Category: primary care

The caregiver’s mantra: doing the best I can

If one more person tells me to be sure to take care of myself, I’m going to bury my face in a pillow and scream. “Go for a walk, take a vacation,” they advise. I know they’re trying to help, but really? Giving me one more thing to do? Oh well, they’re just doing the […]

Attending time: That’s just a myth

One of the great myths amongst residents is that once they become attendings, they’ll have so much more free time. I’ll never work this much again, they think. This is the most time-intensive phase of life, and everything after residency is easy in comparison. Unfortunately, they are usually wrong. Statistically, working about the same number […]

Treating mental illness: Quality of life matters

Quality of life matters. This straightforward assertion gets complicated when we discuss the treatment of depression. Depression is common, part of a family doctor’s daily schedule; it can affect anyone, although certain groups are at higher risk. There have been many hypotheses as to why we as a species are susceptible to depression (and its […]

Education as an intervention for the chronic pain epidemic

A guest column by the American Society of Anesthesiologists, exclusive to KevinMD.com. Chronic pain is a silent epidemic Chronic pain is a significant public health burden, but one that is not talked about enough. In 2011, the Institute of Medicine estimated that approximately 100 million Americans suffer from chronic pain. But chronic pain is not just a […]

Education as an intervention for the chronic pain epidemic

A guest column by the American Society of Anesthesiologists, exclusive to KevinMD.com. Chronic pain is a silent epidemic Chronic pain is a significant public health burden, but one that is not talked about enough. In 2011, the Institute of Medicine estimated that approximately 100 million Americans suffer from chronic pain. But chronic pain is not just a […]

We need the time to apply our noticing skills to our patients

Noticing. If you think about it, that’s really a lot of what we do a lot of the time. As clinicians, we are trained as observers to notice, to use our eyes, our ears, our hands. To notice. We notice that our patients seem different today. More tired. A little pale. Notice a change in […]

A patient is left with a choice: financial devastation or blindness

That statement from a recent patient was a summary to me of what is bad in our health care “system.”  It’s a terrible summary of what is seen all over this country with people who must make the choice between financial solvency and health. Here’s what happened:  It was a new patient I saw, who […]

Don’t let fear harm your health

I remember reciting a phrase during my childhood that goes something like this, “Step on a crack, break your mother’s back.” So as I would walk back and forth to school, I would make a conscious effort to avoid any and all cracks in the sidewalks for fear of bringing unwarranted harm to my mother. […]

A physician-father who made a lasting impression

Every small community has a unique but similar cast of characters. Our small Southern Utah town was no different. From a young boy’s perspective, the cops and docs were feared but cautiously idolized, the mayor was respected, the athletic coaches were immortalized, and of course, we had the homeless man in town, whom we feared. […]

Restricting opioid prescribing: Some error has to be tolerated

I have written previously about the raging opioid epidemic in Ohio.  Attacking and reversing this tidal wave will require many weapons, resources and time.  Opioid addiction is a crafty and elusive adversary that will be difficult to vanquish.  Our battle plan will have to be nimble and adjusted over time, much as military leaders must do in actual armed […]