Sunday Reads: bulletproof coffee, vaccines and burrata.

I am on call this weekend, trying my darndest to manage disease.  This is different than preventing disease and the gap between the two is an infuriating part of my job.  My province, Ontario, is making inroads by attempting to put the social determinants of health - income, housing, violence, gender - in the job descriptions of family doctors (holla!) but we have a way to go. 

The first two this Sunday are on vaccines and primary care reform.  Before you yawn, take a gander and these views might peak your curiosity. 

Doctors need to use the internet as a vaccine battleground

If we are to advance vaccination, physicians must leave the safety of the exam room and meet patients where their opinions are being created. Start a blog, tweet an opinion grounded in science, or engage patients online; by having a stronger voice in social media, doctors have the opportunity to be more influential in shaping opinions before our patients have become “hesitant.” It is time to go on the offensive, and is the only way we will win the game.
— John Merrill-Steskal is a family physician who blogs at Triple Espresso MD.
Hippocrates said, “It is more important to know what sort of person has a disease than to know what sort of disease a person has.” Primary care physicians excel at knowing their patients. Continuity of care and long-standing treatment of families within the larger context of the community is our raison d’etre. Numerous studies have confirmed accessible, comprehensive, and integrated primary care is associated with better clinical outcomes and lower costs. Track how long our patients have been with us as yet another reimbursable measure.

The significance of enduring patient relationships at small practices cannot be overemphasized; our practice has had more than 3 dozen families for 46 years, which is older than one of the physicians (me) at my two-physician practice. The commonwealth fund in 2014 found an inverse relationship between practice size and preventable hospital admission rates, precisely because we know our patients better.
— Niran S. Al-Agba is a pediatrician who blogs at MommyDoc.
i put cardamom in it because cardamom and coffee are like potato chips and ketchup. potato chips (and coffee) are great on their own but adding ketchup (or cardamom) takes things over the top, am i right?? and it’s dressed in an outfit of coffee buttercream, aka bulletproof frosting. (it’s really just coffee and butter and sugar but bulletproof sounds really cool (to get actually bulletproof-y, make sure you use grassfed butter (well, you should do that anyway since it tastes good))). so go on, get buzzed on caffeine and have your cake too!
— Molly Yeh, My Name is Yeh

How to fix a frozen pizza

Whenever I order a slice of pizza at a chain restaurant, I doctor it.  I was happy to see I am not the only one. 

This is a very exciting recipe that requires burrata and lentils from Smitten Kitchen. 

Naturally, today is a day of remembering.  Take a second to be grateful for your life today.