KevinMD.com

The paths to homelessness are more complicated than we think

Max Bergman

Policy

September 8, 2018

To me, my white coat symbolizes a willingness to care for my fellow man, and every day I strive to fulfill that challenge. But even the brightest white coat has a few stains. Growing up in a small Midwestern town, I just didn’t “get” the homeless community. They were completely isolated from my day to day life. Surrounded by my local community, I just assumed that the homeless were either …

I want to learn how to love medicine

Trisha K. Paul, MD

Physician

September 7, 2018

“Tell me something you love.”

I love warm chocolate chip cookies — straight out of the oven.

“Thank you. Tell me something you love.”

I love to read, to write, to dance. I don’t know yet if I love medicine.

We were gathered in a ballroom, a group of doctors and dancers, to explore the art of medicine through movement. I sat cross-legged, looking into the eyes of a person I did not know, …

Read more…

I want to learn how to love medicine

The problem with extreme social media challenges

Dr. Abhishek Gupta

Conditions

September 6, 2018

Trends or challenges have been a part of the fabric of social media for a long time. They have ranged from the benign ice bucket challenge (which raised millions for research on amyotrophic lateral sclerosis) to the highly dangerous Tide pod challenge (which involved eating laundry detergent capsules). All of these internet phenomena involved videotaping an individual who performed a bizarre physical action for the …

The unintended consequences of free medical school

Anonymous

Education

September 5, 2018

I’m probably in the minority on this, but I’m not a fan of the NYU School of Medicine free tuition program. Now I’m all for debt relief for medical students who start their careers with a mortgage. I was one of them. After 13 years, I’m still one of them! I’m also for any initiative that drives more medical students to career paths like primary care, where massive debt makes …

The effect of private equity in medicine

Thomas Black, MD

Physician

September 4, 2018

The landscape of health care has changed nearly beyond recognition in the past decade. If you’re a veteran of the profession, you’ve seen the other side of things — you once had the chance to live the dream, to swim in the pool of autonomy and self-employment, to call the shots and act on behalf of the patient without the constant supervision of bureaucracy. If you are new to the …

These are the stories of how physicians are bullied

Rosalind Kaplan, MD

Physician

September 3, 2018

Nobody punched me in the face. Maybe I would have preferred being punched in the face, though. And yes, I was bullied. I’m not going to talk about my own experience in this post however, because I already have post-traumatic stress disorder from the experience. I’m not ready to revisit it in detail yet.

I don’t need to talk about myself to tell you about bullying in the medical arena. I …

We’re doctors, but we’re humans too

Elham Raker, MD

Physician

September 2, 2018

We are human, we are not indestructible. We have feelings and emotions that can get hurt, probably more than the average person based on the careers we have chosen. Yes, we will pass up on our well-being (such as sleep, hygiene, exercise, relationships with family and friends) to be there for our patients. To receive our critical training to be able to care for others. This is our sacrifice, and …

Read more…

We’re doctors, but we’re humans too

4 reasons why physicians will become extinct

Varun Verma, MD

Policy

September 1, 2018

Will physicians go extinct? Artificial intelligence, legislation, profit motives in the health care industry, and clever lobbying by non-physician providers may all contribute to our demise. However, I believe the existential threat to our profession stems from the ranks of physicians themselves.

1. Unwillingness to embrace activism

Pathologist and writer Rudolph Virchow once said: “The physician is the natural attorney of the poor.” Like most physicians, my goal is to provide evidence-based …

MKSAP: 49-year-old woman with obesity, hypertension, and type 2 diabetes mellitus

mksap

Conditions

September 1, 2018

Test your medicine knowledge with the MKSAP challenge, in partnership with the American College of Physicians.

A 49-year-old woman is evaluated during a follow-up visit. She is overweight and has hypertension and type 2 diabetes mellitus, both of which are well controlled. For several years, she has attempted to lose weight through various commercial diets; dietician-monitored, calorie-restricted diets; and physical activity. She has worked with a behavioral therapist, and …

Why this physician quit her job

Uchenna Umeh, MD

Physician

August 31, 2018

So last week, I did the bravest thing I have done in a very long time — I quit my job. Yes, I put in my 60-day notice. This was my dream job post service in the U.S. Air Force. I had dreamed of working in this establishment for months before my service time was up. I could not have been happier when I joined their team, a group practice …

Read more…

Why this physician quit her job

10 ways to make residency less stressful

Sarah Tulk, MD

Physician

August 31, 2018

The upgraded responsibility and authority given to starting residents is both a blessing and a curse. Suddenly, the need for co-signatures vanishes. There is greater autonomy in clinical practice. Residents get paid. However, residency can also be a time of significant stress. Residents are forced to navigate the demands of preceptors, other residents, medical students, nurses, patients, family members, and administrators. Residents have very little control over what they do, …

How to be aware of patients’ non-medical needs

Joelle Jung, MPH and Valerie Lewis, PhD

Physician

August 31, 2018

“It kind of strips you of any pride that you have. It was very humbling.”

