Addressing obesity: Is there a role for us as specialists?
I was in rheumatology private practice for just under four years as my first few years out of fellowship. During that time, too many of my patients were coming with obesity complicating a facet of their rheumatic disease. The most common example might be osteoarthritis, where excess weight directly applies force to joints like the lower back, hips, and knees, accelerating the disease and worsening outcomes. A less obvious example …
Maternal instincts in medicine: the dual journey of motherhood and healing
It’s 4:57 p.m., and I’m anxiously tapping my foot in a stuffy cubicle, trying to ignore the pain of my compression socks seemingly cutting off circulation to my feet. I quickly glance at the timer. Thirty-one seconds. I close my eyes and say a quick prayer as I feel the agile kicks of my daughter, who this week is measuring the size of a cucumber! I do one final pass …
The troubling trend of violating resident physician rights
Resident physicians are vital to the health care system, delivering essential medical services while training to become fully licensed doctors. However, a troubling trend has emerged nationwide, with residency programs and hospitals frequently violating the rights and protections resident physicians are entitled to under employment contracts, state labor laws, and accreditation standards. I personally was forced to deal with these issues, despite having virtually zero knowledge regarding the legal side …
A day in the life: the unseen struggles of an oncology resident
Yesterday, I couldn’t get up in time in the morning and had to rush to the hospital without breakfast. I was just afraid of getting noticed by anyone from my department that I was a little late. When I reached the outpatient department (OPD), I just got a text from my consultant that he was not feeling well, and I had to see all the patients in his absence. In …
Catch peripheral artery disease early and prevent amputation [PODCAST]
For treatment, please call Dr. Congressman
Recent regulatory changes create a national staffing level for nursing facilities. Despite the much-needed rule change and the well-known stench of understaffed nursing homes that many Americans dread going to, most of the news cycle has portrayed this as a negative development. This is but one example where our patients are being manipulated into beliefs and actions that are contrary to their best health care interests. Recently, the same lies …
A modern tale of thyroid cancer: AI, haikus, and healing
AI Ally
Hangs up. Phone drops. Thud.
She blinks back, tears, and looks up.
Thyroid cancer, huh …
Typing, click clack … thud.
She sighs in relief.
Texts friends, invites family
over for comfort.
The next day, she calls
her doctor ready to talk,
ready to listen.
Behind the poem: not your typical haiku
A lesson in generosity: How one woman helped a stranger afford insulin
I waited in line at the pharmacy, a familiar chain store. The man in front of me waited patiently for the technician to ring up his meds. I overheard her say to him, “$125.00. That includes your insulin.”
The man bowed his head and smiled politely, showing many missing teeth. He was dressed modestly. I did not know his name. I did not know him. I had never met him before. …
A story of liver cancer and diabetes [PODCAST]
Health care’s breaking point: patients and physicians abandoned
I know you are wounded, as I am also injured.
It is as if we have been battered and bruised and kicked to the side of the road, left there alone to suffer. An ignored problem will soon be forgotten; at least, that is their contention.
We have screamed out our maladies and concerns to those in closed, cold rooms, those with mechanical minds that churn out debits and credits but cannot …
Why charm and competence are essential for career survival
Charm and competence among providers should ideally be concordant, but they can sometimes be discordant, which should be evaluated and corrected if possible. This discordance isn’t limited to health care; it can also be observed in politics, during litigation, and within families. Charming politicians can sway followers, charming litigators can sway juries, and charming family members can influence their families. Whether or not their competence, or lack thereof, gets overlooked …
Balancing expectations and reality in modern obstetrics
“I want everything to be natural.”
Well, we are in a building with electricity and high-speed internet, neither of which are gifts from Mother Earth.
Yes, that’s really how I responded to a patient. We laughed, but her comment allowed me to reflect. I interpret this statement to be the patient’s wish to minimize intervention or achieve a vaginal delivery. I understand this position. However, it may stem from the cultural mythology …
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How contemplative medicine revived a doctor’s passion [PODCAST]
Subscribe to The Podcast by KevinMD. Watch on YouTube. Catch up on old episodes!
Join Koshin Paley Ellison, a psychotherapist and author of Untangled: Walking the Eightfold Path to Clarity Courage and Compassion. Explore the transformative power of contemplative medicine as we delve into topics such as …
13 reasons why women should not be doctors?
This article is satire.
In recent years, health care has made significant strides toward gender equality. But are these changes for the better? Let’s use facts to address the misconceptions and finally close the topic of women in medicine.
1. Female doctors make less money than men. As everyone knows, quality of care is directly proportional to revenue.
2. Female doctors cannot handle multiple patients. They are, after all, the undisputed queens of …
Is your portal making you too available? Give your patients an option that works for everyone.
Recently, a physician wrote about how access to a patient portal has turned his primary care practice into a reluctant concierge medicine practice, with patients asking questions and expecting quick responses day or night. I could relate. Modern technology is bringing a host of new, unexpected challenges to today’s physicians.
Patient portals may provide a level of ease and efficiency, but, as the physician rightly pointed out, they also create confusion, …
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Ensure your physicians always have crisis support: 5-step awareness program
Physician leaders: Are you committed to doing everything you possibly can to prevent physician suicide?
This CHAP is how you answer that question.
This document contains two steps that will ensure you do everything possible to be there for your people when they need you the most.
- A simple audit that will show you how badly you fail to support your struggling doctors. It will take you less than 15 minutes to …
How one patient’s death transformed my approach to mental health care
Prior to working as a nurse practitioner, I worked as a psychiatric registered nurse in an inpatient behavioral health setting, caring for individuals with severe mental illness (SMI). Individuals with SMI die ten to twenty years earlier than the general population due to comorbid medical conditions. I had been aware of this statistic for some time but only understood the devastation after I had an encounter with a patient in …
The unseen impact of Miami’s homeless crackdown
17th Street – nestled between Jackson Memorial, a major U.S. safety net hospital, and Camillus House, the largest homeless shelter in South Florida – is empty. There are no bicycles or tents belonging to the individuals who typically inhabit the area. There is no line outside of the Three Sisters where people usually wait for a meal. The street is quiet and desolate.
We visit 17th Street every Saturday morning with …
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Mistakes make us better doctors [PODCAST]
Subscribe to The Podcast by KevinMD. Watch on YouTube. Catch up on old episodes!
Join us for an insightful exploration of the complexities of managing mistakes in health care with our guest, Josh Schwarzbaum, an emergency physician. Together, we’ll discuss the importance of embracing errors as opportunities …
Past Week
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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
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Taking a break from medicine: a physician assistant’s journey from burnout to world travel [PODCAST]
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Past 6 Months
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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
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How the system hunts physicians who refuse to kneel
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Recent Posts
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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
-
How fake news about transgender mice is hurting real patients
-
The preceptor paradox: PAs get the nod while NPs are sidelined
-
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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
-
Taking a break from medicine: a physician assistant’s journey from burnout to world travel [PODCAST]
-
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
-
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
-
How fake news about transgender mice is hurting real patients
-
The preceptor paradox: PAs get the nod while NPs are sidelined
-
