Category: primary care

Getting a second opinion can save lives. It is time we make Miranda rights for patients.

The Lebanese-born former American oncologist Farid Fata committed one of the most malicious acts of greed by a medical professional in recorded history. Fata spent six years telling otherwise healthy people that they had cancer and needed immediate che…

If you don’t see the light, become the light yourself

This year has been the blackest of nights for so many of our friends and neighbors. Daily, I still see the ravages of depression, made worse by the pandemic. It will be some time until we understand the repercussions of postponed cancer screenings. Eve…

The laws of The House of God and Man’s 4th Best Hospital

Forty-two years ago, when I had finally finished the seven revisions of my first novel, The House of God, my editor said, “Why don’t you add a glossary and a list of The Laws of the House of God.”  Writing the Laws, I hardly needed to refer to the text…

Health care is making progress on the “social” in the biopsychosocial model

In his seminal 1977 Science magazine article, “The Need for a New Medical Model: A Challenge for Biomedicine,” Dr. George Engel outlined the biomedical model’s limitations and proposed a new model, which he termed the biopsychosocial …

This physician is retiring. Here’s his most valuable lesson.

In a few weeks, I will be retiring.  After 31 years and more than 100,000 patient visits, I will be hanging up my stethoscope.  Over the years, there have been tremendous highs but also horrible lows.  The latter includes having been victimized by a fr…

Primary care faces a very difficult winter

Primary care is in trouble again. Last summer, as government assistance programs expired or wound down, primary care practices across the country were struggling to stay afloat because of lost business. By October, patient visits had rebounded in most …

Proponents of independent non-physician practice make a dangerous assumption [PODCAST]

“Most Americans have remained dangerously unaware of this revolution in health care. Being treated by a non-physician is not on the radar of the average patient, most of whom assume that anyone in a white coat is a physician. If patients do wonde…

What is the physician’s greatest gift to patients?

I stood inside the door of “una chosa,” Spanish for “a hut” — the walls bamboo and sunbaked mud; a broom-swept dirt floor; two open windows partially covered by tattered cloth; no running water, no electricity. The acrid smell of smoke from the w…

What it takes to be called a great doctor: a patient’s perspective

Let me begin by extending my gratitude to all physicians who have served our country during this time of the coronavirus pandemic. During this trying time, your dedication and service have given a sense of stability and confidence in our health care sy…

What is the future of telemedicine?

Now that a pandemic has brought telemedicine into Americans’ consciousness and the health care system, it is timely to ask: How will telemedicine fit into future care? Failing to understand telemedicine’s transformative capabilities is akin to mi…