It was one of those hot and dry summer days in Kansas City. It was about mid-day. I adjusted my necktie and walked into our small humble conference room in my newly built Direct Primary Care office to meet a potential new member. This was a “meet and greet”. I was a young physician who just started on a new journey to bring change to our health care system.
You see, I had been an employed hospital medicine physician for 5 years prior to this moment and I had come to realize that primary care was in dire need for a real make over. It is the foundation of our health care, the gatekeeper, the seed that if planted just right and is cared for, it can blossom into something special with good health outcomes.
I had seen enough. I had set out to eliminate financial barriers, system barriers, and communication barriers that were in the way of providing good primary care services. The current health care system rewards “sick” and “reactive” care. When the truth is that primary care can handle 80-90% of your health care needs and PREVENT downstream costs and illnesses. We need to flip the current paradigm of specialists first with primary care for cough and colds, to PRIMARY CARE, THEN specialists if they are needed. And if they are needed, let's get their help and then have them leave the party. Crowded parties are messy, loud, confusing, and we can barely hear each other talk!
As I entered the conference room, I was met by a sweet young woman who was dressed in a full sleeve shirt and jeans on this scorching summer day. I was immediately intrigued and curious. I smiled and greeted her as I usually do with these “meet and greet” meetings.
After a few pleasantries and small talk, she said, “I heard about your practice from my nutritionist after I was complaining about how I feel like a pinball in our health care system. No one is giving me answers to my questions.”
I nodded my head. Many people in sales and other professions can relate to how her statement initiated a response in my head instantly. All the things you say and the stories you share in your marketing strategy come forward in your brain itching to spill out of your mouth. My brain was screaming, “I know! I have heard this a million times! This is why I am here!”
But, I stayed calm and nodded.
She then went on to roll back her sleeves. It felt like it was in slow motion, because the rash that was living underneath that shirt was so red and angry that although my eyes widened, I made sure my mouth stayed closed.
I was speechless.
This rash went up to her neck and she told me it even covered her legs and back. It was remarkable. I assured her I would give her the best care I can and review the work up she had completed. After a little more questioning and back and forth, she was satisfied and signed up for our services.
Over the next few weeks, I was able to review her case in detail. It turns out, she had a skin biopsy done, but somehow there was no action taken based on that biopsy because the conversation stopped. She did not have health insurance. The treatment would cost too much so everything halted at that moment.
I presented this case and the biopsy results to another dermatologist using a Telemedicine service that is FREE for our patients to see if the treatment I was considering for her would be reasonable. The medication I wanted to use was much more affordable cash price and I could dispense it at our office for her. The dermatologist agreed and we started the treatment.
After a few weeks on the treatment, her RASH DISAPPEARED! She wore short sleeve shirts again and flip flops. She was ecstatic.
Primary Care wins!
After about a year or so, she had a cough that would not go away. She was feeling ill and short of breath. She continued to smoke cigarettes, so we ordered a chest x-ray to look. She had been treated with the usual steroids and inhalers with the occasional antibiotic. The x-ray showed a spot that was concerning. The cost of the xray was $35. Knowing she did not have health insurance, I discussed with her about getting a CT scan of her chest. This would be around $300 cash price. We decided to move forward with it and get the CT scan.
Within the next day she had her CT scan and by this time, she was more breathless. I reviewed her CT scan and sat back in my chair a second time...speechless.
There were lesions that looked concerning for cancer everywhere in her lungs. Lymph nodes were also enlarged, suggesting possible spread of the cancer.
So, here you have someone who has no health insurance and facing something that may potentially harm her and make her bankrupt in a matter of days.
I called the Oncologist and Pulmonologist at the hospital. I then called the case manager at the hospital to review the case and see if we can get her qualified for Medicaid. Then, I called the ER physician to explain our master plan. We needed to admit her to the hospital to get all the necessary imaging completed and a biopsy, while we get her breathing better. However, we also wanted to assure she would qualify for Medicaid given our concern for cancer. It is with this game plan I finally called Cindy and said, we have to go to the ER and my team is ready to give you the best care possible.
Later, that evening, I drove to the hospital after I finished seeing my patients at the office. By this time, the Oncologist and the Pulmonologist had met with her, CT of her Abdomen and Pelvis were completed, breathings treatments had started, and other treatments were occurring at the same time.
