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March 4, 2019

There seems to be a gap in the mechanics of dating from the current generation of teens and young adults and what dating was like “back in the day.”

Today the proverbial phone number is used for texting-not talking. So here we go:

  •  Person one: “ Whats up with you?”
  •  Person two: “just chillin…why?”
  •  Person one; “thought you might like to get some pizza or somethin”
  • Person two: : “I think Im goin ta just chill here- not tonight”
  • Person one: “ok but hit me up when you can”
  • Person two; “sure”

What happens then is that person one never gets any notice beyond that; no phone call, no text –  nothing. Person one rightfully feels that person number two is not interested in getting together.

End of story. End of a possible friendship or romance. Added to this crude mechanical communication seems to be a paranoia about starting a relationship. I am not so sure where this originates but fear of pregnancy, fear of HIV and other venereal diseases probably plays a big role. So the safe route would be for women to hang out with women and men to hang out with men. Unless there is a homosexual affinity, the issue of sex is removed from the equation and the getting together becomes safe.

A group of guys get together to play video games while altering their perception via alcohol or drugs and have a relaxed wonderful time. A group of girls or young women are at a party and seem to have great fun socializing, dancing and laughing amongst themselves. There is an element of comfort and familiarity among same sexes.

Maybe we are seeing the subconscious effects of the 1980-2000 media blitz putting fear into sexuality, especially because of the AIDs crisis. Sexuality in the 1970’s was fairly casual and almost conventional.

The biggest worry was pregnancy and gonorrhea. HIV was not a factor until after 1978. For those teens who participated in sex, it was a gradual continuum of “going further and further” over many weeks and months of “going together.” Sex was not initiated on the first or second date. It took time for comfortability to set in. Such is not the case today. Using today’s adults as models, dating implies the possibility of sexual activity. This obviously can be scary for a young lady to get together with a man one on one.

Add in the custom of texting and poor skills at talking face to face, this issue of sex and getting together often goes without understanding. Nothing gets resolved so the safest option is to not “hit the other person up.” It would sound ridiculous but relieving if person one above included in his text:

Person one: “thought you might like to get some pizza-my treat;  but look, this is not like I am trying to have sex with you.    It’s just a friend like thang.”

Without face to face dialog skills, relationships may ONLY be centered around sex for those who choose to participate. These are certainly bad models for those individuals who choose to marry and have children. I can’t imagine a married couple having a worthwhile and needed argument via texting.

It requires the skills of reading body language, refining the meaning of what the other person is saying and meaning. It requires the physical presence if an argument ends up with reconciliation, hugs and smiles that resolve difficult issues. Dating purely though text communication is disastrous when one matures and desires a long term companion.

So, for those of us who are members of “old school dating” we may have to better avail ourselves to sharing our stories as teens and young adults. Our young folks WILL listen. They are very interested in intimate relationships; in today’s fashion of social media and texting, they just don’t know how to go about it.

…… with you later,

Dr. D.



December 11, 2018

It has been a while since my last blog, so here goes another……

I just returned from a short trip to Cincinnati, Ohio where I grew up and witnessed something that made me reflect some thoughts. While waiting in line for my airplane to board, I saw about 20 young men, all dressed uniformly in white shirts, black slacks, shoes and black sport coats with yarmulkes and the traditional black hats worn by orthodox Jewish men. Many carried their Torahs with them. These were not older men; most were older teens. They seemed to socialize in a cohesive unit of brotherhood. Even their cell phones were of uniform style.

So what is my point here? In the Christian tradition (as I suppose in all religions) the central theme is to love fellow man and women with all your heart, with all your soul and with all your mind. My personal goal is to simply achieve that theme. Now it does not say to love just certain people; I am of the understanding that it includes ALL of God’s people. To be honest, I felt a stranger to these young men; I was an outsider. I was even reluctant to strike a conversation as to the purpose of their trip.

I knew not all was in line with my goal. How could I love them if they seemed so strange and of very different genres than mind?

