Category: KevinMD

Don’t wait to take action on gun control

“Active Shooter in Squirrel Hill.” This was the subject line of an email I received on the morning of the Tree of Life synagogue shooting. It was from my children’s school, which is located less than a mile from the scene of the shooting. “I am working…

Call obesity what it is: a disease

In 2013, the American Medical Association (AMA) announced its decision to classify obesity as a disease, moving against the recommendation at the time of a group studying obesity. Yet there are still those who believe that obesity is not a disease but …

Medicine: noble profession or big business?

In 1976 I graduated from medical school and proudly joined the medical profession. Thirty-seven years later, I retired as an employee of the biggest business in the country. In 2016 the medical industry was responsible for 3.3 trillion dollars of expen…

Make peace with stress in the ER

This article is sponsored by Careers by KevinMD.com. Working in the emergency department or emergency room is not for healthcare practitioners who want to just chill. Although television’s portrayal of the ER on dramas like “ER” or “Chicago Med” is adm…

MKSAP: 82-year-old woman with a 1-week history of urinary incontinence

Test your medicine knowledge with the MKSAP challenge, in partnership with the American College of Physicians. An 82-year-old woman is evaluated for a 1-week history of urinary incontinence with lower abdominal discomfort. She reports no dysuria, fever…

A smarter EMR will make visits more patient-focused

What do our patients really want from us? When a patient calls up to schedule an appointment, or sends us a message through the patient portal, or calls our front desk staff to leave a message, what is it that they’re looking for? I think, more t…

The evolution of residents’ hours

It was the 24th hour of my call shift, and I was running on fumes. Despite my weariness, I could see the first rays of morning sunlight coming through the window in my patient’s room. It was then I knew I could make it to hour 30 (quitting time). It wa…

The increasingly obfuscated medical algorithms for simple problems

A physical therapist, commenting on my blog, recently shared an excellent point of view with me: As a therapist myself, I don’t know that I’d want to be betting on that differential diagnosis of tear, rupture, etc. when giving online advice. What is go…

Before you delve into your DNA, be sure to seek out a well-trained genetics team

For $199 and a tube of saliva, I found out that I have straight hair and green eyes. Mirrors have been telling me this my whole life for free. But as a genetics counselor, I wanted to learn more about the recreational home genetics tests that have been…

Is your smartphone leading to burnout?

Burnout and dealing with its symptoms has become a hot topic in the last decade. It’s a problem that has multiple contributing factors. Some of those factors are thrust upon us and are beyond our control, such as government regulations. Other factors a…