Her ER room was full of family members. I could feel each of their eyes fixated on me as I passed through the curtains to enter her room. I was greeted by her smile that even surpassed the oxygen mask she had on. She was feeling better already. I answered multiple questions from her family and laid out a potential hospital course that would soon follow.
After a few days, she was discharged from the hospital and started the merry go round of seeing specialists. Her Medicaid was APPROVED because of our master plan and coordination.
Soon she came to my office to catch up and she wanted to see me before she started chemotherapy. I took her back to the same conference room where we had first met. This time, it was a “meet and greet” for her cancer.
I projected her CT scan on the screen and the latest guidelines regarding her cancer treatment on a large TV screen. I showed her the enemy. I said, “This is what is causing you to be short of breath.” She started to cry and said, “You are the first one to show me the CT scan and explain why we are discussing these chemotherapy agents.”
Her prognosis was about 6 months with stage 4 cancer.
After 3 years, she continued to play with her grand kids and was breathing better after chemotherapy and radiation treatments.
Through this entire course, I told her to enjoy each day and think positive. Meanwhile, myself and her specialists will worry about what is ahead of us. That is our duty. Her job was to enjoy each day to the fullest and stay positive. Simple recipe for longevity. It worked.
Cindy was a person who always wanted to be informed and be in charge the best she could. Her definition of quality of life was based on independence and maximizing time with her grandkids.
I understood this not when I met her for the first time in that conference room. I still didn’t get it after several visits. But after years of walking this journey of life together, I learned a little more about her each time we visited. This is the beauty and value of primary care. Each visit, we learn. Each visit we get to understand one another a little better. Ultimately, a beautiful relationship is born.
What finally took Cindy’s life was not the cancer itself. It was worsening kidney failure because of the toxicity related to her chemotherapy. She had to decide whether or not she wanted to move forward with dialysis. I spoke with her and her family the night before she passed. Together, we reviewed her options. I listened to her as she cried and shared her frustration with the sudden onset of this kidney failure.
Then there was silence. I waited to say anything and allowed her words to sink in. We both knew what Cindy would decide. No dialysis. She was exhausted and pursued hospice care. Her last words to me that night were, “Dr Ahmed, you will never know how much I appreciate you.”
Her daughter laid with her in her hospital bed that night. That is how Cindy passed. She was surrounded by family and held by her daughter. In peace.
This is our WHY. Freedom from 3rd parties getting in between patient care and making people feel as if their insurance is in charge of their health care. You are in charge, and we have a team ready to help.
Happy 4th of July. Stay blessed.
To find the Pfizer, Moderna or J&J vaccines available in your area, please visit the link below. As of 04/05/21, our clinic has the J&J vaccine in stock.
As of 04/02/21, we have been notified our clinic will be receiving the J&J Covid-19 vaccine the week of 04/05/21. If you are a current patient, please contact our office if you are interested in signing up to be contacted when the vaccine becomes available to us.
In the meantime, we have gathered a list of resources below offering one of the three Covid-19 vaccines currently available (Pfizer, Moderna, Johnson & Johnson). These resources include pharmacies, major hospital systems and county health departments which continue to receive vaccines in limited supply.
2) Sam's Club
3) Health Mart Store - contact locations by phone
6) The Kroger Co. (including Kroger, Harris Teeter, Fred Meyer, Fry's, Ralphs, King Soopers, Smiths, City Market, Dillons, Mariono's, Pick-n-Save, Copps, Metro Market) - contact locations by phone
7) Medicine Shoppe and LeaderNET - contact locations by phone
6) Full list of Pharmacies participating in the Federal Retail Pharmacy Program for Covid-19 Vaccine
-We encourage you to also contact pharmacies outside of your local city/county if you are willing and able to drive a little further to receive a Covid-19 vaccine. You may be able to receive a vaccine sooner this way.
-Please call & ask if you can be placed on a "back-up" list at pharmacies. At the end of the day, if there are extra doses left, pharmacies may contact you to offer a vaccine that same-day instead of throwing out the unused dose and wasting it.
-If you already have a Covid-19 vaccine scheduled in the future and end up receiving one elsewhere sooner, please make sure to notify your originally scheduled vaccination site you received a vaccine so they can open up your spot to others on the list.
