The environmental impact of the diabetes epidemic
The superior doctor prevents sickness. The mediocre doctor attends to impending sickness. The inferior doctor treats actual sickness.”
– Chinese Proverb
The management of diabetes today requires an understanding of the concept of the circular economy in eliminating waste and pollution, circulating products and materials at their highest level, and regenerating nature.
Today, we saw a 64-year-old woman for her follow-up visit to the diabetes clinic. She is our typical Oklahoma patient with …
If growing a hospital pediatric program was only this easy
The goal of making a hospital pediatric program a greater presence in the community hinges upon two areas, building community and alliance with local pediatricians and creating more visibility in the public arena. Both are not mutually exclusive, and each affects the other. The goal is to create a positive experience for both areas that will enhance each individually as they connect with one another.
Unfortunately, if not done correctly, negative …
Physicians are only good for 90 days
“Nothing is certain except death and taxes.”
Physicians are commonly offered one, two, and three-year employment contracts that appear ironclad and have automatic renewal clauses. The length of these contracts encourages us to believe we can confidently make major financial decisions based on expected income. Moreover, we want to believe that enduring years of training and oppressive loans have finally resulted in financial success. So, we read contracts hoping these agreements …
Urging patience with patient self-advocacy [PODCAST]
The powerful role of administrative leaders in high-value primary care
The market for health administrators in the U.S. is projected to grow 28 percent from 2021 to 2031, growing more rapidly than the average for all other occupations.
Traditionally, those in health administration work in hospitals, large health systems, health plan organizations, and consulting firms. However, health administration has the potential to contribute value to every component of the U.S. health care …
Investing today in early-career physicians’ unique needs fuels tomorrow’s health care leaders
A guest column by the American Society of Anesthesiologists, exclusive to KevinMD.com.
My physician grandfather believed medicine was the noblest profession, a career that combined making an honest living with a meaningful difference. Inspired by his passion, I followed in his footsteps, believing I was on the path to a lucrative life of helping people in need.
The reality has …
Negotiating a raise with the right compensation data
As a physician, do you know the average salary for your specialty and location? What about the average signing or relocation bonus? If you don’t know or are unsure of how to get that information, you are not alone.
In a society where most employees hesitate to openly share compensation numbers, it can be difficult to determine what you should be earning, physician or otherwise. Unfortunately, employers benefit much more from …
Health care is upside down [PODCAST]
How templates can make you a better doctor
“If it ain’t written down, it didn’t happen.”
We’ve heard that before. And it’s so true. Good medical documentation is essential because it reflects your clinical thought process. Your notes are crucial for continuing care, ensuring you are compliant with billing, and protecting you in case of a lawsuit. Your notes are the expression of your digital identity as a physician.
When I started using templates many years ago, the most obvious …
Advice from a pediatrician during the viral surge
As is the case throughout the country, central Ohio is in the midst of a viral surge with an unusually high number of ill children for this time of the year, leading to long delays in our urgent cares and emergency departments, in our primary care offices, and with over capacity inpatient units. It’s an extremely busy time for all of us and honestly makes for tiring and stressful days. …
Why physicians should go on a retreat
Have you ever gone on a retreat?
I’m not talking about the Scouts of America kind, and I’m not talking about the one day the residents took off training to do team-building exercises and trust walks. Nope, family vacations do not count, as we all know that we need a vacation from our vacation when we get home.
Have you ever just gone away, disconnected from everything else, and connected to yourself?
Does …
Addressing pain in patient experience surveys [PODCAST]
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Dementia peels back the layers of our lives
When you begin to pay close attention, you notice how what used to be so easy becomes complicated. When you step back and watch things unfold in front of you, you realize that what once was enough is simply too much. Dementia peels back the layers of our lives, and you begin to understand that less becomes more in the world of dementia.
