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As I reflect on my journey in medicine, I am reminded of the winding path that led me to establish a Washington medical practice. From my early days exploring the depths of the ocean to my time spent traveling the country pursuing falconry, each experience has shaped my approach to healing and patient care.

Discovering My Passion for Medicine

My journey in medicine began with a love of biology and a fascination with the natural world. As a young man, I found myself drawn to the study of marine invertebrates and the intricate ecosystems they inhabit. It was during this time that I met my wife, Erin, who shared my passion for the natural world and ultimately led me to pursue a career in medicine.

Returning to My Roots

After years spent exploring different career paths, including teaching SCUBA and working as a commercial diver, I ultimately returned to my original calling: medicine. In 1993, I graduated from Case Western Reserve University School of Medicine and embarked on a career in emergency medicine.

Embracing the Community of Coupeville

As my career progressed, I found myself drawn to the close-knit community of Coupeville, Washington. Nestled in the heart of Whidbey Island, Coupeville offered the perfect blend of natural beauty and community spirit. It was here that I chose to establish my medical practice in Coupeville, with a focus on providing compassionate and comprehensive care to patients in need.

The Essence of Healing in Coupeville

Establishing my medical practice in Coupeville has been a deeply fulfilling experience. From the moment I set foot in this vibrant community, I knew that I had found my home. The people of Coupeville are more than just patients—they are neighbors, friends, and fellow members of a close-knit community.

A Commitment to Excellence

In my practice, I am guided by a commitment to excellence in patient care. Whether treating a minor ailment or managing a complex medical condition, my primary goal for my medical practice in Coupeville is always the well-being of my patients. I believe that every individual deserves access to high-quality healthcare, and I am dedicated to ensuring that each patient receives the personalized attention and treatment they deserve.

Integrating Technology and Tradition

As medicine continues to evolve, I am committed to staying at the forefront of innovation while honoring the timeless traditions of compassionate care. From embracing cutting-edge medical technologies to incorporating holistic healing practices, I strive to provide patients with the best possible care tailored to their unique needs.

Building a Legacy of Healing

As I reflect on my Washington medical practice, I am grateful for the opportunity to serve the community of Coupeville and beyond. Each day, I am inspired by the resilience and strength of my patients, and I am honored to play a role in their healing journey. Together, we are building a legacy of compassion, integrity, and excellence in healthcare.

Honoring the Spirit of Healing

In conclusion, my medical practice in Coupeville is more than just a profession—it is a calling rooted in a deep sense of purpose and passion for healing. I am grateful for the opportunity to serve this community and to make a meaningful difference in the lives of my patients. As I continue on this journey, I am guided by the timeless values of compassion, integrity, and excellence, knowing that each day brings new opportunities to honor the spirit of healing.

As a physician with years of experience in emergency medicine, I’ve witnessed firsthand the uncertainty and fear that people feel when in pain. I wrote “Medical Wisdom: The Knowledge You Need to Navigate Life’s Medical Situations.” to supply the knowledge that can ease the fear, and relieve uncertainty. This comprehensive guide is more than just a book—it’s a roadmap to empowerment and confidence in the face of health challenges.

The Journey to Medical Wisdom

My journey in medicine began with a passion for understanding the human body and a desire to help others. Throughout my career, I’ve dedicated myself to learning and teaching practical medical concepts to patients and fellow healthcare professionals alike. It was this commitment to education and advocacy that inspired me to write “Medical Wisdom”.

Empowering Patients with Medical Wisdom

In today’s fast-paced world, access to reliable medical information is more important than ever. “Medical Wisdom” is designed to empower patients with the Medical Wisdom they need to make informed decisions about their health. Whether you’re a parent facing a child’s illness or an adult navigating your own medical problems, this book provides the essential guidance you need.

Navigating Life’s Medical Situations

From minor ailments to life-threatening emergencies, “Medical Wisdom” covers a wide range of medical topics in clear, accessible language. Each chapter is packed with practical advice and insights, helping readers understand not only the medical concepts but also the healthcare system itself. With the Medical Wisdom contained within these pages, you’ll gain the confidence to navigate any medical situation with ease.

