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,...
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CEO's Blog
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...
An Important Distinction
Aspiring Supreme Court Justice Judge Ketanji Brown Jackson attracted much attention during her Senate Judiciary Committee hearing with...
Douglas County Communities’ Network of Care
It’s a website. But describing Douglas County Communities’ Network of Care (NOC) as just a website is like calling a Lamborghini just a...
Finding Order Amid Chaos
We are living in strange times. I can say it’s crazy out there. I may say I’ve never seen this before. What I cannot say is what we are...
A Covid Book Report
Alex Berenson, a graduate of Yale University was an investigative reporter for the New York times for about 10 years. He covered the drug...
Parables, Christmas, and US
An old parable written by an unknown Jewish writer: One of the just men came to Sodom, determined to save its inhabitants from sin and...
Two Paths to One Destination
There were two influential prophetic books of the 20th century. In some ways these books are opposite in their ideas. In others, they are...
Taking Care of Business Oct 2021
I never intended to be CEO. I fell into that role by necessity. I understood the business of medicine on a small scale. Directing a...
Scientific Correctness
Scientific Correctness and the Death of Truth The Federation of State Medical Boards’ Board of Directors recently released a statement...
CEO Blog June 2021
I hope you have that place in you. Hidden, even from you, intuition springing from values, incubation growing into illumination –...
3/2/2021 Season of Discontent
Human beings, unlike animals, seem capable of suffering amid abundance. If animals are given food, warmth, shelter, and care, they seem...
2/18/2021 Editorial about old church and purpose
There is a beautiful stately old church in downtown Portland. Built in 1894, it is multiple stories tall, when that part of Portland was...
1/25/2021 How Our Character Is Revealed
The Covid 19 pandemic has presented challenges on multiple levels to Evergreen staff. Some of this reflects the virus and much results...
1/19/2021 Learning to Divide
I learned about division in school. His name was Mike. Like everyone else, I could tell Mike was different. Mike could too. The term used...
Christmas Letter 2020
We can ignore even pleasure, But pain insists upon being attended to. God whispers to us in our pleasures, But shouts in our pains. It is...
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