Hospital Inpatient Care

Spokane Internal Medicine has teamed up with hospital-based physicians (“hospitalists”) to provide care for our patients at Valley Hospital and Deaconess Medical Center.  These physicians are highly-trained in all aspects of inpatient care and are available 24-hours a day to address your urgent needs.  Our physicians work closely with them by providing important medical information from the electronic record and being available to answer questions or help with complex care issues.  We are committed to providing seamless care by providing follow-up clinic visits as recommended at the time of hospital discharge.

Nurse Practitioners

Nurse practitioners provide primary care and are qualified to meet the majority of your health-care needs.  They are registered nurses who have a master's degree in nursing.  While NP’s are trained to work independently, they are in communication with your physician and work collaboratively with him/her.  They take health histories, perform physical exams and prescribe medications. They may also order lab tests, x-rays and refer you to a specialist as needed.

SIM has six licensed nurse practitioners who have open appointments daily to take care of your acute care needs.  One of these is also a certified diabetes educator (CDE) who can help patients with their diabetes management and their concerns relating to diabetes and it's complications.  At SIM, the NP's also manage the Coumadin clinic, assist with cardiac stress testing and help assist you when your physician is out of the office that day.

Prescription Refills

Your requests for prescription refills should be directed to the pharmacy providing the medication.  The pharmacy will contact our office if authorization is needed for refills.  If prescriptions are needed for a mail order pharmacy, please call the office well ahead of time so these can be printed and mailed to you.

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Laboratory & Testing


 May is Osteoporosis Month

In people with osteoporosis, one fracture often leads to more fractures, and potentially a future of pain, disability, and poor quality of life. Studies have shown that such high-risk patients benefit from appropriate medication to reduce future fracture risk.

Expert panel evaluates role of osteoporosis medications in fracture healing.