Why representation alone won’t solve health care equity issues

Education
September 12, 2024

I attended a workshop on developing equitable health information materials, emphasizing that people are more responsive to data when individuals of similar complexion and/or features are represented. This concept originated in education, where research indicated that youth learned better from teachers with similar characteristics, and it was subsequently extended to health care. However, universal application is unrealistic, as Black children will not always have Black teachers, and patients of color …

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A day in the life of a medical student on a neurosurgery rotation

Education
September 12, 2024

As a fourth-year medical student applying to neurosurgery residency, my rotation in neurosurgery has been one of the most intense and rewarding experiences of my medical education. The days are long, the cases complex, and the learning curve steep, but every day reaffirms my passion for the specialty. Here is a glimpse into a typical day on my neurosurgery rotation—a day that starts before the sun rises and is filled …

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Why is our health care system going down the drain and no one seems to care?

Policy
September 12, 2024

I want to express my frustration with the state of health care in the United States, particularly in the context of my own experiences within the system. Over the past 12 years, I have submitted articles to KevinMD advocating for quality patient care and fair working conditions for health care professionals. I have urged hospital administrators to reevaluate their operations to improve patient and staff satisfaction and the overall efficiency …

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How biased medical experts are destroying doctors’ lives and careers in the opioid crisis

Conditions
September 12, 2024

As a U.S. health care writer and patient advocate for almost 30 years, I read a lot.  Recently, some of that reading is in court transcripts of doctors being persecuted out of medicine or into jail by various prosecutors and their hired “experts.” I use the term “persecuted” intentionally.  I believe that “medical experts” in many court or Medical Board proceedings are simply “hired guns” – clinical predators hired for …

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Heal your heart from the inside out [PODCAST]

Podcast
September 11, 2024
YouTube video

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In this episode, we sit down with Jonathan Fisher, a cardiologist, mindfulness teacher, and expert in holistic heart health. Drawing from his personal journey through anxiety and burnout, Jonathan shares insights from his …

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Why endocrinologists need to rethink CME: the secret to a healthier conference

Physician
September 11, 2024

As endocrinologists, we spend our days balancing hormones and fine-tuning metabolism, but when it comes to our own continuing medical education (CME) conferences, it seems our ability to maintain equilibrium goes out the window. We advocate for healthy living, yet our CME events are a hormonal disaster, like a cortisol spike right after a sugar crash.

Picture the scene: you roll out of bed before the sun, which is already a …

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What my patients taught me about faith

Physician
September 11, 2024

When I was a teenager, I worked summer nights at the Funtown Amusement Park on the south side of Atlanta, Georgia. After work, as I drove home to the north side of Atlanta, I had to pass through “Cabbagetown.” In the early 1960s, during the days of segregation in the South, Cabbagetown was a shantytown neighborhood inhabited by tough, white folks who worked at the nearby Fulton Cotton Mills. On …

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How seniors can reverse muscle loss and belly fat

Conditions
September 11, 2024

As a retired physician, I notice many seniors become skinny and weak due to muscle loss yet have big bellies as fat accumulates. They are less strong, less vibrant, and prone to falls and chronic illnesses like heart disease, diabetes, and cognitive decline. This does not need to happen, but many older people do not appreciate the health and wellness impacts of muscle loss …

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What medicine never taught me about parenting a child with ADHD

Conditions
September 11, 2024

Once again, I found myself balled up on the kitchen floor, head between my knees, sobbing. My shoulders shook, and my chest heaved as I gasped for air, but air wouldn’t be enough. What I was truly gasping for was hope, something that had eluded me during this perpetually challenging season of my “neurodivergent” parenting career.

