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]

Diabetes Cured By Surgery

A couple of new studies show that undergoing gastric bypass or banding will cure people of their diabetes.  Even more surprising to the authors was that this happened so quickly and sometimes even before they lost weight.  Why this is surprising to them is even more surprising to me.   Diabetes (Type II) is about…

R.I.P. Bert Sugar

I am on the board of what is called Ring 10 which is a group that helps retired boxers.  Actually, it helps retired boxers help themselves.  My brother started this particular “Ring” and all the money they collect (I mean ALL) goes to fighters that have medical problems and are not well off.    My…

Is LDL Bad?

The gold standard of hammering down the cholesterol may be in question…..again.   A new study may show that there could be a correlation between a low LDL and cancer.   Others study have shown this but there was some confusion about whether it was related to the medicine people were taking.  In this study,…

Dumb It Down

Here is an editorial about a JAMA article which makes the claim that one way to cut healthcare costs would be to….wait for it…..ready?…..here it comes: CUT MEDICAL TRAINING! Wow.  These people are brilliant.  We are already cutting resident work hours.  Now they figure they can just move them through medical school quicker.  How about skipping…

The Condie

  I expect the hospital administrators will want us to wear these regularly.   Maybe it will be another Joint Commission meaningless directive? From the late, great Placebo Journal. Tweet

Accidents

Whitney Houston had cocaine, marijuana, Xanax and Benadryl in her system when she drowned.  The coroner has ruled her death “accidental”.   There must be a study somewhere showing that there are a lot less accidental deaths when someone doesn’t have cocaine, marijuana, Xanax and Benadryl in their system.  One would think, right? Tweet

Follow the Fad

Medical schools, guilty of doing the same rigorous training style over the past 100 years, are changing again.   More and more are just following the news and trying to make  a splash with cool new programs.   Who is up for some interprofessional training fun?  The pendulum has now swung old school didactics/rounds to…

Outcomes Fall Flat

The evidence keeps pouring in that the great “Quality Movement” is failing.  A new study shows that the hospital report cards on quality did NOT improve patient outcomes.   As reported in Health Affairs and explained here in the American Medical News: Seven years after the federal government started publicly reporting hospitals’ performance on quality…

Quote of the Week

“It is reasonable to expect the doctor to recognize that science may not have all the answers to problems of health and healing.” Norman Cousins Journalist, Editor, Activist Tweet

Problems of Living

The title of the MSN piece says it all: Docs: Antipsychotics often prescribed for ‘problems of living’ Doctors who are in the trenches get “stuck” with cases all the time that are really very difficult.   Many patients have it bad and they need help.  We feel obligated to do something.   That doesn’t excuse…