From marathons to moderation: Rethinking endurance exercise

Conditions
July 14, 2024

When it comes to exercise, it is possible to get too much of a good thing. Regular participation in appropriate mild to moderate exercise is one of the most important habits for optimal health. The kind of detrimental excess endurance exercise I’m going to implicate includes marathon distance running, 100-mile bike rides, Iron Man/Half Iron Man triathlons, and other flat-out, pedal-to-the-metal exertions for more than an hour. Regrettably, I confess: …

Read more…

Health information censorship in prisons [PODCAST]

Podcast
July 13, 2024
YouTube video

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

Join us as we explore the critical issue of carceral censorship and its impact on incarcerated individuals’ access to health information. Our guest is Brian Tuohy, an assistant professor of bioethics, who shares …

Read more…

How a negligent dentist almost killed my wife

Physician
July 13, 2024

An excerpt from Judas Dentistry: How Dentists Scorn Science, Break the Hippocratic Oath, and Wreck Their Patients’ Minds and Bodies.

Our kindly dentist almost killed my wife, Judy. During her late teens, she had a single front tooth destroyed in an auto accident. So this dentist carved the teeth on either side to support a bridge. When these died, he drilled and mummified them into “root canals.” As the years …

Read more…

Administrative harm is destroying the practice of medicine

Physician
July 13, 2024

“Rules and regulations, who needs them? Throw them out the door.”
— Graham Nash (lyrics), from “Chicago,” sung by Crosby, Stills, Nash & Young

Business entrepreneur and billionaire Michael B. Kim recently was quoted as saying: “Leadership without ethics is a body without a soul.” Kim donated $25 million to his alma mater, Haverford College in suburban Philadelphia, Pennsylvania, to start a new Institute for Ethical Inquiry and Leadership. His goal is …

Read more…

What would you save if your house was on fire?

Physician
July 13, 2024

The obvious answer is just that, of course. I would save my wife and myself. Everything else is replaceable—well, almost everything. Read on.

Twenty years ago, before the launch of the iPhone and before social media ruled the world, two of the most important things in any traditional American family’s house were the family Bible and the family’s pictures. I will leave the Bible and commentary on it for another question …

Read more…

Cinnamon versus brain cancer, Alzheimer’s disease, and insomnia

Conditions
July 13, 2024

I’ve always adored cinnamon. Its aroma warms the cockles of my heart, and its flavor makes me feel as if I’m wrapped up in an old fairy tale. However, I was floored when I reviewed some of the latest research regarding the effects of cinnamon on brain health.

Cinnamon is a type of laurel plant (believe it or not, there are almost three thousand members of the Lauraceae family). Cinnamon happens …

Read more…

Overcoming diabetes and chasing dreams [PODCAST]

Podcast
July 12, 2024
YouTube video

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

Join us as we sit down with writer Robin D’Amato to discuss her book, Sugar-Free. Robin delves into the inspiring journey of Ginny Eastman, a girl whose passion for basketball begins at six …

Read more…

Concierge medicine: exclusive access or equity dilemma?

Physician
July 12, 2024

When demand exceeds supply, a resource is limited. Allocating those resources “involves a tension between efficiency and equity.” The market has several ways to allot those limited resources, beginning with cost. For example, frequent flyer miles, a form of resource allocation, may not seem controversial, except to those getting on last, where there is no room for their carry-on. Health care is a limited resource for many reasons, and equity …

Read more…

Beyond traditional cancer treatment [PODCAST]

Podcast
July 11, 2024
YouTube video

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

Join us as we delve into the growing interest in holistic approaches to cancer care with Wayne B. Jonas, a family physician. We explore the benefits of integrating complementary therapies, such as nutrition …

Read more…

Why teaching medicine feels like being Santa Claus year-round

Physician
July 11, 2024

The yearly arrival of Santa Claus was a wonderful ritual of my early childhood years and later as I became a parent and a grandparent. It was exciting and fun, and the production provided mystery and joy. The fact that millions of people look forward to giving without getting accolades for doing so symbolizes the best in human nature. We willingly give credit to a myth for bestowing on those …

Read more…

The role of locum tenens in bridging the physician shortage gap: Can retiring physicians save the day?

