Richard Dean Smith, MD

My Works

MELVILLE'S COMPLAINT: Doctors and Medicine in the Art of Herman Melville
MELVILLE'S SCIENCE: "Devilish Tantalization of the Gods!"
MANAGED CARE: Anatomy of a Mass Medical Movement
RISE AND FALL OF MANAGED CARE: History of the Mass Medical Movement
CAPTAIN NOON! or Procrastination Considered as One of the Fine Arts
POOL: It's Mental. It's Physical. It's Mystical

Midnight at DeadSTRoke Billiard Club and Rispah Cafe
An off-beat mystery. Strong men. Strong women. A suspect. A few strange birds haunt the poolroom. Can Dr. Kendrick solve two mysteries?

Pool: It's Mental. It's Physical. It's Mystical.
Once a player masters the basics of pool, mental aspects become paramount. Even expert players are plagued by the game's mental demands. I look at the game from the point of view of the player striving to improve his/her game faced with the importance of the mental aspects of playing before spectators, competitive and performance stress, as well as strange and mystical occurrences within the confines of the green abyss of a pool table. I explore and interpret ways these mental and metaphysical aspects of the game operate in all players. These phenomena are important in many aspects of life, including other games such as golf and tennis, test taking, performance in the presence of peers, and many others. Good luck!

Requiem for Doctor Edward Browne.
When Dr. Browne’s partner retires, his practice is taken over by Dr. Forbes Q. Hazzig, who becomes a zealot for a ‘managed care revolution’ of ‘marketplace medicine.’ Browne and his associate Dr. Kennes receive irrational, discordant information from healthcare experts, consultants and economists, a mystery to be solved. Browne learns that rhetoric of a mass movement must be as erroneous as possible promising a vague, glorious future. Hazzig grows immensely rich and gains enormous power relying on intimidation and coercion.
Joanna Browne’s exhibition of J.M.W. Turner becomes a thrilling success, yet Hazzig’s wife succeeds in eliminating Joanna’s position at East Valley Museum of Art. Joanna must accept a position at a distant university; her absence devastates Browne.
Browne and Kennes discover managed care was based on a Washington bureau hoax, the ‘health maintenance strategy’ of 1973: an irrational mass movement, a mass hysteria. Hazzig plots to humiliate and ruin the two doctors; each threat goes awry. Hazzig is discredited; his illusory wealth collapses.
Reunited with Joanna, Dr. Browne receives a disturbing invitation to return to East Valley to be recognized with Dr. Kennes for their efforts to expose the folly of managed care.

Trust in a Medical Setting.
"Gaining a patient's trust, or trust of a patient's family, may seem to be a given, but achieving trust is a fragile, individual, hazardous endeavor. In an era of distrust of institutions and professions, the patient must trust the staff of doctors, nurses, and therapists before a working therapeutic relationship can be established."

"Award-Wining Finalist in the Medical Reference category of the Best Books 2006 Book Awards"

The Circus of Medicine.
Managed care, based on a hoax out of Department of Health, Education and Welfare in the early 1970s, became an irrational mass movement, a national hysteria that must fail with many tragically hurt. Satire.

CRS: Computer-Related Syndrome: The Prevention and Treatment of Computer-Related Injuries. Richard Dean Smith, MD and Steven T. Garske, MS, PT.
The computer workstation must be considered a potentially hazardous place. Computer keyboard workers are akin to armchair athletes subject to the same stresses and injuries experienced by athletes. Our purpose is to alert keyboard workers to early warning signs, explain how to best arrange workstations, provide both preventive and therapeutic exercises, and enable workers to 'train' for computer keyboard work. With drastic cutback of workers compensation insurance benefits, prevention and early intervention is especially important.

