Advanced Medical Practice Business and Marketing Ezine        May 2016 

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“Medical school educators” taught you how to practice medicine, but not how to run a medical practice business, let alone a remarkably profitable one.

"We are talking here about your need for implementing OFFENSIVE financial business weapons to earn
what you want, whenever you want."

 Do you really want to see your practice income soar?

Article #74 -  May 2016


“New Effective Way to Overcome Burnout in Your Medical Practice”

Adapting methods for treating burnout used in other
professions may be far more effective and beneficial
than the usual redundant ideas we commonly read in
articles written in the medical practice media.

     Listening to what other non-medical professionals have developed and used themselves for managing burnout issues are a refreshing and inspirational venture. The methods that have benefited them that they are willing to share
with others, is a unique resource that private medical practice physicians
would be smart to employ.

     Burnout is primarily a mental and emotional shutdown that results from a continuous and overbearing conscious extraction of energy from the mind. It’s the energy required to enable our brain to function reliably and persistently
while dealing with excessive demands on it that it eventually cannot handle
with any degree of efficiency. Push any engine beyond its capabilities, persistently, and it will fail.

     Thomas Edison never seemed to have suffered with a burnout phase during his life, considering his effort of over 10,000 attempts to invent the light bulb. Burnout, however, has many different meanings to many people. The important issue is that burnout is an almost permanent state of mind that can be reversed.
     Within the medical practice media burnout in physicians is more frequent than ever and likely will increase. Becoming sick and tired of medical practice, frustrated, angry, disappointed, and feeling cornered by government predators
is widespread in the medical profession today as a recent survey of physicians by the AMA reported. Over 50% of physicians admit it openly.

     Of the many reasons why physicians feel this so strongly, by far the one primary cause of the increasing destruction of private practice is the fact that physicians can’t earn enough money to keep their practice going and also meet their family financial obligations. It's mental pain, pure and simple.
     The sequence towards “professional poverty” goes like this…

     1. Physicians can’t make enough income in private practice because
         of the government mandates, increasing fee restrictions, and
         regulations that require excessive time with compliance, instead
         of treating patients.

     2. Physicians are trained for one unique profession, practicing medicine,
         which means they are not educated or qualified to succeed in other
         professions, or must retrain for another profession.

     3. Since physicians are never educated in real business knowledge so
         that they are able to run their medical practice business profitably,
         like other commercial businesses do, their medical practice business
         is predestined for financial failure the day they start their practice.
         Just think about this educational trap that no one ever mentions to you.

     4. When physicians are earning less income every day and have no
         business knowledge about how to make their practice profitable again,
         they are left in a hopeless situation for survival in private medical
         practice… all of which would be resolved if all medical students were
         provided with a business education while in medical school.

     If that scenario doesn’t logically provide you with the evidence for what economists call “financial engineering” as a means to compel physicians into employment positions in order to remain in the medical profession, then
I don’t know what is.

     Then you have to ask yourself, “Why is it that only half of doctors admit
to being severely frustrated and disappointed with their careers?” This is
where denial, rationalizations, excuses, and willingness to remain ignorant of the truth seem to be the usual self-protection tactics.

Why aren’t all medical doctors suffering from burnout?  

             The answer is… they all are, but refuse to admit it. Don’t expect me to
discuss the usual advice given to doctors to avoid burnout, like…

1.   Take a vacation (when you have no extra income to do it)

2.   Cut back on your overhead expenses (when you’ve already
been doing that)

3.   Attempt to get lots of new patients and referrals fast (when you
have no business ideas of how to do that effectively)

4.   Hire a medical practice business manager (which will reduce
your net income considerably)

5.   Hire a physician assistant or nurse practitioner (at a time
when you are barely making ends meet as it is)

     What I discovered in my research about writing and expanding my
knowledge about copywriting, was very appropriate for physicians to use
to help avoid or treat their burnout problems.

What authors and writers use to avoid or treat their

     Every author/writer has slumps in their writing capacity. It’s no different
than what physicians feel when they reach a point where inspiration, ambition, and energy are lacking and fogs-up clear thinking. Reliable information about
burnout is never of value unless it comes from a person/professional
who has had a burnout experience themselves.

