Category: KevinMD

A patient imagines a conversation with Alexa

When Hubby isn’t around to act as a sounding board, when I’m not feeling well, I talk to my dog.  She sometimes gets a fearful, tearful earful.  I think if I could channel her thoughts to Alexa, Amazon’s virtual assistant, our conversation might go som…

Policymakers: Put down your carrots and sticks. They will not work.

As a family physician in the trenches, I routinely see blatantly poor medical care in the history of my new patients. Far too many people get unwarranted medications and tests, while important things go unrecognized or unaddressed. This paradox is madd…

How to be a merry widow

An excerpt from How To Be A Merry Widow – Life after Death for the Older Lady. You are like an animal cut off from the herd; people are social beings and need to be with others. The very word ‘”solitary” brings fear even to the most h…

Being a nurse: the hardest and the best job of all

I became a nurse at the age of 23. I was pregnant with my first son and dove into nursing headfirst, accepting a job in the pediatric ICU of the hospital where I worked. I still remember the call when I received the job offer. I hung up and jumped up a…

When did people’s feelings start mattering more than patient safety?

As an elder millennial physician, I’ve been straddling two worlds, that of the “old-school” mentality of training and this newer one of “wellness.” I’ve become disheartened with new physicians being increasingly unable to tolerate any criticism by teac…

CBD: What is it? A former DEA agent explains.

What is CBD? Cannabidiol or CBD for short is made from either the marijuana plant that contains tetrahydrocannabinol (THC) or hemp which contains little to any THC. “Hemp-derived” means that the CBD generally contains less than 0.3% THC while “marijuan…

It is time for physicians to reclaim the power of touch

I have three kids — all with very different temperaments and different personalities. Sometimes I use the term superpower to identify and cultivate their strengths and greatest attributes. I have always believed that my superpower is connection. It is …

A fight this physician didn’t ask for

I have a story to tell. And it’s going to be hard to read. Would you believe me if I told you that the health care industry is not immune to the same gender disparities and discrimination we see all over the news these days? I realize it’s difficult to…

A veteran tells an unexpected story

“You ever work with vets?” asks the young man sitting across from me in the hospital waiting room. He’s been sitting there all morning. So have I. Since 5:30 a.m., my father-in-law, 88, has been undergoing surgery to remove a tumor in…

Patient satisfaction should not be driven by poorly-designed surveys

A young male patient checks into the emergency department (ED) and is brought back to a room for an ankle injury he suffered the day before. He states that he twisted it while doing some indoor rock climbing and tells the triage nurse that it is swolle…