Medicine is Unnecessarily Complicated In medical school, the 2nd-year curriculum was/is structured around organ systems – cardiovascular, respiratory, gastrointestinal, genitourinary, musculoskeletal, endocrine, etc. – with each unit taught by the respective specialist physicians. I remember well the subject-by-subject advancement through…
Health Care has a Specialty Problem Ever heard someone bemoaning the fact that they have multiple doctors? It’s the sad reality of the modern health care system, relying on multiple specialists to manage specialty-specific problems in parallel with other specialists.…
It’s Time to Set a Higher Bar for Health Care When working in the hospital, I am often witness to the disappointingly low bar that has been set for metabolic health in our modern health care system. One of my…
Why US Health Care Ranks Last Among Developed Nations, and What to do About it The United States is heralded as a center for innovation in the health sciences, esteemed as the location of many major advances in medicine and…
Quality Health Care How direct primary care can transform health care Why is it that the USA is renowned for its medical breakthroughs and yet it remains the most expensive and lowest quality among developed countries? While many are quick…
Mental Health – Part 1: The Problem with the Modern Approach This post is the first in a series of several entries about the intersection of mental health and metabolic health. The scope of mental illness Mental health disorders are…
Cardiovascular Risk Starts Even Before a Diagnosis of Prediabetes I recently did a presentation about Insulin Resistance and the importance of early detection of Prediabetes, which is defined as a fasting plasma glucose (FPG) of 100-125 or a Hemoglobin A1c…
Eating Healthy is [NOT] Expensive The assertion that eating healthy is expensive appears to be a modern excuse for poor eating habits and may be a reflection of cultural and economic factors. Measuring the expense of eating First, it’s important…
