It's been quite a while since I've posted. I wasn't sure if I would continue after I hit the one year mark after leaving primary care, but I feel like it's important for physicians to keep talking about what we see going on in the medical system. Working in urgent care, I've started supervising some of the other providers at sites other than my own- 19 sites in all in Pennsylvania and Delaware- so I hear about a lot of patient situations. The urgent care site where I work i

The rate of uninsured patients in our country is up, the highest it has been since the beginning of 2014, when the Affordable Care Act first mandated individual insurance coverage. Like many of you, I am very worried about this. I'm not surprised, as every time I see patients, I encounter a few, even in the generally affluent area where I practice, who have no insurance. Many of these patients are young adults, in their late 20s and early 30s. While those patients are les

2019 is here. I started my year by doing an Urgent Care shift on New Years Day. It was not quite as busy as I expected; most of the shifts I've done around the holidays were high-volume, with lots of flu, other respiratory infections, and lacerations sustained while cooking holiday meals. New Years Day was a little slower on the illnesses, but the acuity of the injuries was high. That's what happens when alcohol is a big part of celebrating a holiday, I guess- injuries fro