Phytotherapy for kidney stones: a clinical review

Conditions
December 8, 2025

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 …

Read more…

Preventive health care architecture: a global lesson

Conditions
December 8, 2025

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. …

Read more…

Telehealth stimulant conviction: lessons from the Done Global case

Conditions
December 8, 2025

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 …

Read more…

The liver’s role in metabolic disease

Conditions
December 8, 2025

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, …

Read more…

Modern eugenics: the quiet return of a dangerous ideology

Physician
December 8, 2025

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 …

Read more…

Scammers stole my doctor identity on Facebook

Social media
December 8, 2025

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 …

Read more…

The problem with perfectionism in health care

Physician
December 8, 2025

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 …

Read more…

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

Podcast
December 7, 2025
YouTube video

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

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 …

Read more…

The inconsistent academic peer review process

Physician
December 7, 2025

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 …

Read more…

Physician end-of-year reflection: Growing through challenges

Physician
December 7, 2025

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 …

Read more…

Why EMR usability is a patient safety issue

Conditions
December 7, 2025

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 …

Read more…

How online parent communities extend care

Physician
December 7, 2025

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 …

Read more…

The U.S. gastroenterologist shortage explained

Physician
December 7, 2025

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 …

Read more…

ADVERTISEMENT

Finding your why after career burnout

Physician
December 7, 2025

“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 …

Read more…

Cancer care’s financial toxicity [PODCAST]

Podcast
December 6, 2025
YouTube video

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

Read more…

How pro hockey prepared me for residency challenges

Physician
December 6, 2025

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,” …

Read more…

A pediatrician’s medical service in war and peace

Physician
December 6, 2025

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 …

Read more…

How an AI medical scribe saved my practice

Tech
December 6, 2025

When I wrote my first novel last year, I grappled with the ethical implications of using a large language model to guide my writing process (one I have been carefully refining for decades). Prompt after prompt, my mind became inundated with the notions of how every query consumed a not insignificant amount of energy and the black box of the generated text’s origins. “Am I relying too heavily on this …

Read more…

Physician boundaries: When compassion causes harm

Conditions
December 6, 2025

I used to believe that being a good physician meant being generous, flexible, and willing to bend the rules if it helped a patient. I don’t believe that anymore.

The lesson came from a young patient who walked into my traditional Chinese medicine (TCM) clinic one afternoon, looking exhausted, embarrassed, and desperate.

He needed a powdered herbal preparation that cost around NT$7,500 (about $230). He stared at the ground and whispered, “Doctor, …

Read more…

Rural health care access: Japan vs. U.S.

Physician
December 6, 2025

In Japan’s far north, Hokkaido stretches across mountains, forests, and endless snow. For months each year, the landscape turns white, and travel slows to a crawl. This vast and beautiful region (known for dairy farms, fishing towns, and open space) is also one of the most sparsely populated parts of the country.

For people living here, health care access depends not only on medicine, but on geography, infrastructure, and weather. It’s …

Read more…

624
pages