Category: primary care

It’s OK if doctors can’t memorize everything

The storage capacity of the human mind is amazing. One estimate of the size of the brain’s “RAM” is as high as  2.5 petabytes (a million gigabytes). The number is based on the total number of neurons in the brain and the total number of possible connec…

An American doctor in Rome

An excerpt from Dottoressa: An American Doctor in Rome. When I migrated from the banks of the East River to the Tiber shores the path was strewn with bureaucratic boulders, land-mines, and pitfalls. I offer the tale of my odyssey as an object lesson to…

Vapers may be using more nicotine than they realize

Lucas McClain started smoking cigarettes in high school but switched to vaping after he heard e-cigarettes were a safer alternative. His vape of choice became the Juul, the king of electronic cigarettes — which comes with a king-size nicotine hit. Now …

Health care facilities are difficult to navigate for older adults

A month ago, during a visit to her doctor’s office in Sequim, Wash., Sue Christensen fell to her knees in the bathroom when her legs suddenly gave out. The 74-year-old was in an accessible stall with her walker, an older model that doesn’t have brakes….

The language of medicine can be complicated. Does it need to be this way?

Several weeks ago, I began my studies for a master’s degree in journalism. I’m continuing to work as a physician, but for the next two years, I’ll also be gaining knowledge in an important field: health communication. I recall being a medical student a…

When physicians fear for their lives

The receptionist interrupted me in the middle of my dictation. “There’s a woman and her husband at the front desk. She’s already been seen by Dr. Kim for chest pain, but refuses to leave, and her husband seems really agitated. They’re demanding to spea…

Clinical practice guidelines have problems, but they’re not broken

A Health Affairs blog post titled “Fixing Clinical Practice Guidelines” echoed several concerns I’ve discussed previously: practice guidelines are being produced in abundance but often have variable methodological quality, financial c…

How can we address retention in the era of physician burnout?

As we’ve seen, the lives of those working in the health care system has become overwhelmingly challenging, burdened by all of the excess nonmedical stuff that has been added into our lives as we try to take care of patients. From prior authorizat…

Here’s what true grit looks like in health care

As a medical director and practicing physician, I count myself fortunate to meet and engage in meaningful conversations with many health care professionals throughout the state of Pennsylvania. Recently I was both humbled and inspired when I visited wi…

A primary care physician’s decisions are questioned and second-guessed daily

A 67-year-old woman with a high-stress job had a vigorous disagreement with her neighbors last week. She developed severe substernal chest pain and called 911 fearing a heart attack. She is thin, has never smoked, has normal blood pressure and normal c…