KevinMD.com

September 9, 2026Sep 9, 2026

I have been pitched investments in a doctors' lounge, at a conference dinner, and twice in a specialty group chat. Every one of them came from another physician. That is not bad luck. That is the design. This piece is…

I have been pitched investments in a doctors’ lounge, at a conference dinner, and twice in a specialty group chat. Every one of them came from another physician. That is not bad luck. That is the design.

This piece is about the specific ways physician money gets lost, and what actually works against each one. Not general advice about saving more. Named failure modes, with the fix for each. I have …

Conditions and diseases

How ADHD in physicians collides with constant evaluation

Farid Sabet-Sharghi, MD

September 9, 2026Sep 9, 2026

Many individuals drawn to a career in medicine possess a driven, high-functioning intellect that often masks concurrent manifestations of neurodevelopmental idiosyncrasies, most notably attention deficit hyperactivity disorder. While this profile often contributes to the grit required for clinical training, it…

The inherent nature of clinical practice creates a precarious environment for those with this neurobiology. We …

Health technology

AI psychosis is not schizophrenia. The difference matters.

Nicole Drapeau Gillen

September 9, 2026Sep 9, 2026

Psychiatry is now asking a question that would have sounded like science fiction three years ago: Should "AI psychosis" become a clinical diagnosis? Researchers at King's College London, led by doctoral fellow Hamilton Morrin, have just published a preprint examining…

Psychiatry is now asking a question that would have sounded like science fiction three years ago: Should “AI psychosis” become a clinical diagnosis?

Researchers at King’s College London, led by doctoral fellow Hamilton Morrin, have just published a preprint examining more than a dozen cases in which sustained conversation with AI chatbots appears to have triggered or deepened delusional thinking. It follows the cases I’ve written about …

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Physician voices

Remote wound monitoring works only with a clinical loop

Alan P. Feren, MD

September 9, 2026Sep 9, 2026

As the saying goes: A picture may be worth a thousand words. In health care, it may spare a thousand words used to explain by telephone what "the incision seems more open," "more red than I expected," or "concerned that…

As the saying goes: A picture may be worth a thousand words. In health care, it may spare a thousand words used to explain by telephone what “the incision seems more open,” “more red than I expected,” or “concerned that the wound is not healing right” means.

However, a photograph is not a diagnosis. Sending one is not, by itself, a treatment plan.

More than twenty years ago, after my fifth spinal …

Conditions and diseases

Balance as a vital sign: 4 reasons to track it routinely

Sanjeev Sharma, MD, MBA

September 9, 2026Sep 9, 2026

Physicians routinely track measures that can reveal changes in a patient's health long before those changes become symptomatic. Blood pressure, heart rate, weight, and other familiar measures have earned a place in clinical care because following them over time provides…

Physicians routinely track measures that can reveal changes in a patient’s health long before those changes become symptomatic. Blood pressure, heart rate, weight, and other familiar measures have earned a place in clinical care because following them over time provides information that can guide intervention. For an aging population, balance deserves similar attention because it can reveal changes in functional health before they result in injury or loss of independence.

Balance …

Health technology

Who is left to supervise AI in low-resource settings?

Dr. Buga Charles George Kenyi

September 9, 2026Sep 9, 2026

As a frontline physician in South Sudan, I see approximately two hundred patients on call day across two public hospitals. Discussions about agentic AI often assume that every autonomous system will operate under the supervision of experienced specialists. That assumption…

In our pediatric referral hospital, the hematology-oncology service is staffed by only two hematologists. In the adult referral hospital where I …

Physician voices

Obesity stigma treats a medical problem as a moral failing

American College of Physicians

September 9, 2026Sep 9, 2026

I think of "Tim" often. He was a coworker, dedicated to his job as a staff member and doing his best on behalf of our medical students, staff, and faculty. He was smart, funny, insightful, and always helpful. Having no…

I think of “Tim” often. He was a coworker, dedicated to his job as a staff member and doing his best on behalf of our medical students, staff, and faculty. He was smart, funny, insightful, and always helpful. Having no local family, he retired early and was happily settling into retirement in the community. We did not hear from him for a while. Then the bad news arrived. He had …

Health technology

Clinical judgment matters more in the age of AI

Dr. Adam Widdison

September 9, 2026Sep 9, 2026

The more capable AI becomes at answering clinical questions, the more important it is to ask whether we are asking the right questions. Medicine is not becoming less human; if anything, it is becoming more dependent on the human qualities it has always needed: judgment, responsibility, and the ability to act with care amid uncertainty. AI may change how information is delivered, but it does not decide what matters. That …

Health policy

Local news and public health: the segment viewers missed

Ronald L. Lindsay, MD

September 9, 2026Sep 9, 2026

Local news has always been a mirror: imperfect, sometimes distorted, but still a reflection of what a community believes matters. In Jacksonville, that mirror has become increasingly fogged. Last night, it reflected almost nothing of public value. For nearly twenty…

For nearly twenty minutes, English-speaking viewers watched the demolition of an empty indoor mall, a structure long abandoned except for a megachurch occupying the old Belk store. The anchors narrated the fall of drywall, …

Physician voices

Hiring medical office staff who actually follow through

Neil Baum, MD

September 9, 2026Sep 9, 2026

There are two types of employees: the go-getters and the gunnas. The go-getters are those who have a clear vision of setting out to do something, giving it their all, and accomplishing it. They don’t need to be monitored. They are the first to arrive for a meeting or at work and the last to leave at the end of the day. They are self-starters and serve as role models …

The Podcast by KevinMD

Why value-based care hasn’t lowered your medical bills [PODCAST]

