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Conflicts, Corruption, Medicine, and Me Part 1
At my age, it’s humbling to recognize how easily I can be manipulated. It is small comfort to know I am neither the first nor is it rare...
Morning Has Broken
New Year’s Day is the morning of the year. Like mornings of mere days, it inspires fresh hope, but on an immensely grander scale. We wake...
A Risk to Whom?
If you haven’t received the letter yet, it is in the mail. At least it will be if you are serious about providing good patient care. The...


The Main Thing
Over the past months, many new providers have joined Evergreen. I want to welcome each one. Each of you brings something unique,...
What we think we know
It isn’t so much what we don’t know that gets us in trouble. It is the information we are certain is true, which turns out to be wrong,...
The Cost of Courage
It takes courage. Because the injury often comes from colleagues or institutions who should have your back. A betrayal of trust. It...
The Role of the Church in Medicine
In the mid 1990’s, a group of Kaiser physicians who were working with patients with severe chronic diseases, noticed that they all had...
The Danger of Scientific Consensus
Karl Popper, one of the 20th century’s most influential philosophers of science, wrote that “the growth of knowledge depends entirely on...
How Philosophy Drives Medical Ethics Part 3
When the foundations are being destroyed What can the righteous do? (Psalm 11:3) It’s called the Wexner Center for the Arts. This...
How Philosophy Drives Medical Ethics Part 2
Dissolution of truth is like the melting of snow on a cold winter day. It evaporates a little at a time, scarcely perceptible and...
How Philosophy Drives Medical Ethics Part 1
Recently, I composed a series of blogs illustrating ethical quandaries in medicine. In those writings, I examined four ethical...
A Season of Change
“The Times They are a-Changing” Bob Dylan 1963 This document is more important to me than it is to you. I get that. I set these goals...
Do You Believe in Magic?
Every great magic trick consists of three parts or acts. The first part is called “The Pledge”. The magician shows you something...
The Talk
You see it coming. But then you’ve seen it before. The patient is living it. Looking from the inside out. First time walking this path....
Mental Illness in Children
Mental illness in children is different. The worst mistake is to assume these young humans are little adults. They’re not. There are so...
Mental Illness in the Adult
I separate my observations about mental health in adults versus children. The causes, expressions, volatility, and prognosis separate...
The Art of Digging
Is it a difficult diagnosis or a difficult patient? We learn to walk past the expression to find where the pain lives. We need to know...
This Life We’ve Chosen
When done well, primary care is hard work. Family Physicians, Internist, Pediatricians, PA’s, NP’s, PMHNP, OB/GYN, Midwives – we’re all...
Who Cares if Christ is Risen
Who cares if Christ is risen? This bold headline graced the front page of the London Telegraph on Easter Sunday about 25 years ago. The...
Medical Ethics
Psaki Says Sex Reassignment Surgery, Puberty Blockers for Kids Is ‘Best Practice,’ States Preventing It Will Be Held Accountable April...
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