Primary care

8,116 articles · Since 2004

Articles, page 8

What happened when I brought faith into medicine

June 2, 2026Jun 2, 2026

There is a topic that has been avoided since the beginning of the Age of Enlightenment in medical discourse. Nothing to do with diagnosis, prognosis, or treatment protocols, but about the invisible human nature that holds patients together when science…

I personally did not have it for a long time. For most of my thirty-five years in medicine, I kept faith neatly …

Physician voices

Trust in medicine is restored by method, not empathy

Alan P. Feren, MD

June 1, 2026Jun 1, 2026

Trust is often discussed in medicine as if it were mainly personal. Did the patient trust the clinician? Was the clinician empathetic? Did communication feel respectful? Did the patient feel heard? All of that matters. But it does not fully…

Patients do not lose trust only when a clinician is rude, dismissive, or wrong. They lose trust when they leave an encounter without …

Drugs and prescribing

Peptide regulation: 4 lanes every physician must know

Benjamin González, MD

May 31, 2026May 31, 2026

If you work in medicine long enough, you learn that science moves slowly. Regulation moves slower. And social media moves at the speed of caffeine and bad decisions. That collision is exactly what is happening right now in the peptide…

One week the FDA tightens restrictions. The next week state medical boards issue warnings. Then telehealth companies pivot. Then compounding pharmacies change formulations. Then another peptide disappears from the market. …

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Conditions and diseases

Communication access is a patient safety issue

Chris Ross, PhD, CCC-SLP

May 28, 2026May 28, 2026

Imagine nearly dying while being unable to communicate your health needs, and the important medical decision-making doesn't involve you. All that is left for you to do is to feel frustrated, helpless, and afraid. I had such an experience at…

Imagine nearly dying while being unable to communicate your health needs, and the important medical decision-making doesn’t involve you. All that is left for you to do is to feel frustrated, helpless, and afraid.

I had such an experience at the height of the pandemic when I contracted COVID-19 and landed in the intensive care unit. I was put on a ventilator and then on extracorporeal membrane oxygenation, the highest form …

Physician finance

Why physicians make the best health care investors

Harsha Moole, MD

May 28, 2026May 28, 2026

She was 42, uninsured, and had been avoiding the doctor for three years. By the time she showed up in my hospital, her diabetes was uncontrolled, her blood pressure was dangerously elevated, and she had early signs of kidney disease. Everything about her case was preventable. She knew it. I knew it. And neither of us could do much about the system that made it happen.

I was an inpatient hospitalist …

Physician voices

35 years after choosing psychiatry as a specialty

Farid Sabet-Sharghi, MD

May 27, 2026May 27, 2026

35 years ago, I stood in a hospital hallway and made a decision that would define the rest of my professional life. I was halfway through my internship year in radiation oncology, a field of high-tech linear accelerators and clear-cut protocols, but my heart had drifted toward psychiatry. When I finally voiced my intent to switch, I didn’t find the collegial support we are taught to value in medical training. …

Physician voices

Bedside medicine and the meaning of physician presence

Gus W. Krucke, MD

May 26, 2026May 26, 2026

Transitioning from one part of the country to another can be daunting, though for me it has become a fascinating lesson in both what differentiates us and what remains remarkably the same. Geography changes. Accents shift. Customs vary. Yet suffering,…

I have continued to practice medicine much as I always have, in person, at the bedside, and in patients’ …

Physician voices

Physician burnout is quietly costing doctors themselves

Jerina Gani, MD, MPH

May 24, 2026May 24, 2026

What if I told you that burnout is not the most dangerous thing happening to primary care physicians right now? I actually think there's something worse, and it's happening quietly. Because many experienced doctors are slowly losing something they never…

What if I told you that burnout is not the most dangerous thing happening to primary care physicians right now? I actually think there’s something worse, and it’s happening quietly. Because many experienced doctors are slowly losing something they never expected to lose: themselves.

Not their license. Not their income. Not even their career. Themselves. Their energy. Their personality. Their joy. Their curiosity. Their life outside medicine.

Hello, I’m Dr. Gani. And …

Physician voices

Fragmented care needs clinical direction, not more data

Alan P. Feren, MD

May 23, 2026May 23, 2026

Patients often assume that someone is directing their care. That there is a clinician who sees the whole picture, integrates the information, and guides what happens next. In many cases, that is not how modern care is structured. Patients move between clinicians (primary care, specialists, urgent care, consultants), each focused appropriately on a specific aspect of the problem. Each encounter may be thorough. Each decision may be reasonable. Each plan …

The Podcast by KevinMD

Primary care, bloodletting, and what medicine got right [PODCAST]

The Podcast by KevinMD

May 22, 2026May 22, 2026

Robert C. Smith is best known for arguing medicine lost its mind. This episode he explains why he is still proud to be a doctor. Primary care physicians deliver 75 percent of the nation's mental health care without training for…

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Physician voices

The referral trap: How specialization fragments care

Ann Lebeck, MD

May 19, 2026May 19, 2026

She was already seated when I walked in. On the desk in front of her sat a large sleeve, the kind that holds imaging films, oversized and awkward, the kind that no longer fits in a folder or a binder or anywhere in a modern clinic. Beside it was a folder. Labs indexed by specialist and date. Notes from orthopedics, neurology, rheumatology, pain management, and physical therapy. Every test, every …

