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Living with type 1 diabetes: my journey through misconceptions, stigma and resilience

Conditions

October 28, 2024

I was only a child when my life took a sharp turn. At around five or six years old, I started noticing odd changes in my body that I didn’t understand. The day I landed in the hospital was the day the word “diabetes” entered my life, even though I didn’t know what it meant.

I overheard my father telling my mother about my diagnosis, but all I could follow was …

How health care workers cope with budget constraints [PODCAST]

The Podcast by KevinMD

Podcast

October 27, 2024

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

We sit down with Amol Shrikhande, a nephrologist, to explore the challenges faced by frontline health care workers in an overburdened system. We delve into the real-world impact of budget constraints, staffing shortages, …

Why good doctors are being jailed—and what it means for you

L. Joseph Parker, MD

Physician

October 27, 2024

Today, in America, if you are suffering from certain medical conditions, physicians are being taught that you cannot be trusted or even treated. This results from a decade of law enforcement targeting physicians, pharmacists, and nurse practitioners for making medical judgment calls the police don’t agree with when it comes to the treatment of certain conditions. I use the term “police” here to include federal agencies, knowing that, while policing …

Most medical school students are being seriously compromised in their future medical careers

Curtis G. Graham, MD

Physician

October 27, 2024

The mythical belief that almost 100 percent of medical school students have accepted over the last century—that one can practice medicine without the need for a business education—has contributed not only to the crisis in health care and the physician attrition crises we see today, but also to the rapid disintegration of private medical practice in our nation.

The confusion covertly introduced into medical students’ minds stems from the missing segment …

Work-life balance in health care: Is it a need or a necessity?

Perrette St. Preux, RN, MScPH

Conditions

October 27, 2024

As health care professionals, have you ever stopped and asked yourself, “How am I doing?”

A humble doctor once asked my team, “How are you doing on a personal level?” That question stopped me in my tracks. None of us knew how to answer. Were we okay? Were we coping? Maybe we were, but maybe we weren’t. The truth was, we didn’t know. His question echoed in my mind for days, …

Why kindness is the missing link in medical education [PODCAST]

The Podcast by KevinMD

Podcast

October 26, 2024

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We welcome back internal medicine physician Vijay Rajput. Two years ago, he shared his insights on the KevinMD article, “Top 10 things new interns should do.” Today, he returns to discuss updates on …

5 questions in mental health counseling – and life

Pat Irving, RN & Richard A. Lawhern, PhD

Conditions

October 26, 2024

Dedicated to my friend and colleague Pat Irving to whom I first told the story.

I’m 80 years old and I’ve been writing for over 60 years—first in systems engineering, later in advanced technology, and more recently in public health policy for the regulation of pain medicine. At this stage of my life, some of my writing is introspective, in an attempt to extract and share “lessons learned” with others. Thus, …

The hidden $935 billion problem in U.S. health care no one is talking about—and how to solve it

Shakeel Ahmed, MD

Policy

October 26, 2024

“Waste is worse than loss. The time is coming when every person who lays claim to ability will keep the question of waste before him constantly.”
– Thomas Edison

The escalating challenge of waste in U.S. medicine

The U.S. health care system is struggling with inefficiencies and waste that weaken its effectiveness, thus reducing accessibility and sustainability as a whole. According to a study by JAMA, between $760 and $935 billion is wasted …

Health care reform requires better access and quality: dialysis as an example

David W. Moskowitz, MD

Policy

October 26, 2024

Having spent two years in Oxford as a Marshall Scholar in the mid-1970s, I came back to medical school believing in a national health service—i.e., Medicare for all. But I learned firsthand that a monopoly can provide access without ensuring quality. When quality isn’t the priority, there’s no hope for lowering costs or alleviating suffering.

