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Physician tax strategies: Why your tax bill is so high and how to fix it

Finance

February 27, 2026

If you are frustrated by your high tax bill, you are not alone. I have spoken with many doctors who experience sticker shock when they see their total annual tax liability after completing residency. Stories in the media, such as The Atlantic’s recent study on billionaire taxes, about how rich people avoid taxes only fan the flames. It is no surprise, then, that one of the most common financial …

AI in clinical documentation: Who is liable for medical errors?

Harvey Castro, MD, MBA

Tech

February 27, 2026

The attending scrolls through the chart before morning rounds. The progress note is polished. The assessment is structured. The differential is surprisingly thorough. A predictive model flags the patient as high risk for deterioration within 24 hours. He did not write most of it.

An AI assistant drafted the note. A risk algorithm generated the alert. A decision-support tool suggested broadening the workup. He reviewed it. He agreed with most of …

Physician burnout and gaming: Why doctors turn to video games

Gerald Kuo

Tech

February 27, 2026

“The problem is not that physicians play games. The problem is that we are embarrassed to admit we need ways to feel alive again.”

At 3:17 a.m., we called the code. Thirty minutes of compressions. Three rounds of epinephrine. A room filled with controlled urgency. When it ended, the monitors fell silent before the hallway did. I finished my documentation. I washed my hands. I walked to my car. And I …

Beyond BMI: Why weight management must look inside the body

Maureen McBeth, PT

Conditions

February 27, 2026

After more than 25 years in oncology rehabilitation, clinical education, and survivorship care, I’ve learned to be cautious about “good” numbers from common tools like BMI and bathroom scales that don’t match what is actually happening in the body. A recent study confirms it: When used alone, BMI has been found to misclassify up to 34 percent of the general population as obese.

This year, it became more personal when …

Learned helplessness and self-efficacy in tobacco treatment

Edward Anselm, MD

Physician

February 27, 2026

Treatment of people who use tobacco is different. Most treatments given to patients are reasonably successful, but cigarette smokers who are trying to quit will make multiple attempts before they remain abstinent, sometimes as many as twenty. Within hours of stopping, nicotine users can begin to experience withdrawal symptoms which include craving, anxiety, irritability, and restlessness that continue to increase and can rapidly be relieved by another cigarette.

Some people trying …

The truth about ketamine: an anesthesiologist explains drug safety

Jim Ellwood, MD

Conditions

February 27, 2026

Unfortunately, we’re all too familiar with the tragic headlines:

Matthew Perry, cause of death: ketamine overdose
Michael Jackson, cause of death: propofol overdose
Prince and Tom Petty, cause of death: fentanyl overdose

We can easily conclude from these stories that ketamine, propofol, and fentanyl are inherently dangerous substances. When used irresponsibly or in the wrong hands, they are dangerous. But as an anesthesiologist, I, and many other medical professionals, use these …

Why doctors struggle with health care system delays

Kayvan Haddadan, MD

Physician

February 27, 2026

As a pain physician, I spend my career advocating for patients who struggle to access appropriate pain management. I write often on hurdles like restrictive opioid policy, excessive regulatory scrutiny, prior authorization, and administrative burdens that detract from patient care. Yet nothing prepared me for the visceral reality of being the patient on the other side of the system.

From physician advocate to patient in the system

My recent experience, unrelated to …

Orthorexia nervosa turns healthy habits into a harmful obsession [PODCAST]

The Podcast by KevinMD

Podcast

February 26, 2026

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

Internal medicine physician Sally Daganzo discusses her article “The hidden epidemic of orthorexia nervosa.” Sally explains how the pursuit of a perfect diet can spiral into a debilitating obsession where food rules …

Outsourcing patient contact: a solution for multilingual health care

Deepak Gupta, MD

Conditions

February 26, 2026

The fissuring of health care, along the lines of “The Fissured Workplace: Why Work Became So Bad for So Many and What Can Be Done to Improve It” by David Weil (2014), may not be entirely negative after all. Outsourcing patient contact services, perioperative or otherwise, to centralized, multilingual third-party entities with nationwide reach may be the need of the hour in an ever-evolving multilingual society seeking health care. In …

Physician mental health and suicide prevention: stories of survival

Michael F. Myers, MD

Physician

February 26, 2026

An excerpt from Physicians With Lived Experience: How Their Stories Offer Clinical Guidance (APA Publishing, 2025).

Foreword by Jennifer Breen Feist

Foreword by Jennifer Breen Feist, who lost her beloved sister, Dr. Lorna Breen, to suicide on April 26, 2020. After describing the initial shock and unwanted global publicity of her death, she wrote this:

As the emails, letters, and phone calls continued to pour in, my husband …

The enduring value of the physical exam in modern medicine

Francisco M. Torres, MD

Physician

February 26, 2026

I recall the moment I fully grasped the critical importance of the physical exam and how easily it can be overlooked, often with serious consequences.

