From Dr Brian’s Desk
Medicine, explained by the doctor in the room.
Honest takes on navigating the healthcare system, staying healthy, and what direct care actually looks like in practice -- from a physician who's been on both sides of the bed.
From Hearth to Hospital — How Medicine Moved Out of the Home
Within a single generation, the doctor stopped coming to your house. He started waiting for you in his. Here's what we gained, and what we quietly lost.
The Doctor — Why an 1891 Painting Hangs in My Exam Room
A Victorian painting, a Christmas morning in 1877, and the older idea of medicine that direct care is trying to recover.
As Acute Care Moves Home, Who Owns the Next 30 Days?
A hospital-at-home program in Portland just shared five years of hard-won lessons. The takeaway isn't about hospital-at-home — it's about the thirty days that come after, the ones nobody owns. Here's why that gap is what B2 Direct Care was built for.
What the Lowercase 'p' Means
I've started writing it differently: DpC. Small 'p.' On purpose. Here's what that means — and what I'm trying to rebuild.