Llano Estacado Road – By Leaflet – Own work, CC BY-SA 3.0, https://commons.wikimedia.org/w/index.php?curid=8879682


I am a recently graduated family doctor(according to the American Academy of Family Physicians that includes any time in the last 7 years).  I was born in the Northern Great Plains on the front end of the Millennial Generation.  I left my home state to go to college, then took a couple of years to pad my resume for medical school, lived abroad for a year, then came back to the edge of flyover country for medical school, then followed residency – where I became a true believer in rural primary care and the value of continuity of care and relationship in health outcomes.

“I was born upon the prairie, where the wind blew free and there was nothing to break the light of the sun. I was born where there are no enclosures and where everything drew a free breath. I want to die there and not within walls. ”  -Ten Bears, Comanche

How I Got Here:

My first 18 months of “real practice” were a disappointment to say the least, punctuated by a great personal loss and a drill sargeantesque emotional tone-deafness on the part of my partners.  My wife and I, reeling from grief and myself completely disillusioned with the business of medicine and the culture of physicians, fled.  A strategic retreat I called it (I try to conjure Chief Joseph’s flight of the Nez Perce). I now help cover Critical Access Hospitals and emergency departments(with some clinic thrown in) for contiguous blocks of time around the High Plains.  It isn’t perfect, but shift work provides a bulwark against the toxic attitude modern healthcare often has towards its healers.


I am taking some time to grieve and re-evaluate life.

As you can see, I have some things to work out.  Hopefully, this blog will help.  Reading the blogs of other physicians struggling with reality of the American Hospital-Pharmaceutical Complex has helped me feel less alone.  If my story helps anyone else, at least another good can come from my experience.