Rise and Fall of Managed Care: History of the Mass Medical Movement.
Since the early 1970s, rising medical costs resulted in a profusion of healthcare plans and criticism of the profession of medicine: a confusing, chaotic, divisive setting for providing medical care. Little or no communication took place between those who purchased medical insurance plans and those who provided medical services—physicians, dentists, hospitals, and other providers. Promotion of managed care plans took on an excited, carnival atmosphere generating promise that a glorious, new era was approaching.
Since doctors order most medical care, managed care proponents emphasized the importance of controlling practices of doctors. They claimed extensive changes were needed, that almost any criticism against the profession of medicine was warranted. Enterprising economists, entrepreneur consultants and a host of others became self-styled experts and advisers to hospitals and businesses over the issue of "cost containment" and invented the imperative "runaway costs." Accusations leveled against physicians by advocates of managed care were puzzling, disturbing, and frustrating. We were told that "managed care is what's out there," "business likes managed care," and managed care is "here to stay." The new ethic became marketplace competition, cost containment, prevention, and control.
Although most doctors at one time objected to the idea of managed care, rising sentiment against regular fee-for-service practice eventually took its toll to the point many physicians became convinced that it was up to doctors to make managed care work. Corporate benefits managers at first were opposed to the notion of managed care, but gave in to pressure from corporate management.
Managed care advocates created fear, uncertainty, and division by telling physicians that the only possibility of survival in "changing climate of health care" was to "embrace" managed care. Economists and politicians charging outright criminal activity by all physicians became the norm. Doctors and public were told that a new age had dawned, the old order was out, we had better get on board or be left behind. By declaring managed care an "unassailable truth," managed care was propelled into a revolution, a mass movement. Yet, physicians who "embraced" managed care found themselves in an ethical and practical bind.
Enthusiasm that led to the managed care mass movement followed the same course as other mass movements—a restructuring of medical care was called for, the old was suddenly outdated, a "crisis" proclaimed, a social transformation declared!

