A doctor’s own prostate cancer recovery

Physician
November 9, 2025

This past summer, I was diagnosed with prostate cancer. For more than three decades, I have taught, examined, and guided patients through various types of illnesses. However, nothing prepared me for the disorienting effect of becoming a patient myself. The diagnosis itself (a less aggressive prostate cancer amenable to robot-assisted radical prostatectomy) felt, at first, like a technical problem with a straightforward surgical solution. But what I did not fully …

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How Olympic cycling can improve health care

Physician
November 9, 2025

It’s no secret, is it? Health care organizations and institutions are struggling, some more than others. However, all are faced with seemingly insurmountable challenges. Demand outstripping resources, failing cultures and disengaged staff, and everywhere blockages and lack of flow are but a few of the common themes.

Big money, large initiatives, and great minds have all been thrown at the problem. The result? Well, if there was an answer we would …

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Give the health care dollar back to patients

Physician
November 9, 2025

Peace in the Middle East was once considered impossible until someone had the courage to take a stand and chart a new course. Mr. President, we need that same clarity and boldness now in health care.

The government shutdown over health care isn’t about medicine, it’s about money. Costs have exploded while premiums skyrocket. Paradoxically, doctors earn less, hospitals consolidate, and patients wait longer. The focus has shifted from healing to …

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The flaws in the new child health report

Physician
November 9, 2025

The Trump administration recently released a long-promised report decrying the sorry state of the health of American children and saying how it planned to change this.

They correctly begin by noting that “Despite outspending peer nations by more than double per capita on health care, the United States ranks last in life expectancy among high-income countries and suffers higher rates of obesity, heart disease, and diabetes.” Unfortunately, they then largely focus …

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The 5 percent problem: the low value of primary care

Physician
November 9, 2025

I spent 11 years becoming a family physician.

Four years in undergrad, four in medical school, three more in residency.

That’s a decade of delayed income and about $300,000 in debt, all for the privilege of practicing in one of the most critical, underappreciated corners of medicine: primary care.

I came out idealistic. I wanted to build relationships, prevent disease, and guide people through the chaos of a broken system. But I quickly …

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The opioid crisis’s other victims

Conditions
November 9, 2025

Introduction: a crisis of pain

The opioid crisis is one of the most significant public health emergencies of our time, defined by staggering rates of addiction and overdose. Yet, behind the headlines is a story of profound and often overlooked human suffering. In an effort to save lives, public health policies were enacted to aggressively reduce opioid prescriptions. While well-intentioned, these policies have inadvertently precipitated a parallel crisis of iatrogenic harm, …

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Escaping the trap of false urgency [PODCAST]

Podcast
November 8, 2025
YouTube video

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Psychiatrist Yekaterina Angelova discusses her article “Are you addicted to false urgency?” In this episode, Yekaterina explores how modern professionals, including physicians, get caught in a cycle of constant busyness and fabricated …

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Stop doing peer reviews for free

Education
November 8, 2025

The unpaid backbone of a billion-dollar scientific publishing industry

Not long ago, I received yet another “urgent” peer review request from a major medical journal. The email hit all the familiar notes: “We value your expertise. Your contribution is essential to scholarly excellence. Please respond within 72 hours.”

I glanced at the journal’s website. Their open-access fee? $3,800. Reviewer compensation? Zero.

This is the quiet hypocrisy we’ve all come to accept: Journals charge …

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The human cost of health care automation

Physician
November 8, 2025

AI is rolling out in medicine faster than most of us can process. Ambient scribes documenting visits. Clinical decision support algorithms. Automated prior authorizations. The promises are compelling: reduced clerical burden, more face-time with patients, less burnout.

I wanted this. As a palliative care doctor and director of physician well-being at my institution, I’ve spent years watching colleagues drown in documentation and burn out from relentless task loads. When AI tools …

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The need for pediatric respite care

Conditions
November 8, 2025

My son Gideon is almost 12 years old. He is funny in that sharp, unexpected way that catches you off-guard. He is deeply expressive and full of life. He gives love and joy more freely than most kids his age. He is curious and social. He is healthy, and I am grateful for it. We are endlessly proud of who he is.

