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Why kratom addiction is the next public health crisis

Meds

July 29, 2025

In recent years, kratom, a botanical herb indigenous to Southeast Asia, has surged in popularity across the United States.

Marketed aggressively online and sold openly in vape shops, convenience stores, and specialty herbal outlets, kratom is often portrayed as a natural remedy, an herbal escape from chronic pain, anxiety, and opioid withdrawal. But beneath the alluring veneer of wellness and relief lies a dangerous, largely unregulated substance capable of causing severe …

Why taxing remittances harms families and global health care

Dalia Saha, MD

Finance

July 29, 2025

Like many of my fellow physicians, I suspect I’m two things: a child of immigrants and a child of a physician. That combination gave me a unique window into two fundamental systems, health care and global economics, long before I studied either formally. I saw the sacrifices and hard choices required to navigate both, often simultaneously, with no geographic boundary ever limiting our responsibilities.

Many vivid memories from childhood have stayed …

How are prostate exams done and why you shouldn’t avoid them

Martina Ambardjieva, MD

Conditions

July 29, 2025

Men don’t usually bring up prostate exams in casual conversation, and that silence is part of the problem.

Across clinics and exam rooms, we see it all the time: men who delay checkups until urinary symptoms become disruptive, or worse, when routine blood work turns into a cause for concern. The truth is, prostate screening isn’t about embarrassment or fear, it’s about staying one step ahead of issues that are common, …

Airlines’ policy ignores your do not resuscitate (DNR): Discover why and some ways to protect yourself

Althea Halchuck, EJD

Conditions

July 29, 2025

“It is a sad state that fear of liability will oftentimes negate the moral choice made by a terminally ill patient.”
– Journal of Air Law and Commerce

Background

In August 2024, I gave a presentation, “You’re suing me because I kept your mom alive? Avoiding wrongful life lawsuits.” I discussed the consequences for medical staff when they disregard a valid DNR and revive a person, against their wishes. There are numerous nationwide …

A dual citizen’s choice between two imperfect systems [PODCAST]

The Podcast by KevinMD

Podcast

July 28, 2025

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

Certified coach Kathleen Muldoon discusses her article, “Choosing between care and country: a dual citizen’s Independence Day reflection.” As a dual U.S. and Canadian citizen and mother to a child with complex …

How pediatricians can address the health problems raised in the MAHA child health report

Joseph Barrocas, MD

Policy

July 28, 2025

I understand that, in August, we will receive the prescription for the poor results of the recent Make America Healthy Again (MAHA) report focused on children’s health. As a pediatrician, I would like to offer some remedies for the child nutrition shortcomings identified in the report and provide feedback on other health concerns it raises.

Chronic disease rates among children are mentioned first in the report. Authors point to …

The unseen burden patients carry between appointments

Ryan Nadelson, MD

Physician

July 28, 2025

A man sat in my waiting room, heart racing—not from chest pain, but from panic. He’d been Googling his symptoms all night. Not afraid of what is—terrified of what might be. This is the anticipatory anxiety of modern medicine—a silent epidemic that strikes before any diagnosis ever does.

Patients no longer arrive with just symptoms. They bring stories already constructed. Hours of scrolling. Threads of worst-case scenarios. Algorithms feeding fear. By …

Choosing the best EHR for your new behavioral health business

Ram Krishnan, MBA

Tech

July 28, 2025

Clinicians who dream of starting a private practice in the field of behavioral health rarely daydream about the logistics involved. But preparing for common challenges is fundamental to success. Before taking on the roles of both behavioral health provider and entrepreneur, it is important to consider all of the behind-the-scenes work required.

Defining a practice’s niche, navigating regulatory and legal considerations, creating a business plan and a budget, and developing a …

My journey to loving primary care again

Jerina Gani, MD, MPH

Physician

July 28, 2025

There was a time — not too long ago — when I dreaded the start of each workweek.

I had spent years studying, training, and sacrificing sleep, time with family, and even my health to become a physician. I believed in the value of primary care and the importance of relationships with my patients. But somewhere along the way, the dream started slipping through my fingers. I wasn’t unhappy because of …

Read more…

My journey to loving primary care again

How coaching transforms care for people with multiple sclerosis

Jessica Singh, MD and Liz Kiniry

Conditions

July 28, 2025

Multiple sclerosis (MS) is an autoimmune-mediated neurodegenerative disease that affects approximately 2.8 million people worldwide, and its incidence has risen over the past decade. As health and wellness professionals who have cared for people living with MS, we have both witnessed the ever-evolving journey and the roller coaster of emotions, psychosocial impact, symptoms, and health challenges that people living with MS face. The muscle weakness that makes walking more …

Why doctors striking may be the most ethical choice

Patrick Hudson, MD

Physician

July 27, 2025

“When doctors strike, patients die.” That phrase—flattened into certainty—gets tossed around like a moral verdict. It shows up in op-eds, comment threads, morning rounds. As if to say: there’s no argument. The matter’s settled. You swore an oath.

