Why progression independent of relapse activity is the silent driver of disability in multiple sclerosis

Conditions
February 7, 2026

For too long, multiple sclerosis (MS) has been described with an air of quiet fatalism, a chronic, debilitating disease managed primarily by reducing relapses, but not fully addressed in terms of its continuous, underlying disability progression. This smoldering process often is not easily visible because of its progressive nature. Patients are told to manage expectations, while clinicians are taught to define success by the absence of magnetic resonance imaging (MRI) …

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Why medical school DEI mission statements matter for future physicians

Education
February 7, 2026

When you were applying to medical school, how did you decide which programs to consider? After filtering by stats and geography, you likely browsed school websites. Which ones stood out to you? Did any reflect your identity, align with your values, or feel like a place where you’d truly belong?

Mission statements, particularly those focused on diversity, are often the first indication to applicants that a school values them not just …

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A physician’s quiet reflection on January 1, 2026

Conditions
February 7, 2026

Over the past few days, I have read numerous articles reflecting on 2025: what people achieved, what they lost, how many books they read, and how they touched the lives around them. I found myself lingering on them, thinking, reflecting. But today, I want to pause on something closer to home: my first day of this new year, January 1, 2026.

I am sitting in the library, one of my favorite …

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AI censorship threatens the lifeline of caregiver support [PODCAST]

Podcast
February 6, 2026
YouTube video

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Certified coach and medical educator Kathleen Muldoon discusses her article “AI moderation of online health communities.” Kathleen shares the harrowing personal story of having her social media account disabled when an algorithm …

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Demedicalize dying: Why end-of-life care needs a spiritual reset

Physician
February 6, 2026

If life is what we make it, then the end of life can be understood as a spiritual journey rather than a medical pursuit. We demedicalize dying by distancing ourselves from practices that use hope as consent (prolonging life through reflexive hospitalizations, procedures, or antibiotics that offer little dignity to those already living with serious illness).

Every medical decision poses a fundamental question: Is this the beginning of the end, or …

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Physician due process: Surviving the court of public opinion

Physician
February 6, 2026

A single screenshot. A leaked email thread. A one-star review. Then the verdict arrives fast. Faster than any investigation. Faster than any courtroom. Faster than any truth.

Recent reporting describes how physician and author Peter Attia faced immediate public fallout after the Justice Department released Epstein-related records that included extensive email correspondence. Dr. Attia apologized for the tone of those emails and denied criminal wrongdoing. Major outlets repeated selected lines. Social …

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Spaced repetition in medicine: Why current apps fail clinicians

Physician
February 6, 2026

In the high-stakes world of medical education and lifelong clinical practice, there is a constant battle taking place: the struggle between the human brain and the Ebbinghaus forgetting curve.

The science of memory is settled. Dozens of studies confirm that spaced repetition consistently outperforms traditional “massed” study (cramming) for long-term retention. By reviewing a clinical concept just as it is about to slip from our neurons, we “hack” the brain into …

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When the doctor becomes the patient: a breast cancer diagnosis

Conditions
February 6, 2026

An excerpt from From Both Sides of the Curtain: Lessons and Reflections from an Oncologist’s Personal Breast Cancer Journey.

The mammography waiting room always played HGTV. I had been in this space countless times before, having started routine screening at the age of 40. I always booked the first appointment of the day because I knew all too well how easily schedules could get backed up. Like clockwork, the tech …

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My journey with fibroids and hysterectomy: a patient’s perspective

Conditions
February 6, 2026

I am a 45-year-old Black woman. I learned in early 2025 I was going through perimenopause. As I experienced what was my new norm of mood changes, anxiety, migraines, and once again heavier periods, I found vitamins to help with some of my perimenopause symptoms, but not all. I decided to make an appointment with a gynecologist.

I made an appointment with the first available GYN since I hadn’t seen my …

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Primary care offers unexpected financial and emotional wealth [PODCAST]

Podcast
February 5, 2026
YouTube video

Subscribe to The Podcast by KevinMD. Watch on YouTube. Catch up on old episodes!

Primary care physician Jerina Gani discusses their article “The hidden rewards of a primary care career.” Jerina challenges the common narrative that general practice is merely a stepping stone filled with paperwork …

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Social work accountability: the danger of hindsight bias

Conditions
February 5, 2026

When a child dies under the supervision of the care system, the public response is often immediate and visceral. Media headlines demand answers. Prosecutors search for accountability. And very quickly, attention narrows to a single figure: the frontline social worker.

