KevinMD.com

March 6, 2022Mar 6, 2022

"The business of health care delivery differs markedly from other consumer and service industries in many ways. First and foremost, the economics differ. Specifically, the payers of medical care are often different from the customers, the government and third-party insurers…

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“The business of health care delivery differs markedly from other consumer and service industries in many ways. First and foremost, the economics differ. Specifically, the payers of medical care are often different from the customers, the government and third-party insurers are the primary payers, demand is inelastic, quality metrics …

Conditions and Diseases

Selectively sharing genetic information in the future

Michael R. McGuire

March 6, 2022Mar 6, 2022

Communicating with relatives that they may share a gene variant that could cause disease is problematic. Maybe you do not want to share that information with other relatives. Maybe other relatives do not want to know about such information. Examples…

Examples of such gene variants are BRCA1 and BRCA2 that predispose women to breast and ovarian cancer and men for some forms of cancer.

Medical practice may make more use …

Patient

We must help patients recognize how important their opinions are

Karen Sepucha, PhD

March 6, 2022Mar 6, 2022

A recent article in Smithsonian Magazine lauded a man in Indonesia for removing a motorcycle tire that had been stuck around a crocodile's neck for six years. Known by locals as buaya kalung ban, which means "crocodile with a tire…

A recent article in Smithsonian Magazine lauded a man in Indonesia for removing a motorcycle tire that had been stuck around a crocodile’s neck for six years. Known by locals as buaya kalung ban, which means “crocodile with a tire necklace,” the reptile had successfully thwarted previous rescue attempts.

Though the outcome was considered a success – not once did anyone stop to consider whether the crocodile …

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Podcast

Why we should celebrate the Great Resignation [PODCAST]

The Podcast by KevinMD

March 5, 2022Mar 5, 2022

"I see lamenting the Great Resignation. I celebrate it. It’s not so much about what people are leaving – but where are they going? What have they empowered themselves to become? The thought, 'There has to be something more,' has…

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“I see lamenting the Great Resignation. I celebrate it. It’s not so much about what people are leaving – but where are they going? What have they empowered themselves to become?

The thought, ‘There has to be something more,’ has been pondered and fleshed out. We are stretching our wings, …

Conditions and Diseases

Why air pollution is making us infertile

Maria Gabriela Ruiz

March 5, 2022Mar 5, 2022

The fertility rate in the United States, and globally, has been on a steady decline. This is the sixth consecutive year that there has been a reduction in the fertility rate, which has decreased by an average of 2 percent. Numerous factors contribute to the global decline in fertility, such as economic instability, increased educational attainment among women, delaying marriage, and the decrease in …

Physician

How to cope with pandemic fatigue

Masood R. Mohammed, DO

March 5, 2022Mar 5, 2022

The COVID-19 pandemic has been raging in the United States for over two years. Health care workers across the country have been chronically pushed to their limits as we navigate difficult situations on a daily basis. The advent of the COVID-19 vaccine, although a powerful tool in our crusade against the pandemic, has created a new branch of emotions for health care workers towards unvaccinated patients or those with vaccine …

Read more…

How to cope with pandemic fatigue

Conditions and Diseases

Listening to the doctor’s heart

Maryam Chloé Pervaiz

March 5, 2022Mar 5, 2022

I've had doctors listen to my heart many times in my life. Recent work I did in Pakistan as an anthropologist let me listen to theirs. A few months ago, I embarked on an ethnographic study to understand what health…

I’ve had doctors listen to my heart many times in my life. Recent work I did in Pakistan as an anthropologist let me listen to theirs.

A few months ago, I embarked on an ethnographic study to understand what health care professionals saw as the psychosocial needs of pediatric patients. This involved conversations with several doctors in Pakistan, who had volunteered to share their views about pediatric patient care. As I …

Read more…

Listening to the doctor’s heart

Podcast

Digital apps and sustaining mental health [PODCAST]

The Podcast by KevinMD

March 4, 2022Mar 4, 2022

"Digital mental health apps have increased access to mental health care for people around the world. You can find services that fit your specific needs, often on a 24/7/365 basis, so if you need support in the middle of the…

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“Digital mental health apps have increased access to mental health care for people around the world. You can find services that fit your specific needs, often on a 24/7/365 basis, so if you need support in the middle of the night, it’s there. Digital apps can include resource libraries, …

Health Technology

Human nature will help patients better than any algorithm or AI

Jack Freeman, MD

March 4, 2022Mar 4, 2022

Tapping into the mindset of one of the most villainous cinematic computers, the HAL 9000 of 2001 A Space Odyssey, may provide introspection to save us from the same paranoid meltdown that led HAL (spoiler alert) to embark on a…

Briefly, in case you are unfamiliar with Stanly Kubrick and Arthur C. Clarke’s sci-fi …

Physician

Am I a doctor or a contingency plan?

Margaret B. Nolan, MD

March 4, 2022Mar 4, 2022

Before COVID-19, meal planning and grocery shopping were the most time-consuming tasks of my life as a physician and mother of three young children. Now, meal planning is an indulgence compared to “COVID contingency planning” — the taxing brainwork of imagining multiple possible scenarios and following them through to the end with every iteration and its possible consequence accounted for. Add to this the need to insert updated but easy-to-misinterpret …

Read more…

Am I a doctor or a contingency plan?

Health Technology

The artistic side of a broken pot: a story about Oracle and Cerner

Afua Aning, MD

March 4, 2022Mar 4, 2022

I recently had an opportunity to assist a hospital organization with its electronic health records implementation in Las Vegas. I'm usually working non-stop during implementations, but I was ecstatic when I could get a break from work to sightseeing. I…

I recently had an opportunity to assist a hospital organization with its electronic health records implementation in Las Vegas. I’m usually working non-stop during implementations, but I was ecstatic when I could get a break from work to sightseeing. I arranged with a tour bus to explore the Grand Canyon (I’m not much into gambling).

