Fine Tuning

A typical internal medicine patient has multiple medical problems, such as diabetes, hypertension and high cholesterol. Each visit I try and see if there is something to tweak. Perhaps the blood pressure is a little high or the cholesterol is not at goal. Maybe I can switch a medication to a similar one that recently went generic, or use a combination pill to simplify their regimen. I might correct the vitamin D deficiency I usually find, have them change their aspirin to an enteric coated one to lessen the risk of an ulcer, or try and persuade them to get a vaccination to prevent shingles. Most of us have room to improve when it comes to diet and exercise.

With each visit the patient is a little older, and on average, a little sicker. I hope my fine tuning, and occasional overhaul, will keep them going longer and healthier. In the rare visit where the patient has no complaint and I can’t find something to do, I feel like I’m forgetting something. The visit takes longer than it should as I struggle to come up with something other than telling them keep up the good work. That’s usually appreciated by patients, though.

About Daniel Ginsberg, MD, FACP

I'm an internal medicine physician and have avidly applied computers to medicine since 1986, when I wrote my first medically oriented computer programs. So yes, that means I'm at least 35-years-old!
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One Response to Fine Tuning

  1. Machine says:

    I learned a lot from this post, much appreciated!! 🙂

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