Category: primary care

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…

“Take it or leave it” is not negotiation but coercion [PODCAST]

“Physicians can exert their influence in a health care environment to put the patient-physician relationship at the center of the enterprise. Working with middle-market employers (between 200-2,000 employees), some companies pair bold doctors wit…

Change is critical to fulfilling our calling

July 2, 1973, is a day etched forever in my mind. A day I remember as if it happened yesterday even though 47 years have passed. A day I thought would never come and then, when it did, would never end. It was the day I entered West Point as a 17-year-o…

A medical student shares a story about language [PODCAST]

“My mother screamed. It meant my father needed a doctor — now. But why? We just visited the hospital days before to refill his drugs. He would be better if he used the drugs. Magic drugs. That is what he called them. I stood up from the mat where…

Navigating infertility as a Black male family physician

Black men need to be comfortable saying that we can be scared sometimes, and to share our emotions without guilt or shame. I say this as a Black man who has experienced vulnerability both as a family physician and as a patient.  Over the last year, I’v…

Patient surveys: the quest for positive

An excerpt from Doc-Related: A Physician’s Guide to Fixing Our Ailing Health Care System. Early in my career as a rural physician in Texas, I took care of a couple in their mid-70s named Vernon and Nellie. They drove in from another small town 50…