101 Primary Care Case Studies

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101 Primary Care Case Studies This unique workbook will foster both evidence based medicine (clinical skills) and art of medicine.

Dr. Sam Wijesinghe DHSc, AAHIVS, PA-C was the Editor/Author of 101 Primary Care Case Studies. Dr. Wijesinghe has been a medical educator since 2012 and currently a clinical assistant professor at Stanford School of Medicine. He has been practicing primary care medicine since 2010 and HIV medicine since 2014 in Central Valley California.

She was the mother of three children with special needs.She came in for a follow-up visit.During the appointment, she as...
09/21/2026

She was the mother of three children with special needs.

She came in for a follow-up visit.

During the appointment, she asked for a pregnancy test.

Her P*P felt a quiet sense of concern.

He had seen how much she carried each day.

At some visits, she brought her children with her.

She watched them closely throughout the appointment.

She worked hard to support their needs and manage their behaviors.

Often, her own needs had to wait.

He knew her responsibilities did not end when she left the clinic.

Her days at home were filled with the same constant care, patience, and devotion.

It was a demanding role.

It was a role she lived every single day.

So, when she asked for a pregnancy test, the P*P worried for her.

He wondered how she would manage another child.

He especially worried about the possibility that this child might also have additional needs.

When the test came back positive, he gently shared the news.

His heart felt heavy.

To his surprise, her face immediately brightened with joy.

She welcomed the news of this new little life with a radiant smile.

She noticed the concern in her P*P’s eyes.

Then she looked up and softly reassured him.

“I love my children exactly as they are.”

“And if this baby has similar challenges, I will love this child just as deeply.”

Her words were filled with grace.

Her love was unconditional.

In that clinic room, the P*P received a beautiful lesson.

A mother’s devotion has no limits.

(This post reflects my personal experiences, perspectives, and opinions. It is shared in my individual capacity and is not intended to speak on behalf of any organization with which I am affiliated).

I recently shared a terminal diagnosis with a patient.I expected to see sadness.Instead, he looked at me and said, “Than...
08/23/2026

I recently shared a terminal diagnosis with a patient.

I expected to see sadness.

Instead, he looked at me and said, “Thank you for being thorough.”

His response stopped me in my tracks.

In a moment filled with uncertainty, he chose gratitude.

His courage reminded me that gratitude does not always change our circumstances.

But sometimes, it changes how we carry them.

Perhaps gratitude is one of the quietest forms of strength.

And sometimes, it can soften even the deepest pain.

I left that room feeling that the patient had taught me far more than I had taught him.

07/23/2026

Colorectal cancer is now the leading cause of cancer-related deaths among adults under age 50. Nearly half of all new colorectal cancer diagnoses occur in people younger than 65—a significant increase from 27% in 1995. Because more adults are developing colorectal cancer at younger ages, routine screening is now recommended beginning at age 45.

Deeply grateful for my brief but meaningful time at the national PA conference- AAPA in New Orleans, 2026. It was an hon...
05/18/2026

Deeply grateful for my brief but meaningful time at the national PA conference- AAPA in New Orleans, 2026.

It was an honor to speak on how we, as clinicians, can use evidence-based medicine to become powerful advocates for vaccines.

While we still face a mountain of misinformation and miscommunication, history beautifully reminds us of the life-saving power of vaccines—a truth that always deserves our reflection and our protection.

I am profoundly moved and humbled to receive the Teaching Excellence Award in Health Equity from Stanford Medicine.This ...
05/14/2026

I am profoundly moved and humbled to receive the Teaching Excellence Award in Health Equity from Stanford Medicine.

This journey began with a simple, heartfelt promise: to teach with empathy, to advocate for every patient, and to inspire the next generation to make healthcare truly inclusive. Seeing this vision embraced by the selection committee of Stanford Medicine fills my heart with incredible gratitude 🙏

04/05/2026

Dr. Jason Kessler’s insights about 101 Primary Care Case Studies.

Still taking this in… seeing the book cover with the First Place Award seal on it feels incredibly rewarding. This momen...
03/15/2026

Still taking this in… seeing the book cover with the First Place Award seal on it feels incredibly rewarding. This moment belongs to an amazing team of clinicians and the support of Springer Publishing who helped make it possible. Feeling grateful and celebrating this milestone with all of you.

Some of the best doctors in the Central Valley, California from Community Health Partners. Congratulations to them for m...
02/20/2026

Some of the best doctors in the Central Valley, California from Community Health Partners. Congratulations to them for making this noteworthy list. Please vote them and support.

Can laughter boost your health? You better believe it! 😀
02/16/2026

Can laughter boost your health? You better believe it! 😀

Just two minutes of laughter can benefit your heart as much as a 20-minute walk, according to research from the University of Maryland Medical Center. When you laugh, your blood vessels expand, increasing blood flow and improving circulation throughout your body. This temporary boost in vessel function helps deliver more oxygen to your tissues, similar to the effects of light aerobic exercise. Laughter also reduces stress hormones, which can otherwise strain the cardiovascular system over time. In a simple and natural way, a genuine laugh acts like a mini workout for your heart.

Helpful read about RSV….
01/24/2026

Helpful read about RSV….

Nearly all children will have had respiratory syncytial virus (RSV) before the age of two.

Most will recover within a few weeks, but for some patients with weaker immune systems, can be life-threatening.

New drugs use laboratory-produced antibodies to protect at-risk patients against severe RSV disease. Two are also now available to help protect those over 65.

Learn more about protecting yourself and your loved ones here: https://bit.ly/4nP4lVE

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