a different way of health care

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storm!

Update 20210127@19:04: Power was restored late this afternoon. We had a great opportunity to test our emergency preparedness. Of course, it set me back another day on getting other work done, but such is life. -*”*-.,,.-*”*-.,,.-*”*-.,,.-*”*-.,,.-*”*-.,,.-*”*-.,,.-*”*- I hope you all… Continue Reading →

Oasis news 25April2021

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• 25April2021 After nearly a year of dealing with strange telephone problems, we finally have a completely new phone system which should fix everything. Please let me know via text message if you experience any disconnect messages or calls where… Continue Reading →

telemedicine changes

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We’re making some changes to the way we do telemedicine. We’ve been having increasing problems with the Signal app, but Jitsi Meet is working very well, so I would like to prefer Jitsi Meet. What does this mean for you?… Continue Reading →

IT week

UPDATE 24October2020: Added “after” picture at the end. Any of you who tried to make an appointment this week (19-23 Oct 2020) might have heard that I’m out of the office and not able to take appointments, even telemedicine. He’s taking… Continue Reading →

another glimmer of COVID hope

I remain skeptical of the chances for a vaccine against SARS-CoV-2 this year. I was skeptical when we would “have a vaccine by September” and little has happened to change that. The New England Journal of Medicine has been publishing… Continue Reading →

not yet!

I was really hoping that efforts to open up the economy would succeed. Of course, it was a certainty that COVID-19 cases would rise. The only question was “by how much?” The answer was… bad. Governments are wisely shutting things… Continue Reading →

a decade at the Oasis

Ten years ago today (May 24, 2010), we registered incorporation papers for Sacramento Medical Oasis, Inc. We had started planning in the depths of the Great Recession of 2008. They county mental health system was contemplating cutting off services to thousands… Continue Reading →

types of COVID-19 test

Update 27May2020: the CDC has issued new guidelines for the use of antibody tests. It begins with the admonition that “Data that will inform serologic testing guidance is rapidly evolving” There are now a number of different kinds of tests… Continue Reading →

zoonoses: thoughts about COVID-19

I find myself repeating some background on COVID-19 to a lot of patients; some very basic information seems to not have made it to popular media. I’ll add my 2¢: it’s not “zoo noses” COVID-19 is what is called a… Continue Reading →

electronic prescribing

I have moved almost completely to telemedicine. I only see patients in person when there are no alternatives, such as when they absolutely need a physical examination or a procedure or injection. Otherwise I stay at home as we all… Continue Reading →

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