Douglas Farrago MD

Douglas Farrago MD is a full-time practicing family doc in Forest, Va. He started Forest Direct Primary Care where he takes no insurance and bills patients a monthly fee. He is board certified in the specialty of Family Practice. He is the inventor of a product called the Knee Saver which is currently in the Baseball Hall of Fame. The Knee Saver and its knock-offs are worn by many major league baseball catchers. He is also the inventor of the CryoHelmet used by athletes for head injuries as well as migraine sufferers. Dr. Farrago is the author of four books, two of which are the top two most popular DPC books. From 2001 – 2011, Dr. Farrago was the editor and creator of the Placebo Journal which ran for 10 full years. Described as the Mad Magazine for doctors, he and the Placebo Journal were featured in the Washington Post, US News and World Report, the AP, and the NY Times. Dr. Farrago is also the editor of the blog Authentic Medicine which was born out of concern about where the direction of healthcare is heading and the belief that the wrong people are in charge. This blog has been going daily for more than 15 years Article about Dr. Farrago in Doximity Email Dr. Farrago – [email protected]

The Pain Pendulum

I have been in medicine for almost 30 years. I have seen the same idiots in charge claim we were NOT doing enough to treat pain. That’s when the 5th vital was created, with the help of the Joint Commission. JCAHO made up cards with those smiley faces and those cards coincidentally had Purdue Pharmaceutical…

Patients Over Paperwork

Here is what the CMS is up to now. I guess they want to fix things. They want “public input on how to continue progress in the Patients over Paperwork initiative to reduce administrative burden and lower costs.” Here is what they want to improve. I put my thoughts in parentheses: Reporting and documentation requirements…

Ridiculous Study of the Week: EHR Investment

This will blow your mind. A recent study found private practices are less likely to maintain EHR technology than clinicians in other care settings, such as hospitals or group practices. And now some more: Ultimately, researchers found 49 percent of independent physicians successfully attested to meaningful use at least once during the program. Comparatively, 70…

Resiliency Programs Not Very Resilient

I am no statistician but I still think this article called Resiliency Program Reduces Burnout Symptoms in FM Residents looks a little fishy. Doesn’t the title seem to look positive to you? Here is the basics to the study: Thirty-two family medicine residents at two residency programs in Toledo, Ohio, were recruited to participate; 19…

My Latest DPC Book: Patient Churn (Turnover)

This is basically a sequel to my first book. Direct Primary Care is a life saver for many of us doctors but that doesn’t mean it’s all rainbows and lollipops. Patients joining your dream practice is exhilarating and affirming but patients leaving your dream practice is demoralizing and depressing. And we all go through both.…

Take Care of Yourself

A new survey came out and here are the results: The survey — involving more than 300 family medicine and internal medicine physicians as well as more than 1,000 U.S. adults ages 18 and older — found that although 80 percent of physicians say practicing self-care is “very important” to them personally, only 57 percent…