Author Archives: admin

About admin

I'm a medical resident interested broadly in health care delivery, both domestically and globally, and preventive health care. My primary responsibilities are taking care of patients in the hospital and in a general medicine clinic. I also write about preventive health through my blog, www.beyondapples.org, and do research in health care delivery.

Giving Preventive Health Care A Name

Posted on October 15, 2010 by admin

It’s a scene that plays out thousands of times every day in doctors’ offices across the country—the moment the doctor shifts from addressing the concerns that brought the patient into clinic to when he or she attempts to make sure … Continue reading →

Posted in Thinking Out Loud | Tagged , , , , | 4 Comments

Forgetting to Counsel Patients About Their Chronic Diseases

Posted on October 4, 2010 by admin

The recently instituted 30-hour-shift “work restrictions” placed on medical residents have created a need for “dayfloat” services to safeguard potentially unsafe handoffs in patient care and help residents adhere to duty hour limits. The past two weeks I’ve been the dayfloat … Continue reading →

Posted in Heart Disease Prevention, Patient Stories, Thinking Out Loud | Tagged , , , , , | Leave a comment

A Food-Based Approach to Eating

Posted on September 12, 2010 by admin

The science of nutrition is changing and not in the way you might expect. After years of “reductionist” thinking — where food has been viewed as the sum of its parts – a call to treat food as food has … Continue reading →

Posted in Healthy Living | Tagged , , , , , | 2 Comments

A Great Save?

Posted on August 27, 2010 by admin

In the real world of medicine, “great saves” are rare. Most patients that you expect to die will die, and those who experience a cardiac arrest or code rarely survive. Mr. GR is the closest I’ve seen to an exception to … Continue reading →

Posted in Patient Stories | Tagged , , , | Leave a comment

What Primary Care Can Learn from Oncology

Posted on August 3, 2010 by admin

Why do my patients with cancer get better care than my patients in primary care? As the senior resident on my hospital’s inpatient leukemia service this past month, this question troubled and intrigued me daily. Despite the sheer complexity of treating … Continue reading →

Posted in Thinking Out Loud | Leave a comment