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Sitemap - 2025 - A Country Doctor Writes:

You are What You Think

A Medical Imaging Order is NOT a Referral

A Rejected Referral: Like a Novel Without a Title

Primary Care is Not General Motors

A Swedish-Born Doctor’s Thanksgiving

The Power of a Diagnosis

Beyond Pattern Recognition: Illness Scripts Versus Pathophysiological Reasoning

Are Medical Practices More Like Solution Shops than Production Lines Now than in 2022?

More and More Care is Going Virtual

American Primary Care and My Soviet Era Class Trip: Sensing the Inevitable Collapse of a Top Down Bureaucracy

All God’s Children

Maybe All Benzos are not Created Equal

Night Call

Acceptance Speech (long version): 2022 Carol Eckert, MD Memorial Award, Maine Primary Care Association

The Call

I Am a Decision Maker, Not a Bookkeeper

Pseudodiabetes, the Newest Form of Our Chronic Disease Scourge

“Thank You, Father”

Fatigue, Tinnitus, Dizziness and Dyspnea. What’s the Diagnosis?

Inhaler Cures GERD?(!)

“Tell Me More”

Vertigo is a Symptom, Not a Diagnosis, and it’s Sometimes Caused by Loose Rocks Inside Your Head

“This Doesn’t Usually Hurt that Much”: Patients With Fibromyalgia Spectrum Disorder

Nailing the Diagnosis, Failing the Patient

We Use Too Many Medications: Be Very Afraid of Interactions

The Broken Promise of Computers in Healthcare: A Doctor From the B.C. Era Explains

Why Can You Have Angina With Normal Coronary Arteries? For the Same Reason You Can Have Heart Failure With Preserved Ejection Fraction

Why Do Patients Trust their Doctor? Because He or She is a Competent Mensch

Where is Relationship, Authority and Trust in Healthcare Today?

Doctor-Patient Relationships: I Don’t Babysit – I Want to Empower

Negative Expectations

Can the Practice of Primary Care Medicine ever be Practical Again?

Physicians’ Communication Skills are Overlooked and Undervalued

Unsorted: Welcome to my World!

One Disease With Many Names: Which One You Use Makes a Difference in the PA Process

Sense of Smell as a Predictor of Mortality

Where is the Mind?

“The physician–patient encounter is health care’s choke point” -NEJM

No Better

Revisiting the Advantages of aSOAP Notes: The Best of the Paper Chart and Old School Photography

“Practice at the Top of your License?”

The Perfect Office Note? SOAP, APSO or aSOAP?

Can Diabetics Get UTIs Because of Insulin?

The Middle Age Creep

Double-Booking the Doctor is Half-Booking the Patient

Between Patients: The Myth of Multitasking

How to Beat ChatGPT

Zen and the Art of Doctoring

The Case of the Dropping Albumin

The Power of Words, 16 Years Later

My First Case of Algophobia? Or Münchausen Syndrome? Or maybe Just Another Patient with Opiate Induced Hyperalgesia, Allodynia, or Maybe Just Opiate Use Disorder?

Medicine is a Love that Finds Us

Actor, Chameleon or Just a Good Doctor?

A Childhood Illness that Stumped a Pediatrician

Looking for Patterns, Looking for Change and Looking for Incongruity

Diagnoses Right Under My Nose

17 Years of A Country Doctor Writes:

A Pearl From Medical School

Humming Jeopardy

Clinical Instinct

Three Dutchmen Walked Into an Eye Clinic

The Great Imposter

Maybe All Benzos are Not Created Equal.

A Country Doctor Reads: Repurposing Old Drugs for New Indications

A Tight Squeeze

The Virtue of Food in Public and Personal Health

Viagra: The Back Story

Another Quick Listen

The Sounds of Sleeping in Addicted Loved Ones

A Red Herring

Two Red Herrings

Meals on Wheels

Helping Patients Accept Their “Imperfections”

Context, Always

Boy, Have I Seen Measles

When To Take Medication

THE BACK STORY: Invisible Ties.

As a Doctor, I Should be a Keener Observer and Notice the Pathology All Around Me

Bedside Manner and the Pendulum Effect

Hyposkillia, a Widespread Clinician Affliction

A Back Door to Treatment

“When I Was Your Age…”

I Love Sitting Down in Front of a Blank Screen

Balancing the Virtue of Empthy with the Oslerian Ideal of Equanimity

Altered Vision

The Virtue of Diligence in the Practice of Medicine

The Virtue of Curiosity in the Practice of Medicine

My Personal Substack

Virtues I Strive to Cultivate as a Physician

If Brevity is the Soul of Wit, Why are Clinical Office Notes So Lengthy?

When is Healthcare “Good Enough”?

What’s an Acceptable Margin of Error in Clinical Diagnosis?

A Really Bad Bruise

The Worried Well

Is There a Polite Way to Take a Medical History?

Are All the Good Drug Names Already Taken?

Housecalls to Establish Connection, Telemedicine to Increase Efficiency

Patients Are the Real Healers

RERUN: As a Vegetarian, I Gained Too Much Weight

A Country Doctor Writes on KevinMD podcast

Do Something, Do Nothing or First Do No Harm?

Doing Nothing