A careless misdiagnosis. A death. A lawsuit.
They loved long walks through the woods in California. They were sweethearts in high school through college. If they wanted to take a break from their walks, the dogs would gang up on them and insist on continuing.
The trees, the skies, the quiet, the fresh smell of pine and wildflowers.
And on one clear blue sky day, Bill dropped down on bended knee and proposed to Jennifer. The breeze gently blew …
PTSD after medical education
Dear Art:
On Friday, June 11, 1982, members of the faculty convened to discuss the performance of the psychiatric residents during the last six (6) months. The following is a summation of their comments as they apply to your performance.
The faculty’s reaction to your performance was uniformly excellent. There was some comment on your earlier fear of the psychotherapeutic role, but the consensus was that this has improved markedly and that …
Protecting children from bad medical care
Unfortunately, at least from where I sit, suboptimal medical care seems to abound. And every encounter of my family members with the health care behemoth is an opportunity for them to become a recipient of it.
When it comes to shielding them, I have had some failures in the past — it took a minor stroke in my father, who lived in England, for me to realize that he had never …
Top questions doctors ask health care attorneys [PODCAST]
Medical innovation: a serendipitous step toward gender equity
There has never been a better time to be a woman entrepreneur. With ever-growing numbers of venture funds specifically for women and nonprofits dedicated to advancing women in tech, the next Apple is ripe for the picking. However, there remains a wide chasm to cross. Currently, startups led by women command less than 3 percent of venture capital investment dollars.
Upon diving deeper into this disparity, a 2020 paper published by …
By failing to discuss strangulation, we are failing our patients
Six seconds is the amount of time it would have taken for him to render me unconscious.
Shortly thereafter, I might have lost my life.
One month before I finally found the strength to leave an abusive ex-partner, he rushed at me with unexpected force during an argument and wrapped his hands around my throat. I kicked desperately at his chest, terrified, heart racing, during what I believed might be my final …
Managing key risk factors may lower your dementia risk
Close to 6 million adults in the U.S. are currently living with Alzheimer’s disease or a related form of dementia, according to CDC data. And that number will grow as the U.S. population ages. The number of people with Alzheimer’s and related forms of dementia is projected to increase to approximately 14 million over the next 38 years.
Dementia impacts not only the people who develop this condition but also …
KevinMD on the Co-Learning Clinician podcast
What does self-compassion look like in your life?
I’ve spent years deeply uncomfortable in my skin.
Wanting to disappear.
Last night, a wave of anxiety hit me as it often does when the world gets quiet.
In tune with my body for a brief moment, my heart ached.
Why?
I envisioned that moment when we ponder what we would regret on our deathbeds.
And I saw the years many of us spend hating our bodies.
Our glorious bodies that make being present in this world …
Think twice before prescribing opioids as a first-line treatment for pain
Everyone knows the terrible toll the opioid epidemic takes on our society. It doesn’t matter where you live and how wealthy or educated you are, no one is immune. I watched as a colleague tried to help a child struggling with addiction, spending countless hours of worry and thousands of dollars, only to have the child succumb to an accidental opioid overdose. The emotional and financial cost on individuals and …
Why HIV and COVID-19 vaccine screening should go together
During the COVID-19 pandemic, Americans got accustomed to regularly answering a series of questions about our risk of exposure to COVID and our possible symptoms. For more than two years, our country remained laser-focused on this protection, demonstrating our health care system’s ability to mount a strong response to a public health crisis. So why haven’t we taken similar precautions in the face of other crises, particularly HIV?
For too long, …
As doctors, caring is our poetry [PODCAST]
Subscribe to The Podcast by KevinMD. Catch up on old episodes!
“The art and craft of being a physician and finding meaning in our care of others are to make poetry out of our lives.”
Steven Kamajian is a family physician.
He shares his …
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Letting grief make you stronger
Grief is powerful and can break your heart for the rest of your life, or you can learn from it and become stronger. Losing a loved one is something that everyone will go through, but not all come out as survivors in the end. It’s part of life, but a very difficult part. Think of your loss as a lesson to help you live the rest of your life.
How do …
Medical support staff is neglected, disrespected, and mistreated
Medical support staff is leaving in droves and leaving patients’ health at greater risk. Calls and messages to doctors’ offices have surged as patients try to access care. Wait times skyrocket to book visits.
News stories about the current state of the health care system typically focus on the plight of doctors and nurses. Studies detail the “Great Resignation” impairing the health care industry–a new report published …
How can doctors slay their Goliaths?
An excerpt from Doctor and Goliath.
We’ve all heard about David and Goliath, correct? In one of the most epic underdog stories ever written, a young boy defeats a giant Philistine warrior. But how did that happen? What tools did David employ to win his battle? Was it the five round …
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How whole-person care can make us better healers [PODCAST]
The slow death of primary care: a Canadian perspective
Loss of autonomy, gaslighting, abuse, exploitation, and hypocrisy are all strong words. Just writing them brings to my mind the harsh reality of my experience and the collective experience of others who have dared to speak up. These words come to mind when I think about primary care in Canada. I recognize similar sentiments are heralded by my U.S. colleagues and those in the United Kingdom.
The system is failing. …
Ambulatory medicine today: Focus on what you can control
Patient volume has recovered across the country, and most medical offices are back to a steady state of care delivery—but ambulatory care has changed irrevocably. We’ve entered a phase shaped by crisis and marked by even more intense cost pressure and consolidation. What steps can independent medical practices take now to help ensure stability and prosperity moving forward?
Offer employees a more rewarding work experience.
The great resignation—unprecedented turnover in the labor …
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Why is collaboration missing in health care?
An essay posted by Fareeha Kahn, MD (“A hospitalist’s struggle to find teamwork in academic medicine“), raises an important issue. The problem of lack of collaboration is not unique to academic medicine. The problem is the result of misaligned incentives.
Having read the work of Harvard Business School professor Michael E. Porter, I better understand the goals and challenges of value-based care. If we look at the premise …
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How trade wars could destroy the U.S. health care system
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The silent crisis hurting pain patients and their doctors
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Recent Posts
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Staying stone free with AI: How smart tech is revolutionizing kidney stone prevention
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Overcoming the curse of knowledge: Why doctors need to translate medicine [PODCAST]
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Signing bonuses and taxes: What physicians should know
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Past Week
-
How smartphones are stealing your focus—and what you can do about it
-
Staying stone free with AI: How smart tech is revolutionizing kidney stone prevention
-
The heartbreaking pandemic story I will never forget
-
How Earth Day can inspire better health for doctors and patients
-
Why female physicians are done asking for permission
-
Spreading hope one card at a time for doctors’ well-being [PODCAST]
-
Past 6 Months
-
How trade wars could destroy the U.S. health care system
-
How hospitals are quietly taking control of physicians
-
The silent crisis hurting pain patients and their doctors
-
How the system hunts physicians who refuse to kneel
-
Doctors don’t need yoga, they need time to smoke
-
What happened to real care in health care?
-
Recent Posts
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Staying stone free with AI: How smart tech is revolutionizing kidney stone prevention
-
Overcoming the curse of knowledge: Why doctors need to translate medicine [PODCAST]
-
Signing bonuses and taxes: What physicians should know
-
Learning to trust your body again: Healing the hidden wounds of medical training
-
Love, empathy, and the triangle of exhaustion: Why humanity must come first
-
How smartphones are stealing your focus—and what you can do about it
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