Category: KevinMD

There are moments as an anesthesiologist you can’t erase

There are moments as an anesthesiologist you can’t erase. No matter how long you go home and sleep, or how many days pass, you won’t forget it. All of these moments involve saying goodbye; while the scenarios change, the message is the same. It is sacr…

The conservative appeal of Medicare for all

Everyone thinks of “Medicare for all” as a liberal idea, an extremely liberal one embraced by the socialist wing of the Democratic Party. It’s an idea Democrats were hesitant to embrace in the Obama era, for being too far out of mains…

A physician’s experience with time stress

I have two Achilles’ heels.  Two mental health issues that continually challenge me no matter how introspective and self-aware I become.  One is food.  I have talked before about how food was my money.  As annoying as that can be, I feel like I h…

We need to make better use of the health team and technology

Nearly a quarter of a century ago (good heavens, I can hardly believe I have to say that!), when I was just starting out as a junior faculty attending, I remember one of my mentors taking me to the hospital with him on morning rounds to see all of his …

Explain hemoglobin A1c in 2 minutes

It was a slow day in the emergency department. I was sitting across the bedside from my patient who came in for a left forearm infection checkup. She was a 73-year-old female with a history of diabetes. She was elegant and soft-spoken. Prior to examini…

Here’s what the third year of medical school taught me

The dawn of 2018 brought new hopes and new promises for me as I began the third year of my medical school journey. This marked the beginning of a challenging era, one that would test my capabilities to the fullest but also one that was the culmination …

What kind of extracurricular activities do medical schools look for?

Preparing for medical school demands displaying your passion for both medicine and helping others. Like medical schools, other graduate school programs (think: business or law) require strong grades, test scores, leadership experience, and resumes. But…

Patient satisfaction: Who is rating the ratings?

Everything is being rated these days. But who is rating the ratings? As a public service, I have been blogging about the shortcomings of various rating systems since 2010. Two recent papers on this topic are worthy of review. In a randomized controlled…

Help hospitalized patients vote by requesting emergency ballots

Two years ago, when I was still in residency I happened to be on overnight call the day prior to election day. An associate program director of my residency program asked me if I wouldn’t mind being a doctor of record who evaluates whether I agre…

3 ways physician-pharma partnerships are improving quality of care

We’ve all heard about the importance of greater stakeholder collaboration in health care. It’s the premise of current movements aimed at improving the outlook on some of the most costly, chronic conditions. Like most physicians today, I maintain a tigh…