Category: KevinMD

We have to deal with the trauma in veterans early on

My medical center recently cemented an agreement with the Veterans Administration to offer care to veterans who could not be accommodated at the VA. We need paying patients, they need doctors of our caliber — establishing mutual benefit. Military veterans have always been among our patients. During my professional lifetime that has included men of […]

Market-based approaches solving the opioid epidemic

Mary first took oxycodone after a minor surgery and found she liked it. Returning to her surgeon a month later with vague ongoing pain, she received another prescription. Her primary care provider took over from there — until one day that physician checked a urine drug screen and a prescription monitoring program (PMP) report, only […]

Market-based approaches solving the opioid epidemic

Mary first took oxycodone after a minor surgery and found she liked it. Returning to her surgeon a month later with vague ongoing pain, she received another prescription. Her primary care provider took over from there — until one day that physician checked a urine drug screen and a prescription monitoring program (PMP) report, only […]

Explaining what osteopathic medicine is

First of all, many osteopathic medical schools are located in underserved areas — or as underserved as possible while still having enough of a medical community to make training possible. My school, LMU-DCOM is located in the middle of Appalachia, for example. Osteopathic medical schools generally encourage students to specialize in primary care, at least […]

Care but don’t touch: Being wise in the modern era

The medicine I practiced between 1974 to 1992 is gone. Evidence is the coin of the realm in the courts of modern medicine. The rule “first, do no harm” demands a corollary — be paranoid. We receive extensive training and licensure to “touch” patients. Any person who is not a physician who cuts into another […]

Reflections after finishing the first year of medical school

I am both relieved and nervous because they say that the first year is the worst, but now I have the overarching cloud of doom following me around during second year: Step 1. Now that I’m home, I constantly am wondering how I made it this far — in disbelief that I passed all my […]

Going to the gynecologist isn’t just about Pap smears

Some days, work frustrates me. Yes, we all have our frustrations. Maybe the traffic is slow, and you get to work late. Maybe you spill your coffee on your work clothes as you walk into your office. Maybe someone calls in sick, and you are short of help at work. But my frustration has to […]

A simple solution to rapidly increase physician financial literacy

Physician financial literacy is dismal. In the past, many physicians got their first introduction to finance from insurance salesman or financial advisors who give presentations over a free steak dinner. My medical school’s attempt at teaching us personal finance was to have a financial advisory firm give a half-day lecture about student loan management, budgeting, […]

7 reasons why this physician works half-time

By the time you read this, I will have completed a transition to working half-time. Now, I know a lot of docs out there think emergency docs are already only working half-time, so perhaps I ought to start with explaining why that isn’t the case, even if emergency physicians work fewer hours than many other […]

How physical should medical training be?

“Check it out,” my boyfriend said, angling his rash-covered arms in front of the camera. Despite his best precautions, after a day of yard work, he was covered in poison ivy. Over video chat, he showed off the pustules that had erupted on his feet; I cringed. “It’s fine,” he said, wincing while putting his […]