Doctor Paul, MD

A small-town doctor working to preserve the art of old-fashioned primary care.

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Physician Shortage

December 5, 2014 by Paul Williams Leave a Comment

Retiring doctors mean problems for newly insured under ObamaCare _ Fox News

Filed Under: Practice of Medicine

Time management Matrix – Stephen Covey

September 8, 2014 by Paul Williams Leave a Comment

Satisfaction in life and medicine can be seen through this matrix developed by Stephen Covey. Medical Practice used to spend most of our time in I and II quadrant tasks which is very satisfying. Now we are spending our time mainly in the III and IV quadrants which is unsatisfying and a waste of our ... Continue Reading

Filed Under: Practice of Medicine

Another reason why your prescription costs are high

September 8, 2014 by Paul Williams Leave a Comment

Attached is a study about how drug companies are manipulating keeping their drug brand from going generic, retaining higher profits longer. REMS_Studyfinal_July2014. A summary of it (which may be easier reading) can be found on the Generic Pharmaceutical association website: http://www.gphaonline.org/gpha-media/press/new-study-finds-programs-designed-to-protect-safety-being-widely-abused-delaying-generic-choices-for-consumers-and-costing-u-s-health-system-billions

Filed Under: Practice of Medicine

Expiration dates on Medications

September 8, 2014 by Paul Williams Leave a Comment

Have you ever wondered if you need to throw out the medication once the expiration date has passed? Here is some thoughts for you. Since 1979 the FDA has required manufacturers (the people selling their drug) to put expiration dates on prescriptions and over the counter medications. This is the final date at which the ... Continue Reading

Filed Under: Practice of Medicine

Flatline: How Government Ruined American Health care…

September 1, 2014 by Paul Williams Leave a Comment

I just downloaded this ebook from Amazon for $5.00. Stewart Donovan does an excellent job in helping us understand the mess we are in and why I am compelled to change the system I am in. Please download the book, it is worth the $5.00 spent.

Filed Under: Practice of Medicine

What is with the VA (Veteran’s Affairs) Hospitals?

August 7, 2014 by Paul Williams Leave a Comment

We’ve all heard the horror stories about the VA hospitals and the patients who died while awaiting treatment. How could doctors allow patients to die? It’s all about wrong-headed priorities and good doctors providing mediocre medicine in a broken system. A system that puts the system above its mission will produce the outcomes we have ... Continue Reading

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Is “old-fashioned medicine” really old-fashioned?

August 7, 2014 by Paul Williams Leave a Comment

Nostalgia can be misleading, memories biased. Medicine before the advent of antibiotics, lead to many premature deaths. Many people died then what few die of now: appendicitis, pneumonia, sinus infections, tuberculosis, typhoid fever, and many more. When people refer to old-fashioned medicine, they are referring not to the science of medicine but the art of ... Continue Reading

Filed Under: Practice of Medicine

What do you mean by overhead?

August 7, 2014 by Paul Williams Leave a Comment

The late Dr. Parke, the physician for more than a few of my current patients, is a good starting point to discuss this idea. He retired in 1976. I don’t have all the facts of his practice, but I am told, he still delivered babies, did house calls, and was an all around country doc. ... Continue Reading

Filed Under: Practice of Medicine

Why can’t I see my doctor in the Hospital?

August 7, 2014 by Paul Williams Leave a Comment

So what changed, that my personal doctor can’t take care of me in the hospital? This honestly is a little complex. Over the past decade there has been significant pressure on your Family Doc. In our own community, we had difficulty getting Internal Medicine consultations, and were getting overloaded with being assigned patients from the ... Continue Reading

Filed Under: Practice of Medicine

Why can’t I bring up problems during a Physical?

August 7, 2014 by Paul Williams Leave a Comment

Healthcare policies and changes are financially driven. A few years back (probably around 4-5 years now) Medicare allowed for Preventative Screening visits. They still don’t believe a yearly physical exam is valuable (the actual examination of your physical body), but do believe screening tests are valuable and reduce the burden of disease later down the ... Continue Reading

Filed Under: Practice of Medicine

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About Doctor Paul

Dr. Paul Williams, MD is a small-town family practice doctor working in Centralia, Washington. He works from the same office where his primary care practice was established by his father over 38 years ago. He believes strongly that the art of the old-fashioned primary care doctor is an important feature of our medical system that should be preserved and protected from excess interference from insurance companies and government regulation alike.

Due to changes in the health care industry and regulations affecting it, and in an effort to preserve the art of old-fashioned primary care, Dr. Paul has shifted his practice to a Direct Care model, meaning that patients pay an affordable monthly fee to purchase primary care health care services directly, rather than having their services billed through an insurance company.

This blog is intended to help Dr. Paul's patients (and anyone else!) understand the changes the medical industry is going through, and to provide information about the Direct Care model of primary care.

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