Category: primary care

An EMR frustration that is still torturing us

I have written, or more accurately ranted, about electronic medical records (EMR) systems throughout this blog. While the systems have clearly improved since their mandatory introduction into the medical universe, they have still not delivered on many …

Caring for other physicians as patients

My favorite patients were the older physicians who came to me as patients. I was humbled, grateful, and awed by each of them. For some reason, I had quite a few physicians as patients, and caring for this group is interesting. It was not until I got ol…

I cured my patient, but what was his diagnosis?

He canceled his follow-up appointment because he was feeling fine. He didn’t see the point in wasting a Saturday to come to my clinic when he had lawns to mow and chores to do. Less than two weeks before that, he was sitting on the exam table in my off…

What do you picture when you think of health care?

What do you picture when you think of health care? How different is that from your vision of health? Is it possible to connect these two mental images? Can they be merged directly or at by way of a bridge? When I envision health, I see images of vitali…

So you want to be a doctor? Here are 10 myths debunked.

I’m glad you’re looking at a career in medicine. I hope you will be happy with your choice forever. To help you out, these are a few myths I wish somebody told me about when I was in your shoes. 1. You’ll be rich. You likely won&#8217…

What will medicine look like in a post-COVID world?

We all have understood by now that life has been changed irrevocably by COVID-19. As physicians, while we navigate the rapidly changing waters of testing, prevention, and acute treatment, we are now becoming increasingly cognizant of the long-term effe…

Intentions don’t sanitize impact

While there are certainly instances of malicious intent in thoughts, feelings, and actions, most people operate with the intent to do good, be good, offer good to the world – but what we do isn’t always received in the way we set out to offer it. In th…

Health care’s tech renaissance during the pandemic extends to medical training

The COVID-19 pandemic has resulted in at least 25 million cases worldwide with a continued spread in the United States, causing global disruption in every sector of society and forcing adaptation to a new normal relying increasingly on technology. Even…

It is time to pause, reflect, and decide what being a physician means to us

A bird slams into the glass. A bird slams into the glass. A bird slams into the glass. Over and over again, head first, determined to defeat its own reflection. A headbutt of bravado. I watched it, time and time again. From the inside, I studied the do…

Direct primary care: Great for some doctors, but challenging for patients

The COVID-19 pandemic and the consequent drop in patient visits have led some observers to conclude that primary care physicians would be better off financially if they were capitated than if they were paid fee for service. If they received a fixed amo…