Physician

Why I keep writing: a tale of birds and expression

Physician

February 21, 2024

In a recent conversation, my good friend Joe posed what I believed was a thought-provoking question: “Why do you keep writing?” This interrogation, replete with profound connotations, subtly conveyed his conviction that expending substantial temporal resources on the lamentation of the world’s ostensibly insurmountable predicaments stands as a notably futile pursuit. From his perspective, it becomes manifestly apparent that individuals like me, inclusive of those within the public intellectual sphere, …

Primary care’s role in your wellbeing

Preyasha Tuladhar, MD

Physician

February 19, 2024

As primary care providers, we play an integral role in shaping the lives of our patients in critical ways. We are in the unique position to delve into a patient’s unique biomedical, psychosocial, economic, and cultural background, which allows us to understand each patient at a deeper level with a nuanced perspective. This holistic view informs the development of highly personalized treatment plans that have the power not only to …

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Primary care’s role in your wellbeing

A year-in-review process for busy physicians

Stephanie Wellington, MD

Physician

February 17, 2024

More than a decade ago I hired my first coach, and life was never the same. During my time with the life coach, I experienced first-hand the value of an end-of-year process that goes deeper than setting a New Year’s resolution.

Years have passed. As a busy physician, I’ve told myself that I don’t have the time for a deep dive reflection of my life and career. I have patients to …

How a ruptured spleen saved a life

Sid Schwab, MD

Physician

February 17, 2024

Of the many thousand operations I did in my surgical career, most were life-improving rather than life-saving. To me, life-saving implies immediate or imminent risk of death: gunshot wounds, stabbings, gastrointestinal bleeding or perforations, punctured lungs, and cracking a chest in the ER for a stab wound to the heart. Potentially life-saving but less dramatic is removing a malignancy that, untreated or treated later, would likely have killed the person.

Most …

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How a ruptured spleen saved a life

Steps to take so that a medical malpractice lawsuit is decided from unbiased opinions

Howard Smith, MD

Physician

February 15, 2024

Today, the conventional rules that medical experts use to evaluate the merits of a malpractice lawsuit are established by attorneys, not doctors. These rules are based on inductive reasoning. Inductive reasoning is acceptable except for one thing; it forgives threats to validity. Although the premises are true, the conclusions are influenced by bias. The rules are as follows:

There are four categories of evidence:

The disputed treatment represents a medical error.

…

From pain management to Port au Prince: a doctor’s journey in disaster relief

Francisco M. Torres, MD

Physician

February 15, 2024

As medical doctors, we think we can help alleviate physical suffering in almost any situation. When the 2010 earthquakes shattered Haiti’s capital, I felt compelled to help. I had extensive pain management experience and training as a physiatrist. I thought I was ideally suited to lend a hand. At the time, this all seemed obvious. But I had never been in a disaster zone before, which made me hesitant.

Still, my …

The secret superstitions of surgeons: How rituals impact surgical success

Carmen Fong, MD

Physician

February 13, 2024

“Man is a dupeable animal. Quacks in medicine, quacks in religion, and quacks in politics know this, and act upon that knowledge. There is scarcely anyone who may not, like a trout, be taken by tickling…there is scarcely a disease for which a charm has not been given.”
– Thomas J. Pettigrew

As a surgeon, when I routinely went to the OR, I had a ritual. I would …

How doctors can have successful crucial conversations

Frances Mei Hardin, MD & Kim Downey, PT

Physician

February 10, 2024

One thing that all those years of education, medical training, and textbook studying can never quite fully prepare us for as physicians is crucial conversations with our patients. There’s an element to mastering these conversations that comes with being an attending physician, bearing sole provider responsibility, and having them ourselves. They may start off clunky at first in early practice, but we hope to continually improve with time.

In my practice …

Healing the healers: The quadruple aim approach to wellness

Nicole Alexander-Spencer, MD and Jessica L. Jones, MD

Physician

February 8, 2024

As a year comes to a close and another opens to new possibilities, many find themselves contemplating their successes and opportunities for improvements. The holidays are very busy, and the new year brings hope to slow down and reset. For many health care providers, though, the prospect of slowing down is an unrealistic dream.

For many in health care, the profession is not just a career, but an honorable vocational calling. …

Is a full-time job preventing you from fulfilling your potential?

Olapeju Simoyan, MD

Physician

February 7, 2024

A little over a year ago, unforeseen circumstances led me to walk away from the security of a full-time job and all the benefits that came with it such as employer-based health insurance and retirement contributions.

