Category: KevinMD

The sensitive topic of physical contact during exams

Touch is a sensitive thing. No pun is intended here, but whether and how we touch our patients deserves our careful thought and deliberation. So much interpersonal contact these days is virtual, with emojis, abbreviations and whole words thrown around …

Just because EMRs can document everything doesn’t mean they should

It’s always kind of a surprise when you read a patient’s chart, and you see an examination of a body part they just don’t have. Just the other day, I was reading a consult note on a patient of mine who had been seen by a subspecialist…

Life hacks from a 9-month-old infant

The problem Sometimes, you reach a stage in life where each day has become predictable. Despite success, you slide into a rut. The status quo doesn’t cut it. Your patients are interesting, but not stimulating enough. Your staff is well-trained, but not…

The costly decision of delaying surgery

It was a common enough reason for someone to have a CT scan. The order read, “Abdominal pain, colon cancer resected in January.” It was now March, only two months post-surgery. Yet the patient’s CT scan showed a number of large masses in the liver, con…

It’s time to seriously study gun violence

I have been working on gun violence prevention for the past two years. After the Las Vegas shooting, I worked with a fellow medical student to create a course teaching medical students about gun violence and how it relates to medicine. We taught future…

Why the Lancet’s editorial on Kashmir is unhelpful

If Rudolph Virchow’s observation that “medicine is a social science and politics is nothing but medicine writ large” is true, then medicine is bias writ large because politics is nothing but bias on steroids. Virchow’s maxim is now adopted by medical j…

3 lessons learned from the deep end of the pool

Over the past few summers, I’ve been noticing that when it came to swimming in the deep end of the pool, I was fearful. Gone was the fearlessness of my youth, when I’d venture out, take risks and somehow just know I’d make it back to the shallow end wh…

What does evidence-based psychotherapy really mean?

When a mental health clinic, online referral service, or private practice offers “evidence-based” psychotherapy, that certainly sounds like a selling point.  It suggests solid science supports the therapy offered — and that competing services lac…

The story of a hospital collapse and how small towns were devastated

The money was so good in the beginning, and it seemed it might gush forever, right through tiny country hospitals in Missouri, Oklahoma, Tennessee and into the coffers of companies controlled by Jorge A. Perez, his family, and business partners. It was…

It is wrong to exploit physicians’ compassion

When a patient comes to see me for a migraine headache, I know that they will leave feeling 100 percent better. They will finally be rid of that pounding, nauseating pain in their head, and they will be happy. And that makes me happy. Doctors derive gr…