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The Podcast by KevinMD

Understanding the cracked pot theory of a medical legacy [PODCAST]

Psychiatrist and author Arthur Lazarus discusses his article, "Finding integrity at the end of a career." Arthur shares the poignant narrative of Dr. Raul Morales, a community internist facing retirement with a deep sense of despair, questioning if his forty-year…

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Psychiatrist and author Arthur Lazarus discusses his article, “Finding integrity at the end of a career.” Arthur shares the poignant narrative of Dr. Raul Morales, a community internist facing retirement with a deep sense of despair, questioning if his forty-year medical career truly mattered. Through the powerful fable of the …

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Understanding the cracked pot theory of a medical legacy [PODCAST]

Physician voices

Blackballing in medicine: a physician’s story

Medicine remembers data but forgets voices. I learned this between 1999 and 2003, when I was quietly fired and branded as someone who had "burned too many bridges." That label was projection, not a critique of my science. My work…

Medicine remembers data but forgets voices. I learned this between 1999 and 2003, when I was quietly fired and branded as someone who had “burned too many bridges.” That label was projection, not a critique of my science. My work within the national research network remains foundational to current clinical guidelines, and my training-grant application ranked near the top of all those submitted. Yet the whisper of “bridge-burning” became the …

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Blackballing in medicine: a physician’s story

Medical education

Physician advocacy as a core clinical skill

Starting my training as an MD/PhD student at Yale, I expected long nights of memorizing biochemical pathways and drug mechanisms. I predicted challenging times learning how to care for patients in tough situations. But what I didn't expect was just…

Starting my training as an MD/PhD student at Yale, I expected long nights of memorizing biochemical pathways and drug mechanisms. I predicted challenging times learning how to care for patients in tough situations. But what I didn’t expect was just how difficult the current federal landscape would make this journey.

I felt this directly in early 2025. I came to Yale to study the health of LGBTQ+ populations. But when my …

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Physician advocacy as a core clinical skill

Real physician voices, twice a week

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Conditions and diseases

Phytotherapy for kidney stones: a clinical review

Kidney stone disease remains one of the most common and painful conditions in urology, affecting millions worldwide each year. Global data show a continued rise in incidence (more than 100 million new cases in 2021) making prevention and long-term management…

Kidney stone disease remains one of the most common and painful conditions in urology, affecting millions worldwide each year. Global data show a continued rise in incidence (more than 100 million new cases in 2021) making prevention and long-term management a priority for both clinicians and patients. Despite significant advances in minimally invasive treatment, many patients still ask a familiar question: “Is there a natural remedy that can help …

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Phytotherapy for kidney stones: a clinical review

Conditions and diseases

Preventive health care architecture: a global lesson

Across conferences and journals worldwide, we repeat the same aspiration: Health care must shift from treating disease to promoting health. Yet most systems (regardless of country) remain architected around illness. Buildings, budgets, and workflows are still optimized for what happens…

Across conferences and journals worldwide, we repeat the same aspiration: Health care must shift from treating disease to promoting health. Yet most systems (regardless of country) remain architected around illness. Buildings, budgets, and workflows are still optimized for what happens after the body breaks down.

My perspective changed after speaking with a senior health care leader in Asia. He did not begin by discussing surgical innovation, emergency demands, or reimbursement challenges. …

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Preventive health care architecture: a global lesson

Conditions and diseases

Telehealth stimulant conviction: lessons from the Done Global case

The recent federal conviction of Done Global's CEO, Ruthia He, and its clinical president, psychiatrist David Brody, on November 20, 2025, has brought long-standing concerns about virtual ADHD prescribing into undeniable focus. A San Francisco jury found both executives guilty…

The recent federal conviction of Done Global’s CEO, Ruthia He, and its clinical president, psychiatrist David Brody, on November 20, 2025, has brought long-standing concerns about virtual ADHD prescribing into undeniable focus. A San Francisco jury found both executives guilty of conspiring to distribute Adderall and other Schedule II stimulants, along with health care fraud and (for He) obstruction of justice. According to the Department of Justice, Done Global generated …

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Telehealth stimulant conviction: lessons from the Done Global case

Conditions and diseases

The liver’s role in metabolic disease

If you're managing metabolic disease for your patients, you're also dealing with liver disease, whether you realize it or not. Metabolic dysfunction-associated steatotic liver disease (MASLD) affects up to 70 percent of patients who have type 2 diabetes or obesity,…

If you’re managing metabolic disease for your patients, you’re also dealing with liver disease, whether you realize it or not. Metabolic dysfunction-associated steatotic liver disease (MASLD) affects up to 70 percent of patients who have type 2 diabetes or obesity, yet reliable, routine screening for liver disease is anything but commonplace.

