1. Neither patients or physicians are doing well in the current system. We actually have more in common than most realize. Who's Looking Out For Us? The Doctor-Patient Paradox  

  2. The Bulletin article about St. Charles scrapping scribes in primary care limiting physicians ability to focus on patient: https://www.bendbulletin.com/lifestyle/health/st-charles-scrapping-scribes-in-primary-care/article_8c8d0193-3ebf-5e49-8a41-25a8d8569500.html

  3. A longer conversation about DPC https://www.youtube.com/watch?time_continue=492&v=CSHo2VcxsJA&feature=emb_logo

  4. An excellent explanation for employers on why costs go up and how to get better care with less expense - https://www.youtube.com/watch?v=vbuAw3bT4QY

  5. “When people don’t have symptoms, I think we should leave healthy people alone”, Dr. Rita Redberg, interventional cardiologist. We are overmedicalizing patients and their conditions, which is expensive and harmful. Sometimes the latest, greatest and most expensive options, meaning heart stents, are inferior in reducing harm, but no better in symptom relief. This also serves as an example of how medicine continually improves and is willing to disprove previously help beliefs.  Stents have a place, but not as common as we thought. Spine surgery, knee arthroplasties, statins and antibiotics are also commonly overused.  https://zdoggmd.com/rita-redberg/  

  6. Health Rosetta - there are already solutions to health care: https://healthrosetta.org/

  7. HSA’s explained: https://www.youtube.com/watch?v=SZCSXcmbkqY

  8. Incentivizing physicians the wrong way, makes us dumber. Insurers underestimate the complexity of medicine and only pay for simple minded, thinking. Go to the 4:00 minute mark. https://www.ted.com/talks/dan_pink_the_puzzle_of_motivation/transcript 

  9. Mental health needs more than medication - it needs connection. The nature of being human is complex and sometimes we need help. https://zdoggmd.com/incident-report-260/

  10. The American Medical Association is more about coding for insurers than representing the vast majority of physicians. https://zdoggmd.com/ama-sucks/. Also the American Board of Internal Medicine extracts money for little benefit in order to become “Board Certified”. Electronic Health Record vendors are expensive, and know they aren’t helping us care for patients. Listen to at least the 14 minute mark. 

  11. There is risk in pursuing happiness when you are stuck. DPC is risky, but worth the risk. https://zdoggmd.com/finding-happiness/

  12. Anxiety -  here is an excellent app for anxiety. I have no relationship to the website or its owners  . https://www.unwindinganxiety.com/ 

  13. Primary care is the solution and running for president. https://www.facebook.com/ZDoggMD/videos/3229736980377912 

  14. Xentrex by The Rock on SNL. Let’s be realistic and nicer to each other. https://www.youtube.com/watch?v=5IZrYeUX3MI

  15. Insurers really want you to stay “In network”: https://www.regence.com/member/understanding-health-insurance/why-your-network-matters

  16. NY Times DPC article: https://www.nytimes.com/2015/03/29/upshot/small-company-has-plan-to-provide-primary-care-for-the-masses.html?abt=0002&abg=0&_r=1

  17. Forbes article: https://www.forbes.com/sites/davechase/2013/07/06/health-plan-rorschach-test-direct-primary-care/#42a96907154d

  18. American Academy of Family Physicians description of direct primary care: https://www.aafp.org/about/policies/all/direct-primary.html

Ascent Internal Medicine

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Phone: 541 771-2932

Address: 354 NE Greenwood Ave., #113

Bend, OR 97701

Email: contact@ascentinternalmedicine.com

This practice does not constitute insurance, and billing occurs at the end of the month. This practice provides only the limited scope of primary care as specified in the retainer medical agreement. Specialty and/or hospital care, pharmaceuticals, vision, dental and testing (labs that are not included, X-ray, Ultrasound, etc.) are not covered by your fee and are your financial responsibility. Labs ordered through Quest are billed at my cost and are paid to Ascent Internal Medicine. You can contact consumer advocates at the Department of Consumer and Business Services at (888) 977-4894, dcbs.insmail@state.or.us, or Oregon Insurance Division.

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