The Podcast by KevinMD

September 8, 2026Sep 8, 2026

Everyone agrees health care should reward better outcomes at lower cost. So why hasn't it happened? The answer isn't payment models or policy. It comes down to the everyday choices individual clinicians make, and whether anyone can actually see them.…

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Everyone agrees health care should reward better outcomes at lower cost. So why hasn’t it happened? The answer isn’t payment models or policy. It comes down to the everyday choices individual clinicians make, and whether anyone can actually see them. Jeanne Cohen, a health care analytics founder and CEO, argues that …

Health policy

Why a broken health care system keeps getting worse

Peter R. Kowey, MD

September 8, 2026Sep 8, 2026

"We have to ask ourselves whether medicine is to remain a humanitarian and respected profession or a new but depersonalized science in the service of prolonging life rather than diminishing human suffering." Elisabeth Kubler-Ross Over the course of my career,…

“We have to ask ourselves whether medicine is to remain a humanitarian and respected profession or a new but depersonalized science in the service of prolonging life rather than diminishing human suffering.” Elisabeth Kubler-Ross

Over the course of my career, I have witnessed an inexorable decline in the quality of medical care that we, as physicians, render to our patients. There is a myriad of reasons for this sad development, some …

Conditions and diseases

Diagnosing psychosis starts with process, not content

Stacy Stojakovic, PA-C

September 8, 2026Sep 8, 2026

A patient tells you that her deceased grandmother still visits her in dreams. Another believes that unseen spiritual forces influence his health. A third insists the government has implanted a device that broadcasts his thoughts. Which patient is psychotic? The…

Which patient is psychotic? The answer is that you don’t know. At least not yet.

One of the most common misconceptions about psychiatry is that delusions are simply “false beliefs.” In reality, experienced clinicians rarely diagnose psychosis …

Health technology

Patient trust in AI is not proof the advice is right

Timothy Lesaca, MD

September 8, 2026Sep 8, 2026

"Can you make this sound less demanding?" A patient types the question into a chatbot while trying to write a message to her doctor. She wants to ask why a test was ordered and whether she should be worried, but…

“Can you make this sound less demanding?” A patient types the question into a chatbot while trying to write a message to her doctor. She wants to ask why a test was ordered and whether she should be worried, but she does not want to come across as difficult. She describes the appointment. Then she adds what she did not say at the time: that she left frightened, has been …

Conditions and diseases

Breast implant removal leaves patients paying 3 times

Martha Rosenberg

September 8, 2026Sep 8, 2026

Former cosmetic surgeon Robert Yoho, MD, after retiring from medical practice in 2019, became an author and health care whistleblower and recently addressed the "explant" trend in which breast implants are surgically removed. According to the American Society of Plastic…

Former cosmetic surgeon Robert Yoho, MD, after retiring from medical practice in 2019, became an author and health care whistleblower and recently addressed the “explant” trend in which breast implants are surgically removed. According to the American Society of Plastic Surgeons, 306,196 women bought breast augmentation in 2024. In 2021, the FDA added a boxed warning to implants cautioning that they are linked to breast implant-associated anaplastic large cell lymphoma …

Conditions and diseases

Medical gaslighting delayed my diagnosis by 20 years

Dr. Mogeshni Govender

September 8, 2026Sep 8, 20262

This is dedicated to my fellow Zebras. I hear you. I see you. This is not an easy story to share, but I want to do so in the hope of bringing greater visibility to conditions that are often overlooked…

This is dedicated to my fellow Zebras. I hear you. I see you.

This is not an easy story to share, but I want to do so in the hope of bringing greater visibility to conditions that are often overlooked and poorly understood. This reflection explores my experience as both a patient and doctor navigating hypermobility and its associated conditions. My aim is to help reduce delays in diagnosis, encourage clinicians …

Physician finance

Credit balances in medical practices have a deadline

GetPracticeHelp

September 8, 2026Sep 8, 2026

Most independent practices know their accounts receivable to the dollar. Far fewer can say what their credit balances total, how old the oldest one is, or who is supposed to be doing something about them. A credit balance sits in the practice management system as a negative number on a patient or payer account, it rarely triggers an alert, and it quietly inflates the bank balance the owner looks at …

Health technology

Why prompt engineering in medicine beats picking a model

Vinson James, MD

September 8, 2026Sep 8, 2026

It was a quiet Sunday morning, coffee on the desk, and I was doing what most residents do at some point in their training: grinding through multiple-choice questions (MCQs) for my in-training exam. I had been using large language models (LLMs) as study partners for weeks. ChatGPT to walk through a tricky electrolyte case. Gemini for a second opinion on a renal physiology question I couldn’t square. DeepSeek when I …

Patient voices

Book publishing scams took $7,500 from me by wire transfer

Richard A. Lawhern, PhD

September 8, 2026Sep 8, 2026

About a year ago, KevinMD published an article that I wrote about avoiding online scams when one is highly visible in media as a patient advocate. During that year, I've come to recognize that I should have taken more of…

About a year ago, KevinMD published an article that I wrote about avoiding online scams when one is highly visible in media as a patient advocate. During that year, I’ve come to recognize that I should have taken more of my own advice on the subject.

I have also learned that the technology supporting online criminals has expanded at a far faster rate than I’d anticipated. AI-based search engines can …

Physician voices

Leaving clinical medicine when doing right became a battle

Prianca Naik, MD

September 8, 2026Sep 8, 2026

Make the world a better place strobed through my mind as I trudged anxiously to my organic chemistry final exam after an all-night study session and a few NoDoz capsules. Unprepared and scared, I hoped for the best, as I took yet another exam on material which failed to come easily. Spanish Lit, Writing, and even Calculus clicked in my brain readily, but I had decided to mimic my mother’s …

Real physician voices, twice a week

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