Category: KevinMD

Can you put me to sleep? Why ER physicians have to say no.

The heavy young man curled on his left side is in the ER for a pain in his backside. The sweaty blue dragon on his chest smells like fear. “It’s an abscess. I’ll have to open it. It’s gonna hurt.” “Can you put me to sleep? I hate pain.” I can. Should I…

Physicians: It’s time to let go of perfection

If there’s anything I’ve learned about readers of my site, it’s that you are some of the most accomplished and motivated people on this earth. When I hear about some of the things you’re doing, I’m blown away. Many of you run a successful practice whil…

Many questions remain about medical marijuana

On a daily basis, patients of mine come in for office visits complaining of wear and tear injuries, as well as aches and pains, and their methods of dealing with chronic pain. As we all know, aging is a part of the normal life process. For instance, as…

An emergency physician does a tooth extraction

I was working a few days ago and pulled a tooth.  Mind you, it’s not something I do with any regularity.  However, it was a very sweet little lady who was too weak and ill to get to the dentist and had other issues.  That lower incisor was loose, and c…

13 tips every pre-med student should know

If you’re reading this, you may have a son, a daughter, a family friend, or know of someone who is in college and considering medical school. As a medical student mentor, I share words of advice to my alma mater’s American Medical Student A…

The carcinogen of excess weight

What if I told you our children were being exposed to a known carcinogen, and it was increasing with successively younger kids? If that carcinogen were a preservative in packaging or chemicals from industrial waste, there would be widespread outcry. Bu…

3 things I wish I had known before starting medical school

I wish the best of luck to everybody applying to medical school. As somebody who was in this position five years ago, I wanted to take this opportunity to reflect on some of the things I wish I had known before I started medical school. 1. Look beyond …

Appreciative and respectful of my privilege in caring for elderly patients

I dedicate this to each of you who have cared for or are currently caring for an ill parent or family member.  Recently, due to the stress that several of my dearest friends have been experiencing in caring for their elderly parents, I am even more app…

Superhero movies: a perspective from a woman in medicine

Superhero movies have long been my favorite. When I used to have a hobbies section of my resume, action adventure, thriller, and superhero movies were always listed. During one of my interviews for a medical residency position, the female interviewer a…

A tragic Fentanyl story without redemption

Matt was 40, my sister’s age. He was training for a marathon and trying to talk his many friends into joining. He lay in bed with his three-year-old son every night to help him fall asleep. It’s hard to sleep train a toddler with a newborn to nurture a…