Now let me flip the script. Of all human beings, the sector that I feel most saddened about is the black male in America. I can’t say that so much about black females since, in many ways, they are thriving. My maternal grandmother said to my parents that when you have a family (there were 5 of us) you focus on the ones that are in need the most. Black males are in need the most. Yes, many of us are unemployed and just hang out on corners and strip malls. Yes many of us “bum” for money. Yes many young black males skip school just to hang out in similar places with not much to do except pace the side walk like a lion in its cage or talking on a cell phone. To show your underwear covered buttocks on a cold Winter day seems to imply that this mode of display is critical toward your acceptance. Yes, “nigga” and a variety of other foul words are expressed in every sentence. Yes, their coats and hoods are black to match their black skin and hair placing them on “the dark side” as Star Wars implies to be really deplorable.

Just as I felt a stranger to the Jewish fella’s, I can just imagine the alienation non-black people feel about the black American male. Most social groups of people have strong historical backgrounds that supports their esteem. Jewish people have a strong commitment to each other and many have their Hebrew language to cement their socialness. Many Hispanics have their own language, yet speak the King’s English as well. The Irish have their traditions, parades, Pubs and colors. Whites, who have not gotten over the fact that Robert E. Lee conceded losing to Mr. Grant in our civil war over slavery, have their own confederate flags, stock piles of guns, symbols and secret meetings.

American blacks have much of nothing historically to support esteem. With the consistent killing of young black males, society is telling all of us that this sector must be erased. So American black males are at the lowest rank on the pole. Social depression is like personal depression; it is a disease that is chronic and often difficult to improve. Unlike personal depression however, there is no pill available for social depression.

Being a pediatrician, I am trained toward preventive care. So what can be done to straighten up and uplift the American black male? This is not a simple answer but here is a suggestion that can begin to heal. When I see African patients who were born in the USA, parents usually give them a typical American name. They also have an African name that has meaning. The name ties them to a tribe that had historical unity and great esteem. When black American parents have their children and give them names, they are often based on family or biblical names or fine materialism or smooth sounds (Crystal, Porche, Little B, Snoop, Big Daddy to name a few). These names are like Jazz music. The quality of the sound being heard has to please the mind. Now, all of this is fine; it is a part of black culture in the USA. However, with the advent of DNA analysis, we can trace our ancestry back to African countries we know very little about. It would support upcoming children if they knew they had an American name yes, but also an African name derived from their ancestrial country. For example, much of my DNA comes from Mali West Africa. My name is Michael but I could also have a name like Amadou or Mamadou. I may never use it in the USA but just to know my parents gave me another name tying to my roots serves only to boost my self-esteem. I can then go back and learn about the proud people of my heritage before colonization and to connect with a history not just based on slavery. If slavery is the only background of my history then I am bound to be depressed with low self-esteem.

Get well black males !!   We are ALL supposed to love you too.

….will get back at yah in Spring…

Michael Darden M.D.


March 2, 2018

Imagine if you will, that America’s “King” and his opportunistic henchmen in Congress pass a law that requires teachers to have personal weapons in their classroom. All students including the kindergarten student will be well aware that their lives are surrounded by adults who carry guns.

Now lets remember that children have an innate desire to emulate adults especially parents and people who occupy a great part of their lives- teachers. Teens want to drive, drink, smoke and engage in sex just like grown people. Kindergarten students want to grow up to be firemen. Elementary students want to be superheroes and older children aspire to become a famous athlete or rap star. Teens absolutely cannot live without their cell phones. So it would be natural for all students to want to be “strapped” as well with handguns.

They would somehow acquire them legally or illegally. To revise a line from one of Prince’s lyrics, “Mommy, why does everybody have a gun?”   No longer would there be fights after school or after a football game. The altercation would be over in a literal flash.  BANG! “you dead !”

So here is my answer to this whole gun thing:

  • Dear NRA: Look at history; we are no longer using dial up rotary phones- the telephone has evolved into miracle devices. So, come out with a new protection device, one that does not kill but still offers protection for anyone who feels they need it. The device may stun or immobilize a person but IT DOES NOT KILL. You have the money and the resources to come up with such a device. Your profits would soar since, like cell phones, most everyone would have one.  The conscience of your company (if you have one) would be better served to know that you are no longer getting rich by killing people, but by protecting people.

Michael Darden M.D.

…talk to you in the Spring….


August 27, 2017

As a pediatrician I am often counseling high school Juniors and Seniors about their plans after graduation. Most, if not all, tell me they are going to college. I should say that is great!  “You need a college degree to be successful.” “Education is the new currency.” “A high school diploma will get you nowhere.” But what about the price tag? Most seniors in high school know very little about the economics of higher education.

