lance: Right, yeah. Well, I’m going on a date with her tonight and--

Coran: What?! But you’re not even royalty! Or Altean! And you’re definitely not Altean royalty!

Lance: Whoa, Coran! Chill! I don’t think Allura even cares about stuff like that.

Coran: It’s not just about Allura. Did you even acquire permission from her primary guardian?

Lance: Well, who’s that?

Coran: Well, let’s see. Ah, me! Now, count to zingor, then knock.

Lance: But, Allura already said… Ugh!

Coran: Ah, Lance. Please, have a seat. Exactly what makes you think you’re qualified for such a prestigious position? For example, who are your references?

Lance: Position? References? What are you talking about?

Coran: You see, I’ll need at least two notarized certificates of commendation speaking of your greatness from reliable sources before I’ll even consider giving you my approval. And you must do something about that outfit. Altean courting vestments are essential. Seeing as we’re not on Altea, we’ll just have to make do.

[Scene change back to the mall.]

Rizavi: Oh, I’ve got a good feeling about this place. Allura, leave this to us. Ladies, divide and conquer!

Rizavi: I think we’ve done it.

Unilu Shopkeeper: Well, hello there. Is this everything?

Rizavi: Yep. Mission complete.

Unilu Shopkeeper: Let’s see, what have we got? A decorative tarp with casing, one foot container and its mirror match, and some miniature chain binding. That’ll be one phoeb of servitude from your small friend there.

Rizavi: What? A year?

Pidge: A month. I got this. [DOTU Pidge impression] How about you give us all this and I give you an autograph from a world-famous Paladin of Voltron?

Unilu Shopkeeper: No! Price just went up to three phoebs.

Allura: I could give you a royal decree of service from the Crown Princess of Alte… oh, right, I, um…

Romelle: I could bake you a decaphoeb’s worth of blomfruit pies. I just need blomfruits. You wouldn’t happen to sell any, would you?

Unilu Shopkeeper: Shipping will cost you ten phoebs of servitude alone.

Allura: Perhaps this was a bad idea. I don’t need the dress. Let’s just go.

Unilu Shopkeeper: Wait! I’ll give you a friendly deal. You can have this for Killbot Phantasm 26: Revengifiance.

Rizavi: No deal! What could you possibly need it for?

Unilu Shopkeeper: I’ve been looking to get my claws on that game for decaphoebs. I’m a huge KBP fan.

Rizavi: Mm-mm, sorry. No can do. I’ve waited three years to get to the end of this game.

Pidge: Fine, you can have it. We don’t have any time to play it, anyway.

Allura: Thank you, Pidge.

[Scene change back to the med bay.]

Sam: She’s stabilized, but she won’t speak to any of the doctors. I was hoping a familiar face might put her at ease. Maybe Romelle can help.

Coran: I’ll see if I can find her.

[Scene change to Black Lion overlooking the sunset.]

Lance: Man, you can be a real hard guy to find when you wanna be.

Keith: Hey, Lance. Whoa! What are you wearing?

Lance: Coran made it for me for my date with Allura.

Keith: A date with Allura? Wow! Well done, Lance.

Lance: Thanks, but it could be our last. I can’t keep all these Altean customs straight.

Keith: Listen, if she’s going out with you, it’s because she likes you. The annoying, stupid, Earth version of you.

Lance: You watching the sun set?

Keith: Yeah. Might be a while before we get to see it again.

Lance: Man, I’m really gonna miss this place.

Keith: That’s why we’ve gotta end this war. And we’re gonna do it with the Lance that’s the Paladin of the Red Lion. The Lance that’s always got my back. And the Lance who knows exactly who he is and what he’s got to offer.

[Scene change to Allura at Lance’s family home.]

Lance’s Mom: Come in, come in, my dear! Oh, you look wonderful! Doesn’t she look wonderful, Lance?

Lance: Wow. You look amazing.

Allura: Thank you. You look nice, too.

Lance: Well, it’s no Altean vestments, but...

Allura: Imagine you in a Forlongian brill hat.