     I suspect that most physicians that have had such an obvious burnout
problem either didn’t recognize what it is or find ways to relieve the problem
on their own. That could well account for why all doctors refuse to admit
to having a problem with burnout.

     For writers one of the most effective methods of managing their slump is discussed in a recent copywriting newsletter that I subscribe to … . A “slump” seems to have two segments;
short or long. Short slumps becomes not-so-short and it starts feeling like an inescapable loop of failure… not unlike a period of months in medical practice where practice income is substantially lower than usual.

     Before you know it, your confidence level takes a swan dive into an acid Bath. Writers lose confidence because they run out of things or topics to
write about, at least those that would be of interest to readers. 

     In medical practice you find yourself making the same work effort, but
still the income decreases. And you run out of ideas about how to promptly elevate your profits? You certainly don’t want the money problem to last for months. You eventually begin to see yourself lacking the business knowledge that provides all of the tools you need to make financial recovery happen.

     You then notice that you’re not alone. It’s happening all over the place in all medical professions. The medical profession is screaming down the tracks towards destruction and takes no prisoners along the way. Doctors in private practice are riding the leading edge of the wave.

     Writers are experiencing the rise of digital media, trying to adapt to the requirements of a new system and move their operations to the Internet.

     Both doctors and writers are being pushed into new ways to earn an
income. Both are forced to learn the new requirements and rules that they
are not familiar with or trained for.

     One writer has a friend that questioned whether he had ever written
anything that worked (actually earned money for the client). The criticism was not because his friend believed he had never written anything for his clients
that made them money, but because the friend had never heard anything  otherwise. Although the writers work was always profitable for clients, the quality and results of his work never reached public knowledge.  

     Take a look at your medical practice routines and habits. What do your patients really know about you really? And all those potential patients moving around in your community, what will they ever know about you unless they become a patient of yours? Do patients choose you because of your professional reputation or because of actually knowing how you treat your patients?
     The writer’s friend responded by saying, “It just goes to show you that if
you don’t blow your own horn, no one else will. Don’t be a tree that falls in
the forest that no one hears.” Obviously, the friend and mentor had
knowledge about marketing tools, and this was one of them.

     Doctors don’t usually take their lunch time to parade around the streets
with a sign listing all of the wonderful things they had done in medical
practice. Among the hundreds of doctors practicing locally, how can a patient decide to choose you for their medical care? The truth is, you have to tell
them who you are, what you do, and what you do better than any doctor
in town. It's called marketing your practice and promoting yourself.

     Writers and doctors sell their services to make a living. Doctors sell their services to patients to earn an income, because patients are the single source
of income you survive on, the more you have the more income you get. Writers sell their services to help clients to earn money. The more clients they have the more income they earn.

     This writer knew that he had to get out there and show the public what he could do. He started a newsletter. He researched copywriting methods and discovered the keys to persuasion, exciting people, getting attention, and
making offers that are effective, and copied those successful ideas. And that is exactly what every physician should be doing daily for the rest of their career.

About burnout cycles (slumps) 

     For writers their "short slump" cycles last three to six months on average. Other slump cycles last longer, even up to three years. Their mood has to shift with the cycles. If you don’t shift with those moods or start to test new things, cobwebs form in your brain which needs a reset.

     Physicians in private clinical practice don't seem to experience cycles of burnout. You are so used to your daily pattern of practice and the daily need
to manage so many kinds of signs, symptoms and medical problems, that you
fail to recognize your own limitations. The onset of burnout and the early signs of it are commonly not recognized by yourself. Others see them but you don't.

     In medicine the rapid changes in technology, healthcare evolution, and medical knowledge progress, cause you to lose passion for medicine, loss of persistence in keeping-up, and eventually to become a victim of stagnation.

     Burnout is a slow destabilizing mental process resulting from a gradual pileup of stress factors to the point that your mind can't neurologically or chemically support and maintain the brain network systems of communication. Therefore, your brain capacity for logic, evaluation, solutions, and actions become less responsive to normal neural function/direction and more
responsive to instinct, the senses, and subconscious dictation (the only crude facilities the brain can draw from at the time).

     It would be about the same thing as a drunken individual, hardly able to
walk, giving a long speech to a massive crowd... before passing out. How many people have you seen that are drunk and don't believe they are drunk?

