Family Medicine / Direct Primary Care / Walk-Ins

The sometimes incoherent
ramblings and rants of an
ordinary family doctor...
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59

Have you ever considered the origins of the "15-minute office visit" and how we arrived at it as the benchmark for a health care visit?

In my earlier days as a primary care doctor working in a traditional medical clinic, I recall receiving a productivity report every month.  This report ranked every doctor in the group by the volume of patients seen, the total fees charged, and most importantly, patients seen per hour.  

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44

I once knew a fellow who was fond of saying, "Two is one and one is none."  Basically, he was saying that you should always have a backup. In this world where we are increasingly dependent on computers, databases, networks, and wireless communication, it becomes even more of an imperative.  

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107

Like most people, my beginnings were humble.  As a young child, I remembered our small home next to a canal in deep south Florida where my mother and fraternal twin brother resided.  My earliest, fondest memories were of visiting my grandparents and walking to my elementary school just a few blocks away with friends. Then in 1978, things suddenly changed.  My mother was remarrying, so we were loading everything up in a U-Haul truck for a 2 day trip to our new hometown, Carthage, Mississippi, where I would grow up for the next 11 years.  It was in this sleepy central Mississippi town where I decided I wanted to be a family doctor, having been inspired by its highly regarded local family physicians, Dr. Frank Bowen, Dr. Loutrelle Stribling, and Dr. Jack Scott.  

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34

Some of you may be familiar with the term fractional reserve banking. It describes the structure of virtually all banks in existence today.  Laws require that your bank keep about a tenth of deposits on reserve while loaning out the rest. Obviously, if all bank account holders show up at one time to demand their money, the bank cannot cover the demands. This is called a bank run, which was famously depicted in the Jimmy Stewart movie It's a Wonderful Life. I would like to coin a new term to describe our current Healthcare System: Fractional Reserve Medicine.  

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24

The well-dressed VIPs slowly walked into the dimly lit upscale restaurant's conference room for meeting over a rich meal at the invitation of a consultant and his three colleagues.  The topic of discussion was a revolutionary new approach to delivering primary care, one that had shown considerable cost savings for a self-insured employer. The VIPs were important hospital administrators, people with considerable clout and control over the finances and decisions of a large community health system.  

Our Latest Blog Entries

  • The 15-Minute Office Visit: A History--And An Autopsy

    Have you ever considered the origins of the "15-minute office visit" and how we arrived at it as the benchmark for a health care visit? In my earlier days as a primary care doctor working in a traditional medical clinic, I recall receiving a productivity report every month.  This report ranked every doctor in the group by the volume of patients seen, the total fees charged, and most importantly, patients seen per hour.  
  • The Day the Squirrel(s) Went Berserk

    I once knew a fellow who was fond of saying, "Two is one and one is none."  Basically, he was saying that you should always have a backup. In this world where we are increasingly dependent on computers, databases, networks, and wireless communication, it becomes even more of an imperative.  
  • My Story

    Like most people, my beginnings were humble.  As a young child, I remembered our small home next to a canal in deep south Florida where my mother and fraternal twin brother resided.  My earliest, fondest memories were of visiting my grandparents and walking to my elementary school just a few blocks away with friends. Then in 1978, things suddenly changed.  My mother was remarrying, so we were loading everything up in a U-Haul truck for a 2 day trip to our new hometown, Carthage, Mississippi, where I would grow up for the next 11 years.  It was in this sleepy central Mississippi town where I decided I wanted to be a family doctor, having been inspired by its highly regarded local family physicians, Dr. Frank Bowen, Dr. Loutrelle Stribling, and Dr. Jack Scott.  
  • Fractional Reserve Medicine

    Some of you may be familiar with the term fractional reserve banking. It describes the structure of virtually all banks in existence today.  Laws require that your bank keep about a tenth of deposits on reserve while loaning out the rest. Obviously, if all bank account holders show up at one time to demand their money, the bank cannot cover the demands. This is called a bank run, which was famously depicted in the Jimmy Stewart movie It's a Wonderful Life. I would like to coin a new term to describe our current Healthcare System: Fractional Reserve Medicine.  
  • Don't Wait! Here's Why.

    The well-dressed VIPs slowly walked into the dimly lit upscale restaurant's conference room for meeting over a rich meal at the invitation of a consultant and his three colleagues.  The topic of discussion was a revolutionary new approach to delivering primary care, one that had shown considerable cost savings for a self-insured employer. The VIPs were important hospital administrators, people with considerable clout and control over the finances and decisions of a large community health system.