KevinMD.com

January 9, 2026Jan 9, 2026

"Turn on, tune in, drop out" was a rallying cry for liberation. "What a long, strange trip it's been" is how we nostalgically narrate the aftermath. Psychedelic-assisted therapy now sits somewhere between those two cultural bookends: a rapidly professionalizing clinical…

“Turn on, tune in, drop out” was a rallying cry for liberation. “What a long, strange trip it’s been” is how we nostalgically narrate the aftermath. Psychedelic-assisted therapy now sits somewhere between those two cultural bookends: a rapidly professionalizing clinical enterprise and a booming, loosely regulated marketplace of “retreats” selling healing, insight, and transcendence.

The science behind psychedelics is more real than ever. So are the risks. The problem is …

Drugs and prescribing

How CAR-NK cancer therapy could be safer than CAR-T

Cliff Dominy, PhD

January 9, 2026Jan 9, 2026

Imagine a cancer therapy that bypasses the immune system and strikes tumors with greater precision. The advantages of a blindfolded immune system could mean reduced therapeutic side effects and delivering more of the drug to where it is needed the most. Now imagine that this potentially safer and highly effective therapy was available on demand. Thanks to a new generation of genetically modified biologics, it may be closer than we …

Health technology

ChatGPT Health in hospitals: 5 essential safety protocols

Harvey Castro, MD, MBA

January 9, 2026Jan 9, 2026

Artificial intelligence (AI) is rapidly entering clinical spaces, and ChatGPT is among the tools drawing increasing interest. Hospitals recognize their potential to reduce administrative burden, improve communication, and support clinical decision-making. But with this potential comes responsibility. Deploying large language…

But with this potential comes responsibility. Deploying large language models (LLMs) in health care without proper oversight can lead to misinformation, privacy breaches, and erosion of patient trust. Before implementation, hospitals must establish a framework grounded in safety, ethics, and …

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Conditions and diseases

Why fear-based approaches fail in chronic illness care

Bridgette Johnson, PhD, RN

January 9, 2026Jan 9, 2026

In caring for patients with chronic illness, we often assume that if people truly understood the consequences of poor disease management, they would change. We explain complications, cite lab values, outline risks, and sometimes lean into fear in hopes that it will motivate action. When patients do not follow recommendations, we label them as noncompliant or unmotivated. Yet chronic illness is not managed in exam rooms or hospital beds. It …

The Podcast by KevinMD

Medical brain drain leaves vulnerable communities without life-saving care [PODCAST]

The Podcast by KevinMD

January 8, 2026Jan 8, 2026

Premedical student Samah Khan discusses her article "The crisis of physician shortages globally." Samah draws a powerful parallel between the medical exodus in Pakistan and the doctor deserts of California's Central Valley, revealing how structural neglect drives providers away from…

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Premedical student Samah Khan discusses her article “The crisis of physician shortages globally.” Samah draws a powerful parallel between the medical exodus in Pakistan and the doctor deserts of California’s Central Valley, revealing how structural neglect drives providers away from the communities that need them most. She explores the root …

Physician voices

Why a nice surgeon might actually be a better surgeon

Sierra Grasso, MD

January 8, 2026Jan 8, 2026

"If you ask what they like about their surgeon and they only say they are nice? I don't want a nice person." This sentiment comes from Dr. Oz, a boarded and licensed thoracic surgeon, and was posed to the house…

“If you ask what they like about their surgeon and they only say they are nice? I don’t want a nice person.” This sentiment comes from Dr. Oz, a boarded and licensed thoracic surgeon, and was posed to the house of medicine at the 2025 House of Delegates Interim Meeting.

I have grappled with what being a good surgeon means to me. Our training would have us believe that a good …

Physician voices

Did ABIM MOC reform actually fix the problem for physicians?

