Physicians have a blind spot that makes them prone to fraud charges

Physician
June 26, 2024

Unlike almost every other industrialized nation on Earth, independent American physicians running their own clinics must all be entrepreneurs. Unlike all other businesses, however, there are special rules related to the business side of U.S. medical practice. These are exemplified by the Stark laws. Aptly named, these strict provisions forbid doctors from engaging in what is called physician self-referral.

Doctors are required to avoid referring patients to entities in which they …

Read more…

The unspoken challenges of being a medical resident’s wife

Conditions
June 26, 2024

The journey of a medical resident is often documented, highlighting the grueling hours, intense pressure, and significant responsibilities that come with the role. However, behind the scenes lies another story that is seldom told—the challenges faced by the wives of medical residents. This article delves into the unique struggles of being a medical resident’s wife, particularly in the context of a long-distance relationship.

The overlooked partner

While much attention is given to …

Read more…

The risks of digital health companies to psychiatric patients

Physician
June 26, 2024

In early 2022, during the coronavirus pandemic, I considered practicing psychiatry via telehealth. I looked into two telemental-health companies in particular—Cerebral and Done Global, Inc. (hereafter “Done”)—and turned them both down. I did not believe their ethics measured up. In the case of Done, I asked to be withdrawn from consideration as medical director because I believed the company lacked adequate infrastructure and was exclusively focused on treating patients with …

Read more…

A “rich” life looks different for everyone: lessons from my own near deathbed regrets

Physician
June 26, 2024

During my last inpatient admission one month before medical school graduation, an attending told me, “You talk about yourself like it’s one of your patients.” That’s exactly how it often felt (and still feels) to my brain. “This story is not me … not mine … I’m not sick,” my brain would offer me.

The brain does fascinating things to help us survive. Dissociating from my illness was likely supportive of …

Read more…

Minority representation in clinical trials [PODCAST]

Podcast
June 25, 2024
YouTube video

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

Join Ananth Ravi, a health care executive dedicated to democratizing health care through innovative image-guided therapeutics. In this episode, we delve into the persistent issue of racial disparities in breast cancer outcomes, exploring …

Read more…

Improving equity and population health through social determinants of health

Tech
June 25, 2024

Social determinants of health (SDoH) have a strong potential to positively and negatively affect health outcomes, but providers have traditionally faced substantial roadblocks in identifying patients who need SDoH interventions.

The result of this gap is often missed opportunities to improve patient health at the individual and population levels.

SDoH factors are responsible for up to 80% of health outcomes, according to the Robert Wood Johnson Foundation, yet patients and providers …

Read more…

Microplastics and fertility: Uncovering the hidden risks to reproductive health

Conditions
June 25, 2024

Microplastics, tiny plastic particles less than 5 mm in size, have permeated our environment, showing up in oceans, air, and even our food. These particles are a growing concern due to their potential impact on human health and fertility. Recent studies, including one by the American College of Obstetricians and Gynecologists (ACOG), have highlighted the risks associated with microplastic exposure. This article delves into what microplastics are, how they affect …

Read more…

Understanding why people participate in clinical trials

Education
June 25, 2024

Clinical research is a cornerstone in advancing medical knowledge and improving patient care. Through rigorous testing and validation of new treatments, medications, and procedures, clinical research drives progress in the health care field. A notable example is the development of the polio vaccine, which underwent extensive clinical trials by Jonas Salk involving approximately 1.6 million children in the United States, Canada, and Finland to ensure its safety and efficacy, ultimately …

Read more…

The rise of the machines: Doctors need to engage with AI now

Tech
June 25, 2024

The field of artificial intelligence (AI) has been around since the mid-20th century, but in the last two years, it has gone from science fiction to science fact at an incredible pace. Large language models (LLMs) like ChatGPT have dominated headlines in this space. LLMs are essentially AI systems that can understand, generate, and manipulate human language in various domains. LLMs represent a once-in-a-generation technological advance that holds incredible promise …

Read more…

Unlocking the hidden link between trauma and chronic pain [PODCAST]

Podcast
June 24, 2024
YouTube video

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

Join us as we delve into the often-overlooked connection between trauma and chronic pain. Our guest, Cindy Perlin, a social worker, sheds light on how unresolved trauma contributes to chronic pain and why …

Read more…

How quality sleep can be your secret weapon for effective weight loss

Conditions
June 24, 2024

Imagine snuggling up in bed and drifting off into dreamland after a long day. Did you know that those precious hours of sleep could be more than just time for rest? Let’s explore the interesting connection between sleep and weight loss and why getting quality sleep might just be the added push you need to shed that extra weight.

