When COVID is Personal

On Thursday evening December 17, 2020 following a typical day of work, David (not his real name) felt unusually fatigued. He begged off doing the dishes and evening child care duties and went to bed. He awoke at 2am with chills and shifted to his couch. He slept fitfully and shortly arose again with a […]

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High-Tech versus High-Touch

According to Wikipedia the terms high-tech and high-touch were coined in 1982 by John Naisbitt in his book Megatrends. Those contrasting terms have been frequently recited around medical circles for decades. Family medicine is either derided or praised by commentators of differing viewpoints as a high-touch medical specialty. Many family doctors embrace this generalization and value being able […]

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Family Medicine in time of COVID

  I haven’t read much about family doctors since the pandemic began. I have regularly consumed news items that recognize intensivists, pulmonologists, hospitalists and ER physicians. I have been pleased to see spontaneous efforts that express gratitude for heroic nurses, emergency medical technicians and respiratory therapists. I have appreciated minor nods to delivery workers, morticians, […]

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Logistics

On January 8, 2011 Jared Lee Loughner brandished a 9mm pistol with a 33-round magazine and opened fire at a Safeway Supermarket near Tucson Arizona. He had purchased ammunition for the firearm that very morning at a nearby Walmart. His first target was US representative Gabby Gifford who was hosting a community political gathering. Gifford […]

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Power to the People

     My major criticism of modern medical care has not changed since 1970. It was apparent to me as a first year medical student that we had abandoned the most powerful tool that helps people stay healthy. Antibiotic use was exploding, “new and improved” anti-inflammatory drugs were surfacing daily and chronic disease care was emerging. […]

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Human Behavior

Preamble I previously wrote a number of blogs about healthcare still available at frugalfamilyoctor.blogspot.com. I stopped writing blogs while focused on a biography of Richard S. Buker Jr., MD. After the book was published in July 2020, I planned to resume blogging but procrastinated. I start again with a subject that has puzzled me even […]

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Book update

For those of you who have been waiting patiently for my book (Windblown; The Remarkable Life of Richard S. Buker Jr., MD; A Family Doctor), I am happy to report that it has been printed and scheduled to be delivered to my residence today. I will transport copies to St. Louis tomorrow where the vendor […]

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The Miracle of Primary Care

I published the following blog in January 2012 writing under the pseudonym of the Frugal Family Doctor. I repost it today because so little has changed. For research purposes, primary healthcare has been described using four characteristics. It is a healthcare resource that people first contact for many different health concerns. People continue to consult […]

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Windblown’s Purpose

I have written about healthcare issues for several years.  Under the blog name Frugal Family Doctor (http://frugalfamilydoctor.blogspot.com/), I authored around 175 short pieces between November of 2011 and July of 2015.  After a hiatus, I am writing again.  As my blog name implied, I am concerned about the high costs of healthcare in the US.  […]

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Choices

Years ago I attended a conference organized to explore the blurred boundary between medicine and religion. I heard a moving presentation by a doctor who spent his life as a doctor/missionary in Sub-Saharan Africa. He told us of a choice he had made when allocating an annual medication budget. He had encountered a child with […]

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