Early in my fellowship, an elderly patient was referred to our team with an apparently straightforward case of sciatica. His MRI revealed a disc herniation at L5/S1 with foraminal narrowing, prompting discussion about whether an epidural injection or surgery would be more beneficial. I was tasked …

From Singapore to Canada: a blueprint for primary care transformation

Ivy Oandasan, MD

Policy

February 26, 2026

Recently, Dr. Tara Kiran made headlines when her robust national OurCare survey revealed 5.9 million Canadians still lack a primary care provider, the point-of-entry health professional, like a family doctor or nurse practitioner, who provides routine care.

Those who do have a primary care provider often wait weeks for an appointment, then get rushed through in minutes. Emergency departments overflow with patients who have nowhere else to go.

The federal government …

Health care price transparency: Why patients are bypassing insurance

Sally Daganzo, MD

Physician

February 26, 2026

I recently went to Quest Diagnostics for a TB test and a couple of basic labs my doctor ordered. At check-in, I recalled my insurance had changed in the new year and I did not have the updated information readily available. I did not have time to reschedule nor sort it out so figured I could pay cash and reconcile it later. That seemed reasonable, if inconvenient.

When I asked what …

Opt-in vs. opt-out: How defaults shape organ donation rates

Anvit Divekar

Conditions

February 26, 2026

A few weeks ago, I went to the DMV to renew my driver’s license. At the very end of the process, after the routine questions and fine print, a single prompt appeared with a small checkbox next to it: Do you want to register as an organ donor?

I selected “yes,” but then I paused. Not because I was conflicted, but because I realized how easily I could have done nothing. …

Post-holiday heart health: How to reset your cardiovascular habits

Steven Lamm, MD

Conditions

February 26, 2026

The holidays are good for the soul, but often hard on the heart. Weeks of indulgent meals, disrupted sleep, increased alcohol intake, stress, and inconsistent routines can quietly strain cardiovascular health, especially for men. As the calendar turns and routines resume, the post-holiday period presents a valuable opportunity to reset habits, reflect on seasonal excesses, and refocus on heart health before temporary behaviors become lasting risks. Understanding how seasonal habits …

Navigating the hype and hope of psychedelic medicine [PODCAST]

The Podcast by KevinMD

Podcast

February 25, 2026

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

Psychiatrist, internist, and addiction medicine specialist Muhamad Aly Rifai discusses his article “Psychedelic-assisted therapy: science, safety, and regulation.” Muhamad explores the complex landscape of psychedelic medicine, balancing the growing public interest with …

Informed refusal vs. denied care: a dental case study

Aaron S. Rosenberg

Conditions

February 25, 2026

I went in for a routine dental cleaning. It was never provided.

I’ve spent my career on multiple sides of health care, independent practice, hospital-owned systems, and health insurance, which has made me acutely aware of how incentives and operational norms can quietly shape care. Still, what happened during this visit surprised me.

After I was brought back to the exam room, I was told bitewing X-rays would be taken before the …

Informed consent for premeds: Is a medical career worth it?

Michael Minh Le, MD

Education

February 25, 2026

Decades ago, becoming a doctor felt like the obvious choice. People asked, “Why wouldn’t you?”

Today, the question has flipped: “Why would you ever do that?”

I’m a doctor. I graduated from UCLA, and I’m now an anesthesiology resident at Mount Sinai. I also help thousands of premeds get into medical school every year. And when I see doctors leaving medicine or premeds walking away before they even apply, I don’t think …

The ticking clock: How time constraints in medicine hurt patient care

Timothy Lesaca, MD

Physician

February 25, 2026

We are taught to watch for conflicts of interest in the form of pharmaceutical pens and consulting checks, yet we often overlook the most pervasive corruption of all: the ticking of the clock.

We traditionally describe medical conflicts of interest in corporate terms: free dinners, speaking fees, and consulting arrangements. These temptations are real, and they deserve the scrutiny and rules we apply to them. But they are external distractions. The …

Insulin resistance is not a disease: a metabolic reframe

Kevin Whitt

Conditions

February 25, 2026

Type 2 diabetes and metabolic disease are now so common that they are treated as an expected part of modern life rather than as a systemic failure. Roughly 90 percent of American adults are now prediabetic or diabetic, and most are unaware of it. This progression quietly opens the door to heart disease, non-alcoholic fatty liver disease, cancer, neurodegeneration, and other chronic illnesses that are then managed downstream.

We are not …

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