In recent child protection cases, the dominant questions have sounded strikingly similar. Why did they not notice earlier? Why did they not visit more often? Why did they not intervene?

These questions …

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When diagnosis becomes closure: the harm of stopping too soon

Physician
February 5, 2026

Medicine prides itself on early diagnosis and decisive treatment. We are trained to recognize patterns, apply categories, and follow pathways designed to reduce uncertainty. This approach saves lives. But there is a quiet point at which it can also cause harm.

That moment occurs when diagnosis becomes closure.

I recently spoke with a young woman in her 20s with endometriosis. She had done everything medicine asked of her: sought care, underwent surgery, …

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Celiac disease psychiatric symptoms: When anxiety is autoimmune

Conditions
February 5, 2026

In functional and integrative psychiatry, patterns start to announce themselves long before they show up in guidelines.

Over the past several months in my clinical practice, I have diagnosed celiac disease in multiple young adult men who presented not with diarrhea, abdominal pain, or weight loss, but with psychiatric and cognitive symptoms: chronic low mood, brain fog, fatigue, poor motivation, memory issues, and anxiety. Neither had prominent gastrointestinal complaints. Both had …

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Prostate cancer screening limitations: Why PSA isn’t enough

Conditions
February 5, 2026

As physicians, we spend our careers believing that if we gather enough data, follow the guidelines, and monitor closely, we can stay one step ahead of disease. We reassure patients that early detection saves lives. We quote statistics, interpret lab values, and project confidence. Nothing dismantles that illusion of control quite like becoming a patient.

I have written before about my prostate cancer journey, before the surgery, after the surgery, and …

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From flight surgeon to investor: a doctor’s guide to financial freedom

Physician
February 5, 2026

In a valuable episode of the Wealth Planning for the Modern Physician podcast, host David Mandell, JD, MBA, sat down with Dr. David Yanoff, an orthopedic surgeon with a career spanning the Air Force, private practice across several states, and innovative financial ventures. Dr. Yanoff shared insights from his diverse medical journey, his entrepreneurial approach to finance, and strategies for transitioning smoothly into retirement, valuable lessons for any physician navigating …

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Why perimenopause feels like losing yourself

Conditions
February 5, 2026

Many women entering perimenopause struggle to put words to what they are experiencing. They often say, “I don’t feel like myself anymore,” even when they can’t identify a single symptom that feels concrete or diagnosable. Emotionally, something feels different. Physically, their bodies feel unfamiliar, more aches, more pains, weight changes, or a sense that it’s harder to “get back on track.” Cognitively, many notice brain fog or a lack of …

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The surgical safety checklist: Why silence is the real enemy

Physician
February 5, 2026

There is a moment in the operating room so brief it almost disappears.

Names are spoken. Roles clarified. A question offered into the air: Does anyone see something we don’t?

For a heartbeat, hierarchy loosens. For a breath, the room remembers it is made of humans. That is the moment the checklist was built for. Not because surgeons forget steps, but because under pressure, even the best of us forget how to …

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Tort reform medical malpractice: Why current laws fail

Physician
February 5, 2026

Tort reforms for medical malpractice preoccupy much of the legislative agenda for any state legislature as well as much of the time and budget of a state’s medical society. However, in truth, state legislators and the administrators of medical societies only care when it is to their advantage.

Because I am a physician in Maryland, I use Maryland as the example. In most states, tort reforms achieve six goals:

Remote second opinions bridge the gap in rural cancer survival [PODCAST]

Podcast
February 4, 2026
YouTube video

Subscribe to The Podcast by KevinMD. Watch on YouTube. Catch up on old episodes!

Practicing oncologist, adjunct professor at Duke University, and chief medical officer at AccessHope Yousuf Zafar discusses his article “Remote second opinions for equitable cancer care.” Yousuf explains how a patient’s zip code …

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High-protein diet risks: Why more isn’t always better

Conditions
February 4, 2026

Over the past decade, nutrition culture has increasingly revolved around a single macronutrient: protein. Popular media, fitness culture, and everyday health conversations often frame higher protein intake as a universal good, synonymous with strength, longevity, and metabolic health. In the process, many foods that once formed the foundation of balanced eating (whole grains, legumes, vegetables, and healthy fats) are quietly sidelined or dismissed.

Protein is essential. That point is not in …

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