Category: primary care

Will telemedicine make us better diagnosticians?

We have all heard that 90 percent of the time, a patient’s history provides the diagnosis before we even perform a physical exam or order any tests. At the same time, much of our reimbursement used to hinge on how many body systems we examined. Like so…

This isn’t the time for bombastic tributes to health care workers

The Blue Angels have awed generations with tight aerial choreography and the sonic roar that heralds their aerobatics. No doubt millions have felt patriotic goosebumps watching their technical mastery at summer air shows. Last week, as the fighter jets…

Don’t forget the power that words and acts of kindness and comfort carry

Abraham Verghese’s must-read book, Cutting for Stone, addresses powerfully the human side of medicine. It is a poignant reminder of the sacredness within medicine created by the unique bond that is the doctor-patient relationship. We are allowed into t…

Vulnerability gives us strength in a time when so much seems beyond our control

I pull my car into the garage and exhale wearily.  I’ve just finished rounds at the hospital, including PUIs for COVID-19.  I’m lucky.  I get a new N95 every day, but still, I’ve seen the steady reports of diligent physicians getting infected, so I kno…

I have discovered the immense strength it takes to be vulnerable

As I sit through another meeting discussing our facility’s preparedness for COVID-19, my mind circles back to my infant at home. Husband and I are both frontline physicians, fully aware we may need to take on more shifts and responsibilities. Do I have…

Remember the art of medicine during virtual visits

The COVID-19 crisis has forced upon us the rapid adoption of telemedicine with all its advantages and flaws. It has certainly allowed physicians to evaluate patients safely and to assess them while continuing to allow them to physically distance.  It m…

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…