Category: primary care

Medicine is the last bastion of faxes and printers

Yesterday, I went into an exam room to print out some orders for a patient who needed to get his labs done at an outside facility. Due to his insurance, he cannot get his labs drawn in our office during a scheduled appointment, but must do it at one of…

Losing my first patient as a primary care physician

The first time I spoke to her was in the hospital when I was a relatively new intern caring for her. She was ailing for a while with complications of liver cirrhosis. She was new to the area. She had relocated from a different city to live close to her…

What health care can learn from a robotic delivery service

Several weeks ago, as I was walking through the halls of our hospital, out from an intersecting hallway drove a robotic delivery cart. Unmanned and adorned with sensors so it could tell where it was in the world, it motored along on its way, heading so…

What happens when doctors discriminate against patients?

Physicians have a long history of discriminating against patients, and racial discrimination only scratches the surface of current problems facing patients who seek access to care. The Tuskegee Syphilis trials demonstrated how the medical community exp…

How a patient saved this physician from losing her passion for medicine

I left a full-time academic position five years ago because I was literally, “check-all-the-boxes,” burned out. In looking back during that time prior to my decision to leave, I recall months of feeling overwhelmed, emotionally exhausted, depressed, an…

How a patient saved this physician from losing her passion for medicine

I left a full-time academic position five years ago because I was literally, “check-all-the-boxes,” burned out. In looking back during that time prior to my decision to leave, I recall months of feeling overwhelmed, emotionally exhausted, depressed, an…

What Pride means to this physician as an out doctor

I’ve been a doctor for a year. I’ve been out as bisexual for much longer. (I used to joke that my sexual orientation was old enough to order at a bar, but now it’s on the slog towards being able to rent its own car.) With June comes Pride, and with Pri…

“I’ll put my cell phone away when you put your computer away.”

“I’ll put my cell phone away when you put your computer away,” said the patient. These were the very words I heard upon opening the door and stepping into the exam room. As I stood waiting for him to look up, I was already looking at my computer for hi…

How pharmacy-based primary care takes the low-hanging fruit

With the announcement of CVS Health HUBs, the synergy of data and business is rapidly coming to the health sector; health systems will become havens only for the severely acutely ill, the more complex, the expensive. In the same way that urgent care ce…

How failing Step 1 helped me pass the boards. Twice.

I remember the day well. The dean of my medical school called me directly. As soon as she announced herself on the other end of the line, I knew it was bad news. Deans don’t tend to make social calls, and I was right. She was calling to tell me that I …