Sitemap - 2023 - A Country Doctor Writes:
A Wide Range of New Year’s Celebrations
Looking Back at 2023 and Forward to 2024
A Country Doctor’s New Year’s Resolution
Chronic Disease Drugs are Big Business, Antibiotics are Not
Clinical Pneumonia or Virtual Health?
All I Want for Christmas: Seven Things I Wish My EMR Could Do
A Christmas Message to All Physicians From a Swedish-American Country Doctor in Maine
A Christmas Message to All Physicians from Sir William Osler
A Science of Uncertainty and an Art of Probability
Brand Name Drugs and Generic Prescribers
Seizures: Low P, Low D and Lots of THC
The Way Healthcare is Going, We Need More Nurses, Not More Doctors
When a Housecall is Worth a Thousand Tests
A Samurai Physician’s Teachings
My Most Read Post is Also My Least Read Post: 13,900 Versus 14!
The Lancet: A Broken Heart is the Epitome of Mind Body Medicine
Will Technology Keep Us From Thinking?
Dumbing Down Doctors: A Profession Without a Language
Practicing Where the Action Is
“Patient Requests 90 Day Supply”
Free Book to New or Upgraded Paid Subscribers, a $10.99 Value
It Pays to Play Dumb Sometimes
When I Escalated His GERD Treatment, My Patient Got Worse. Now I Know Why
Health Insurance is a Stumbling Block in Many Patients’ Thinking
Housecalls With Something Extra
The Parallel Realities of Health Care: Ratio and Intellectus
Why Not to be an Early Adopter
The Man with Brown Fingernails
The Art of Measuring Blood Pressure: Pseudohypertension, Oscillations and the Silent Gap
It’s Time We Stop Comparing Health Care to Manufacturing
The Counterintuitive Concept of Burnout Skills, (With 2023 Comments)
What if Physicians Worked for Free?
On the Road and at Home in Maine: I Do House Calls
Ordering Tests Without Using Words: Are ICD-10 and CPT Codes Bringing Precision or Dumbing Us Down?
A Stubborn Rash: When Doctors Don’t Communicate
TSH, T3 and T4: The Conductor and the Orchestra
VERTIGO: A Symptom, Not a Diagnosis
A Quick and Easy Way to Save Lives: Why I am a Suboxone Prescriber
The Science of Clinical Intuition
Canada’s Buttergate: Invasion by a Trojan Cow
Rule #1: Ask Questions, Even if You Think They're Stupid. Rule #2: Use Google
Medicine is Easy, but Metamedicine is Hard
Ten Building Blocks of Therapeutic Relationships
Does Tramadol Create More Cold Blooded Killers?
How Much Should Physicians Touch?
If Nothing Else Works, Try a Horse
THE PAIN IS IN YOUR BRAIN: Your Knees Know Next to Nothing
Serving is No Longer a Useful Term, Especially For Snack “Foods”
The Art of Antibiotic Selection
The Art of Listening: Beyond the Chief Complaint
Cholesterol Guidelines and the Bachelor with Platform Shoes
The Art of Listening: A Not-So-Simple UTI
The Art of Triage: What’s the Worst Thing This Could Be?
The Art of Asking: Show Me Where it Hurts
The Art of Explaining: Starting With the Big Idea
The Art of Asking: What’s Your Biggest Fear?
Apropos My Recent Post About the Lack of Leverage in Primary Care (from the Washington Post)
The Power of Silence (Reflections on Writing)
Lists of Three: Unforgettable Lessons from Medical School
The Art of Listening: Cause and Effect
The Art of Asking: What Else is Going on?
