Category: primary care

What is routine? Preventative care in the age of COVID.

Since the arrival of COVID-19 in America, most health care systems have adopted a policy delaying non-essential or non-urgent procedures and appointments in the hopes of preserving PPE and minimizing interpersonal exposure. Despite resultant furloughs,…

Why direct primary care is thriving in COVID-19

I grew up a New York Yankees baseball fan in the fifties and sixties. Among the many stars on the Yankees, none became more famous for one-liners and quips than #8, Yogi Berra.  Yogi’s famous reminder, “It ain’t over til it’s over,” seems so fitt…

I’m a physician during a pandemic. Please don’t ask me how I’m doing.

When I wear a mask over my face, I am protecting both of us. When I wear a mask over my feelings, I am protecting both of us, too. When you ask me, “How are you doing?” this is why I have no answer. Four days a week, I have a (currently mos…

3 steps to changing your EHR system

If you are a physician unhappy with your current EHR system (surveys suggest 2 out of 3 are), and you do have the ability to switch, this article is for you. Our COVID-19 pandemic may place you in a bad financial time for this, but it’s also plac…

3 steps to changing your EHR system

If you are a physician unhappy with your current EHR system (surveys suggest 2 out of 3 are), and you do have the ability to switch, this article is for you. Our COVID-19 pandemic may place you in a bad financial time for this, but it’s also plac…

The superpower of being present

I turned to my 2-year old daughter with a simple ask: “Can you worry about tomorrow for me?” Blank stare. “All I am asking is that you worry about tomorrow. Just follow the lead of us adults who make it look easy. Now, can you do that for daddy? (Don’t…

What can patients do to lower the risk of errors in their electronic medical records?

In a perfect world, an electronic medical record would aggregate a patient’s medical information from all health care providers into a single, comprehensive record that could be easily accessed by any provider with the patient’s permission. This inform…

During COVID-19, not everyone can get with the digital program

During the height of the coronavirus pandemic, hospital edicts issued to protect patients would expose institutional frailties. The drastic implementation of nationwide telehealth measures would detrimentally affect patients who lacked access to health…

When chlamydia became TMI

“Would an STI cause abdominal pain?” someone in a class discussion asked. “Well, when I had chlamydia, I didn’t have abdominal pain,” I responded truthfully. Instantly, the group went silent. “OK, Jay. That’s … TMI,” someone else in the group quickly r…

When learning medicine is not enough

“Hey, doc,” our new patient grinned at me without teeth. He wears his teeth to eat peanuts, he explained, but today was hankering for a ham sandwich, so left the teeth at home. Here in the clinic straight from the logging job that he had worked for the…