- Appointments (618) 277-3197
- Exchange (618)
277-3214
- E-MAIL
The Country Doctor
- If no
reply within 24 hours on a weekday, please call the
office.
- Please
include your name, insurance plan, and telephone
number.
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- Welcome to The Country Doctor, Ltd,
located off Hartman Lane, in the middle of the rapidly
growing community in St. Clair County, Shiloh,
Illinois. Shiloh is in the middle of Fairview Heights,
O'Fallon, Swansea, and Belleville, Illinois. The
Country Doctor is minutes from the Belleville
Hospitals, laboratories, radiology centers, and
physical therapy centers. At The Country Doctor
patients receive care from Dr.
David Larry Mitchell, a Family Medicine
Physician who lives and works in St. Clair County,
Illinois.
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- Regular Flu
Shots and H1N1 flu shots
should be in stock by 9/15/10, possibly as early as
9/9/10 for regular strength Sanofi Pasteur vaccine for
6 months through adult, including pregnant patients.
The 2010 formulation is a combined regular and H1N1
vaccine, meaning most adults will only need one shot.
Children may need one or two doses, depending on their
vaccination status from 2009. The CDC recommends that
anyone ages 6 months through adult receive the flu
vaccine.
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- The Sanofi Pasteur
regular dose vaccine is safe from 6 months onward and
during pregnancy. I will stock a limited selection of
high dose flu vaccine for patients who are 65 or
older. Flu shots will be given from September through
March. Regular flu shots are open to anyone who wants
one, who is 6 months or older, and who has no egg
allergy. The exception is HMO or Medicare complete
patients, who have another doctor's name on their
card. Please note that we only stock the preservative
free vaccine.
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- Some patients have asked about getting
flu shots for "free" or at flu shot pharmacies. Be
very careful where you get your flu shots, as many of
the "free" or low cost flu shots, may contain mercury
and are not preservative free. Some of these same
vaccines at pharmacies also are not approved down to
age 6 months and no one has the high dose flu vaccines
that is for 65 or older until September, 2010. The
mercury containing vaccines are not approved during
pregnancy or for early pediatrics patients.
Progressive states, such as Missouri, require
preservative free vaccine for certain patients. The
Country Doctor is willing to spend the extra money to
purchase Sanofi Pasteur preservative free vaccines for
children and adults.
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- The CDC recommends the following people get flu
shots:
- Anyone ages 6 months through adult, new 2010
recommendation.
- Sanofi Pasteur's inactivated trivalent vaccine
Fluzone High-Dose for patients 65 and older instead of
a standard influenza vaccine.
- Do Not use Afluria/CSL Biotherapies' brand flu
vaccine secondary to the risk of febrile seizures in
children age 6 months through 8 years. This may be
extended to other age groups.
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- Employment
opportunity, for either an additional part time
medical assistant.
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Same
day and next day appointments usually are available to
most established patients, who are part of the
accepted
insurance plans. Patients usually are
seen within minutes of the scheduled appointment time.
The care of the patient is the top priority at The
Country Doctor, Ltd.
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- The new patient
may want to visit the NEW
PATIENT FORMS section. Please bring the completed
forms to the initial appointment. Paper forms are
available to patients without internet
access. New patients are patients who have
never been seen for an office/hospital visit or who
have not been to an office visit in three years. I
work six days a week to try to get new patients in the
same week that they call.
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- The
Country Doctor is Dr. David
Mitchell, the primary care physician who
founded The Country Doctor, Ltd. and who is the first
Board-Certified physician to live and work in Shiloh,
Illinois. Dr. David
Mitchell is the only independent, solo Family
Physician to start a practice from scratch in the
Belleville-Shiloh-Swansea-O'Fallon area in the last
nine years and is the last remaining solo Family
Physician under age 50.
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- The
Country Doctor is staying in the area longterm. Why
not choose a local doctor who grew up in the area and
who is not going to leave the area?
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- Why you should choose The Country
Doctor for your care?
- You
see the same doctor at each office and
hospital visit, meaning you see a doctor who is
familiar with your care.
- Same
day appointments and Saturday morning appointments
usually are available to established patients.
- Dr.
Mitchell cares for patients at both Belleville
Hospitals. A review of a recent internet posting
of Family Practice physicians on staff at the
Belleville Hospitals shows that Dr. David Mitchell is
the only full time, solo, Family Practice doctor left
in Belleville, Swansea, Fairview Heights, Shiloh, and
O'Fallon, Illinois who sees inpatients and outpatients
at both Belleville Hospitals. Dozens of primary care
physicians no longer see their own patients at St.
