People with diabetes and obesity (BMI>35) who get bariatric surgery have less strokes and heart attacks. Diet and exercise is important, but weight loss surgery works. Really well. #diabetes

Looking forward to more organizations following American College of Physicians guidelines on diabetes. A1c target of 7-8% most appropriate. Lower than this causing more harm than good for patients and unnecessary workload doctors. #diabetes

#ThrowbackThursday to 1963, when #measles caused around 2.6 million deaths each year. Measles deaths have since plummeted 📉 by over 95%. Yes, #VaccinesWork

Reading our favorite book about Jane Goodall ! @JaneGoodallCAN

Happy Birthday, stethoscope!!

When Pancit magically appears on my desk in the morning, I KNOW it’s gonna be a good day. I ❤️ my staff!

Association of US Primary Care Physician Supply and Population Mortality ja.ma/2WepL4P “Greater primary care physician supply was associated with improved mortality, but...physician supply decreased between 2005 and 2015.” Primary care = population health. KP San Diego FM Residency Program

“Don’t physick your family with too much frequency. It is an unnatural thing to be constantly dosing a child with medicine.” True in 1878 and 2019 Alex McDonald, MD FAAFP CAQSM Sherwin Gallardo, MD #Physick

Primary care Medicine is complicated and often controversial. But, can we all agree that Afrin is the devil? KP San Diego FM Residency Program Alex McDonald, MD FAAFP CAQSM

Great way to incorporate evidence based decision making in practice. Use of CRB-65 to quickly screen patient with community acquired pneumonia when labs not easy to obtain.

LOVE this idea of Health-Flourishing in JAMA 5/2019 and will incorporate. Sad we don’t receive enough training when patients are not flourishing, beyond just screening. Moving away from “well-care” as we struggle with patient access hinders a deeper connection KP San Diego FM Residency Program

I hate telling patients over 65 that muscle relaxers are not ideal, but more and more research points to cutting down and eventually getting people off zanaflex, baclofen and similar. Prescription yoga,🧘‍♀️ bath bombs, massages and heating pads ! #Jama Kaiser Permanente San Diego

Rain delays allowed additional training for our Southwest Airlines pilot. Thankfully, the pilot was quick on the uptake and our daughter was a calm, knowledgeable flight instructor.

Taking some moments today to enjoy the beautiful things around me. As things are bound to be more difficult m the next week, trying to soak it all in, be present and also, a little, intentionally non-present. #selfcare #OurKP

On this cold, rainy day, my spirit is lifted seeing this FRONTLINE group of brave, SMILING staff, nurses and physicians standing outside for hours helping our patients. What an incredible team effort Kaiser Permanente San Diego #OurKP

Privilege to visit #OurKP Kaiser Permanente San Diego with @RaminDavidoff Michael Lalich, MD & witness the expertise, professionalism & caring of our PermanenteDoctors Kaiser Permanente family for our #COVID19 patients. Exceptional #quality, innovation, & interdependence leading the way.

Would love some teeth and support behind this. What a game changer this would be for all nurses, doctors and health care professionals. How do we push this?! Carolyn B. Maloney Kaiser Permanente Southern California AAFP maloney.house.gov/media-center/p…

Padres Sunday ! #HungryForMore

Padres game with our Indiana family #HungryForMore

Enjoying Erich Zann. Cute little error. “PCR Demo”