How this GP makes big gains by taking small steps

So many primary care patients have several multifaceted problems these days, and the more or less unspoken expectation is that we must touch on everything in every visit.

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I often do the opposite.

It’s not that I don’t pack a lot into each visit. I do.

But I tend to go deep on one topic, instead of just a few minutes or maybe even moments each on weight, blood sugar, blood pressure, lipids, symptoms and health maintenance.

When patients are doing well, that broad overview is perhaps all that needs to be done.

But when the

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