Category: KevinMD

The fallacy of patient-centered care

I often wonder what it was like before patient-centered care became a mainstream catchphrase. Was there a poor relationship between the patient and physician in the outpatient setting? Were hospitalized patients’ feelings, desires, goals, and therapy o…

The rent is too high in health care

Jimmy McMillan might have been right. Mr. McMillan ran for mayor of New York City as the founder and candidate of the “Rent Is Too Damn High” Party. And while he was talking about real estate rent, he might have made a similar complaint about health ca…

Kidney disease patients deserve better, and so do their doctors

World Kidney Day reminds us of the 850 million people globally affected by kidney diseases. It draws attention to the 1 in 7 American adults managing Chronic Kidney Disease (CKD) and the 660,000 Americans with end-stage renal disease (ESRD). It also re…

How Tom Brady and Lebron James can change your patients’ health

As medical professionals, one of the most challenging things to do is to motivate a patient to make changes in their lives. We passionately want the best for our patients, and it is sometimes so difficult for us to be able to connect with and inspire t…

Pledge to end your fear of death and end-of-life care

Are you or a loved one aging, perhaps with a chronic heart or lung condition that limits daily activities? Do you have an older parent in a nursing home or who needs assistance with daily living activities? If so, read on and make the pledge. As physic…

Why do patients call me by my first name?

For the past several years, I have been befuddled by patients calling me by my first name (Sara) instead of my professional title (Dr. Jones). At first, I ignored this, but as it became more common, I started telling some of these patients that I prefe…

49 ways to stay out of my ER

I’m an ER doc. I care for patients. All patients: Those who need to be in the ER; those who don’t; those who wouldn’t be there if they knew better. For them, for you and for fun, I’ve got some tips to keep you happy, safe and away from my ER. Enjoy. 1….

Physicians can choose not to be powerless against opioid addiction

I didn’t become a primary care doctor to treat opioid addiction. I wasn’t trained for it. To be honest, it scared me. But when you work, like I do, at a clinic that serves a lot of people who have little money or who struggle with mental health and sub…

A scribe’s haunting view of emergency medicine

If you’re in the emergency department, it’s probably the worst day of your life. You’re scared, confused, anxious, sad, maybe emotionally numb. You were at home with your husband and witnessed him have a cardiac arrest. He was unresponsive, and he wasn…

How does radiation therapy work? A radiation oncologist explains.

Most patients have an idea of how surgery and chemotherapy work.  It’s not difficult to picture a surgeon cutting out a cancer or a medical oncologist prescribing chemotherapy.  But how does radiation therapy work?  For the vast majority of patients, a…