GE Moore MD's blog

One day while I was rounding in the hospital, a physician described her patient as having “the dwindles”. That wasn’t a medical term I’d encountered, nor have I heard others use it since, but I adopted the notion. In pediatrics, failure to thrive describes children who are not developing adequately. In adults, we don't compare growth and functioning from one visit to the next, failure to thrive is often missed until the patient has become frail.

As senior editor, I'm proud to announce that the American College of Sports Medicine has published the fourth edition of ACSM’s Exercise Management for Persons With Chronic Diseases and Disabilities. Informally known to my fellow editors and contributors as CDD4, this edition is a substantial revision that forges the role of exercise in tomorrow’s health care systems.

The Dark Matter of Population Health

Empathy (noun) — the ability to understand and share the feelings of another; derived from the Greek pathos, or feeling.

Recently, the Department of Health and Human Services (HHS) issued the 2015-2020 Dietary Guidelines, almost a year after the Advisory Committee submitted its recommendations. These Guidelines are a big step forward, although not as big as many food advocates had hoped for.

The New England Journal of Medicine recently ran a Pro -vs- Con op-ed debate on the merits of well-patient visits in primary care. Like other such discussions, wellness visits were conflated with physical exams, the operative words are wellness and physical exam, not annual. Wellness visits and physicals are 2 completely different things, different processes, different goals, and thus it is unreasonable (if not a completely misguided use of the research literature) to address them as one entity.

Annual Wellness Visits

Somewhere between the age of 3 and 4 years old, while playing on the swingset next to the gravel driveway at my grandparent’s house, I heard my Grandfather say:

 “There’s more than one way to skin a cat”.

He explained the metaphor, it is playground wisdom still guiding me.

Today I went to the calling hours for a family friend, who was a physician to my family as well as to me when I was an adolescent, and who was also a fellow sailor with whom we all spent many happy days. Dr. Frederick Harrison Grabo was 87.

According to Adam Smith, people make choices that serve their enlightened self-interest. Truthfully, people also make a lot choices that are unenlightened, but that’s a problem for another blog! Today, let’s examine the question of why an enlightened primary care physician (PCP) would choose to do wellness visits.

Well, like other businesses, PCPs need to do things that make more money…and wellness visits are the easiest path to making more money. How could that be - don’t doctors get paid for managing disease-care?

 In 1993, an intrepid group of exercise physiologists, physical therapists and one physician (me) drafted the first edition of a textbook called Exercise Management of Persons with Chronic Diseases and Disabilities (CDD). Working on behalf of the American College of Sports Medicine, we sought to fill a void of exercise guidelines for patients with chronic conditions beyond the “Big Five” (heart disease, high blood pressure, high cholesterol, arthritis and diabetes). Through 3 editions with a 4th now in press, CDD addresses nearly 50 chronic conditions.