Selected Articles and Stories

Smith, R.D., Dushane, J.W. and Edwards, J.E. "Congenital Insufficiency of the Pulmonary Valve." Circulation 20 (1959) 554-560.
Spittell, J.A.,Jr., Smith, R.D., Harrison, E.G.,Jr., and Schirger, A. "Unilateral Secondary Lymphedema: A Clue to Malignant Disease." Mayo Clinic Proceedings 38 (1963) 139-144.
Smith, R.D., Spittell, J.A.,Jr., Schirger, A.,"Secondary Lymphedema of the Leg: Its Characteristics and Diagnostic Implications." Journal of the American Medical Association. 185 (80-82) 1963.
Smith, R.D., and Code, C.F., "Histamine Formation: Histadine Decarboxylase Determination Using Carboxyl-Carbon14 -Labeled Histidine." Mayo Clinic Proceedings 42 (1967) 105-111.
Smith, R.D., and Worthington, J.W. "Paganini: the Riddle and Connective Tissue." Journal of the American Medical Association. 199 (1967) 820-824.
Smith, R.D., "Legendary Disseminated Intravascular Coagulation." (Snow White) (letter) Journal of the American Medical Association.235 (1976) 1326.
Smith, R.D., "Experience with Naproxen in a Rheumatology Practice." Current Therapeutic Research 21 (1977) 415-426.
Smith, R.D., and Polley, H.F. "Rest Therapy for Rheumatoid Arthritis." Mayo Clinic Proceedings 53 (1978) 141-145.
Smith, R.D., "Purple Medicine" Drug Therapy Journal 9 (1979) 204-209.
Smith, R.D., "Renaissance Rheumatism." (Dante's Inferno) Journal of Rheumatology 6 (1979) 240.
Smith, R.D., "Effect of Hemiparesis on Rheumatoid Arthritis." Arthritis and Rheumatism 22 (1979) 1419-1420.
Smith, R.D., "John Muir Medical Film Festival." ACCMA Bulletin 35 July (1979) 21-22.
Smith, R.D., "Health Care Amateurs." ACCMA Bulletin 5 (1979) 19.
Smith, R.D., "Medicine in the Gaseous State." ACCMA Bulletin Jan (1980) 27.
Smith, R.D., "Bed Rest at Home for Rheumatoid Arthritis." Arthritis and Rheumatism 23 (1980) 263-264.
Smith, R.D., "The Millennial Birthday of Avicenna." ACCMA Bulletin 36 July (1980) 21-22.
Smith, R.D., "Getting Involved: The Doctors Meet the Politicians." ACCMA Bulletin 36 July (1980) 23-24.
Smith, R.D., "Only Time Could Outlast Purple Medicine." Equis August (1980).
Smith, R.D., "The John Muir Medical Film Festival." Medical Communications 8 (1980)76-80.
Smith, R.D., "Avicenna and the Canon of Medicine: A Millennial Tribute." Western Journal of Medicine 133 (1980) 367-370.
Smith, R.D., "La Medicina." ACCMA Bulletin 37 February (1981) 17.
Smith, R.D., "Lesson from Another Country." ACCMA Bulletin 37 March (1981) 17-18.
Smith, R.D., "Avicenna—Philosopher, Statesman, and Physician." American College of Physicians Observer 1 (1981) 1,10.
Smith, R.D., "Thanks Anyway, Doc." ACCMA Bulletin 37 (1981) 15-16.
Smith, R.D., "One Thousand Years in the Art of Preserving Health." (Avicenna and The Canon of Medicine.) Kansas Medical Journal 82 (1981)359-360, 372.
Smith, R.D., "Sickness Come on Horseback." ACCMA Bulletin 37 July (1981) 17.
Smith, R.D., "They Still Fight the Vietnam War." (Kemper Military School) Weekly Missourian Oct. 21, 1981, p. 12.
Smith, R.D., "Schneider's Brew." ACCMA Bulletin 37 (1981) 17-18.
Smith, R.D., "Lorenzini's Little Story." (Pinocchio) ACCMA Bulletin Nov. (1981) 13-14.
Smith, R.D., "Millennial Tribute to Avicenna." Journal of Clinical Therapeutics 11 (1981) 88l-88p.
Smith, R.D., "The Cricket and the Marionette." (Pinocchio) Southern Medical Journal 75 (1982) 59-60.
Smith, R.D., "Thanks Anyway, Doc." Journal of Physician-Patient Communications August (1982)10-11.
Smith, R.D., "Adab al Tabib: Practical Medical Ethics of the Ninth Century." ACCMA Bulletin 38 (1982) February 19-20, March 23-26, April 21, May 22.
Smith, R.D., "Springtime for a Frog." ACCMA Bulletin Sep (1982) 18-20.
Smith, R.D., "Paganini's Hand." Arthritis and Rheumatism 25 (1982) 1385-1386.
Smith, R.D., "Gold's a Dollar, the Expert’s Free." ACCMA Bulletin 39 (1983) 19-21.
