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Helling's doctor, Christine Sinsky, requires no special fee for the extra service. Same- or next-day appointments by doctors who coordinate patient care are just the tip of the iceberg at Sinsky's multi-specialty medical group practice, Dubuque's Medical Associates Clinic. The clinic's acute care center has extended hours, open daily from 7 a.m. to 9 p.m. Clinic patients email their doctors, get their medical records via the practice's secure website, are encouraged to share their thoughts and concerns about possible treatments with doctors, and receive a next-step care plan after each visit. But Helling says what's "truly amazing" was what happened when she was diagnosed with diabetes nearly two years ago. After prescribing medicine, Sinsky asked how she could support Helling in getting her blood sugar and weight under control. When Helling said unreliable scales frustrated past efforts, Sinsky arranged for her patient to come in once a week for free to get weighed on clinic scales. That support was vital: "I've been able to lose over 150 pounds in the last 18 months," says Helling, who is no longer diabetic.
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