Premier Internal Medicine and Pediatrics

06/27/2025

https://open.substack.com/pub/soloprimarycaredoc/p/hypertension?r=5h4wb1&utm_medium=ios

Silent until it becomes deadly

04/17/2025

https://open.substack.com/pub/soloprimarycaredoc/p/fibromyalgia?r=5h4wb1&utm_medium=ios

Fibromyalgia is prevalent and affects about 2% of Americans.

04/09/2025

https://soloprimarycaredoc.substack.com/p/infant-reflux?r=5h4wb1

Very common, rarely dangerous

05/26/2023

Good evening. I was just informed of a new Tennessee state law that might affect some of you. Many family members bring children in for well child visits and vaccines when their parents are unable to. Unfortunately, although they can continue to bring the them in for sick and well child visits, only the parents and legal guardians are allowed to accompany children when they receive vaccines. This means that grandparents, aunts, uncles, and even siblings are not allowed under any circumstances to bring your child in if they are receiving vaccinations. Failure of any pediatrician to do so will result in them losing their license and will essentially end their career.

To stay in compliance with the law, if your child is coming in to receive vaccines every parent needs to bring a copy of their child(ren) birth certificate so that we know you are the true parent. Legal guardians must provide a legal court ordered documentation. If we don’t have those documents they will not receive vaccines. There will no exceptions because I’m not risking my career. I can assure you no one else in the state will. Once we have them, you never have to bring them again because those documents will be in their chart. People who know me know how I feel but I don’t individually have the power to change it and I’m not quiet ready to retire.

04/13/2023

As we all know, there have been major issues with pharmacy shortages of ADHD medications. Because of this, we have been inundated with phone calls asking us to send prescriptions to multiple pharmacies hoping that that pharmacy will have it. Others have been demanding we call pharmacies to see if they have the medication available which is something that we aren’t ever going to do. Starting this week, I will be printing all prescriptions for ADHD medications to be picked up at my office until further notice. I am well aware that this will be an inconvenience for those that I am treating but the amount of phone calls we are getting is out of hand. Having a script in hand will allow you to take it anywhere that has the medication available. We hope the shortage resolves soon and I can go back to eprescribing those meds again.