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What prostate cancer taught this physician about being a patient

Conditions

May 16, 2025

I recently wrote about my experience of becoming a patient and how that change in role transformed my perspective as a doctor. But, in that article, I did not share that the reason I had become a patient was that I was undergoing a biopsy for potential prostate cancer.

In preparation for the procedure, the doctor reassured me that the outlook was good and that he did not expect to …

Why fearing AI is really about fearing ourselves

Bhargav Raman, MD, MBA

Tech

May 16, 2025

I was at a conference of physician executives and physician founders recently, and there were many stimulating conversations. The idea that AI could see us as a threat and eventually destroy us came up in various forms, often as a half-serious joke. Half-serious jokes are serious concerns. Indeed, astrophysicist Martin Rees predicted that humanity had a 50 percent chance of destroying itself this century due to technological advances and threats, …

The broken health care system doesn’t have to break you

Jessie Mahoney, MD

Physician

May 16, 2025

Practicing medicine today is not what most of us envisioned when we chose it as a profession. We still love science. We still love health. We still love helping patients and being healers.

But the practice of medicine has changed—and continues to evolve at an unprecedented pace. Navigating this shifting landscape requires a new mindset—one rooted in adaptability, self-awareness, and resilience. The way we were trained to practice medicine twenty or …

Why great patient outcomes don’t protect female doctors from burnout [PODCAST]

The Podcast by KevinMD

Podcast

May 15, 2025

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Pediatrician and holistic wellness expert Noemi Adame discusses her article, “Having a female doctor is better for your health, but not for hers.” She highlights research indicating patients often experience better outcomes—including …

Why ADHD in women is finally getting the attention it deserves

Arti Lal, MD

Conditions

May 15, 2025

More women than ever before are receiving ADHD diagnoses. From 2020 to 2022, the percentage of adult women with a new diagnosis nearly doubled, and clinicians continue to encounter higher rates of women seeking assessments.

It’s reassuring that, after decades of association with rambunctious little boys, ADHD is finally being acknowledged as a condition that can affect anyone, regardless of age or …

How a $75 million jet brought down America’s boldest doctor

Arthur Lazarus, MD, MBA

Physician

May 15, 2025

This article is satire.

Dr. Donovan Trumble was not your average internist.

In fact, if you asked him, he wasn’t your average anything.

He called himself “the most successful physician-researcher in America—maybe ever,” and once declared during grand rounds, “If Sir William Osler were alive today, he’d be my opening act.”

To the faculty at the Ivy League medical school where Trumble had once chaired the Department of Clinical Egotism (officially “Translational Medicine,” but …

Why ruling out sepsis in emergency departments can be lifesaving

Claude M. D'Antonio, Jr., MD

Conditions

May 15, 2025

It’s a common scenario in the emergency department (ED). Peak cold and flu season brings in patients complaining of fever and chills, with increased heart rates and elevated white blood cell counts. Too many patients, not enough beds. As emergency medicine providers, we have to make quick, challenging decisions at triage, prioritizing the sickest patients based on their vitals and symptoms and getting them on the right care pathway.

The hidden cost of delaying back surgery

Gbolahan Okubadejo, MD

Conditions

May 15, 2025

Spinal surgery patients frequently present to me after multiple years of managing their chronic back pain through physical therapy, injections, medications, and alternative treatment methods. Patients arrive at my office already worn out physically and emotionally drained from frustration about their chronic condition. What increases my concern is that irreversible damage has already resulted in many cases, which could have been reduced or prevented through earlier surgical treatment.

I recommend starting …

Precision and personalization: Charting the future of cancer care [PODCAST]

The Podcast by KevinMD

Podcast

May 14, 2025

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

Hematology-oncology physician Yousuf Zafar discusses his article, “The personalization of cancer care in 2025.” He traces the evolution of cancer treatment over the past two decades, moving through waves of cytotoxic chemotherapy, …

Expert Q&A: Dr. Jared Pelo, ambient clinical pioneer, explains how Dragon Copilot helps clinicians deliver better care

Jared Pelo, MD & Microsoft & Nuance Communications

The lab behind the lens: Equity begins with diagnosis

Michael Misialek, MD

Policy

May 14, 2025

Another day, more slides pass under my lens. Each represents a patient, a family, friends, uncertainty—maybe the beginning of a journey they are soon to realize, maybe it is the end of a journey. Each is unique.