But what oath, exactly?

Most physicians are taught to revere the Hippocratic Oath, but few have read the original versions. It wasn’t universal. It wasn’t sacred scripture. It forbade surgery. It invoked Apollo and …

Integrating vitamin education in mental health care

Scarlett Saitta

Conditions

July 27, 2025

For a long time, I was close-minded to the idea of vitamin supplementation as a meaningful part of mental health treatment. Like many in medicine, I saw it as misguided at best and more a part of wellness culture than real science. However, over time, I realized how often we mistake “That makes sense to me” for “That’s objectively true,” as we are prone to fall prey to our mental …

How photos shape drug stigma—and what we can do about it

Jeffrey Hom, MD, MPH, MSHP

Physician

July 27, 2025

Well before I was a physician, I was an art history major at Bowdoin College. Beneath towering pine trees, I spent much of my time in dim lecture rooms off the quad and in the quiet galleries of Maine’s art museums, studying paintings, sculptures, and photographs to understand not just what was being portrayed, but also what they revealed about the people, places, ideas, and defining events of their time. …

From participants to partners: Rethinking clinical trial design

Robert Den, MD

Physician

July 27, 2025

Clinical trials are the cornerstone of progress in cancer treatment. Yet, paradoxically, the very patients these trials are designed to help often face the greatest obstacles to participation. While the concept of “patient-centered” clinical trials has been around for years, more than 20 percent of U.S. clinical trials fail to accrue a sufficient number of participants, forcing them to fold.

Why aren’t patients enrolling in clinical trials?

While there have …

Mumps orchitis still causes infertility years after childhood

Oluyemisi Famuyiwa, MD

Conditions

July 27, 2025

As a reproductive endocrinologist, I see countless patients who walk through my doors with quiet stories of loss—sometimes the loss of hope, sometimes the loss of time. But every year, there’s a particular group of gentlemen who share a strikingly similar history.

They come from different countries. Many grew up in regions where the measles-mumps-rubella (MMR) vaccine was unavailable or inconsistently administered. They had mumps as children, recovered, and thought nothing …

What it means to be a woman in medicine today

Annie M. Trumbull

Education

July 27, 2025

At first glance, medical school can be simplified to “drinking from a fire hose.” Endless Anki cards, color-coded notes, iPads filled with diagrams.

Cramming and regurgitation, funny acronyms and mnemonics. Obscure conditions. Buzzwords.

It feels like memorizing a ton of conditions and running through the routine steps of diagnosis, treatment, management, clinical investigations, and so on — until you can recite them in your sleep.

You’re buried in biochemical pathways, pathophysiology, and pharmacology, …

First-name familiarity improves doctor-patient connection

Ryan Nadelson, MD

Physician

July 26, 2025

In medicine, one surprisingly heated debate doesn’t get much airtime: Should patients call their doctors by their first name?

It pops up often on medical forums. I’ve seen long threads dissect whether it’s disrespectful, whether it undermines authority, or whether it reflects a cultural shift in how we view physicians. Some doctors insist on “Doctor” as a matter of principle—status, respect, professionalism. Me? I appreciate being called Dr. Nadelson. It reflects the …

How Japan and the U.S. can collaborate for better health care

Masashi Hamada, MD, PhD and Hibiki Yamazaki & Vikram Madireddy, MD

Education

July 26, 2025

The United States and Japan, while separated by geography, language, and culture, share more in common than first meets the eye—particularly when it comes to health care. As post-war democracies that developed robust medical infrastructures in the latter half of the 20th century, both countries have grappled with similar challenges: Aging populations, rising costs, workforce burnout, and persistent health disparities. Yet their respective approaches—the U.S.’s pluralistic, market-driven model and Japan’s …

Emphasizing empathy and equity in value-based health care delivery

Olumuyiwa Bamgbade, MD

Physician

July 26, 2025

The transformation of care delivery is driven by value-based health care (VBHC). In addition to its cost-effectiveness and clinical efficiency, the success of VBHC depends upon its ability to exemplify empathy and equity. Usually disregarded in pursuing metrics, data, and integrated payments, these two pillars are indispensable for implementing a system that provides dignity and equity to all patients. Embedding empathy and equity into health care delivery is no longer …

How AI, animals, and ecosystems reveal a new kind of intelligence

Fateh Entabi, MD

Tech

July 26, 2025

As a surgeon, I’m trained to make decisions quickly—based on anatomy, evidence, and pattern recognition. But outside the OR, I’ve been thinking more deeply about something abstract yet everywhere: intelligence. What is it, really? And who or what gets to be called “intelligent”?

We often associate intelligence with humans—or more specifically, with traits like memory, logic, and verbal reasoning. The smarter someone is, we assume, the more they think like us. …

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