Category: KevinMD

Excellent surgeons those who are quick to recognize their mistakes

“Dr. Rahman, this is the nurse in OR 12, Dr. H is doing a robotic/laparoscopic hysterectomy. He thinks he’s injured the ureter and is requesting help. Are you available?” I knew what came next was going to be complex — challenging surgically, disruptiv…

KevinMD’s 2018 top posts: Highlighting the voices of practicing clinicians

With over 22 million page views for the year, thank you for making 2018 such a success. KevinMD continues to be the web’s leading platform that highlights the voice of the many who intersect with our health care system, but are rarely heard elsew…

How religious exemptions will affect Medicaid managed care

In the United States, 25 million adult women are insured by their state Medicaid program. Medicaid covers 60 percent of all births in the United States as per federal law, and states must cover all pregnancy-related services for pregnant women with inc…

We should not be in a hurry to label a sign or symptom pathognomonic

“Pathognomonia.” I do not believe this is a real word. That’s OK. I don’t care if it isn’t. I have wanted to write this little blurb several times over a period of a few years. My theme is related to what we physicians regard as pathognomon…

The demonization of socialized medicine

Of late, doctor/friends on social media have taken to reposting news articles detailing the horrors taking place in other nations because of the evil scourge known as socialized medicine. In fact, the two words, alone or together, just don’t carry anyt…

The day he stopped pretending to be sick

From second through fifth grade, I mastered the art of being sick. I got out of school, soccer practice and piano lessons so that I could be the child I wanted to be — not sick, but loved, cared for. Here was my recipe: 1. Wake up. 2. Feel anxious abou…

Does coffee lead to cardiac arrhythmias?

Coffee —”because of the caffeine which it holds,” described Dr. Henry Elsner in a 1911 review article in the journal of Hypertension and Arteriosclerosis — causes “increased rapidity of the heart’s action. It makes the heart irr…

12 things you’ll need for a smooth credentialing process

Physicians receive rigorous medical training for the better part of a decade. However, we emerge unprepared for the real-world job application process to which our friends in other professions are accustomed. One of these logistics includes credentiali…

A physician was barred from attending any future IT meetings

In the mid-1990s, I was working as the medical director for a national computer processing company that had the medical policy and utilization review contract for many Medicaid programs in the United States. Within the first few weeks of being hired, I…

Take care of you so that you can make a difference for others

A few years ago, after doing the work and mom thing for five-plus years, I noticed I was becoming increasingly cynical. I was, more often than not, in a bad mood — and I felt exhausted. One day I sat down and asked myself: “What the hell is going on wi…