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]

Role Reversal

Creating an effective and efficient healthcare system is not easy.  What is interesting to me is that as we try to “socialize” medicine here, the Brits are trying to “privatize” medicine across the pond.   I know Michael Moore liked to think that the NHS in England is free and no one pays for it…

Quote of the Week

“We have to ask ourselves whether medicine is to remain a humanitarian and respected profession or a new but depersonalized science in the service of prolonging life rather than diminishing human suffering” Elisabeth Kubler-Ross, Swiss-American psychiatrist and author   It seems she was on the money in predicting the latter. Tweet

You Can’t Pretend Defensive Medicine Doesn’t Exist

A survey of 202 fourth-year medical students and third-year residents at Northwestern University Feinberg School of Medicine in Chicago found that 94% of students and 96% of residents have seen examples of defensive medicine in their clinical training.  Somehow this comes as a surprise to American Medical News reporter but the bottom line is that…

Having Balls

For those not keeping up with the times, there is a major drug shortage crisis especially with some cancer or anesthetic medications.   Here is the best part.  Government rules for storage and safety have forced some pharmacists to throw away these lifesaving meds.   Here is what one wimp, er, pharmacist said: “I’d never want to…

Primum Non Nocere and Patient Satisfaction Surveys

No doctor that I know likes to be graded via “physician satisfaction surveys”.   The reason is that it magnifies the differences between doctors and administrators.  Administrators think we should be run like a fast food restaurant or American Eagle store.  Doctors understand that saying “no” to demands of antibiotics, narcotics, and expensive procedure requests…

GARY CARTER – RIP

I grew up in NY and was a fan of the 1986 Mets team that won it all. When I invented the Knee Saver a few years later it was really tough to get any traction with pro baseball players. Living in Houston at the time (right before medical school) I was able to get in touch…

Access to the Healthcare Dollar by Ted Bacharach MD (retired)

Every encounter with a physician suggests that doctors are not the recipients of any government largess. Monthly changes and increased requirements for documentation have placed the physician in a position where he or she must spend more time filling out forms and documentation, leaving little time for the consideration of the poor patient who is…

Zen and the Art of Health Maintenance

In one of my favorite books, Zen and the Art of Motorcycle Maintenance, Robert Pirsig wrote: “Quality is a characteristic of thought and statement that is recognized by a nonthinking process.  Because definitions are a product of rigid, formal thinking, quality cannot be defined.” If you are a patient or doctor then close your eyes…

Back Surgery Marketing

The Wall Street Journal did a nice piece about how a small California hospital is cranking out the back surgeries for profit.  It is such a black eye for doctors but it needs to be exposed. Tri-City Regional Medical Center billed workers’ compensation insurers $65 million in 2010, up from less than $3 million three years earlier.…