Sleep is not just about closing your eyes and calling it a …

Read more…

Getting caught in the crossfire of the hearing aid wars

Policy
June 24, 2024

My hearing precipitously declined four years ago. As a patient and practicing physician, I became dependent upon hearing aids. Thus, I was introduced to the off-putting business of hearing aids in America.

The American hearing aid market is estimated to generate between $3 to 4 billion per year annually. It is expected to grow six to eight percent annually as our population ages. Assistive listening devices can be a vast mystery …

Read more…

Migrant health in crisis: How we can lead the way in inclusive care

Policy
June 24, 2024

“I’m sorry, but we’re unable to accept this patient into the program right now due to a shortage of Spanish-speaking workers.”

I have lost count of the number of times I’ve had to say this statement to the various referral sources that call me daily, requesting services for immigrant patients.

Jane is a single parent from Guyana. She traveled to New York to visit family with her daughter, who was …

Read more…

ADVERTISEMENT

Fighting nurse burnout: insights and solutions [PODCAST]

Podcast
June 23, 2024
YouTube video

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

We delve into the critical issue of burnout in nursing with Andrea Coyle, a nurse practitioner. We explore the distinct symptoms of burnout, how they manifest differently across genders and generations, and the …

Read more…

How mislabeling patients affects health care outcomes

Physician
June 23, 2024

When we call out to deem a patient difficult regarding access-airway-anesthesia, we do not consider the procedure, provider, proceduralist, place, phase, payer, or player as difficult. Does this mean that only patient conditions make it difficult, with conditions surrounding the procedure, provider, proceduralist, place, phase, payer, or player never coming into play? Aren’t we putting the onus solely on the patient when we document all such experiences of difficulty only …

Read more…

How the time-honored tradition of a baseball catch became a “test” for a brain injury

Physician
June 23, 2024

I find myself becoming more passionate with age, swept into a sea of emotions during certain movie scenes, and even crying during my favorite rock songs as the lyrics and melody crescendo and become one.

The brain’s ability to adapt and change over time, known as neuroplasticity, means that our emotional responses can evolve based on the kinds of experiences and stimuli we are exposed to over the years. It is …

Read more…

Innovation doesn’t have to be flashy to make a big impact

Policy
June 23, 2024

Labor shortages have become a pressing concern across the health care sector, with the nurse staffing crisis looming large over hospitals and health systems nationwide.

A report from the Massachusetts Health Policy Commission illuminated the severity of the workforce challenges, revealing a doubling of vacancy rates for registered nurses in the state’s hospitals from 2019 to 2022. Despite concerted efforts, the problem persists, with health systems still resorting to costly pandemic …

Read more…

Unlocking hidden leadership: the powerful skillset of parenthood

Physician
June 23, 2024

I came back from ACOG feeling invigorated. This year’s theme was “Leading from where you are,” and let’s just say the leader in me was re-activated. I identified with so many qualities of the speakers; I felt inspired and ready to make an impact. Specifically, I felt ready to serve on committees and lead. Once home, I was ready to pull out my laptop and write down my goals. But, …

Read more…

From ER to wallet: Understanding medical expenses [PODCAST]

Podcast
June 22, 2024
YouTube video

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

Join us as we welcome Neill Slater, an emergency physician, to discuss the critical issue of patient compliance and the hidden costs of health care. We will explore why patients often don’t take …

Read more…

Building the future of African plastic surgery: Igniting passion in medical students

Conditions
June 22, 2024

Recently, I completed a rotation at the plastic surgery department of Korle-Bu Teaching Hospital, Ghana. Reflecting on this experience, I realized a few things. My perception of plastic surgery practice was naive and uninformed. This experience has been an eye-opener as it has challenged preconceived notions and revealed the multifaceted nature of this wonderful specialty. However, I recognize that most African students do not have the same opportunity. Only a …

Read more…

618
pages