The Podcast by KevinMD

14 patients studied, thousands injecting: the peptide evidence gap [PODCAST]

The Podcast by KevinMD

May 18, 2026May 18, 2026

Why do patients refuse statins backed by decades of data in millions of people yet eagerly inject peptides tested in fewer than 20? Emergency medicine physician and longevity practitioner Vikas Patel confronts this paradox head-on. In this episode, based on…

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Physician voices

Reclaiming the lost art of the physical exam

Ann Lebeck, MD

May 18, 2026May 18, 2026

Before the imaging, the lab work, or the referral, there is a moment when the body is already speaking. The way someone walks into the room. The hesitation before sitting down. The guarded turn of a shoulder. The subtle shift…

Before the imaging, the lab work, or the referral, there is a moment when the body is already speaking.

The way someone walks into the room. The hesitation before sitting down. The guarded turn of a shoulder. The subtle shift away from one hip before pain is ever described.

Medicine once placed enormous value on these observations. Observation was not separate from diagnosis; it was the beginning of it.

Sherlock Holmes famously suggested …

Physician voices

Time pressure in medicine narrows how we see

Ann Lebeck, MD

May 17, 2026May 17, 2026

Medicine values speed, but patients often reveal themselves slowly. We are expected to identify the problem, name it, code it, treat it, and move on. That process may be necessary in a pressured system, but it can also mistake a…

Medicine values speed, but patients often reveal themselves slowly.

We are expected to identify the problem, name it, code it, treat it, and move on. That process may be necessary in a pressured system, but it can also mistake a label for understanding.

A diagnosis can be useful. It can guide treatment, open access, and reassure patients. But it can also become a premature ending to a story that still needs …

Physician voices

How a Broadway comedy saved an internal medicine doctor

Ryan McCarthy, MD

May 16, 2026May 16, 2026

"As a witness to so much sadness and pain, how do you keep from getting depressed?" As an internal medicine doctor, I have heard versions of this question for decades. And, despite a myriad of changes in my career, my…

“As a witness to so much sadness and pain, how do you keep from getting depressed?” As an internal medicine doctor, I have heard versions of this question for decades. And, despite a myriad of changes in my career, my answer has never wavered. And while there are many comedians and funny things, one particular evening more than any other reveals how …

Conditions and diseases

5 health-destroying myths perpetuated by marketing

Martha Rosenberg

May 16, 2026May 16, 2026

Scent beads and laundry additives are innocuous If you are online or on broadcast you cannot miss it: personal care corporations telling you that you stink. Even if you are using deodorant on "those places," your body smells all over,…

Scent beads and laundry additives are innocuous

If you are online or on broadcast you cannot miss it: personal care corporations telling you that you stink. Even if you are using deodorant on “those places,” your body smells all over, say a disturbing number of ads, and the odor “transfers” all over your house. Just saying.

The manic ads for dryer sheets, detergents, fabric softeners, and scent “love stories” do not mention …

The Podcast by KevinMD

Why your patient’s biggest barrier isn’t pain. It’s walking through the door. [PODCAST]

The Podcast by KevinMD

May 15, 2026May 15, 2026

What keeps millions of people from sitting in a dentist's chair, even when modern technology has made procedures more comfortable than ever? Kaushal Shah is a general dentist and dental director managing multiple practices in the Dallas area with 15…

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What keeps millions of people from sitting in a dentist’s chair, even when modern technology has made procedures more comfortable than ever? Kaushal Shah is a general dentist and dental director managing multiple practices in the Dallas area with 15 years of clinical experience. In this episode, based on his KevinMD …

Physician voices

Why corporate medicine fails every physician-patient

Ronald L. Lindsay, MD

May 15, 2026May 15, 2026

Physicians make the worst patients. Not because we are demanding or entitled, but because we know exactly what is happening behind the curtain. We know when a delay is avoidable. We know when a clinician is being rushed. We know when a decision is being shaped by billing codes rather than clinical judgment. And we know when a system is quietly failing us, the same system we once defended, taught, …

Physician voices

Clinician peer support is a patient safety issue

Olumuyiwa Bamgbade, MD

May 14, 2026May 14, 2026

Frontline clinicians work in a paradox. We care for others at their most vulnerable moments, yet we struggle to admit our own vulnerability. We recognize pain in patients, but we may miss it in the colleague working with us. We respond quickly to patients’ clinical deterioration, but we ignore our emotional deterioration until it becomes dangerous.

Frontline clinician suicide is not only an individual tragedy. It is also a workplace warning …

Conditions and diseases

Normal labs miss what most patients are living through

Shiv K. Goel, MD

May 14, 2026May 14, 2026

She sat across from me, results in hand, and asked the question I have heard more times than I can count. "If everything is normal, why do I still feel like this?" I did not have a clean answer. Not…

She sat across from me, results in hand, and asked the question I have heard more times than I can count.

“If everything is normal, why do I still feel like this?”

I did not have a clean answer. Not because she was wrong to ask. Because she was right, and medicine, at that moment, had run out of language.

Her CBC was normal. Her CMP was normal. Thyroid unremarkable. Inflammatory markers unimpressive. …

Primary care

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