Category: KevinMD

Stop nickel and diming doctors

So, who doesn’t want a better health care system? We are barraged with stories in the medical literature and in the public press about the terrible state of our health care system, what poor outcomes we have, the inefficiencies in care, complaint…

The limitations of artificial intelligence in cardiology

Artificial intelligence (#AI) seems to be all the rage these days, as it should be, given its potential to revolutionize medicine in many ways. #AI is actually already an integral part of many of our lives on Google, Amazon, Facebook, and other sites. …

A call to arms: We are all part of the health care solution

Sunlight is diminished by threatening clouds infiltrating the once azure blue sky, clouds that are framed in blackness indicating dangerous times ahead.  Nature’s creatures are seeking refuge for they are wise to see the signs of impending danger…

What are patients’ responsibilities for their health?

I expect my patients to develop or sense responsibility in connection to their health because I believe personal responsibility creates the basis for a constructive, therapeutic relationship and healing process. My experiences as a patient have made me…

What are patients’ responsibilities for their health?

I expect my patients to develop or sense responsibility in connection to their health because I believe personal responsibility creates the basis for a constructive, therapeutic relationship and healing process. My experiences as a patient have made me…

Toy magnets need to be banned for good

Over the course of little more than a month, we removed 54 tiny toy magnets from the digestive systems of four children. They were lucky: Despite invasive procedures and operations to repair holes in their intestines, their injuries were treated in tim…

The truth about body weight and infertility

A recent New York Times article entitled, “When You’re Told You’re Too Fat to Get Pregnant” discussed a woman’s journey to having a child, which involved being counseled against undergoing fertility treatment due to her hi…

When an EHR is hacked by Russians

Hippocrates didn’t have a server. In 2012 our practice invested $300,000 into building computer infrastructure and the purchase of a brand-spanking-new electronic health record, commonly referred to as an EHR. The mandate for this purchase was br…

MKSAP: 35-year-old man with persistent heartburn

Test your medicine knowledge with the MKSAP challenge, in partnership with the American College of Physicians. A 35-year-old man is evaluated during a follow-up appointment for persistent heartburn with chronic cough. He has a 1-year history of gastroe…

Go rural, young doctor!

I hear it all the time.  Young resident physicians are taught it.  It infects our failed attempts to staff rural hospitals.  (Among other things.) It’s this.  ‘If you’re well trained in a teaching center, and you go to a small rural hospital, you’ll lo…