The tuition alone for Princeton undergrad is $41,820.00 per year; for Stanford, it is $65,316.00. The in-state tuition for the University of Maryland is $7,612.00. When you add the room and board and fees, you can easily tack on another $15-20,000 per year.

So now, let’s look at this… the cost of a gallon of milk may be $2.49 at your popular grocer but may be $2.79 at Seven-Eleven. When comparing milk to college tuition range of prices, there is a HUGE difference.  Now, one may argue, the quality of education from one school may be far better than another, whereas the quality of milk does not vary much. That may be so, but I would counter-argue that no matter where you get your college degree from in 2017, it appears your chance of getting a top notch job may be no better than the high school graduate who has, by now, accumulated job experience.    

The cost of annual tuition at Prince Georges Community College, here in Maryland, (12 credit hours) is $3,650.00. WOW!!! What a savings! So let’s do some math: If you went to Prince Georges Community College for two years at a cost of $7,300 and went on to University of Maryland for two years @$55,224.00 (tuition and room and board) you would have saved yourself $278,740.00 for not going to Stanford!!!  Think about if you took those savings and invested them into safe markets (mutual funds, IRAs and Roth IRAs) you’d probably be a wealthy 50 year-old retiree.

Now there are exceptions. Getting into medical school, law school and other graduate programs generally require (but not always) 4 years of college and a college degree. But this still doesn’t mean that you have to go to a college that zaps so much of your future income that paying back student loans make take the rest of your life. Go to a school who’s price tag is reasonable; perform the best that you can (you may get scholarships) and ENJOY college life. If you have chosen the right fit for you, these will be the most exciting, memorable years of your life. It is also a time where we meet our long term friends and future spouses.

For those students who have no clue what they want to do, it may be very valuable to consider technical schools in fields that may be attractive. It may be valuable to work first and/or combine work with one or two courses. I will never forget about 10 years ago, a high school senior told me he did not want to go to college, but, instead, wanted to go to HVAC School (training in heating, ventilation, and air conditioning). It took him one year of school and one more year of apprenticeship training before his first job started him at $49,000 per year. He was only 20 at the time!

Finally, there are those students who have a passion for marketable goods and or services that would qualify for them to become extremely wealthy through entrepreneurship. Today’s internet makes many things possible. Yes, a course in business may be helpful, but that does not set your finances back for decades.

So parents, be careful in these new times when guiding your kids toward their careers. Many times YOUR financial plan may be disturbed if you co-sign or take parent loans on behalf of your kids. Let them know that the “YOU ARE GOING TO COLLEGE!” may not apply anymore. Feel them out as to their talents and desires. Sometimes simply working for a while and establishing discipline may be the best thing for them.        

 ….see you in the Fall

Dr. “D”


February 2, 2017

I always ask teenagers, when inquiring about their grades, “why are we going to school anyway?’ The usual answer follows this sequence:

“…to get into a good college” Then I ask why is that important?

“…so I can get a good paying job” Again I ask why is that important?

“…so I can live comfortably and buy the things I want.”

So….. is this the essence of our lives? …to live comfortably and buy the things you want? I certainly do not deny the pleasures of physical comfort, but there has to be more to our life than that.  So we accumulate all the comfort and material things as much as we can and then we die leaving all those things behind us.

It is like planning on robbing a bank with long term intricate planning, careful execution, grabbing the cash and then throwing all the money into the trash can.

It is simply not logical from a global perspective of one’s life.

So….. then Dr. Darden, why do we knock ourselves out trying to get super grade point averages, paying huge amounts of money for private school, college and graduate training? Where is the pay off?

It is at this point that I redirect the teens into thinking and listening. From high school to young adulthood, the cortex (the outer covering) of your brain is in prime condition to receive input from all sources. It is in its prime to analyze, compare and decipher. If the cortex is constantly working hard for you during this period of your life, it (like many other things) becomes accustomed to thinking

and actually gets upset if the thinking process is denied. Talk to a long distance runner and they will tell you even though the runs are hard work they LOOK FORWARD for the exercise. Talk to an obese person and they will tell you they very much LOOK FORWARD to that midnight snack even though they are denying themselves of valuable sleep. Talk to a cigarette smoker who knows the habit is bad but LOOKS FORWARD to going out in the cold Winter air to light up.

