ArnuMed Primary Care in Warren, PA

04/09/2026

We give allergy shots.
Call 814-757-6505 to maintain your injection schedule.

Send a message to learn more

04/06/2026

We are now accepting AmeriHealth Caritas.
Call 814-757-6505
to schedule an appointment.

03/28/2026

We were asked to seek yet another PCA for Mr B, as one person on the current team will soon be moving onto a full time position (congratulations!!!) within the medical care industry.

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Rate of pay can be discussed with family.

Most of the details from before still applies:

Mr B had become in early 2026, hence no longer able to live independently. Mr B is in his early 80's. He's a very lively person who has a positive outlook on life, has a great sense of humor, and fun to be around. He has had an above the leg amputation, and is wheelchair bound. Normally he would push himself around but that became more difficult when he lost his sight.

You're free to do whatever most of the time. Sounds a lot like a babysitting job? Yah, it's a lot like that, except he won't accidentally ingest a can of spray paint or do eat a tablet of poison that looks like candy.

If there is ANY medical concern at all (better safe than sorry.)... contact his P*P (Dr Le) immediately. If it's something more than needing gentle reassurance, Dr Le will decide whether to send him to the ER directly; or whether it can wait. This exact scenario actually happened recently... which wouldn't have been possible without a team of dedicated PCAs and a caring, compassionate home health care nurses.

Basic responsibilities:
-Helping TB get out of bed; make bed for him
-Handing TB his clothes, which he is able to self dressed
-Get prepared food out of fridge and microwave it, and put in front of TB; he can self feed
-Put plates and utensils away after TB is done eating
-Helping TB get into bed and a blanket on him

We need someone responsible and trustworthy. If you abruptly call out, there would be a hustle to find a substitute, and if unable to, he would be stuck in bed all day.

-ArnuMed team

03/27/2026

Dr. Le will be out of the office on Monday, March 30 and will return on Tuesday the 31st.
There are openings Wednesday, Thursday, and Friday, give us a call at 814-757-6505 to schedule.

03/23/2026

This is very beautifully written. Being a huge dork, I was thinking the whole time, “Osteoporosis, she had osteoporosis*.” 🤣😂😅

*Medical fact: The femur and pelvis are such strong bones, they should never break from regular, everyday injuries (example: falling at standing height). If they break, by definition, it’s osteoporosis.

-Dr Le

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“A broken femur that has healed is evidence that someone has taken time to stay with the one who fell, has bound up the wound, has carried the person to safety and has tended the person through recovery. Helping someone else through difficulty is where civilization starts, Mead said.

Being at our best is a pursuit, not a destination. At least that is my opinion. There are limits to what any one person can do, and no one should be criticized for failing to meet the expectations of any other person. Judge not! I know there is always something (or something more) that I could be doing in pursuit of being at my best.

It is a frenzied world these days, and we are often not at our best; “We are at our best when we serve others”. It is a quote from Margaret Mead.”

“Years ago, anthropologist Margaret Mead was asked by a student what she considered to be the first sign of civilization in a culture. The student expected Mead to talk about fishhooks or clay pots or grinding stones. But no. Mead said that the first sign of civilization in an ancient culture was ...

03/22/2026

Development in Care Coordination

"To whom it may concern,

You are receiving this letter because I am either your primary care physician or the physician caring for someone close to you.

It is an honor and privilege to be entrusted with your care. From our very first visit, I make it a priority to thoroughly review your medical history, medications, and prior records to ensure that no important detail is overlooked. My approach has always been thoughtful and individualized.

In order to provide safe, high-quality care, it is essential that I have access to complete and timely medical information. As of January 2026, I no longer receive copies of labs, imaging, or procedures performed at WGH unless I personally ordered them. This is in addition to prior limitations, including not routinely receiving ER reports, consult notes, or hospital discharge summaries. This change significantly impacts my ability to stay fully informed about your care.

If you have any questions, concerns, or barriers to the plan detailed on the back of this letter... ... "

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Considering Dr Horner can directly access WGH EMR system, that means the recent decision afflicts me the most. I say "me" but it’s ultimately my patients who suffers. That’s awful. People arent pawns.

-Dr Le

03/21/2026

As a non-local physician who is not hospital-employed the following are what I’ve observed

-staff are very afraid to speak for fear of retaliation
-general lack of collaboration between hospital and P*Ps
-some general lack of clinical savoir faire, & lack of insight of this
—> not seeking out supervision when needed,
—> not escalating patient’s level of care when warranted
-little to no effort in ensuring continuity of care
-lack of collegiality among hospital vs private, and even among different private practices

I do not believe it’s discrimination… it would be the same had it been anyone else.

I do not believe it’s specific to PA, and more likely what rural medicine is like anywhere.

Unless we’re brimming with quality healthcare, I am quite baffled at why there isn’t more collegiality within the medical community.