Lance: Oh, Allura, this is my mom, and Pop-pop. You know Veronica. That’s Rachel, my brother Marco, other brother Luis, his wife Lisa, and their kids Silvio and Nadia.

[Scene change to the middle of dinner with Lance’s family.]

Marco: ...or the time when we were kids and Veronica mixed dirt with water and told Lance it was chocolate milk.

Veronica: Oh, yeah! I still can’t believe he fell for it.

Allura: What did he do?

Veronica: He told on me, of course. Then, Pop-pop gave him ice cream and I got none.

Marco: Yeah, Lance was always the baby of the family. It only took you coming to dinner to finally graduate him to the adult table.

Veronica: Speaking of dates, maybe you can put in a good word for me with that long-haired friend of yours, hm?

Lance: What, Keith?! No, no, no, no, no! No way. No.

Lance’s Mom: Lance never brings girls home. You must really mean something to him.

Allura: That’s strange. He always gave off the impression of being rather popular with women.

Lance’s Mom: Oh, he gets that from his father. It’s all talk, but if you can get past that, you’ll find a good boy with a big heart.

Veronica: A toast to family. Though we may be apart after tomorrow, we’ll always remain close at heart. Family is forever.

All: To family!

[Scene change to the med bay.]

Romelle: I’m so glad to see you’re alright, Luca. We can help. What happened to you? Where’s the colony?

Luca: So you can betray them yet again?

Romelle: What?

Luca: You abandoned us, Romelle. And for the Paladins of Voltron, the very ones who killed our savior, Lotor.

Romelle: No, it’s not like that!

Luca: You’ve sided with the great destroyers! She told us of their lies. She’s going to fix it all. She’ll reunite us with Lotor, with Altea. You don’t stand a chance against Honerva--

[Scene change to Lance and Allura walking along a park full of dead trees.]

Lance: This place used to be so beautiful.

Allura: It’s all my fault the Galra did this to your home.

Lance: No, it’s not your fault. Besides, meeting you is the best thing that ever happened to me.

Allura: When we were out there fighting against the Galra, I somehow felt like… like we were a family. Each of us was alone, but we were alone together. But now, here on Earth, I see that everyone already has a family and a home to return to once the war is over. Everyone except me. And for the first time, I feel uncertain about what my future holds. It’s silly, I used to think that the team relied on me. That I needed to be strong for everyone else. But now I see it was I that needed all of you. You are my strength.

Lance: Allura, you are not alone, and if I have anything to say about it, you’ll never be alone. I--I don’t care if this is only our first date. I… Allura, I love you. I have for a long time. I wanna be your family. Earth can be your home, or anywhere you wanna go. It doesn’t matter. I would follow you across the universe.

Allura: You truly feel that way?

Lance: With all my heart.

Lance: I think he wants us to smile.

[Scene change to the meeting room, this time only with Allura, Coran, Shiro, and Romelle.]

Allura: If Honerva sent that beast, then our mission must change.

Shiro: No, we have a plan and we need to stick to it. If Honerva’s really behind this, then I’m sure we’ll find her along the way.

Allura: Or she’ll find us.

[Scene transition to the outdoors, where the IGF-Atlas stands before a crowd of people.]

Sam: This will be perhaps the most defining moment in our history. The day humankind reaches beyond its home world to help the immense universe of which we inhabit such a small part.

Keith: In the blink of an eye, the world as we knew it became much larger than we’d ever thought possible. And now we rise up to join the fight alongside so many others different from us, but of like minds, to stand firm in the face of tyranny.

Allura: For all deserve to decide their own future as we have decided to spend ours ensuring the freedom of the universe.

Shiro: Each and every one of you has given something to this fight. Many have been lost, but not in vain because through their sacrifice, many more will live on. I make you this promise now. We will return triumphant.

End.

#vld #voltron #transcript #coran #allura #keith #hunk #lance #shiro #luca #pidge #romelle #sam holt #colleen holt #nadia rizavi #ina leifsdottir #veronica #marco

11 notes · View notes