As a practicing internist, Bryan White Dallas helps readers understand how his profession differs from other respected roles in the medical industry.
Bryan White Dallas physician graduated from the University of Texas Medical Branch School of Medicine in 1992 and has served in various leadership roles since. Dr. White admits that many people don’t understand what an internist does, and they often confuse them with specialists who only focus on the health of internal organs, which isn’t the case.
“Internists are specialists, too, who apply specific knowledge and expertise to improve and maintain positive adult health,” says Bryan White Dallas. “They can diagnose and treat a range of issues affecting adults from general health concerns to more complex illnesses. It takes an additional three years for medical students to earn a specialty in internal medicine.”
In their education, doctors studying to become internists must learn to prevent, diagnose, and treat issues that primarily affect the adult population. They must also undergo postgraduate training to achieve the title Doctor of Internal Medicine. Internists aren’t restricted to one organ, system or type of medical concern; instead, they are prepared to handle almost any problem their adult patients come to them with. Regardless of how complex or simple the issues, internists are equipped to solve concerns directly or else will have an understanding of what outside resources are required next.
“A general internist is able to practice in almost any setting and will offer primary care for an extended period of time with their patients, often staying with them throughout their entire adult lives to make recommendations based on their individual histories,” says Bryan White Dallas. “They make work with patients in a hospital setting, but can also provide inpatient and outpatient care in other facilities. Some internists may even operate out of long-term care facilities like nursing homes and rehabilitation centers.”
While they specialize in adult health overall, some internists receive additional training or schooling to find a more focused aspect of internal medicine. This can take a few additional years in a fellowship position or in an internal medicine residency. Once they’ve obtained subspecialty in a particular medical area, they are qualified to manage complex issues or perform advanced, complicated procedures to meet patient needs.
“While they are more specialized than general practitioners, internists can serve as the primary caregiver for adults for decades, building trusting relationships with their patients over long periods of time and addressing almost all of their varying health concerns,” says Bryan White Dallas.
Texas-based Bryan White of Dallas is a medical professional specializing in elderly and hospice care, and he explains below how antidepressants can be harmful to elderly patients.
For decades, Bryan White Dallas has overseen care at many top-rated medical facilities in Texas where he’s gained a reputation for state-of-the-art procedures and healthcare. Bryan’s developed an extensive understanding of hospice and elderly patient needs, and, below, explains how these patients are at an especially high risk of negative side effects when prescribed overly large doses of antidepressants.
“Elderly patients and those involved in hospice care are likely to face issues with morbidity like never before, and, as a result, often face extreme symptoms of depression as well,” says Bryan White Dallas. “Antidepressants are an effective solution for many, but they’re handled carelessly too often by professionals, which often results in even more negative side effects for the patient.”
Bryan White of Dallas tells us that depression while affecting a startling amount of patients around the world, is especially common in elderly patients who rarely receive proper help and support. While the diagnoses antidepressants for the ones that need it most, he understands that these patients are at a unique risk and responds with tailored dosage plans instead of a one-size-fits-all approach.
Elderly patients don’t have strong immune systems, organ function, or recovery as younger adults, which means that medications like antidepressants can affect their bodies much more strongly. Besides damage to essential organs, antidepressants may cause side effects like diminished cognitive function, delirium, and constipation among others. Each of these, while being harmful to any patient, can be especially detrimental to the progressive health of elderly patients.
“Because of the physiology of aging––decreased cell function and organ performance, namely––geriatric patients are more likely to experience negative side effects of medication,” says Bryan White Dallas. “It’s possible they may experience a reduced liver size or decreased filtration, which can result in permanent damage to the body. It’s because of this that doctors and caregivers must be extra vigilant against incorrect dosages, otherwise, they have the potential to exacerbate pre-existing medical conditions and harm the patient more in the long-run.”