     Burnout eventually causes bad decisions, bad responses to stress, disabled thinking process, and lack of usual inhibiting mental functions.
Consequently, your quality of work decreases, your focus wanders, your passion for maintaining expertise and skills is reduced, tolerance is at zero, and any change you may think of making seems reasonable because of your desperation to find peace of mind.

     As a result doctors quit medical practice, retire early, or become an employee. All of these choices may still not do much to relieve desperation because these choices may well lead to increased stress in the end.

     Brain cobwebs that are not removed somehow, become permanent. You
find that problem when you notice that when physicians practice medicine
based on what they learned years ago, and remain behind in medical
knowledge and skills.   

     Those who remain outdated and behind tend to judge all new products and services by the aged criteria that have remained in your mind from years ago. It’s what is called “confirmation bias,” meaning that new things are compared
to old standards that your brain holds on to forever. One has no other comparison to judge by, unfortunately.

The burnout survival strategy 

     Contrary to the usual strategies for resolving burnout that you find in most medical practice literature and media, the advice for preventing or rescuing
you from burnout is a matter more of psychology/behavior rather than your juggling your financial management structure. The seemingly more reliable approach to burnout is to…  

1.    Primarily, “embrace change” instead of fighting change

As a competent physician you are already working at keeping
current in your medical skills and knowledge. It becomes an easy
mindset and pattern of behavior for you to intentionally alter and
take action on it. It’s a matter of self-discipline.
     So many physicians in private medical practice have become so entrenched in the habit patterns they have already developed for
their practice and are so comfortably automatic in nature that they
are very resistant to any changes, even when changes are required.


2.    When feeling burned out, it's critical to have available a
means for total distraction of your mind.

For example, all of us have a means to escape the consequences
of an argument with your spouse, take a walk, drive around the block,
isolate yourself and read a book, work on your hobby, call a friend,
or work on a beneficial project.

You can take a weekend off, go on vacation, take a race driving course, create and write a book, join a sports club… but always do
what you have an interest in or a passion for doing.


3.    Start working with something completely new to you

     Start doing something completely new and beneficial in your
practice like outsource a job, write a procedures manual for your
office staff, start a newsletter for you practice, create a vibrant
referral program for your practice, schedule regular office staff meetings, have a business consultant come in for a talk, focus on
learning marketing, take an evening course at the local college.
     It stimulates your mind, incites creativity, allows your passion
to expand, and provides results that are encouraging.


4.    Have in place a backup Plan B

     Likely, most of us had some sort of a backup career plan if
we didn’t make it into medical school. When you have a backup
plan for your practice, career change, practice location,
investing, paying for your kids college, getting a business education,
divorce, your death, and even selling your medical practice.
     A backup plan is something that will often prevent hopelessness,
insecurity, excessive worry, even suicide.
     The satisfaction and peace of mind, once you have created a
realistic backup plan to your medical practice, strongly reduces your worry about losing your ability to practice medicine, for illness, for trauma, for divorce, for legal or medical board punishment, for mental illness, or for other serious problems that may occur.
     You have an acceptable and reasonable way out of your situation... no hopelessness occurs with a Plan B.

     If you do much outside reading, watching TV news, read newspapers, keep up on politics, you may be aware of the increasing numbers of big businesses that have “My time” off-duty programs, childcare facilities, education courses, and “sick days” as extra benefits for workers. Burnout is now recognized as a serious problem everywhere, from sports to the steel industry.

     This is what businesses today are doing to help prevent burnout of
employees and is evidence that they consider burnout a valid factor to consider in regard to the overturn rate of employees and the costs of hiring and firing.


     In my mind the most menacing cause for burnout among physicians is
the emotional feeling of hopelessness. Hopelessness is destructive to your
mind’s ability to recover. It becomes more irreversible the longer it lingers in your thoughts. Hopelessness is not necessarily associated with depression but often is part of it in later stages.

     It certainly isn’t difficult to imagine what happens to any physician that reaches a point when there doesn’t seem to be any options left to choose from. No one wants or expects that moment to arrive where there really aren’t any alternatives, at least none that are acceptable and tolerable.

     Suppose for a minute that you become aware one day that your medical practice is failing to produce the same old income that it has produced for you
over the years. And if the loss of income continues to decrease significantly in the next six months, you may no longer have the income to cover your office overhead expenses, let alone that necessary to support your family.

