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ATTR-CM screening: the missing link in heart failure diagnosis

Conditions

February 17, 2026

Robert felt winded climbing stairs. At 76, he attributed his fatigue to age. He thought his heart medications needed adjusting. His cardiologist agreed, tweaking his blood pressure pills. Six months later, Robert collapsed. In the ER, doctors found his heart walls dangerously thickened, stiff as leather.

A simple nuclear scan revealed the truth: transthyretin amyloid cardiomyopathy, or ATTR-CM, a progressive disease where misfolded proteins infiltrate the heart. Had anyone suspected it …

The honest broker in pediatrics: Building the medical home

Ronald L. Lindsay, MD

Physician

February 17, 2026

When I arrived at a regional military hospital, it was not a dispensary or a community clinic. It was the referral hospital for the northern tier missile and bomber bases, positioned just below the major medical centers. We were second tier, but the stakes were global.

Into that setting, I brought the medical home and a mini-developmental clinic. Through a program for exceptional family members, families from around the world found …

Waiting for the system to change causes burnout [PODCAST]

The Podcast by KevinMD

Podcast

February 16, 2026

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Board-certified pediatrician and certified coach Jessie Mahoney discusses her article “Why doctors must stop waiting and reclaim their lives.” Jessie explains how medical training conditions doctors to view endurance as a virtue …

MOC patient outcomes: Why recertification doesn’t guarantee quality

Brian Hudes, MD

Physician

February 16, 2026

Every major policy in medicine is supposed to rest on evidence. We track outcomes for new drugs, devices, and procedures. We measure hospital mortality, infection rates, and adherence to guidelines. Yet one of the most time-consuming and expensive physician policies of all, Maintenance of Certification (MOC), has never been held to that same standard.

For decades, the American Board of Internal Medicine (ABIM) and other specialty boards have argued that recertification …

When the doctor becomes the patient: a breast cancer journey

Amy E. Sanders, MD

Conditions

February 16, 2026

At 62, I unwittingly became a cliché: the physician who makes a poor patient.

The hard lump in my right breast, directly inferior to the nipple at the 6 o’clock position, shocked and shook me in the middle of a long August night when it first poked me as I tossed and turned my way through a bout of insomnia.

A screening mammogram for September 12 had been on my calendar for …

Why medical education assessment kills curiosity in residents

Mythili Ransdell, MD

Education

February 16, 2026

Sarah, a new attending, has been asked to work with June, a PGY-1 resident who has struggled with new admissions.

On rounds, June recommends a urinalysis for a patient with advanced dementia and new agitation.

“Why a UA?” Sarah asks.

“Behavior changes can indicate a urinary tract infection in older adults,” June replies, confident and fluent.

Inside, Sarah splits. She wants to teach, to pause, invite uncertainty, and help June reason through delirium and …

Menstrual health in medicine: Addressing the gender gap in care

Cynthia Kumaran

Conditions

February 16, 2026

In medical school, I’ve been taught to take chest pain seriously. If a patient presents with angina, there are clear guidelines, robust evidence, and standardized protocols to follow. Yet, when a patient comes into the clinic describing mood swings, fatigue, or pain tied to their menstrual cycle, the responses of clinicians are often vague, stating, “That’s normal.” Behind that simple phrase lies decades of neglect in how we study, fund, …

Community ownership transforms the broken health care system [PODCAST]

The Podcast by KevinMD

Podcast

February 15, 2026

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

Physician, author, and health care reform advocate David K. Cundiff discusses his article “Accountable care cooperatives: a community-owned health care fix.” David outlines a transformative plan to replace the fragmented U.S. insurance …

Mobile wound care in 2026: Navigating regulatory pressures

John F. Curtis IV, MD

Conditions

February 15, 2026

I practice mobile wound care because it works. Treating chronic wounds in patients’ homes, skilled nursing facilities, and assisted living settings improves adherence, reduces missed visits, and often prevents avoidable hospitalizations. For medically complex patients, mobile wound care is not a convenience; it is frequently the only viable model.

But in 2026, mobile wound care is under sustained pressure. Lower local coverage determinations (LCDs), intensified CMS surveillance, and expanding documentation requirements …

Why smaller hospitals may be faster for cancer diagnosis

Gerald Kuo

Conditions

February 15, 2026

In modern medicine, we like to believe that geography no longer determines outcomes. Advanced technology, integrated referral systems, and universal health coverage are supposed to ensure timely care for everyone. Yet for one woman in Taiwan, a country often praised for having one of the world’s most efficient universal health care systems, the greatest obstacle to cancer treatment was not distance. It was time.