Bryan White Dallas has proposed stronger regulations on antidepressants to wide success at major forums in his state, and he’s instituted a dosage reduction protocol for antidepressant administration for elderly patients, which has proven successful in many medical facilities that provide skilled and long term nursing care.
“These patients need special attention and care, and we can’t overlook the fact that antidepressants and other medications are extremely harmful to them if not administered with patients’ individual care in mind,” says Bryan White Dallas.
For decades, Dr. Bryan White, MD of Hospice has served as an exceptional care provider and leader at many medical facilities in Texas, especially in centers providing long-term care to elderly patients. In addition to serving in leadership roles at Hospice and Hospice Plus, he has also taken on the role of Medical Director for Ennis Care Center.
Patients of the Ennis Care Center undergo wellness and rehabilitation in a technically advanced facility from medical professionals and attending staff who are dedicated to providing a rich, rewarding experience. Dr. Bryan White, MD of Hospice accepted the position of Medical Director for the facility last year. In this role, he channels more than 25 years of outstanding medical care and leadership from a number or top-level positions.
During his tenure in skilled nursing and long-term care, Dr. Bryan White, MD of Hospice attended more than a dozen facilities where he gained a well-rounded perspective on what it takes to be a top medical provider. Today at Ennis Care Center, he leads a team of highly skilled professionals who strive to deliver only the best medical care available to their long-term residents by tailoring bespoke plans that are based on their varying needs and personal preferences.
With Dr. Bryan White, MD of Hospice overseeing medical care, the Ennis Care Center aims to make a real difference in the lives of its patients and offer a model for other long-term elderly care facilities to follow. The center is committed to person-centric healthcare and wellness, which ensures an individualized approach to care for each resident. All residents receive a tailored plan that delivers personal attention and aims for improved health for all. The holistic approach exercised at Ennis Care Center sets an advanced standard for other long-term facilities.
In the role of Medical Director, Dr. White upholds the center’s mission to deliver compassionate care, innovative programming, and multi-disciplinary engagement. The facility’s approach ensures all residents are given a tailored therapeutic program that promotes choice, purpose, and connection in their day-to-day lives. Patients can also explore their personal interests through on-site activities and set goals for themselves through an innovative life-enrichment program. While there, residents have the option to participate in a range of activities such as reading gatherings, veteran groups, coffee and conversation clubs, art therapy classes, movie nights and more.
“We never want to put our residents in a position where they don’t feel they have a choice,”
says Dr. Bryan White, MD. “Everyone staying at the Ennis Care Center is offered a range of
opportunities for personal interactions and a long list of exciting activities to partake in,
depending on their individual preferences. Our facility utilizes a robust life-enrichment
program focusing on social engagement and personal connection so all residents receive the
absolute best care available, suited to their needs.”
Dr. Bryan White, MD has helped Hospices and medical facilities across the state of Texas institute new protocols and better their offerings to meet patients’ ever-growing needs. Recently, Dr. White instituted a dosage reduction protocol on antipsychotic medications to ensure the safety and quality care of dementia patients.
In his career, Dr. Bryan White, MD of Hospice has worked as an internist and manager in a number of practices and has gained a reputation among his peers for enhancing care across the board. He’s witnessed the effects of high doses on patients and today seeks reform in medications for those most at risk of harmful effects. Recently, he instituted a dosage reduction protocol for antipsychotic medications, specifically in dementia patients.
To help his proposal gain traction among medical professionals in his state, Dr. Bryan White, MD of Hospice first mentioned his new dosage reduction protocol in the Texas Medical Foundation (TMF) open forum. The idea was received well by those who attended the forum and has already been implemented into many medical facilities across Texas. The TMF is instrumental in helping top healthcare professionals voice their opinions, present new ideas, and collaborate on solutions that improve care in a variety of fields.
The mission of the Texas Medical Foundation is to promote quality healthcare through contracts with federal, state, local governments, and private organizations, making it the ideal arena for new medical protocols. The foundation partners with healthcare providers in a variety of settings to ensure patients throughout Texas receive quality medical care.
