Category: KevinMD

A paradigm shift in acute pain assessment and management

We have embarked upon a unique strategy to assess and manage pain. “Opioids Rarely Help Bodily Pain” is not a catchy phrase but a mnemonic related to educational learning which serves as the cornerstone of a new acute-pain management paradi…

The commodification of health care is destroying the doctor-patient relationship

My elderly patients miss the days when, in an emergency, they could call their family doctor at home, and they’d be cared for. Retired doctors reminisce about the “good old days” when they were in charge of their own schedules and could prescribe whate…

How self-awareness helps with patient interaction

What is self-awareness? A quick Google search says that it is “conscious knowledge of one’s own character, feelings, motives, and desires.” In other words, my worldview is different than yours. Hypothetically, I am a Republican, and you are a Dem…

A key tip for premedical students: Ask for help

A simple Google search is all you need to do to gauge the difficulty individuals have with asking for help. “How to ask to shadow someone.” 43.1 million results. “How to ask for a letter of recommendation.” 66 million results. “How to ask for help,” 3….

To parents who have lost children: We never forget your children

Her name was Callie (identifying information changed). She was four years old. She loved glitter and princesses and anything sparkly. She was affectionate and silly, and I fell hard for her. She was a patient, my patient, on the pediatric oncology unit…

HIPAA case studies: misguided mistakes and egregious errors

An excerpt from Tweets, Likes,and Liabilities: Online and Electronic Risk to the Healthcare Professional. When it comes to HIPAA violations, there are, sadly, plenty of examples available to serve as cautionary tales. Some seem like innocent mistakes t…

How to prevent ski injuries: tips from an orthopedic surgeon

Ski season is here, and it’s time to think about how we can avoid injuries on the slopes. As an orthopaedic surgeon, I most often see knee injuries, but also plenty of wrist, elbow and shoulder injuries as well. Hopefully, you’ve done some …

Alex Trebek diagnosed with pancreatic cancer. A brave journey begins.

The news that Alex Trebek has advanced stage IV pancreatic cancer has been met with an outpouring of support and good wishes, as would be expected for someone who has been a part of our lives for so many years. The fact is, pancreatic cancer is a diffi…

The most loving thing: end of life and saying goodbye

“Grandma fell and we’re in the emergency room. She’s very distressed and does not look good. I’m going to put the doctor on the phone.” I could hear my mother’s voice strain on the other end of the phone line as I braced myself for my conversation with…

Become more than a clinician. Be a healer.

When a patient goes to the doctor, they usually have a specific health problem in mind. Sometimes, the treatment is straightforward; a urinary tract infection warrants antibiotics. A laceration can be sutured. Other issues, however, are more complex. F…