Conditions and Diseases

Physicians writing on KevinMD about the diseases they treat and the people who have them: cancer and its screening arguments, pain and the drugs that treat it, diabetes and the obesity argument, mental illness and who gets treated for it, and the decisions at the end of a life. Five maintained records draw on this archive: Cancer: what physicians say, in their own words, Opioids: what physicians and pain patients say, in their own words, End of life: what physicians say, in their own words, Diabetes and obesity: what physicians say, in their own words, and Mental health: what psychiatrists and physicians say, in their own words.

Insulin resistance is not a disease: a metabolic reframe

Kevin Whitt

February 25, 2026

Type 2 diabetes and metabolic disease are now so common that they are treated as an expected part of modern life rather than as a systemic failure. Roughly 90 percent of American adults are now prediabetic or diabetic, and most are unaware of it. This progression quietly opens the door to heart disease, non-alcoholic fatty liver disease, cancer, neurodegeneration, and other chronic illnesses that are then managed downstream.

We are not …

Understanding Moore’s Law and the exponential growth of technology

Richard A. Lawhern, PhD

Conditions and Diseases

February 25, 2026

When I was a teenager, practical computers did not yet exist. In 1966, my first exposure to a computer in engineering school was a room-sized mainframe whose fast memory consisted of a foot-tall rotating magnetic disc that could store 8,000 “bytes” (each byte containing eight “bits,” which allow for 256 possible values representing alphabetic letters or numbers).

At the time, we could forget about storing the full text of the King …

From glucose to vascular health: the future of diabetes care

Palma Shaw, MD

Conditions and Diseases

February 25, 2026

Historically, diabetes management focused on blood glucose control and preventing severe complications such as neuropathy and amputation. Over the past two decades, this limited view has proven insufficient for long-term health. Many now emphasize risk factor management, lifestyle changes, and early screening instead of crisis response.

The vascular health risk of a diabetes surge

Diabetes is an epidemic: In the last decade alone, the number of adults living with the disease globally …

The vascular surgeon shortage: Why amputations are rising

Daniel Torrent, MD

Conditions and Diseases

February 24, 2026

Steven couldn’t remember when he first noticed the spot on his toe, only that it began as a blister a few weeks earlier. He finally saw his doctor, but only when the entire toe had turned black. His doctor referred him to me, but he missed the appointment because the drive was 90 minutes, and he couldn’t take the day off work.

Two weeks later, half of his foot was dead, …

The shadow ledger: Uncovering the financial cost of nursing turnover

Kristen Cline, BSN, RN

Conditions and Diseases

February 24, 2026

When I told ProPublica that it was too expensive to protect us, I was naming what every number in this piece confirms. The system made a calculation about what our lives were worth, and it got the math catastrophically wrong.

I have been a nurse for almost 20 years, working in emergency departments, intensive care units, and eventually the back of a helicopter as a flight nurse. I have watched the …

Why death certificates fail to capture the reality of aging

Deon Hayley, MD

Conditions and Diseases

February 23, 2026

What do old people die from?

Ella passed away last week at age 84. I have cared for her since she was admitted to the nursing home two years ago. Her granddaughter called me wanting to know the cause of death. In old age, the cause of death is often the wrong question, as the end is usually not a single cause but a slow convergence of many.

Ella had a list …

Managing celiac disease: Overcoming the hidden social burden

Kamiah Gibson

Conditions and Diseases

February 23, 2026

After I got diagnosed with celiac disease when I was 19, I faced a difficult choice every time friends invited me out: I could either stay home, or I could risk getting terribly sick.

I was a college volleyball player at West Virginia University when I started experiencing severe migraines and stomach issues. I could not eat anything without getting sick, which resulted in me losing 40 pounds in just two …

Military leadership lessons for the U.S. health care crisis

Richard A. Lawhern, PhD

Conditions and Diseases

February 23, 2026

It is said that we live in difficult times, and that reality is unavoidable for anyone who does not live as a hermit in a cave somewhere. For patients and their doctors, the signs of impending failure are equally unavoidable.