2) Menorah Medical Center
3) Overland Park Regional
4) Olathe Health
5) Saint Luke's Hospital
6) University Of Kansas Health System
7) Kansas City VA Medical Centers
County Health Departments
1) Johnson County Kansas
2) Wyandotte County
3) Contacts for ALL Kansas counties
1) Kansas City
2) Jackson County
3) Platte County
4) Clay County
5) Cass County
Community Vaccine Initiatives
1) Operation Safe, Clay County
2) Negro League's Baseball Museum, Hy-Vee Partnership
March 28, 2021 KSHB news article VACCINE LOCATIONS KS & MO
TRACKING THE VACCINE: KCTV5 NEWS APP ALERTS FOR SMARTPHONES
KCTV5 News has a free news app that has Covid-19 Vaccine alerts which will notify you of appointment openings in Kansas & Missouri. Please download their app to stay-up-to date on openings by clicking here: COVID-19 VACCINE ALERT NOTIFICATIONS
Yes! It is true, I found love. It is so beautiful. Magical. Direct primary care.
Of course, I am trying to be humorous here. Before people lose their minds, yes, my wife, Arshia, is my other true love ;-). She manages it all and puts up with my crazy ideas. God bless her. I am still amazed how she agreed to support a scrawny kid waiving his old school medical bag and yelling "I'm mad at this health care system and I am gonna show people a better way to do it!"
2020 was a challenging year for all of us indeed. BUT, I always look at challenges as lessons. Sometimes in life we are not ready for the things we want to do and life throws challenges at us to get us ready for big endeavors. These lessons make us stronger, more creative, and more informed. In 2020, due to the Covid-19 pandemic, we saw millions of Americans turn to their tablets, phones, and computers to visit with their doctors. The country all of a sudden started practicing direct care! Medicare changed its rules and said use ANY video conferencing ability, including FaceTime to visit with your doctor. Use whatever!
Hmmm, I remember screaming this back in 2014 holding my rugged medical school bag, wearing roughed up scrubs, and doing house calls with this crazy idea!
I was already doing telemedicine visits prior to the pandemic and my patients and I became even closer this year. We struggled together. As an Internal Medicine physician and Hospital Medicine specialist, it is so rewarding to manage the chaos in the hospital. But, to take care of people through various settings including the outpatient clinic, long term acute care hospital, assisted living, and finally home is the most rewarding experience.
To see someone who was in the hospital for an acute COVID-19 pneumonia for more than 50 days with a trach and feeding tube come off the assistance of a ventilator and literally walk to their car on discharge day at our long term acute care hospital is the best feeling in the world!
At LiveActive Primary Care, we have accomplished something really significant. Direct Primary Care is a mindset, attitude, a philosophy. It is not just a way to practice medicine in an office and go home at night. No. It is more than that.
We take this attitude and mindset of preserving the sacred relationship between physician and patient and apply it to ALL settings of health care. We intend to show the world that direct primary care influences ALL aspects of care in our health care system. It means we do not allow third parties to dictate what care someone gets. It means we get creative. We tie loose ends. We create game plans. We communicate with the entire team of people who will help someone live their best quality of life. It means breaking down silos and leveraging each of our talents to serve our community at the highest level.
Our team has grown quite a bit in just a few months. We demand 2 things when we are approached by someone who wants to join our team. One, you have to smile and laugh...genuinely! Two, you have to have passion for what you do and be willing to take your talents to the highest level. No fear. Our organizational philosophy is that each one of us brings unique talents and experiences and we should respect that. If we allow it to thrive and be challenged, we all benefit from the exceptional service that is created. We do not allow any barriers to get in our way of providing the best care to our community.
So, going into 2021, we are preparing to take our attitude of direct primary care even further. Currently, we provide services in assisted living facilities, hospital, long term acute care hospital, our office, and at home. There is more work to be done. Why can't cardiology or pulmonary services provide direct care? Why not? Why can't we eliminate readmissions to hospitals for things that can be managed by hospital trained providers in the community? Can hospital services be done at home? Why not? Why are there soups of specialists in complex cases? Do we really need to have so many specialists involved? Are we treating to optimize quality of life or padding statistics or did we forget to even understand a patient's definition of quality of life before we even started a treatment plan? So much more to come...
If you or a loved one would benefit from our love for direct primary care, JOIN US! To enroll, click on the link - JOIN NOW.
A sincere thank you to all my wonderful family, friends, colleagues, dear patients and their families for your continued support and trust.
Here is to a blessed and healthy 2021!
Dr. Haseeb Ahmed
After months of fighting this virus in the hospitals, I cannot tell you how excited I am to see the amazing work our researchers have done since the start of this pandemic. You have to remember, this is a worldwide pandemic. So, we learned from one another across the globe. This experience demonstrates how we all are unified in this vulnerability.
