Category: KevinMD

When physicians order tests: a tale of 2 patients

Sometimes things go just the way you want them to, and sometimes they don’t. Compare and contrast the case of two different patients, and how things went trying to get them the care they needed. The first patient, let’s call him Mr. Smith, called up one day last week with a brand-new symptom, which after […]

When babies cry, your tone matters

I first posted about this subject a couple of years ago but it’s so fascinating to me I’m writing about it again. I happened to run across this study containing some amazing information. It’s from a publication called The Journal of Voice. The link is to the abstract — the complete article is behind a paywall but I […]

Physicians have the skills to be entrepreneurs

Within the medical community, there seems to be a prevailing belief that when it comes to business and finance: Well, we’re just not very good at it. Some chalk it up to the lack of financial training we received in medical school. Others say it’s simply not in the physician’s DNA – that our brains […]

A vow to never become a robot doctor

Before coming to medical school, I made a promise to myself: I will not become a robot doctor. Time and again, I visited what I call robot doctors: those physicians unable to empathize with me and seemingly unable to compute moments when I said something unscripted. For example, I once made an appointment with a […]

In a nutshell: technology and progress in health IT

We have a new electronic medical health record system at our hospital. It was introduced with what I believe is a short and ineffective training program for physicians followed by a far too short on-location use of experts to help the doctors and nurses learn the new system. It is frankly a pain in the […]

The doctor inside never truly rests

People like to think the worst about doctors: We don’t listen, we don’t care, we only want your money. But, the truth is we do care, and that is why most of us answered the calling to become doctors. That is why the burnout rate for doctors is so high. Patients hate to wait in […]

When patients can’t tell you their symptoms

Today I had a followup appointment with a young adult male with severe intellectual disabilities. He is barely verbal. Several weeks ago his caregiver told me that this young man often pointed to his chest and would say “hurt” or “heart,” they weren’t sure which. He also seemed to have gotten pickier about his food, […]

The majority of physicians will never experience the vast upper echelons of wealth

Necessity is the mother of invention. If you need something badly enough, you are more likely to find a way to obtain it. This proverb clearly rings true in all aspects of life. The key is really knowing how badly we need it. I knew someone who wanted to become a dermatologist. After several additional […]

The phone calls physicians make in the middle of the night

I don’t miss making the phone calls in the middle of the night. “Hi, this is Dr. Yang calling from the psychiatric emergency service. May I speak to Mr. or Mrs. Doe?” “Yeah, this is Mr. Doe,” he’d reply, his voice thick and slow with sleep. “I’m sorry to call so late. Your son is […]

The British are unafraid to talk about rationing. That’s something to admire.

I am a huge fan of Britain’s National Health Service (NHS), but probably not for the reasons many people might assume. It’s not because it’s “socialist” (a horribly inaccurate description), or that it’s nationalized, or anything like that. I’m a huge fan because somehow the people of Britain have developed the courage to talk about […]