Professionals like Dr. Bryan White, MD of Hospice have used the TMF for decades to make large-scale improvements in the medical field. It was awarded the Medicare peer review organization contract in 1984, which allowed the group to perform reviews for Medicare beneficiaries. Since then, however, it has evolved to also include quality improvement activities in facilities such as hospitals, nursing homes, physician offices and home health agencies. The TMF has grown to offer consulting services as well, which ensures quality care at facilities throughout the state.
“It was paramount that we addressed the use of antipsychotic medications in dementia patients––as dosage amounts didn’t always align with the need,” says Dr. Bryan White, MD of Hospice. “These medications have been found to increase mortality in patients with dementia, a large majority of whom are residents in our nursing homes. I’m proud to say we are making real progress on this subject, and the protocol has already been successful in multiple facilities that provide care in locked units for people who suffer from dementia.”
Dr. White graduated from the University of Texas Medical Branch School of Medicine in 1992 and has been in practice for 27 years, contributing to and improving healthcare throughout his career.
In Texas, few medical professionals hold as high a reputation or as many key leadership roles in facilities across the state as Bryan White of Dallas. In addition to serving in many management positions where he encourages improved healthcare and advanced solutions, he’s also recently taken on the role of Senior Consultant with Dignity Hospice.
Bryan White of Dallas is a firm believer that every individual in his community deserves equal access to top-notch medical care, no matter their individual circumstances. To meet this goal, he has taken on many roles in clinics and facilities across the state, demonstrating his dedicated patient care and his medical expertise.
In Texas, he has served for decades in a variety of medical positions including taking on work as a practicing internist in his hometown. Bryan White of Dallas graduated from the University of Texas Medical Branch School of Medicine in 1992, and he has been in practice ever since. Over the years, he has become Board Certified in Internal Medicine and today is a Diplomate of the Academy of Hospice and Palliative Medicine. Additionally, he’s earned a subspecialty board certification by the ABIM in Hospice and Palliative Medicine.
Bryan White Dallas
These accreditations prove Bryan White of Dallas enacts positive change in the lives of his elderly patients, focusing in recent years on geriatrics and hospice care. Recognized for his quality work and dedication to improved care, he was asked to serve as Senior Consultant with Texas’ Dignity Hospice.
“I’m very honored to be offered the position of Senior Consultant,” says Bryan White of Dallas.
“It’s a tremendous responsibility that I believe my unique work experience and medical
schooling have prepared me for. In this role, I can help ensure best practices across the board, including reducing medications that are no longer helpful for patients in end of life care.”
In the role of Senior Consultant, Bryan White of Dallas will lead efforts to restructure and streamline the pair of Hospice locations in Dallas and Houston to meet the growing needs of local patients. He was hand-selected for this role after demonstrating superior work as an internist, expert clinical knowledge, and a long history in hospice operations. The team behind the two Dignity Hospice locations are confident in their choice, believing Bryan White of Dallas will help maximize care for their patients seeking end of life care.
Dignity Hospice is a part of Dignity Team Health, which is a Texas-based provider of private care, and hospice care for individuals in various stages of need. The group is a unique provider of specialized medical services and often provides hospice care for families who are unable to afford traditional medical bills. They provide extra caregivers where needed and specialized medical equipment to patients based on individualized patient needs. And with Bryan White of Dallas helming as a consultant, they’re certain they can boost their capacity for world-class care to Texas-based patients.
Mercury Healthcare Management, managed by CEO Bryan White, is a personnel management company for physicians, nurse practitioners, and physician assistants providing care for nursing home patients in Texas. White oversees production, which is a tremendous resource to the medical professionals in Dallas, Tarrant, Ellis and Hood counties as well as the patients they take care of.
