Category: KevinMD

A retirement reflection on the cycle of renewal

Just over a month has elapsed since my retirement from patient care. I’ve been to one grand rounds at my prior medical center, encountering a smattering of old friends, some preceding me to retirement, others in active discussions with their financial advisers and others a mixed multitude of residents and students assigned to the secondary […]

Every patient has a story

A thought, a word, a story. Simple concepts in a complex world, but they can have a profound effect on how we live our lives. Today’s world may seem, at times, a blur. We are inundated every day with headlines of natural disasters, man’s inhumanity to man, and simply, just life slapping us in the […]

A pediatrician finds her “why”

Last Friday, as I sat finishing up notes on the last of my almost 30 physicals (this number is never any surprise for us pediatricians this time of the year, it’s back to school week, so every Thomason, Dickinson, and Harrison is lining up for sports physicals and regular physicals and all sorts of clearance […]

Medical training can’t prepare us for the loss of patients

I was walking in the store the other day and ran into a recently deceased elderly patient’s relative. As he walked by, I thought to myself, I better stop to say I am sorry. So I shouted to him, “Hey how are you?” He paused, and I continued to walk over and proceeded to offer […]

A physician’s adventure in false billing

I am a retired family physician (FP) and do extensive traveling in my RV. Since I have multiple medical problems, I attempt to carry with a copy of my medical records with me. I am often surprised by the information that is included in the office dictation or the hospital record and wonder how that […]

Why do we think obesity is caused by lack of exercise and not junk food?

There are now more than 700 million obese people worldwide, 108 million of them children, reported the New York Times in 2017. In Brazil, food giant Nestle sends vendors door-to-door hawking its high-calorie junk food and giving customers a full month to pay for their purchases. Nestle calls the junk food hawkers, who are themselves […]

Patient autonomy in times of shortage

Being self-aware sometimes to the point of turning self-critical — I, as a constituent of an anesthesiologist’s society, am writing this freestanding letter to bring forth our ethical questions and concerns regarding a shortage of not only medications but also skills, funds and time. Scenario 1: Patient requests for spinal anesthesia for cesarean section, but […]

Celebrate women (and men) who change their last names

When I first announced my boyfriend and I were engaged, I was met with follow up questions. “When is the wedding?” “How did he do it?” And, inevitably, “Will you be taking his last name?” My reply to the latter was often met with a furled brow. I heard, “I am surprised you of all […]

A breakdown of your pathology report

I’m a pathologist and the main way I communicate to the outside world — to your doctor and ultimately to you, the patient is via the pathology report. But the short missives I send from behind the microscope lack any excitement and can fall short of full communication. Here’s the usual story: Skin left scapula, […]

Here’s why you wait in the ER

All have to wait. As is normal with the busy ER, the ambient noises of machines, alarms ringing, painful moaning, and loud drunken outbursts permeate the department. It’s a controlled chaos. But, a woman’s scream pierced my soul. Her baby eight-month-old boy laid limp in her arms. He’s already pale, lips blue, his chest not […]