Category: primary care

5 ways to address the issues of direct-to-consumer health products

Health products are increasingly moving from the realm of the medical professional to the consumer. Direct-to-consumer (DTC) versions of teeth alignment kits, genetic tests, hearing aids, heart-rhythm monitors, neurostimulation devices, and mental heal…

When doctors are poor explainers

A physician, like anyone, can be a poor explainer of things for several reasons, but foremost among these is the tendency to use medical jargon. This is not a problem unique to doctors. When I take my car in for repairs, I often must ask the mechanic t…

Work-life balance is hard. Here’s how this physician does it.

Work-life balance is hard, and that’s true for so many career options both in and out of the medical field. The topic is something that you consider as you choose a career path. It’s something that you struggle to achieve and maintain as you train for …

What do we do when guidelines come crashing into the real world?

Every day, as we care for our patients, we are placed in a unique position, where we are armed with the world of literature, randomized controlled trials, society recommendations, national screening and practice guidelines, and more, working to prompt …

Our doctors are feeling the emotional burden of the state of health care

Death is an inevitable part of the journey of life. We all have experienced its effects: the death of a family member, the death of a friend or those special individuals who we might have barely known but who left an indelible mark upon our consciousne…

Policymakers: Put down your carrots and sticks. They will not work.

As a family physician in the trenches, I routinely see blatantly poor medical care in the history of my new patients. Far too many people get unwarranted medications and tests, while important things go unrecognized or unaddressed. This paradox is madd…

It is time for physicians to reclaim the power of touch

I have three kids — all with very different temperaments and different personalities. Sometimes I use the term superpower to identify and cultivate their strengths and greatest attributes. I have always believed that my superpower is connection. It is …

What caring for 6 generations can teach new doctors

“Hi, Doctor Kamajian! I finally got health insurance that I can use to come to see you with my son.” I looked at the chart and realized it had been three years since I had seen her very familiar face. So, before the exam, we chatted and got reacq…

6 essential tips (and more) that I never learned in medical school

1. Cover your patients It was my first year of practice. One day I saw a new patient, a 25-year-old man with hemorrhoidal pain. My nurse told him to disrobe and put on a lap sheet. When I entered the room, I was surprised to see that the young man was …

How Big Medicine is hurting patients and putting small practices out of business

Recently the CEO of a large health care network stated: “Market forces don’t apply to health care.” Of course, economic and political forces apply to health care.  Big Medicine’s most powerful entities (insurers, hospitals, medical schools, pharmaceuti…