Kahlil Gibran writes, “In friendship or in love, the two side by side raise hands together to find what one cannot reach alone.” What types of outcomes can physicians and patients achieve in healing, living, and life when Gibran’s mes…
Category: primary care
Stop the war on PAs and NPs
I think it’s time for physicians to end the assault on the clinical practices of PAs and NPs. Are you worried about PAs and NPs taking your job? If you’re a good doctor, you should stop worrying. Great PAs and NPs are everywhere, and I think it’s time …
This patient interaction is a reminder of the power of being human
During a day of shadowing during my first year of medical school, the physician I was following had been running behind schedule and instructed me to keep the final patient company until he caught up. I knocked on the door and found myself facing a wid…
The problem with the word, “noncompliance”
The issue of noncompliance comes up repeatedly in patient care. Whether in the context of primary care or allied health care, in most situations, patients seem unreasonable and irresponsible when it comes to taking their medication, attending consultat…
The president’s plan for payment parity goes against what patients want
“Listen to your patient; he is telling you the diagnosis.” This quote from famous physician William Osler is as true today as it was 100 years ago. And yet the latest version of President Trump’s executive order on Medicare threatens what patients over…
A physician shares the computer screen with patients
I ran late the other morning. My first patient, an internal transfer, was already waiting. Booting up my laptop seemed to take forever. Usually, I try to poke around at least a little in the EMR before I enter the exam room, even when I know the patien…
Doing extra for a patient or overstepping boundaries?
I wanted to go the extra mile for my patient. The resistance I found was unexpected. She was young. Her life — an incredible journey in diplomatic circles — was crippled too soon by a recurring disease that would ultimately prevail. Day after day, I…
Warning: The medical system is fragile. And that’s OK.
Because everything around us usually works, it can be easy to forget how fragile some of the workings are. My patients see this with their bodies, as they fail, but not so apparent to them are the fragilities of the health care system that we doctors g…
Medicine is for the birds, or it should be
Medicine is for the birds, or it should be. Hear me out. A day before I wrote this, I was on the trail in northwest Ohio, binoculars in hand, trying to tell one warbler from another. This was the final weekend of the biggest week of birding in Magee …
The sad demise of an idealistic family physician
Graduation from my residency program was a bittersweet experience. At the time, my specialty was suffering from a crippling job shortage, so our futures were uncertain, and a dark mood had come to permeate my radiology residency. We were disgruntled wi…
