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What Matters in Medicine

What Matters in Medicine: Lessons from a Life in Primary Care

David Loxterkamp
Copyright Date: 2013
Pages: 216
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  • Book Info
    What Matters in Medicine
    Book Description:

    Primary care has come into the limelight with the passage of the Patient Protection and Affordable Care Act, the unchecked and unsustainable rise in American health care expenditures, and the crest of Baby Boomers who are now Medicare-eligible and entering the most health care-intensive period of their lives. Yet how much is really known about primary care?What Matters in Medicine: Lessons from a Life in Primary Careis a look at the past, present, and future of general practice, which is not only the predecessor to the modern primary care movement, but its foundation. Through memoir and conversation, Dr. David Loxterkamp reflects on the heroes and role models who drew him to family medicine and on his many years in family practice in a rural Maine community, and provides a prescription for change in the way that doctors and patients approach their shared contract for good health and a happy life. This book will be useful to those on both sides of primary care, doctors and patients alike.

    eISBN: 978-0-472-02897-9
    Subjects: Health Sciences, History
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Table of Contents

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  1. Front Matter (pp. i-iv)
  2. Table of Contents (pp. v-viii)
  3. PREFACE (pp. ix-2)
  4. STAGING: A Moral Capital (pp. 3-52)

    For as long as I can remember (maybe it has been my whole life), I wanted to be a doctor like my father, Edward Otto Loxterkamp. Once the desire took hold, it was reinforced, at key moments, by mentors and role models who assured me, by their example, that I was on the right path. They were rebars—sources of strength and direction—that braced and guided me into adulthood. They were, of course, substitutes for my father, who died when I was thirteen.

    At first, I was satisfied with a mere glimpse of the ideal. But as time went...

  5. DEPARTURE: A Sense of Place (pp. 53-116)

    Two years ago, I found myself sitting across the lunch table from a psychiatrist whose acquaintance I had made only a few weeks earlier. He was a Southern transplant and charming in his muted drawl. I was disarmed by his teddy bear demeanor, unself-conscious carriage of his “winter weight,” and endearing habit of angling into our conversation. We were dining at bustling Chase’s Daily, Maine, a Belfast tradition known for its incredibly fresh and locally grown vegetarian cuisine. It was summer, with all that summer brings: abundant sunshine, the cornucopia of green produce, free-spending tourists, and the illusion of leisure....

  6. Illustrations (pp. None)
  7. ARRIVAL: The Fall and Rise of Primary Care (pp. 117-174)

    What Winston Churchill said famously of Russia is true of primary care today: “It is a riddle wrapped in a mystery inside an enigma.” The British Bulldog was talking not about observable events or actionable intelligence but of the deep inner workings of a nation, whose direction—he believed—would follow its national interest. Americans now realize that it is in our national interest to maintain a robust primary health care system. Some see it as a solution to the unsustainable rise in health care costs, which gathers steam like a runaway train as baby boomers board for their golden...

  8. NOTES (pp. 175-184)