The U.S. health care delivery system is undergoing a massive restructuring. There are many forces, seen and unseen, contributing to this...

The statistics were grim. World War II Bomber crews faced an average life expectancy of 11 missions. 55,573 crew members were killed out...

My younger sister, Esther, underwent coronary artery bypass surgery this August. It should have been me. Esther weighs about 110 pounds,...

“There is no such thing as new truth; error might be old or new, but truth is as old as the universe.” Frederick Douglass, 1863 “Popular...

Would you tell me, please, which way I ought to go from here?” “That depends a good deal on where you want to get to,” said the Cat. “I...

The perfect partnership Craig Underwood (81) is a 4th generation California farmer in Ventura County who was facing headwinds keeping his...

It’s easier to fool people than to convince them that they have been fooled. Mark Twain It is fitting that my final installment of this...

It’s called “the green journal.” When I was in medical school in the 1970’s, it was the source most frequently quoted by faculty at OHSU....

Do you think the health care system in the United States is better than it was 40 years ago? A simple way to gauge the health of a...

At my age, it’s humbling to recognize how easily I can be manipulated. It is small comfort to know I am neither the first nor is it rare...

New Year’s Day is the morning of the year. Like mornings of mere days, it inspires fresh hope, but on an immensely grander scale. We wake...

If you haven’t received the letter yet, it is in the mail. At least it will be if you are serious about providing good patient care. The...

Over the past months, many new providers have joined Evergreen. I want to welcome each one. Each of you brings something unique,...

It isn’t so much what we don’t know that gets us in trouble. It is the information we are certain is true, which turns out to be wrong,...

It takes courage. Because the injury often comes from colleagues or institutions who should have your back. A betrayal of trust. It...

In the mid 1990’s, a group of Kaiser physicians who were working with patients with severe chronic diseases, noticed that they all had...

Karl Popper, one of the 20th century’s most influential philosophers of science, wrote that “the growth of knowledge depends entirely on...

When the foundations are being destroyed What can the righteous do? (Psalm 11:3) It’s called the Wexner Center for the Arts. This...

Dissolution of truth is like the melting of snow on a cold winter day. It evaporates a little at a time, scarcely perceptible and...

Recently, I composed a series of blogs illustrating ethical quandaries in medicine. In those writings, I examined four ethical...

“The Times They are a-Changing” Bob Dylan 1963 This document is more important to me than it is to you. I get that. I set these goals...

Every great magic trick consists of three parts or acts. The first part is called “The Pledge”. The magician shows you something...

You see it coming. But then you’ve seen it before. The patient is living it. Looking from the inside out. First time walking this path....

Mental illness in children is different. The worst mistake is to assume these young humans are little adults. They’re not. There are so...

I separate my observations about mental health in adults versus children. The causes, expressions, volatility, and prognosis separate...

Is it a difficult diagnosis or a difficult patient? We learn to walk past the expression to find where the pain lives. We need to know...

When done well, primary care is hard work. Family Physicians, Internist, Pediatricians, PA’s, NP’s, PMHNP, OB/GYN, Midwives – we’re all...

Who cares if Christ is risen? This bold headline graced the front page of the London Telegraph on Easter Sunday about 25 years ago. The...

Psaki Says Sex Reassignment Surgery, Puberty Blockers for Kids Is ‘Best Practice,’ States Preventing It Will Be Held Accountable April...

Aspiring Supreme Court Justice Judge Ketanji Brown Jackson attracted much attention during her Senate Judiciary Committee hearing with...

It’s a website. But describing Douglas County Communities’ Network of Care (NOC) as just a website is like calling a Lamborghini just a...

We are living in strange times. I can say it’s crazy out there. I may say I’ve never seen this before. What I cannot say is what we are...

Alex Berenson, a graduate of Yale University was an investigative reporter for the New York times for about 10 years. He covered the drug...

An old parable written by an unknown Jewish writer: One of the just men came to Sodom, determined to save its inhabitants from sin and...

There were two influential prophetic books of the 20th century. In some ways these books are opposite in their ideas. In others, they are...

I never intended to be CEO. I fell into that role by necessity. I understood the business of medicine on a small scale. Directing a...

Scientific Correctness and the Death of Truth The Federation of State Medical Boards’ Board of Directors recently released a statement...

I hope you have that place in you. Hidden, even from you, intuition springing from values, incubation growing into illumination –...

Human beings, unlike animals, seem capable of suffering amid abundance. If animals are given food, warmth, shelter, and care, they seem...

There is a beautiful stately old church in downtown Portland. Built in 1894, it is multiple stories tall, when that part of Portland was...

The Covid 19 pandemic has presented challenges on multiple levels to Evergreen staff. Some of this reflects the virus and much results...

I learned about division in school. His name was Mike. Like everyone else, I could tell Mike was different. Mike could too. The term used...

We can ignore even pleasure, But pain insists upon being attended to. God whispers to us in our pleasures, But shouts in our pains. It is...