A Statin Interaction Reference
Abundance is a State of Mind, Some Days Harder to Achieve than Others
The Art of Prescribing (Or Not)
Common Medications Can Worsen Depression
Since When? Looking for Change: The Heart of the Art of Diagnosis
The Art of Listening: When the Inner Voice Whispers
The Art of Diagnosis: Teasing Out the Timeline
The Art of Medicine is Not an Algorithm
The Art of Diagnosis: Go With Your Gut, Dig Deeper, Step Back or Start Over
The Appalling Lack of Leverage in Primary Care
The Art of Tinkering: The Man With Cold Fingers
A Man With Sudden Onset of Gastroparesis
This Time, it’s Different: The Man Who Cried Wolf and the Doctor Who Listened
There’s a code for pain, but what’s the code for suffering?
Status Report: 15 Years of Blogging
Be Prepared! Older Doctor and Former Scout Leader Stops Bleeding at Home.
Medicine is Child’s Play: Where’s Waldo, Spot the Difference and Whack-a-Mole
A Few Crucial Pieces of Advice for New Clinicians
Let Your Wife be Your Ozempic!
Truthfully, the Physician Shortage Doesn’t Exist!
Words and Stories in the Practice of Medicine
Aequanimitas – Doctors Stirred, not Shaken
Primary Care Has a Dirty Little Secret
NNT: The Number Needed to Treat in Order to Prevent One Bad Event
“I’m Sorry Mrs. Jones, But You Have Albuminurophobia”
When the Doctor is the Treatment
Primary Care Burnout: Crushed by the Upside Down Triangle of Today’s EMR
Why I Don't Order Fasting Labs Anymore
Demonic Dreams and Irreversible Psychosis from Commonly Prescribed Big Gun Medications
Why I'd Like to See You Before Making a Referral
Is the Cologuard Test a Good Alternative to a Colonoscopy?
Why Do Prescription Medicines Have So Many Side Effects?
Why Can’t You Refer Me to a Chiropractor?
The Lazy Man's Guide to Calorie Counting
The Art and Soul of Medicine Exist in the Ordinary
Mental Health Help or Systems Change for Burnout? The Answer Should be Obvious!
From Learned Professionals to Skilled Workers: The Dangerous De-professionalization of Medicine
Warfarin and Green Vegetables: You CAN Have Both. Here's How:
HCC: Hierarchical Condition Categories = Handouts of Cash for Crooks
Hypertension is Like Driving a 5-Speed in 4th Gear
If You Are a Doctor, Act Like One
What if Only 11% of Cancer Patients or Diabetics Were Treated for Their Disease?
Why I Don't Order Fasting Labs Anymore
TSH, T3 and T4: The Conductor and the Orchestra
Why Do Coffee Drinkers Have Lower Mortality Rates?
Progress Note: The Case of Migraines Triggered by Trigeminal Neuralgia
Tapering Off One SSRI to Start Another is Like Making a Gradual Switch Between Beer Brands
A Moving Target (from my book CONDITIONS)
Why My EMR Report Card Contains Mostly Metadata
Two Patients With More Than One Diagnosis
The Annual Physical: Is it Worth Having?
PSA and Prostate Cancer: It's Complicated
Understanding a CBC (Complete Blood Count)
ACDW: Blog Archive 2008 - present
Vertigo: A Symptom, Not a Diagnosis
As a Vegetarian, I Gained Too Much Weight
Why I Don't Order Fasting Labs Anymore
Abnormal Lab Tests Are Not Always a Sign of Disease
Don't Be Insulted if I Prescribe Narcan Along With Your Pain Medication
Practicing at the Top of Your License is Not an Option for Primary Care Physicians
Remembering the Specialist Referral Letter and the Consultation Report
I Love Explaining Medical Things
Old Habits Die Hard in Medicine
I’ll Tell You Where to Insert Your AI!
Brain surgery and sex toys in ancient times (via CNN):
Is Now a Good Time to Ask a Personal Question?
My First Video Post on ACDW and the First Chapter of CONDITIONS
Eye Drops Prevent Nearsightedness
Welcome to A Country Doctor Writes:
Grandmotherly Advice, Avoiding Burnout and This Week’s Medical Mysteries
The Future of Doctoring is Already Here: Do More, Give Less or Burn Out