Family physician, author, blogger, speaker, physician leader.

Tag Archive for primary care

High Cholesterol and Need A Refill or Treatment with a Statin? Do it online with Lemonaid Health!

Lemonaid Health recently created a new high cholesterol service that allows Americans to get tested for high cholesterol. If medically appropriate, we can provide prescription medicine to treat and decrease a person’s risk of heart attack and stroke. For as little as $200 a year (less than a dollar per day), Americans at risk can get lab work, doctor interpretation of the labs and a year prescription of statin medicine should it be necessary. For those who need a statin refill, this can also be provided as long as it is safe and appropriate. Cardiovascular disease is the leading cause of death in the United States and controlling cholesterol is simply one way to decrease that risk. Common statin medicines include lovastatin (Mevacor), simvastatin (Zocor), atorvastatin (Lipitor), and rosuvastatin (Crestor). Using the most up-to-date medical guidelines An individual’s risk for future heart attack can be estimated by using a 10 […] Read More »

A Healthy Life Is More than an Annual Physical Examination

Having a healthy life is more than getting an annual physical examination. It is about having healthy habits. Some of these healthy habits make common sense. Others seen unnatural, but yet are vitally important. A healthy life is more than feeling well. It is about living life to the fullest and ensuring you are doing your part to improve both your quality of life and longevity. Which ones are you missing? How do you measure up? Five or more – servings of fruits and vegetables. Those that live longer seem to have this simple habit. Common traits included not smoking, drinking in moderation and…. Physical activity Although many recommendations advocate 30 minutes of moderate intensity exercise most days of the week, consider some other options. 10,000 steps per day – measure with a pedometer or an app for your smartphone. Surprise yourself and see how much you. If you don’t […] Read More »

Healthcare Future in 2030 – Think Car Insurance. Doctors Will Work for Walmart and CVS.

With health care reform and the creation of a retail marketplace to buy health insurance via exchanges, the future of healthcare delivery has become cost shifting from employers to employees. What will health care look like in 15 to 20 years? Think car insurance and retirement planning. In a future post, I will cover how health care will look like retirement planning. This new reality will impact both patients and doctors in a very different way. Auto Insurance – Don’t Use It! People will trade low premiums for higher deductibles. In auto insurance, people avoid filing claims for fear of increasing future premiums and access alternative services like windshield repair and body shops to get the job done without using insurance. This will also occur with high deductible health insurance as now it will be essentially catastrophic health insurance and not comprehensive health insurance. This is a perceptive championed by […] Read More »

Make the Most Out of Your Doctor Office Visit – You Just D.A.T.E.D. Your Doctor!

Book excerpt from The Thrifty Patient -Vital Insider Tips for Saving Money and Staying Healthy   You Just D.A.T.E.D. Your Doctor You’ve told your story. Your doctor gets it. He has completed the physical exam. He formulates a plan to get you better. The next skill you should master may be as important as being a great storyteller. Your doctor has told you the treatment plan. Do you remember what you need to do? A 1996 study at the Mayo Clinic showed that patients remember less than half of what physicians tell them during office visits. Of nearly six hundred patients who were asked to recall what diagnoses physicians had discussed with them, 54 percent could not remember the major problems. Of patients whose doctors had discussed with them the risk factors for heart disease, 68 percent did not recall any discussion about tobacco use, 62 percent did not remember […] Read More »

Would Doctors and Patients Pick a Better Health Care System If They Saw It?

we believe Integrated will triumph Fragmented every time – Steve Jobs, Apple CEO Two articles recently got my attention. The first was an interview by Dr. Robert Pearl, CEO of the Permanente Medical Group with my favorite author and thinker Malcolm Gladwell. On Pearl’s on Forbes blog, he answered Gladwell’s request to tell people what is was like to be a doctor. The second was a NPR article  “When Facts Are Scarce, ER Doctor Turns Detective To Decide On Care” by Dr. Leana Wen, patient advocate and author of the book When Doctors Don’t Listen. Both articles reminded me how doctors and patients have different realities simply by where they practice. As a practicing primary care doctor in an integrated health care system, which is partnered with a physician led medical group, these stories were quite foreign to me. These stories were once my reality in residency but no longer […] Read More »