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.

What caused the pancreatitis?

A 68-year-old male with diabetes, hypertension, coronary artery disease, and prior pancreatitis presented with severe abdominal pain

One way universal coverage can save costs

An ER doctor admitted a patient for evaluation due to system inefficiencies. Universal coverage and better primary care could reduce unnecessary hospitalizations.

Can we measure quality?

We need patient centered care rather than check-box care. We need to rediscover the caring in patient care.

The semantics of primary care

I fear we have lost the context of the term primary care. We know the content, but they do not. And they make the big decisions.

Could primary care actually win?

I have remained skeptical, because they have benefited at the expense of family physicians and non-procedural internists.

AMS an acid-base problem – part 1

 Now for the hard part, figure out the acid-base problem.  Next I will give you his labs 2 days later, then my interpretation.

Do you favor a public plan?

Too many pundits have already set their opinions in concrete without knowing those details.  And you wonder why physicians dislike politics.