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Why primary care doctors are drowning in debt despite saving lives

John Wei, MD

Physician

August 12, 2025

I knew there was a cost when I chose to become a physician: The long hours, delayed gratification, the strained relationships. I could understand these things as familiar from my lived experiences. I knew there would be a financial burden, and having been raised by two immigrant parents, an electrician and a nurse, I was no stranger to the pressures of financial insecurity. I was fortunate too: my parents did …

Why boredom is good for your brain and health

Sarah White, APRN

Conditions

August 12, 2025

A few weeks ago, I heard Michelle Obama say something that stopped me in my tracks:

“We have to learn to be OK with the regular days. The in-between. The parts of life that aren’t exciting.”

I thought of my kids in the back seat during a long car ride, sighing dramatically, claiming they were “literally dying” of boredom. I thought of patients sitting in a waiting room with nothing but their …

How health care branding can unintentionally stigmatize patients

Hamid Moghimi, RPN

Conditions

August 12, 2025

I first grasped the disconnect between health care professionals and the public while designing a brochure for a cornea donation campaign.

My original concept featured a young boy smiling, wearing an eye shield—an approachable image meant to encourage public participation. But the overseeing specialist rejected it. He insisted instead on a clinical close-up of a post-surgical eye, sutures and all. To him, it represented medical success. To potential donors, it was …

How interoperability solves the biggest challenges in health care [PODCAST]

The Podcast by KevinMD

Podcast

August 11, 2025

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Physician executive Steven Lane discusses his article, “Why interoperability is key to achieving the quintuple aim in health care.” He explains that true interoperability is not just about technology but about aligning …

Why I left health care after 11 years as a respiratory therapist

Michelle Weiss

Conditions

August 11, 2025

I became a respiratory therapist at 28, after years of trying to get into nursing school. It wasn’t until a friend, an RT at my city’s only level one trauma center, said, “You don’t want to be a nurse. You want to be an RT,” that something clicked. He let me shadow for a shift in the medical cardiac ICU, and I fell in love with the work instantly.

Watching him …

The hidden cost of racism in sickle cell disease treatment

Gustavo Rosas Alvarado, MD and Gail M. Bloom, OTD

Conditions

August 11, 2025

Sickle cell disease (SCD) is frequently referred to as an invisible disease and is often overlooked due to a lack of research and overall resource shortages resulting in substandard clinical care. Part of the problem is difficulty objectively identifying SCD characteristics due to lack of laboratory markers and poor objective pain indicators. This disease mainly affects African American populations. Systemic marginalization of stigmatized populations results in less funding; and therefore, …

How to lead from the heart in a system that rewards the intellect [PODCAST]

The Podcast by KevinMD

Podcast

August 10, 2025

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

Pediatrician and certified coach Jessie Mahoney discusses her article, “Why the future of medicine depends on leading from the heart.” Drawing from her experience leading a workshop for women cardiologists, she explores …

How humor builds trust in pediatric oncology

Diego R. Hijano, MD

Physician

August 10, 2025

“Dr. Who?” the child asked.

“Dr. Hijano,” I said. “But you can call me Dr. Diego. Like Go Diego Go! Dora the Explorer’s cousin, the one with the baby jaguar who saves the rainforest.”

A pause. A smile. And just like that, the ice broke. In pediatric oncology, that is no small thing.

I work in a pediatric cancer center, most often in the bone marrow transplant unit. When people hear this, they …

What a dying patient taught me about compassion in silence

Dr. Damane Zehra

Physician

August 10, 2025

I remember a night during my first year of residency in oncology when I was on call. It was after midnight, and I was sitting at the ward counter.

I often struggle to sleep during night shifts, especially when I’m the only doctor on call. I prefer to stay at the counter because I dread the thought of some terrible thing happening and not being able to reach the ward in …

When the clinic becomes the battlefield: Defending rural health care in the age of AI-driven attacks

Holland Haynie, MD

Physician

August 10, 2025

The message came through before dawn: “Our EHR is down. No access to patient charts.”

