The sound of a clock, hung haphazardly on a colorless cold wall, ticks repetitively — tick, tick, tick. Time continues to pass as my appointment scheduled for three hours ago seems like it will never come. I scheduled this appointment three month…
Category: primary care
Should doctors give up on primary care?
Ten years ago, I wrote an essay on the primary care shortage. I argued that more money and better working conditions would help decrease the shortage. Unfortunately, things have worsened over the last decade. The AAMC now predicts a shortage of betw…
A physician’s first telemedicine video visit
I just did my first telemedicine video visit. The concept seems so strange, the idea of carrying out an “office visit” without the patient actually being in the office. Right now we have it structured so that when a patient calls up request…
Tell your patients these family health tips when they’re headed to a theme park
This summer, not unlike many families across the country, we were fortunate enough to visit a theme park while celebrating our break from another challenging school year. Being a mother and a pediatrician, I must admit how concerned I was to witness th…
Adopting the DoorDash model to health delivery
I was reading an article in The New York Times entitled, “The Rise of the Virtual Restaurant.” More and more people, particularly in urban settings, are using apps like Uber Eats, Grubhub, and DoorDash to bring fresh, warm food directly to …
Communicating honestly with patients about uncertainty
When looking at the way medical education and patient care is delivered, there is no question that there is a culture of “knowing.” From the moment a pre-med enters high school, they are bombarded with tests that assess knowledge. This extends througho…
Communicating honestly with patients about uncertainty
When looking at the way medical education and patient care is delivered, there is no question that there is a culture of “knowing.” From the moment a pre-med enters high school, they are bombarded with tests that assess knowledge. This extends througho…
It’s time for physicians to bring clarity to their lives
I meet doctors in different arenas. I meet them in clinical settings, at conferences, and by referral. I am noticing a trend. We are keenly aware of what we do not want in medicine. We talk about physician burnout and the impact it has on doctors’ liv…
When Medicare stops covering a test without warning
There are two versions of “the conversation” we have with men: One is for teenage boys, and it is about wet dreams, sexually transmitted disease, unwanted pregnancy and at one point also about testicular self-examinations. Those have now been edited ou…
Convincing patients to stop cancer screening isn’t always easy
During my training to become a primary care physician, the importance of preventive cancer screening was ingrained in me. The idea of catching cancer at an early stage so we can better treat it made intuitive sense. But as I’ve learned over the years, …
