Category: KevinMD

How can doctors stop fake medical news

When I started on my path in medicine, I was an optimistic, wide-eyed, enthusiastic medical student. I had fond memories of rounding on Sundays with my vascular surgeon father as a child, and I remembered the appreciation his patients would express whe…

Why is age only a concern regarding surgeons, and not government officials?

Older surgeons are coming under increasing scrutiny as their competence and ability to practice medicine are called into question especially since many continue to work in their 60s and 70s. The New York Times addressed this in a recent article entitle…

A psychiatrist’s attempt to stop burnout

I don’t want to go back. Starting at 6 a.m., the intern entered the hospital with coffee from the bodega down the street, anxious about the patients that were admitted to the ward the previous evening. I deserve it. At 8 a.m., he had already rounded on…

Every physician will kill a patient

How did I miss his hypokalemia? Two weeks into my intern year and my patient’s potassium returned at 2.9. Minutes later, he coded. And I felt responsible. As I explained to my partner how my patient had become pulseless after diuresis of his heart fail…

A physician’s elective rotation in Rhodesia

An excerpt from Close to the Sun: The Journey of a Pioneer Heart Surgeon. In the third year of medical school, we were granted a three-month elective, during which we were encouraged to work at another hospital or in some medically related endeavor to …

Measles outbreaks: Getting to the root of the problem

Measles outbreaks across the United States have been identified with Texas being the 11th state so far to report an outbreak. The Philippines with over 2 million unvaccinated children has declared an outbreak of measles after nearly 2,000 cases and 26 …

Medical schools need to cut their cutthroat culture

The United States will be short 120,000 doctors by the end of next decade, according to the latest research from the Association of American Medical Colleges. That shortage will become permanent unless medical schools make the path to becoming a doctor…

A research attending starts his month on the wards

An excerpt from The Perfect Dose. Walking towards the clinical rotation to take care of patients after weeks in the research labs was never easy. The long hallway between the two buildings had an almost transformative effect on Mann as he transitioned …

A rare case solved by listening to your patient. And your mother.

History is important. “The farther back you look, the farther forward you will see,” Winston Churchill once said. Particular to our profession as doctors, William Osler’s famous adage: “Listen to your patient, he is telling you the diagnosis,” rings tr…

It’s time to view hospitalization as a procedure

I previously suggested that transitioning from the traditional inpatient care model to the hospitalist model inadvertently motivated providers to hospitalize more patients, specifically borderline sick patients.  Our example was a 74-year-old woman wit…