committed to delivering primary care as it was intended--through trust, openness, and investing in the doctor-patient relationship.

Direct Primary Care: A Medical Students Perspective

As the end of our first year of medical school approached, we received our assignment for where we would complete our primary care apprenticeship for the following year. After the countless hours of studying in isolation, we would finally be fully emerged in a setting to interact with patients and be able to put a…

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A Win For Gold Direct Care and DPC in MA

  Direct Primary Care is written into the Affordable Care Act as an approved method of receiving primary care as long as it is combined with a catastrophic insurance plan. (Isn’t that how insurance is supposed to work? But I digress.) The ACA clearly defines that DPC is not “insurance” and purchasing a DPC membership…

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It Was the Best of Days and the Worst of Days

  Last Wednesday, January 6 2016, was a day I will not forget any time soon. It was a day that showed me the worst of our healthcare system but also the best. The week prior, a new patient enrolled with us online. His name was not one that was familiar to me. We scheduled…

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Opiates: A Painful Topic For Everyone

Todays Boston Globe has an article regarding physician prescribing of opiates to patients that have already experienced an overdose Opiate Prescribing to Patients With OD History. Between the documentary that HBO aired last night regarding the opiate crisis on Cape Cod and this article from today, I felt that as a primary care physician and as…

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Happy Thanksgiving- A Honest and Heartfelt Thank You Note

It amazes me to think that at this time last year, though Gold Direct Care was so close to becoming a reality, it was still in many ways a figment of my imagination. So it is in a state of disbelief and gratitude that I’m writing this post, focusing on what I am thankful for this…

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Dr. Carmela Mancini Joins Gold Direct Care

Hello, I am Dr. Carmela Mancini and I have recently joined Gold Direct Care. I am so excited to be a part of the Direct Primary Care movement! Like many physicians in today’s healthcare environment, I realized that my idea of being a doctor was not possible in the current system. I wasn’t able to…

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End of Life Care: We Can Do So Much Better (Dedicated to Wilbur)

Ever since I watched my grandfather and grandmother suffer from devastating diseases like diabetes and dementia, I have always been passionate about how we treat people at the end of their lives. With all of the technology, specialized medicine, and wonderful hospitals we have in this country we often never know when it’s time to…

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Reasons # 2 and 3: Happy Birthday

I want to dedicate this entry to my now 6 year old twins- Cameron and Isabella. It is amazing to me that time is going by so quickly and that you two are already 6 years old! It seems like just yesterday we were learning how to give you your first baths, and now you…

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ICD-10: It's Nice Not Knowing You

Today, October 1st 2015, is a very critical day for the “disease management” system that we mistake for a healthcare system in the United States. Today is when the new coding system called ICD-10 goes live for a majority of American physicians and Nurse Practitioners. This is nothing more than another layer of bureaucratic red-tape that…

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