Brian Hudes, MD

January 8, 2026Jan 8, 2026

The American Board of Internal Medicine (ABIM) made headlines in late 2024 when it announced the elimination of its unpopular two-year Maintenance of Certification (MOC) point requirement. On paper, this looked like progress, a gesture toward simplification after years of criticism from physicians who felt trapped in an expensive, time-consuming cycle that added little value to their actual practice. But beneath the surface, the reform raises a harder question: Has …

Conditions and diseases

Scrotal pain in young men: When to seek urgent care

Martina Ambardjieva, MD

January 8, 2026Jan 8, 2026

Scrotal pain in young men is a frequent reason for emergency department visits and urology consultations. While many underlying causes are benign and self-limiting, others, most notably testicular torsion, represent true urologic emergencies in which delayed intervention can result in…

The clinical challenge lies in distinguishing conditions that allow for short-term observation from those requiring immediate evaluation. This distinction is particularly important in adolescents and young adults, …

Health policy

Mobile dentistry: a structural redesign for public health

Rida Ghani

January 8, 2026Jan 8, 2026

Canada prides itself on having a strong public health system, yet we continue to treat oral health as optional. Dental disease occupies a peculiar niche in health care: scientifically essential, yet structurally marginalized. We know that chronic gum inflammation is linked to heart disease, stroke, diabetes complications, and even adverse pregnancy outcomes. Yet it remains largely detached from how we think about preventing chronic illness.

This disconnect isn’t caused by a …

How physicians can preserve trust after medical errors [PODCAST]

The Podcast by KevinMD

January 7, 2026Jan 7, 2026

This article is sponsored by MagMutual. We have a special sponsored episode from MagMutual. We welcome William Kanich. He's an emergency physician and currently the executive chairperson of MagMutual Insurance Company. We explore how physicians can navigate unexpected medical outcomes…

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This article is sponsored by MagMutual.

We have a special sponsored episode from MagMutual. We welcome William Kanich. He’s an emergency physician and currently the executive chairperson of MagMutual Insurance Company. We explore how physicians can navigate unexpected medical outcomes while preserving trust with their patients. …

Conditions and diseases

Technology for older adults: Why messaging apps are a lifeline

Gerald Kuo

January 7, 2026Jan 7, 2026

For many older adults living alone, a smartphone is not a convenience. It is a lifeline. In elder care meetings, we often discuss telemedicine, wearable sensors, and remote monitoring systems. We focus on dashboards and data. Yet in our pursuit…

For many older adults living alone, a smartphone is not a convenience. It is a lifeline.

In elder care meetings, we often discuss telemedicine, wearable sensors, and remote monitoring systems. We focus on dashboards and data. Yet in our pursuit of high-tech solutions, we frequently overlook the most widely used and emotionally loaded digital tool already resting in older adults’ hands: the messaging app.

In Taiwan, as in much of Asia, LINE …

Physician voices

Are medical malpractice lawsuits cherry-picked data?

Howard Smith, MD

January 7, 2026Jan 7, 2026

Most recognize me for extolling the virtues of deductive reasoning in medical malpractice case review, but I never explain why I am so worked up over medical malpractice. Some would point out, “There are only 17,000 malpractice lawsuits filed per year out of a total of perhaps as many as 40 million lawsuits filed nationwide. Therefore, medical malpractice represents 0.04 percent of all lawsuits filed. What’s the big deal?” …

Health policy

Accountable care cooperatives: a 2026 vision for U.S. health care

David K. Cundiff, MD

January 7, 2026Jan 7, 2026

As of January 1, 2026, the American health care system is in crisis. People can no longer afford their health insurance premiums or even to afford to pay for any health insurance. Recently, a 62-year-old self-employed friend of mine saw his premiums increased tenfold in a single cycle. I am lucky that I am over 65 and have Medicare insurance as well as a pension from my employment. Millions of …

Physician voices

The Chief Poisoner: a chemotherapy poem

Ron Louie, MD

January 7, 2026Jan 7, 2026

An excerpt from What the Physician Whispered. You are looking at me, little one, perhaps wondering who I might be. Even though I might seem friendly, you seem wary and frightened, not yet used to seeing strangers and busy places.…

An excerpt from What the Physician Whispered.

You are looking at me, little one,
perhaps wondering who I might be.
Even though I might seem friendly,
you seem wary and frightened, not yet
used to seeing strangers and busy places.
Someone thought maybe I might help save you.

I offer to give you poison.