The signs were there for a long time. …
Better guidelines that consider breast density are critical for women’s health
October 27th is the 30th anniversary of the Mammography Quality Standards Act (MQSA). Congress enacted this law to safeguard nationwide access to quality mammography to detect breast cancer in its earliest, most treatable stages. With this Act, the federal government accredits, inspects, and certifies mammography facilities and standardizes mammography equipment, quality assurance, recordkeeping, and communication of results.
What’s missing from the …
How to swallow a pill
You’ve been swallowing things your entire life: breast milk (or formula), food––maybe a marble or small Lego. But did you know that swallowing pills is different?
Let’s start with how not to swallow a pill.
Sorry, but Bruce Willis in all five Die Hard movies is incorrect. You don’t just take a small handful of aspirin, toss them into your mouth, and jerk your head back while swallowing.
Not to mention, if you have …
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Toughness is not defined by a dollar amount [PODCAST]
Ensuring equitable, quality treatment of pain in Black and marginalized people
In my recent TEDx Talk titled, Why Black Patients Don’t Trust the Healthcare System, I explored racially-based medical algorithms and their impact on health outcomes for Black patients. As a physician, I believe such algorithms have no place in the modern healthcare system, as they can affect how Black patients are diagnosed and the morbidity and mortality rates in the community.
A study published as recently …
Institutional betrayal vs. courage
The pandemic has brutalized health care such that the term “institutional betrayal” (IB) is becoming part of the physician vernacular. This cringe-worthy term is being used to point a finger of shame at health care leaders and systems who presumably are failing to support and protect their workers adequately.
Indeed, we depend on our employers for our safety and well-being. With staffing shortages, lack of supplies and lower revenue, employees bear …
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Doctors: Dig deeper when children can’t gain weight
The Oxford dictionary defines insidious as “proceeding in a gradual, subtle way but with harmful effects.” Most people associate this term with clever criminals. I am writing this to ask you to think about it in another way.
Perhaps the greatest joy a person can experience is welcoming a child into the world with so many dreams and visions for the future. Ideally, those dreams come true. But not always. Sometimes …
Past Week
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The silent crisis hurting pain patients and their doctors
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What happened to real care in health care?
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How doctors can thrive despite declining reimbursements
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Pope Francis dies at 88. What his care reveals about America’s failing hospitals.
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Medical school admissions are racing toward an AI-driven disaster
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Third-party litigation funding threatens access to health care
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Past 6 Months
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How trade wars could destroy the U.S. health care system
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The hidden bias young female physicians face every day
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How hospitals are quietly taking control of physicians
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How to advocate for your transgender child’s health care
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Doctors don’t need yoga, they need time to smoke
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How the system hunts physicians who refuse to kneel
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Recent Posts
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Third-party litigation funding threatens access to health care
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Fat guy in a little coat: Preventing childhood obesity
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Taking a break from medicine: a physician assistant’s journey from burnout to world travel [PODCAST]
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Why nurses are the true heroes of my 25-year medical journey
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Past Week
-
The silent crisis hurting pain patients and their doctors
-
What happened to real care in health care?
-
How doctors can thrive despite declining reimbursements
-
Pope Francis dies at 88. What his care reveals about America’s failing hospitals.
-
Medical school admissions are racing toward an AI-driven disaster
-
Third-party litigation funding threatens access to health care
-
Past 6 Months
-
How trade wars could destroy the U.S. health care system
-
The hidden bias young female physicians face every day
-
How hospitals are quietly taking control of physicians
-
How to advocate for your transgender child’s health care
-
Doctors don’t need yoga, they need time to smoke
-
How the system hunts physicians who refuse to kneel
-
Recent Posts
-
Third-party litigation funding threatens access to health care
-
Fat guy in a little coat: Preventing childhood obesity
-
Taking a break from medicine: a physician assistant’s journey from burnout to world travel [PODCAST]
-
Gen Z is already transforming mental health care—are we listening?
-
Why nurses are the true heroes of my 25-year medical journey
-
What independent bookstores and private practice doctors teach us about human connection
-
