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. 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