Dr Jonas, your host for the Dr Synonymous Show, expounds on being a Family Physician.  What does he think and do in his office practice?  He'll speak to how much fun he's having.  Tune in. Sign into the chat room. Family Medicine continuing education is forever.  Dr Jonas comments on a great course he attended recently. A few thoughts about the pain versus opiates debate are added for good measure, from Dr Jonas perspective.  

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Dr Jonas, your host for the Dr Synonymous Show, does a quick show tonite just because.  Lots is happening.  Much could be said-- or not.  Non- Directive Imagery could be a helpful shortcut out of overload. JAMA era 3 article by Don Berwick, MD reviewed, generating comments about G Gayle Stephens, MD a Founder of FM.  Dr. Stephens had a great talk about the covenant and the calling of physicians versus the contract and the job of modern era.  I added the community and the citizen becoming a steward of scarce valuable resources with the patient.  Both stewards, both human create the next era in health care. Medical Marijuana are mutually exclusive words.  I expand on the idea. Non-Directive Imagery was my modality this week to get clarity from overload.  I reflect on the Holistic Consultation clinics we just added at our Free clinic (Open Arms Health Clinic) in Bellbrook, thanks to the Institute of Holistic Leadership with Patti McCormick, RN, PhD at the helm. Tune in for a blip on the Dr Synonymous radar.

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Your host, A. Patrick Jonas, MD notes that: change and newness abound as spring is upon us and winter is gone.  Easter brings magic and reverence, while the CDC chides physicians for opiate prescribing, but local hospitals celebrate National Doctors Day.  Organized medicine in the form of the Ohio State Medical Association meets this week and we get to catch up.  We'll look at some Tweets and blogs to check the pulse of medicine, too.  Let's chat. Direct Primary Care always comes up as my practice has more access starting in April via a new DPC relationship.

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Your host, Dr Jonas, will reflect on a fermentation session he attended today.  Kefir, kombucha, scoby and scoby hotel were some of the interesting subjects.  The food world is changing and physicians need to keep up.  Physician burnout is a growing force in workforce development for healthcare.  The "Match" for med students adds little hope for an adequate primary care workforce for America. Blog, Tweet and literature review is always a part of the show.  The OSMA Annual Meeting is coming up.  What's big? Dr. Jonas manifests his Medical Geezer status to pontificate a bit, too.

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Dr Jonas, your host for the Dr Synonymous Show will celebrate Direct Primary Care (Direct Family Medicine is his version) as a way to lessen the Presidential Election Year Blues.  A Forbes online article by Dave Chase provides some insight.    America is heating up for the election while healthcare continues to bankrupt the country shamelessly and with no end in sight.  Not to fear, DPC to the rescue, especially for self insured employers and people who are fed up.  It's so good it's hard to understand. Dr J will go on about "Geezer" Family Doctors like him hanging on for a few extra years of practice by converting to DPC.   The American Family Physician February edition may pop up for discussion.  Join the chat room to contribute your ideas/ opinions.

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Dr Jonas, your host for the Dr Synonymous Show goes through a Blog, Tweet and Literature review before discussing his post about Geezers in Direct Primary Care.  Can FP's near the end of their practicing careers shift into DPC, making a more enjoyable lasr few years of practice while creating jobs for early career FP's?   Tune in and join the chat room to add your opinions.

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The DPC Ohio culture moved ahead on February 20th as 24 fans of DPC gathered at the Dublin Integrated Education Center.  Medical students, residents, a FNP student, Family Physicians, General Internists, a Rheumatologist, a practice manager and six faculty shared information and ideas in a stimulating one day UnSummit. From Cincinnati to Columbus to Cleveland to Beavercreek, Bellfontaine, and Waverly, Physicians in Direct Primary Care disclosed their strategies for success and the challenges behind and ahead.   Dr Jonas, your host for the Dr. Synonymous Show, was one of he presenters.  He reviews some of the highlights of the meeting and ponders what may lie ahead.  At least two future interviews for the Dr S Show were assured from the people and ideas at this enthusiastic session in an incredible facility: The Dublin Integrated Education Center on the OU Dublin, Ohio Campus. The Center for Innovation in Family and Community Health thanks the FMEC for their help planning and announcing the meeting and to LibertyDirect for help with sponsorship.  Special thanks to onsite and ongoing CIFCH member, Patrick Jonas (my oldest son), for his efforts and to FMEC staffer Shayla Rammel for her help with the preparatory work online and through social media. 

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Direct Primary Care is growing and groaning.  What drives it?  What goes into the development of the DPC culture? Is there a culture of DPC?  "A culture is a way of life of a group of people--the behaviors, beliefs, values, and symbols that they accept, generally without thinking about them, and that are passed along by communication and imitation from one generation to the next." one internet definition. Models of DPC include "Pure", Mixed and Hybrid.  I'll define Mixed during the show.   Who is doing it and how does it come together? The DPC Summits help to anchor the movement.  July 8-10 in Kansas City is the next national one. Our Ohio UnSummit seeks to help with the development of the Ohio DPC culture.  I'll discuss the UnSummit (Feb 20th in Dublin, OH) and shamelessly promote it during the show.

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Dr. Pat Jonas, your host on the Dr Synonymous Show, will discuss Direct Primary Care again focusing on some DPC secrets that make it appealing.  Time, Time, Time.  Expanded Differential Diagnosis.  Depth of personalization.  Even genomics.  Even eating strategies.  Time, Time, Time. Eating for Health.  Learning from Dr.'s Davis and Perlmutter.  Probiotics:  Eating microbes to seed the intestinal flora and Prebiotics:  Fiber that feeds our intestinal flora.  What is it?  Why is it important? Dr Jonas will also comment on the DPC Ohio UnSummit IV to be held in Dublin, OH on February 20 from 8:30 until 4:30.  We;ll have some fun learning and sharing about DPC. Blog and Tweet Review as usual.  Connect in our chat room.

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Dr Jonas, your host, holds a late night session about morbid measurement, murderous metrics which are killing healthcare.  The NYT article "How Measurement Fails Doctors and Teachers" by Robert Wachter in the Sunday Review is a timely message of importance to the nation.  We will discuss it. How does this relate to Family Medicine?  Many ways.  We have abandoned our essence as unmeasurable fluff.  We have agreed to be measured by wigeteers and come up short for our patients.  Patient autonomy be damned and meaningful use be honored seemed to be our motto.  We failed to exert the leadership that would protect our patients from massive amounts of bonus based healthcare.  The EMR outranked medical ethics.  Is there hope?  

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