Tuesday, August 26, 2014

What a difference 2 weeks makes....in turning dreams into reality!!!

Wow! What a difference 2 weeks makes! This time 2 weeks ago, I had given my 3 week notice to my former employer and 8 hours later went from being employed to self-employed in the simple act of turning in my key.  The same key that I had used for almost 4 ½ years to unlock the back door every morning. The same key that started my journey on the quest to learn as much as I could on the practice of balancing traditional and Integrative Medicine by one of the greatest mentors I have ever had.  I will be forever grateful for that opportunity.
This time 2 weeks ago, Jackson’s phone was ringing like crazy and I was in shock for multiple reasons.   I had no idea that people would actually call for an appointment, and I had promised Jackson 5.00 for every appointment he actually scheduled!!  As Jeannetta Hitt said “one for the record books”. That night two weeks ago yesterday, was a game changer for me.  The past two weeks have been humbling, frustrating, lightning speed and so very fulfilling as I have watched a practice go from dream to reality in record time! Patients bringing food, donating office supplies and showing up to help do anything they could do to help me and the kids.  We went from an empty office building to a space that feels like “home”, and very peaceful.  I hope you feel so as well.
Jackson has listened to over 400 women and some men tell him things I am sure he never dreamed of.  He now knows that I have actually been going to work at 5:45 most days of the week for the past 4+ years and building relationships with people, and a foundation that is solid.  He has a clearer sense of what I do for a living now.  He knows that my patients are like family to me, and I to many of them.  He knows now, why I do what I do. He is invested in this practice now, and that makes me proud.  More than anyone will ever know.  Ella started school, but has helped so much by typing in emails as well.  She has not listened to patients, but she knows how important this transition is for us as a family.
I scheduled a “soft opening” this week to work out the kinks that would need to be worked out.  Thank goodness I did that. I have seen 9 patients the past 2 days and feel like I am a brand new NP!  It is amazing how much you don’t know you need when you start a practice like this!  This week will be spent working on the flow and making it smooth for September 2 when we open full force! I saw my first patient yesterday. It was as nerve wrecking as it was 4 years ago!  We have no internet, no fax, no landline, very few supplements, the scale is weighing 8 lbs light (good news for all of us), paper charting until our EMR is transitioned, no sign out front yet and yet we have survived!!  I left at 7 pm tonight and felt a sense of peace, even in the chaos.  Amazing isn
t it? 
No insurance, no retirement, no paycheck guaranteed, still owe 193,000 in student loans to Vanderbilt, longer hours and more stress than I had 2 weeks ago….but I have a smile on my face and a determination that is solid! An amazing group of family, friends, and patients that are rooting for Integrative Family Medicine to succeed.  I am at peace. 
Thank you for your patience during this transition. I promise you that I will do my best to walk with you on your healthcare journey. I am looking forward to spending more time with you in appointments and really digging deep to find the root of what is going on.  I am honored to be called your healthcare provider, and have learned so much from all of you the past 4+ years!  I suspect September will be full of surprises and kinks, so just be patient!  I promise it will be worth the hassle!

Onward and Upward,

You must take personal responsibility. You cannot change the circumstances, the seasons, or the wind, but you can change yourself. That is something you have charge of.

Jim Rohn

Monday, August 11, 2014

Effective Immediately I am no longer associated with Cools Springs Family Medicine

I am excited to announce that as of September 2, 2014 I will be in private practice of my own.  I will be venturing out on my own, after 4+ amazing years with an office that laid the groundwork for me to be able to take the chance on opening a practice of my own.  After many months of praying for guidance and planning I have decided to step out into the unknown and take a chance that I will be able to make a living while supporting my children and balancing my work and personal life. I apologize to anyone I was scheduled to see the next 3 weeks. I gave my notice today, and was not expecting to be told a notice wasn’t necessary.  On the flipside of that, my sudden departure allows me to spend the next 3 weeks getting my office set up, specialty labs ordered in, the supplement store set up and scheduling finessed.

