09/16/2026
There are some things that have become far too expensive for me.
And I don’t mean financially but clinically.
I can’t afford to rush through the story and miss the clue.
I can’t afford to treat a lab result without considering the person attached to it.
I can’t afford to prescribe when what you really need is an explanation.
I can’t afford to ignore prevention because you’re “healthy.”
And I can’t afford to order unnecessary tests simply because we can.
Every one of those things has a cost, even when that cost never appears on a bill.
Sometimes it’s causing you more confusion or unnecessary worry.
Sometimes it’s missed prevention, and sometimes it’s losing the relationship that makes primary care, primary care.
DPC hasn’t made medicine perfect, but it has given me something incredibly valuable: which is time to actually practice it.
More listening. More explaining. More prevention. More relationship.
That’s what “doctoring differently” means to me.
If you’ve ever wished you had more time with your doctor, what would you want to spend that time talking about?