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Does cycling hurt male fertility?

Conditions

September 10, 2025

Over the past decade, cycling has evolved from a sport into a full-fledged lifestyle. From weekend road warriors to dedicated commuters, millions of men around the world rely on their bikes for exercise, stress relief, and environmental consciousness. But a question often comes up in clinic rooms, whispered more than spoken aloud: “Is all this cycling hurting my fertility?”

It is a valid concern, especially for men trying to conceive. The …

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Does cycling hurt male fertility?

Collective action as a path to patient-centered care

American College of Physicians

Physician

September 10, 2025

When I began my internal medicine residency in 1987 at Boston City Hospital, all new interns were enrolled in the Housestaff Association, the residents’ union. Some of my resident peers were active leaders in the union. Coming from Minneapolis …

Portraits of strength: Molly Humphreys and the unseen women of health care

Ryan McCarthy, MD

Physician

September 10, 2025

Since spring 2020, Molly Humphreys, a native of Shepherdstown, West Virginia, has photographed workers in and around the Berkeley Medical Center (BMC) and, in the process, has created a rich mosaic of the complex realities of health care in Martinsburg, West Virginia. Specializing in portraiture, Humphreys had never worked in the health care space—that is, until I invited her to partner in …

When embarrassment is a teacher in medicine

Vijay Rajput, MD

Physician

September 10, 2025

When I arrived in the U.S. as a young physician in the early first week, I didn’t know what “passed out” meant. Or “threw up.” My English was polished—British-style, courtesy of Indian schooling—but I wasn’t prepared for American slang, accents, or sports metaphors. So there I was in a Philadelphia hospital, fumbling through a patient history. I was embarrassed—by my accent, my vocabulary, my uncertainty. But I wasn’t humiliated. That …

How new loan caps could destroy diversity in medical education

Caleb Andrus-Gazyeva

Policy

September 10, 2025

You, there beyond the words of this page. Oh, how I wish I could step beyond this limited medium and have a one-on-one conversation with you, as this matter is of the utmost importance to me. Unfortunately, I can do no such thing. As a result, I must lay out the groundwork by which this spewing of feelings will work henceforth. We medical students are fond of only wasting our …

From nurse practitioner to leader in quality improvement [PODCAST]

The Podcast by KevinMD

Podcast

September 9, 2025

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

Board-certified nurse practitioner Shabeena Hirani discusses her article “From nurse practitioner to quality improvement leader in sleep medicine,” sharing her journey from clinical care to driving systemic change. Shabeena explains how her …

Litigation stress is real: Here’s how to navigate it

MagMutual

A simple 10-10-10 tool to prevent burnout through mindfulness

Annabelle Bailey

Education

September 9, 2025

For the last several years, burnout (a syndrome typically defined as emotional exhaustion, cynicism, and poor efficacy) has been a hot topic in the world of health care. But as a bit of good news, the AMA recently released that the rates of physician burnout are at the lowest they have been since the beginning of the COVID-19 pandemic. However, I would argue that if 43 percent …

The crushing bureaucracy that’s driving independent physicians to extinction

Scott Tzorfas, MD

Physician

September 9, 2025

As a board-certified neurologist in independent practice for three decades, I’ve watched the soul of medicine slowly erode, not due to a lack of compassion, skill, or science, but from a suffocating bureaucracy that has infiltrated every corner of patient care. Private practice doctors across America are being regulated, pre-certified, audited, and administratively strangled out of existence.

Each week in my office, my staff and I spend countless hours fighting with …

How community and buses saved my retirement

Raymond Abbott

Conditions

September 9, 2025

It is Saturday, late in July and hot as blazes in Louisville, Kentucky where I live. I’ve been here for many years.

I sit in a McDonald’s restaurant close to my home. The place is just about empty. I am here after a short walk from my house, about half a mile. I am happy to be here—happy, that is, that I can manage to walk this far, even in the …

How changing your self-talk can transform your entire life

Faust Ruggiero

Conditions

September 9, 2025

An excerpt from The Fix Your Internal Language Handbook.

“I talk to myself, and I talk to them. They are not here to listen to me.”