Health care consumes 18 percent of U.S. gross domestic product and continues to rise faster than the rate of inflation. Consumer confidence in the goodwill and scientific integrity of U.S. health …

A tribute to an oncologist: the power of mentorship in medicine

Dr. Damane Zehra

Conditions and Diseases

February 22, 2026

Yesterday morning, I learned that one of my teachers had passed away. He was only 63, a devoted, tireless oncologist who spent his life teaching and training many oncologists across Pakistan. Many of his students went on to work abroad as senior oncologists and professors, carrying his legacy far beyond borders.

He was not my direct teacher, but rather the teacher of my supervisor, a teacher of a teacher. Yet distance …

Integrative oncology nutrition: a case study in leukemia recovery

Dr. Manjari Chandra

Conditions and Diseases

February 21, 2026

She arrived exhausted, a shadow of the lively 31-year-old she once was.

She was diagnosed with leukemia in January 2023, underwent intensive IV chemotherapy, and was now on maintenance oral therapy. When I met her in July 2025, survival was no longer a question. It was about quality of life.

Fatigue consumed her days. Digestive discomfort disrupted her nights. Recurrent infections kept her in constant vigilance. Her laboratory values reflected a body …

The misuse of hormone therapy in menopause care

Kay Corpus, MD

Conditions and Diseases

February 20, 2026

As an integrative and functional medicine physician, I prescribe hormone therapy. I also see its misuse daily.

Hormone replacement therapy (HRT), including bioidentical hormone therapy (BHRT), has re-entered menopause care with force, correcting decades of dismissal and undertreatment. That correction was necessary, but the pendulum has swung too far.

What I am seeing clinically is not thoughtful, physiology-based care. It is hormone-first medicine that bypasses stress physiology, nervous system dysregulation, trauma, metabolic …

Why “eat less, move more” fails for midlife weight loss

Marsha Shepherd Whitt

Conditions and Diseases

February 20, 2026

Clinicians often notice a frustrating pattern: Women in midlife follow standard weight-loss advice, eat less and move more, yet see little progress. Calories are reduced, exercise increases, and still the scale barely moves. This is often blamed on motivation, discipline, or compliance. But in many cases, the real issue is not behavior. It’s physiology.

Perimenopause and menopause are not simply estrogen-deficient states; they are states of altered signaling, altered tissue responsiveness, …

The “ethical canary”: How moral injury signals systemic failure

Courtney Markham-Abedi, MD

Conditions and Diseases

February 18, 2026

For the past month and maybe longer, I have been waking up with pressure in my chest. It worsened in December and continued to worsen in the new year. I had identified it as anxiety, but felt it was of a different quality than my run-of-the-mill anxiety. This feeling was more anguished.

During the first week of January, I volunteered at a clinic, where I saw patients, assessed, and treated psychiatric …

Trauma reactivation: Why news headlines trigger past abuse

Barbara Sparacino, MD

Conditions and Diseases

February 18, 2026

She did not begin with the abuse; she began with sleep.

“I do not know why the news is bothering me so much,” she said. “I cannot turn it off. I feel on edge all the time.”

She was in her late 50s, successful, articulate, and with no prior trauma history documented in her chart. She insisted she was not “overreacting,” just “sensitive to injustice.” At the time, headlines were saturated with …

The healing power of physician presence in modern medicine

Farid Sabet-Sharghi, MD

Conditions and Diseases

February 17, 2026

I remember a patient who sat silently, staring at the hospital ceiling. She had survived a sudden illness that left her body weak and her spirit shaken. No tests, medications, or procedures could touch the despair in her eyes. In that moment, I realized something fundamental: The physician’s presence itself can be the most potent form of care.

Medicine, at its best, is more than diagnosis or intervention. It is an …

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

Radhesh K. Gupta

Conditions and Diseases

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 …

When the doctor becomes the patient: a breast cancer journey

Amy E. Sanders, MD

Conditions and Diseases

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 …

Menstrual health in medicine: Addressing the gender gap in care

Cynthia Kumaran

Conditions and Diseases

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, …

Mobile wound care in 2026: Navigating regulatory pressures

John F. Curtis IV, MD

Conditions and Diseases

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 and Diseases

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 …