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Health & Fitness

A Primary Goal

Looking for a doctor? The Bartlett Medical Clinic and Wellness Center won’t accept your insurance. Heather Bartlett, M.D., the clinic’s founder and owner, sees a hidden health care crisis in America, one which led her to establish Columbus’ first Direct Primary Care (DPC) medical practice, an alternative payment model with a flat-rate monthly fee and [...]
Laura Dachenbach

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Looking for a doctor?

The Bartlett Medical Clinic and Wellness Center won’t accept your insurance.

Heather Bartlett, M.D., the clinic’s founder and owner, sees a hidden health care crisis in America, one which led her to establish Columbus’ first Direct Primary Care (DPC) medical practice, an alternative payment model with a flat-rate monthly fee and no third-party billing.

“Nobody’s talking about it,” Bartlett’s said, referring to physician burnout—the anxiety and depression leading to suicidal thoughts, the disengagement, the general malaise that has ticked upwards in the profession by 25 percent over the last four years according to some studies. She tells me about closed Facebook groups for physicians looking for side work, rental income or MLMs to escape clinical work.

“We’re not getting to practice medicine any more. We’re becoming data entry clerks,” Bartlett lamented.

As a young doctor in Seattle working under an insurance model, Bartlett describes how she was trained to limit her patients’ issues to just one or two a visit, maximizing the number of patients seen per day, since insurance companies won’t reimburse a physician or practice for the time spent with any one patient.

“These were people that were coming in that were lower socioeconomic class, that were laborers who had bosses who were jerks. They were already losing income by being there. They were losing income by waiting. Then they lost income with their copay. Then they lost income with anything that I ordered.”

Follow up care would often become unaffordable. So Bartlett always worked through the list of complaints her patients would bring her, disregarding the “rule” to prioritize concerns for the sake of time.

“I couldn’t do it,” she explained, shaking her head. “It wasn’t within my resolve.”

So in February 2016, in the midst of political battles over insurance, Bartlett opened her no-insurance clinic and returned to the type of work she loves to do—primary care. Being a pioneer in the field isn’t easy, but she was convinced that providing affordable access to primary care, along with the time to adequately counsel patients, was the right thing to do.

“There’s a difference between being miserable and struggling. Struggling is being an entrepreneur and taking a risk. And that’s okay because that can change,” said Bartlett. “Even when I had moments of doubt, it was my patients’ feedback that kept me going; to say, ‘Okay I’ll figure out how to keep the clinic open for another month, and another month, and another month.’”

Bartlett shows me her exam room, what medicine looks like when the bureaucracy is removed. The vintage cabinets and wooden blinds call back an era before health insurance became commonplace (and virtually necessary) to healthcare. Bartlett even has a small pharmacy stocked with frequently prescribed drugs (most of them generics and 50 to 80 percent cheaper) and supplies such as braces and splints. Here is where she spends two hours with a patient during an initial exam. And what does she do with patients for that amount of time?

“I’m going to get to know them,” Bartlett explains, adding that current medical records consists mostly of yes or no questions designed around ease of billing, rather than getting an accurate medical history or description of a current illness. “First of all I say, ‘I see your history, but I’m going to let you start. Where do you want to start with your health history?’ You need to know the history of the patient. You need to know the story. It’s a story.”

To Bartlett, it’s all about trust, or in her words, “knowing that someone’s got your back”—which stems from genuine relationships with patients as well as financial transparency. Her billing is by “membership plan,” ranging from $149 a month to $59 a month. Fees for labs are available on her website. All plans include the ability to call/email/text/telemed with Bartlett. That means you can take a picture of that thing on your foot, email it, and get a same or next day answer without being forced to make an appointment, taking time off work, or trying to self diagnose on WebMD. You can video conference. Or you can text with urgent concerns.

“A patient was vacationing in Costa Rica…and he was having some side effects [from medication]. So he was able to email me, ‘Hey, this is going on.’ “ Bartlett answered the email and followed up the next day. “He didn’t go to an ER. He didn’t go to an Urgent Care. He didn’t screw up his vacation with his family because of something that I was familiar with and I could guide him.”

Bartlett feels lucky to have escaped the world of doctors on the “hamster wheel,” forced to process huge numbers of patients in an unreasonable amount of time and foresees an exodus of primary-care physicians, already threatened in numbers, leaving the field of medicine, and leaving patients, insured or not, without health care providers. DPC doesn’t mean less work for Bartlett, but it does mean more professional satisfaction.