Medical professional Bryan White serves a number of key management roles in healthcare facilities across the state of Texas. In these roles, he ensures each practice operates at its highest caliber and delivers many modern solutions to obstacles at healthcare units like nursing homes and care centers. Today, he serves as the manager for Mercury Healthcare Management, which oversees more than 800 nursing home and skilled nursing patients in Texas.
Bryan White has taken on the management role in addition to his position as CEO so he can ensure all the facilities under his guidance strive to set the bar for medical practices everywhere. His work helps patients receive optimal care long-term and assists teams in the healthcare industry achieve greater success in their fields.
Bryan White Dallas
One of the central focuses of Bryan White’s career is to make certain that the patients in his community and in his state have access to top-notch medical care run by the best professionals available in the field. In the past, he has served as a Senior Consultant with Dignity Hospice, a Medical Director at Ennis Care Center, and worked as a practicing internist in Dallas. In addition, he’s a Diplomate of the Academy of Hospice and Palliative Medicine and a graduate of the University of Texas Medical Branch School of Medicine.
Since earning his degree in 1992 he’s achieved a reputation for excellence and has been awarded many distinctions for his contributions to medicine including a subspecialty board certification by the ABIM in Hospice and Palliative Medicine. In recent years, Bryan White has focused on geriatrics and hospice care where he ensures facilities run properly and enacts safer protocols that protect the lives of elderly patients.
Streamlining care at medical locations across the state of Texas, Bryan White sees to it that his peers are equipped to meet the diverse and growing needs of patients in Dallas, Tarrant, Ellis and Hood counties. His help upholds and improves upon a certain level of quality that patients in Texas have come to expect from their medical care providers.
Serving as the manager for Mercury Healthcare Management is only one of his most recent efforts to improve medical care on a large scale. In the past, White also instituted a dosage reduction protocol for antidepressant administration for patients in nursing homes and presented a dosage reduction protocol for antipsychotic medications in dementia patients to the Texas Medical Foundation open forum.
For decades, Bryan White of Dallas has served as a medical professional in a number of roles where he delivers modern solutions to problems in healthcare facilities across the state. In addition to taking on the Medical Director position at Ennis Care Center, he is also the manager for Mercury Healthcare Management in Texas
Bryan White of Dallas strives to set the bar for medical professionals everywhere, regularly dividing his time between a number of leadership positions in Texas. Besides serving as CEO of the company, he’s taken on the role of manager for Mercury Healthcare Management, which helps individuals and teams in the healthcare industry achieve greater success in their fields.
Mercury Healthcare Management, headed by Bryan White of Dallas, is a personnel management company for physicians, nurse practitioners, and physician assistants who provide care for nursing home patients in Dallas County. With the company’s help, these professionals learn to improve their work and increase their capacity to care for patients in Texas.
Bryan White Dallas
Currently, Mercury Healthcare Management manages nearly a thousand nursing homes and skilled nursing patients in Dallas, Tarrant, Ellis and Hood counties. Through management services offered through the company, these professionals can improve evaluation and treatment, ensuring processes run more smoothly so patients have more reliable healthcare.
One of the primary focuses of Bryan White’s career is to ensure people in his community have equal access to top-notch medical care. Following this ideal, he has served as a Senior Consultant with Dignity Hospice, a Medical Director at Ennis Care Center, and worked as a practicing internist in Dallas. In addition, he’s a Diplomate of the Academy of Hospice and Palliative Medicine.
Bryan White of Dallas graduated from the University of Texas Medical Branch School of Medicine in 1992, and he has practiced medicine ever since. He’s had an impressive career spanning nearly three decades already, and he’s earned many distinctions for his contributions to medicine including a subspecialty board certification by the ABIM in Hospice and Palliative Medicine.
For years now, Bryan White of Dallas has turned his attention to geriatrics and hospice care, where he improves practices by implementing elements such as new dosage reduction protocols.
“Medicine has come a long way in a short amount of time, and we’ve made more progress in the past few decades than we did over hundreds of years of practice,” says Bryan White of Dallas. “However, there’s still a lot we need to uncover, and there are plenty of corrections we need to make to current medical practices.”
