I too have a private practice out of my home and I understand your sense of isolation. Previously I had a hospital practice which in large part consisted of house calls to the chronically ill elderly (mostly patients with dementias and other mutiple medical problems ) I am a Geriatric Nurse Practitioner and have prescriptive practice and am able to make diagnoses thusIwas also able to adress the patients' medical needs, as well as provide family counselling. Due to some chronic health problems that at times leave me in a wheelchair I had to quit my hospital practice.I decided to open a practice from my home so that I could balance my health needs with work. I usually see patients in their homes. This works well, because dementia patients' families are also the patient. This is probably much more than you wanted to know. I find that seeing most of them at their residence distances me somewhat although if they lve far away I do have the familes come to my home for couselling education and therapy. I mostly miss the collegial back up. Talking over a difficult patient or diagnoses with colleagues often provided me with information,a new slant on things, or just a chance to vent my frustration.
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