“There’s a difference in going home tired and frustrated versus being tired and fulfilled,” Bartlett said. “So I’m happy.”

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Health & Fitness

5 unique ways to improve wellness without a treadmill

Jeni Ruisch

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big percentage of the resolutions we make every year involve getting in shape and/or improving our overall wellness. But running on a treadmill is only slightly more attractive an activity than, say, waiting in line at the DMV. And unless you can sit still for more than two minutes, meditation is out of the question. If you want to really challenge yourself to step outside your normal bubble, face your fears while finding balance. You’ll conquer your phobias AND the scale.

Float

True REST Float Spa
truerest.com

You can achieve a state of buoyancy akin to floating on a cloud. The key is a pod filled with hyper-salinated water, heated to the temperature of your skin. Reduced Environmental Stimulus Therapy can help your mind find peace.

Flip

Life Energy Yoga
leyyoga.com

Did you ever dream of becoming an acrobat? This exercise consists of poses done with a partner. You can make human pyramids, or even learn to stand on each other’s shoulders, or contort yourselves into knots of fun.

Climb

Infinity Aerial
infinityaerial.com

Raise your skills to the roof with aerial silks, the skill made popular by Cirque Du Soleil and performing artist P!nk. A long swath of fabric pours down from ceiling supports, and the performer uses friction and strength to support themselves in poses among the waterfall of silk.

Dive

Columbus Scuba
columbusscuba.com

The depths of the ocean hold more mysteries than the surface of the moon. Brave men and women strap Self-Contained Underwater Breathing Apparatus to their backs every day the world over, and dive into the unknown.

Fly

The Buckeye Bounce Club
thebounceclub.com

If you thank your lucky stars for gravity, and the hard ground under your feet, maybe it’s time to shake yourself free of the terra for a few ticks. The Buckeye Bounce Club is a gym where the workouts are done on wall-to-wall trampolines, or rather, ceiling-to-ceiling, as the walls themselves are bounceable, just like the floors.

Originally appeared in (614) Magazine December 2017

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Health & Fitness

Truth or Trend: Does “detox water” really work?

Becca Kirian RD, LD, CNSC

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Water, H20, aqua: the most basic of necessities for human life. Water is a vital part of many bodily functions, including removal of waste products, but can we make water even “better” for us as a “detox water?"

Simple answer: no.

https://www.instagram.com/p/B1F2t7Vg91U/?igshid=9icqe17xmslg

H20, i.e. two hydrogen atoms connected to an oxygen atom, is the chemical identity of water. This specific formation is what separates it from other molecules, and makes it the most vital substance to human existence.

Soaking things in your water like ginger, cinnamon, or cucumbers can alter the taste but will not chemically alter the structure. Water infusions like the ones listed in the post above can taste great, but water is still H20 and will function as such.

That being said, water infusions are not bad; in fact if you’re struggling to meet your daily intake, water infusions are often an idea I suggest to patients and clients. Mixing up the flavors can bring water can elevate the flavor, making it easier to drink throughout the day!

Take-away: Don’t let social media tell you water can be changed to a magical detox; water is already an amazing life giving drink. Instead, use social media for inspiration for trying a new tasty drink that might help you get the adequate hydration you’ve been struggling to get!

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Health & Fitness

Truth or Trend: 30 Day Challenges

Becca Kirian RD, LD, CNSC

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@DietBetch, a popular Instagram account with over 213k followers, tends to post memes that subtly poking fun at our diet culture. But recently, I was disappointed to see a post about a "30 Day Challenge" that reinforces the unhealthy, fad diet-obsessed world we live in.

This "30 Day Challenge" prohibits participants from consuming foods that many people often associate with being “unhealthy” like soda, candy, and doughnuts.

As a dietitian, I’m not going to disagree that the foods listed do tend to be higher in nutrients of concerns—like added sugars and salt, and overall calories—but, I absolutely believe they can be part of a balanced diet.

By completely removing foods from the diet with a 30 Day Challenge like this, one will simply think, “No…for this month." This purge-style challenge won't teach healthy sustainable eating habits like intuitive eating or portion control.

Take-away: Instead of tagging a friend for a restrictive diet challenge that doesn’t set either of you up for long-term success, try implementing a small sustainable change. Maybe instead of going out for fast food every day of the workweek with a friend, you both could try packing once a week and share recipes and meal ideas!

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