by Dr. Bob Baker, MD | Mar 21, 2018 | Blog
I learned a good lesson in doctoring from Paul McCartney. Sir Paul, if we want to get formal about it. My wife and I went to one of his shows, and aside from re-living the soundtrack of our lives, we also were struck by how fresh and personal the concert felt. If you...
by Dr. Bob Baker, MD | Mar 21, 2018 | Blog
Monday morning and no place to go. After 35 years of practicing medicine and GI, including a year of eager anticipation, the day had arrived when there were no patients in my schedule. Nor would there be tomorrow. Nor the next day. Nor… I was happily accustomed to a...
by Dr. Bob Baker, MD | Mar 21, 2018 | Storybank
We’ve all had patients seek second opinions and receive diagnostic and/or therapeutic recommendations from other practitioners that differ from ours. Or we refer a patient to a specialist who offers one plan, and then the patient sees another specialist who suggests...
by Dr. Bob Baker, MD | Jan 8, 2018 | Blog
In a recent issue of the Annals of Internal Medicine, Terwiesch and colleagues[1] propose “reimagining provider visits as the new tertiary care.” Initially, their arguments seem sound, even reasonable. Then, they conclude with this: The conceptual change is to see...
by Dr. Bob Baker, MD | Nov 13, 2017 | Storybank
A patient once asked me why I was ordering just a few diagnostics for him and not a “whole battery” of tests. “Why don’t you just order everything? What do you think is going on?” I realized that the patient was not asking for a differential diagnosis, but rather...