Category: KevinMD

Enter a clinical trial because it helps others, not necessarily yourself

From time to time, I am asked by someone about participating in a medical research study.  These situations are usually when an individual, or someone close to them, has unmet medical needs.  Understandably, a patient with a condition who is not improv…

Using low-dose naltrexone to treat pain

Lori Pinkley, a 50-year-old from Kansas City, Mo., has struggled with puzzling chronic pain since she was 15. She has had countless disappointing visits with doctors. Some said they couldn’t help her. Others diagnosed her with everything from fibromyal…

How do we manage pain in the era of the opioid crisis?

“6 in 10 Kids Got Opioids After Tonsil Surgery, Study Says.” So screams the headline from The Daily Beast. “In the midst of the opioid crisis, doctors sent many kids home with oxycodone and hydrocodone,” it goes on to say. Another example o…

Financial literacy is an escape hatch to physician burnout

A friend invited me to dinner to meet his new girlfriend.  I’d get to hang out with several other people from work and residency, too.  So, I was looking forward to dinner. We all sat down to eat. About ten minutes into the meal, I felt and looked like…

An expensive treatment may be a victim of its own widening use

Medical treatment has knocked down tumors in 6-year-old Easton Daniels’ brain, but the drug used also wiped out his immune system. To bolster his immune function and help keep him healthy, he has visited a hospital for intravenous infusions of immune g…

Saving a physician from burnout saves patients too

Burnout has taken center stage in health care. It impacts every aspect of care and our careers, as we realized we were not living out the ideals and values we thought we had signed up for. As we “merrily” worked along, it was the little gra…

The surgeon who underwent surgery: How being a patient changed him

I lay on my side while my father probed the space between my buttocks, looking for an opening in the incision. I was in bed in the guest room of my house, which had been converted into my room for the last two weeks while I recovered. My father, a surg…

Cancer patients who want to take unproven supplements

One of the most important things we do as physicians is to empower our patients with the knowledge we have so that they can make informed decisions about their care. In oncology, patients also benefit from educating themselves about ways they can try t…

If you build a budget, hospitals will adapt

U.S. health care spending is maddeningly high. As in fifty percent higher than what other wealthy countries spend, with no evidence we’re getting any bang for all those additional health care bucks. In 2014, the state of Maryland took direct aim at thi…

Medical schools need to produce more clinician-activists to help drive social change

For hundreds of years, health care providers have been on the front lines of social change. Think Margaret Sanger, a nurse who championed women’s rights and started the organization that later became Planned Parenthood, or Max Recamier, one of the phys…