The solution seems to just be volume.
I haven't figured out how to do it yet, but in principle, if you hold people to ONE PROBLEM per visit you can't probably survive.
Diabetes today
Heart failure tomorrow.
Arthritis next Thursday.
Hypertension in a week or so.
Fatigue next month.
Insomnia later.
Freeze off a few keratoses in two months.
Etc.
I make the mistake of just sort of lumping it all into one visit because I feel sorry for the old folks who have trouble getting to the doctor.
But I'm beginning to feel less and less sorry.
