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 […] 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 »

Why Nurse Practitioners Should Not Do Primary Care Without Physician Oversight

“She said my back pain was caused by micro kidney stones.” So said my newest patient after her previous primary care provider, a nurse practitioner retired. “Micro kidney stones?” I didn’t know what else to say. Having practiced as a board certified primary care doctor for a decade, I’d never even heard this term. Nurses Are Not Doctors So the NY Times opinion piece that “Nurses Are Not Doctors“, penned by Dr. Sandeep Jauhar, author of Doctored: The Disillusionment of an American Physician, resonated with me. The fact that 17 states have legislated nurse practitioners the right to practice primary care medicine without physician oversight is very worrisome. There is a primary care crisis. We do need more primary care providers. Though nurse practitioners can fulfill some of the demand they cannot do so without doctor oversight. Though on paper it seems like what primary care doctors do is easy, […] Read More »