Physician
July 11, 2024

The aging baby boomer generation is creating a multitude of new challenges for our already stretched thin health care sector. According to the U.S. Census Bureau, by 2030, all baby boomers will be older than 65, with about one in every five residents being of retirement age and increasing demand for health care services. Simultaneously, many of our clinicians are nearing retirement or choosing to retire early. The …

Read more…

From punitive measures to radical compassion for late charting

Physician
July 11, 2024

A few years into my faculty career, my division chief met with me to discuss late charts. “Britt, charts,” she said. “You just have to make it happen.” I don’t remember much about the specifics of what was said in that meeting, but I know exactly how I felt: a flood of shame overlying simmering anger. This someone that I respected, someone who had carved a way for the department …

Read more…

ADVERTISEMENT

Avoid these common mistakes in your first doctor employment contract [PODCAST]

Podcast
July 10, 2024
YouTube video

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

Join us for an insightful episode as we navigate the complexities of negotiating your first employment contract as a doctor. Our guest, attorney Ethan A. Nkana, shares invaluable advice on avoiding common mistakes, …

Read more…

Why my 5-year-old is helping with my PhD thesis

Conditions
July 10, 2024

My five-year-old daughter is helping me with my PhD thesis. I wish she didn’t have to.

No, she’s not a prodigy (even if she is very clever!), and I’m not that desperate for assistance. She just happens to be a subject matter expert.

My thesis in human nutrition is on food marketing to kids and every time we go to a grocery store together, I see that marketing at work. She is …

Read more…

Surviving medical residency: the untold story of resilience and hope

Physician
July 10, 2024

Working as a resident in medicine can be tiring. You are expected to study, pass exams, take care of your patients without making any mistakes, keep your seniors happy, have friendly ties with your co-workers, work extremely long hours, and avoid conflict at all times. No one will ever think of your well-being or happiness. You’ll be blamed and criticized even when your work is exceptional. You have to deal …

Read more…

ADVERTISEMENT

Balancing diabetes and mental health: the medication challenge [PODCAST]

Podcast
July 9, 2024
YouTube video

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

We sit down with Jennifer Jonsson, a patient advocate, to explore the complex world of medication interactions and their impact on mental health. Jennifer shares her personal journey of managing ADHD, bipolar disorder, …

Read more…

To anesthetize, or not to anesthetize: a pervasive dilemma of the GLP-1 era

Meds
July 9, 2024

Since the United States Food and Drug Administration approved exenatide in 2005, it took decades for the American Society of Anesthesiologists (ASA) to identify and address perioperative safety concerns, if any, among patients using glucagon-like peptide-1 receptor agonists (GLP-1 RAs) such as exenatide. This delay could be due to several factors: GLP-1 RAs were initially used only for managing diabetes and later for obesity, and now potentially for a wide …

Read more…

A group of 4 successful surgeons negotiate better contracts: a case study

Finance
July 9, 2024

How can a group of dedicated general surgeons transform their compensation and work conditions in six months? Here’s their story.

The group’s story: facts and dynamics

Four general surgeons, one NP, and one PA for a specific physician have been practicing at a small community hospital with three ancillary facilities in the Northeast for many years. The group and staffing have been dependable, without turnover, for the past three years. Three physicians …

Read more…

ADVERTISEMENT

Mastering patient inquiries: Streamline your practice communication

Physician
July 9, 2024

Better three hours too soon than a minute too late.”
-William Shakespeare

“Oh, I forgot to ask my doctor something” is a line as old as time itself. This happens within 0.6 seconds of starting the ride back home. So you then decide to call the office. Then you’re probably greeted with a “listen carefully to our menu options.” It’ll be a long day before you get a hold of anyone. Even …

Read more…

548
pages