A Country Doctor Writes:
Hans Duvefelt, MDNotes 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 | 561 | Founded | 4 years ago | Last Issue | 3 days ago |
| Active | |||||
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acdw.substack.comLatest Issues
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...
The Case of the STOP and GO Pills
Phil Casey ran into some bad luck recently. Like many men in their sixties, he has an enlarged prostate, which slows his urine flow. He’s on medication to ease his symptoms, and it works pretty well.
But Phil ran out of his tamsulosin last...
Family Passwords Aren’t Just for Teenagers
In all the years that I have been the primary physician for children and young families, especially as children start to become gradually more independent, I have promoted the idea of a family password.
A typical scenario would be that a t...
“I Also Tame Wild Horses”
Autumn’s 17 month old nephew from out of town had been visiting with us in the office the other day. He sat in his mother’s arms as Autumn showed her sister, April, around the clinic. We had made brief eye contact then. He had the hesitant...
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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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