A while ago I was asked to write a column about why patients lie to their doctors. That got me to thinking about what I have learned in the past thirty-seven years since I started my career as a primary care physician, or PCP. Since I write my columns well in advance of the date they will run, this was the first chance I had to answer that question.
It is said that the best way to learn something is to actually do it, and I have learned much over the years. The keystone to good medical care is communication. Consider, if you will, a bicycle wheel. Medical communication is akin to that wheel. At the hub is the PCP. Specialists are located along the rim and tire. The spokes of the wheel represent the two-way communication between the