Category: KevinMD

How a neurosurgeon uses a No Room for Error mentality when making life decisions

As a doctor that specifically deals with brain and spine surgeries, I have adopted a No Room for Error mentality in the operating room. I believe this same mentality can be helpful in making the best possible life decisions. What do I mean by No Room f…

Privilege is your superpower

The team stood around the older woman’s bedside. As one of the medical students, I prepared to meet my assigned patient. While being assigned to me, Mrs. R yelled, I’m not letting that  n***** take care of me! As the only Black person in th…

Medicine is too complex for computers to keep up with or understand

Family physicians and others have for years complained about ridiculous quality measures such as the meaningless use program, HEDIS, MACRA, etc. To its credit, the Agency for Health Care Research and Quality was willing to take a step back and ask, “Wh…

The lingering effects of a mass shooting

Veronica Kelley was working at an office building across the street from the Inland Regional Center in San Bernardino, Calif., in December 2015 when a county employee and his wife entered with semiautomatic rifles and opened fire, killing 14 and woundi…

A letter before the yearly checkup

Hey there, Dr. Brown. Just wanted to send a little note to warn you that I’m coming to see you soon for my yearly “checkup.” You and I both know that this is my annual opportunity to spew all of my worries on you and for you to reassure me that I’m not…

The deadly silence of physician depression and suicide

“It is high time for us to recognize that the physicians who spend so much of their lives caring for us are often suffering in silence, and effective interventions would be good medicine for all of us.” – Joan M. Anzia, MD On February 4, 2007, I …

5 ways to lessen the physician burden in the product evaluation process

Keeping tabs on the sheer volume of medical drugs and devices on the market is nearly impossible – the FDA approved a record 105 novel medical devices and 59 new drugs in 2018 alone. At the same, hospitals and physicians face ever-growing pressure to c…

The System has a tremendous advantage over physicians

My niece, whom we will call Anne, recently completed her residency. I remember Anne as a child: always smiling, always happy, idealistic. She excelled academically and chose medical school despite my reservations. I watched Anne proceed through medical…

ER staff deserve a safe place to do their jobs

Many years ago, it was called the emergency room. Now we call it the emergency department. However, unlike so many departments in the world, the emergency department has almost too many purposes, duties, and mandates to number. However, in the process …

How drugmakers became masters at producing authorized generics

When PDL BioPharma’s $40 million blood-pressure medicine faced the threat of a generic rival this year, the company pulled out a little-known strategy that critics say helps keep drugs expensive and competition weak. It launched its own generic version…