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Nurse Practitioner Provides Personalized Direct Primary Care

March 17, 2020 2:16 PM | Lauren Dolan

Karl Lambert, ARNP Would Never Go Back to Traditional Practice

In 2014, nurse practitioner Karl Lambert heard about the Academy of Preventive & Innovative Medicine by Worldlink Medical. A colleague told him about hormone optimization with bioidentical hormones and he was intrigued. 

Karl was frustrated that his patients never really improved. He’d see them in his office, talk with them about their obesity, blood sugar, diabetes, blood pressure, cholesterol, and other risk factors. He’d prescribe medications and have the best intentions for them, but not hold out a lot of hope for their prognosis.

Karl would see the same patient, back in the office 6 months or a year later. Nothing had changed. Their weight was the same or higher, blood sugars still elevated, hemoglobin A1C creeping up - everything that goes along with “aging.”

Karl never felt a sense of getting ahead of any of his patients’ labs or symptoms. He especially felt inadequate when it came to understanding and treating the root problems underlying all these issues.

After attending Worldlink’s Part I Hormone Optimization course, Karl started implementing bioidentical hormone optimization with his patients right away. He saw immediate improvements in their health. He looked forward to seeing some of them again because they were heading in the right direction.

Karl was still handcuffed by the limited time he could spend with his patients and the sheer number of them. He was still working long hours and charting late into the night, which cost both him and his family.

When a colleague suggested they work together to start a direct primary care (DPC) practice, Karl wasn’t quite sure what that was. He did some research online and gradually started to see an exciting picture emerge.

Direct primary care (DPC) is primary care sold directly to individual patients, bypassing insurance (for the most part). Karl started Redi-Medi Integrative Clinic in 2014 to serve the primary care needs of Wenatchee, a small town of about 30,000 in central Washington state.

Redi-Medi’s website provides a transparent overview of Karl’s brand of DPC:

"We have shrugged the bureaucracy. We have shredded red tape. In refusing to recognize any interference with the sanctity of the patient/provider relationship, we have returned family practice medicine to its root values of clinical excellence for and compassionate knowledge of every patient. In every aspect of family health care, and custom health care, we promise accessibility, convenience, and affordability.

Redi-Medi offers care for patients from age 0 to 100, with an affordable sliding fee scale: $20/month for young children to $55/month for adults 18-50 and $90/month for patients over 81. 

That’s less than a monthly cell phone bill, something almost anyone can afford. 

I talked with Karl about his DPC practice and the way it has evolved into an entirely cash-based model that’s focused on wellness and prevention, rather than chasing disease and waiting for reimbursements from insurance companies and Medicare.

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