     You ask, “How could any physician in private medical practice ever reach that situation, after all you've been doing fine for many years, financial-wise.”

     Why today are so many thousands of private physicians in our country
being forced to sell their practices or just close their offices completely?

     Burnout begins smoldering at the time you realize you have a financial problem… your practice income is decreasing with no end in sight. 

     At the same time you recognize that you never prepared for such an event. You have no backup plan. You, unfortunately, are essentially business ignorant, which you likely at the time have no understanding about that, no secure feeling about or belief that a business education could or ever would help you out of this situation.

     Not only that, if a business education is the ultimate means of putting
your medical practice back on track financially with rising income, and even enable you to continue raising your income for the rest of your practice career, you probably would never believe it. It is a fact, however.

     Sure, you couldn’t afford the time off from practice and the cost of such a business education being around $40,000 for an on-campus MBA education.

     The honest no B.S. truth is that the great majority of physicians with
failing practices, can get back into the practice game financially just by
learning a small amount of business self-education without much difficulty.

     The sad part is that you were never told about the incredible power of a business education and its effect on your medical practice career, income,
and happiness. As a prosperous British entrepreneur said, "You can't buy in to something that doesn't exist." Did anyone ever tell you that you needed a formal business education for maximum success in private medical practice?   

     Right now, if you were losing your medical practice for financial reasons,
you would feel hopelessness for lack of a reasonable alternative to rescue you. Nearly all private practice physicians today are extremely frustrated about the possibility of losing their medical practice. When they understand that they have only one alternative, working and earning money for someone else as an employee, do you think they would feel hopeless? Absolutely!

Frustration => Hopelessness => No alternatives =>
Burnout => Destruction of your chosen career

     The positive side of all this is that I absolutely know for a fact that
business knowledge can prevent all of these financial problems in medicalpractice and even cure them before they become irreversible.

     I also know for a fact that reading and learning from the business and marketing books, written by business experts who have done it all and that I recommend you read, you will gain the business expertise (for less than $500) you need to protect your medical practice from failing.

     If you remain a skeptic or you are having a hard time believing these
things, then perhaps you need to get and read my book,

     The book tells you what you don’t know, what can happen to your practice suddenly, why it may happen, and how to pull yourself out of your
skepticism mindset concerning business knowledge.

handwritten signature Dr. Graham


"Professional Nudge"  

photo of man on donkey and filling gas can on donkeyBackup plans save a great deal of torment especially as a result of your lack of due diligence, planning, and constant watchfulness.

Hitchhiking on a donkey when your car is out of gas, is not always the best maneuver. But it is actually a complete distraction from your out-of-gas problem as well as doing something completely new that you have never done before to override your stress issues. The doctor on the donkey does not look very happy at all!

 Article #74 - A

Photo of Dan S. Kennedy, marketing expert





A recent encounter at Info-Summit reminded me of a powerful technique you can use to multiply your income…

You can use this whether you are experienced or not, have skill or not, or know very little or a lot about your industry. In fact, even if you consider yourself an amateur copywriter, you can use this to out-perform an experienced pro.

It’s a rare secret advantage far too few businesses use. It’s revealed in a story about a young baseball player…

The year was 1907.

Frank Bettger was fired from Johnstown Pennsylvania, Triple State baseball team.

Shocked, he went to his manager and asked him why.

His manager told him that he was lazy and told him he dragged himself around the field. Believing himself ambitious and wanting to get to the top, that was the last thing Bettger expected to hear.

His manager’s parting words, “Wake yourself up, and put some life and enthusiasm into your work!”

Bettger reported to his new team in Chester, Pennsylvania where he took a pay cut from $175 per month to just $25 a month.

Bettger says, “Well, I couldn’t feel very enthusiastic on that kind of money, but I began to act enthusiastic.”

His new enthusiasm gained him a trial at a team in New Haven, Connecticut. Inspired, he made up his mind to establish himself as “the most enthusiastic ball player they’d ever seen.”

It paid off. In just ten days he raised his salary 700%, from $25 per month to $185 per month..

