Wednesday, March 2, 2011

Family Medicine: One Morning for One Family Doctor

Alcoholism, Depression, Generalized Anxiety disorder, Caretaker Stress, Insulin Dependent Diabetes Mellitis (IDDM)- uncontrolled, Hypertension, Hypercholesterolism, Non-Insulin Dependent Diabetes Mellitis (NIDDM)- uncontrolled, Dietary Non-compliance, Hypothyroidism, History of Thyroid Cancer status post partial Thyroidectomy, Hypertension- Essential-controlled, Hypertension, NIDDM- controlled, Coronary Artery Disease s/p MI with Congestive Heart Failure s/p Cardiac Arrest, Generalized Anxiety Disorder, Hypothyroidism, Hypertension- uncontrolled, Mild Dementia-Multi-Infarct, Depression, Dependency, Pharyngitis, Insulin Resistance, Hirsuitism, Abnormal Menses, Pre-Menstrual Syndrome, No-Show Hospital Follow-Up, Acute Intestinal Obstruction s/p Colon Resection, Chronic Renal Failure, Atrial Fibrillation- controlled, Call No-Show. Chronic Anticoagulation- Stable, Patient Education RE: Human Papilloma Virus and Vaccine to prevent same.

Lunch Break: Water, Chicken Noodle Soup, 2 Tablespoons of Peanut Butter.
Check Facebook, E-mail, Twitter, Blog Posts. Review lab reports and correspondence, write recommendations for medical therapy. Sign forms.

Rinse and Repeat.


  1. Wow...and what did your afternoon look like?

    Seriously, how many patients do you see in a morning? Do you ever use group appointments for people with similar conditions? Do you sometimes secretly feel happy when you find yourself with a no-show?

  2. We have older patients in the morning with more illness, medications, diagnoses, etc. Each person has 3-5 different problems that need special attention. I give it, charge it and pray. The bill to insurance only has four lines on it for four codes total. Family doctors notoriously under charge patients. About 20% of the patient visits include something about a family member since we take families only. Now we're gradually going out of business nationwide. See about 6 of my previous posts. We are the consummate multi-taskers when in the room with patients covering a wide array of needs. The system has demanded that we stop doing so much.

  3. Glad to have discovered your blog! I look forward to following you. Feel free to check mine out at