Ms. Li, a retired woman living in …

Missed diagnosis visceral leishmaniasis: a tragedy of note bloat

Arthur Lazarus, MD, MBA

Conditions

February 15, 2026

As reported in the Philadelphia Inquirer, Louis-Hunter Kean was 34 years old when he died in November 2023 at the Hospital of the University of Pennsylvania (HUP). For more than a year, he endured cyclical fevers as high as 104.5 F, drenching night sweats, profound fatigue, hepatosplenomegaly, cytopenias, and escalating inflammation. Over six months in 2023, he was hospitalized five times. His electronic medical record ballooned to …

Mifepristone restrictions: How bans force patients into riskier care

John Finnie-Maloney

Conditions

February 15, 2026

I will never forget the patient I met in the emergency department who was pale, trembling, and in tears, her family in distress at her side in the trauma bay. She was suffering complications after taking medication to end her pregnancy. While such side effects can occur with medical abortions, they are markedly more likely when patients are forced to use misoprostol alone, a reality in states that restrict access …

Pediatric care in Ghana: Addressing malnutrition and sickle cell disease

Benedicta Yayra Adu-Parku

Conditions

February 15, 2026

In Accra, Ghana, the ward glowed ocean blue under phototherapy lamps. Chlorhexidine lingered in the air, cardboard rustled beneath a mother’s thin blanket, and the soft gasp of a preterm infant punctuated the hum of monitors. A baby’s drool pooled at the corner of her mouth; when my gloved fingers brushed her cheek, she flinched. Her body spoke a language beyond words, and her mother translated every twitch with love.

Behind …

Sabbaticals provide a critical lifeline for sustainable medical careers [PODCAST]

The Podcast by KevinMD

Podcast

February 14, 2026

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

Palliative care physician and certified physician development coach Christie Mulholland discusses her article “Why every physician needs a sabbatical (and how to take one).” Christie reveals the harsh reality that while sabbaticals …

Curing versus caring in medicine: Bridging the gap in patient trust

Cherie Shah

Education

February 14, 2026

Modern medicine has a lot to show for all our breakthroughs and biotechnology. At an astonishingly rapid rate, we have built a health care system that can map the genome, replace a heart valve, and monitor vital signs from a wristwatch. All this to show that medicine’s success has always been measured in cures, and in that pursuit, we have forgotten to care. This is where medicine fails.

A cure is …

Flexible health care funding: Moving beyond disease eradication

Selena Kattick

Policy

February 14, 2026

The moment the text message lit up my watch, I knew my life had irrevocably changed. I looked down at the miniature screen and found that I could not look away from the gray bubble and the three words that shattered my world: My aunt had passed away. An all-consuming grief overtook me as I processed a reality where my aunt’s boisterous laugh no longer echoed off the walls, along …

Why a chief wellness officer hid her medication use for 13 years

Michael F. Myers, MD

Physician

February 14, 2026

An excerpt from Physicians With Lived Experience: How Their Stories Offer Clinical Guidance (APA Publishing, 2025).

“Here is the truth: I have been on a stable dose of Wellbutrin (Bupropion) for thirteen years, and despite being quite a public advocate about self-disclosure and mental health, I have never once said that out loud. If you have ever read anything I’ve written before …

Physician patient advocacy: Fighting insurance denials effectively

Neil Baum, MD

Physician

February 14, 2026

Our nation and the health care industry have been in shock following the assassination of the CEO of one of the largest insurance companies in the U.S. in December 2024. The reaction to Brian Thompson’s death and suspected shooter Luigi Mangione appeared to have captured America’s attention. The assassination has focused public outrage toward the health care insurance industry and a lack of empathy for the victim and his …

Health care’s Upside Down: Addressing systemic dysfunction and burnout

Ganesh Asaithambi, MD, MBA

Physician

February 14, 2026

If you have watched Stranger Things, you know the premise: A quiet town appears functional on the surface while a darker, parallel world creeps into everyday life, or the Upside Down. The true danger is not just the monsters but also the refusal of adults in power to believe what is directly in front of them. Modern health care is living in its own Upside Down.

The metric trap

In my practice, …

How February and Valentine’s Day impact lonely patients

Crystal W. Cené, MD, MPH

Conditions

February 14, 2026

Last year, at her annual physical, one of my patients told me that February was the hardest time of the year for her. Her husband died three years earlier in February. Her daughter lives out of state and doesn’t visit often. She has a neurologic condition which makes it difficult for her to get around. Her days are marked by TV dinners eaten alone, a phone that rarely rings, and …

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