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Dr. Country Doctor .. Medical Doctor

Specialty: Family Medicine
Small Town, Washington
Writing about the practice of 21st century country medicine from the heart of logging and farming country in Washington State
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Reality vs. Fantasy by Dr. Country Doctor .. Medical Doctor Posted in: Blog Posts in General Medicine Sometimes I become incredibly aware how small the window into which I am able view my patients' lives is. How much of what I am told is true, how much is distortion, and how ... Read on »
The Weekly Journal by Dr. Country Doctor .. Medical Doctor Posted in: Blog Posts in General Medicine While a quaint and pleasant job filled with intangible rewards, being a small town doctor is also filled with moments of intensity and stress. Emotionally exhausting conversa ... Read on »
Breaking Bad News to Santa by Dr. Country Doctor .. Medical Doctor Posted in: Blog Posts in General Medicine 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 ... Read on »
The Reunion by Dr. Country Doctor .. Medical Doctor Posted in: Blog Posts in General Medicine Personal and professional boundaries are important in the life of a physician, but at times they are challenged particularly in a small town in which the doctor is often calle ... Read on »
Role Modeling by Dr. Country Doctor .. Medical Doctor Posted in: Blog Posts in General Medicine Small town doctors play the role of more than just physician to their patients. We are counselors, social workers, and business advisers to them among other parts we play. Y ... Read on »
Worse Before Better by Dr. Country Doctor .. Medical Doctor Posted in: Blog Posts in General Medicine I thought this might have been the case, but as health care reform has played itself out over the last two weeks I am now convinced more than ever. Things must worsen before t ... Read on »
Hollywood Script by Dr. Country Doctor .. Medical Doctor Posted in: Blog Posts in General Medicine For the number of television shows about doctors it may come as a surprise to many what a mundane job being a doc can be at times. Day after day I get up, get dressed, go to ... Read on »
Head Lice! by Dr. Country Doctor .. Medical Doctor Posted in: Blog Posts in General Medicine Back in medical school a professor once said if there are a number of treatments for one illness that means none of them work terribly well. Yesterday a nasty case of hea ... Read on »
Fear Mongering by Dr. Country Doctor .. Medical Doctor Posted in: Blog Posts in General Medicine Had a delightful man in his late sixties come see me today complaining of shortness of breath likely related to smoking two packs of cigarettes a day for the past forty years ... Read on »
Wine and Cheese Fridays by Dr. Country Doctor .. Medical Doctor Posted in: Blog Posts in General Medicine A couple of months ago we stumbled upon a practice tradition called "Wine and Cheese Fridays". At times we forget the cheese, but never the wine. This all started when w ... Read on »
What's in a Word by Dr. Country Doctor .. Medical Doctor Posted in: Blog Posts in General Medicine The words we choose have subtle meanings going far beyond dictionary definitions. Take for example two patients from yesterday. The first patient said, "Why don't they n ... Read on »
It's Here by Dr. Country Doctor .. Medical Doctor Posted in: Blog Posts in General Medicine The pager is off and there is no medical journal is to be found. After almost 2,000 patient visits and one new building later it's time for this country doctor to go on vacat ... Read on »
Tough Choices by Dr. Country Doctor .. Medical Doctor Posted in: Blog Posts in General Medicine Doctors really should practice what they preach. My typical workday lunch is fat free vanilla yogurt with somewhat gourmet- ish granola to go with it and a piece of fruit ... Read on »
On Edge by Dr. Country Doctor .. Medical Doctor Posted in: Blog Posts in General Medicine Change, even positive changes, can be stressful. It is fair to say this summer has been a summer of change for our practice. Two months ago we moved from our location of ... Read on »
Entitlement by Dr. Country Doctor .. Medical Doctor Posted in: Blog Posts in General Medicine For many who work in the health care arena the word entitlement first brings to mind Medicare. For those of us somewhat more jaded and cynical, images of patients on Medicaid ... Read on »
Think Before You Write by Dr. Country Doctor .. Medical Doctor Posted in: Blog Posts in General Medicine I flipped through a new patient's chart on nursing home rounds yesterday and came to the section of copied pages for his recent hospital admission related to intractable pain ... Read on »
What's in a Word? by Dr. Country Doctor .. Medical Doctor Posted in: Blog Posts in General Medicine Think about the last time you casually told someone about a medical appointment. Chances are you said something along the lines of, "I went to (fill in the blank) doctor," or ... Read on »
Budget Cuts by Dr. Country Doctor .. Medical Doctor Posted in: Blog Posts in General Medicine 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 ... Read on »
Good As New by Dr. Country Doctor .. Medical Doctor Posted in: Blog Posts in General Medicine Patient comes in for an appointment this afternoon and tells me, "In case you ever have dentures, if you feel like you're going to throw up, take them out first." "Okay, w ... Read on »
Ungrateful Kids by Dr. Country Doctor .. Medical Doctor Posted in: Blog Posts in General Medicine An elder woman in her late seventies came into the office distressed today at her daughter's threat to have her declared incompetent. Somewhat inappropriately I blurted out, ... Read on »