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Primary Care Matters
I recently read a study in JAMA entitled “Quality of Life, Burnout, Educational Debt, and Medical Knowledge among Internal Medicine Residents.” Over half (51.5%) of the 15,000 medical residents in the study cohort reported overall burnout and high levels of emotional exhaustion and depersonalization. 
For years, GI toxicity and risk of bleeding were the issues of most concern when deciding to prescribe an NSAID. The cardiac effects associated with these drugs were considered a positive in that least some have been shown to provide prophylaxis against myocardial infarction.
In a perfect world, doctors would not prescribe – and patients would not take – drugs that do more harm than good.
There’s more to the value of health care than clinical effectiveness for patients and cost-effectiveness for individuals and governments.
Pain is a subjective complaint. We can’t measure it as we can, for example, hematocrit, blood pressure, or blood glucose. If a patient doesn’t complain of pain, we generally assume that he or she isn’t experiencing it. But what about patients who have pain but who are physically or mentally unable to tell anyone about it?
In medical school, many of us were taught that ADD and ADHD generally affected boys who would eventually outgrow the disorder. We now know better. Girls have ADD/ADHD. And many children never outgrow the disorder. 
Tired of assembly-line medicine? Don’t wait for politician-saviors. Convene with your neighbors.
The British medical journal, The Lancet, surveyed a number of studies that discuss troubling statistics on suicide and depression among American physicians.
In Seattle, Washington, a group of 12 physicians and nurse practitioners see patients at a clinic that doesn’t accept insurance. Instead, patients pay roughly $65 a month, every month.
Physicians Practice | Psychiatric Times | SearchMedica | Medical Resources
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