Category: KevinMD

When constipation pain was worse than cancer pain

Coming in to meet the students, house staff, and patients for the first day on service always excites me. This Monday was no exception. What awaited me? How many patients would I need to see? What lessons could I impart? When I arrived, we had 11 patie…

A student finds his passion for medicine

3:30 a.m. – Wake up. 4:00 a.m. – Leave apartment. 4:15 a.m. – Arrive at hospital. 4:20 a.m. – Print out the patient list. 4:20 – 5:25 a.m. – Split the list of 50 patients with your partner, go to a computer and write…

How this physician fought imposter syndrome

It took me a long time to put a name to what I was feeling. Only recently had I started to read about imposter syndrome. I’ve had this feeling multiple times throughout my life, and it always had the potential to pull me backward instead of allow…

Home buying tips for physicians

Financial planning is comprised of the six decisions people make with their money. Physicians need to make decisions as to how you earn, spend, save, borrow, give, and protect yours. Home buying typically touches on all of the six money decisions. Home…

Patient experience scores are being dragged down by process problems

Which statement fits your organization the best? Option A: Our organizational strategies, incentives, goals, and mantras are driven by patient experience. Option B: Our organizational strategies, incentives, goals, and mantras are driven by quality and…

Patient experience scores are being dragged down by process problems

Which statement fits your organization the best? Option A: Our organizational strategies, incentives, goals, and mantras are driven by patient experience. Option B: Our organizational strategies, incentives, goals, and mantras are driven by quality and…

Disproving the false claims of febrile seizures after vaccines

A seizure in response to a fever, called a febrile seizure, is an extremely common event in childhood. They affect 2 to 5 percent of children between 6 months and five years of age and have a peak incidence between 12 and 18 months of age. They general…

Medical judgment: Healing demands more than knowledge

I’ve delved into the issue of medical judgment more than once.  I have argued that sound judgment is more important than medical knowledge.  If one has a knowledge deficit, assuming he is aware of this, it is easily remedied.  A judgment deficiency, pe…

Physicians can’t do everything for everybody in every visit

How long does it take to diagnose guttate psoriasis versus pityriasis rosea? Swimmers ear versus a ruptured eardrum? A kidney stone? A urinary tract infection? An ankle sprain? So why is the typical “cycle time,” the time it takes for a patient to get …

Physicians and the risk of a plateauing net worth

Wealth accumulation can follow many trajectories, depending on discipline and external factors like stock market health or economic fluctuations.  With a proper financial plan, doctors can stick to a game plan that should allow them to reach financial …