Oncology/Hematology

When cancer costs too much: Why financial toxicity deserves a place in clinical conversations

Physician
September 17, 2025

Cancer care has long been associated with physical, emotional, and psychological hardship. But for many patients, a quieter burden (the financial strain of treatment) shapes their experience in equally profound ways. Increasingly referred to as financial toxicity, this form of distress is emerging as a key determinant of cancer outcomes. Yet it remains under-recognized in day-to-day clinical care.

The high price of staying alive

Financial toxicity describes the economic hardship caused by …

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Universities must tap endowments to sustain biomedical research

Conditions
September 2, 2025

American medical schools and universities once led the world in biomedical discovery, in large part due to federal funding. Public investment in science helped eradicate polio, unlock the human genome, and develop life-saving treatments for diseases once considered death sentences. But that era of reliable federal funding is ending under the current White House administration – and America’s research enterprise is at risk of going with it.

Over the past decade, …

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My improbable survival of stage 4 cancer

Conditions
August 31, 2025

I have always despised the trope of the patient who pulls through against all odds, despite all evidence to the contrary. Yes, diagnoses can shift and treatment plans evolve, but the ultimate trajectory rarely strays far from the original suspicion. Still, I understand why those stories resonate.

As a resident, I cared for a teen who got a night off from treatment to get married, and another who went to prom …

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Love, birds, and fries: a story of innocence and connection

Physician
August 22, 2025

I like quails. They resemble sparrows but are slightly larger. Quails are relatively quiet and easy to keep since they cannot fly much, unlike sparrows. They have a good lifespan as well. Since childhood, I have raised many quails, and I currently have two that I bought in 2023.

The quails have aged significantly, and the male has plucked many feathers from the female’s body. As a result, there are bald …

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How to safely undergo IVF with von Willebrand disease [PODCAST]

Podcast
August 12, 2025
YouTube video

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Renowned fertility specialist Oluyemisi (Yemi) Famuyiwa discusses her article, “When bleeding disorders meet IVF: Navigating von Willebrand disease in fertility treatment.” She explains that von Willebrand disease (VWD), the most common inherited …

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How health care branding can unintentionally stigmatize patients

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 …

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What a dying patient taught me about compassion in silence

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 …

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From participants to partners: Rethinking clinical trial design

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 …

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Why the heart of medicine is more than science

Physician
July 12, 2025

Take a moment—not just to see where you are, but to remember how far you’ve come.

Through obstacles that once felt impossible.

Through stress that nearly broke you.

Through moments when the weight of it all made you question everything.

But still—you kept going.

Because medicine isn’t just a job. It’s a calling.

And here, decisions aren’t just professional—they’re life and death.

You meet people at their most vulnerable, in their most intimate realities.

There’s no room for …

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FDA delays could end vital treatment for rare disease patients

Meds
July 11, 2025

The FDA is failing rare disease patients. I’m one of them.

I’ve been on elamipretide for three years now. It is the only treatment that has made a meaningful difference in my life with primary mitochondrial myopathy—a degenerative genetic condition that impairs how my cells convert food and oxygen into energy. Mitochondria provide over 90 percent of the energy our bodies need; when they fail, the highest-demand tissues—like muscle, brain, and …

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Why screening for diseases you might have can backfire

Physician
June 30, 2025

An excerpt from A Return to Healing.

Patients often ask me to do whatever tests are necessary to make sure they don’t have cancer or any other really bad diseases. It’s called screening: Look for diseases before patients exhibit symptoms, then fix the problems before they can rear their ugly head. Many of my patients believe that they have had their lives saved this way, always by a caring and …

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What the research really says about infrared saunas

Conditions
June 17, 2025

As someone who believes in a healthy amount of social media consumerism — just enough to stay inspired without drowning in every new trend — I recently found myself intrigued by a wellness practice that kept resurfacing on my feed: infrared sauna. Beyond the polished posts and glowing endorsements, my curiosity was also fueled by my background. As a cancer doctor, and someone who genuinely believes in the impact of …

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Earwax could hold secrets to cancer, Alzheimer’s, and heart disease

Conditions
June 14, 2025

Most of us think of earwax as a nuisance–something to be cleaned out and discarded. But, did you know that this sticky substance is a natural part of your body that can reveal information about your health?

If you regularly clean your ears at home, it’s worth a second thought. Although a part of general hygiene, overdoing it–or using hairpins, toothpicks, and other pointy tools–can do Read more…

What a dying patient’s handshake taught me about life and love

Conditions
June 8, 2025

I was working in my oncology ward as usual when I received a call from the medical ICU to evaluate a patient. The patient was a young male who had been admitted a few days earlier with severe respiratory distress. His workup raised suspicion of a possible malignancy (cancer). This was the information provided to me by the doctor in the ICU.

When I entered the ICU, I met a young …

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How functional precision oncology is revolutionizing cancer treatment [PODCAST]

Podcast
June 6, 2025
YouTube video

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

Physician and clinical researcher Chris Apfel discusses his article, “Functional precision oncology: a game changer in cancer therapy.” Chris explains that functional precision oncology takes a highly personalized approach by testing a …

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Financing cancer or fighting it: the real cost of tobacco

Conditions
June 5, 2025

Introduction: Financing cancer or fighting it?

Tobacco remains the single largest preventable cause of cancer worldwide, responsible for nearly 8 million deaths annually, including 1.2 million from exposure to secondhand smoke. Despite decades of public health efforts, global tobacco use continues to pose a significant threat to cancer prevention. The question remains: Are we truly winning the war against the world’s leading carcinogen, or are we merely negotiating with death?

Tobacco is …

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How a TV drama exposed the hidden grief of doctors

Physician
June 4, 2025

Like many of us in health care, I recently became engrossed in The Pitt. If you’re still watching—or plan to—consider this your spoiler alert. HBO’s new medical drama immerses viewers in a grueling 14-hour shift in the ER of a trauma center. I initially tuned in for Noah Wyle, my teenage crush, but I stayed for the catharsis. Never have I related on such a visceral level to the portrayal …

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5 cancer myths that could delay your diagnosis or treatment

Conditions
June 3, 2025

Having worked with patients for more than 25 years, I’ve witnessed the courage, determination, and unbreakable spirit of those facing a cancer diagnosis. But I’ve also seen the questions, uncertainties, and misinformation they and their families face throughout the cancer journey.

Cancer is one of the most challenging health issues of our time, affecting the lives of millions of people worldwide. More than 20 million new cases of cancer are diagnosed …

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When bleeding disorders meet IVF: Navigating von Willebrand disease in fertility treatment

Conditions
June 3, 2025

Von Willebrand disease (VWD) is the most common inherited bleeding disorder, affecting approximately 1 percent of the population, though clinically significant symptoms occur in about 1 in 10,000 individuals. It is caused by a deficiency or dysfunction of von Willebrand factor (VWF), a protein critical for blood clotting. For women, VWD poses unique challenges during reproductive years, particularly in the context of fertility and assisted reproductive technologies like in vitro …

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