Dr. Phil Boucher

Dr. Phil Boucher If you're like most of my readers, you’re a parent or parent-to-be looking for straight-forward advice to do the best you can for your kids and family.

And that's exactly what I'm here for!

06/02/2026

Blood under the nail (subungal hematoma) is really painful because of the pressure...

A few years ago I came home from being on call and seeing baby in hopsital and was trying to quietly shut my car door to avoid waking up kids...slammed my finger in the car. The throbbing pain was so bad from the pressure under the nail I could hardly sleep so now I keep one of these at home.

The high temp fine tip cautery goes straight through the nail without any pain (this brave boy said he was just upset about seeing blood) and instantly relieves the pressure.

Not an emergency...can be handled in the morning usually or within a day or two. Adding financial insult to injury, going to a regular office for this is a 99213 + subungal hematoma evacuation and will easily run you north of $300...we do it as part of our direct primary care membership at no charge!

The words healthcare professionals use at those moments parents will always remember matter so much.
06/01/2026

The words healthcare professionals use at those moments parents will always remember matter so much.

06/01/2026

Been nerding out on all the new t1d science lately...SO MUCH has changed since I last learned about it. In the past, we were essentially told that they come into the clinic or the ER and they are drinking a lot, peeing a lot, losing weight, and sick, and that's the only way to diagnose...

Now we have really helpful screening antibodies that can give us a heads up years before the blood sugar changes of stage 3 t1d.

If you want to learn more about the science I put together a 30ish minute deep dive on everything from the 3 different stages of t1d (the third stage is when nearly kids are diagnosed when their blood sugar is super high and driving symptoms). Comment T1D and i'll send you the video!

05/31/2026

QUIT GETTING ALL THOSE NOTIFICATIONS!

dear parents, your notifications are keeping you from your most importants...get notified less and I promise you won't miss a thing.

i've got a whole 5 day series on screens going on right now, comment SCREENTIME and i'll dm you the link to catch the whole free series.

These are what’s working for us (2 adults and 6 kids ages 4-16) and apologies - ended up with 8, not 7, in no particular...
05/27/2026

These are what’s working for us (2 adults and 6 kids ages 4-16) and apologies - ended up with 8, not 7, in no particular order.

What questions do you have? What topics did I miss?

05/25/2026

Screentime Series! Day 1 - Mealtimes. This is low-hanging fruit meaning it's easy to reach AND makes a huge difference for you, your partner, and your family. YOU CAN IMPLEMENT THIS ONE THIS WEEK!!

Comment SCREENTIME and I'll send you a link to my newest post on substack all about screentime strategies that actually work for busy families (without making you feel guilty or overwhelmed)

05/22/2026

All this is intentionally designed to keep you anxious and scrolling.

05/22/2026

This is the kind of thing that doesn't feel like medicine until you do it consistently and suddenly realize your kid is falling asleep easier, melting down less, and waking up in a better mood.

I know that sounds too simple. But here's the thing — morning sunlight is one of the most powerful tools we have for anchoring a child's sleep cycle AND calming their nervous system. And most families aren't doing it.

Morning light sets & advances your child's circadian clock — meaning they fall asleep faster and sleep deeper at night. It also drives serotonin production, which directly lowers anxiety and improves mood.

This isn't a supplement. It's not a prescription. It's a time outside before 9am. Yep, it works. Yep, might feel like a hassle at times.

But someone has to be the parent who says "We're doing this."

Not because it's easy to add one more thing to the morning. But because you've seen what a bad night of sleep does to your kid's day. And you've seen what anxiety does to their world.

Be that parent. Step outside with them tomorrow morning.

☀️ The research, if you want to dig in then get outside:
PMC11596991
PMC7029701
PMC12912433
PMC36527162

05/21/2026

Medications and therapy can be life-changing for anxious kids. But most parents feel like something's still missing or more they could do to help their child. 🤔

Sleep, nutrition, screens, movement...these things matter A LOT for anxiety. Most kids just never get an integrated plan that addresses all of them.

That's what our Anxiety Tune-Up Clinic is for: one-time tune up visit, in-network with insurance, no referral needed.

We go deep on:
😴 Sleep & nervous system reset
🥦 Targeted nutrition
🏃 Movement & regulation
😌 Emotional regulation
😟 Worry & avoidance patterns
👨‍👩‍👧 Parenting the anxious child
🏠 Home environment & routines

You leave with a real plan tailored to your child & family, not generic advice.
Comment TUNE UP to learn more. No referral needed *AND NOW* in network with insurance.

05/20/2026

Did you know we take your insurance?? Somehow a lot of parents mistakenly think their insurance is unneccessary in direct primary care...but we DO use your insurance!!

Your insurance premiums go towards your vaccines, lab, radiology, specialists...but instead in our model you don't have to worry about copays, deductibles, or any extra or unexpected charges. You get unlimited visits, texts, video calls, emails...whatever you need without any fees so you can reach out whenever you need!

Comment FRONTIER to learn more!

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Lincoln, NE

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