Sitemap - 2024 - A Country Doctor Writes:
Who’s a Diehard Allopath? Not Me, Actually
Christmas Reflections at Winter Solstice
Subjective Pain Assessments are Disappearing. As a Medicare Quality Metric, that is
In Manu Medici: The Art of Administering and Prescribing Medications
Addiction Recovery or Recovery Addiction?
“Cure Sometimes, Treat Often, Comfort Always”
Why Do So Many of My Patients Have Low Potassium in the ER?
Another Thanksgiving Reflection
Wellness Check at the End of My Workweek: Sicker than I Thought?
Inpatient Workups Would Reduce Patient Anxiety, Save Time, and Maybe Even Save Money
Remembering the Inpatient Workup: All the Tests to the Patient’s Bedside
Deep Knowledge Needed for Expert Diagnosis and Treatment
[COPY] The Future of Doctoring is Already Here: Do More, Give Less or Burn Out
Personas in the Practice of Medicine
Curbside Consults by Subscription
A Country Doctor Writes - Again!
Stewardship: We Worry More About the Environment than Our Own Bodies
My Neurology Professor’s Migraines
What’s in a Number? Why All These Binary Definitions of Health and Disease?
All Patients Look the Same in Today’s EMRs
The World Has Gone Virtual and So Has Much of Medicine: Stay-at-Home Doctors
The World Has Gone Virtual and So Has Much of Medicine: Specialist Consultations
Sexual Anatomy & Physiology and Other Medical Terms in Swedish
Only Pain and Fear Bring Patients to the Doctor
Anxiety, Worry or Fear? Disappointment, Grief or Depression?
Shouldn’t Suboxone be Over-the-Counter?
PTO: Paid Time Off, Personal Time Off or Partial Time Off?
Progress Notes Shouldn’t Have to Be So Comprehensive
In Most Cases, Normal is Just a Statistic
A New Diagnosis or a Re-Diagnosis?
Hope is a Contagious Force of Healing
Endocarditis or Not? A Saturday Triage Decision
Is Gallows Humor Ever Appropriate?
A Motherless Child Without a Father
It Helps to Treat Patients Like Patients
Primary Care is Personal and Passionate
The Apostolic Nature of Our Profession
Why We Need Good Primary Care Physicians
The Man with the Up and Down Blood Pressure
“Thanks for Your Time”: Einstein’s Relativity in the Clinical Encounter
How Much Self-Disclosure is Too Much?
When Patients Disagree and Don’t Believe You
Make the Most of Your Ignorance: Admit, Research, Report Back
Early and Late Career Collaboration #3: Doctor in the House?
Doctor in the House? Early and Late Career Collaboration #3
Cultivating Charisma in the Clinical Encounter (and emulating Marcus Welby, M.D.)
Fundamentals of Medicine: Diagnosis and Guidance (Not Just Treatment)
As Physicians Today, We Must Both Represent the “System” and Disregard it
Nuts and Bolts Medicine: A Seemingly Trivial Cause of Hypoxia
Quality in Healthcare: Cultural Competence, Diagnostic Accuracy or Patronizing Insensitivity?
Patient Centered or Evidence Based Medicine – Can we really have both?
Quality or Conformity Revisited
A Country Doctor Reads: So Much for this Basic Quality Metric?
Finding Ikigai in the Practice of Medicine
A Country Doctor Reads: Interaction Between Common Atrial Fibrillation Medications
Early and Late Career Collaboration #2: Why Family Medicine?
No Longer Caught Between Two Paradigms
Doctors and CEOs Need Time to Think
The Case For Professional, Not Just Personal, Resilience
Black Box Warnings: Time to Reconsider Our Disease=Drug Reflex?
Don’t Ask Me to Work for the Other Side
Clinical Cross-Coverage Collegiality Conundrums
Today’s Doctors: Colleagues or Free Agents?
Mandatory Pain Assessments Are Such a Pain
Transdiagnostic Treatment Approaches in Primary Care
Early & Late Career Collaboration #1
People Who Don’t Work Have Better Insurance Than People Who Work
CONDITIONS and IN PRACTICE Now Available as Audiobooks
I Wish My Clinical Hunches Were Wrong More Often
Treating Friends and Neighbors in Rural Primary Care
New Symptoms With Old Explanations
Revitalizing the U.S. Primary Care Infrastructure | NEJM
The Unreasonable Burden of Specialty Level Diagnostic Specificity in Primary Care
Remember A Country Doctor Talks…
Be the Doctor Each Patient Needs
March Madness at Bedlam Hospital
Ad Usum Proprium: Physician, Treat Thyself!
A Delightful Discovery: My Galileo EMR Works 100% on My iPad Browser
The Irresistible Attraction of a Blank Page
“I Know Your Type”; Doppelgänger and Archetypes in Everyday Medicine
I Forgot About Gaviscon and Suffered Needlessly for Many Years
The Fine Art of Medical Messages
Teflon Doctors and Velcro Patients
Practicing Medicine Requires a Patient Relationship
Thou Shalt Not Try to Outsmart Me
The Root Cause of Physician Burnout: Neither Professionals nor Skilled Workers
Frontline Provider Mentoring Opportunity
Myopic Versus Hyperopic Views on Physicians’ Work
Seeing the Big Picture in a Clinical Situation
The Correct Diagnosis – Ten Years Later
All These Gut Feelings: A 10-Year Old With Belly Pain
Another Gut Feeling: A Case of Visceral Hyperalgesia?
Requiring PT Before Shoulder MRI May Be False Economy
A Gut Feeling: Could This Case Really Be That Simple?
Jardiance Almost Lands 60-year Old Man in Jail
Broken Relationships and Sudden Social Isolation are Like Opiate Withdrawal (BOTSA via NYT)
EMRs: It’s the Interface, Stupid*
How Much Time Should Doctors Spend With Their Patients?
DEDIAGNOSING: Fighting Medicalization and Polypharmacy
An Anxious Man With Coronary Plaque
Maybe PCPs Aren’t Always Necessary
Habits for Health and Happiness
Following the Path of the Soul
Doxepin, a Little Known Super Drug in My Personal Black Bag of Tricks
Please Sign Below: Fraudsters Phishing for Physician Signatures
Five Weight Loss Myths I am Constantly Fighting
Delivering Health Care is Like Practicing a Religion
Rescue Pup Vetoed by Alpha Female
The Future of Doctoring is Already Here: Do More, Give Less or Burn Out (RERUN)
Aren’t We All Somewhere on the Spectrum of Disease?
I Just Diagnosed a Case of SOD, Although I Admit I Wasn’t Quite Familiar With It
A Funny Thing Happened on the Way Through Van Buren:
The Dangers of EMR-Defaulted Prescription Stop Dates
If 911 Worked Like a Medical Office Phone System
M3DICINE: A Word With 3 Meanings
“Breakout Opportunity” Brings Country Doctor Back into a “State of Permanent Beta”
Clinical Depth: The Power of Knowing More than the Minimum
The ABCs of Beginning a Clinical Encounter
Art and Archetypes in Medicine
Cave: The Patient Who Suggests a Diagnosis Before Telling You His Symptoms
Anxiety? It’s All in Your Head. Your Sinuses, to Be Exact
Orthorexia Nervosa – Too Much of a Good Thing
The Thymus is a Largely Forgotten Organ
My First Case of Restless Chest Syndrome?
Flirting With Functional Medicine
Broad Strokes in Clinical Problem Solving: The Simpler, the Better
All Body Parts are Not Created Equal
We Shouldn’t Tolerate Sloppy Allergy Lists
How to Talk to Clinicians: Forget Workflows, Just Tell Us How Things Work