Skip to main content


If you have a conversation with Chat GPT about how you can get involved in your own health, the resulting feedback does not come as a surprise. At least half of the bullet points involve personal agency in your own health. Even the machine gets it.

"Me: What can patients do to assist PCPs to improve their own health?


Patients play a crucial role in their own healthcare, and there are several actions they can take to assist primary care physicians (PCPs) in improving their health. Here are some suggestions:

Open and Honest Communication:

Clearly communicate your symptoms, concerns, and any changes in your health.

Share information about your lifestyle, habits, and any challenges you face in managing your health.

Active Participation:

Actively participate in discussions about your treatment plan and be engaged in decision-making.

Ask questions and seek clarification on any aspects of your health that you don't fully understand.

Adherence to Treatment Plans:

Follow your PCP's advice and adhere to prescribed medications and treatment plans.

Report any side effects or difficulties you experience with medications.

Health Monitoring:

Keep track of your health metrics, such as blood pressure, blood sugar levels, or weight, as advised by your PCP.

Report any notable changes or trends to your healthcare provider.

Preventive Measures:

Work with your PCP to establish and follow a preventive care plan.

Attend regular check-ups, screenings, and vaccinations as recommended.

Lifestyle Modifications:

Make healthy lifestyle choices, including a balanced diet, regular exercise, and sufficient sleep.

Address factors such as smoking, excessive alcohol consumption, or other habits that may negatively impact your health.


Take the initiative to educate yourself about your health conditions and treatment options.

Stay informed about any medications you are taking and their potential side effects.

Communication Between Appointments:

Reach out to your PCP if you experience new symptoms or have concerns between scheduled appointments.

Keep your PCP informed about changes in your health status.

Mental Health Awareness:

Be proactive in addressing mental health concerns and communicate openly with your PCP about any emotional or psychological challenges you may be facing.

Respect Appointments and Follow-Up:

Attend scheduled appointments and follow-up visits as recommended by your PCP.

If you are unable to keep an appointment, inform the clinic in advance and reschedule as necessary.

Patient Portals:

Utilize patient portals and online resources provided by healthcare providers to access information, test results, and communicate with your PCP.

Health Records:

Keep a record of your medical history, including past surgeries, medications, and allergies, and share this information with your PCP.

By actively engaging in their own healthcare and collaborating with their PCPs, patients can contribute to better health outcomes and improve the effectiveness of the healthcare partnership. Open communication, shared decision-making, and a commitment to a healthy lifestyle are key components of a successful patient-physician relationship."

Nothing here is controversial or surprising. 


Popular posts from this blog


Lately I have started paying more attention to the work of Michael Easter. He is not a stranger to many of you, as he's authored books such as The Comfort Crisis and Scarcity Brain . Among the insights of his that most stick with me are these: First, the tribes he lived with in Bolivia, and their diet — and lack of chronic illness. Secondly, that we are filling ourselves with the plenty that is characteristic of this and the latter centuries — and we are dying for it. It's the issue of plenty I'm rambling on about here. HOW MUCH IS ENOUGH? My Aunt Pauline wrote her memoirs, entitled " Lolly-Gaggin' All the Way " back in the 1970s, about growing up in a tiny rural Tennessee town. What comes away as most striking to me in this little book is the absence of pictures . The reader must depend on that wonderful human attribute of imagination . With that human feature comes individualization, as no two readers will imagine with the same perspective nor imagery. Whe

ASCVD: My Personal Case

Atherosclerotic Cardiovascular Disease. A mouthful. The following is from a journal entry - Sunday, December 26, 2021. Email this morning from Peter Attia. Opened and clicked a generic “Nutrition” link. One article was entitled “Ketogenic Diets: Not For Everyone?” and started reading. As suspected. In many people the lipids blow up. So I did more homework. Searched Promethease and discovered the culprit in my SNPs. Note the images (markup mine): From Peter Attia, M.D.: So this is the major concern. ApoB is atherogenic; the tiny particle can lodge in the artery, trigger an immune response, and incite inflammation and macrophage activity, resulting in plaque. This is apparently why I did not have a clean calcium score. From Peter Attia, M.D.: Note the subject circled: Male, 52 years. Close to me in age. What’s up with TG on low fat? My guess is other variables. From my genetic data, parsed with Promethease: The culprit: rs693(T:T) single nucleotide polymorphism. Key is that it increases


The most recent episode of the Huberman Labs podcast puts this into laser focus. The guest is David Goggins.  The central takeaway is that there is nothing but the doing . Nothing else matters. As David said, there will come a day when his body say, "No more running." Until then, there is only running. The post title comes from Star Wars. Yoda tells young Luke, "Do or do not. There is no try." Fear of failure is not uncommon. I believe it is connected with expectations, be it ours, or those of others. We expect that we should achieve and succeed, and that means we have a goal and we are determined to perfect it — often right out of the gate. We leave no room for doing without expectations. There is no time for deliberation. There is only do, or not do. EXPOSURE THERAPY In time we adapt. This is one of the best things about the human condition. Our bodies work hard to adjust and get used to things. But they also thrive on challenge. PUSH Without challenge, there is t