Category: KevinMD

I’m a residency program coordinator. My role has changed over the years.

I was a 22-year-old intern, just about to finish my public health internship. I had an ambitious career ahead of me. I was trained as a public health educator. I was doing wellness fairs, writing newsletters, and excited to get to the next stage of my …

A patient’s family bridges two worlds

Toward the end of my clinical rotations, I met Salma, a 34-year-old woman who came from Egypt with her family to the U.S. two years ago. Wearing a latte-colored hijab, she was here at the hospital to care for her father, who had a case of congestive he…

A nurse comes face to face with her son’s serious illness

Prior to my 10-year-old son being diagnosed with leukemia, I worked as a diabetes nurse educator at a local hospital. I had been an RN for over 15 years and was able to balance home life with work; I loved educating patients on how to deal with their d…

Simple suggestions can make such a positive impact

Recently I visited a lady at her home who was a palliative care patient. She was seated on the couch in the living room with a turban on her head and a look of anxiety and depression. Her husband was quiet during the entire visit. He was seated in a ch…

Beware of the potential harms of trust: 5 safeguards

While “trust” sounds like it would be an inherently good thing to have between two people or in a team, that is not always the case. Depending on what “trust” means to you, it can also be harmful at times. While it may not at first seem pertinent, driv…

Should doctors give up on primary care?

Ten years ago, I wrote an essay on the primary care shortage.  I argued that more money and better working conditions would help decrease the shortage.  Unfortunately, things have worsened over the last decade.  The AAMC now predicts a shortage of betw…

To have success and fulfillment, sometimes you have to edit your life

This year, I learned that to have success and fulfillment, you don’t just do, sometimes you have to undo. What do I mean by that? The process of undoing — or editing — it a key part of different areas of our lives. For example, we edit in m…

An attorney pushes back on a physician’s critique of the medical liability system

I was struck by a post by Dr. Saurabh Jha about his views of the jury system — as some of his comments mirrored things I’ve said to juries in the past. Some things he got right, which go to the core our civil justice system. Some things, however, not s…

MKSAP: 49-year-old-man with right arm weakness

Test your medicine knowledge with the MKSAP challenge, in partnership with the American College of Physicians. A 49-year-old-man is evaluated 1 day after having an episode of right arm weakness without pain that lasted 5 minutes. He is now asymptomatic…

Doctors can change opioid prescribing habits. Incrementally.

When they started practicing medicine, most surgeons say, there was little or no information about just how many pain pills patients needed after specific procedures. As a result, patients often were sent home with the equivalent of handfuls of powerfu…