Category: KevinMD

A love-hate relationship with nursing

If you went to go to a museum in New York City and saw a live heart encased in glass, still pumping and pulsating — it would be my heart, shredded into a thousand pieces all in disarray. But it still would be pulsating. This describes my life as a nurs…

8 tips for having a baby while applying for residency

Being a medical student is tough, applying for a competitive residency spot is tough, and being a new mother is also very tough. I am one of the lucky women to do all three at the same time. I had my child early August of my fourth year of medical scho…

How anti-vaxxers are just like the rest of us

Whenever I talk about my research on how parents come to decide to reject vaccines for their children, my explanations are met with a range of reactions, but I almost always hear the same questions. What is wrong with those parents? Are they anti-scien…

Here’s the secret to emergency department efficiency

A gray-haired emergency medicine physician once provided the most succinct view of ED efficiency ever uttered. He said, “Sometimes they ask us to dig a ditch. Then they give us spoons with which to do the job.” Though cynical, it is the view of many. T…

When gender identity confuses the electronic health record

One little thing. Somehow, with the changeover to the latest release of our electronic medical record, something happened to some of the demographic information on our patients. Suddenly, an enormous number of patients were now labeled as choosing not …

School vaccine exemptions must be for medical conditions only

No, vaccines do not cause autism. No, vaccines do not cause cancer. No, vaccines are not toxic. No, getting the disease is not safer than vaccination. Yes, they are safe. Yes, they are effective. As a pediatrician, I spend countless hours each week tal…

School vaccine exemptions must be for medical conditions only

No, vaccines do not cause autism. No, vaccines do not cause cancer. No, vaccines are not toxic. No, getting the disease is not safer than vaccination. Yes, they are safe. Yes, they are effective. As a pediatrician, I spend countless hours each week tal…

Physicians-in-training learn to cook for improved health outcomes

If an apple a day can keep the doctor away, how much more can a delicious burrito bowl with citrus lime vinaigrette do? About half of all American adults – 117 million — have one or more preventable chronic diseases, many of which are related to …

Physicians should move away from pagers. But it’s not that easy.

As I imagine every young doctor does, I vividly remember the feeling of getting my first pager. It was boxy and bricklike (much like my current pager) and felt obsolete. I’ll admit, it gave me trouble for a couple of days, despite having desperately fe…

The role of hatred in medicine

Most Saturdays, I join a therapy session down the hall from where I do my walk-in clinic. A patient of mine has a weekly session just before the Alcoholics Anonymous meeting at noon in our big conference room. Last weekend he told my behavioral health …