These are turbulent times we live in. Deep divides separate our country. However, under the microscope there are no politics, no labels or preconceptions. The rainbow of colors the cells illuminate shines bright for …

Venous leak syndrome: a silent challenge faced by all men

Elliot Justin, MD

Conditions

May 14, 2025

Venous leak syndrome (VLS) affects all men. In time, every man gets it. Yet no one talks about it. Fortunately, for most men, there is an easy, non-pill solution.

Men with this condition get it up, but can’t keep it up as easily and as long as they could in their youth. In short, VLS is blood leaking from the penis’ veins. By age 70, men may be …

Rethinking patient payments: Why billing is the new frontline of patient care [PODCAST]

The Podcast by KevinMD

Podcast

May 13, 2025

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Health care executive Blake Walker discusses his article, “From caregivers to collectors: Navigating the new landscape of patient payments.” He describes a perfect storm impacting provider groups: the significant rise in patient …

The dreaded question: Do you have boys or girls?

Pamela Adelstein, MD

Physician

May 13, 2025

Like many parents, I love to talk about my children. A conversation with someone to whom I’m newly introduced often begins: “Do you have children?” (Yes). “How many?” (Two). Their natural and understandable follow-up question usually is: “Boys or girls?”

Usually, I revel in the possibilities inherent in meeting someone new. However, at this moment I pause and silently protest. Ugg!! This is a question that one should NEVER ask someone …

Make cognitive testing as routine as a blood pressure check

Joshua Baker and James Jackson, PsyD

Conditions

May 13, 2025

Since the Han Dynasty (206 BCE–220 CE), when civil service exams evaluated intellectual abilities, people have used cognitive assessments to identify special talents or, more commonly, to detect problems.

We’ve come a long way in 2,000 years! Today, neuropsychological batteries—combinations of assessments to detect dementia, learning disabilities, and cognitive impairments from chronic conditions or acute events—are widely used. Yet, far too often, these assessments are administered reactively, only after severe deficits …

Reimagining diabetes care with nutrition, not prescriptions

William Hsu, MD

Conditions

May 13, 2025

In 2025, more than 38 million, or 1 in 10 Americans, live with Type 2 diabetes.

In the rapidly evolving landscape of the modern health care system, traditional care strategies for Type 2 diabetes often vastly overlook long-term individual and societal health outcomes in favor of short-term management of the disease. With over 20 years of experience as an endocrinologist at Harvard’s Joslin Diabetes Center, and as the Chief Medical Officer …

Why funding cuts to academic medical centers impact all of us [PODCAST]

The Podcast by KevinMD

Podcast

May 12, 2025

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

Orthopedic surgeon Adil S. Ahmed discusses his article, “Academic medical centers under threat: the impact of funding cuts.” He outlines the essential, multifaceted roles of academic institutions in educating future doctors, conducting …

What’s driving medical students away from primary care?

Vineeth Amba, MPH, Archita Goyal, and Wayne Altman, MD

Education

May 12, 2025

As we entered medical school, we were starry-eyed and hopeful about becoming primary care physicians. We romanticized building relationships with patients, providing high quality health care, serving our communities, and removing obstacles patients face when seeking care.

However, rotation after rotation, we were bombarded with discouragement.

“Being a primary care physician isn’t what it used to be.”

“You can’t get the support you need …

When rock bottom is a turning point: Why the turmoil at HHS may be a blessing in disguise

Muhamad Aly Rifai, MD

Physician

May 12, 2025

Recent headlines confirm what many Americans have sensed for the past few years: the U.S. Department of Health and Human Services (HHS) is in crisis. A sweeping wave of layoffs is reshaping federal health agencies at every level—from the NIH to the CDC to the FDA. Some dismiss this as a political maneuver or an act of chaos. Others see it as an attack on career civil servants. I see …

How grief transformed a psychiatrist’s approach to patient care

Devina Maya Wadhwa, MD

Physician

May 12, 2025

It is a routine Saturday morning—I am sitting in my office, looking at the snowflakes dropping outside my window. As I sip on my cup of Earl Grey tea preparing my psyche for a busy day of managing an on-call shift on an acute care psychiatry floor, I am suddenly washed over by grief. A very similar Saturday a year ago, I was saying goodbye to my father as he …

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