Thanks for the well wishes. The offer remains open.
This is what we sent our patients...

?Any path is only a path, and there is no affront, to oneself or to others, in dropping it if that is what your heart tells you . . . Look at every path closely and deliberately. Try it as many times as you think necessary. Then ask yourself alone, one question . . . Does this path have a heart? If it does, the path is good; if it doesn't it is of no use.?
--- Carlos Castaneda

Dear Patient,
We began our medical education and practices over 30 years ago. Since that time, practicing medicine has been a path with a heart for us, providing a great deal of satisfaction. Following this path, have learned a lot from our patients, and have come to believe in the goodness of people. You have become our friends.
Medical practice is changing and the milieu is confusing and somewhat frustrating. We believe in the basic intelligence, priorities, and ingenuity of the American people and believe that this will sort itself out, although we believe this will take many years. We have found a new path for us that we strongly believe also has a heart. We have accepted jobs on the island of Saipan in the Northern Mariana Islands with the Commonwealth Health Care Corporation, a publicly funded hospital and clinic. We are excited about this adventure and working in an underserved area.
We expect to be gone for many months. Therefore, although Fairbanks remains our home, we will be closing our medical practice in December of this year.
We would encourage you to establish yourself with another provider as soon as possible. Fairbanks is somewhat shy on Internists and the family medicine physicians in town are also very capable and up to date. We strongly suggest that you do establish with a primary care provider rather than risk fragmented care from specialists alone.
We have had long and close relationship with many of you, and it will be hard on both of us to bring this to a close. If you have ongoing medical issues, we are hopeful that we can bring them to some logical conclusion or stable condition before we leave. To those of you who are new to our practice and came to us hoping to establish long term care, we apologize-we were not anticipating this change until very, very recently.


David Grauman MD, FACP
Flagstaff, Arizona