Within two years he was playing third base for the St. Louis Cardinals, multiplying his income thirty times.  Bettger says, “I got this stupendous increase in salary not because I couldn’t throw a ball better—or catch or hit better, not because I had any more ability as a ball player…Enthusiasm alone did it.”

Later, after a bad accident forced Bettger to give up baseball entirely, he returned home and began selling insurance.

After ten months of miserably failing as an insurance salesman, Bettger believed he was no good at selling and would never succeed.

Remember the lesson he’d learned from his manager in baseball, Bettger decided he would put enthusiasm into selling insurance. He soon discovered that he could make up for a lack of experience, a lack of skill, and a lack of know-how in selling with sufficient enthusiasm—but that no amount of skill and know-how can make up for the absence of enthusiasm. Using enthusiasm he turned his life and income around, becoming one of the highest paid salesmen in America.  Frank Bettger reveals that “enthusiasm makes a difference” in his book,  How I Raised Myself From Failure To Success in Selling and observes:

“Enthusiasm is by far the highest paid quality on earth, probably because it is one of the rarest; yet it is one of the most contagious.”

Enthusiasm is just as important in print as in face to face selling.  Infusing your sales letter or advertisement with sincere yet intense enthusiasm is one of the ways an “amateur” copywriter can beat the efforts of an experienced pro.

This is why you can’t just sit down and write your ads, sales letters, and brochures “on command” like you can sit down and do bookkeeping. You have to work up some enthusiasm for the task as well as for the proposition you’ll be putting across.

Imagine your own reaction when you are in a store with someone obviously eager to help you, who looks you in the eye and shows genuine excitement that you are there. Versus someone who acts like you’re interrupting what they are doing or as if they don’t care whether you buy something or not. Written copy can have the same effect.

If I’m going to write first thing in the morning, as I often do, I try to set my subconscious mind working on that particular project while I sleep. Sometimes I wake up with the “big idea” I need. Other times, I wake up with ideas and a readiness to write.

I don’t think you should force yourself to “grind out” direct-response copy when you don’t really feel like it; the result will be flat and mechanically assembled; it may be technically correct in that it has a headline, subheads, bullet points, an offer, a P.S., etc., but it will lack spirit.

However, forcing yourself to be enthusiastic works. Bettger said that when he forced himself to act enthusiastic, he soon found himself enthusiastic.

The person who is genuinely enthusiastic about what he is selling definitely has an advantage. If you feel you could use a boost in enthusiasm, try recording the sales pitch from your most enthusiastic salesperson, and transfer it to paper.

Never underestimate the power of enthusiasm and the advantage it can give you. Over the years, the clients I’ve done the best work for and have been the most successful with have been passionate and enthusiastic about what they sell.

NOTE: If you plan to hire a copywriter to give you an advantage, be sure to read GKIC’s free report, “The 7 Key Questions Every Copywriter You Hire MUST Be Able to Answer To Write Killer Direct Response Copy and Create Marketing Campaigns That Will Outsell The Pants Off Your Competition!” 


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In Every Issue...

My desire is to always offer you the business and marketing strategies that
you will need if you ever
wish to reach your maximum potential in the practice of medicine whether you are employed or in private practice.

My New  Book

"The Wounded Physician Project"

photo of the cover graphic for the wounded physician project
 Click on the image... for details

Do you really know
the core cause of the medical profession crisis we are in today?

No, it's not the

 What are you willing to do to save your private medical practice?

The average medical doctor in the US practices medicine for 12,617 days and leaves a million dollars on the table during that time.

They never are able recognize that it was available to them during all those years because they lack a business education.

This book is unique because no other author has ever written about the primary cause and solution to today's increasing attrition of physicians and the demise of private medical practice.

Once the reader becomes exposed to the extreme and relentless series of strategic moves organized and implemented by our government to control healthcare, the reader will understand why all physicians must be provided with an academic
business education.

Secondly, the reader will discover the critical importance and practical value of a business education for practicing physicians. Today, most physicians struggle financially while running their medical practice business because of their reliability on their own
business ignorance.

The contents discuss all the benefits and advantages of business knowledge, how to get  it and use it, and quickly reverse the money crunch you are experiencing today.

You probably won't get much benefit from an MBA degree because it's not oriented to medical practice business that demands special knowledge, implementation, and decisions.
     The success principles of all businesses are the same, but the management of those business strategies have to match the passions, objectives, and diligence capabilities of each  physician.