And, our family constantly walks the edge of breaking …

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A better way to talk about kids’ nutrition

Conditions
November 8, 2025

When parents bring their children to the clinic, they often expect quick advice: “Eat healthy. Exercise more.” But after years in practice, I’ve learned those generic prescriptions rarely work. Families leave feeling uncertain, children feel pressured, and real changes at home are hard to sustain.

That’s why I focus on a family-centered, personalized approach. Nutrition is not just about a child; it’s about routines, traditions, and stresses that affect the whole …

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Many seizures don’t look like the movies

Conditions
November 8, 2025

When most people think of seizures, they picture someone falling to the ground with violent shaking, the dramatic scenes we’ve seen in movies and television. While these tonic-clonic seizures (previously known as grand mal seizures) do occur, the reality is that many seizures look nothing like what Hollywood portrays. They are often subtle, easily missed, and can be mistaken for daydreaming or unusual behavior.

More than 3 million Americans have active …

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Breast cancer in teenagers is rare but real

Conditions
November 8, 2025

When people think about breast cancer, they picture middle-aged or older women. The pink ribbons, awareness campaigns, and even clinical guidelines overwhelmingly focus on adults. What’s almost never discussed is that, though rare, breast cancer can occur in teenagers. And when it does, the diagnosis is often delayed, with consequences that change a young life forever.

Breast cancer in adolescents is extremely uncommon, accounting for less than 1 percent …

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Reimagining medical education for the 21st century [PODCAST]

Podcast
November 7, 2025
YouTube video

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

Internal medicine physician Robert C. Smith discusses his article “Why medicine needs a second Flexner Report.” In this episode, Robert explores how modern medical education has fallen behind the science it was …

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A pediatrician’s reckoning with behavior therapy

Physician
November 7, 2025

For decades, I practiced developmental-behavioral pediatrics with a focus on coordinated care, measurable goals, and clinical accountability. I believed that if we could define a child’s needs clearly and track progress with integrity, we could build systems that honored both science and dignity.

But I now realize I missed something critical.

After reviewing the #BanABA initiative and speaking with Dr. Henny Kupferstein, I’ve come to understand the full scope of harm linked …

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Opioid prescribing guidelines ignore metabolism

Conditions
November 7, 2025

My primary focus is on U.S. and international public health policy for treatment of severe chronic pain. I have been active for over 28 years as a health care writer and educator, with over 300 papers authored or co-authored in a mix of peer-reviewed journals and mass media.

I am a particular critic of what I believe to be the proven misdirection (a.k.a. “fraud“) committed by Federal and State …

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How AI is changing medical education

Education
November 7, 2025

When I started medical school, I imagined long nights memorizing anatomy, shadowing physicians, and, eventually, walking hospital hallways in a white coat, trying to solve the intricate puzzles that patients carry in their bodies.

What I didn’t expect was that some of the most important lessons wouldn’t come from a professor or a textbook but from conversations about algorithms, data, and machines that learn.

Artificial intelligence felt distant at first, something for …

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The collapse of developmental pediatrics

Physician
November 7, 2025

The terrain I refused to leave

At Madigan Army Medical Center, I built a diagnostic model that delivered autism answers in under 30 minutes. No shortcuts, just smarter care. A Ph.D. pediatric nurse practitioner performed triage. I conducted the Screening Tool for Autism in Toddlers (STAT-MD), a targeted autism screening protocol developed at Vanderbilt, confirmed criteria from the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5), and families left …

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Why the U.K. junior doctor strike matters

Physician
November 7, 2025

In mid-November, thousands of junior doctors in Britain will again step away from their posts. Not for comfort. Not for gain. For something harder to name.

They have been praised as heroes and treated as expendable, thanked in speeches while their pay erodes and their patience thins. I heard one young doctor say she still loves medicine, but cannot serve a system that sees her as replaceable. She stayed through staff …

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How to adopt AI in health care responsibly

Tech
November 7, 2025

To give you an idea of how rapidly AI adoption has occurred, I recently reviewed the minutes of a company leadership meeting from last year. The topic of AI was almost entirely absent, receiving only minimal discussion. Compare that activity to today, where we’ve developed dozens of applications that actively utilize some form of AI, and hold daily meetings where it is the sole topic of discussion.

If your organization’s experience …

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