Opinion: We love primary care. Why are our trainees so discouraged by it?
We have been primary care physicians for a combined total of 98 years. Every day we are reminded why we do it and why we love this type of medicine.
Here are three examples from a single day in one of our practices that show how a trusting relationship built over time has been vital to providing good care. One patient was a young woman whose recurring sinus infections and refractory asthma were treated with single-contact visits with specialists for years. None of them identified the underlying immunological disease that was causing her problems. But by observing her clinical course over time, her primary care physician realized she needed to be seen by a specialist in vasculitis. She also needed ongoing rapid access to a doctor who knows her complicated history when new issues arise and can coordinate specialists so nothing falls between the cracks.
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