Category: KevinMD

The progressive increase in adult obesity is more complicated than we think

All of us are aware of what has been termed our “obesity epidemic.” The current prevalence of obesity among adults in the U.S. is around 40 percent, a dramatic increase over the past 50 years; it was about 15 percent in 1970. Rates are also increasing …

Tales of an emergency physician, recertifying for the third time

Year 2000. I’m sitting in a semi-fancy hotel ballroom near LAX along with several hundred slightly edgy emergency physicians. We’re all awaiting the start of our ABEM written re-certification examination. This was in the old-school days of live exams. …

Beyond the EpiPen: Irrational drug prices are now pervasive

There was outrage over the sudden rise in the price of the EpiPen. But the rise in many other pharmaceutical prices gets less attention but is just as concerning. It can be easy to forget issues like this until they affect us personally. My two encount…

An orthopedic surgeon goes to a bar. Here’s what happened next.

I went to a bar last night — and I looked good: red coat, black dress, knee-high suede boots.  I was feeling pretty good. I met my best friend at this bar — he lives elsewhere now — but this is his favorite spot in the world.  Like No…

An orthopedic surgeon goes to a bar. Here’s what happened next.

I went to a bar last night — and I looked good: red coat, black dress, knee-high suede boots.  I was feeling pretty good. I met my best friend at this bar — he lives elsewhere now — but this is his favorite spot in the world.  Like No…

Patient demand doesn’t justify medical excess

We live in an era where plastic surgery is routine.   Indeed, in many parts of the country, plastic surgery is an expected rite of passage.   Years ago, facelifts and “tummy tucks” were done on those in middle age who were trying to experie…

The thought cancers that almost took my life

The night I almost swallowed a bottle of Percocet post-call in residency is still clear in my mind, as is the hours leading up to it; the thoughts going through my head, the swirl of emotions seemingly pulling me like an ocean undertow.  I can only att…

What can a famous actress teach us about curing addiction?

I recently had the pleasure of interviewing famous television and film actress, Claudia Christian. She has played significant roles in many notable movies and shows, including lead roles in the long-running sci-fi series Babylon 5 and the Disney film, …

Burnout is death by a thousand cuts

I think I’m finally burned out. And it’s been a long time coming. It likely started when my private physician-owned emergency group got bought out by one of the big corporate groups. The changes were small at first. Turning us into hourly paid employee…

Experience and in-depth knowledge can empower you with an appreciation for nuances

In medicine, contrary to common belief, it is not usually enough to know the diagnosis and its best treatment or procedure. Guidelines, checklists, and protocols only go so far when you are treating real people with diverse constitutions for multiple p…