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.

Brian Bost, MD, MPH 6/3/26 Brian Bost, MD, MPH 6/3/26

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.

Brian Bost, MD, MPH 4/29/26 Brian Bost, MD, MPH 4/29/26

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.