As a physician, I remember feeling the pain the people and the health care workers were feeling in Italy, Brazil, UK, and of course here in the US. We lead the world in the total number of deaths due to COVID-19.
Personally, it has been exhausting. I have never signed so many death certificates in my 13 year career. I have never cried as much as I did while listening to someone's heart and lungs who was infected with COVID-19.
It is so hard to see a chest x-ray or CT chest of an infected patient who initially might be smiling and talking to you but deep down you know that in the next few days you will be battling a virus that will bring all its might against this same patient. So many sleepless nights have passed with worrying about people under my care and crying over those who I lost.
Many people may not know that as a physician who is treating a COVID-19 infected person in the hospital, you get to really know their family members and their stories as these cases require long hospital stays. Hearing the struggles of others whether it is economic, social, or other issues makes the whole situation even harder.
To say the least, it has been very difficult. I smile a lot so people may not ever know the pain or exhaustion I feel as I write this blog. But, I do this work because I am blessed to be in a position to heal. I am blessed with a team of nurses and nurse practitioners at LiveActive and all the team members we have at our assisted living facility, hospitals, and long term acute care hospital. Together, we have lifted each other when we were down, worked extra shifts when we could, and our families took on risks as we fight this virus.
Please thank the spouses of health care workers too! I feel that we do not recognize them. They are the ones who fear daily for their loved ones. It is they who may have had to make us smile, give us a hug when we needed it the most, or put their concerns on hold while they lend us their ear as we share our frustrations and stories.
BUT...we finally are getting close to vaccination! Here are some important points to remember. The CDC website is helpful, but I found it a bit much to navigate through and make sense of so here is my attempt to simplify it for you.
What the heck is a mRNA?
We are all familiar with DNA (deoxyribonucleic acid). This is the molecule that contains the genetic code for organisms. Remember, plants, bacteria, and many other organisms have DNA. So to get from the genetic code to actual protein synthesis, messenger RNA (mRNA) is needed to transcribe the code for production of protein.
So, how does a vaccine take advantage of this process?
COVID-19 mRNA vaccines give instructions for our cells to make a protein called “spike protein.” This protein is found on the surface of the virus that causes COVID-19.
Where do you inject the vaccine and how does it work?
Once it is injected in the upper arm muscle cells, our cells use the mRNA to make the “spike protein”. Our immune system then goes into action! It recognizes the protein as a foreign invader and starts to build an immune response and making antibodies. Not only will our body protect us from the virus this time but also against future infection.
How safe is the COVID-19 vaccine?
To answer this question, you must understand how a vaccine is developed. Here is a simple picture without getting too technical. At each phase, researchers assess safety while increasing the number of subjects involved in the studies.
In addition, the FDA also looks at the manufacturing of the vaccine to assure its safety.
Manufacturing companies must seek permission to market a vaccine for use in the United States. If the FDA approves it, there is continued monitoring for safety and effectiveness. There are various surveillance systems in place that assist in monitoring for safety and effectiveness.
The CDC website has some great information but it can be confusing. Here are some quick facts that is from their website: Facts about COVID-19 Vaccines (cdc.gov)
Which vaccines are currently in PHASE 3 Clinical trials? As of November 24th, here are the current vaccines in progress or being planned:
This sounds great, but how much is it going to cost me?
Per the CDC website, vaccines purchased with US taxpayer dollars will be given to the American people at no cost. Vaccine providers will be able to charge administration fees for giving or administering the shot to someone. This fee can be reimbursed by the patients public or private insurance company. If uninsured, this fee can be reimbursed by the Health Resources and Services Administration’s Provider Relief Fund.
So, should I get it?
In my humble opinion, I think you should. I trust our country and our researchers. I trust the FDA process. I have faith that every study has been and will be conducted with the utmost care and thoroughness. The FDA is notorious for being complete and having a rigorous process when approving new treatments.
Please discuss your concerns with your primary care physician. Review the CDC website. Ask questions. Stay safe. We all have become stronger and more informed as a result of this terrible pandemic.
