Physician wellness is a strategic imperative—not a moral crusade

Physician
April 4, 2025

To advocate effectively for physician well-being, we must be strategic rather than reactive.

In today’s ever-evolving health care landscape, transformation is not driven by passion alone but by thoughtful alignment with the priorities of those who shape the system.

It is tempting to seek fairness, to call out what is wrong, and to lament the losses inherent in modern medicine.

Culture and systemic change will not come from complaining; it will come from …

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The medical malpractice system is broken: Who really benefits?

Physician
April 4, 2025

Today, a doctor’s chance of being sued for medical malpractice is 8.5 percent per year. The chance that the lawsuit is frivolous, meaning the alleged injury is from a random error of nature and not from an accidental medical error, is 66.6 percent.

Complications are inevitable. Medical errors occur during medical interventions. So do random errors of nature. At first glance, an error of …

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Starting a pediatric critical care transport program from scratch [PODCAST]

Podcast
April 3, 2025
YouTube video

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Pediatric critical care physician Kyle Willsey discusses his article, “When every second counts: the evolving challenges of pediatric transport.” He shares the high-stakes realities of transporting critically ill children, from his experience …

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The unspoken weight of words: reflections on a Vietnamese patient’s final choices

Conditions
April 3, 2025

When the patient arrived by ambulance, he was frail, elderly, and alone in a hospital that spoke a language he could not understand. He had been transferred from a neighboring hospital across state lines due to concerns of malnutrition and pain. The initial CT scans were alarming—multiple lung masses, highly concerning for metastatic cancer. Yet, despite the grim prognosis, there were still barriers to giving him a definitive diagnosis, and …

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I almost left health care: my nurse practitioner burnout story

Conditions
April 3, 2025

My journey in nursing has led me to experiences and insights I will carry with me for the rest of my life.

I declared nursing as my major because I was passionate about making a difference in patients’ lives. I envisioned sitting by patients’ bedsides, holding their hands, and providing comfort in their moments of need. I dreamed of showing up every day to make a meaningful impact.

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A retired ICU nurse’s brunch conversation sparks a life-changing moment

Conditions
April 3, 2025

We were a team. Always had been. Always would be. We defended each other, protected each other—from management, from nurse bullies, from the cruel ICU doctors who thought they ruled the world. Back in the day, we had our own kind of “therapy sessions”—long talks over coffee, unloading the weight of twelve-hour shifts, of lives saved and lost, of the battles fought in the trenches of critical care. But life …

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Cancer treatment and sexual health: the conversation we need to have

Conditions
April 3, 2025

When we think of cancer treatment, we often focus on the immediate goals: Shrinking tumors, stopping the spread of the disease, and ultimately aiming for a cure. What doesn’t get as much attention, but is just as important, is how cancer treatments can affect a patient’s sexual health and reproductive future.

Many cancer patients, particularly younger ones, are often left in the dark about how their treatment could impact their sexual …

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Medicine’s mental health crisis: Why the system is failing us

Conditions
April 3, 2025

An excerpt from Has Medicine Lost Its Mind?: Why Our Mental Health System Is Failing Us and What Should Be Done to Cure It.

One of society’s great issues is who decides what science does—the public or science. For example, the populace has taken control and been clear that it does not want science to create human beings in a laboratory or construct computers that run the world. Once …

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How endometriosis affects fertility and what you can do [PODCAST]

Podcast
April 2, 2025
YouTube video

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

Fertility specialist Oluyemisi Famuyiwa discusses her article, “Endometriosis and fertility: What every woman should know.” She explores how endometriosis, an inflammatory condition affecting 10 percent of reproductive-age women, disrupts fertility through pelvic …

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How hospitals are quietly taking control of physicians

Physician
April 2, 2025

Doctor, if you have recently had occasion to be granted a visit with upper hospital management in the plush executive suite, most surely it was you who stood out quite conspicuously. Being greeted, hopefully politely, by one of the administrative secretaries, you were asked to be seated and wait along with others—consultants, lower-level management, salesmen, business associates, insurance executives, and maybe even golf buddies. Notable was that you, the physician, …

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10 ways health care might be killing you (and what you can do about it)

Physician
April 2, 2025

Health care is meant to heal, but what if it’s quietly doing the opposite? While we rely on medical professionals, hospitals, and treatments to keep us healthy, the system has hidden dangers that can put lives at risk. For every life saved, countless others are harmed due to systemic failures, personal oversight, or deep-rooted inequities.

This article will examine ten critical reasons why health care can become deadly …

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Through the lens of COVID: a radiologic technologist’s story

Conditions
April 2, 2025

I’ve been an X-ray and CT technologist for almost ten years, and I’ve always taken pride in my work. But nothing could have prepared me—or any of us—for what the COVID-19 pandemic brought. It wasn’t just the virus itself; it was the way it exposed the cracks in our health care system, the way it pushed us all to our limits, and the way it changed how we saw our …

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The unstoppable rise of health care administrators: a cautionary song

Physician
April 2, 2025

April 23, 2025, is Administrative Professionals Day!

Administrators, especially in health care, are a rapidly growing demographic who believe they are unsung heroes deserving of recognition. In an attempt to remedy this situation, I submit for your consideration the following song, to the tune of 99 Bottles of Beer on the Wall:

One administrator is all, he runs the hospital.
Let’s open the door, and …

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Data accuracy failures in health care [PODCAST]

Podcast
April 1, 2025
YouTube video

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

Internist and psychiatrist Muhamad Aly Rifai discusses his article, “How data accuracy failures are costing lives and money in health care.” He explores the consequences of inaccurate data in health care, from …

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From burnout to balance: 5 stages of career transformation

Physician
April 1, 2025

Not long ago, my husband and I had a sobering realization: If we did not make major changes, we would regret spending our best years using every ounce of our energy on work. We accepted that exhaustion from our jobs was normal. Burnout became our status quo, and even a sabbatical didn’t create lasting well-being.

Unwilling to live with the regret of overworking, we ultimately made major changes and …

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The cost of presence: a lesson in listening

Conditions
April 1, 2025

Last week, a mother of six children—four of whom have disabilities—made the trek to the health care campus where I’m a faculty member to share her story. She’s making this trip weekly on Thursdays to give the same presentation twice in succession for a duration of an hour each time, for five weeks in a row. That’s twenty times telling her story to a faceless crowd of interprofessional health care …

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The unexpected truth behind these misdiagnosed medical cases

Conditions
April 1, 2025

I worked in rural health in Kentucky for twenty years, then in urgent treatment centers in Denver. All sorts of patients pop up in primary care and in UTCs. Most have easily identified complaints: UTI, sinusitis, flu. Others are there for regular refills, for hypertension or cholesterol meds. There were a few patients I remember whose presentations were less straightforward, whose diagnoses were more elusive.

The following two patients presented with …

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Why racism in health care is still an emergency

Physician
April 1, 2025

“I want to be white,” he said.

I didn’t know how to respond.

I was quiet.

He was serious, waiting for my reply.

He was only 8 years old, in the hospital with an asthma flare-up.

I had asked him, “What do you want to be when you grow up?”

I wished I hadn’t.

I’ve thought a lot about his answer in the …

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