In physics and mechanics , a fulcrum is âthe point against which a lever is placed to get purchase or upon which it turns or is supported. â (From the OED). The fulcrum is the support about which a lever pivots . The fulcrum in physics is related to the physics of the lever and the physics of simple machines .
Physicians who do not believe they can provide unbiased or appropriate care for LGBT patients are encouraged to refer them to other doctors. But primary care physicians should be able to care for this population, said Joe Freund, MD, a family physician in Des Moines, Iowa, who specializes in treating LGBT patients.
Dr. Spikes' Background. Leslie Spikes, MD is a practicing Pulmonary Disease Specialist in Kansas City, KS. Dr. Spikes graduated from University of Kansas School of Medicine in 2004 and has been in practice for 11 years. Dr. Spikes also specializes in Internal Medicine. She currently practices at University of Kansas Medical Center and is affiliated with Community Memorial Healthcare, Saint Luke's North Hospital Barry Road and Saint Luke's South Hospital. Dr. Spikes accepts multiple insurance plans including Medicare, Humana and Cigna. Dr.