So if the brain is trained to study, memorize, analyze, compare, dream and create.  It will yearn for more long after you complete school. You will want to read books, listen to lectures, and seek all forms of information to satisfy your thirsty brain despite the fact that these are not required.

So now one could ask, ”what’s the value in filling up your brain with facts and great skill of analysis and talent?” ah hahhh !! this is the real question !!    So here is my answer: I start by asking why are we here? No one seems to know.

Now my AME church teachings tell me that we are here to fear God and obey His commandments. That may be the last sentence to the answer, but there is a lot more in the “text” that I want to know about. Our whole existence as humans is to simply learn. The brainstem was the very first thing that developed when the egg and sperm got together and the brain is the only organ that gives us “an existence’” Without the brain, we can live, but we become simply “ vegetable.”

Look at the stars at night, feel the wind, watch things grow from nothing, experience the emergence of a newborn from their mother’s womb, simply observe the miracles around you and inquire. You will at some point begin to understand that, although many questions are never answered, there is something beyond our ability to understand the coordinates this universe.

I don’t care what you call it, but it does force you into the spiritual world which is where we all need to be during our last chapters on earth.

I look around and observe people who don’t think but just go around doing what everyone else is doing. They don’t think for themselves. They are not of the living but simply in a semi-comatose state until they die. What a waste of miracle living! ….a disgrace to the entity that gave us life and a powerful brain. That is ungratefulness. Shame on you!! What a wasted life!!

We are supposed to be a species of high intellect; it seems to me that if we don’t achieve this goal, we too will become extinct, not from a meteor that wiped out the dinosaurs, but from our conscientious stupidity that leads to wars of such intensity that we destroy the planet along with ourselves

…..Dr. D


June 28, 2016
  1. The pharmacist calls the physician and says the medicine that was prescribed for the patient can’t be filled because the insurance company has a limit on the quantity from the last prescription.
  2. A CT scan was ordered for a patient with cancer to see if the cancer has come back because the patient experienced symptoms. The insurance company has to give the final approval for authorization and says the process takes up to 5 days. Meanwhile the patient has to wait in fear and agony for those five days. And what happens when the request is not authorized?
  3. A doctor bills the insurance company for $120.00 for service that required 40 minutes of care in front of the patient since the patient’s medical history is complex. The doctor collects $20.00 as a co-pay from the patient and the insurance company pays the doctor $49.79. That is a total reimbursement of $69.79 for the doctor. The doctor has to “eat” the rest.
  4. The doctor prescribes an eye drop for a patient suffering from allergies and uses the brand that best suits the condition. The prescription is not covered by the insurance company because it is a brand product and cost too much. The patient asked how much it would cost to pay cash. The answer: $250.00 for a bottle smaller than the size of your thumbnail. Although the pharmaceutical company paid lots of money to get the drug approved, it now cost them $5.00 to make that bottle of eye drops.
  5. We have a pipeline of new drugs that have come to market; many of them are advertised on TV with names no one can pronounce but did you know most of those drugs are not covered by your insurance company because they cost too much? A class of drugs called biologicals (most end with the letters …mab ) are breakthroughs in science but their use will be limited because of their high cost. The drug Zolair used for severe allergic asthma and other debilitating allergic conditions will set you back about $3,000 per month. If these drugs are of limited use our feedback for further research is limited. I think we will abandon the use of chemotherapy and radiation therapy as archaic medicines to fight cancers and replace them with specific products that just fight cancer cells without destruction of healthy surrounding cells and the part of our immunity that fights emerging cancer cell all the time.
  6. Your health insurance company is extremely proficient at saving costs. They “penny pinch every outgoing expense. That’s fine; just good business sense. But did you know the average PERSONAL salary of your insurances’ CEO is not in the simple million dollar range but 200-300 million dollar ranges and that does not include stock options for those that are for profit corporations. There is an emerging club in the US called the billionaire’s club. These CEO’s along with hedge fund operators often compete as to who make more.
  7. In the sixties and seventies all healthcare insurance companies were non-profit; they did not have to answer to stockholders. When HMO’s emerged and later present companies like Aetna, Cigna, United Healthcare, WellPoint became commonplace, the for-profit healthcare industry emerged. Their PRIMARY interest is NOT your healthcare but satisfying the stockholders. MONEY is the GOD of healthcare in the US.
  8. The reason why most people are not satisfied with their doctor and why most doctors are not satisfied with their profession is because of medical insurance and pharmaceutical greed. In order for doctors or the companies that employ them are to survive economically, doctors must see 6-8 patients per hour. With phone calls or other interruptions, that means your doctor can only spend about 5 minutes with you per visit. It is not that they want to leave the exam room quickly; it is just that they are under economic pressure to survive their career. Now here’s the crazy part. Insurance companies know the doctor visit is 5 minutes and that’s their justification for low payments. So who loses in this cat and mouse relationship? YOU the patient.
  9. State agencies that dictate healthcare policy derive such policy without input from the doctors who actually perform healthcare services. They usually consult or hire medical doctors who are solely administrators and don’t see patients every 5 minutes. These doctors are paid well by their parent companies; many are not given voting rights during corporate board meetings.
  10. It is great to be a pharmaceutical representative; you get a free loaner car, car care and gas when visiting doctors’ offices or hospitals. The pay is good too. You operate on your own schedule. However, when the company’s product that you are advertising becomes generic, you may be suddenly out of a job. They treat the reps well when they are doing well and throw you to the trash when business is not good. It’s like being a coach for the NFL or NBA but you don’t have the financial cushion that millionaire coaches have. Again MONEY trumps everything in the healthcare industry.
  11. I remember during the Clinton Administration, Hilary published a handbook outlying a new healthcare system for the country that had many aspects of The Affordable Care Act that we have today. When that book was published, Hiliary’s life was threatened since her proposal would have upset the power of all those who owned the healthcare industrial complex. It was never mentioned again.

