04/13/2026
I can’t lie, the practice of medicine is equal parts magical and maddening. The small town doc used to understand that his/her battle was not simply against disease. It was also against a patient’s stubbornness and sometimes against a person likely named “MeeMaw” and her “medical advice” that would always trump yours, no matter how high the stack of medical studies that say different may be. *And Lord be with you, if you ever contradict ANYTHING regarding how one handles pregnancy or how to raise a child. You’ll get ran out of town with pitchforks if you contradict a MeeMaw on these topics!
Now, we have a new enemy. The information age, with all it’s wonder, brings a wealth of misinformation and shiny confabulation that now stand in between a doctor and helping a patient. Some of this is driven by our new false sense of the “truth” always being told on the internet and some of it is money driven. Hard times bring hard decisions. And a free internet self-diagnosis is much cheaper than seeing ole Dr. Kirk, I get that. All I can do is simply remind y’all that internet revenue is generated by clicks, likes, shares and interaction. Think: boring, non-exciting information doesn’t do this well. So, if you type in “four legs, gallops and eats hay” isn’t it more exciting to tell you it’s a zebra instead of a boring ole horse? Keep that in mind.
I digress and simply share a lesson from my late father, Dr. Lu. He told me once that the practice of medicine is a game of numbers. You have you, the doctor, against the disease. Whether it be diabetes, obesity, smoking, heart disease, whatever. But this isn’t a one-on-one fight. There’s also the patient. If you and the patient make a diagnosis, a plan and embark on a treatment, intervention or life style change, that's TWO against one (The doctor teamed with the patient against the disease!). Numbers are in our favor. We’re gonna win! …but if the patient sides with the disease…”no, I don’t want to quit smoking” “No, I don’t want to find time to exercise.” “No, I want to keep putting butter on my mayonnaise” THAT is 2-against-1 the other way. Patient teams with the disease and is gonna win against the doctor. Daddy said our game is: 1) work to get the patient on your team and 2) lead that horse to water. The Great Physician takes it from there. Lord, guide me in this mission. And say “hey” to Daddy for me.
Friends, us physicians took an oath to do no harm. Can the internet folks say the same?
(by the way, my internet ads are all “what to feed a zebra” now.)
Yours in Health and Christ,
Dr. Kirk