As a care manager, Mary helps patients follow their care plans by coordinating medical visits and community resource referrals, but this was the first time Mary shadowed one of her patients out in the community. At the food bank, Mary watched her patient, who was living with diabetes, receive one box of macaroni along with other …

Let’s talk about the psychiatric boarding crisis

Aida Cerundolo, MD

Physician

August 30, 2018

Imagine spending days or even weeks in an emergency room without treatment for a broken leg or painful kidney stone.

Patients in psychological crisis across the country are living this exact scenario. Long waits in an ER, hospital room or prison for an inpatient psychiatric bed, otherwise known as psychiatric boarding, are their unfortunate reality.

Rewind to over 50 years ago — as institutionalized patients were gradually integrated into communities, the availability …

Welcome to medical school. Welcome to the rest of your life.

Zainab Mabizari

Education

August 30, 2018

Dear first-year medical students,

Welcome to medical school — congratulations! You have worked, sacrificed, waited for this moment for many long years, have left blood, sweat, and tears along the tracks of your life marathon. This is the first checkpoint in your journey. You’ve made it. Your loved ones are right here cheering your accomplishments, there are many. That new, freshly-pressed, short white coat makes you look like an absolute stud(ent). …

You can’t always expect a miracle, but you can always hope for one

David Edelbaum, MD

Physician

August 29, 2018

I began practicing as an internist/nephrologist in the early 1960s. Having rented an office in Los Angeles, I introduced myself to the local medical community and set out to build a practice.

With a growing family, a mortgage and an office to support, I was hungry for patients. Hospital emergency rooms were good referral sources, so I took ER call at three different hospitals.

Late one Friday night, I got a call …

3 ways to decrease emergency department wait times

Robert Pearl, MD

Policy

August 28, 2018

Have you ever been the only customer in your local supermarket? Although the experience can be a bit unnerving, at first, you soon start to notice the advantages: No line at the deli, no pushy shoppers, no carts jamming up the produce section. As you breeze through checkout, you think to yourself, “Gee, I could get used to this.”

Now, imagine walking into an empty waiting area at your local emergency …

Food allergy: Death is not our only fear

Gianine D. Rosenblum, PhD

Conditions

August 28, 2018

Recently, a respected allergist reassured his audience: the mortality rate for food allergy is very low. The risk of dying in a car crash is much greater than the risk of dying from food allergy. The implication seemed to be that the anxiety around food allergy is misplaced. Though any loss of life is too great; statistically, food allergy deaths are rare. To the food allergy community, it just doesn’t …

Not all doctors are physicians

Ira Nash, MD

Physician

August 28, 2018

A colleague recently sent me a link to the American College of Cathopathic Physicians a new organization whose mission “is to protect the professional autonomy and advocate for a full, broad scope of practice for DNPs as a ‘cathopathic physician’ completely equal in every way to our MD and DO counterparts.”

I was, I admit, so stunned by the statement that I thought the whole thing might be an elaborate joke. It was only …

Read more…

Not all doctors are physicians

How many bones in the human body? It’s not what you think.

Roy A. Meals, MD

Conditions

August 28, 2018

If somebody asks you how many bones there are in a human body, please do not blurt out, “206.” The correct answer is nuanced. To respond accurately to the query, you have to address five questions. Who? What? When? Where? Why?

Consider first that humans vary from one another in facial features, hair color, height, and shoe size. Unknown to nearly everybody except …

How this physician paid off $100,000 in debt in 6 months

The Frugal Physician

Finance

August 27, 2018

First of all, I am far from a financial genius. I am also not a natural saver. Thanks to scholarships and jobs, I made it out of college without loans. But, I took out a $191K for medical school. In the middle of med school, I took a year off to teach. During that year, I didn’t put anything towards student loans and lived it up. Unfortunately, in forbearance, those …

Most Popular

Past Week

Past 6 Months

Recent Posts

Subscribe to KevinMD and never miss a story!

Most Popular

Past Week

Past 6 Months

Recent Posts