Category: KevinMD

The medical profession can help heal divisions as well as diseases

Medicine need not be confined to the role of cultural bellwether, a sheep with a bell on its neck that reveals where the whole flock is headed. Along with other professions such as law, clergy, and education, medicine can and should play the leadership…

Physicians who don’t play the social media game may be left behind

The internet truly is a wondrous invention. It has evened the playing field with a wide swath of people now having access to information that used to be possessed in the hands of only the elite few not too long ago. However, as with most things, there …

Doctors and patients should be wary of health care mega-mergers

Over the past year, multiple mega-mergers were announced in health care. The four largest ones being: 1. On March 18, 2018, Cigna announced that it was acquiring Express Scripts for $68 billion in cash and stocks. The deal was closed on December 20, 20…

Government shutdowns show the importance of an emergency fund

It’s interesting, but not surprising, to hear that numerous government employees are crippled by the delay of a single paycheck. This is precisely the reason everyone needs an emergency fund. When an unexpected financial catastrophe pops up, we need to…

Political correctness and the taboo topics in medicine

I write for several publications, and I’m always pitching to new venues.  Recently I pitched an idea to an editor.  I wanted to write about gun research from the perspective of a rural physician. In particular, I wanted to ask what might physicians say…

Is financial independence selfish?

Reaching financial independence is no small feat. One has to turn inward and explore personal habits, goals, and rebalance value systems. These are somewhat introspective topics. Indeed, they require quite a bit of self-focus. This, I believe, is good….

How mundane health findings can be prettied up with PR magic

As all researchers know, science is a grinding parade of failure and dead ends. But as we’ve often written, news release writers sometimes seem hell-bent on making the public believe otherwise. Like expert makeup artists, they can add sparkle to lacklu…

Physicians should take their time with big purchases

While at a gathering during residency, I found myself talking to an older physician.  He graduated from the same residency ten to fifteen years prior.  He was a natural leader and a good storyteller.  He was also a good teacher because he was about to …

How a medical student can help the team during clinical rotations

Based on my clinical experiences, there are ten pieces of advice I would give to any medical student starting their rotations that will maximize productivity and lead to a robust and thriving work environment (your interns will thank you). 1. Do as com…

MKSAP: 75-year-old man with progressive dysphagia

Test your medicine knowledge with the MKSAP challenge, in partnership with the American College of Physicians. A 75-year-old man is evaluated for progressive dysphagia of 8 months’ duration for both solid food and water, and the necessity to indu…