Category: KevinMD

How EMR alert fatigue overwhelms physicians

As a hospitalist, like most in health care, I am afflicted by the slow march of thousands of mouse clicks on the electronic health record (EHR) every day I work.  But after starting a new job and learning a new EHR, I have become painfully aware of the…

V.O.M.I.T. in the ER

First came the SOAP notes. They’ve nothing to do with cleanliness, just the opposite. SOAP stands for: Subjective, Objective, Assessment and Plan. S: “Patient states that pain is 16/10, sharp, unremitting. Feeling like a crocodile is eating insides eve…

The conflict between pharmacists and their corporate superiors

Pharmacists play an essential role in today’s ever-expanding health care system today. They check for drug interactions, watch for signs of opioid overprescribing and try to determine whether a drug for one condition prescribed by one doctor will negat…

10 things patients should know about hospitals

When you enter the doors of an emergency department, what you are entering is the realm of the unknown. Needles, blood, blaring alarms and all-nighters with nurses are about to become your new norm. For your whole life, you thought good food, sleep, an…

Treat your family like you treat your patients

Many times during difficult patient interactions — when I am not sure about the right thing to do — I let myself be guided by the question: “What would I do if it was my family member?” This internal dialogue usually cuts the clutter and lets me focus …

This physician chose not to do a triathlon. Here’s why.

I posted on social media that in 2019, I would compete in Ironman. I wanted to hold myself accountable and was announcing “I could do this.” My primary reason, so I thought, was that “I wanted to grow mentally and physically.” Since then, I have been t…

My garden has taught me a lot about health care

Sustainability is a bit of a buzz word these days. To be sustainable means that you only use what you need, leaving the rest to be used by you or others in the future. Sustainability is a popular topic in environmental sciences and refers to renewable …

What clothing choice says about a patient

The woman waiting to see me looked every inch a lawyer or accountant in her black pencil skirt, pink shirt, and a Chanel-style houndstooth jacket. Her ankle boots were reminiscent of those worn by women in Victorian times with a row of small buttons up…

Must-have medical apps for primary care

Earlier this year, we put together a list of what we thought were the best medical apps for health care providers. Now at the end of 2018, we’re augmenting that list to give you a full picture of what we think are must-haves medical apps for those in p…

How hospitals are taking advantage of the 340B Drug Pricing Program

Sometimes it is hard for hospitals to provide expensive care to poor patients. When a low-income patient needs $20,000 of chemotherapy, a hospital loses money if that patient cannot pay for the medicine, or pays through Medicaid, with its relatively st…