Category: KevinMD

Is it physician burnout or perimenopause?

I am an experienced OB/GYN, well-versed in obstetrics, infertility, gynecology, surgery and — yes — menopause, or so I thought. So why was I so blindsided by my own menopause transition? I thought I was going through burnout, with anxiety, anger, mood …

MKSAP: 52-year-old woman with chest pressure

Test your medicine knowledge with the MKSAP challenge, in partnership with the American College of Physicians. A 52-year-old woman is evaluated for a 6-week history of chest pressure. The symptom occurs when she walks up an incline on her daily 2-mile …

How better nutrition helps this physician get through the day

Take a stroll through any emergency department or hospital break room, and what do you see? Chips, pop, candy bars, and different flavors of junk food. Working in the trenches of medicine requires stamina and mental fortitude. Fueling the body and mind…

Health care facilities are difficult to navigate for older adults

A month ago, during a visit to her doctor’s office in Sequim, Wash., Sue Christensen fell to her knees in the bathroom when her legs suddenly gave out. The 74-year-old was in an accessible stall with her walker, an older model that doesn’t have brakes….

My patients teach me, guide me, and remind me that I am here

It’s an odd thing doing what I do sometimes.  Dichotomies of highs and lows, life and death, joy and sorrow.  In the past 15 years that I have been in health care — a nurse’s assistant, to registered nurse, to now pediatric nurse practitioner &#8…

Invest in real estate with money you have already saved for retirement

So you’ve done your research and you are sold on the idea of investing as a limited partner in real estate syndications such as apartments, mobile home parks, or self-storage facilities. “But,” you lament, “that means I need to …

Overcoming the challenges prosperity can bring to teens and young adults

They received a call that their 19-year-old son had been transported to the local hospital, extremely agitated and intoxicated, with a blood alcohol level of .245. What they learned over the next few days was that this wasn’t the first time their son h…

When hospitals are like prisons

Some weeks ago, this writer visited with a friend who had been admitted to an inpatient psychiatric unit of a New York hospital. The friend had been there for a few weeks. Other patients have been there for longer. After spending approximately an hour …

The randomness of cancer: bad luck or something else?

Randomness in life is inevitable because the universe is a pretty random place, although the extent to which you believe that depends upon your own value system. This notion comes into play almost every day of my practice in the PICU because many of th…

Clearing up the confusion surrounding Medicare for all

The Democratic debates this summer demonstrated massive confusion around Medicare for all. Does it mean Medicare for all who want it? Medicare Advantage? A “public option” on an Affordable Care Act (ACA) exchange? Democrats need to get thei…