Category: primary care

The inspiring story of how a physician fought MOC against all odds

Well, I won. Six years after I started down the very slow process to end forced MOC in my state, it happened. On December 27, 2018 Michigan governor Rick Snyder signed HB 4134 and 4135 into law. The harm BCBS caused me and my patients will never happen…

How non-video telehealth can be a cure for overprescribing antibiotics

When Dr. Fleming found penicillin mold in his Petri dishes in 1928, he had no idea of the impact he — and it — would have on global health. Penicillin and the antibiotic revolution that it triggered have saved countless lives and change world history. …

Fee for service is not the root of all evil

Some people think that the solution to better-supported primary care is in direct primary care/salaried physician payment models. I don’t think it is the best answer. I realize money is not the only motivator explaining why people perform work. Meaning…

Electronic medical record interoperability is a total mess

Just the other day, while I was in the middle of seeing a morning schedule full of patients, I opened one patient’s chart and was thrilled to see a whole bunch of new icons in Chart Review in the electronic health record that I had never seen bef…

The benefits of compassion always outweigh its risks

It was an ordinary afternoon in my outpatient internal medicine rotation. I prepared to enter a room for a congestive heart failure hospital follow-up patient. I mentally prepared myself. I was going to ask for his hospital records (particularly lookin…

The systemic poverty in Navajo Nation is a national travesty

“I have the CPAP machine. I’ve had it for a year, but I don’t have electricity in my house. I stayed with my aunt who has electricity but things didn’t work out,” said the young Navajo man, his massive belly protruding out…

Why do I love being a 43-year-old physician?

“Are you the doctor?” was the most frequently asked question I received from patients in my new practice. The second most common question was: “Are you old enough to be a doctor?” followed by the rather blunt question “How…

How rocks and crystals can be more nourishing than we know

When I was a kid, one of my favorite hobbies was adding to my rock collection. In the summer, I went on road trips with my family to explore the national parks, and at every gift shop, I always gravitated towards the bin of tumbled stones. To me, this …

Telehealth education: What do we actually need for our clinical practice?

As we go through our careers, we are given the responsibility of educating the next generation of students and residents to become proficient and competent in medicine. In telehealth, which also requires training my colleagues, is it necessary? If so, …

The problem with these specific words in health care

Words are powerful. So few symbols can evoke such deep feelings and rouse incredible emotion: “I have a dream.” Language is the achievement that makes us who we are. But while you, I and everyone else employ the same words to communicate sh…