Category: KevinMD

Transdiagnostic therapies in primary care

I learned a new word recently: transdiagnostic, which refers to something that is applicable across a spectrum of conditions. It seems that this is becoming an increasingly popular concept in treating anxiety disorders. No wonder. As I researched this …

Be the honest doctor instead of the confident one

This is an article about certainty, or maybe lack of certainty? It is about the need for confidence, without having overconfidence. Doctor! Don’t be arrogant — listen to your patient — they are telling you the answer. So believe them, but b…

Should there be mandatory state enforced nurse-to-patient ratios?

On November 6th voters in Massachusetts are facing a very important health care-related question. In addition to voting for political parties in the midterms, they also face three ballot questions. The first of these is whether there should be mandator…

3 hurdles to financial independence

I have talked in the past about how I try to tackle the philosophy of financial independence.  Part of the reason is that there are so many other amazing voices that manage the mechanical side.  The other part is my profound belief that the grand major…

The Ellen Show broadcasts potentially harmful information about ovarian cancer screening

Ethical OB/GYNs everywhere sighed heavily when they realized from the action on their Facebook and Twitter feeds that the Ellen Show broadcasted incorrect and potentially harmful information about ovarian cancer screening to almost 4 million people. Mi…

How should physicians pay off their debt?

By this point, a lot of people have heard the famous Dave Ramsey quote, “If you live like no one else, later you can live like no one else.”  Ramsey is known for being a proponent of attacking debt aggressively when people ask, “How should I pay off my…

What does financial freedom mean to you?

Financial freedom means different things to different people, but to me, it’s when you can quit your day job and be able to cover your expenses with other sources of income. The dollar amount depends on your unique situation, where you live, and the li…

4 things this family physician wants patients to know

Dear patients: A few things come up daily in my office that need to be addressed. I’m just going to put these out there in the blogosphere in the hopes that someday they’ll be shared widely and save myself and other doctors a whole lot of hair-pulling …

5 lessons on doing research as a resident

I remember sitting in my residency academic adviser’s office as I was discussing the plans I had designed for my community project at the end of my intern year. I can only imagine what she thought as I looked at her with a blank stare when she ha…

Health care is expensive. It’s time to treat the cause.

We do not rely on the benevolence of the butcher, the brewer, or the baker to feed ourselves — Adam Smith observed in the “Wealth of Nations” (1776) — but on their regard for their own interest. The desire to pursue a profitable living also holds true …