Back in March/April, I was working in the hospital and saw how sick SARS-COV2 (the virus responsible for COVID-19) could make people. I watched people deteriorate quickly after admission and got fairly acquainted with the awful lung imaging associated with COVID-19. Nine months later I’m back in the hospital after 6 months of working only in the outpatient setting. The virus obviously hasn’t gone anywhere, but what we’ve learned and what I’ve experienced has, so I wanted to write up brief update.

Up first is a clarification which needs to be made because people still do not seem to understand…

The only thing more fundamental to Direct Primary Care than the monthly fee is the direct relationship, both medically and financially, between the patient and physician. While payment structure defines the model, refusal to allow in middlemen rallies the movement. Removing insurance from the mix has allowed DPC physicians to run successful businesses in a setting where fewer and fewer physicians work for themselves, much less own their own practices. Many DPC offices are completely run by the physician themselves and the majority of practices have no more than a handful of staff. Usually, the larger a practice, the more…

When people think of medical innovation they may think of minimally invasive surgical robots dramatically improving post op recovery or immunotherapy wiping out previously fatal cancers. Innovation seems to belong to the specialists with their cutting edge technologies and medications. Meanwhile, the image family medicine conjures up is one of the old fashioned general practitioner, the horse and buggy doc; an image more associated with the past than the future. Many, even family doctors themselves, fail to realize the vast amount of creative energy within family medicine. …

Reason #1: Forge your own path

A Family Medicine residency can lead to fellowships in sports medicine, geriatrics, lifestyle medicine, obesity medicine, global health, health advocacy, women’s health, sleep medicine, palliative care, and faculty development to name a few. Even if a fellowship is not pursued, a family trained physician can work in the hospital, emergency room or inpatient, as well as the outpatient setting, urgent care or primary care. Choosing Family Medicine gives you the opportunity to explore a wide breadth of medicine and allows you to practice medicine in the setting that best fits you.

Reason #2: Bring High Value Care

Primary Care Physicians bring significant value to their communities¹…

In December 2019, a cluster of patients with pneumonia of unknown cause was linked to a seafood wholesale market in Wuhan, China.

-New England Journal of Medicine 2/20/2020¹

SARS-COV2 (Severe Acute Respiratory Syndrome Coronavirus 2)²

The virus was temporarily named 2019-nCoV (2019- Novel CoronaVirus) until the International Committee on Taxonomy of Viruses (ICTV) officially changed the name to SARS-COV2 on Feb. 11, 2020 due to its genetic similarity to the 2003 SARS virus (SARS-COV1).

COVID-19 (Coronavirus Disease 2019)

On the same day the virus was named, the ICTV named the disease caused by SARS-COV2 as COVID-19. …

My last post discussed the different places to go when feeling ill

https://link.medium.com/njycveiW54

In light of COVID-19, people are wondering when and if they should go to the doctor, so here is a very brief update

Primary Care: Most Primary Care offices now are either closing or seeing drastically reduced numbers. For the most part, wellness exams and stable chronic disease follow ups are being rescheduled. Some are offering COVID-19 testing. DO NOT go to your doctor if you have no symptoms simply for testing. The risk of you picking up something is way higher than the benefit of your…

You wake up feeling like you got hit by a truck. Your muscles ache, you have chills, you barely have enough strength to get up. “Surely I’m dying,” you think to yourself, “time to see the doctor”. You sit for an hour in the waiting room before being brought back. The doctor comes in, asks what’s wrong, tells you you’re fine and to drink more water, then briskly leaves the room before you’ve even had time to disagree and tell him you’re actually dying and need antibiotics or something.

Many patients come to the doctor’s office expecting to receive a…

Family medicine established itself as a specialty in 1969 at a time when medical specialties were proliferating and physicians started diverting away from general practice to more specialized fields. Many of the early giants of family medicine believed medicine had become too technological and scientific, treating organs rather than the person and looking only at mass data rather than the individual. This is not to say family medicine exists as a Luddite specialty focused on emotions and subjective experiences; the founders simply wanted to return focus back to looking at the person as a whole. Over the last 50 years…

Family Medicine stands at the front line of the challenges facing American healthcare, which is one of the main reasons why I chose to train in this specialty. I wrote this several months ago when I was still relatively new to practicing medicine and didn’t publish until now. Since that time, these points have been cemented in my mind due to seeing even more cases which prove them true.

ACCESS IS CRUCIAL

One of my patients saw me just once in clinic and had a tremendously high blood pressure. I started an anti-hypertensive regimen and asked them to follow up…

Hello Doctor,

Yes, that’s you. You’ve earned the title and now it’s time to get used to it. As you prepare for the wild ride that is residency, I wanted to share three pieces of advice which have been boiled down from my experience this past year as an intern.

  • Be Confident
  • Be Curious
  • Be Caring

BE CONFIDENT

You are now a doctor. Just one more reminder in case it still hasn’t sunk in yet (for many it won’t sink in for months). You have duly earned the large piece of paper from your school and the two new letters…

Kenneth Q

Family Medicine Resident

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