Category: KevinMD

The discrimination against nurse practitioners must stop

I have been a neonatologist for 30-plus years. Throughout my career, nurses and neonatal nurse practitioners (NNPs) have guided me, assisted me and comforted me through difficult patient care issues that arose. Even more importantly, they allowed me to…

Your first 24-hour shift

How can you work for 24 hours in a row? My friends outside of medicine ask me that often. What is it like? I wondered the same thing the night before my first 24-hour shift or “24.” I lay awake worrying, ironically, that I should have gone to bed earli…

Doctors: Fight to regain the title that is rightly yours

As we have moved into the 21st century, we have witnessed a deterioration in our perception of our doctors of medicine. This has been a gradual, eroding process, quite possibly by the design of those in powers of authority in our government, health ins…

A change in a patient changed us all

It was another simmering-hot Texas day, and the AC was faltering in the family-practice clinic where I worked as a family nurse practitioner. Most of our clients were poor and spoke only Spanish. My nurse, Eliza, approached, wide-eyed. “There&#82…

Interpersonal medicine already exists. It’s called family medicine.

A commentary in the New England Journal of Medicine titled “Beyond Evidence-Based Medicine” received much well-deserved criticism for not only mischaracterizing EBM, but advocating for a novel approach, “interpersonal medicine,”…

Despite physician burnout, medical schools are still hard to get into. Why is that?

It’s no secret that physician job dissatisfaction is soaring to unprecedented levels, with over 50 percent of practicing physicians reporting burnout. While many factors have contributed to this epidemic in America over the last 20 years — not le…

Qualifying conditions for medical marijuana

An excerpt from The Medical Marijuana Guide: Cannabis and Your Health. Despite the fact that the U.S. Department of Health and Human Services applied for a patent on cannabinoids as neuroprotectants and antioxidants in 1999 and was granted that patent …

10 essential questions to ask when diagnosed with bladder cancer

Over 80,000 new cases of bladder cancer are diagnosed every year. Of the new cases, over 62,000 are men, and over 18,000 are women. Whites have higher incidence rates than blacks, although black patients have higher mortality rates, particularly black …

A story of missed opportunities and medical missteps

Part 2 of a series. My own self-appointed role as my father’s health care advocate during his prostate cancer battle was a natural consequence of my training as a medical researcher. After earning a PhD in medical science, I became the elected family h…

How music transformed this physician

I have had a complex relationship with music. As a child, I had several instances of feedback that I was “bad at music.” When my class would sing at assemblies, I would get side glances and subtle and not so subtle clues that I should be at the edges a…