I am in the exam room, leaning forward hearing my elderly patient describe weeks of worsening…
Category: Insights
How expiring ACA enhanced premium tax credits hurt business
I’ve recently been forced to make painful and difficult choices that impact my personal life as…
Pathogenesis of a medical startup: a physician's diary of daring, doubting, and doing it anyway
Intro This is not a story of a 28-year-old successful serial entrepreneur, nor a work of…
Health care startups desperately need clinical expertise
Last year, a startup pitched me a device designed to improve endoscopic procedures in gastroenterology. Slick…
Health care investing demands thorough clinical diligence
Your hospital recently adopted a new piece of technology. Maybe it was an electronic health record…
Rethinking the role of family physicians vs. specialists
Calls to declare family physicians the “backbone of health care” are emotionally appealing, but they do…
Why clinical listening skills outpace artificial intelligence
In an era of unprecedented technological adoption, it feels almost unfashionable to talk about listening. Artificial…
Knee osteoarthritis demands layered pain management
Knee osteoarthritis (OA) remains a leading cause of chronic pain and reduced mobility, affecting millions of…
The hidden risk of protein deficiency in bariatric surgery
I have treated over 10,000 bariatric patients across my career, and if there is one issue…
Is HPA axis dysregulation causing your chronic insomnia?
Cortisol. Almost always cortisol. I say this to patients more than almost anything else. And I…