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A philosophical shift: the doctor’s journey into the role of patient

Physician

April 20, 2025

Recently, I found myself in need of surgery, a situation I had not faced in many years. The vulnerability I experienced as a patient was more intense than I ever anticipated. Despite my role as a doctor who often considers patients’ emotional well-being, I felt this. This experience brought me face-to-face with the emotional challenges that patients face in a new way. This perspective is crucial for all health care …

What happened to real care in health care?

Christopher H. Foster, PhD, MPA

Policy

April 20, 2025

Every time I turn on the television, there’s another commercial for a new drug treating a condition I’ve never even heard of.

It’s constant. And honestly, it’s exhausting.

I can’t help but wonder: What happened to real care?

I remember a time, 35, maybe 40 years ago, when doctors knew your name. They looked you in the eye. They read your chart. They listened to what you had to say before deciding. They …

When saving lives leads to losing your own

Gene Uzawa Dorio, MD

Physician

April 20, 2025

I didn’t know them well.

They were primary care doctors on the hospital staff where I served on the Medical Executive Committee. They provided care to the most vulnerable members of our community, both in the hospital and their offices. I feel guilty for not recognizing that each of them was personally suffering, as they took their own lives.

Losing lives of those saving lives is heartbreaking.

Doctors heal people. While most professions …

A surgeon’s startling ketamine experience [PODCAST]

The Podcast by KevinMD

Podcast

April 19, 2025

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General surgeon Arthur Williams discusses his article “A surgeon’s battle with ketamine-induced hallucinations.” He shares an account from his novel of an experience needing a pacemaker for a “janky heart” prone to …

How doctors can thrive despite declining reimbursements

Neil Baum, MD

Physician

April 19, 2025

In the previous article, I offered four ways (other than growth) a practice can compensate for declining reimbursements: improve efficiency, boost collection ratio, increase productivity, and consider a practice merger. As promised, here are four more.

Stay focused.

Focused strategies lead to better outcomes and lower costs. It is no accident that the best outcomes and lowest price for open-heart surgery are achieved …

Why prescribing medicine to kids scares even experienced doctors

Dr. Damane Zehra

Meds

April 19, 2025

I absolutely hate prescribing medication to children.

I am quite worried when someone asks for my opinion on a sick child. I have some experience treating children during my internship and residency, yet I am pretty uncomfortable.

However, living in a lower middle-income country, where the average man already lives a difficult life due to high health care costs and limited income, health expenditure significantly impacts monthly finances. That is why people …

When empathy becomes “toxic”

Vijay Rajput, MD

Physician

April 19, 2025

For years, empathy has been seen as a moral virtue that binds relationships, the antidote to pain and suffering while caring for patients. But lately, empathy is facing a surprising backlash in society and the medical profession. From being called “toxic” to being labeled outright as a “sin,” the virtue of feeling others’ pain is now under sharper scrutiny across ideological, psychological, and even religious groups within our society.

In caregiving …

Read more…

When empathy becomes “toxic”

Leading with care: a new approach to health care leadership for well-being [PODCAST]

The Podcast by KevinMD

Podcast

April 18, 2025

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

Internal medicine and infectious disease physician and author Joshua D. Hartzell discusses his article “Leading with care: How health care leadership can transform patient and provider well-being.” He addresses the crisis of …

Calling for a heart surgeon: a plea for change

Tomi Mitchell, MD

Physician

April 18, 2025

If I had a dollar for every time I’ve typed out a broken heart emoji in response to yet another tragedy, I’d probably be able to take a break from work for a while. But here I am—because I love what I do despite it all.

There are many days my heart breaks.

