munication between the supervised individ-
School of Metropolitan Detroit. The Diskins are
ual and a licensed health professional ..." and .2
active members of Congregation B'nai Moshe.
"The availability of a licensed health profes-
"My father and husband were both very
sional on a regularly scheduled basis to
encouraging when I started this practice,"
review the practice of the supervised individ-
Diskin said. "I loved the practice I was at — I
ual ..."
-
was there for more than five years." But, she felt,
"When physicians say that nurse practi-
she was getting less time to be with patients.
tioners are not qualified to give care, that is
With her own practice, Diskin devotes 15-45
just not true," said Caroline Broida Trapp.
minutes with each patients, with follow-up
"I don't know why some MDs are threat-
appointments as needed.
ened by NPs," she continued. "Certainly,
Among the physicians making referrals to
there are enough patients for all of the local
Adult Primary Care is Dr. Jay Fisher of the
providers. A large percentage of visits to any
Farmington Hills-based West Oakland Ob Gyn.
medical office are for routine acute problems
Diskin and her staff spend several hours there
or time-consuming education and counsel-
each week. It helps keep the nurse practitioners
ing on chronic diseases. These are areas in
aware of new trends and changes in women's
which NPs excel."
health care, Diskin said.
Trapp cited the excellent -safety record of
Dr. Fisher doesn't feel threatened by Diskin's
nurse practitioners in general and said that,
independent practice. "It's just like working with
as a group, they are "very good at knowing
other physicians — we each develop our own
Cindy Diskin and Kathi Payson check an X-ray at Adult Primal), Care.
their limits and knowing when to call in
styles," he said.
help."
At Adult Primary Care, UrsO has additional
In his psychiatric practice, Dr. Dan Guyer
certification as a diabetic educator, and the prac-
lem," Feuss said. "But, just as a general practice physi-
of•Huntington Woods has worked with highly trained
tice will soon add a nurse practitioner with a doctorate
cian would refer his or her patients to a specialist when in psychology. The practice frequently takes referrals
master's level nurses for 20 years or more. "In my
practice, we have master's level nurses, along with mas- needed, so, too, a nurse practitioner would refer to a
from Jewish Family Service, treating many Russian
physician."
ter's level social workers and psychologists," Dr. Guyer
immigrants. For those with no medical insurance, the
said.
practice discounts office visits 25 percent, Diskin said
"What the nurses have is the ability to do therapy
In addition, they put non-insured patients in touch
Family Interest
from a medical perspective. It's an extension of what
with indigent programs offered by pharmaceutical
Diskin inherited her passion for medicine and her
we're able to do — we've always had a biologicaUbio-
programs.
listening ear from her father, Oak Park podiatrist Dr.
chemical orientation."
The most important aspects of medical care are lis-
Matthew Borovoy, who died earlier this year.
At meetings, I've attended where the focus is on
tening to what the patient says and making sure the
Diskin's husband, Jeffrey, is an ophthalmologist, and
psychiatric medication, more and more frequently, I'll
patient buys into the treatment and has family sup-
their children seem to have inherited their passion for
see large numbers of nurses," he said. "Especially in
port, Diskin said.
rural areas, there may not be a general practitioner or a medicine. Oldest son Josh, - a graduate of the Jewish
"Sometimes we'll tell a patient to go back home and
Academy of Metropolitan Detroit, plans to follow a
psychiatrist."
keep a diary of their symptoms, of what they've eaten,
pre-med curriculum at the University of Pennsylvania.
Carol Feuss, director of communications for the
what medications they've taken, and any other relevant
Daughter Rachel, 16, once asked if she could be both
9,500-member Michigan Nurses Association, knows
information," she said.
a pediatrician and an artist, Diskin recalled.
of "many strong partnerships between nurse practi-
"If the patient doesn't have a good idea of what's
Rachel and her twin brother, Michael, are JAMD
tioners and physicians."
going on — and doesn't buy into the treatment — we
students. Youngest son Jacob is a student at Hillel Day can't be as effective," she said. ❑
"Only institutionally, there could be a aid prob-
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