The Reality Of Participatory Primary Care
No matter where one stands on appropriateness and advantages of each patient being involved in self-diagnosis and treatment of their own medical problems there are two inevitable conclusions: •...
View ArticleMedical Ethics And The Amish Bus Driver Rule
Rachel Maddow, in a discussion related to the provision of abortion services, once proposed that we (society) should invoke the Amish Bus Driver Rule (ABDR) whenever medical professionals invoke their...
View ArticleWhy Comparing The Performance Of Doctors Is Trouble
Who do you think is likely to be a better doctor: A board certified graduate of one of the top medical schools in America, or a non-certified doctor trained in a foreign country? If your answer is “I...
View ArticleThe “Big Picture” Benefit Of Primary Care
Her eyes were bloodshot. She responded to my casual greeting of “How are you?” with a sigh. “How am I? I’m alive, I can tell you that much for sure.” She went on to describe a situation with her adult...
View Article5 Reasons Why Patients Don’t Mention Symptoms To Their Doctors
To complain or “be good” is an apparent dilemma for some patients with serious illness. Yesterday I received an email from a close friend with advanced breast cancer. She’s got a lot of...
View ArticleThe Best Social Tool For Doctors And Patients
We all want technology to improve communication between doctors and patients. We fantasize that social tools will open doors and bridge the expanding divide between doctors and patients. I’m wondering...
View ArticleVideo: “The Too-Informed Patient”
This video, “The Too-Informed Patient,” came my way lately. It’s featured on NPR’s Marketplace website: The Too Informed Patient from Marketplace on Vimeo. —– The puppeteer skit features the...
View ArticleBlood Print: “Am I, The Doctor, Bleeding?”
I’m diligently writing a detailed note in the patient’s chart as he speaks of his multiple concerns — severe depression, headaches, and dizziness. I’m not making good eye contact. Often this is...
View Article11 Healthcare Predictions For 2011
Here are 11 things that are absolutely going to happen* in 2011 (they’re in no particular order….or are they?): 1. There will be no big compromise between President Obama and the Republicans on...
View Article10 New Year’s Resolutions For Doctors And Patients
#1 Doctor: Resolve to let patients speak without interruption and describe their symptoms. Patient: Resolve to focus on the problem I am seeing the doctor about and not come with a list of 10...
View Article10 New Year’s Resolutions For Doctors And Patients
#1 Doctor: Resolve to let patients speak without interruption and describe their symptoms. Patient: Resolve to focus on the problem I am seeing the doctor about and not come with a list of 10...
View Article10 New Year’s Resolutions For Doctors And Patients
#1 Doctor: Resolve to let patients speak without interruption and describe their symptoms. Patient: Resolve to focus on the problem I am seeing the doctor about and not come with a list of 10...
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