Blog Archives

7 Secrets to Loyal Patients for Life →


Loyal patients are the lifeblood of a medical clinic. And devoted patients are worth their weight in gold. It’s a lot easier to care for an established patient that lots of one-timers who never return. Beyond ease of workflow, the economic benefits are fabulous. A loyal patient panel will stay with you (and pay you) through sickness and in health even if you don’t take their insurance—even if you choose to go cash only.

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Eulogy to My Father, Dr. Theodore Krouse →

I believe we choose our parents before we are born. I hit the jackpot.

I picked an unlikely pair—a radical feminist and a guy named Ted Krouse. Mom wasn’t home much (she was finishing up her psychiatry residency) so I became head of the household. Dad always kowtowed to the strongest woman in the room.

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The *Surprise* Birthday Party Physical :) →

I love my patients. And I love surprises. Most patients fear unexpected medical events, but medical surprises don’t always have to be bad news.

I’m a neighborhood family doc. My patients are friends. They celebrate my milestones and I celebrate theirs. A few like to surprise me for my birthday.

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Doctors not allowed to ask patients, “How are you?” →

Medical Insanity

Another indication that health care is sick—doctors are being told to stop asking patients open-ended questions like:

“How are you feeling?”

“What worries you?”

“What’s on your mind?”

Today a physician just e-mailed me:

“I am really,

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How one TED talk is changing the world of medicine →

I’ve never been a small-talk doc. My therapist calls me “the Dr. Kevorkian of medical taboos.” I’m most comfortable discussing the uncomfortable—topics that scare most physicians. In my TED talk, I bust through three taboos: human sexuality, physician-patient intimacy, and doctor suicides.

Taboo #1: Sexuality. Americans are oversexualized and sexually repressed.

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When your health insurer pays for breakfast, here’s what happens . . . →



Health insurance is complex. Eating out is easy—unless you were to involve your health insurance company.

If you hired a third party to pay your restaurant bill, you’d pay twice as much, wait 2 weeks for a table, and have 7 minutes to eat.

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Doctor’s Fantasy: leave psychiatry to sell Tupperware →


Dear Pamela:

I can’t tell if I’m burned out or just don’t like being a doctor. My own medical school experience was so abusive. I wonder how other students like me fare when they enter abusive residency programs. I supposedly work at a place that values patients above all else,

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The One Question You Must Ask Your Doctor →

#1 Question Ask Doctor

Your doctor has more control over your life than anyone—other than you.

Your doctor may be the first face you see as you’re born and the last one you see as you die. Doctors look deep inside you, in places nobody has been before. Doctors prescribe drugs that can kill you or save your life.

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House Call on a Hundred-Foot Cliff →

Johnny’s disabled. He can’t get to my office anymore. So I drive 100 miles up the Oregon coast to check in on him. I get lost, but finally discover his little white house on the edge of a cliff overlooking the Pacific Ocean.


“Last time a doctor come to my house,

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Another Day, Another Reason I Love My Job →

I love my job.


How To Do a House Call on a Quadracycle →


Click here to read part 1 of the story.

Pamela Wible, M.D. is a family doctor is Oregon. Watch her TEDx talk here. Photos by GeVe.

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Why I Love House Calls →

I’ve always been a people watcher. Now I get paid to spy on folks. I have to ask detailed, personal questions. Sometimes I even snoop around patients’ homes. 

In the 1930s nearly half of all patient visits were house calls. Now most patients are rushed through ten-minute office visits.

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Why Doctors Treat Patients as Drug Addicts →


Fact: Doctors want to help people.

Fact: Some people take advantage of doctors.

A doctor in Oregon shares this case: I had an old man with cancer. He kept complaining of pain as I was increasing his opiate pain medication,

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Why I Prescribe the Love Drug →

Pamela Wible lips

As a doctor, it’s my job to figure out what patients really need. Some need antibiotics. Some need pain pills. But everyone needs love.

During med school I cared for burned children. One of my patients was a 3-year-old with severe burns over most of his body.

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Patient Profiling: Are You a Victim? →

Ever felt misjudged by a doctor? Or treated unfairly by a clinic or hospital? You may be a victim of patient profiling.

Patient profiling is the practice of regarding particular patients as more likely to have certain behaviors or illnesses based on their appearance, race, gender, financial status,

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