In observing trends among my patient encounters, to me, there appears to be a distinct difference in clinical encounters between more “holistically-minded” patients and more “traditionally-minded” patients, for lack of better te…
Category: primary care
Why this physician never considered any specialty other than family medicine
I never considered any specialty other than family medicine. I always saw the other specialties as necessary but supportive adjuncts. I always thought that the other specialties were all fascinating in their own way but saw them more as a part of a lib…
Doctors need to learn more about nutrition
I was misinformed about medical school. Growing up, I wanted to help people become healthy. After four years at the Ohio State University Medical School and three years of a family medicine residency, I still did not know enough to accomplish my goal. …
Call obesity what it is: a disease
In 2013, the American Medical Association (AMA) announced its decision to classify obesity as a disease, moving against the recommendation at the time of a group studying obesity. Yet there are still those who believe that obesity is not a disease but …
MKSAP: 82-year-old woman with a 1-week history of urinary incontinence
Test your medicine knowledge with the MKSAP challenge, in partnership with the American College of Physicians. An 82-year-old woman is evaluated for a 1-week history of urinary incontinence with lower abdominal discomfort. She reports no dysuria, fever…
A smarter EMR will make visits more patient-focused
What do our patients really want from us? When a patient calls up to schedule an appointment, or sends us a message through the patient portal, or calls our front desk staff to leave a message, what is it that they’re looking for? I think, more t…
3 reasons why we should care about the health care experience
The health care experience is so much more than a buzzword to be talked about in administrative circles. Some physicians I encounter (a minority, but still enough) really scoff when they hear this term. Responses I’ve heard from doctors include: “Hospi…
Suboxone for pain makes sense. Why don’t more doctors prescribe it?
Many patients who end up in Suboxone treatment have chronic pain. They were originally prescribed other opiates and ended up addicted to them. Skeptics argue that is just substituting one opiate for another. But that isn’t quite accurate. More on that …
The joy of a successful blood draw
An excerpt from Are You the F**king Doctor?: Tales from the bleeding edge of medicine. The vein stands up proudly. It’s good to look at; it’s inviting. The tourniquet is satisfyingly tight, the syringe waits like a shark on the bedside table, the new o…
The joy of a successful blood draw
An excerpt from Are You the F**king Doctor?: Tales from the bleeding edge of medicine. The vein stands up proudly. It’s good to look at; it’s inviting. The tourniquet is satisfyingly tight, the syringe waits like a shark on the bedside table, the new o…