The above are a fraction of complaints that can be logged about our healthcare system. My contention is that healthcare is more about financial gain than care for the human body, mind and spirit. I was taught in church that there is only one God; paganism is an insult to God. Yet it is clear that the American way of life treats money as our primary god. It is the main purpose while we are living beings.

“ Well Dr. Darden what would you to improve the system?” one would say.

I would have to remove the premise that human health be put in the same category of goods and services that our economy is based on. Human health is precious and cannot be equated with a certain value. Just ask a person who just lost a child to gun violence or a drunk driver accident. Love ones would sacrifice everything to save another loved one from dying; material wealth has no meaning at that time.  That means that health be removed from our system of economics and consolidated into a right and not a privilege. Just as we have a right to liberty and the pursuit of happiness lets add in that part that says LIFE. So that puts healthcare solely in the lap of government and not in institutions that exist only to make money. If you visited India (much less wealthy than the USA) and got sick or required surgery or mental health care, your services would be free whether you are a citizen or not. If you went to Germany or France or Canada the same would be true. Now I know that to change our healthcare system that dramatically would never happen. So let’s begin perhaps with using our existing insurance companies but requiring health insurance to be non-profit. Those insurances that want to abandon this approach could do so and revert to life and indemnity plans not involving healthcare. Blue Cross and Blue Shield are non-profit so let those companies “take the lead.”

The other item of change would require a salary cap of the CEO’s of all companies now that they would be non-profit. The third leg of the triad would involve the pharmaceutical companies since they too are “fleecing” the healthcare business of trillions of dollars. Remember when new HIV drugs came out and only Magic Johnsons of the world were able to afford them?  Now those same drugs are available via Medicare and Medicaid. The problem with pharmaceuticals involves the high cost of research and development and drug companies say they must charge very high prices for new drugs to re-coup this cost. The ultimate solution to this problem would place drug research only in government institutions such as NIH. Private companies could still invent new drugs but there would be a cap on their retail price in line with the government based drugs.

Such a system would certainly lower healthcare cost in the USA; it’s just that no one would become billionaires working in the system. Where is the value in that amount of greed anyway?

Dr. “D.”


November 25, 2015

I was reading an article in Contemporary Pediatrics (Oct. 2015 p. 14) where 20 to 50% of mothers (N=1,000) were not receiving advise from the pediatrician about sleep position, sleep location, pacifier use and breast feeding. That’s a high percentage!!

Now the American Academy of Pediatrics, the American Academy of Family Practice, and the federal and state health departments would be very unhappy to hear this. The Academies are organizations to provide data and protocols for care to the federal, state and local health departments, private insurance companies and to the providers of healthcare themselves. The state health departments are responsible for the implementation and monitoring of these policies. If a state is doing poorly following advised national protocol, then someone in the health department is not doing their job well.

