Category: KevinMD

Do not take medical tests as gospel

During my time in practice, I had at least eight patients who came to me sure they had systemic lupus erythematosus, also commonly called SLE or lupus. This is an autoimmune disease, characterized by joint pain, that can affect almost any organ, includ…

Why it’s important to remove the sutures you place

As a surgeon who has been practicing for more than 20 years, I have had a front row seat to both positive and negative changes that have taken place in our evolving medical field. As a community hand surgeon who values many of the recent advances in ha…

What caring for 6 generations can teach new doctors

“Hi, Doctor Kamajian! I finally got health insurance that I can use to come to see you with my son.” I looked at the chart and realized it had been three years since I had seen her very familiar face. So, before the exam, we chatted and got reacq…

Navigating infertility while training to perform abortions

I met the medical criteria for infertility one week before starting my journey to becoming an abortion provider. In my second year of residency as a family physician, my husband and I began trying to have a child. At six months without success, we impa…

Best jobs for retired physicians: What are the options?

This article is sponsored by Careers by KevinMD.com. Even the best of careers must end sometime. Sure, most doctors look forward to retirement, but not every retired physician wants to sit back collecting sea-shells for the rest of his or her life. Whe…

MKSAP: 60-year-old man with constant low-grade epigastric pain radiating to his back

Test your medicine knowledge with the MKSAP challenge, in partnership with the American College of Physicians. A 60-year-old man is evaluated for constant low-grade epigastric pain radiating to his back that worsens after he eats fatty foods. He has a …

Surprise! Health care can learn a lot from the DMV

Three years ago, I received a letter in the mail informing me that my driver’s license would be expiring. Almost immediately, I felt a sense of dread because I knew I would have to go to the DMV to renew my license. As a full-time, practicing orthopedi…

Blame the pain, not the opioids

I’ve noticed a frightening trend in the latest research on patients taking prescribed opioids: whatever the negative outcomes, researchers attribute them to the opioid medications instead of the underlying pain. The many detrimental outcomes thes…

Children surprise their doctors to say thank you

Children surprise their doctors by dressing up just like them to say thank you for the incredible work they do each day. Happy Doctors’ Day, courtesy of Children’s Health.
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How physicians can find meaning in their work

“Seriously, do you often/very often reflect on how your work helps make the world a better place?” I was recently involved in an email exchange with a colleague when she sent me this line. We will get to the answer to that question at the end. I was di…