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]

Year of the Test Scandal

An article in the USA Today recently discussed the epidemic of test tampering by teachers.  In fact, they are calling 2011 the year of the Test Scandal.  What does this have to do with medicine, you ask?  Actually, a lot.  The No Child Left Behind Law parallels the Pay-for-Performance concept in healthcare; they are just…

Too Much Healthcare?

Here is a great article from an ER doc.   His name is Thomas Doyle MD and he has a book coming out called “Suck It Up, America: The Tough Choices Needed for Real Health-Care Reform”.   I highly recommend you read the linked piece but he hits a lot of great points.  Here is a quick…

Methadon’t

Did you know that men on methadone treatment for drug addiction were more than twice as likely to be involved in traffic accidents?  To be fair, the study did not determine whether the people involved in the accidents were using alcohol or other drugs.   I am sure the methadone users would never “use” other drugs…

Newest Administralian Term Coming: “Effectiveness”

Very soon the government will charge a new fee to the insurance companies to cover the cost for “effectiveness research“.  Supposedly, comparisons will be made to find out which drugs, medical procedures, tests and treatments work best.  That would be a nice thing but obviously the fee will be passed from the insurance company right to us so…

Hard Hitting Anti-Obesity Campaign in Georgia

Georgia is making a strong effort to curb childhood obesity.  They have a controversial new campaign using of black-and-white images and commercials of overweight kids that some critics are claiming is too much and could cause additional stigma to obese children.  Maybe, but at least it isn’t a “food insecurity” commercial showing how hungry the kids are.   Where is the info to back that up, anyway?  Georgia has nearly one million overweight or obese kids and these videos are right on the mark.  If you watch the video above at YouTube you can see more of them right next to this one.  Anyway, this campaign has billboards, commercials, and print ads that have sparked some controversy but I think it may just work. The article referenced here is where I found this info.  It was a good one but I think the last quote by Marsha Davis, a child obesity prevention researcher at the University of Georgia’s College of Public Health, was an accidental slip:

“I think it’s really brave to talk about the elephant in the room,” she told the AJC after the campaign launched.

Yeah, if I was her, I wouldn’t be using that line again.

American Discharge

Heart attack patients from the United States were 68 percent more likely to be readmitted within one month of their discharge than patients in 16 other countries.  More evidence that we have a bad healthcare system, right?  Not exactly.   The study in JAMA also showed that U.S.-based patients were more likely to have shorter hospital…

Social Needs

A recent survey by Harris Interactive found that eighty-five percent of primary care physicians and pediatricians say unmet social needs are directly leading to worse health for all Americans.  Only 20% of doctors feel confident or very confident in their ability to address those needs.   Being a doc in the trenches for the last…