Smith, R.D., "The Petrified Man." (Eudora Welty) Journal of Rheumatology 10 (1983) 106.
Alterescu, V. and Smith, R.D., "Wine Treatment of Rheumatoid Skin Ulcerations." Arthritis and Rheumatism 26 (1983) 934-935.
Smith, R.D., "Ospedalia degli Innocenti of Florence, Italy." ACCMA Bulletin 39 (1983) 16.
Smith, R.D., "A Classification of the Unknown." Update: Computers and Medicine 2 (1984) 45-47.
Smith, R.D., "I and My Sciatica." (Herman Melville) Western Journal of Medicine 143 (1985) 688-691.
Smith, R.D., "Doctor Rosen's Lecture." Journal of Irreproducible Results. 31 (1985) 2-3.
Smith, R.D., "The Opera Stress Test." Journal of Irreproducible Results. 32 (1986) 24-25.
Smith, R.D., "The Numbers Are Up." ACCMA Bulletin 43 (1987) 2, 25.
Smith, R.D., "Nine-ball Neck." (letter) Journal of the American Medical Association. 261 (1989) 866.
Smith, R.D., "All the Wonders of Africa." MD Magazine. accepted.
Smith, R.D., "Vulgar Errors." (Sir Thomas Browne) Southern Medical Journal 82 (1989) 1405-1407.
Smith, R.D., "The Wonders of Africa." Mayo Alumni 26 (1990) 27-28.
Smith, R.D., "Sir Hans Sloane, MD and the Chelsea Physic Garden." ACCMA Bulletin 46 (1990) Cover, 8.
Smith, R.D., "Non-Newtonian Billiards." Journal of Irreproducible Results 35 (1990) 11-12.
Smith, R.D. "The Royal Hospital." ACCMA Bulletin 46 (1990) 15.
Smith, R.D. "The Use of Topical Wine in Wounds." Wounds: A Compendium of Wound Care 2 Nov/Dec (1990) A10-14.
Smith, R.D. "The Herb-doctor and Mineral-doctor in The Confidence-Man." Melville Society Extracts No. 85, pp. 9-11, May 1991.
Smith, R.D., "The Chelsea Physic Garden." Drug Therapy Journal. 22 August (1992) 69-73.
Smith, R.D. "Semi-nanoeconomics." ACCMA Bulletin 49 (1993) 12-13.
Smith, R.D., "Melville's Pharmacology." Drug Therapy Journal. accepted.
Smith, R.D., "The Trap." ACCMA Bulletin 49 Nov (1993) 14,17.
Smith, R.D., "Dysfunctional Doctour of Physik." Western Journal of Medicine 160 (1994) 70-72.
Smith, R.D., "In the Absence of Absolute Truth." ACCMA Bulletin 50 (1994) 15, 36.
Smith, R.D., "From Madness to Miracle to Myth." (Managed Care) Mayo Alumni 31 (1995) 24-25.
Smith, R.D., "The 'Physician Behavior Constant': Implications in Managed Care." ACCMA Bulletin 49 Nov (1995) 14,17.
Smith, R.D., "Managed Care and Learned Helplessness." ACCMA Bulletin 52 April (1996) 17.
Smith, R.D., "Kansas Kiss Cake." KANSAS! Magazine. (letter) Spring, 1998.
Smith, R.D. "Game Theory and the Managed Care Mass Movement." ACCMA Bulletin 55 (1999) 19.
Smith, R.D. "Prevent Computer-Related Syndrome (CRS): Safe Computer Use." Small Business News Accepted.
Smith, R.D. "Twelve Keys to Keyboard Safety." Ageless Lifestyle Magazine, Concord, CA. October 1999, 24.
Smith, R.D. "Twelve Keys to Keyboard Safety." Daily Press. Victorvile, CA. November 5, 1999.
Smith, R.D. "Keyboard Safety guidelines." The Press. Bristol, CT. Nov. 23, 1999.
Smith, R.D. "Twelve Keys to Keyboard Safety." ACCMA Bulletin November, 1999. p. 18.
Smith, R.D. "Twelve Keys to Keyboard Safety." Bay Area Parent., San Francisco, CA. December 1999, 18-19.
Smith, R.D. "Twelve Keys to Keyboard Safety." Family News, San Rafael, CA. May 2000.
Smith, R.D. "My Mini-sabbatical." (Oxford Summer Seminar) Mayo Alumni. Accepted.
Smith, R.D. “Modern Behavioral Economics & Managed Care.” ACCMA Bulletin 56 (2001) 15-16.
Smith, R.D. “Doctor Le Bon’s ‘Little Book’ and The Managed Care Mass Medical Movement.” Journal of the Philosophy of Surgery and Medicine 1 (2001) 55-66.
Smith, R.D. Book Review: Michael Rosenblum. The Decline of American Medicine: Where Have All the Doctors Gone. ACCMA Bulletin 60 (2004) 11.
Smith, R.D. Book Review: J. Alton Lee. The Bizarre Careers of [Dr.] John R. Brinkley. Lexington: University of Kentucky Press, 2001. ACCMA Bulletin, accepted.

