Category: primary care

A holiday greeting card from the land of primary care

I wish you and your family a safe, healthy, and happy holiday season. I hope your new year is bright and better. And in the campy spirit of the family newsletter some folks send out each year (which I love to read), here is one from me to you. This yea…

Let’s not become a nation of physician-robots

My 5-year-old proudly told me during lunch, “Did you know animals don’t cry?” When she told me this, I had to think about it and then immediately Google this. Having small kids teaches you many random facts, including that sharks don&…

Osler and the doctor-patient relationship

I first heard about Sir William Osler (1849-1919) through my primary care physician. His biography stated: “I practice family medicine because every day I get to meet new people from all over the world. I get to hear their stories, meet their families,…

Could you solve this medical puzzle?

An excerpt from Yankee Doctor in the Bible Belt: A Memoir. Doctors like to solve puzzles. These are ideally diagnostic puzzles. The following is a story about a patient whose illness was unsolvable: the pieces of the puzzle did not fit together. No mat…

Could you solve this medical puzzle?

An excerpt from Yankee Doctor in the Bible Belt: A Memoir. Doctors like to solve puzzles. These are ideally diagnostic puzzles. The following is a story about a patient whose illness was unsolvable: the pieces of the puzzle did not fit together. No mat…

What Dr. Seuss reminds us about Christmas

Once upon a time, in a magical land of Whoville, lived the Whos. They were a group of little humans who loved Christmas with passion. But not too far from their beloved town and in a place called Mount Crumpet, inhabited the Grinch, a grouchy creature …

CME budgets expire soon: Use it or lose it

Most physicians receive a budget for CME expenses, and many of those expire on December 31. It’s important to take action now – if you have funds left, there’s a good chance they will be disappear when 2021 ends, and you will then be spending your 2022…

Listening to patients with our eyes [PODCAST]

“Patients communicate immense amounts of information through body language. The primary understood, universal body language is choking. Anywhere in the world you go, if someone is choking, they use both hands to grab their throats. No matter what…

Are you willing to shed tears for your patients?

During my 30 years in medicine, and especially as I began leading medical missions in 2005 to the poorest countries in the world, I have seen much need, tragedy, and heartbreak. It is overwhelming. Despite our best efforts medically to help, we fail. W…

Leaving clinical medicine without regrets

I’ve long considered having these classic, profound opening words of Mary Oliver’s most famous poem tattooed on my body somewhere. Since I quit clinical medicine a month ago, I’m at that stage where I’m researching tattoo parlor…