UPDATED 01/12/2021: With Missouri and Kansas in the initial phases of their vaccine distribution plans, some counties are allowing residents to sign up to be notified when they're eligible. This is a great new article that lists how to get on the Covid-19 vaccine list for certain counties: https://www.kcur.org/health/2021-01-12/kansas-city-heres-how-to-reserve-your-spot-in-line-for-a-covid-19-vaccine?fbclid=IwAR15z4Ni9FLxqrDbn8r_omTqYVUGcfUlFtT1jmz9F6Ec9tunLEO0xnF-Fv4
Hey guys! Nurse Heather here. For those who don’t already know, I am a licensed and registered dietitian. Yep, you read that right – nurse and dietitian. Weird, right? And to answer your question, no, it was not my original plan to take that career path.
I first obtained my bachelor’s degree in dietetics from Iowa State University and went on to complete my dietetic internship at the University of Iowa Hospitals and Clinics. After graduating and obtaining my license and registration, I worked in long-term care and acute-care settings. I loved interacting with and educating patients!
As time went on, I found myself wanting to do more for my patients than my degree allowed – I wanted to impact more than their nutrition, I wanted to provide hands-on care, and I wanted more opportunities to build a deeper connection with my patients. *Insert nursing school here.* One quick year later, I had my second bachelor’s degree, this time in nursing, from MidAmerica Nazarene University.
Long story short, I am grateful to be in a unique situation now where I get to utilize both my nursing and dietetics degrees. I do enjoy nutrition, and I believe it is the foundation to healthy living – that is why I am excited to start offering nutrition sessions to our members in the near future! As we work out the kinks, I plan to occasionally post nutrition-related tidbits here, so stay tuned for some healthy insights as we start navigating the holiday season!
Check out our nurse practitioner, Lisa's favorite pastimes!
Enough about my professional life, lets talk fun! I like knowing my providers on a personal level, so here is a look into what I enjoy doing in my spare time.
Top 10 Things:
My stepson is 18 and going to UCM with a double major in music technology and performance music focusing on guitar. My husband owns a remodeling company and is the laborer at home making our house more beautiful every day.
I began working towards my career as a nurse in 2009 as a non-traditional student. Nursing was a career change for me. I had always dreamed of taking care of people, but quitting my successful job in sales to go back to school felt irresponsible. When I was laid off during the downturn in the economy, along with several others, I jumped at the opportunity to fulfill my dream. With the support of my family, I applied to school at Saint Luke’s College of Nursing. During nursing school, I took a part-time job as a nurse intern at Saint Luke’s Hospital on the Plaza on the Pulmonary and CVICU floors. I loved every experience! Upon graduation, I took a full-time job in CVICU taking care of the sickest people in the hospital. After about a year, I realized how much I missed talking to my patients and developing a relationship with them (as most patients are sedated, on the ventilator and unable to speak in the ICU). Therefore, I decided to return to the pulmonary floor. I spent the next 8 years taking care of all types of illnesses: respiratory failure, kidney failure, GI bleeds, diabetes, alcohol and drug addiction, COPD, tuberculosis, flu, pneumonia, and a whole host of other viral and bacterial infections. It was hard work, but I enjoyed every minute of it because I learned something new every day. A couple of years after completing nursing school and working at the hospital, I realized I wanted to learn more and do more for my patients, so I decided to go back to school to become a nurse practitioner.
Five long years later, I graduated from Kansas University Medical Center with my Doctor of Nursing Practice degree. Going to graduate school while working and taking care of a family was the most difficult, yet most rewarding, challenge I have ever taken on. I could never have accomplished it without the support of my loving husband and stepson pushing me every step of the way. My experience at the hospital gave me the opportunity to work with and get to know Dr. Haseeb Ahmed. I remember the day he told me about LiveActive Primary Care and his direct primary care practice. I was intrigued and followed his blogs over the years. When he called me after graduation, I was so excited for the opportunity to work with him and care for people in a way that allows providers to truly care for their patients. It reminded me of the way medicine used to be, where you get to know your patients and their families, and you spend more than 10 minutes in the exam room with them because you do not have insurance dictating how much your time is worth. I get to make old-fashioned house calls if they are needed. I have spent years working towards a career to care for people in a way all people deserve to be treated. I am so excited to be part of LiveActive Primary Care and I look forward to meeting you, my future patients.
Wishing You Health and Happiness,
Lisa Nelson, DNP
For some, moving your loved one into an independent or assisted living facility can be a challenging, guilt-ridden choice. It’s hard enough coming to terms with the idea your loved one is requiring more care. Now, you’re left asking yourself: Am I making the right decision? Will they be happy? Will they receive good care? What will their quality of life be?
