The tragedy of the commons – why we must ration

we must make rationing rational. Do not attack this problem objectively represents a failure of our health care delivery.

The degradation of physician’s notes

I attended part of a workshop on hand-offs yesterday. The workshop was excellent, but made my think about root causes.

Thoughts on universal health care

He talks solely about personal responsibility. The best health care is decreasing the need for health care.

Defeating a sticky message – not so easy

Evan does make a most important point about legislation – almost nobody really knows the details of any bill.

Glorious golfing experience

Almost home after 4 days of glorious golf at Bandon Dunes on the Oregon coast. Vacations often induce great expectations.

Taking vacation

On a golfing vacation, focusing on my game, not politics. Taking time to refresh, enjoy, and stay fit.

Money matters

A public option can help uninsured patients access affordable care, prevent hospitalizations, and make economic sense.

A political lament

If you are still reading, thanks for allowing me to vent. We should resurrect Henry Clay – known as the Great Compromiser.

Direct primary care – an interview

We should follow this experiment. Having enough time to devote to all ones patients improves physician satisfaction and patient satisfaction.

In which I reveal what caused the pancreatitis

MRCP suggested cholecystitis. We consulted surgery – laporoscopic cholectystectomy the next day with confirmation of cholecystitis.