Category: primary care

A call to action for my medical colleagues

Modern medicine, a system originally designed to fix acute health care problems, now creates more chronic health care problems than helping to solve them. I see the dangers of over-testing and over-prescribing taking place each day in my day-to-day ped…

Finding meaning with medical missions [PODCAST]

“One initiative that more administrators should support is global medical outreach. The ability to practice pure medicine, like the neighborhood doctor from long ago, renews a love for the vocation that physicians sought when they first entered m…

Burn out follows from physician to wellness director

Tuesday, at the podium in a small auditorium, I realized that my time was finally up. Even as an educator/administrator (non-clinical) physician, I was done. Preparing to give a canned talk — a requirement of my current career strategy — fa…

The inevitable reboot of the primary care experience

Visiting the doctor’s office can be a source of anxiety for millions of patients, who often fear unknown costs, an unexpected diagnosis, or exposure risk to diseases, like COVID-19. On the other side of the equation, business stakeholders of a communit…

Doctors are trained to lie

Here are the top 10 ways how and why doctors lie. See if you recognize any. 1. Doctors lie about work hours. When logging actual work hours exceeding the weekly “80-hour cap,” new docs are cited for duty-hour violations. Labeled as inefficient, overwor…

Patient care is not a spectator sport

By definition, diagnosis is “the identification of the nature of an illness or other problem by examination of the symptoms.”  Unfortunately, that is akin to saying that cooking is the process of examining the ingredients.  As a result, there is a tend…

Permission to burn the manual [PODCAST]

“I started planning my escape in late 2020. I would find a way to quit health care, to cease being a practicing physician altogether. Living the life of a doctor-mom, I felt consumed with daily obligations and duties. Guilt plagued me for feeling…

Want to improve your patient reviews or relationships? Learn to be present.

I recently came across an article in the Journal of Urology that was trying to understand the determinants of patient satisfaction in the outpatient setting. They surveyed 500 patients over two months and asked questions about demographics, expectation…

Your doctor may already be gone

The doctor you are seeing may have already left medicine. Yes, you still have an appointment. Yes, they are still in the room, taking your history and performing a physical exam. But inside their mind, they have already decided. They haven’t said it ou…

The dichotomy of patient needs and patient wants

As a practicing ophthalmologist, I saw many patients who had developed blurred vision, glare, or trouble reading. These patients needed to understand that cataracts were the cause of their vision problems and how the cataracts developed and how they sh…