I reported to the tour bus at 6 a.m. and was ushered inside the remarkably comfortable …

Health Policy

Want to improve telehealth? Ask people with disabilities.

Christina Khou, PhD and Colleen Stiles-Shields, PhD

March 4, 2022Mar 4, 2022

Telehealth is the best option for millions of Americans, but more Americans need to be included. Three-hundred-and-thirty U.S. health organizations have called on Congress to act swiftly in renewing waivers that allow for the provision of telehealth services and to…

Telehealth is the best option for millions of Americans, but more Americans need to be included.

Three-hundred-and-thirty U.S. health organizations have called on Congress to act swiftly in renewing waivers that allow for the provision of telehealth services and to consider permanently allowing virtual health services.

The COVID-19 pandemic has established that telehealth and technology-delivered services — like apps — are here to stay and benefit …

Conditions and Diseases

Leprosy: a disease that turns hands into paws, feet into stumps, and eyes into darkness

Glenn Mark Losack, MD

March 4, 2022Mar 4, 2022

I have been a staunch advocate for the fight against leprosy since 1991, when I first witnessed afflicted human beings in their advanced stages of the illness traipsing the streets of India and Bangladesh, most if not all begging to…

In medical school, I learned the basics of this “biblical” disease, but now as a physician and a world-traveled photojournalist, I took …

Podcast

A nuanced look at the Tuskegee syphilis study [PODCAST]

The Podcast by KevinMD

March 3, 2022Mar 3, 2022

"The Tuskegee Syphilis Study is widely acknowledged as a violation of ethics today, but the social conditions of the time allowed the grave injustices to happen in plain sight. In the 1930s, social Darwinism emerged as justification for racist practices.…

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“The Tuskegee Syphilis Study is widely acknowledged as a violation of ethics today, but the social conditions of the time allowed the grave injustices to happen in plain sight. In the 1930s, social Darwinism emerged as justification for racist practices. The perceived inevitability of African Americans’ natural “extinction” was …

Medical Education

Don’t forget the socks and shoes: a reflection on the third year of medical school

Louisa Weindruch

March 3, 2022Mar 3, 2022

I badged myself back to the operating room and hiked up my ill-fitting scrubs. The bouffant was twice the size of my head. It made me feel like a child playing dress-up in adult clothes. As I walked to the OR, I rehearsed what I would say in my head. No matter how many surgeries I watched, I could never get over my pre-case jitters. What if I break the …

Medications

People over profit: Pfizer and Moderna must share vaccine technology

Amber Gipson-Fine, MPH

March 3, 2022Mar 3, 2022

One year ago, the FDA granted emergency use authorization of mRNA COVID-19 vaccines in the U.S., and nearly 549 million total vaccine doses have been given since. These vaccines have been safe, effective methods in preventing infection and death from…

Vaccine recipients had a lower overall risk of death from non-COVID-19 disease compared to unvaccinated counterparts.

Among available vaccines, …

Physician

Why selling will make you a happier doctor

Cindy Tsai, MD

March 3, 2022Mar 3, 2022

"I love selling," said no doctor ever. Doctors often love buying. Expensive cars. Fancy watches. Luxury vacations. Hello, lifestyle upgrade! But very few love selling. I find it is a common response to look at salespeople with disdain. Pharmaceuticals. Medical…

“I love selling,” said no doctor ever.

Doctors often love buying. Expensive cars. Fancy watches. Luxury vacations. Hello, lifestyle upgrade! But very few love selling.

I find it is a common response to look at salespeople with disdain. Pharmaceuticals. Medical devices. EMR systems. Everything. Everyone is always trying to sell us something! Ugh!

I admit that I was one of them. I thought I didn’t need to “sell.” Doctors are in demand, after …

Physician Finance

How NFTs, DAOs, Web3 and the metaverse impact health care

Christopher H. Loo, MD, PhD

March 3, 2022Mar 3, 2022

These are my views and should not be construed as investment advice. If you've tuned into the news over the last year, you've probably heard of people spending millions on digital JPGs, or people acquiring these digital images and then…

These are my views and should not be construed as investment advice.

If you’ve tuned into the news over the last year, you’ve probably heard of people spending millions on digital JPGs, or people acquiring these digital images and then “flipping” them for a profit. Many of my friends made six-figure profits last year by speculating on digital NFTs, though I don’t recommend it.

You’ve probably heard of terms …

Physician

Society has unrealistic expectations of physicians

Tomi Mitchell, MD

March 3, 2022Mar 3, 2022

The COVID-19 pandemic helped bring out people's true colors. After two years of the unrelenting pressures of the pandemic, people's true colors came out, and I will be frank about this truth. As physicians, we often put our patient's comfort…

The COVID-19 pandemic helped bring out people’s true colors. After two years of the unrelenting pressures of the pandemic, people’s true colors came out, and I will be frank about this truth. As physicians, we often put our patient’s comfort before ours, but at what point does one have to stop and reflect on this. As physicians, we are often put on a pedestal and have unrealistic expectations. We want …

Podcast

High deductible health insurance is bankrupting Americans [PODCAST]

The Podcast by KevinMD

March 2, 2022Mar 2, 2022

"Regulators should push health savings accounts (HSA) and businesses should offer them. While HSAs are growing, they are still only available to 30 percent of workers — more likely for larger companies than smaller ones. This, of course, is a…

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“Regulators should push health savings accounts (HSA) and businesses should offer them. While HSAs are growing, they are still only available to 30 percent of workers — more likely for larger companies than smaller ones. This, of course, is a way to help pay for extra medical costs almost …

Real physician voices, twice a week

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