Category: Philosophical Ruminations

Letting Some Patients Go

   LETTING SOME PATIENTS GO           It’s been a tough week for me. I am struggling with what to do with a few patients who are not making progress, and wondering if I am the right physician for these patients.

Posted in Philosophical Ruminations

More Apologies…(for my profession)

  I gave a public lecture at the Mendocino Coast District Hospital on the controversies surrounding Lyme disease. You might wonder how the existence of a disease could be the subject for discussion, but it is! The entire medical profession

Posted in Lyme Disease, Philosophical Ruminations

Finally…A New Model for Understanding Depression and Pain

  At last, the times, they are a changin’. For 25 years the medical profession has viewed depression as a “simple” imbalance or deficiency of serotonin and dopamine. This misguided concept has limited the treatment of depression almost exclusively to

Posted in Chronic Pain, Complex Medical Problems, Philosophical Ruminations

How Do I Know My True Motivation to Get Well?

How Do I Know My True Motivation to Get Well? Last week, I had a very interesting conversation with a patient who has been with me for some time. She had just finished reading my book, which had raised for

Posted in Philosophical Ruminations

Compassionate Service vs “Managed Healthcare”

On the Need to Apologize for a Profession’s Loss of Compassion Recently, during most of my patient visits, I find myself apologizing for my profession. That the profession of medicine should even require an apology seems deeply troubling to me.

Posted in Philosophical Ruminations

On Language and Healing

Ah, human perception. So varied, so quirky. Ya gotta love it. Our psyche is a somewhat fragile construction. We are shaped, uniquely and individually by our experiences. However, we have an unfortunate tendency to focus on, and to recall, our

Posted in Philosophical Ruminations