They have not told you, because they do not know
how sick you really are, meaning how close you are
to an unexpected conclusion that …

Read more…

The Chief Poisoner: a chemotherapy poem

The Podcast by KevinMD

Collaborative partnerships save rural health care from collapse [PODCAST]

The Podcast by KevinMD

January 6, 2026Jan 6, 2026

Health care executive Jason Griffin discusses his article "The digital divide in rural health care." Jason explains how rural providers in the U.S. face critical infrastructure failures and staffing shortages that threaten their ability to serve communities. He explores why…

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Health care executive Jason Griffin discusses his article “The digital divide in rural health care.” Jason explains how rural providers in the U.S. face critical infrastructure failures and staffing shortages that threaten their ability to serve communities. He explores why standard one-size-fits-all technological solutions often fail these hospitals and advocates …

Physician voices

Whole-body MRI screening: political privilege or future of care?

Michael Brant-Zawadzki, MD

January 6, 2026Jan 6, 2026

The use of MRI body scanning as a preventative tool was highlighted by the president's recent rope-a-dope with the media. Community practice whole-body MRI businesses now exist, local entrepreneurs directly marketing these services to the public. These scans are not…

The use of MRI body scanning as a preventative tool was highlighted by the president’s recent rope-a-dope with the media. Community practice whole-body MRI businesses now exist, local entrepreneurs directly marketing these services to the public. These scans are not reimbursable by traditional health payers.

The attraction of MRI is its lack of ionizing radiation, as well as its proven sensitivity to a variety of pathologies. Example: Detection of breast …

Physician voices

Why doctors must stop waiting and reclaim their lives

Jessie Mahoney, MD

January 6, 2026Jan 6, 2026

In medicine, waiting is normalized. We're trained in it. Praised for it. We learn to delay sleep, meals, vacations, and emotions. We delay joy. Rest. Fulfillment. Relationships. Children. From the very beginning, we're taught that waiting is a virtue. That…

In medicine, waiting is normalized. We’re trained in it. Praised for it. We learn to delay sleep, meals, vacations, and emotions. We delay joy. Rest. Fulfillment. Relationships. Children.

From the very beginning, we’re taught that waiting is a virtue. That endurance is professionalism. That sacrificing our own needs is a sign of how much we care.

During training, we wait (for sleep, for food, for recognition). We wait for the pager to …

Physician voices

The hidden link between circadian rhythm and physician burnout

Shiv K. Goel, MD

January 6, 2026Jan 6, 2026

By 11 p.m., my clinic was dark but my brain wasn't. I found myself scrolling through my schedule for the next day: 22 patient visits, a pile of unsigned notes, two meetings squeezed into "lunch," and a post-call morning that…

By 11 p.m., my clinic was dark but my brain wasn’t. I found myself scrolling through my schedule for the next day: 22 patient visits, a pile of unsigned notes, two meetings squeezed into “lunch,” and a post-call morning that somehow still started at 7 a.m. None of these tasks were unusual, but what struck me was the growing tightness in my chest and the realization that I had quietly …

Physician voices

Why addiction is no longer just a clinical category

Farid Sabet-Sharghi, MD

January 6, 2026Jan 6, 2026

Addiction is no longer a clinical category. It has become the cultural baseline. We used to think of addiction as something that happened to a few vulnerable people who "couldn't handle" life's pressures. Now it's woven into everyday existence. Most…

Addiction is no longer a clinical category. It has become the cultural baseline.

We used to think of addiction as something that happened to a few vulnerable people who “couldn’t handle” life’s pressures. Now it’s woven into everyday existence. Most of us reach for our phones before we reach for a breath. We chase stimulation without noticing we’re chasing. We live in a world that subtly trains us to crave.

Somewhere along …

Physician voices

Physician on-call compensation: the unpaid labor driving burnout

Corinne Sundar Rao, MD

January 6, 2026Jan 6, 20263

As an internal medicine physician, I've spent years watching one quiet assumption extract more unpaid labor from physicians than anything else in our system. It's not charting. It's not meetings. It's not metrics. It's call. I wrote a post on…

As an internal medicine physician, I’ve spent years watching one quiet assumption extract more unpaid labor from physicians than anything else in our system. It’s not charting. It’s not meetings. It’s not metrics.

It’s call.

I wrote a post on my LinkedIn page about my thoughts regarding call. It resonated with many physicians, and I received many messages. It became clear that being “on call” is something that is rarely spoken about …

Real physician voices, twice a week

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