Smith, R.D., "Bed Rest and Rheumatoid Arthritis: Clinical Experience Home and Hospital." Poster: International Symposium on Rheumatoid Arthritis, Verona, Italy. October 20-22, 1980.
Smith, R.D. “The History of Managed Care.” Peninsula Branch, American College of Physicians, at Stanford University Faculty Club, March 17, 2002.
Smith, R.D “Trust: a Shock to the System.” American Medical Rehabilitation Providers Association, Rancho Mirage, CA. November 1, 2005.
Smith, R.D. “Trust in a Medical Setting.” California Medical Rehabilitation Providers Association, San Diego, CA. September 15, 2006.

Pool Articles:
Pool and Billiard Magazine: Contributing writer: July 1989 to 2002.

Smith, R.D., "In Shape to Play." Pool and Billiard Magazine 7: July (1989) 12.
Smith, R.D., "Billiards and Physics: Classical Physics, the New Physics, the New-New Physics, the Cosmos and Billiards: Free Billiards from Newton!" Pool and Billiard Magazine 7: September (1989) 19-21.
Smith, R.D., "Ethics of the Safe-Out." Pool and Billiard Magazine 8: March (1990) 24.
Smith, R.D., "Cues and Your Hands." Pool and Billiard Magazine 8: May (1990) 20.
Smith, R.D., "Science Without Billiards." Pool and Billiard Magazine 8:June (1990) 28-30.
Smith, R.D., "The Bottles." Pool and Billiard Magazine 8:August (1990) 47-48.
Smith, R.D., "Nathan's Victory." ("Merry Christmas Nathan") Pool and Billiard Magazine 8:November (1990) 30-31.
Smith, R.D. "Norm Price's Pool Hall." Pool and Billiard Magazine 8: 32-33, 1990.
Smith, R.D. "The Great Entertainer: A Great Old City Gets a Great New Room." Pool and Billiard Magazine 9: March (1991).14
Smith, R.D. "Eyes are Fundamental." Pool and Billiard Magazine 9: April (1991) 19-20,
Smith, R.D. "Life Without Pool." Pool and Billiard Magazine 9: May (1991) 52-56.
Smith, R.D. "The Closer." Pool and Billiard Magazine 9: June (1991) 36.
Smith, R.D. "The Graduate." Pool and Billiard Magazine 9: Sept (1991) 32.
Smith, R.D. "A Study in Brown." Pool and Billiard Magazine 9: Nov. (1991) 52-58.
Smith, R.D., "Practice, Practice, Practice." Pool and Billiard Magazine 9: Nov. (1991) 46-47.
Smith, R.D., "Oh! Brutal Reality." Pool and Billiard Magazine 10: Jan (1992) 61-66.
Smith, R.D. "It's Mental: Part I: Becoming One With Your Shot." Pool and Billiard Magazine 10: Mar. (1992) 18-19.
Smith, R.D. "The Neck." Pool and Billiard Magazine 10: May. (1992) 22.
Smith, R.D. "It's Mental: Part II: The Cognitive Advantage." Pool and Billiard Magazine 10: Augst (1992) 42-44.
Smith, R.D. "It's Mental: Part III: Fear and Trembling." Pool and Billiard Magazine 10: November (1992) .
Smith, R.D. "It's Mental: Part IV: Relax! Relax!" Pool and Billiard Magazine 11: March (1993): 24,25.
Smith, R.D. "One Man's Crusade: Ed Wright and the Junior Tournament." Pool and Billiard Magazine 11: March (1993): 82.
Smith, R.D. "It's Mental: Part V: Staleness." Pool and Billiard Magazine 11: April (1993): 26-28.
Smith, R.D. "It's Mental! Part VII: Self-Talk." Pool and Billiard Magazine 11: August (1993): 30-31.
Smith, R.D. "It's Mental! Part VIII: Self-Confidence." Pool and Billiard Magazine 11: November (1993): 30-32.
Smith, R.D. "It's Mental! Part IX: Attention and Concentration." Pool and Billiard Magazine 12: March (1994): 28-29.
Smith, R.D., "The Lifetime Sport: Aging and Pool." Pool and Billiard Magazine 12: April (1994): 38-40.
Smith, R.D., "It's Mental! Part XIII: The Heroic Journey of a Pool Player." Pool and Billiard Magazine 13: Sept (1995): 36, 34.
Smith, R.D., "Good Luck!" Pool and Billiard Magazine 13: Sept (1995): 76.
Smith, R.D., "It's Mental! Part XIV. Winning and Losing: The 'Self-in-Little'" Pool and Billiard Magazine 14: May (1996): 20, 22.
Smith, R.D. “Preferences.” " Pool and Billiard Magazine 21: April (2003): 30.