Not in the cliché, romance-gone-wrong kind of way. It’s deeper than that. It’s …

When modesty kills: the CPR gender gap you didn’t know existed

Princess Benson

Conditions

April 18, 2025

A chilling incident from a past summer camp at Achimota School still resonates: A young woman collapsed with her life hanging in the balance. The male Red Cross prefect, attempting to administer potentially life-saving CPR, was quickly stopped by concerned students. The bystanders’ focus was on protecting her from exposure, and it overshadowed the urgency of the situation. This experience, now viewed through the lens of my medical training, reveals …

Breast cancer was never supposed to be part of my story

Anonymous

Physician

April 18, 2025

She was pale, underweight, fifty years old and scared. Mrs. G was a breast cancer patient on the oncology unit whom I met by chance, as she appeared on my patient census list that morning. As I walked into her room, I noticed the fragrant flowers, the cards scattered about her hospital tray, and the numerous pictures of her friends and family that attempted to bring her peace and comfort. …

Why the FDA’s outdated prescription rules hinder access to birth control and naloxone [PODCAST]

The Podcast by KevinMD

Podcast

April 17, 2025

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Surgeon and author Jeffrey A. Singer discusses his article “The FDA’s outdated prescription rules are failing women and opioid users.” He argues that the U.S. Food and Drug Administration’s requirement for prescriptions …

Medical school admissions are racing toward an AI-driven disaster

Newlyn Joseph, MD

Tech

April 17, 2025

Artificial intelligence (AI) large language models (LLMs) and the systems based on this technology have recently emerged onto the medical scene with huge promises to “disrupt” and innovate upon traditional clinical practice. Ignoring the hype and boom-bust adoption cycles associated with most novel technology, AI will eventually settle into the daily workflow of many physicians, be it through direct use, or indirectly, through integration within EMRs, insurance approval pipelines, or …

Fatty liver disease is no longer reserved for older adults

Anuj Vikrant Sharma, MD

Conditions

April 17, 2025

Increasingly, it’s showing up in people in their 20s and 30s—individuals who don’t drink excessively, don’t appear outwardly unhealthy, and often have no idea their liver is under stress. The condition, now referred to as metabolic dysfunction-associated steatohepatitis (MASH), is emerging as a quiet epidemic, and diet and gut health are playing a larger role than many realize.

As a gastroenterologist, I’ve observed a shift in the demographics …

The silent crisis hurting pain patients and their doctors

Kayvan Haddadan, MD

Physician

April 17, 2025

The actions taken by the Medical Board against a compassionate physician dedicated to alleviating chronic pain are nothing short of egregious, deeply flawed, and emblematic of a system that seems intent on punishing rather than protecting. This esteemed doctor, who has spent years serving patients in dire need with integrity and professionalism, now finds himself ensnared by a process that appears more vindictive than just, more biased than fair.

What money can’t fix: the scars left by a friend

Debbie Moore-Black, RN

Conditions

April 17, 2025

I stood at the check-in counter of my physician’s office, waiting for my yearly physical. Beside me, another patient was checking in. I recognized her instantly.

It was Denise—my childhood best friend.

And yet, I couldn’t bring myself to say hello.

We had spent our childhoods side by side—playing Barbies, cheerleading, swimming at the neighborhood pool. Every single day. She wasn’t just a friend; she was my safe place. We stayed close all …

Reforming the 340B drug discount program through data, clarity, and collaboration [PODCAST]

The Podcast by KevinMD

Podcast

April 16, 2025

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

Health care executive Gavin Magaha discusses his article “Advancing drug discount programs starts with collaboration and clarity.” He outlines how the 340B drug discount program, established over 30 years ago, has not …

Why long-acting injectables are transforming schizophrenia care

Richard W. Miller, MD

Meds

April 16, 2025

In recent years, psychiatric care has undergone a shift in the clinical mindset toward medication management for people living with schizophrenia and other chronic mental health conditions. As recognition grows for the breadth and depth of the clinical complexities and psychosocial challenges that patients may face along their diagnostic and treatment journey, there is movement toward ensuring that patients have access to treatment options that integrate their needs and preferences. …

The quiet shift: Practicing presence in the fast-paced medical profession

Stephanie Wellington, MD

Physician

April 16, 2025

I’m in this place of noticing—not reacting—simply noticing the dance between myself and my environment, in the clinical setting and beyond.

I’m noticing myself in conversation with colleagues. I’m asking the tough questions I hadn’t thought to ask before: Do my thoughts, ideas, and opinions truly contribute to moving the conversation forward? Do they actually help shape the actions needed to reach the end result?

As physicians, we often believe they do. …

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