The Value of Medical Wisdom

In today’s digital age, there’s no shortage of medical information available online. However, not all sources are reliable or trustworthy. “Medical Wisdom” cuts through the noise, providing readers with accurate, timeless information they can trust. With the Medical Wisdom gained from this book, you’ll be able to distinguish fact from fiction and make informed decisions about your health.

Bridging the Gap Between Patients and Physicians

One of the greatest challenges in healthcare is the disconnect between patients and physicians. “Medical Wisdom” aims to bridge that gap by empowering patients with the Medical Wisdom they need to engage in meaningful conversations with their healthcare providers. By understanding your own health and advocating for your needs, you can build a stronger partnership with your doctor and achieve better outcomes.

The Power of Shared Knowledge

As a firm believer in the power of shared knowledge, I’ve dedicated myself to spreading the message of “Medical Wisdom” far and wide. Through lectures, workshops, and online resources, I aim to empower individuals with the Medical Wisdom they need to take control of their health and well-being. Together, we can navigate life’s medical situations with confidence and clarity, knowing that we have the information and support we need to thrive.

Medical emergencies can occur unexpectedly, requiring quick thinking and decisive action. Whether it’s a minor injury or a life-threatening situation, knowing how to handle a medical emergency can make a significant difference in the outcome. In this blog, we explore the importance of being prepared for medical emergencies and how “Medical Wisdom” can provide valuable insights into managing such situations. Mark Borden, MD, an emergency physician with over 25 years of experience, wrote the book “Medical Wisdom.” This book offers practical advice and guidance for handling medical emergencies with confidence.

Medical Emergencies in Daily Life

In our daily lives, we may encounter various medical emergencies that require prompt attention and careful consideration. Here are common medical emergencies faced today.

1. Chest Pain: Chest pain can result from a serious problem, and require immediate medical attention, or it can be caused by many other things, that are benign, and which can be handled at home. Differentiating between serious causes of chest pain, and less serious causes can be difficult. The Medical Wisdom chapter “Chest Pain,” describes many causes of chest pain in detail, and will help a reader to decide whether the cause is serious, or more benign.
   
2. Ankle Injury: Ankle injuries are common, but it can sometimes be difficult to determine whether the ankle fractured (broken) or sprained. The Medical Wisdom chapter “Extremity Pain After Trauma,” describes in detail how to differentiate between an ankle sprain, and an ankle fracture. If you determine that a fracture is possible, you will know that a trip to the emergency department is worth your time.
   
3. Head Injury: Head injuries should of course, be taken seriously. The medical wisdom chapter “Head Injury,“ describes the various types of head injury, and will give you the knowledge that you need to decide if the injury is serious, if a trip to the emergency department is required, and, as importantly, what to expect when you get to the ER.

How to Handle a Medical Emergency

The first step in an emergency is to assess the severity and determine if immediate care is needed. “Medical Wisdom” teaches vital skills like measuring vital signs and stabilizing victims. For unsure situations, the book provides detailed chapters to help decide on further action, such as whether an X-ray is necessary or if a trip to the ER is warranted.

Insights from the book Medical Wisdom

“Medical Wisdom: The Knowledge You Need to Navigate Life’s Medical Situations,” aims to transform readers from being medically naïve to medically wise, offering practical medical concepts and insights into the medical system. With 44 chapters focusing on specific medical problems, the book equips readers with important medical concepts and the ability to navigate the medical system effectively.

Modern medical care can be complex, but “Medical Wisdom” simplifies key concepts for easy understanding. It aims to build a solid foundation of medical knowledge, empowering readers to make informed decisions in medical situations.

The book also addresses the unique challenges of pediatric care, providing valuable insights for parents. It discusses how to differentiate between bacterial and viral infections, helping parents make informed decisions about seeking medical care for their children and potentially avoiding unnecessary trips to the emergency room.

