Category: primary care

What we define as “right” in primary care matters

“Your numbers are horrible!” I was a resident physician in internal medicine seeing patients in primary care clinic. These words, from an attending physician, were meant as off-the-cuff feedback, and their impact surprised me. I suddenly felt exhausted…

Where’s Waldo: Finding what’s important in the medical record

I did a peer review once of an office note about an elderly man with a low-grade fever. The past medical history was all there, several prior laboratory and imaging tests were imported, and there was a long narrative section that blended active medical…

We need to give more thought to informed consent

Using a treatment without having any understanding of how it works is often thought of as unscientific, and suggesting that a placebo can help a sick patient has until now been viewed as unethical. The New England Journal of Medicine just published an …

Why this physician became a personal trainer

As many readers of my work know, I have a huge passion for preventive medicine, and balance my acute care hospital work with an outpatient wellness clinic. I have always been into exercise and outdoor activities since a young age but only became a regu…

How the Google algorithm update helps doctor-written content rank higher

If you’re not intricately involved daily with SEO, let me explain what happened in May 2020 and why it will be a huge boost for content created by physicians. First, what is SEO? In short, it is the process of optimizing content found online in o…

The downsides of going to the ER for primary care

Despite the fact that many people have difficulty finding a family physician, there remain many options for medical care. From emergency departments to urgent care clinics to clinics based in retail stores and pharmacies, there are several different wa…

Courage the Cowardly Dog: an intern’s perspective

It’s the first day of residency. This morning, the intern was exuberant: the white coat was starched with pride, and the stethoscope brought a new sense of prestige. In last night’s lengthy sign-out, the intern proudly asked relevant questi…

I never expected death to be so blunt

Starting medical school, I knew I would see people on both the best and worst days of their lives. I would witness births and deaths and come out on the other side as a skilled professional. However, I never expected death to be so blunt. On my first d…

The medical profession is not as pure as it should be

We’ve all heard about the blue wall of silence that describes a belief that law enforcement personnel will refrain from reporting misconduct of their colleagues to the proper authorities. Physicians had similarly been accused of hiding behind a white c…

Genetic testing: Could there be unintended consequences? [PODCAST]

“Both clinical and direct-to-consumer genetic testing have become significantly less costly and more common, providing people with access to a wealth of information about everything from their ethnicity and family lineage to their risk for certai…