Integrative Family Medicine, LLC will officially be open to see patients on September 2, 2014. The primary focus will be on gut health, thyroid conditions (with an interest in Hashimoto’s Thyroiditis), hormonal balancing, adrenal health and autoimmune issues.  The endocrine system is my passion and I intend focus on that alone with the gut for this practice. 

I fully support the transition that Cool Springs Family Medicine is making into a direct pay practice.  As the years have progressed, providers are being forced to see more patients, spend less time with them and are being reimbursed less and less.  I have a fellow NP friend who was paid 8.00 recently (from insurance) on a visit that also involved an injection. This kind of treatment from insurance companies, is forcing us to work longer hours seeing more patients while receiving record lows in reimbursements.  IFM will be a hybrid clinic for at least the first year.  Meaning that we will only take Blue Cross and Blue Shield. No Medicare, Medicaid, or any other insurance. Those patients without BC/BS will be direct pay patients. And will be given a Super Bill to file your own insurance with at the end of the visit.  The rates are fair and listed below.  My goal is to transition to a full direct pay practice in 12-18 months.

This model of care allows me to spend from 1- 1/2 hours with you during the initial visit and 30-45 minutes during the follow up.  This allows us to take an extremely detailed history, discuss lifestyle changes and focus on the “root cause” of your illness.  All the while having time to EDUCATE, EMPOWER AND ENCOURAGE you to take the steps needed to begin to heal your body from the INSIDE OUT. By spending more time up front on the initial visit, we can get as much accomplished as approximately 5-6 follow up visits.  Imagine, being able to dive right in to finding the “root” cause of your illness?
My goal is to see no more than 12 patients a day, limiting my new patients to 3.   And again, you will be given a statement that you can file with your insurance company for reimbursement.

I am looking forward to this new chapter in my life.  Words can’t tell you how scared I am, uncertain of the future and excited for all God has in store for me and my children! I am asking that you pray for me and those involved in helping me succeed (and there are many). Pray for favor as well in building a practice whose main focus is on QUALITY and not QUANITY in terms of patients seen.  I am stepping out in faith that God has my back and will provide for me during this uncertain time. If I don’t take this opportunity NOW I feel like I am failing myself, my patients, and my God.  Therefore, at the age of 48, once again I am shaking up my life and starting fresh. This time with no safety net, no health insurance, no retirement and no guarantee of a paycheck! I can’t tell you how vulnerable I feel right now! 

If you are interested in scheduling an appointment, please call
615- 944-3529 for the 2 weeks while my office manager recovers from a thyroidectomy (how ironic is that). Jackson is my son, and will take good care of you! He is excited about this next season in our life.  And will be helping out in the office when he finishes class most days.

Thank you for all the emails, texts and calls today while I was working. For those of you that continue care with me at IFM, I am honored. For those of you that are not able to, it has been a pleasure and an honor to have been a part of your healthcare journey the past 4 + years. 



Integrative Family Medicine
330 Mallory Station Road
Suite B3
Franklin, TN 37067
Tammy Breece ,Office Manager

Jackson Hobgood, Scheduling until August 24
615 944-3529

7:00 AM- 5:00 PM
6:00 AM-4:00 PM
6:00 AM-12:00 PM




I will not be drawing labs in the office.  If you have labs already scheduled at CSFM, I can give you a lab order 2 weeks prior to your visit and you can take them to QUEST OR LABCORP~or anywhere you want to have them drawn.  Or call CSFM and see if you can have them drawn there. Just make sure you have a copy of them in your hands when you come for your appointment! 

Please be patient with us!  I was not expecting such overwhelming support and Jackson has 40 voicemails right now to return and the VM is 100% full. 

You can email him at integrativefamilymedicine2014@yahoo.com with your name, phone number and any questions you have.  He will email you back ASAP! 

Integrative Family Medicine