“You’re 27-and-a-half weeks pregnant.” As I lay on the exam table, time froze. How can this be? I wondered dazedly. I’m a second-year medical student. I’ve just completed a course in female reproduction and endocrinology. …
Category: KevinMD
Why physicians should have golden parachutes
Early into my career as an emergency physician, I was seated in the department with a colleague when I inquired about one of our co-workers I had not seen in a while. “Oh, she’s on the mommy track,” my colleague said and picked up ano…
More than three hours late, but somehow still on time
The sound of a clock, hung haphazardly on a colorless cold wall, ticks repetitively — tick, tick, tick. Time continues to pass as my appointment scheduled for three hours ago seems like it will never come. I scheduled this appointment three month…
No, phones don’t cause horns to grow on skulls
The Washington Post ran this headline: “’Horns’ are growing on young people’s skulls. Phone use is to blame, research suggests.” The headline is entirely correct except for a few minor points: They’re not horns, which point up from the forehead. They’r…
5 things I wish I had known earlier about chronic pain
I’ve been living with chronic pain for more than a decade. It began in 2009 with nerve damage after emergency groin surgery. Four years later, I fell and hit my head. That fall led to a constant headache, a whistling sound in my ear, back and hip pain,…
Improving health outcomes for children requires us to look at the big picture
It was a simple chief complaint: sore throat and fever. As expected, the little girl’s rapid Strep was positive. Instructions given. Antibiotics sent. This was Peds 101. But for some reason, before mom walked out the door, she made mention of their sta…
So, how’s medical school?
Since starting medical school, I have struggled to answer this question. Because medical school is everything. It’s amazing, challenging, soul-sucking, life-giving, exhausting, dream-fulfilling, anxiety-provoking, interesting, and, dare I say, fun? How…
What role does the science of complexity play in medicine?
The science of complexity lays a conceptual foundation for understanding “complex adaptive systems.” What all complex adaptive systems have in common is that they are all bound by the same set of physical laws. Their “behavior,”…
Considering CBD oil? This psychiatrist suggests these questions to ask first.
One question I get asked a lot lately is this: “Is it OK for me to use CBD oil?” First of all, CBD oil and associated preparations are types of alternative medications, medicines that might not be mainstream or readily prescribed by doctors, but are n…
How closing rural hospitals cost patient lives
For more than 30 minutes, Robert Findley lay unconscious in the back of an ambulance next to Mercy Hospital Fort Scott on a frigid February morning with paramedics hand-pumping oxygen into his lungs. A helipad sat just across the icy parking lot from t…