So the people that actually deliver the services are the “providers” (i.e. doctors, PA’s and nurse practitioners- we’re not called doctors by the insurance industry anymore). That means that the “providers are the end of the line service group. If they don’t do their job then the local, state agencies fail. If you have been to the doctor lately, you probably have noticed that the doctor is looking more at a computer screen than they are looking at you.

Computers are great but many times there are buffering holdups or problems the doctor has with the software that was recently installed. It seems that the doctor is having an appointment with the machine and not you.  Now here is something you may not know unless you are a physician or “provider.”

The requirements for the providers as mandated by the respective state health departments include a list “a mile long.’ In pediatrics there are over 50 questions that the “provider” must somehow get answers to, distribute various forms, perform a physical exam, review the chart, chart vaccine status, give injections or prescriptions, and answer questions in what the insurance industry feels should be done in 10 -15 minutes.

Doctors who work in large groups as an employee are generally expected to see 6 patients in an hour. Now if you do the math you can see there is a major disconnect; in ten minutes you have to perform what would ordinarily take 40-50 minutes. What’s also important is that the insurance company will pay you for just ten minutes of time. So the doctor may bill $100.00 for that ten minute visit and receive $10 from the copay and $34.95 from the insurance company. Now if the “provider” spends 40 minutes with you to achieve all the mandated tasks, the insurance company will still pay you $34.95.

I recently had a heating company come to my house to inspect and clean my furnace for the winter. The technician removed the cover, looked around with his flashlight, replaced the filter (that I purchased) closed the cover and charged me $119.00.  With a $200,000.00 tuition bill for medical school, the prospective doctors need to take note.

So this is where computers come in. They can memorize anything we put into them and “spit” gobs of information out at the push of a button. Electronic medical records (EMR) use expensive software that can store all the information that the health agencies require and “spit” it out at a moment’s notice.  Now it doesn’t mean that the doctor is going to ask all fifty questions but the computer will automatically assume that these questions have been asked and record them as being satisfied. Your doctor’s visit may have lasted only ten minutes but if an auditor asks to see a report the computer will produce 5 pages of “documentation” that everything has been satisfied, thus allowing the “provider” to move on to the next ten minute encounter.

So there is this chess game between “providers” and auditors. As long as the mandated requirements are documented that’s all the auditors are concerned about and you pass there test with flying colors. The doctor is happy that the audit went well but is concerned about the real quality of the encounter with the patient. “I didn’t go to medical school to pass audit surveillance testing,” one might say. Now if you ignore the mandated requirements and focus on real interaction with your patient, you may feel you are doing the right and just thing, but the reality is that you may not be able to practice medicine very long because of non-compliance with state regulations. So what happens is that the “providers” feel unsatisfied with their purpose and certainly the patient feels unsatisfied with the quality of service. Clearly there is a disconnect here. So patients, if you feel your doctor is not meeting your expectations, it’s not the doctor’s fault; they simply are complying with state mandates so they can keep their job.

So where is the solution? Healthcare may be good on computer hard drives but not in reality. Imagine it is the year 2022. Medical care in the USA is divided into two separate entities, preventive and wellness care and disease care. Providers who choose to deliver preventative and wellness care are nurses, nurse practitioners and those with master’s in public health (MPH). The medical doctors are not at all involved here. In a sense, medical doctors no longer practice “primary care.’ Their job is to fight illness, control or cure disease and to repair trauma. Using insurance terms, they are indemnity “providers” only.

Internal medicine doctors will treat cancer and control your diabetes but things like diet exercise, meditation, yoga, sexuality, happiness and stress will be handled by the preventative and wellness personnel. You are required to visit the health and wellness providers if you desire to have coverage for indemnity care. If you choose not to attend wellness clinics, then indemnity care costs comes out of your pocket.

In this system both sets of providers I feel would do a good, thorough and honest job that is satisfactory for the health providers and patients. If we don’t change the concept doctors will be VERY disinclined to go into “primary care” as we call it today and simply go into fields associated with major disease, trauma and fat paychecks.

The Affordable Health Act has revolutionized the coverage of healthcare from insurance companies; now it is time for the healthcare system to undergo its’s own revolution and deliver the care that people expect and desire.

….just a thought…….


See ya!!!

Dr. “D”