My Aching Back

On any given day in my office, it is likely I’ll be seeing at least a couple of folks with low back pain (LBP).  Julie was typical with her complaint, “I’m just achy all day right in the small of my back.  And the pain often shoots down my buttocks toward the back of...

Hernias

“About two weeks ago I’m on one end of my mother’s piano trying to horse it up the ramp into the moving truck.  First my back starts to feel not so good.  Then I notice down near my groin isn’t feeling just right either.  I figured I’d just strained something a...

Lessons Learned in Haiti

“Does anyone have any questions?” I am standing inside an 8 foot by 8 foot corrugated metal shack with a fabric roof in Port-au-Prince, Haiti.  It is stiflingly hot with not a breath of wind.  It’s hard to imagine spending a half hour sweating inside this metal box...

DPC: Subtracting the Guesswork and Adding Back the Relationship

This week my partner, Jackie Hone, was seeing a new patient who had driven an hour seeking her help in sorting out his health situation. She spent an hour seeking to undo the damage done by miscommunication from multiple encounters in varied medical settings. Her...

Sore Throats – More Complicated Than You May Think

I returned to the exam room with the results of the five minute rapid strep test on an elementary school boy whose mom had brought him in with a complaint of a very sore throat.  “His strep test is negative Mrs. Thompson.” “Well that’s a relief!” My own thoughts about...

Pulmonary Hypertension

Mr. Beeler, a fiftyish guy was perplexed and worried: “I just don’t get it.  My mail box is maybe a hundred feet down the driveway.  Used to be nothing to march down to it, grab the mail and hoof it back and never think about it.  Then I started getting a bit winded...