Category: KevinMD

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 […]

Don’t watch too much financial news

There’s a lot of financial information out there. Some of it is helpful, and some of it is unhelpful. I’m sure many of you take notice when the Dow Jones falls 1,000 points in two days. And even if you don’t usually follow the stock market on a daily basis, when the stock market is […]

We can do a better job with hospital discharge paperwork

The discharge process has now been recognized as one of the most crucial points at which the actions of doctors and hospitals can have a huge impact on immediate health outcomes for our patients. At a time when 30-day readmission rates are still touching almost 20 percent for Medicare patients (higher for certain patients, with […]

Prostate cancer screening campaigns are giving men the finger

Fifty years ago, in a golden moment of television comedy shows, Rowan & Martin’s Laugh-In program regularly featured “The Flying Fickle Finger of Fate” award.  Wikipedia says it “recognized actual dubious achievements by public individuals or institutions.” Do a Google search.  You’ll quickly see how popular this award became. Yes, I’m dating myself by going […]