Streamlining care at medical locations across Texas, White ensures that his peers are better equipped to meet the growing needs of patients everywhere. Serving as the manager for Mercury Healthcare Management is only his most recent effort to improve medicine on a large scale.
A medical professional providing state-of-the-art care to patients in the Dallas area, Dr. Bryan White MD has developed a reputation for delivering personalized healthcare and enacting dosage reduction protocols across the state. To maximize the output and capabilities of Ennis Care Center in Texas, he’s recently stepped in as the facility’s medical director.
As Medical Director of Ennis Care Center, Dr. Bryan White MD helps ensure that the facility continues providing unparalleled services that uphold its mission of person-centered healthcare. Under his guidance, the center delivers a specialized therapeutic program that promotes choice, purpose, and connection for residents through daily multi-disciplinary engagement.
Before taking on the role of Medical Director, Dr. Bryan White MD served in a number of professional healthcare roles across Texas. Dr. White attended at more than a dozen facilities during his tenure and delivered skilled nursing and long-term care, preparing him for future leadership roles. He was appointed Medical Director of Ennis Care Center earlier this month after demonstrating expertise across a career spanning 25 years of exceptional service.
Bryan White Dallas
Every medical professional at Ennis Care Center is committed to person-centric healthcare and wellness and strives to offer each resident personal attention. In this way, Dr. Bryan White MD and his peers are able to building lasting relationships and improve the quality of life for all their residents. The mission at Ennis Care Center is to deliver compassionate care and innovative programming, and Dr. White ensures that’s exactly what they achieve each day.
“The Ennis Care Center community utilizes innovations in medicine and care to ensure a comfortable and inviting environment for every single one of our residents,” says Dr. Bryan White MD. “Our robust life-enrichment program focuses on social engagement and personal connection so all residents receive the attention they deserve in an inviting atmosphere.”
At the Center, Dr. White helps enact a sophisticated program that offers every resident the opportunity to set new goals and explore personal interests in all dimensions of wellness. This effective component allows residents to participate in enriching activities like reading groups, coffee clubs, Bible studies, art therapy, veteran groups, gardening, movie nights, lively conversation and more.
In addition, residents of Ennis Care Center also have the benefit of animal therapy on property where equestrian therapy is employed, animal therapy groups frequently visit, and robotic pet therapy is available 24/7. This unique offering helps residents gain a sense of compassion and allows them to build enriching relationships to improve their overall experience.
As the new medical director of Ennis Care Center, Dr. Bryan White MD ensures the facility regularly employs a range of services and solutions that cater to each resident’s unique abilities and interests. In this way, he and other medical professionals enhance cognitive ability, physical and occupational health, wellness, independence, and familial connections among other beneficial factors.
For decades, Dr. Bryan White, MD has helped various medical facilities reform and find alternative solutions that ensure all patients receive care with minimal risks. Helping reform medication dosages in nursing homes, he has instituted a reduction protocol that keeps antidepressant administration in check in elderly patients.
Dr. Bryan White, MD is a medical professional in Texas who has been an instrumental voice in many dosage reduction protocols throughout the state. Through his efforts, he ensures that patients receive appropriate care and medication that doesn’t threaten their well-being while being treated for other conditions.
Recently, Dr. Bryan White, MD has instituted a dosage reduction protocol for antidepressant administration for patients in nursing homes. Today, there are thousands of nursing homes across the country that regularly use antidepressants to treat a range of issues. Dr. White warns his peers against relying too heavily on these medications and prompts them to reconsider using heavy doses in nursing home patients.
Bryan White Dallas
“Antidepressants can do a lot of good for people as they balance out chemicals in the brain called neurotransmitters that determine our mood and how we feel overall,” says Dr. Bryan White, MD. “However, they can do damage to our bodies if large doses are used for prolonged periods of time, especially in elderly patients who may not have the strongest organs to begin with.”
