Hans Duvefelt, MD

Author's details

Name: <span itemprop="author">Hans Duvefelt, MD
Date registered: January 13, 2019
URL: https://www.kevinmd.com/blog

Latest posts

  1. Doctors shouldn’t be horse whisperers — November 27, 2019
  2. How this physician does less in primary care and accomplishes more — November 19, 2019
  3. Why doctors need to be chameleons — November 6, 2019
  4. Why physicians should adopt the roles of guides — November 5, 2019
  5. Why primary care will soon only treat chronic conditions — November 4, 2019

Author's posts listings

Doctors shouldn’t be horse whisperers

I scribbled my signature on a pharmaceutical rep’s iPad today for some samples of Jardiance, a diabetes drug that now has expanded indications, according to the Food and Drug Administration. This drug lowers blood sugar (reduces HbA1c by less than 1 po…

How this physician does less in primary care and accomplishes more

So many primary care patients have several multifaceted problems these days, and the more or less unspoken expectation is that we must touch on everything in every visit. I often do the opposite. It’s not that I don’t pack a lot into each visit. I do, …

Why doctors need to be chameleons

Doctors need to be true to themselves, but at the same time, they must be chameleons. A doctor fills certain roles in the lives and stories of patients. It is a two-way relationship that looks different to each person we serve throughout every workday …

Why physicians should adopt the roles of guides

The family doctor used to be almost the only source of medical information patients had access to. Now, few people need us to bring them the latest news. It’s there for everyone to see. There’s even too much of it. Today, our role is to help make sense…

Why primary care will soon only treat chronic conditions

In most other human activities, there are two speeds, fast and slow. Usually, one dominates. Think firefighting versus bridge design. Health care spans from one extreme to the other. Think code blue versus diabetes care. Primary care was once a place w…

Physician office notes should have an executive summary

I have advocated before for putting a visit synopsis at the beginning of each visit note. I have called that the aSOAP note. I think that works immensely better than APSO notes that only rearrange the order of the elements. The reason I say that is tha…

The answer to physician burnout isn’t resilience training

The answer to physician burnout is purported to be resilience training. That’s like glorifying the natural ability of frogs to tolerate gradually heating and boiling water. Unfortunately, health care today has some toxic ingredients, and physician burn…

When physicians fear for their lives

The receptionist interrupted me in the middle of my dictation. “There’s a woman and her husband at the front desk. She’s already been seen by Dr. Kim for chest pain, but refuses to leave, and her husband seems really agitated. They’re demanding to spea…

The sensitive topic of physical contact during exams

Touch is a sensitive thing. No pun is intended here, but whether and how we touch our patients deserves our careful thought and deliberation. So much interpersonal contact these days is virtual, with emojis, abbreviations and whole words thrown around …

When Medicare stops covering a test without warning

There are two versions of “the conversation” we have with men: One is for teenage boys, and it is about wet dreams, sexually transmitted disease, unwanted pregnancy and at one point also about testicular self-examinations. Those have now been edited ou…

Older posts «

Explore the Archive