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

Recent Articles

Birth Control Online – Telecontraception Safety – NEJM

Women and doctors should feel reassured and comforted that getting access to birth control contraception safely and conveniently is as simple as downloading an app and the care provided equals or exceeds that of an in-person office visit. Our Lemonaid Health birth control option was recently featured in the September 26, 2019 issue of the New England Journal of Medicine in a letter to the editor titled, “A Study of Telecontraception”. Researchers Tara Jain, A.B., Eleanor B. Schwarz, M.D., and Ateev Mehrotra, M.D., M.P.H. found that Lemonaid Health and 8 other telemedicine companies provided high-quality care and evaluation with “adherence to CDC guidelines [that] may be higher than across in-person care visits.” This is good news and certainly what we expected at Lemonaid Health. Researchers created seven standardized patients, some who have medical conditions that would require a change in treatment from a traditional combination pill with estrogen to a […] Read More »

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Genital Herpes Treatment – Acyclovir (Zovirax), Valacyclovir (Valtrex), Famciclovir (Famvir)

Genital herpes are a pain. Genital herpes can affect the genitals, upper thighs, buttocks, or hips. Our doctors can help. We just another service Genital Herpes to our growing list of services for Lemonaid Health! If safe and appropriate, we can prescribe either as needed treatment or daily preventive treatment for recurrent genital herpes. Prescription medicine can be delivered directly to your home in 1 to 2 business days for $50 for 90 day supply of medicine. The service is available to anyone who lives in any of the 50 states or Washington, DC. So long as this isn’t your first genital herpes outbreak, our doctors can give you a prescription for effective treatment. There are 2 different reasons to take genital herpes prescription treatment medicines, an immediate outbreak or daily prevention If you’ve got a herpes outbreak right now you’ll want treatment that helps with your immediate symptoms. These […] Read More »

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Will understanding work environment and organizational psychology help health care get better?

Our health care system is in crisis and needs significant change. So, I was excited to read Dr. Lisa Rosenbaum’s great February 2019 three part series in the New England Journal of Medicine and accompanied round table about teamwork in health care. Rosenbaum kicks off each piece with a story: how the Brigham’s and Women’s Hospital’s “shock team”, doctors of different specialties, worked seamlessly in a ‘remarkable interaction’, the failure of perfusionist to speak up during a heart transplant surgery when an error occurred and ultimately results in a preventable death of a young man, and a patient who was hospitalized 5 to 6 days longer because the different medical teams were “caught in an endless loop of passing the buck.” Each article then highlights classic research and findings by organizational psychologists and the social sciences to illustrate how we can learn and improve to make the care we provide […] Read More »

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Millennials Are Dropping Primary Care Because Want Convenience. Not a Bad Thing.

The Kaiser Health News article Spurred By Convenience, Millennials Often Spurn The ‘Family Doctor’ Model caught my eye. Millennial patients want “convenience, fast service, connectivity and price transparency” while doctors and health experts worry about “fragmented or unnecessary care, including the misuse of antibiotics” and loss of  “care that is coordinated and longitudinal”. It’s as if the needs of the patients and the concerns of doctors are mutually exclusive. They are not. The challenge is the current health care system does not provide for both. What Do Patients Want? In November 2005, a survey published by the Employee Benefit Research Institute found then when judging quality of care, respondents found these traits to be very important: 90% the provider’s ability to communicate well 89% getting timely care 85% the ability to easily get care and treatment 81% found the coordination of care, ability of doctor or hospital to access complete […] Read More »

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The Joy of Watching Intellectual Sparring – Adam Grant, Malcolm Gladwell, Robert Pearl, Shannon Brownlee, Ezekiel Emanuel, David Feinberg

So much fun watching smart experts accurately debate disparate points of view. My recent favorites worth watching more than once!   Courtesy of IntelligenceSquared Debates. Topic – The U.S. Health Care System Is Terminally Broken Robert Pearl, Shannon Brownlee, Ezekiel Emanuel, David Feinberg     Malcolm Gladwell and Adam Grant In a special live taping at the 92nd Street Y in New York, Adam talks with Revisionist History’s Malcolm Gladwell about how to avoid doing highly undesirable tasks, what makes an idea interesting, and why Malcolm thinks we shouldn’t root for the underdog. This episode is brought to you by Accenture, Bonobos, JPMorgan Chase & Co., and Warby Parker. We’re doing a listener survey about WorkLife with Adam Grant! We’d really appreciate a few minutes of your time to help us improve the show: surveynerds.com/worklife   Also Gladwell and Grant

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