I often wonder why that is. After all, the liver is arguably the most sensitive barometer of metabolic dysfunction, …

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The liver’s role in metabolic disease

Physician voices

Modern eugenics: the quiet return of a dangerous ideology

I'm not paranoid. And I don't believe in conspiracy theories. But as a physician who has spent decades watching the pendulum of medical ethics swing back and forth, I can't ignore the pattern emerging across public health and politics today.…

I’m not paranoid. And I don’t believe in conspiracy theories. But as a physician who has spent decades watching the pendulum of medical ethics swing back and forth, I can’t ignore the pattern emerging across public health and politics today. Some of what I’m seeing looks uncomfortably familiar. It looks like eugenics, not the caricature of white coats and calipers, but the quieter, policy-driven, values-encoded version that shaped America a …

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Modern eugenics: the quiet return of a dangerous ideology

Social media in medicine

Scammers stole my doctor identity on Facebook

15 years. That's how long I'd been building my Facebook presence from grammar school friends to medical school colleagues, from former patients to the professional community I'd cultivated as a medical oncologist. Two years ago, I converted it to a…

15 years. That’s how long I’d been building my Facebook presence from grammar school friends to medical school colleagues, from former patients to the professional community I’d cultivated as a medical oncologist. Two years ago, I converted it to a business page to share evidence-based cancer information.

Then scammers stole my identity to sell fake cancer cures, and Facebook banned me while they stayed active.

The impersonation

It started with a message from …

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Scammers stole my doctor identity on Facebook

Physician voices

The problem with perfectionism in health care

We work in an impossibly depleted health care system and under impossibly high expectations of perfection from society. We hold our peers, our team members, our trainees, and most of all, ourselves to rigid, lofty ideals of flawlessness. By glorifying…

We work in an impossibly depleted health care system and under impossibly high expectations of perfection from society. We hold our peers, our team members, our trainees, and most of all, ourselves to rigid, lofty ideals of flawlessness. By glorifying perfectionism in medicine, we have effectively dehumanized ourselves.

The oath we take is “Do No Harm.” It is not “Try your best to do no harm.” Is it appropriate to expect …

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The problem with perfectionism in health care

The Podcast by KevinMD

A leader’s journey through profound grief and loss [PODCAST]

Health care strategist Dana Y. Lujan discusses her article, "Grief and leadership in health care." Dana shares her devastating personal story of losing both her son's father and, six years later, her only son, Joey, and how this profound grief…

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Health care strategist Dana Y. Lujan discusses her article, “Grief and leadership in health care.” Dana shares her devastating personal story of losing both her son’s father and, six years later, her only son, Joey, and how this profound grief exposed the failures of the health care system when faced …

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A leader’s journey through profound grief and loss [PODCAST]

Physician voices

The inconsistent academic peer review process

I check the submission website again. And again. Sometimes in the middle of the night, I find myself refreshing the page, hoping for a small update (a new status, a change in wording, a sign that my manuscript has moved…

I check the submission website again. And again. Sometimes in the middle of the night, I find myself refreshing the page, hoping for a small update (a new status, a change in wording, a sign that my manuscript has moved from “under review” to “decision in process”).

For early-career researchers, this waiting game is familiar. We pour months, sometimes years, of effort into designing a study, collecting data, writing, revising, and …

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The inconsistent academic peer review process

Physician voices

Physician end-of-year reflection: Growing through challenges

Busy physicians seldom pause long enough to feel the weight or the wisdom of the year behind them. We know the end of the year is approaching not because we've reflected, but because holiday coverage discussions have begun. Someone needs…

Busy physicians seldom pause long enough to feel the weight or the wisdom of the year behind them.

We know the end of the year is approaching not because we’ve reflected, but because holiday coverage discussions have begun. Someone needs to work Thanksgiving. Someone has to take Christmas. Someone will miss the department party again.

You look at the schedule and realize: This year, it’s you.

