Category: KevinMD

MKSAP: 53-year-old man with recurrent gout attacks

Test your medicine knowledge with the MKSAP challenge, in partnership with the American College of Physicians. A 53-year-old man is evaluated for a 5-year history of recurrent gout attacks involving the base of the great toes, mid feet, and ankles. Epi…

The systemic poverty in Navajo Nation is a national travesty

“I have the CPAP machine. I’ve had it for a year, but I don’t have electricity in my house. I stayed with my aunt who has electricity but things didn’t work out,” said the young Navajo man, his massive belly protruding out…

If your child is ever prescribed an opioid, read this post first

What if I told you that your adolescent child could contract a disease that can never be cured, but only maintained? That it would be a lifelong struggle that could change their personality, compromise their potential and values, destroy their relation…

A new approach to medical student debt

As a medical student, I’m no stranger to being stressed out. From passing board exams, to impressing my attendings on the wards, to matching into the best residency, there are plenty of things for me to worry about. But although these concerns are the …

Should physicians lie when asked these questions?

Dear colleagues, I know you have seen these questions: Do you currently have any physical or mental impairment that could limit your clinical practice? Are you currently taking any medication? Have you ever been hospitalized for any reason? Have you ev…

It’s time we approach heart failure like cancer

“I’m sorry, Mr. Smith. Your heart is very sick, and your body has irreversible damage. It’s too dangerous to attempt a transplant or implant a heart pump. There’s nothing more we can do.” I’ve encountered this scenario more often than I care to admit a…

A relic to help forever remember tragedy

“Relic” – an object surviving from an earlier time, especially one of historical or sentimental interest. Relic derives from the Latin “reliquiae,” meaning remains and a form of the Latin verb relinquere, to leave behind o…

In a single-payer system, who will be doing the rationing?

One of the arguments made against adopting single-payer health care in this country is that it would “lead to rationing.” This assumes that we lucky people in the U.S. have unlimited access to whatever health care we need and are at risk of losing it. …

Avoid the stigma: money advice for young doctors

Whenever I discuss matters of money and business with medical students and residents, I‘m surprised by the responses: “Zilch, nothing,” or “Are you kidding?”  Sadly, our doctors-in-training still receive little to no education in this arena. There’s a …

Medicare for all doesn’t look like single payer in the rest of the world

Recent polls show a majority of Americans support Medicare for all, but few seem to realize that no other system in the world operates like the current single payer proposals in Congress. Recently, I addressed the concept of single-payer health care, w…