First, know you are not alone. Millions of people face this same dilemma every year. Next, know your family at LiveActive Primary Care is here for you. Did you know our direct primary care services extend beyond the clinic? In addition to the clinic, we provide our services to hospitals and assisted living facilities. Most recently, we added a Long Term Acute Care (LTAC) facility to the list of health care settings where we provide our direct services.
What does this mean for you and your loved ones? This means your loved one can have the benefits of direct primary care at their independent or assisted living facility, and you can have peace of mind knowing your loved one is getting the best quality of care.
Here are just a few of the ways we will provide your loved one with the best quality of care:
If you have questions, are interested in our care, or if you would like to get to know us first, please sign up for a meet and greet on our home page.
Pictured: our nurse practitioner Dr. Lisa Nelson and nurse Cassie caring for our assisted living patients!
When you are admitted to a hospital, you will most likely be admitted by a Hospital Medicine physician. These physicians specialize in treating the complexities of hospitalized patients. The goal is to efficiently and effectively manage acute illnesses, reduce length of hospital stay, while maximizing patient experience. It is quite the challenge on a daily basis, but one that is very rewarding at the end of the day.
In modern medicine, it is absolutely fascinating how quickly we can reach a diagnosis, understand the physiology at play, launch a treatment plan, and get a unconscious or at times a person with no heart beat initially, walk out of the hospital in a matter of few days.
I have been doing this line of work for 10 straight years, holding various leadership positions, and one day realized that all the great work we did in the hospital can quickly become undone once the patient leaves the hospital.
Either the patient could not get a primary care follow up within 7 days of discharge, had too many specialist follow ups ultimately confusing the family and the patient, or cost of medications or lack of insurance was a barrier to follow up. Quite honestly, it really doesn't matter if they have insurance. The issue of access and cost is far greater than coverage. I also learned there was a lack of awareness of community resources from patients and physicians.
Picture this - you go to high school, college, medical school, then residency, then get employed by a large hospital system. So your understanding of health care becomes institutionalized and biased. The only community resources you know comes from who the health system partners with and THAT IS IT. You work too many hours to step outside the health system to fully understand the community you serve.
Having started a Direct Primary Care practice, forced me to get outside my comfort zone. I attended and joined multiple Chambers of Commerce, attended Rotary Clubs, shake hands with random people, drinking lots of damn coffee at coffee shops for one on one meets, and listen and learn from professionals who are doing incredible work in my community. These are small businesses that deliver quality personalized care. More importantly, you can feel their passion for what they do. A referral I made was not another number in their monthly quota. The referral was treated with special attention and an opportunity to build a relationship.
In addition to meeting amazing people in the community, as a Direct Primary Care physician who also works in the hospital, I started to understand how some of the education we did at discharge was overwhelming patients. For example, heart failure patients are aggressively educated to prevent readmission within 30 days to prevent loss of revenue for the hospital, so the checklist of items must be completed. In the process, someone with stable heart failure, discharges thinking the end is near for them. They would sign up with our practice overwhelmed with the medications and information they received at discharge, that it takes a 60 minute visit to walk them through it all. You start to see how financial incentives insurance companies, including Medicare and Medicaid, place on the practice of medicine affects patients utilization of health services and ultimately increasing the cost of care.
At the same time, practicing Direct Primary Care, allows you to look behind the game. You start to understand and see the real cost of health services. It is infuriating and almost a crime. The greed is sickening. You become bold, confident, and walk a little taller because you are armed with knowledge and experience. Most physicians have no idea what the true cost of care is and shrug their shoulders when you ask them. Most of them are too burnt out or have not had time to really learn the system - but I do not like that excuse of not having time.
We all make time for anything we prioritize. We all are busy, but if we prioritize something or make it necessary, it will be done.
To truly impact the health of our nation, physicians are going to have to get uncomfortable, grind, get out of their comfort zone, fight, speak, yell, do everything and anything we can to change policy. If this sounds like too much, then medicine is not for you. Being a physician is a responsibility. You are responsible for the health of our world. In this global economy and world of social media, we all are interconnected. We are one people, each with individual talents, skills, experiences, and backgrounds. To heal, means to understand the human spirit and seek opportunities to improve health through better housing, better jobs, innovative treatment options, prevention, counseling, and simply listening. That is what makes this profession so beautiful.
Wishing you all great health and happiness,
"He who studies medicine without books sails an uncharted sea, but he who studies medicine without patients does not go to sea at all."