Category: primary care

Fixing the broken system: Improving clinical documentation in health care

Imagine you found your dream home and hired an inspector to check it out. They walked around for an hour, kicking the tires on the furnace, taking pictures of the roof, peering up the chimney. In the end, they informed you they were done. You ask, &#82…

Why our quest for self-improvement is failing: Uncovering the immunity to change in health care

I signed up for yet another program in my relentless quest for self-improvement (and perhaps recovery from decades of physician hood). This one features Dr. Lisa Lahey, co-author of Immunity to Change. This is my second encounter with the book (when th…

Healing through love and spirituality

As I write this, a friend from my church is going through terrible setbacks as he awaits a new heart. He has been lovingly supported during his lengthy trials by church members. They visit him in the hospital and at home and support his wife with meals…

Resetting the doctor-patient relationship: Navigating the challenges of modern primary care

For some, it may seem strange to think of the doctor-patient interaction as a relationship. In the most basic sense, a relationship is a connection; it is how two or more people or groups regard and behave toward each other. Relationships are not stati…

Lifestyle change: the forgotten solution in health care

Lifestyle change is a first-line treatment for many diseases. However, change is inherently challenging. This difficulty is exacerbated by a lack of lifestyle change “breakthroughs,” whereas multiple pharmaceutical breakthroughs have occurr…

From grief to gratitude: How writing changed my life

Dan died, and I became a writer. I didn’t know it, but I did. Back then, I wrote one story, almost by accident, trying to make sense of my personal chaos. That essay chronicled a small-town doctor losing a beloved middle-aged friend who was rapid…

Be like Mike (Jordan) and build your personal doctor brand

Gatorade’s commercial featuring Michael Jordan from 1992 and its catchy song, “Like Mike,” is now part of pop culture history. The lyrics were likable. “I dream I move, I dream I groove, like Mike, if I could be like Mike, oh if…

A hands-off approach to medical exams is potentially deadly

My mother passed away in early December. She had been battling Alzheimer’s disease for several years. Her communication was poor due to the disease. The caregivers in the memory care unit where she was located stated that she had been vomiting th…

Patient empowerment: the key to solving the health care crisis

A sobering study by the American Association of Medical Colleges (AAMC) predicts an unthinkable shortage of between 37,800 and 124,000 doctors by 2034. If underserved populations had fewer barriers to medical care, that shortfall could reach over 180,0…

The addictive quest for achievement and its dangerous consequences

An excerpt from Lean Out: A Professional Woman’s Guide to Finding Authentic Work-Life Balance. In the third grade, my teacher identified me as a high achiever. Aside from recognition, he “rewarded” me with the opportunity to write an …