Notes from a doctor with a laptop, a housecall bag and a fountain pen. Day-to day and career reflections from a 1979 Medical School graduate practicing on Maine's Canadian border.
| Platform |  | Pricing | Freemium | Publishes | Twice weekly |
|---|---|---|---|---|---|
| Issues | 564 | Founded | 4 years ago | Last Issue | 8 days ago |
| Active | |||||
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acdw.substack.comLatest Issues
Physical Examination for Asymptomatic Adults? (NEJM)
This weeks New England Journal of Medicine has an article titled Physical examination for asymptomatic adults
It describes a clinical scenario where a 60-year-old male presents for a routine visit with normal vital signs, up-to-date scree...
Pen and Paper Medicine: Housecalls are Especially Old Fashioned Without Internet Access
A report from the field
First in a new series for my paying subscribers about where I am in my career and where I'm headed.
Some Doctors are Like Bag People
Bag people, we’ve all seen them, pushing grocery store carts with what seems to be all their earthly belongings. That’s what I think of when I read some medical charts. Back when we were dictating office notes to be transcribed, I often rea...
Guidelines: When Satan Reads the Bible
From 8/20/2018
Clinical guidelines are a mixed blessing. Wise clinicians know that they offer a general pattern of doing things that usually results in favorable outcomes. They also know there are lots of situations when guidelines can’t b...
It Pays to Play Dumb Sometimes
People don’t like to be outsmarted by someone else. They don’t like to have their actions questioned. And they really don’t like to have their mistakes or transgressions pointed out to them.
But that’s what we as doctors have a tendency to...
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Authors
The writers behind this newsletter.
Swedish born physician in rural northern Maine. Blogger at https://acountrydoctorwrites.blog, author of CONDITIONS and IN PRACTICE.
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