At the time, I had applied for another position without even realizing that I would be leaving my job. The position seemed to be an ideal next step, being a senior leadership position in academic …

The hidden dangers of prioritizing patient happiness

Myles Gart, MD

Physician

February 7, 2024

The concept of patient-centered care has become pervasive in the health care industry over the last decade. However, as a health care provider, I often wonder if this approach is truly effective in improving patient outcomes and satisfaction. With the continuous emphasis on patient-centered care, I can’t help but question if it is actually a fallacy disguised as a solution.

In the past, patients had a strong relationship with their physicians, …

Unleash your healing superpower: Sorting emotions in health care

Alexandra Kharazi, MD

Physician

February 7, 2024

We don’t always choose to tap into the power of our emotions. Our reluctance frequently comes from our background, as the transformation required to channel our feelings is uncomfortable, forcing us to examine our biases and sit with them. Even though we are inherently born with this ability, there is a catch. Like any wild force, our emotions can be unruly and hard to contain, even dictating our actions if …

Your thoughts about patients are costing you time and energy

Sofia Dobrin, MD

Physician

February 6, 2024

Difficult patients.

We’ve all encountered them.

Maybe we are them. (After all, they say doctors make the worst patients, and there’s probably some truth to that.)

But what makes a patient “difficult”?

Is it someone with multiple complex medical issues or a condition you haven’t been able to diagnose or don’t fully understand?

Is it someone with many questions, especially right at the end of their visit?

Is it someone who doesn’t follow your treatment plan …

Is unity possible in pediatrics?

Mick Connors, MD

Physician

February 6, 2024

I have long held the conviction that pediatricians, either in unison or in partnership with hospitals, have the potential to catalyze positive transformation within health care. The vision is clear: pediatricians leading the way, safeguarding health care from detrimental influences and steering it towards a brighter horizon. Yet, despite the rallying cries for innovation—be it through maintaining private practices, embracing direct primary care, or advocating for physician-owned hospitals—there is an …

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Is unity possible in pediatrics?

Can collaboration build subject matter expertise? We think so.

Resa E. Lewiss, MD and Adaira Landry, MD

Physician

February 5, 2024

At my [Resa] first emergency medicine position leading a clinical ultrasound section, I noticed the impact of organizing a monthly educator series. It started out as a fun way to invite friends to visit me in New York City. Win-win: I could amplify their expertise, they met my team who expanded their networks, and my friend could add a line item to their résumé. At the same time, the resident …

Letting go of perfectionism: a New Year’s resolution for self-compassion

Victoria Silas, MD

Physician

February 4, 2024

Last week I drove to my favorite trails in Point Defiance Park. The roads seemed oddly empty and quiet, even for “the time between the years” as I’ve heard it called. Perhaps I hadn’t noticed it before, since in medicine, it’s always been just another week when most people don’t work, but we always had a full schedule.

The day was overcast, as it so often is during winter in the …

Taylor Swift in the operating room: the surgeon who found strength in song

Andrea L. Merrill, MD

Physician

February 4, 2024

Every surgeon dreams of the day when they’ll wield the cold steel of the scalpel independently. Of the day they’ll see their name on the daily operating room (OR) schedule. Of the day they’ll be the one leading the surgery team. Of the day they will finally get to choose the music.

Surgeons are particular people, and our music choice is no exception. …

Accelerate your career with mentorship

Olapeju Simoyan, MD

Physician

February 4, 2024

As a lifelong learner who takes pride in self-directed learning, the importance of mentorship has not always been readily obvious to me. When I completed my residency and embarked on a career in academic medicine, little did I realize how important the mentorship of my then department chair, Dr. Janet Townsend, would be in terms of my career progression. In addition to supporting my commitment to staying clinically active while …

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Accelerate your career with mentorship

A patient reached out to a doctor, and they helped each other heal

Anthony Avellino, MD, MBA & Kim Downey, PT

Physician

February 3, 2024

Kim Downey:

“Each year, almost 400 physicians die by suicide.” That sentence stopped me in my tracks.

I’d been reading all the articles here on KevinMD for almost a year when I came across one written by Dr. Avellino, with the opening line above.

One of my amazing doctors had died several months prior. I was, and in some ways still am, struggling with his death from over a year ago.

I clicked on …

Senior health care leaders: This is what a psychopath looks like. Please fire them.

Dike Drummond, MD

Physician

February 3, 2024

How do you spot a “psychopath” inside a complex bureaucracy?

It is a consistent feature of bureaucracy. Psychopath doctors and senior leaders almost never get walked out of the building despite years of complaints and truly outrageous behavior. When they finally are fired or brought to justice, just a small amount of digging reveals National-Enquirer-headline-style shenanigans.

Here is the latest in the health care industry press: “Prominent Johns Hopkins physician on …