Late last year I decided to tackle a topic I had been putting off for quite some time – having the dreaded end-of-life conversation with my family. No, I am not ill (thankfully), nor are my loved ones currently going through a difficult situation. However, I think it’s important to have these discussions while my family and I are in good health, without the added...Read more
Many of you may be wondering what will happen with federal legislation to either repeal or replace the Affordable Care Act. And we’re equally curious when it will happen. Many people have told me, “Surely, by the fall we will have some legislative fix around repeal or replace.” I don’t think that’s very likely. In fact, I don’t think it’s even very likely to happen...Read more
A young man, transported from 20th century Connecticut to King Arthur’s court, finds himself in a pickle, and tied to a stake for performing acts of sorcery. He happened to have an almanac with him and knew that a solar eclipse was about to occur. He warns the king that he will make the sun disappear, and on cue, the sky darkens and the sun...Read more
Summertime in the Pacific Northwest is a great time to catch a glimpse of salmon making the life and death journey swimming upstream back to the place of their birth.
We often talk about working “upstream” with patients with kidney failure and how critically important, yet difficult, this work can be. One out of seven Americans (30 million!) has chronic kidney disease (CKD), often referred to...Read more