When working in a small town local outbreaks tend to be very obvious. Our wrestling team is currently in the middle of an outbreak of ringworm and everyone is making a mad dash to get in here to get treated before regionals start this weekend. Sometimes I think it might make more sense just to go to practice some day and start writing prescriptions for everyone who looks like they are infected.
Also on the excercise front, I encountered a new challenge that rural doctors face--cardiac rehab. I have a patient who recently had an MI and is highly motivated to pursue rehab, but the closest structured program to him is 25 miles away. Not exactly convenient for regular exercise. I think I'll see if any physical therapists in town feel qualified to help him out a little.