Category: primary care

Direct primary care is an answer to volume-based insurance reimbursement models

An excerpt from Medical Answers Now!: How Direct Primary Care Guarantees Fast Access to Your Doctor. Health care costs are out of control and volume-based insurance reimbursement models are felt to be contributing to the problem. Medicare and most majo…

Savoring the last time and enjoying the moment

The old man sat at the front of the drift boat as it swayed gently, anchored at the river’s edge. The guide sat behind him, making final preparations for the day’s float downriver. The man had fly fished for nearly 40 years; he even tied hi…

Don’t let the holidays sabotage your weight loss goals

The holiday season is rapidly approaching, and it is not uncommon for us to gain up to 10 pounds between Thanksgiving and Valentine’s Day. But what if we do not want to put on some insulation? What can we do? I specialize in medical weight loss, and my…

Listening to patients with our eyes

In medical school, we are taught to listen to our patients, and if we listen hard enough, they will tell us their diagnosis. The statistic that gets thrown around is that the average amount of time a physician listens before interrupting a patient is 1…

A Black physician’s perfectionism [PODCAST]

I did not realize I was a perfectionist. I was far from perfect. It was not until I listened to a master class on perfectionism from a physician coach that I had my “aha moment.” I am now working extremely hard on training my brain to be an imperfectio…

The toxic doctor-insurer relationship

My introduction to health insurance companies was very abrupt and simple. I received my medical training in the U.S. Navy and served three years after that. Then, I was finally discharged. I had treated thousands of patients as a Navy doctor, but I had…

The art of asking where it hurts

Norman Grant was a new patient. He had chronic back pain, not helped by surgery or a dozen injections after that. It all started with an industrial accident in 2001. He had settled his case and was on chronic OxyContin, which far from kept him function…

The art of asking where it hurts

Norman Grant was a new patient. He had chronic back pain, not helped by surgery or a dozen injections after that. It all started with an industrial accident in 2001. He had settled his case and was on chronic OxyContin, which far from kept him function…

The troubling similarities between primary care physicians and MLB relief pitchers

When I was young, my father told me that baseball is a metaphor for life. As a lifelong fan, I’ve found professional inspiration and valuable lessons in this game, time after time after time. This year was no different. Throughout the 2021 MLB playoffs…

Professional gay: Charting a career in LGBTQ health [PODCAST]

“After much searching, I was fortunate to find a fellowship that though inexperienced in LGBTQ health recognized an opportunity. Faculty and mentors worked from a growth mindset rooted in finding what I needed to succeed rather than what they kne…