Category: KevinMD

The ethics behind the world’s most expensive medication

With the recent FDA approval, Zolgensma became the world’s most expensive medication. Priced at $2.125 million per patient, the one-dose gene therapy is a potential life-saver for children with spinal muscular atrophy (SMA). Now, the treatment is at th…

What we can learn from Marcia Cross about HPV vaccination

Recently, Desperate Housewives star Marcia Cross made headlines by discussing her diagnosis of anal cancer and her husband’s diagnosis of throat cancer, revealing that both had been related to the human papillomavirus, or HPV. The move was brave, as th…

What we can learn from Marcia Cross about HPV vaccination

Recently, Desperate Housewives star Marcia Cross made headlines by discussing her diagnosis of anal cancer and her husband’s diagnosis of throat cancer, revealing that both had been related to the human papillomavirus, or HPV. The move was brave, as th…

“I’ll put my cell phone away when you put your computer away.”

“I’ll put my cell phone away when you put your computer away,” said the patient. These were the very words I heard upon opening the door and stepping into the exam room. As I stood waiting for him to look up, I was already looking at my computer for hi…

How pharmacy-based primary care takes the low-hanging fruit

With the announcement of CVS Health HUBs, the synergy of data and business is rapidly coming to the health sector; health systems will become havens only for the severely acutely ill, the more complex, the expensive. In the same way that urgent care ce…

This physician takes the time to be humbled and amazed by the stories patients share

What if I told you that, as your doctor, I’d rather listen to your memoir than to your lungs? Or that while I find the sound of a beating heart a marvel to behold, I’m more interested in hearing the jazz song that you wrote or talking about the words t…

How failing Step 1 helped me pass the boards. Twice.

I remember the day well. The dean of my medical school called me directly. As soon as she announced herself on the other end of the line, I knew it was bad news. Deans don’t tend to make social calls, and I was right. She was calling to tell me that I …

Why you shouldn’t be happy with $137 insulin

Eli Lilly and Co. recently announced with some fanfare that it was manufacturing a generic version of its own best-selling insulin brand, Humalog, which it would sell for half off — $137.35 versus about $275. David Ricks, the chief executive of Lilly, …

Why you shouldn’t be happy with $137 insulin

Eli Lilly and Co. recently announced with some fanfare that it was manufacturing a generic version of its own best-selling insulin brand, Humalog, which it would sell for half off — $137.35 versus about $275. David Ricks, the chief executive of Lilly, …

OB/GYNs are getting old and tired. Who’s going to be left to deliver your children?  

I’m a 46-year-old OB/GYN. I’ve been on call at least as often as every fourth night for my entire career. Let that sink in for a minute. How many people get up and answer phone calls, remove ectopic pregnancies, deliver babies, and do C-sections every …