The content is meant not only to inspire physicians to gain business knowledge, but also to get a very clear understanding about how fragile their medical career is to present day economic, political, and social threats.

The ultimate goal of all medical doctors should be to use their business knowledge as a offensive weapon against predators, both economic and governmental, to survive and grow using the business tools I continue to throw at you. It's the only offensive force that physicians have to use to remain in private practice.

I truly believe this is the one and only solution for maintaining solo medical practice. This is especially critical to the most popular option... cash only practice... for practicing medicine outside the government healthcare system.

  Order the book 

Available through your local bookstore's order desk or at these online bookstores...

Amazon .com
or by phone
1-888-795-4274 x 7879

I guarantee that the content will stick to your mind for as long as you practice medicine.

Show the world what you are capabable of doing... not what you were expected to do.


Connect To A
Higher Power

"I am the Lord thy God which teacheth thee to profit, which leadeth thee by the way that thou shouldest go."

---Isaiah 48:17

Borderless Humor

"Maybe it's true that life begins at fifty ... But everything else starts to wear out, fall out, or spread out."

 ---Phyllis Diller

Inspiration Time

"People who are crazy enough to think they can change the world, are the ones who usually do."

---Steve Jobs

Views I Only Share With My Friends...

What my medical career
taught me...

Click Here ... and how it can help you manage your medical practice business at the highest level of expertise.

 Facts And Stats

1. Clans of long ago that wanted to get rid of their unwanted people without killing them used to burn their houses down - hence the expression
"to get fired."

2. Oil tycoon, John d. Rockefeller, was the world's
first billionaire.


 Important Notices

Protect your private medical practice income using the strategies in this eBook, which  contains the keys to your medical practice survival.

 Click on the image
 below for more

 Invest in the most extraordinary experience of your medical career.

eBook,How to propel your medical practice income, cover graphic
"How To Rapidly Propel Your Medical Practice Income To Unlimited Levels
In 6 Months"

Click Here When you need expert help and advice, and when...

red arrow pointing to rightyou just don't know where to turn to get honest and reliable help with your battle to fight the external forces that compromise your practice revenue and growth.

red arrow pointing to right you want to improve your medical practice income dramatically in a short period of time.

red arrow pointing to right you prefer to find the means to reach your highest level of practice income
and productivity.

red arrow pointing to right you demand effective and reliable means for preventing the financial collapse of your
medical practice.

red arrow pointing to right you are determined to find ways to combat govt. fee restrictions that continue to increase.

red arrow pointing to right you recognize that what you are missing in your medical business are implementation of business principles and marketing strategies.

red arrow pointing to right you want to do it yourself and save a bunch of money.

red arrow pointing to right you are sick and tired of putting up with what you are being forced into doing with your practice to stay afloat.

red arrow pointing to right you are aware that no other physician author is making any effort to tell you what to do and how to do it effectively to reach your expectations you had for your medical career when
you started.

red arrow pointing to right you understand the severity of being in a business without ever being taught the business knowledge to run it profitably.

red arrow pointing to right you insist on having a blueprint for your medical practice business that provides every key to your practice success at the
highest level. 

References For
Maximizing Your

 Read every article published on my website
(over 80 medical practice business articles)
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/article archives

My Other Medical Websites





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Paraprosdokian Ideas

"Behind every successful man is his woman. Behind the fall of a successful man is usually another woman."



"Venison for dinner again?
Oh deer!"


bird on its back---I give up!




 Thank you for 
and reading.





 photo of Dr. Graham and his two corpsmen in Vietnam 1965    photo of Dr. Graham early in medical practice    photo of Dr. Graham and his wife Linda     photo of Dr. Graham later in medical practice        photo of Dr. Graham with his medical practice associates

Marine Flight Surgeon Vietnam

1973 Private Practice

 Wife Linda 1985

1994 My office

My Medical Practice Group ...
Graham, Mayo, Kaplan, Seibert,
DelValle, Chuba

masonic symbolAmerican flag Curtis Graham, M.D.
2404 Mason Ave.  Las Vegas, NV 89102
E-mail = cgmdrx(at)
      © 2004-2016  Curtis Graham, M.D.,  All Rights Reserved.