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Perspectives

Rural Rx

Edwin Leap, MD, examines medicine outside the cities and suburbs

Rural Rx
Physicians Shouldn't Applaud Murder

The death of the United Healthcare CEO reveals some dark thoughts

December 7, 2024
A photo of a wanted poster for the murderer of Brian Thompson.
Rural Rx
Back-to-Back Hurricanes Have Left Medical Disaster in Their Wake

Some thoughts for responders and leadership

October 11, 2024
An aerial photo of Asheville North Carolina in the aftermath of Hurricane Helene.
Rural Rx
Treating a New Species: Homo Fragilis

Our fragile patients are increasingly dependent on a crumbling healthcare system

September 17, 2024
A photo of a tired looking mature male physician at his desk with his head in his hand.
Rural Rx
'Status Credentialus': The Case Against the Misery That Is Medical Credentialing

This endless inefficiency is going to have a price sooner than anyone thinks

March 19, 2024
A photo of a male physician sitting in front of a laptop with his head on his arm.
Rural Rx
They Rarely Ask for Pain Pills Now

Reflections on medical policy, DEA permits, and the fentanyl crisis

March 5, 2024
A photo of a prescription medication bottle of opioids.
Rural Rx
A Reminder of the Value of Hospice

What it is, what it isn't

January 25, 2024
A photo of a female nurse hugging her senior female patient at they sit on her bed together.
Rural Rx
Lovely Winter, the Killer

It's miserable for the weak, the sick, and the poor

January 19, 2024
A photo of a car buried in deep snow during a blizzard in Davis, West Virginia.
Rural Rx
The ED Remains Colored by Despair

We must hold on to our few sources of hope

January 1, 2024
A photo of a nurse napping in a wheelchair in a hospital hallway.
Rural Rx
I Love Being the 'ER Dad'

And I'm thankful for all the things my "kids" do

November 24, 2023
A photo of a mature male physician standing with his arms folded in a hospital hallway.
Rural Rx
Humans Stacked Up Like So Much Cordwood

The growing need for nursing homes and psychiatric hospitals

September 29, 2023
A photo of stacked firewood.
Rural Rx
Dear New Residents, Medicine Is a Hard and Beautiful Gift

Welcome to the adventure

July 7, 2023
A photo of a group of medical residents around a patient’s bed.
Rural Rx
Face to Face With Fentanyl

A Narcan kind of weekend

June 16, 2023
A close up photo of a man holding a vial of fentanyl.
Rural Rx
Dear Colleagues: You Don't Hate People

You're just stretched really thin

June 1, 2023
A photo of a male physician with his head on his desk.
Rural Rx
Removing the COVID Blindfold

A few lessons learned as we move beyond the public health emergency

May 10, 2023
A photo of a man wearing a surgical mask over his eyes.
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