I was feeling anorexic and chilled as I sat with my wife at a local diner. The right lower quadrant pain that had been worsening over the past 3 days could no longer be ignored. “I have acute appendicitis,” I told my wife. “I need to go to the radi
Patients often bemoan about having to live with the daily disturbances and challenges required of diabetes self-management. Counting carbs, taking medications with names longer than Greek Gods none of which are covered by insurance, having to monitor bloo
Making a self-diagnosis of acute appendicitis is unpretentious especially when the patient is a family physician with over 30 years of clinical experience -right lower quadrant pain, increasing in intensity over a three day period associated with anorexia
Sleep is an integral part of life. All animal require sleep, foot, water and oxygen in order to survive. For most of us, 7-9 hours of uninterrupted sleep is necessary to maintain our health. Interestingly, sleep deprivation for 11 days is unsustainable an
Yes, my wife, Lisa thinks I am crazy and she may have a valid point. Nevertheless, the importance of my decision to write the 3rd edition of my medical textbook Diabetes Management in Primary Care was based on providing better care for my own patients. Re
The 2001 IOM report, Crossing the Quality Chasm: A New Health System for the 21st Century, identified six fundamental aims for healthcare — that it be safe, effective, patient-centered, efficient, equitable, and timely. Of these, “timeliness is
National Ambulatory Medical Care Surveys (NAMCS) persistently indicate that problems diagnosed as “mental and behavior disorders” account for at least 20% of visits in primary care practice. One of the most difficult tasks for primary care physicians
Welcome to Unger Primary Care concierge medical services. Our practice offers comprehensive, customized care for patients with chronic illnesses such as diabetes, high cholesterol, sleep disorders, chronic pain, migraine, depression, and addiction.