Category: KevinMD

Patients turn to GoFundMe when money and hope run out

Tammy Fox wanted to help after a friend took ill with a rare and difficult-to-diagnose autoimmune disorder that required many trips to the Mayo Clinic. Although Fox couldn’t do anything medically, she knew there was a way to ease some of the burden of …

The culture of permission in medicine

During the recent winter break, I went home and visited my yearly slew of doctors for check-ups: vision, dental, gynecology, etc. In the exam room, my new gynecologist instructed me to put my feet up in the stirrups. I had recently learned in a seminar…

A shortage of Kayexalate leads to an ER visit

Last week I had a patient with mild kidney disease and a high potassium. I thought that it would be easy to take care of. We called around to all the pharmacies from Bangor to Ellsworth to Belfast, and nobody had Kayexalate, the time-tested antidote, i…

Health care organizations have to take better care of their employees

Anybody who has even a passing interest in health and wellness knows the sobering fact that a large number of medical problems that plague society today are the result of unhealthy living habits. Conditions such as heart disease and diabetes, which are…

Health care organizations have to take better care of their employees

Anybody who has even a passing interest in health and wellness knows the sobering fact that a large number of medical problems that plague society today are the result of unhealthy living habits. Conditions such as heart disease and diabetes, which are…

How can doctors address patients’ expectations?

No one wants to be sick, especially when no one can tell them what is wrong. In the U.S., we live in a culture where we want instant results; we want easy answers for complex problems. However, in medicine, there are often no easy fixes. Adverse medica…

An emergency physician with no friends

Every time I call a friend, all I have for them is more work. I’ve never yet called to say: “I hope you’re having a great day. Why don’t you take a break and have some fun? You’ve worked enough.” Nope. I only call to give them extra work. Whether it’s …

The questions clinicians never think to ask

The chief complaint was belly pain. He described the pain as both dull and crampy. It came and went, but bothered him the most on the same night of each week. The notes from the primary care doctor show a thoughtful search for the underlying cause. The…

The folly of using money to improve health care quality

Imagine you’re a CEO in charge of a health care organization with thousands of physicians and 19 hospitals. Overall, the quality of care delivered is good. Prices and costs are low. But there is a problem: Patients rate your service below average. Maki…

Physicians: Don’t make these mistakes when looking for your first job

We all have either experienced the fears of starting our first job or will eventually do so at some point in our careers.  It only happens once for everyone.  Those of us who are in the market for a job change will end up reliving some of the challenge…