10/20/2026
I didn't leave traditional primary care because I didn't love my patients or what I do.
I left because I didn't love the way I was being asked to care for them.
When I worked in an insurance-based family practice, follow-ups were often 10–15 minutes. New patient visits might be 20–30. And the expectation was to see 20–30 patients in a day.
I couldn't do it well.
Or maybe, to be more accurate, I couldn't do it the way I believed patients deserved.
I wanted to hear the whole story. I wanted to know about your sleep, stress, nutrition, relationships, symptoms, medications, labs and what had changed over the last several years.
I wanted enough time to ask WHY you weren't feeling well.
And that doesn't fit very neatly into a 10-minute appointment.
Research shows this isn't just an individual provider problem. Primary care clinicians are carrying an enormous workload that extends far beyond the few minutes you actually see them in an exam room.
One study published in JAMA Network Open found primary care physicians spent a median of 36.2 minutes in the electronic health record per patient visit—including documentation, inbox work and work completed outside normal hours.
Think about that.
The healthcare system may schedule a short appointment, but the work associated with caring for that patient doesn't magically fit inside that appointment.
And I think that's an important distinction:
There are incredible providers working in traditional medicine.
Many of them are exhausted because they're trying to provide thoughtful, individualized care inside a system that often rewards volume and efficiency.
I was one of them.
I burned out quickly because I constantly felt like I had to choose between staying on schedule and giving someone the time I thought they needed.
Eventually, I realized I wanted to practice differently.
I wanted time to listen.
Time to educate.
Time to look at the bigger picture.
Time to ask whether we're actually addressing what may be contributing to someone's symptoms, not simply getting through today's list of complaints.
That's a huge reason I built my practice the way I did.
It's not about seeing MORE patients.
It's about having the time and freedom to care deeply for the ones sitting in front of me.
And I don't ever want to go back to feeling like listening to my patient means I'm running behind. 🤍
When I worked under the insurance model, my approach to patient car...