When a baby arrives dead in your emergency department … … the world stops. You stop breathing. You are gasping for air. She is limp; she is cool; she is pulseless. Chest compressions on the tiniest six month old I have ever met are done wit…
Category: KevinMD
When you identify your Lyft driver as potentially having bipolar disorder
I remember September 27, 2018 like it was yesterday. When Ashley* picked me up from my apartment Thursday morning, I thought it would be like the 138 past Lyft rides I’ve taken since 2017. I was wrong. After I waived to Ashley from the curb, I got sett…
Will medicine become a young person’s sport?
Six months have elapsed since exiting the pageant of my hospital via retirement. Like many people who devote countless hours to professional activities, some mandated, some by compulsion to detail, this windfall of unstructured time, no matter how wel…
A patient gives the gift of poop
In broken English, against the backdrop of the emergency department’s chaos and clatter, Mr. Simon relayed his story: unintentional weight loss, gradually yellowing skin, weeks of constipation. He punctuated his list of devastating symptoms with …
The clinical and financial life of a pediatrician
Most doctors well into their tenure of medical already have a general idea about how other specialists spend their days (except for radiation oncologists, where no one else knows what they do). However, as a medical student, I had incredibly limited i…
She was dead: How shame almost ruined a physician’s life
Dear friends— especially my colleagues, I recently failed a class (I have been working on a PhD in psychology) and found myself immobilized and disengaged from life, personal happiness and joy. I actually didn’t even tell my husband, who is my true con…
A physician’s #MeToo story
I was a resident. He was a physician in a position of power. He took things too far, and I spoke up. Here are some of the actual comments I received. “He’s just a flirt.” “You must have misunderstood him.” “What were you wearing?” “Somebody must have h…
Heart health begins in childhood: 5 tips from a pediatrician
Heart health starts in childhood to avoid cardiovascular disease, hypertension, obesity, and diabetes. Kids today have developed so many bad health habits that they are facing heart attacks in their 30s. Many experts predict they will be the first gene…
The hidden curriculum of medicine
Think all the way back to your grade school years. Did you know that your personality traits were starting to be honed for the work you do today? Let me give you some examples about myself and see if you can relate. I remember the praise and exhilarati…
The dilemmas faced by the chronically ill as they age
I’ve been concerned lately. Here’s why. In 2001, I got sick with what the doctors assumed was an acute viral infection, but I never recovered. I’m mostly housebound, often bedbound. My diagnosis is the little understood (but much misunderstood) myalgic…
