Here’s what they should have told you: “We found cancer in your lymph nodes, your liver, your lungs, and your brain. It explains your weight loss, your difficulty breathing and your loss of appetite. This wasn’t just your depression l…
Category: KevinMD
Why is health insurance so unaffordable?
Honestly, I have never been a big fan of insurance. I am not much of a gambler, and paying for insurance feels like betting on my own misfortune. I have never purchased insurance for a cell phone or appliance. I would rather save the money and make an …
A medical student’s first day. The memories last forever.
On an early August morning in 2010, my alarm clock went off. The day had finally arrived. Today was my first day as a medical student at the university I had always wanted to attend. High school had ended just a couple of months before, and today I fel…
Vaccinating your child is a matter of trust
I did my medical school training in a country where I saw many children die every day from preventable illnesses. Measles, diarrhea, and malnutrition were the norm. I still have vivid memories of a young child dying in my arms of severe diarrhea and de…
A patient that reminded me of the first man I ever witnessed dying
He struggled to breathe, progressing from deep breaths with wet sounds reverberating in his lungs, to guppy breathing — opening the mouth like a fish, contorting the entire face. His heart rate slowly decreased, from 150 beats a minute — a pace attempt…
The physician who is a poor conversationalist
This article concerns what I call the poor conversationalist. There are several common versions of this, and all of them have corresponding parallels in nonmedical settings. Often the most basic difficulty is one of manner. A good conversationalist is …
What should you consider when establishing a peer-mentoring relationship?
Mentorship is a common topic in medicine. We, as a profession, spend significant time discussing, attending workshops about, and researching the role of mentorship. Mentorship is key to personal development, career choice, and improved academic product…
Cancerversary: The most wonderful term you wish you’d never heard
My husband recently planned a beautiful evening for me at our favorite restaurant, complete with a night away at a boutique hotel in wine country, in honor of my “cancerversary,” which for me marked one year since being diagnosed with breast cancer at …
Would this be what a modern-day House of God would look like?
I want to write a book about the modern intern experience, a successor to The House of God, if you will. I’m going to call my book Seaport General. It’s about a young intern named Troy, who is starting his internal medicine training at a fictional un…
Violence against women is overlooked in its role in opioid epidemic
One night, a woman I’ll call Tonya got a compliment from a guy when she was out with her boyfriend. Tonya’s boyfriend cursed her because another man had complimented her. He said: “You give it to everybody, I want it too.” In anticipation of his physic…