I’m not sure what made that moment any different from the countless dysregulated nights that …

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Is big business controlling your surgeon’s decisions? [PODCAST]

Podcast
September 10, 2024
YouTube video

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In this episode, we sit down with vascular surgeon Adam Tanious to explore the complex relationship between “big business” and modern medicine. Drawing from his experience in the operating room and his deep …

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Why diversity in sports medicine is the key to better patient care

Physician
September 10, 2024

The field of sports medicine is steadily growing, highlighting the imperative for a more inclusive workforce. There has been a notable rise in female athletes at all levels of sports. The success of U.S. female athletes at this summer’s Paris Olympics was dominant. The prominence of U.S. women in sports is evident by their winning of twenty-six of the forty gold medals awarded. Despite the clear rise in competitive women …

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The hidden estate tax: How the SECURE Act could impact your heirs

Finance
September 10, 2024

When planning for retirement, most of us focus on building a nest egg that will support us in our golden years. We diligently contribute to our 401(k)s, IRAs, and other retirement accounts, hoping to maximize our savings and minimize our tax burden. However, the passage of the SECURE Act and SECURE Act 2.0 have introduced new rules that could significantly affect how your retirement savings are passed on to your …

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How a doctor with cerebral palsy defied the odds and transformed health care

Physician
September 10, 2024

About midway through my pediatric residency program at a well-known children’s hospital on the East Coast in the mid-1990s, I found out what was wrong with me.

I told the chief of the pediatric emergency department, a Jewish woman, that I had finally learned the name of a device after I had patients use it many times. I knew what it was for, but I hadn’t learned its name. It was …

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When technology merges with humanity

Conditions
September 10, 2024

An excerpt from Nephilim.

“Those eggs really hit the spot, right?”

“I’d love some more,” he answered.

“Sure,” Zdenek responded. “One or two?”

“How many do we have?”

Before long, James had wolfed down nine eggs.

“I wonder if it’s the choline,” Zdenek mused as James shoveled. “Eggs have a boatload of choline. Maybe she’s craving it. Orange that is.” James hadn’t touched his toast. “Choline, you know? It might help my baby merge with …

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Legitimate vs. sham peer review (SPR): Is there a difference?

Physician
September 9, 2024

For an introduction to SPR, read this overview. Additionally, you can explore the history of SPR.

When summoned for a peer review, how can you tell if it’s a sham? The biggest clue is whether the peer review process seems intended to help or harm you. If you feel sincerely supported by colleagues and the peer review proceedings are uniformly applied throughout your practice, you have less cause for …

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AI-powered health care [PODCAST]

Podcast
September 9, 2024
YouTube video

Subscribe to The Podcast by KevinMD. Watch on YouTube. Catch up on old episodes!

In this episode, we sit down with Kyna Fong, a health care executive, to explore the evolution of health technology and its challenges. From the rapid adoption of electronic health records (EHRs) to …

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How health systems can combat a $3B+ patient retention issue

Conditions
September 9, 2024

In today’s health care ecosystem, patient retention has become a $3 billion dollar issue for health systems, with patient leakage (also known as patient keepage) at its core. Despite efforts to keep patients within their networks, a significant portion continue to seek care elsewhere, leading to financial losses. Interestingly enough, physical therapy proves to be key in improving patient retention, as recent data shows that rehab-related leakage is the number …

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Medical gaslighting and strategies to combat it

Physician
September 9, 2024

An excerpt from Story Treasures: Medical Essays and Insights in the Narrative Tradition.

The Gish gallop – named after American creationist Duane Gish, who challenged the science of evolution – is a rhetorical technique often used by a debater to throw out a fast string of lies, non-sequiturs, and specious arguments, so many that it is impossible to fact-check or rebut them in the amount of time it took to …

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How to stay calm and lead effectively in high-stress medical emergencies

Physician
September 9, 2024

Can you remain steady in the midst of chaos—whether in the emergency room, on the unit, or in the clinic? There are times in medicine when chaos ensues. Maybe it’s a trauma rushing into the ER. Or a refractory asthmatic coming into the office who rapidly deteriorates, requiring immediate intervention. Maybe it’s a newborn who is floppy and cyanotic after birth.

Regardless of the clinical setting, there are times when the …

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