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]

More Stupid Joint Commission Tricks (sent in by a reader)

I am an anesthesiologist, and JCAHO makes us label our propofol syringes, ‘propofol’. Like there are any other milky white liquids on an anesthesiologist’s cart? We are also supposed to write the date, our initials, and the name of the drug and the concentration of each drug in each syringe. In cardiac anesthesia I have…

Readmissions

Hospital readmissions are a huge problem because many of them can be prevented.   This is why the government and insurance companies are squeezing hospitals and holding their feet to the fire by penalizing them if those readmissions do occur.   Call it a carrot or a stick but the result is the same.  “Readmission…

Tag Lines for Authentic Medicine

One of my oldest and dearest patients congratulated me on my story in the AP.   She is in her late eighties and is really a sweet old lady. We love her at the office.  She didn’t understand what the story was about, however.  “Are you fighting for doctors?”, she asked.   Not exactly.  What…

Physician Burnout

I truly believe that the public doesn’t understand what physicians do every day.    We never had a reason to educate them before.   All patients ever see is their doctors come into that small room, listen to their stories, hopefully give them some help, and then leave.   Unfortunately, outside of that sterile box…

Drug Reps Now Hospital Reps

I do not hate drug reps.   That being said, I understand that Maine is a whole different animal and maybe the reps are different here.  I have been around long enough to remember the heyday of golf tournaments, expensive dinners, etc.  Heck, I wrote the parody called Diary of a New Pharmaceutical Rep all…

Stupid Questions (sent in by one of our readers)

Ok, I’m used to hearing the preop nurses ask my epidural steroid injection patients if it’s ok to give a blood transfusion if needed. However, the new question I heard yesterday was mind-blowing for its sheer stupidity: “Do you mind if Dr. Greywater has technical assistance during the procedure?” In other words, do they mind…

Activism and Dialogue

Welcome.  Many of you have come to this site because your local paper put out an Associated Press article about me.  I want to thank them and writer David Sharp for his great piece.   I never had thought of myself as an activist before but WTF, let’s do this. I am a family doc…

Half of Schools Fail

Once again there is more evidence that the No Child Left Behind plan is a travesty.   Education secretary, Arne Duncan, calls it “broken”.  Nearly half of the nation’s public schools didn’t reach the standards or “adequate yearly progress” needed to fulfill what the law intended!  Many ideas seemed brilliant at the time and their…

Affordable Care Act Murkier or Better?

The Obama administration said that it now will allow each state to specify the benefits provided by insurers.  In other words, the federal government will not define a single uniform set of “essential health benefits”.    This is summarized quite well in this NYT article but I will give you the high points here.  Both supporters and critics…