Elizabeth's Hospital,. To see if your doctor will not
see you in the hospital click
here As a summary, the majority of the
doctors in O'Fallon will not see you at either
Belleville Hospital.
- Board Certified by
the American Board of Family Physicians (meeting
national standards) in 2002 and recertified in 2009,
with the ABFM and subsections on the recertification
examination of ambulatory family medicine and
geriatrics. A recent article showed that
American physicians who are board certified maintained
a higher quality of care and lower mortality than
physicians who are not board certified.
- Extended
hours. The Country Doctor has weekday hours
from 8:30-4:00 and Saturday from 8:00-noon. Other
times may be available. Lately I have been starting
around 8 AM and booking straight through the day.
Normally I do not close for lunch. Unlike practices
that are only open 4 weekdays, I am open M-F most of
the day and Sat in the AM.
- Email is available.
Feel free to e-mail for non same day appointments and
nonurgent questions. Emails are answered daily.
- The
Country Doctor is the first St. Clair County practice
to publish its common
fee schedule. Our fees are based on our best
insurance contract. If you would like a fee
comparison, a May, 2010 urgent care center with a
routine two hour wait on Greenmount Road quoted a new
patient a minimum fee of $360 to walk in the door, not
including labs and xrays. ER bills routinely are
$1,000 for a UTI or a sinus infection.
- Common Vaccines are in stock.
- Currently we have available for in
office testing with same day results:
- Urinalysis, fasting glucose for
diabetes, rapid strep, and urine pregnancy (most
insurance plans).
- Diabetes, high cholesterol, and
hypertension maintenance with a Hemoglobin A1C for a 3
month sugar average, urine Creatinine and microalbumin
ratio to detect minute kidney damage, general
urinalysis, full cholesterol/lipid panels, and BMPs.
- ALT/AST liver enzyme monitoring is
available for patients on cholesterol medications,
certain diabetic medications, medications for tinea
unguim of the nails, NSAIDS, and other
medications.
- Helciobacter pylori for ulcer
bacteria, PT/INR testing for patients on Coumadin or
Warfarin, mono, hemoglobin, and hypothyroid screening
and testing.
- IDOT
physicals and in office urine drug screens. Random
urine drug screens are required for patients on
narcotic, benzodiazapine, and Class II/III/IV
medications.
- For
complex laboratory
and radiology studies, the patient may choose
the facility of
choice, with the exception that some
insurance plans require certain facilities.
We welcome the
patients who will choose The Country Doctor for their
outpatient and inpatient care, while we continue to
provide continuity of care to our current patients in an
independent practice setting.
When an
established patient calls after hours
for an urgent health concern, the patient talks to Dr.
David Mitchell. The pager number is for established
patients and health care workers. If you have an urgent
question or concern, my pager is 782 6004 After calling
the pager, you enter your callback number and then press
the # sign. If it is important enough to call Dr.
Mitchell, then you must be seen in the office within 24
to 48 hours for an evaluation of your medical concern.
Rarely do patients call after hours, as I am in the
office six days a week.
At the
Country Doctor we care for our patients in the office and
at the hospitals in Belleville, Illinois. If you are
admitted to either Belleville Memorial Hospital or St.
Elizabeth's Hospital of Belleville through the ER, please
have the ER physicians or nurses notify Dr. David
Mitchell of the admission. Dr. David Mitchell is on call
for his own patients.
- Please feel free to click on the links
at the bottom of the page to learn about the practice.
Thank you for exploring the website, and we hope that
you will find a home for your primary care medical
needs at The Country Doctor.
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Good luck to the primary care physicians who have left
the Belleville area since July 1, 2010, including Drs.
Salma Mannan-Hillaly, Stephen Jubinski,
Alba, Paul Malcharek (Sept), Donna Wagstaff
(Sept), and Bryan Warner. Many of these doctors have left
secondary to wanting higher salaries from the hospitals
and not wanting to work holidays or call. Some of these
docs have worked for both local hospitals and have become
dissatisfied. The no compete clause means they have to
work outside of the area, such as in St. Louis. Most of
the leaving primary care doctors were simply replacements
for the ones who left in the 2004 exodus. From 2004 to
present, one outpatient only O'Fallon group has lost Drs.
Donna Wagstaff, Victoria Jansen, Dorrie Treadway, Angelo
Della-Pietra, Mark Lawlor, Knapp, and Bryan Warner. The
Country Doctor is a stable practice with same doctor
seeing patients since 2002.
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