If you have followed my blogs for the past few years, you know that I have focused on practice management, the business of a medical practice, and recently AI. This blog will depart from those topics and discuss a clinical topic, the orgasm gap, that I have written with a colleague, Dr. David Mobley, a urologist at Weill-Cornell Medicine.
Everyone, both men and women, deserves to experience an orgasm or the …
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Psychotherapist and litigation stress coach Gail Fiore discusses her KevinMD article, “Recognizing and addressing medical malpractice stress syndrome (MMSS).” In this episode, Gail explores the prevalence of MMSS among physicians, the common …
Breast cancer recovery is about more than survival—it’s about reclaiming a vibrant, fulfilling life. Instead of focusing solely on survivorship, we need to embrace what I call “livingship”: the journey of truly thriving after treatment. This approach focuses on ensuring patients not only survive but thrive in their cancer-free lives.
A personal journey in medicine
My path to becoming a breast cancer specialist was shaped by early aspirations and personal experiences with …
A nurse practitioner (NP) in urgent care saw a patient with a severe headache following a fall. Initial testing and symptoms suggested a concussion, leading to discharge. However, when the patient’s worsening condition later revealed an elevated white blood cell count, they were rushed for further evaluation—but it was too late. The patient succumbed to bacterial meningitis. …
Diagnostic error is a difficult issue to track in the emergency department (ED). For a good reason, too: The patient population is so transient it’s difficult to detect a “missed” diagnosis. It’s less readily apparent than medication errors, falls, and other commonly reported incidents.
But that’s precisely what makes diagnostic error such an insidious problem.
Recent research into malpractice claims over a five-year period suggests that 28 percent of all diagnostic error …
Dear new nurse graduate,
Welcome to a world unlike any other—a world brimming with happiness, sadness, confusion, self-doubt, defeat, and heroism. You’ve just stepped onto the first rung of a ladder that reaches into the unknown. Nursing is not easy, and there will be countless moments when you ask yourself, “What was I thinking?” or “Why did I choose this path?”
But nursing isn’t just a job; it’s a lifelong journey, a …
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Internal medicine physician Melvin Speisman discusses his KevinMD article, “How AI is transforming medicine faster than ever before.” In this episode, Melvin explores the rapid advancements in artificial intelligence within health care, …
Age should not define a person or diminish respect from others. There is a generation of people overlooked every day, and little attention is paid to this growing problem.
As people age, they may become less visible within their communities. It can seem like people who once smiled as they walked by begin passing without a glance. Seniors may feel like unwanted outsiders in society. Sadly, many participate in their own …
The recent decision by the University of Pennsylvania (Penn) to remove diversity, equity, and inclusion (DEI) initiatives from its website has sparked a significant debate within the academic community. This move, aimed at complying with an executive order from President Donald Trump, highlights the tension between institutional values and political mandates. This essay explores the implications of Penn’s actions, contrasting …
The COVID-19 pandemic accelerated medical communication as patients and doctors utilized computer technology to manage health care that was not available a decade ago.
Hospitals and doctors maintain online medical records that enable patients to access personal information about ongoing issues. “Portals” allow users to view lab tests, imaging results, pathology reports, and progress notes. The computer “message” system also enables patients to communicate with their physicians or other health care …
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Internal medicine physician and psychiatrist Muhamad Aly Rifai discusses the KevinMD article “The role of social credit scores in the enforcement of health care regulations.” They explore the expansion of predictive algorithms …
Introduction
It is no secret that the U.S. medical system fails to treat all patients equally. Those with Medicaid often lack access to the same primary care and subspecialty clinics as those with Medicare or private insurance and face longer wait times. Medicaid is jointly funded by the states and federal government. The solution is to increase Medicaid reimbursement. Of course, in my home state, Texas, …
The concept of a “Faustian bargain” originates from the legend of Dr. Faustus, a figure from German folklore who trades his soul to the devil in exchange for worldly knowledge and power. Doctor Faustus is Christopher Marlowe’s most renowned and controversial work. The play depicts the sinister aftermath of Faustus’s decision to sell his soul to the devil’s henchmen in exchange for power and knowledge. It serves as a timeless …
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When I learned that I had been chosen for the Gold Humanism Honor Society (GHHS), I was ecstatic. It felt like a profound recognition of my values and hard work—a celebration of compassion, empathy, and humanism, which have always been the cornerstone of my personal and professional life.
Throughout medical school, I spent considerable time addressing gaps in my medical school’s curriculum and community engagement, founding several initiatives and organizations to …
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Internal medicine physician and physician coach Diane W. Shannon discusses her KevinMD article, “Why women doctors spend more time on EHRs and what it means for patient care.” She explores key points …
In my medical career thus far, I’ll admit family history is something I routinely brush aside. It was never a focus in my medical school or residency training. In my primary care clinic, I spend a couple of minutes asking new patients about their parents’ medical conditions but rarely revisit the topic in future visits.
This approach made sense to me. We’re taught to treat each patient as an individual—to focus …
On a seemingly ordinary Sunday evening, a casual conversation with my mother took a terrifying turn. She mentioned a sudden, excruciating headache that had woken her from a nap. My medical training immediately raised red flags. Despite no prior history of such severe headaches, I recalled an isolated incident of elevated blood pressure. Instinctively, I insisted on checking her blood pressure again. Within 15 minutes, the readings soared from 182/120 …
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Scott Bane, senior program officer, discusses his KevinMD article, “How a family caregiver saved my life during a rare medical crisis.” He explores the challenges and triumphs of family caregiving, and the …
Introduction: the AI scribe revolution
Let’s be real: AI scribes are incredible. I’ve personally used one for well over 3,000 clinical encounters. If you’ve been using one, you already know. If you haven’t, you’re probably considering it or you’ve heard the buzz and are cautiously curious.
Notes that used to take forever are now magically generated with near-perfect grammar, complete sentences, and even structured formatting. It’s borderline addictive. I’ve been using an …
Food allergies are a serious, life-threatening medical condition that remains widely misunderstood. For millions of travelers with food allergies, navigating airline policies is an unpredictable challenge, where inconsistent accommodations and societal skepticism create unnecessary risks.
Those living with food allergies must often navigate a world that does not always recognize the severity of their condition. Although we teach those with food allergies how to live in a world with …
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