Category: KevinMD

A physician’s immigrant patients

In the living room of the house where I grew up hangs a framed copy of a 17th-century map of Pennsylvania. The land is divided into tiny plots, each painstakingly labeled with a family name. When I was little, I’d stand in front of the map and search for the little squares labeled “Sharples” — […]

Many women carry their losses in their hearts for a lifetime

I understand why J35, the killer whale, carried her dead calf. A member of an Orca pod in the Pacific Northwest, Tahlequah (J35 as she is known to researchers) gave birth to a calf who died a few hours later. For an unprecedented 17 days this summer, J35 carried out an exhausting ritual of pushing […]

The paths to homelessness are more complicated than we think

To me, my white coat symbolizes a willingness to care for my fellow man, and every day I strive to fulfill that challenge. But even the brightest white coat has a few stains. Growing up in a small Midwestern town, I just didn’t “get” the homeless community. They were completely isolated from my day to […]

MKSAP: 56-year-old woman with a 1-year history of tremor

Test your medicine knowledge with the MKSAP challenge, in partnership with the American College of Physicians. A 56-year-old woman is evaluated for a 1-year history of tremor. The tremor is more prominent on the right side. She also reports increasing problems with balance and numerous falls, especially when arising from a chair or turning. The patient does […]

MKSAP: 56-year-old woman with a 1-year history of tremor

Test your medicine knowledge with the MKSAP challenge, in partnership with the American College of Physicians. A 56-year-old woman is evaluated for a 1-year history of tremor. The tremor is more prominent on the right side. She also reports increasing problems with balance and numerous falls, especially when arising from a chair or turning. The patient does […]

5 lessons I learned about medicine from yoga

I believed that the psychologic and physiologic benefits of yoga were as portable as a yoga mat. I believed that when brought into the hospital, it would fulfill its promise to reconnect us to our center and convey the wisdom and clarity we were all searching for. Yoga is, after all, the original experiential learning, […]

Fight burnout: Practice medicine with purpose

I remember climbing into my mother’s office chair and pretending to be the doctor. I was six years old then, wearing her oversized white coat with its sleeves hanging over my small hands. She was a practicing physician in a time period that no longer exists — communist Armenia. This was a time when physicians […]

Medical testing is fraught with pitfalls

I am frequently asked by patients to “run some tests to make sure nothing is wrong.” This makes a lot of sense on the surface but makes no sense as a physician. Why? Because testing without a context or a medical question is nonsensical. Let’s talk about why. How doctors think Studies show that doctors […]

A tale of two opioid addicts

There’s no disputing that the opioid crisis has become a public health emergency in the United States. And not a day goes by when health care providers don’t encounter some aspect of this epidemic. Far too often, the mention of addiction spurns images of homelessness, back-alley deals and crime. While that can certainly be the […]

I want to learn how to love medicine

“Tell me something you love.” I love warm chocolate chip cookies — straight out of the oven. “Thank you. Tell me something you love.” I love to read, to write, to dance. I don’t know yet if I love medicine. We were gathered in a ballroom, a group of doctors and dancers, to explore the […]