Category: KevinMD

How physicians should respond to the words, “I am depressed”

My response to a colleague who says, “I am depressed,” is critical for many reasons. As doctors have tough masks, it has been difficult for my colleague to disclose this. Due to mental illness stigma in the medical profession, this doctor may have been…

A path to universal health coverage in America

Thirteen years ago, as a student in New York City, I marched across the Brooklyn Bridge to implore my colleagues to fight for universal health care. That day, I enunciated what has become my personal mission by saying, “We need universal coverage…

Physician negotiating: Go get what you’re worth

Nearly five years into practice, I have negotiated my first contract, multiple pay increases, call compensation and independent contractor status. I prepared by researching my market value and reading about negotiation strategy. The following are some …

How can doctors stop fake medical news

When I started on my path in medicine, I was an optimistic, wide-eyed, enthusiastic medical student. I had fond memories of rounding on Sundays with my vascular surgeon father as a child, and I remembered the appreciation his patients would express whe…

Why is age only a concern regarding surgeons, and not government officials?

Older surgeons are coming under increasing scrutiny as their competence and ability to practice medicine are called into question especially since many continue to work in their 60s and 70s. The New York Times addressed this in a recent article entitle…

A psychiatrist’s attempt to stop burnout

I don’t want to go back. Starting at 6 a.m., the intern entered the hospital with coffee from the bodega down the street, anxious about the patients that were admitted to the ward the previous evening. I deserve it. At 8 a.m., he had already rounded on…

Every physician will kill a patient

How did I miss his hypokalemia? Two weeks into my intern year and my patient’s potassium returned at 2.9. Minutes later, he coded. And I felt responsible. As I explained to my partner how my patient had become pulseless after diuresis of his heart fail…

A physician’s elective rotation in Rhodesia

An excerpt from Close to the Sun: The Journey of a Pioneer Heart Surgeon. In the third year of medical school, we were granted a three-month elective, during which we were encouraged to work at another hospital or in some medically related endeavor to …

Measles outbreaks: Getting to the root of the problem

Measles outbreaks across the United States have been identified with Texas being the 11th state so far to report an outbreak. The Philippines with over 2 million unvaccinated children has declared an outbreak of measles after nearly 2,000 cases and 26 …

Medical schools need to cut their cutthroat culture

The United States will be short 120,000 doctors by the end of next decade, according to the latest research from the Association of American Medical Colleges. That shortage will become permanent unless medical schools make the path to becoming a doctor…