(Wash. Post) How 1 Virginia doctor tries truck-stop medicine to keep his family practice alive

The massive truck stops just off I-81 here offer diesel, hot coffee and “the best dang BBQ in Virginia.” There’s something else, too: a small-town doctor who performs medical exams and drug tests for long-haul drivers, an innovative effort to keep his beloved family practice afloat.

At a time when doctors are increasingly giving up private practice, Rob Marsh still operates his medical office in tiny Middlebrook, Va., about 15 miles from Raphine and 50 miles west of Charlottesville. He makes house calls and checks on his patients who are hospitalized ”” sometimes late at night. He knows which tough, leathery farmers will blanch as soon as they spot a needle.

For the past 2 1/2 years, Marsh, 58, also has reached out to another medically neglected population: the truck drivers who spend their days on the interstate, many never home long enough to find a primary-care physician.

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