Category: primary care

Telehealth is the future but it is obscured by a dismal present

In so far as our current public health emergency is concerned, telehealth has obvious, indisputable benefits.  The redirection of patient flow has enabled the conservation of personal protective gear, decreased nosocomial transmission of the coronaviru…

A physician who knows the power of listening and teamwork

Standing in the hallway, I look attentively to the computer screen while the attending skims the records. “This is a longstanding patient of mine.  I’m just going to have you listen while we do a visit with our psychologist,” he says. With the paucity …

Don’t be afraid to say “Black” when asking about someone’s culture

On the morning of George Floyd’s funeral less than ten miles from our medical center in Houston, I was avoiding the word “Black.” Despite wholehearted pride in the strong Black presence in our community health center’s physicians, staff, and patients, …

Primary care is dying: Why that should scare every large employer

Primary care is on life support. COVID-19’s toll on American health care extends beyond the hospitals and medical workers besieged by infection. An equally insidious but less-visible crisis is engulfing primary care, the long-neglected foundation of ou…

How writing inspires this physician [PODCAST]

“Being present is a wonderful thing. It relieves stress caused by focusing on failures of the past and worries of the future. Both realms are unreachable, largely unchangeable. But at the same time, they both entice and tease our minds such that …

When a diagnosis leads to sadness instead of triumph

He did a double-take as we passed on our small town sidewalk the other day. “Hey Doc, I didn’t recognize you dressed like that, without your …”, he gestured to where my tie or stethoscope would have been. I was wearing a cafe-au-lait colored T-shirt an…

Marriage and parenting tips in the year 2020 [PODCAST]

“Recently, I realized that something needed to change in my family life. With three busy daughters at three different schools who participate in multiple activities along with my full-time job as an anesthesiologist, my life depended on accurate …

Telemedicine pitfalls and direct primary care in the year 2020 [PODCAST]

“All too often, physicians and other health care providers have tried to do the right things for our patients to ultimately have had our hand slapped. So pause for a second, get the questions answered, know what future implications are for today’…

Sharing the real art of medicine through shared tears

Have you ever found yourself with a patient not knowing what to say or do? Maybe you just told them they had cancer or that the last treatment option had failed or a loved one had died. I have, many times, and I always felt helpless, inept, and alone w…

Every patient makes me a better doctor

I knew it was the end of the world. I was about ten years old and returning home just as it was becoming dark. The sky began to be shot full of incredible colors coming from one direction. They became larger and brighter. Having been raised in a strict…