The Distractible Blog

General Thingies

I’m Back

My Promise I made myself a promise. I’ve made several false starts at getting back into blogging, and was sincere about the desire to do …

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Health Care - How it's Broken


A poem about the painful absurdities of practicing in a fee-for-service model. Published on Doctors’ Day 2023, in celebration of my impending freedom from this …

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American Medicine

Ask Your Doctor if this Blog is Right for You

You’ve seen the commercials: the ones with the attractive, happy and healthy looking people whose lives have been changed by the latest and greatest new drug. The commercial always ends with the laundry list of warnings about what the wonder drug can do to you, like:

– Don’t take this drug if you are allergic to this drug (duh!).

Please tell your doctor if you have any of the following symptoms
– Severe abdominal pain
– Blood pressure elevation
– Excessive bleeding
– Erections lasting more than 5 hours
– Pregnancy resulting from prolonged erections
– Stool or urine glowing in the dark
– Head explosions
– Unusual obsessive thoughts about llamas
– Corrosive flatulence

I promise! I won’t.

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Direct Primary Care

Cookie Doctor

I think I reached my pinnacle:  I got my face on a cookie!

This was part of the 10-year anniversary party we held with a few of my patients who have been with me the longest.  February 5, 2013 was the first day of my new, crazy, risky, selfish, brilliant practice.

One of the best decisions of my life.

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Being a Doctor

An Uncloudy Day

Oh, they tell me of a home far beyond the skies
Oh, they tell me of a home far away
Oh, they tell me of a home where no storm clouds rise
Oh, they tell me of an unclouded day

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General Thingies

Introducing: Dr. Jacqui! Like Toot but human

***Note from Dr. Rob: Welcome to a new addition to the blog. A HUMAN guest writer! My hope is to give a space for especially …

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Hey. It’s me again. Dad finally let me do this again. I think he’s jealous that people liked my writing better than his. He’s kind …

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Being a Doctor

Being Important

I walked into the room, with my student in tow behind me.  The elderly couple who greeted us were some of my older, longer-standing patients. …

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Our Broken System


The healthcare system is broken.  It’s really bad.  It’s frustrating, it’s costly, and worst of all, it’s killing people. This is one of the main …

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Direct Primary Care

They’re Lying

Remember Joe Isuzu? Back in the 80’s Isuzu, a Japanese car company, broke into the national consciousness with the introduction of Joe as its a …

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