John and I met as young children and were high-school sweethearts. We married and put him through college and had four children during the process. He joined the Air Force to pay for medical school, and we spent four years overseas to help pay off the …
Years ago, I was contacted by a health plan about an elderly nursing home patient who had not been screened for osteoporosis. While brittle bones are a big problem in skilled nursing settings, the real problem for this health plan was its low HEDIS sco…
Several patients seen in our practice recently were significantly and dramatically transformed by the electronic health record (EHR). And not in a good way. Take, for instance, the patient whose outside chart was reviewed when she showed up in our offi…
By now, I’m sure most of you probably have heard about the Cleveland Clinic first-year resident who was fired last September when it became known that in 2012 she had tweeted she would “purposely give all the yahood [Jews] the wrong meds …” The website…
Obesity is a global epidemic, and its prevalence is increasing in every part of the world. While we have new medications and complex surgical techniques that promote weight loss, the awareness of healthy eating habits and dietary education are still th…
A guest column by the American Society of Anesthesiologists, exclusive to KevinMD.com. I recently attended a state medical society’s annual meeting where the agenda consisted of an awards program, several speakers and a keynote address. The highlight …
Just like you, I’m trying to make sense of the world around me. But there are no templates for the bridge that health care’s building for its future. All we can do is listen to weak signals and amplify them. Recently (and finally), CVS boug…
Just like you, I’m trying to make sense of the world around me. But there are no templates for the bridge that health care’s building for its future. All we can do is listen to weak signals and amplify them. Recently (and finally), CVS boug…
Before I could see her, I could hear her. My patient, a young woman with messy braided hair, was grunting with every effort to breathe. The noises quieted slightly when I reached her bedside, but her tears continued to fall between gasps. Her body move…
It’s Monday morning, and I’m the attending physician starting a week of inpatient service in the hospital. On my patient list is a man named Earl, age ninety-one. He’s outlived his siblings, his first and second wives and all of his p…
