Category: KevinMD

Vaccinating your child is a matter of trust

I did my medical school training in a country where I saw many children die every day from preventable illnesses. Measles, diarrhea, and malnutrition were the norm. I still have vivid memories of a young child dying in my arms of severe diarrhea and de…

A patient that reminded me of the first man I ever witnessed dying

He struggled to breathe, progressing from deep breaths with wet sounds reverberating in his lungs, to guppy breathing — opening the mouth like a fish, contorting the entire face. His heart rate slowly decreased, from 150 beats a minute — a pace attempt…

The physician who is a poor conversationalist

This article concerns what I call the poor conversationalist. There are several common versions of this, and all of them have corresponding parallels in nonmedical settings. Often the most basic difficulty is one of manner. A good conversationalist is …

What should you consider when establishing a peer-mentoring relationship?

Mentorship is a common topic in medicine. We, as a profession, spend significant time discussing, attending workshops about, and researching the role of mentorship. Mentorship is key to personal development, career choice, and improved academic product…

Cancerversary: The most wonderful term you wish you’d never heard

My husband recently planned a beautiful evening for me at our favorite restaurant, complete with a night away at a boutique hotel in wine country, in honor of my “cancerversary,” which for me marked one year since being diagnosed with breast cancer at …

Would this be what a modern-day House of God would look like?

I want to write a book about the modern intern experience, a successor to The House of God, if you will.  I’m going to call my book Seaport General.  It’s about a young intern named Troy, who is starting his internal medicine training at a fictional un…

Violence against women is overlooked in its role in opioid epidemic

One night, a woman I’ll call Tonya got a compliment from a guy when she was out with her boyfriend. Tonya’s boyfriend cursed her because another man had complimented her. He said: “You give it to everybody, I want it too.” In anticipation of his physic…

Death by 1,000 clicks: Where electronic health records went wrong

The pain radiated from the top of Annette Monachelli’s head, and it got worse when she changed positions. It didn’t feel like her usual migraine. The 47-year-old Vermont attorney turned innkeeper visited her local doctor at the Stowe Family Practice tw…

I speak for the nurses

“I would submit to you that those (small hospital nurses) probably do get breaks. They probably play cards for a considerable amount of the day.” – Maureen Walsh For the first ten years of my professional life, I was an inpatient nurse, first on …

We need more than medicine to prevent heart disease

Like more than half of older men, I take a cholesterol-lowering medication called a statin. Sometimes that seems a bit strange, because I don’t have high cholesterol. My doctor prescribed it based on a formula that largely hinges on age and sex. I’m 71…