Category: KevinMD

6 essential tips (and more) that I never learned in medical school

1. Cover your patients It was my first year of practice. One day I saw a new patient, a 25-year-old man with hemorrhoidal pain. My nurse told him to disrobe and put on a lap sheet. When I entered the room, I was surprised to see that the young man was …

Remembering Dr. Denton A. Cooley

Back in the 70s, Dr. Denton A. Cooley would do eight or so heart operations a day often on babies and children with heart defects. One day, he operated on four babies. Three of them died. It was around eight o’clock at night, and as Dr. Cooley wa…

The sweet path to hell: addiction in medical professionals

K: “I was assaulted by an intoxicated female. She punched me and ruptured two discs in my back. I lost my whole self. I could no longer take the CPR course required. I lost my income that was supporting me and my three children. I needed the narcotics …

How physicians can burn in, not burn out

Physicians are leaving medicine due to being physically and mentally exhausted. Most tragically, the United States loses one physician a day to suicide — an astronomical number. Physician burnout is a crisis that has been brewing in medicine for years….

Fixing burnout among hospitalists is a leadership challenge

“Happiness is when what you think, what you say and what you do are in harmony.” – Mahatma Gandhi Burnout among physicians is at an epidemic proportion. National data suggests that more than 50 percent of our workforce is burned out, and this tre…

How Big Medicine is hurting patients and putting small practices out of business

Recently the CEO of a large health care network stated: “Market forces don’t apply to health care.” Of course, economic and political forces apply to health care.  Big Medicine’s most powerful entities (insurers, hospitals, medical schools, pharmaceuti…

Hospice didn’t stop suffering. But what it did for us was priceless.

My wife Uzma died peacefully at home. She didn’t take any painkillers for her last three days. Our kids, my parents, and I were next to her. In the weeks leading up to her death, many old friends visited her. Others sent her flowers, cards, and f…

3 tips from an attorney to avoid a medical malpractice lawsuit

Twenty years of defending doctors and hospitals in medical malpractice cases has made me into a nervous patient. When you see the worst, you look for it. At least I do. That’s why when I was scheduled for a minor elective procedure, I was nervous. I se…

A physician’s secret to restore joy in the exam room

As someone who has been in the medical field for nearly ten years, I have had the opportunity to follow many physicians. I started off shadowing physicians, standing behind them as they would speak to patients in their rooms. Now, as a resident physici…

Medical care was never intended to be a daily fights against insurance companies

Last month I saw Joan, a woman who has had low back pain for years. She’d been through the ringer like every other person in severe pain: countless procedures and medications. She continued to have daily pain that stopped her from staying focused at wo…