Medicare is already the single payer for dialysis and has failed patients miserably. As a result, …

Why are hospitals cornering doctors with this legal trap? [PODCAST]

The Podcast by KevinMD

Podcast

October 25, 2024

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

We sit down with Dennis Hursh, a health law attorney with decades of experience representing physicians in their interactions with hospitals. Dennis shares eye-opening stories of how hospitals use restrictive contracts and aggressive …

The widow’s walk: a poignant tale of loss, love, and recovery

Nancie Wiseman Attwater

Conditions

October 25, 2024

A widow’s walk, also known as a widow’s watch or roof walk, is a railed rooftop platform often having an inner cupola or turret, frequently found on 19th-century North American coastal houses. The name is said to come from the wives of mariners, who would watch for their spouses’ return, often in vain, as the ocean took their lives, leaving the women widows. In other coastal communities, the platforms were …

To avoid unwanted medical treatment: Choose a bulldog surrogate to fight for you

Althea Halchuck, EJD

Conditions

October 25, 2024

“Health is a matter of choice, not a mystery of chance.”
—Aristotle

As an end-of-life (EOL) consultant, one aspect of my job is advance care planning, which involves helping people create an advance directive. An advance directive (AD) has two components. The living will portion lists the treatment options and choices you want or don’t want if you become incapacitated due to an accident or a medical crisis. In the second portion, …

The maternal and child health crisis in Sudan: a call to action

Gillian Burkhardt, MD

Physician

October 25, 2024

The war in Sudan, which began in April 2023, has created one of the world’s largest displacement crises, forcing more than 10 million people to flee their homes. The warring sides, the Sudanese Armed Forces and the Rapid Support Forces, are inflicting horrendous violence on people across the country. Hospitals have been attacked, markets bombed, and houses razed to the ground, leading to a catastrophic toll on the health of …

Controversies surrounding transgender athletes and competitive fairness [PODCAST]

The Podcast by KevinMD

Podcast

October 24, 2024

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

We sit down with William Lynes, a urologist, to discuss the complexities surrounding the inclusion of SGID athletes in female sports. William explores the impact of biology on performance, the potential risks for female athletes, …

How flawed legal reasoning can tilt medical malpractice cases

Howard Smith, MD

Physician

October 24, 2024

A quote by Sir Winston Churchill: “However beautiful the strategy, you should occasionally look at the results.”

Actually, Churchill never said this. It may have been Ian Gilmour, a member of Margaret Thatcher’s Cabinet, years after Churchill’s death. Nevertheless, this quote is often cited in the context of risk management. It is as relevant in a medical malpractice lawsuit as it is a warning to malpractice attorneys. No matter how elegant …

As a doctor, what I learned from knocking on doors for the presidential election

Nina Agrawal, MD

Physician

October 24, 2024

When I’m not knocking on exam-room doors as a pediatrician in New York City, I’m knocking on voters’ doors in Northampton, Pennsylvania—a small county that could determine the outcome of this year’s nail-biting presidential election.

Each time I walk up to a voter’s front door, my heartbeat quickens. You would think a doctor who talks to total strangers every day would be immune to such jitters. But even with a door-knocking …

From darkness to empathy: How one ICU patient transformed my perspective

Emily S. Hagen, MD

Physician

October 24, 2024

My first ICU rotation of intern year was filled with great darkness. It was dark outside as I walked from my car into the hospital each morning before sunrise, and it was again dark when I walked to my car at the end of the day. Less than one hour into my first day in the ICU, a patient’s weak and ineffectual heart stopped beating, and CPR was swiftly initiated. …

How technology can support nurses and improve patient safety [PODCAST]

The Podcast by KevinMD

Podcast

October 23, 2024

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

We welcome Ann-Louise Puopolo, a nurse executive, to discuss the critical issue of the nursing shortage crisis and the impact of burnout and technology fatigue on health care workers. Ann-Louise shares insights from …

Voting as a physician: How my parents’ story inspired me to advocate

Halleh Akbarnia, MD

Policy

October 23, 2024

My parents, both physicians, embody the American story. After completing medical school in Iran, they were recruited to the U.S. in 1968 to fill the gap left by doctors sent to Vietnam. Building a life from the ground up, they became pillars of their patients and communities — and our family, too. In 1992, they became citizens, finally gaining the right to vote, and they’ve never missed an election since, …

It’s not a normal job, folks: How 3 elemental forces of reality shape the profession of medicine

Surgical Fitness Research Pod & Yoshihiro Katsuura, MD

Education

October 23, 2024

Introduction

In the book Ender’s Game, humans face a time-dilation war in which they must travel light-years into the future to face an enemy of unknown strength and scale. The weapons and technology they possess for the journey may be outdated by their arrival, because relativity minimizes the passage of time. The same dilemma is true for medical and premedical students who can spend decades in training, only to emerge without …

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