And in that moment, something inside you …

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Physician end-of-year reflection: Growing through challenges

Conditions and diseases

Why EMR usability is a patient safety issue

As an oncologist, I've sat through the 24- to 48-hour EMR trainings that claim to prepare clinicians for new systems. They rarely do. The average physician still spends one to two days in technical onboarding and another month fumbling through…

As an oncologist, I’ve sat through the 24- to 48-hour EMR trainings that claim to prepare clinicians for new systems. They rarely do. The average physician still spends one to two days in technical onboarding and another month fumbling through screens before feeling comfortable. Versions vary wildly even within the same vendor, and every move to a new hospital resets the learning curve.

One night in a rural hospital, I watched …

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Why EMR usability is a patient safety issue

Physician voices

How online parent communities extend care

As a pediatric gastroenterologist with more than 10 years of face-to-face clinical experience, I can recall countless stories of parents who felt lost at sea, adrift between vague diagnoses, inconclusive tests, and unanswered questions. Medicine has its boundaries; doctors can…

As a pediatric gastroenterologist with more than 10 years of face-to-face clinical experience, I can recall countless stories of parents who felt lost at sea, adrift between vague diagnoses, inconclusive tests, and unanswered questions. Medicine has its boundaries; doctors can only work within what is known. And while artificial intelligence now helps us digest vast amounts of medical data, nothing can replace the curiosity and determination of parents who take …

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How online parent communities extend care

Physician voices

The U.S. gastroenterologist shortage explained

The story of gastroenterology in 2025 is no longer about productivity or reimbursement; it's about manpower. Hospitals and practices across the U.S. are struggling to recruit, retain, or even temporarily staff the specialists who manage digestive diseases, perform colon cancer…

The story of gastroenterology in 2025 is no longer about productivity or reimbursement; it’s about manpower. Hospitals and practices across the U.S. are struggling to recruit, retain, or even temporarily staff the specialists who manage digestive diseases, perform colon cancer screening, and handle emergency procedures like ERCP. What we’re facing isn’t simply a staffing issue; it’s a structural shortage decades in the making.

The shrinking pipeline of gastroenterologists

In the mid-1990s, roughly …

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The U.S. gastroenterologist shortage explained

Physician voices

Finding your why after career burnout

“He who has a why to live for can bear almost any how.” - Friedrich Nietzsche When I lost meaning in and for my life while questioning my career path as a surgical resident, I lost motivation to eat and…

“He who has a why to live for can bear almost any how.”
– Friedrich Nietzsche

When I lost meaning in and for my life while questioning my career path as a surgical resident, I lost motivation to eat and isolated in guilt and shame. Looking back, I had given up the very things that I now realize give life meaning in the pursuit of my career: relationships (including friendship and community …

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Finding your why after career burnout

The Podcast by KevinMD

Cancer care’s financial toxicity [PODCAST]

Oncologist and health care executive Yousuf Zafar discusses his article, "When cancer costs too much: Why financial toxicity deserves a place in clinical conversations." Yousuf explains the concept of "financial toxicity," a severe burden caused by both direct medical bills…

Listen on Apple Podcasts · Spotify

Listen and followApple PodcastsSpotifyYouTubeMore apps · Browse all episodes

Oncologist and health care executive Yousuf Zafar discusses his article, “When cancer costs too much: Why financial toxicity deserves a place in clinical conversations.” Yousuf explains the concept of “financial toxicity,” a severe burden caused by both direct medical bills and indirect costs (like time off work or child care) …

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Cancer care’s financial toxicity [PODCAST]

Physician voices

How pro hockey prepared me for residency challenges

My journey to medicine was a little bit different than most. Prior to beginning my academic career, I had the fortune of being a second-round NHL draft pick and enjoyed a career as a professional hockey player. When I went…

My journey to medicine was a little bit different than most. Prior to beginning my academic career, I had the fortune of being a second-round NHL draft pick and enjoyed a career as a professional hockey player.

When I went through my CaRMS interviews, I was often asked about my previous experience and how that would help me in residency. I would give the typical answer: “Teamwork makes the dream work,” …

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How pro hockey prepared me for residency challenges

Physician voices

A pediatrician’s medical service in war and peace

I was the expectant team leader at Minot, the one designated to survive "a little longer than the others" if nuclear war came. My role was not glamorous. It was a reminder that even in medicine, some of us were…

I was the expectant team leader at Minot, the one designated to survive “a little longer than the others” if nuclear war came. My role was not glamorous. It was a reminder that even in medicine, some of us were expendable. Years later, I was nearly sent to the First Gulf War, and I watched colleagues deployed to Afghanistan, developmental pediatricians pressed into service far from the children they were …

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A pediatrician’s medical service in war and peace

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