Certain medications can help boost our mood and provide enough benefit to overcome the symptoms of depression. Antidepressants can help people achieve regular peaceful sleep, improve their appetite, and allow them to enjoy activities with a more positive mood.
Since around the late 1980s, America has implemented selective serotonin reuptake inhibitors (SSRIs) into psychological treatment. These antidepressants are some of the country’s most widely-prescribed medications and have been used to treat conditions in almost every age range. Since first being introduced, their use has expanded from treating only depression and anxiety to treating obsessive-compulsive disorder, eating disorders, and many other psychiatric conditions.
These types of antidepressants, SSRIs, are typically safer than other forms of antidepressants (such as tricyclic) for elderly patients, mainly because they don’t disturb heart rhythms and typically don’t cause dizziness. However, liver function is a lot less efficient in elderly patients, and they may find more appropriate prescriptions in rapidly metabolized drugs like sertraline. Regardless, the amount of antidepressants they take each day will ultimately determine the harmful impacts these medications have on the body.
“By instituting this new protocol, we can reduce the harm done to elderly patients everywhere,” says Dr. Bryan White, MD. “Already, it has led to a significant reduction in the use of unneeded antidepressant medications in nursing home patients. The protocol has been especially successful in multiple facilities that provide skilled and long term nursing care, helping physicians deliver only the safest and most appropriate health care. Hopefully other states will catch on soon.”
Dr. Bryan White, MD is a practicing Internist in Dallas, TX who encourages reform and upgraded technologies to improve both physicians’ and patients’ experiences. Dr. White presented a dosage reduction protocol for antipsychotic medications in dementia patients to the Texas Medical Foundation open forum.
For decades, Dr. Bryan White, MD has championed better medical care and improved procedures in facilities across the country. He consistently encourages upgrades in technology and medication and often prompts doctors to seek alternative solutions or reduced dosages instead of relying on a one-size-fits-all type approaches to care.
Dr. Bryan White, MD graduated from the University of Texas Medical Branch School of Medicine in 1992, and he has been in practice for nearly 30 years now. He is Board Certified in Internal Medicine and a Diplomate of the Academy of Hospice and Palliative Medicine. Recognized for his distinguished work, White has also received a subspecialty board certification by the ABIM in Hospice and Palliative Medicine.
Bryan White Dallas
Dr. White has opened the discussion of dosage reduction protocols for antipsychotic medications in dementia patients. He first presented this idea to the Texas Medical Foundation open forum where it quickly gained traction among his peers. Open forums such as these allow professionals to propose ideas and collaborate on new solutions to improve care everywhere. Nursing home administrators and directors of nursing participated in Dr. White’s conference call from all over the state.
“The Texas Medical Foundation is known for impactful campaigns and expert consultations that help improve physician offerings across the state,” says Dr. Bryan White, MD. “It’s the perfect environment for discussing a dosage reduction protocol for antipsychotic medications, especially in dementia patients.”
The focus of the Texas Medical Foundation (TMF) is on promoting quality health and health care through contracts with federal, state, and local governments in addition to private organizations. TMF partners with providers in a variety of settings to ensure that every patient receives the appropriate care, every time.
The foundation has had an impactful history that extends back decades; in 1984, TMF was awarded the Medicare peer review organization contract to perform medical reviews for Medicare beneficiaries. Ever since, the contract has evolved to also include quality improvement activities in hospitals, nursing homes, physician offices and home health agencies. Recently, the foundation has expanded to offer consulting services to ensure quality care across the state.
“It was paramount that we addressed the use of antipsychotic medications in dementia patients–as dosage amounts didn’t always align with the need,” says Dr. Bryan White, MD. “These medications have been found to increase mortality in patients with dementia, many of whom live in nursing homes in Texas. I’m proud to say we are making real progress on this subject, and the protocol has already been successful in multiple facilities that provide care in locked units for people afflicted with dementia.”