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Dr. Country Doctor ..
Specialty: Family Medicine
Top HealthBlogger
Small Town, Washington
Blog:
http://www.notesfromcountrydoctor.blogspot.com/
Writing about the practice of 21st century country medicine from the heart of logging and farming country in Washington State
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Another reason for no socialized medicine
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Dr. Country Doctor ..
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General Medicine
Past entries have dealt with our practices recent struggles in getting paid by Medicare. I've learned that many practices in our neck of the woods are having similar issues ...
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Assimilation
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Dr. Country Doctor ..
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In multiple blog entries I've done my best to poke fun and point out the inflated juggernaut that is medical administration. Today, however, I found myself slowly becoming ...
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Asthma Planned Visits
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Dr. Country Doctor ..
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So I've been trying my hand at some asthma planned visits this summer in order to be a better medical home for my patients in managing their chronic disease, as well as, to he ...
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At Home Remedies
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Dr. Country Doctor ..
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There is a long tradition in rural medicine of the home remedy as patients often would be left to care for themselves without a doctor anywhere near by. Often these treatme ...
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Baby Story
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Dr. Country Doctor ..
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Mom's love to share the tale of how they came to have their baby. Even if I was the one doing the delivery it's almost guaranteed at the first well child visit mom will re- ...
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Back Home
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Dr. Country Doctor ..
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So I have a deep dark secret to admit. I didn't grow up in a rural town or farm country. I didn't grow up in the shadows of urban blight either. I'm a product of the 'bur ...
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Back in the OR Again
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Dr. Country Doctor ..
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While I'm far from being a true surgeon, I do like to go into the OR. There's something formal and ritualistic about scrubbing, gowning, and gloving that feels like it connec ...
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Back to Medicine
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Dr. Country Doctor ..
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Having had an extended weekend out of the office and in Spokane, I had somewhat of a rude welcome as I returned to my little corner of Washington State. It started ...
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Barriers to Care
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Dr. Country Doctor ..
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When people are reluctant to go along with their doctor's recommendation there is usually a good reason why. The trick is figuring out the why. An electrician in his 50s ...
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Battling the Dragon
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Dr. Country Doctor ..
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Back in January I blogged on how our small rural practice was going to be moving toward a voice recognition software program called Dragon Naturally Speaks to dictate chart ...
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Battling the Dragon, part 3
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Dr. Country Doctor ..
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Prior blog entries have chronicled my angst over switching to voice recognition software for dictation, called Dragon Naturally Speaking. The issue was that our soon to be ...
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Bed Rest
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Dr. Country Doctor ..
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I have the call duty this weekend and we had two laboring patients during the night. Knowing that it would be a late night, let myelf catch a few "Z's" on the couch at home ...
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Being the Bad Guy
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Dr. Country Doctor ..
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Sometimes the role of the family doctor is to play the bad guy. Sometimes I really don't mind this such is the case with drug seeking patients or people that believe they are ...
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Being the Boss
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Dr. Country Doctor ..
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There's a lot to being a boss that isn't a whole lot of fun--paying bills, disciplining staff, and repeatedly telling them "no" when they want the practice to purchase somethi ...
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Blogging Seminar
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Dr. Country Doctor ..
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Just got back from the blogging seminar I wrote of earlier. For all of those other bloggers who read this I took three pearls from the lead writer/founder of horsesass.org a ...
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Breaking Bad News to Santa
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Dr. Country Doctor ..
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In prior posts I've mentioned a patient with an uncanny resemblance to Santa Claus. From his grey beard, pot belly, big work boots, and red suspenders to his jolly dispositio ...
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Budget Cuts
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Dr. Country Doctor ..
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Proton pumps inhibitors such as Prilosec, Nexium, Aciphex, and Protonix have become so commonly used in medicine to say they are given out like candy would be to over state th ...
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Building Woes
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Dr. Country Doctor ..
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When the original owner of our practice built the building in which we currently still practice, he likely never imagined that it would be around one hundred years later. D ...
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Bureaucracy
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Dr. Country Doctor ..
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Like many family physician and pediatric offices around the country we have started to use the new oral vacccine against rotavirus (though with some trepidation). Typically ...
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Burn Out
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Dr. Country Doctor ..
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I was having a bad week last week. Children in foster care due family dysfunction and drug use filled my schedule while other patients were being diagnosed with terminal pr ...
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