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Health technology
About half of the primary care visits I see these days involve patients that have consulted ChatGPT and have "an answer" to their medical symptoms that I need to debate, but that is just the beginning of what is coming…
About half of the primary care visits I see these days involve patients that have consulted ChatGPT and have “an answer” to their medical symptoms that I need to debate, but that is just the beginning of what is coming to engulf all of health care in the near future. Working part-time for an Amazon One Medical clinic in Silicon Valley, I am seeing the rollout of artificial intelligence (AI) …
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Artificial intelligence disrupts health care delivery
Physician voices
The recent record snowstorm in New England got me all in a deep wintery nostalgia. I contacted my friends back in Boston who have been living there for well over 40 years to get their perspectives, and it brought back…
The recent record snowstorm in New England got me all in a deep wintery nostalgia. I contacted my friends back in Boston who have been living there for well over 40 years to get their perspectives, and it brought back memories of living on the East Coast and surviving the seemingly interminable long winters there before I moved to California in the late 1980s. Most prominently in my memory is …
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Surviving a hospital blizzard as a physician on call
Physician voices
Even with all the incredible advances in medicine over the past 70 years, there remain severe deficits in the care of many serious deadly diseases. Pancreatic cancer, multiple sclerosis, glioblastoma, Alzheimer's, ALS, and ovarian cancer easily come to mind in…
Even with all the incredible advances in medicine over the past 70 years, there remain severe deficits in the care of many serious deadly diseases. Pancreatic cancer, multiple sclerosis, glioblastoma, Alzheimer’s, ALS, and ovarian cancer easily come to mind in that desperate category.
However, let’s get a perspective of what it was really like to practice medicine a hundred years ago. What kind of doctors were there? What did they do? …
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Medicine in 1926: What being a doctor was really like
Physician voices
It doesn't take much to understand that women have had it tough throughout history. While seemingly in our age there is near parity (with many women heads of state in Mexico, Italy, Moldova, Iceland, etc.), they only gained the right…
It doesn’t take much to understand that women have had it tough throughout history. While seemingly in our age there is near parity (with many women heads of state in Mexico, Italy, Moldova, Iceland, etc.), they only gained the right to vote in the U.S. 105 years ago (with the 19th Amendment to the Constitution), which was 50 years after Black men in 1870 (the 15th Amendment). There have always …
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How blaming women for a baby’s sex persisted through history
Physician voices
Not long ago, a friend told me, "I switched insurance and can't find a doctor who will take me." Another said, "I left Kaiser after going on Medicare and now no one will see me." These aren't isolated complaints. They've…
Not long ago, a friend told me, “I switched insurance and can’t find a doctor who will take me.” Another said, “I left Kaiser after going on Medicare and now no one will see me.” These aren’t isolated complaints. They’ve become the new reality in Silicon Valley: It’s easier to buy a multimillion-dollar home than to find a new primary care doctor.
I saw this problem firsthand before I retired from …
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The Silicon Valley primary care doctor shortage
Physician voices
Not long ago, a friend told me, "I switched insurance and can't find a doctor who will take me." Another said, "I left a leading integrated health plan after going on Medicare and now no one will see me." These…
Not long ago, a friend told me, “I switched insurance and can’t find a doctor who will take me.” Another said, “I left a leading integrated health plan after going on Medicare and now no one will see me.” These aren’t isolated complaints. They’ve become the new reality in an affluent U.S. region: It’s easier to buy a multimillion-dollar home than to find a new primary care doctor.
I saw this …
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Silicon Valley’s primary care doctor shortage
Conditions and diseases
An excerpt from Tales from the Trenches: A life in Primary Care. For nearly four decades in medical practice, I've been asked countless times about the best supplements or vitamins for improving health. Despite widespread hopes that pills can unlock…
An excerpt from Tales from the Trenches: A life in Primary Care.
For nearly four decades in medical practice, I’ve been asked countless times about the best supplements or vitamins for improving health. Despite widespread hopes that pills can unlock vitality and longevity, the truth is less glamorous and far more powerful: The single best prescription for health is regular physical activity. Exercise, not supplements or medications, is the most …
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Why regular exercise is the best prescription for lifelong health
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