Most of us spend more time talking to ourselves than to anyone else. We use language to think and clarify our thoughts. Whether we are consciously ruminating or thinking on a more subconscious level, we are still using language. We have internal dialogues with ourselves, …

Why retail pharmacies could transform diversity in clinical trials [PODCAST]

The Podcast by KevinMD

Podcast

September 8, 2025

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

Health care executive Shelli Pavone discusses her article “Why retail pharmacies are the future of diverse clinical trials,” highlighting the urgent need to improve representation in clinical research. Shelli explains how barriers …

Why your clinic waiting room may affect patient outcomes

Ziya Altug, PT, DPT and Shirish Sachdeva, PT, DPT

Conditions

September 8, 2025

A busy waiting room with buzzing lights, cramped-up chairs, and rushed medical staff on the clock can make you feel more anxious about the care you are going to get. Clinic waiting rooms are often the first point of contact between patients and health care providers.

The psychology of waiting

While traditionally considered functional spaces, a growing body of evidence suggests that the design and ambiance of these environments significantly influence patients’ …

Food is a universal language in medicine

Diego R. Hijano, MD

Physician

September 8, 2025

“What is your favorite homemade food?” I ask each patient. Almost always, there is a smile, and the conversation takes off from there. Moms light up describing their special dishes. Patients giggle when I suggest, “Should we have your mom make some for us to share?” Younger kids look at their moms with wide eyes, wondering if it could really happen. Those moments, those faces, are priceless; and they carry …

The ethical crossroads of medicine and legislation

M. Bennet Broner, PhD

Conditions

September 8, 2025

Previously, I wrote about politicians regulating medical practice. I support regulations that protect individual or public health. However, when these laws are not evidence-based, misguided or frivolous, and potentially harmful, as occurred when 16 state legislatures permitted over-the-counter sale of ivermectin, they are unacceptable.

There have been instances when pregnant women, who, because of circumstances, were unable to adhere to physician advice for increased bed rest to avoid premature labor, were …

When doctors breathe the same air: How medical professionals become environmental activists

Stephen Gitonga

Conditions

September 8, 2025

In the heart of major cities—from New York to Nairobi, Mumbai to Mexico City—medical professionals are confronting more than fevers, injuries, or chronic illness. Increasingly, they face diseases rooted in environmental exposure. From asthma linked to air pollution to cancers tied to industrial toxins, physicians are witnessing firsthand the impact of environmental degradation on human health. For many, this reality transforms them from caregivers into advocates—environmental activists in white coats.

Doctors …

Why vitamins should be part of the mental health conversation [PODCAST]

The Podcast by KevinMD

Podcast

September 7, 2025

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

Osteopathic medical student Scarlett Saitta discusses her article “Integrating vitamin education in mental health care,” highlighting the growing evidence that nutritional deficiencies can profoundly impact psychiatric outcomes. Scarlett explains how deficiencies in …

Why transplant equity requires more than access

Zamra Amjid, DHSc, MHA

Policy

September 7, 2025

A few months ago, I met a woman who had stopped speaking at dialysis. She had grown quiet, worn thin by the rhythm of a system that seemed to talk around her but never truly to her. When she finally spoke to me, it was not about her labs or transplant status. It was a whisper — “Do you think I’ll make it in time?”

In that moment, she wasn’t asking …

An IMG’s story of exclusion in U.S. residency

Fereshteh Kagar Bafrani, MD

Physician

September 7, 2025

When I was a child, I watched a neighbor struggle after a stroke. He survived, but without rehabilitation he remained trapped in his disability, dependent on others for every task. That memory shaped my understanding of medicine: Survival alone is not enough. Patients deserve a chance to reclaim independence and dignity.

Years later, after completing medical training abroad, I came to the United States as an international medical graduate (IMG), determined …

The 4 foundations that sustain physicians through burnout and balance

Ananta Subedi, MD, MPH

Physician

September 7, 2025

Introduction

When I first arrived in North Carolina several years ago, I thought happiness would come easily. I had completed my medical education in Nepal, was ready to serve as a physician in the U.S. health care system, and carried the excitement of new beginnings. But I learned that happiness is not automatic—especially for physicians navigating American health care while maintaining their sense of purpose.

The transition from practicing medicine in Nepal …

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