Buy “Medical Wisdom” Online

Buy the book Medical Wisdom online to gain valuable insights into handling medical emergencies and enhancing your medical knowledge. Visit our website to order your copy today. With its practical advice and expert guidance, “Medical Wisdom” is a must-have resource for anyone looking to be prepared for medical emergencies in daily life.

The book is also available via Amazon, and most other online sources.

In the realm of healthcare, knowledge is power. Understanding medical concepts and navigating the complexities of the medical system can be daunting, especially for those who are medically naïve. However, with the right resources and guidance, anyone can become medically wise. Medical Wisdom the book by Mark Borden, MD, is a transformative book that aims to do just that.

Empowering Transformation from Medical Naïveté to Wisdom

“Medical Wisdom” is designed to transform individuals from being medically naïve to medically wise. With 44 chapters, each focusing on a particular medical problem, readers gain a comprehensive understanding of various health issues. From common ailments to complex conditions, this book covers it all.

Understanding the Medical System

A key feature of “Medical Wisdom” is its focus on understanding the medical system. Readers not only learn important medical concepts but also gain insights into how the medical system works. This knowledge empowers individuals to take control of their health and make informed decisions.

Empowering Control Over Health

After reading “Medical Wisdom,” readers have more control over their health and the health of their loved ones. Armed with knowledge and understanding, individuals can confidently navigate life’s medical situations and advocate for their health needs. This book empowers readers to be proactive about their health and well-being.

Insights from an Experienced Emergency Physician

Written by Mark Borden, MD, an Emergency Physician with 25 years of experience, “Medical Wisdom” offers practical and insightful advice. As a Clinical Professor, Dr. Borden has honed his skills in teaching medical concepts. Through his experiences, he has learned the importance of imparting medical knowledge to patients.

A Personal and Compelling Journey

“Medical Wisdom” delves into Dr. Borden’s personal and compelling life experiences that have driven him to share his knowledge. His insights and “closely guarded medical secrets” provide readers with a unique perspective on healthcare and the importance of being informed.

Buy “Medical Wisdom” Today and Take Control of Your Health

To embark on your journey to becoming medically wise, purchase “Medical Wisdom: The Knowledge You Need to Navigate Life’s Medical Situation” today. This book is available through our medical network, named Medical Wisdom, and is a valuable resource for anyone seeking to enhance their medical knowledge and take charge of their health journey. Don’t wait until a medical emergency happens – empower yourself with the knowledge and confidence needed to navigate life’s medical situations with ease.

In conclusion, Medical Wisdom is a must-read for anyone looking to become medically wise. With its comprehensive coverage of medical topics, insights into the medical system, and empowering message, this book is a valuable resource for individuals seeking to take control of their health. Buy our medical network book by visiting our website.

When I first began to discuss this topic with my fellow EP’s and friends I was very surprised at the powerful emotional response it evoked. From my father, a retired orthopedist; “I say you drop it right now! This idea will not put shoes on your children’s feet, or food in their mouths…DROP IT!” From several full
time EP’s; “Sounds good, but don’t mention that I had anything to do with it.” And; “I will be glad to help you but don’t mention me in any way. If you do I will deny any involvement.”

The biggest change in medical practice that has occurred during my 25 years as a physician is the open acceptance of Physician Employment. In 1993 I worked in California, and there were laws preventing the corporate practice of medicine. Even then, however, physicians were actually employed, just not openly. The CEO chose/chooses a group of emergency physicians to staff the hospital’s ED. The terms of the staffing contract are compared to other groups that compete for the contract.

Physician employment was, and is, obviously an intrinsically flawed structure that was considered absolutely unacceptable for obvious reasons for the entire history of medical practice!