The physician community is a very close-knit (and to be quite honest, rather exclusive) group. In an age where social network has brought us only ever a FB message away, any physician who went to high school, college, med school, or residency with me, or even their close friend or spouse, would certainly reach out for my opinion, as I had before I interviewed here. To those who have asked, “Why does no doctor ever come here?” An affront to one physician is an affront to all.

I am a glutton for punishment and want to stick around. I’ve come to consider Warren “home” and its problems has every bit become mine. If it appears that I work from dawn to dusk, it’s because I do. I’ll make Warren county a safer and healthier place even if I have to do it alone, though it would be more effective with help from the community.

-Dr Le

03/21/2026

Impulse vs Tact

In my head, the content of my email to Mr CEO came off sounding more like,

“… … Over a phone conversation, one of your staff had advised that my patients - at every single visit with WGH providers and with any labs, imaging, or procedure performed at WGH not ordered by me - specify that it be faxed to me. This isn't a solution, it’s a punishment. By virtue of being an internist, my patient load has a higher burden of older and/or sicker patients. This is an absurd onus to place on patients who already have so much to worry about. It also conveys the very unAmerican message that they are not free to choose who they want as a provider … …”

But the final version? Well, you can see for yourself

03/20/2026

Feeling Guarded About Cologuard

If the idea of an inferior alternative makes you uneasy, it should. Cologuard is inferior to a colonoscopy IN EVERY WAY and is not meant to be a replacement. Rather, it's a last resort when the alternative would be no screening at all.

Especially in rural areas, it's not uncommon to hear someone say, "I rather die than have a camera up my..." (henceforth referred to as a "never-ever patient"). THIS should be the ONLY scenario in which a physician orders a cologuard. Statistically, among those who gets a positive Cologuard result, 92% of patients will proceed to get a colonoscopy. The 8% are true die-hard never-ever’s.

Caveat:
-Someone with parents or siblings with colon cancer are NOT candidate for Cologuard. Not that it's not allowed; it's that it's much more prone to give false reassurance (ie false negative).

Unless the chance of a patient agreeing to a colonoscopy is 0%, I do not even mention cologuard. Some physicians will employ the "foot in the door" approach for never-ever patients and order a cologuard. A positive result may motivate a patient to get a colonoscopy that ends up saving his/her life.

If someone got a cologuard without being told of the option for a colonoscopy, that’s like a car saleman selling an “OK” car, and never revealing there is a much nicer car that is more than worth the price difference.

Know that there are options. Know that colonoscopy is the far better choice. Only then would you be making an *informed* decision. Know that you have autonomy and I (and any physician) will respect your choice.

-Dr Le

03/19/2026

It’s A Feature, Not A Glitch 🤦🏻‍♂️🤦🏻‍♂️🤦🏻‍♂️

A community hospital’s decision has widespread implications. Admittedly these decisions are complex and have to weigh many pros and cons. However, first and foremost, how it affects patients should be a key determining factor. Recently an impactful decision was made, with consequences that is still playing out in real-time.

The current saga began when I inadvertently learned that a lab result that should (and used to) get to me, didnt. Thinking it was a glitch, I notified the appropriate people. I was told it’s not a glitch; the default setting was deliberately reprogrammed to stop CC’ing results to P*P. As I understood it, most providers among WMG were overwhelmed by results for which they didnt order.

As someone’s P*P, it’s the labs I didnt order that I am most concerned about, as I otherwise wouldn’t know about them (it’s called courtesy copy because it’s… well, courteous). ANY labs/imaging/procedures on my patients, I want and need to know. It comes with the territory of being someone’s P*P. It’s not a burden nor a nuisance; it’s an honor and privilege.

Since I opened my practice, it pained me whenever I would come across instances of unacceptably poor care. I kept meticulous documentations of these, if for no other reason than to learn from others’ mistake. I was and still am hesitant to report any of these. If some disciplinary actions were taken, ultimately the community would be left with less clinician(s). The solution to ill-advised decisions is never more ill-advised decisions.

The main point is bad preventable, things have already happened, often from fragmented health awareness (eg giving blood thinners, on top of TWO other home med blood thinners; patient bled out 2/3 of baseline blood volume). Hence, I am at a loss as to how inactivating courtesy copies to P*Ps would benefit patient care. If someone can give a compelling reason, I would love to hear it.

-Dr Le

03/18/2026

Diagnosis by Deduction

Picture is posted with permission.

Mild deformity of left ankle, dry skin of the feet, stunted growth for a 4 yrs old, and eczemal lesions of the legs… likely symptoms of Vitamin D deficiency, not uncommon in 3rd world countries. This child lived in the Philippines at the time.

It appears the child had be up to mischief as the picture was taken while he was put in a time out.

-Dr Le

03/18/2026

I’m Done Hiding

My ambition to serve the Warren community both literally and metaphorically took a village.

I am so grateful for the outpouring of help I received. I otherwise would have not been able to transform a vision into a reality.

-Dr Le