Category: KevinMD

MKSAP: 62-year-old woman with a sun allergy

Test your medicine knowledge with the MKSAP challenge, in partnership with the American College of Physicians. A 62-year-old woman is evaluated for a “sun allergy,” manifesting as a rash on her scalp, eyelids, upper back, and knuckles. This started 2 y…

How the influence of a grandfather affects this physician

I remember Grandpa Larry’s visits remarkably vividly. He would lumber into the house hunched over, grunting loudly and reeking of cigarettes. He was unshaven and haggard, with wild grey-black hair streaking out horizontally from the sides of his head. …

A medical student grew up without health insurance. Here’s why that matters.

I’m constantly awed by the fact that I get to be part of one of the best hospitals in the world, especially because as a kid, I grew up without health insurance. These were the days before the Affordable Care Act; there was no penalty for going without…

Your 401(k) is not a piggy bank

Many people look at their 401(k) like it is a piggy bank. Since they often don’t have any other savings, when they need a lump sum of money for a large purchase, the only account they have with a decent balance is their retirement account. Since most p…

These are the only 3 reasons to file a tax extension

There are only three valid reasons to file an extension on your taxes, which changes your required filing date from April 15th to October 15th. Unfortunately, I see many people who have filed an extension incorrectly or for the wrong reason that end up…

Fleece pajama bottoms in the ER

Can someone please tell me the exact moment when fleece pajama bottoms became the fashion sensibility of America? I can’t pinpoint the moment exactly, but several years ago I began to notice that many of our ER patients were presenting for treatm…

5 ways to address the issues of direct-to-consumer health products

Health products are increasingly moving from the realm of the medical professional to the consumer. Direct-to-consumer (DTC) versions of teeth alignment kits, genetic tests, hearing aids, heart-rhythm monitors, neurostimulation devices, and mental heal…

Could patients be their own scribes?

One day while on shift in the emergency department, I looked out into the waiting room at the dozens of people waiting to be seen.  Many had been waiting for hours. Some looked bored. Others appeared agitated by the long wait time. One thing that nearl…

5 things you may not know about cancer risk

There is still a lot we don’t know about cancer. A diagnosis or even the thought of a future diagnosis can be scary. And what about your cancer risk? Many patients ask me “If a close family member has cancer, does that mean I will too?” Through heredit…

6 steps to tackle student loan debt in residency

If you’re like me, or one of the millions of med students with student loan debt, you need a plan on how to repay it. Learning about the different loan servicers, repayment plans, and complex financial terms can be a bit daunting. As a graduating med s…