In a rural clinic, that is not just a technical inconvenience. It is the mother who drove forty miles before sunrise to get her child’s asthma medication, the farmer who left the fields to review his lab results, the elderly patient who cannot make another trip for months. When systems go dark, there is no backup …

Poorly targeted patient outreach is wasted outreach

Denise Reich

Conditions

August 10, 2025

The phone call from my insurance carrier came in unexpectedly one morning. “We see that you’ve just been discharged from the hospital …”

I blinked. I had neither been admitted nor discharged from any hospital. When I pressed for details, the caller claimed her records showed I’d been hospitalized for more than a month. Why? For which condition? She didn’t have that information, she told me. Only the dates.

My first thought: …

Ending burnout through structure, not gimmicks

Jessie Mahoney, MD

Physician

August 10, 2025

The truth is not hiding. We have known for decades what allows physicians to thrive and what erodes their well-being. The science has been published, the interventions described, and the solutions tested. What we face is not a crisis of knowledge; it is a crisis of action.

I was reminded of this recently when an emergency physician preparing a talk on wellness asked me for help. She wanted to share with …

The silent burnout epidemic among parents and doctors

Wendy Schofer, MD

Physician

August 10, 2025

For years, I didn’t realize the name for what I was experiencing as a primary care pediatrician was burnout. I just thought I wasn’t enough—not good enough, not hardworking enough, not experienced enough. That self-doubt didn’t stay confined to my role as a doctor; it crept into how I felt as a parent, a spouse, a community member.

Nothing ever felt like enough. So I did what I was trained to …

How AI is finally fixing the electronic health record [PODCAST]

The Podcast by KevinMD

Podcast

August 9, 2025

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

Physician executive Laura Kohlhagen discusses her article, “Here’s what providers really need in a modern EHR.” She argues that since electronic health records were originally designed for billing and …

Why AI must support, not replace, human intuition in health care

Rafael Rolon Rivera, MD

Tech

August 9, 2025

When I was a new hospitalist in a tertiary center, I once told a colleague, “Looks like I got an easy admit.” He just stared at me.

It didn’t take long to understand why.

Vitals can be stable. Labs can look clean. But patients—especially those we assume are “simple”—rarely are. There’s a language beyond numbers: the way a patient breathes, a hesitation in their tone, the look in a spouse’s eye. Over …

The link between chronic back pain and depression

Shabeena Hirani, DNP, APRN

Conditions

August 9, 2025

When a patient walks into an orthopedic spine clinic, most providers are focused on one thing: the back. But after over a decade of caring for patients with chronic pain, I noticed something deeper lurking behind the disc herniation and spinal stenosis: depression. And it was not being addressed.

That is why I launched a quality-improvement (QI) project focused on integrating depression screening into the routine evaluation of orthopedic spine patients. …

COVID-19 was real: a doctor’s frontline account

Randall S. Fong, MD

Conditions

August 9, 2025

Once upon a time there was a pandemic, despite what the “deniers” and conspiracy theorists say. This rare disease outbreak shook every corner of the globe, yet brought out the best in people, people who put their lives on the line to care for the sick and dying.

But to this day, I still hear and read about folks who are convinced the COVID-19 pandemic was blown out of proportion and …

Why sedation access varies by clinic and hospital

Francisco M. Torres, MD & Simon Wahba

Physician

August 9, 2025

My recent experience as a cancer patient has illuminated many things. It has shown me how our health care system is not standardized and how it sometimes makes patient care decisions based on financial incentives or convenience rather than patient preferences or best clinical practice. Take, for example, the topic of sedation.

The question of whether to sedate is common in pain management, which often involves invasive intraspinal procedures such as …

Aging in place: Why home care must replace nursing homes

Gene Uzawa Dorio, MD

Physician

August 9, 2025

I have been a physician for 44 years.

Besides my office and hospital practice, I also make house calls for less mobile older adults. We all want to stay in the homes where we raised our children, cared for our gardens, and became part of the community. The reality is that we lack the tools and financial resources needed for seniors to “age in place.”

My house calls, though, have provided insights …

Why America’s medical training pipeline is failing our future [PODCAST]

The Podcast by KevinMD

Podcast

August 8, 2025

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

Academic physician executive William Wertheim discusses his article, “America, our health care workforce training isn’t evolving alongside our needs.” He argues that the U.S. medical system is training professionals who will not …

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