European Pocket Billiard News:

Smith, R.D. "Abschluss-Schwäche" (The Closer) European Pocket Billiard News 7/91 p. 58-59.
Smith, R.D. "Queues und Ihre Hände" (Cues and Your Hands) European Pocket Billiard News 8/91 p. 50.
Smith, R.D. "Mister and Misses Bebb" European Pocket Billiard News 9/91 p. 30-33.
Smith, R.D. "Der Händedruck" (The Hand-shake) European Pocket Billiard News 9/91 p. 47.
Smith, R.D. "Die Flaschen." (The Bottles) European Pocket Billiard News 10/91 p. 69, 71.
Smith, R.D. "Classical Physics: Die klassische Physik, die Neue Physik, die neue Neue Physik, der Kosmos und Billard: Befreit Billard von Newton!" European Pocket Billiard News 1 (1992): 46-47.
Smith, R.D. "The Beckley Snooker Club." European Pocket Billiard News 2 (1992): 59-60.
Smith, R.D. "Verloren ist Verloren." (When It's Gone, It's Gone.) European Pocket Billiard News 3 (1992): 72-73.
Smith, R.D. " Der Hals." (The Neck) European Pocket Billiard News 5 (1992): 36-37.
Smith, R.D. "Die Augen." (The Eyes) European Pocket Billiard News 9 (1992): 11-12.
Smith, R.D. "Die Psyche." (It's Mental: part 1) European Pocket Billiard News 10 (1992): 27-30.
Smith, R.D. "Studie in Braun." (A Study in Brown) European Pocket Billiard News 11 (1992): 76-78.
Smith, R.D. "Ein Lemen ohne Pool/Life without Pool." European Pocket Billiard News 5 (1993) 40-41.
Smth, R.D. "Willie's Game: Eine atuobiographie von Willie Mosconi." European Pocket Billiard News 9 (1993) 60-61.
Smith, R.D. "Der Sieger." (The Winner) European Pocket Billiard News 4 (1995) 24-27.

Cue Sports Journal:

Smith, R.D. Book Review:CHALKERS Player Notebook and Quotes from and abouth Famous and Fanatic Billiard Players edited by Sue Bachman. Cue Sports Journal 1(1993) 9.
Smith, R.D. Book Review: Willie's Game: An autobiography by Willie Mosconi and Stanley Cohen. New York: Macmillan, 1993. Cue Sports Journal 1(1993) 12
Smith, R.D. "Classic Billiards: A Clean Well-lighted Place." Cue Sports Journal 1 Dec(1993) 3.


"Purple Medicine." Flint, Manhattan, Kansas. 28 June 1978, pp. 4-5.
"The Fountain." Flint, Manhattan, Kansas. 1 Nov 1978. p. 9.
"Lift Line." Flint, Manhattan, Kansas. 10 Jan 1979. p. 3.
"Twenty Years in Space." Flint, Manhattan, Kansas. 3 Jan 1979.
"One Fare." Good Evening Magazine. Diablo Valley College, Spring 1979.
"The Lights on Main Street." Wakefield Sun (Kansas). 20 Dec 1979
"An Old School Survives: Kemper Military School." Weekly Missiourian, Columbia, MO. 21 Oct 1981. p. 12A
"The Lights on Main Street." Clay Center Dispatch (Kansas), 22 Dec 1979. p. 5.
"The Winner." Head Spot. 4 (1996) 18-19.

Cover Photographs ACCMA Bulletin

"La Medicina." February, 1981.
"Boonville Crossing." September, 1981.
"Roselle Court." October, 1982.
"Sir Hans Sloane, MD and the Chelsea Physic Garden." August, 1990.
"Surgery: Moreton-on-Marsh." April, 1998.
"l'Inverno." July, 1999.

Selected Works

Fiction, Mystery
Pool: more than mental, more than physical, it's partly mystical.
Historical fiction, a mystery
A doctor and family struggle to survive in the era of managed care. Dr. Browne uncovers deception by government, insurance companies, consultants, hospitals, and others.
Medical management.
Satire of the absurdity of a national craze: managed care.
Health of Keyboard Workers.
Social importance of an irrational mass movement.