When did physician employment start? Well, that is not as clear as the advent of physician employment contracts signed by the CEO. My father, an orthopedist, was on medical staff at 3 local hospitals. When one CEO approached him and demanded that he perform procedures under general anesthetic, rather than by using the regional blocks he preferred (faster, safer, far less expensive for the patient) he was able to say; “That is unacceptable. If you insist, I will perform my procedures at (the other local hospitals).” The CEO rapidly dropped the issue. Were my father employed by a single hospital, with his employment contract signed (or not) annually by the CEO…well you can see the difference!

The CEO wants profit, and the money end of the deal is a great driving force. The CEO decides if He/She will choose a group with an NP/PA model, or a pure physician group, for example. The administration decides if the new EMR will be physician/patient friendly, of if it will squeeze every dollar out of every patient encounter, and keep all of the physicians typing for hours after every shift.

As EP’s we have always been employed. Only in a truly unaffiliated, freestanding ER could we potentially be free of the business dictates of the administration. So…what can we do about it? At this point there is no hope of reversing the trend of physician employment. All we can hope to do is work to ensure that the administration shares our goals and ethos. As physicians we take an oath. The intention of our oath is to ensure that our medical practice retains the goal of serving and helping patients as the overriding force. Profit cannot be the overriding force in medical care. Our oath provides that we should have a comfortable living, and prestige. Certainly, hospital administrators should also receive the fair “fruits of their labors,” but it is arguable that a 49 million dollar annual CEO bonus violates the spirit of medical care. I believe we should extend our line of altruistic thinking, and actions to include the hospital administration.

The Oath that follows is intended as a draft, and not as a final product. I do not claim much originality, and most of the concepts are borrowed from our Hippocratic Oaths, both ancient, and more modern. Collaboration and discussion between physicians and administrators will be needed to arrive at a final document. I believe that many hospital administrators will be proud to agree to, and live by, such an oath.

This is an issue for the “old guard” to address. As a young physician, your job is solely to practice quality medicine, think of your patient’s first, and continue to improve on your capabilities. As a young physician in our current culture you cannot afford to risk appearing critical of current hospital administrative practices.

Medical Administrators Hippocratic Oath

I swear to fulfill, to the best of my ability and judgment, this covenant.

I will realize that as a Medical Administrator I must place people’s welfare ahead of profit and prestige. If I am unable to maintain this prime directive, I will seek employment outside of the medical field.

I will respect the hard-won knowledge and abilities of the physicians and caregivers with whom I work, and which I may employ. I will assist them to provide the best care possible for those that seek our help.

I will gladly share my administrative knowledge and wisdom with those who are to follow. I will share the concepts herein, and counsel my trainees to ensure they find employment that will mirror their ethos. I will assist those not suited to medical administration in their efforts to find a suitable career.

I will work to ensure that resources are available to provide, for the benefit of the sick, all measures that are required.

I will aggressively support and fund the prevention of disease, utilizing those preventative measures that are proven least harmful, and most effective, realizing that prevention is preferable to cure.

I will fund and support equally those effective tests and treatments that are both more, and less profitable.

I will realize that resources are not unlimited, and will strive, with the assistance of my providers, to do the most good, for the most people, with those resources that are available.

I will be very careful with incentives and awards, ensuring that the end result is both safe, and beneficial to the people that entrust me with their health and welfare.

I will value and support both the technical excellence of my colleagues, and their human graces.

I will not reward or praise over treatment or therapeutic nihilism.

I will not be ashamed to not know medicine, as medicine is not my realm of expertise. I will defer decisions regarding treatment and testing to my trusted providers.

I will respect the privacy of my patients, holding myself to the same standards, in that regard, to which I hold my providers.

I will realize that the business decisions that I make have powerful and far reaching effects upon patient care, and will bear this awesome responsibility with great humbleness and awareness of my own frailty. Above all, I must not play at god.

If I do not violate this oath, may I enjoy life and good health, respected while I live, and remembered with affection thereafter.

I would suggest we form a group to discuss and refine the above Oath. A physician group that meets AAEM’s best practice criteria, managed by an administration that agrees to such an oath would indeed be the ideal.

Mark Borden MD, FAAEM

Coupeville, Washington