Category: KevinMD

Celebrity suicides make the irony of our era clear

These recent weeks have been hard for me, and I suspect for a lot of other people as well. Not because I spent it in a board review course listening to lectures for 12 hours a day, and not because I drank enough coffee to practically burn a hole in my stomach, but because the […]

MKSAP: 70-year-old man with a transient ischemic attack

Test your medicine knowledge with the MKSAP challenge, in partnership with the American College of Physicians. A 70-year-old man is admitted to the hospital with a 1-hour episode of left arm and left leg weakness. He is diagnosed with a transient ischemic attack. The patient has a history of hypertension and type 2 diabetes mellitus and a […]

10 tips every young physician should read

How do I balance my home life with physician life? I really want to do a research study. How do I start? How do I get involved in my specialties society? I am overwhelmed with clinical duties. How do I negotiate for nonclinical time? My manuscript was rejected. What should I do next? I had […]

A patient is left with a choice: financial devastation or blindness

That statement from a recent patient was a summary to me of what is bad in our health care “system.”  It’s a terrible summary of what is seen all over this country with people who must make the choice between financial solvency and health. Here’s what happened:  It was a new patient I saw, who […]

Advice for first-year medical students

A few days ago I received a message: “Any advice for incoming med students?” As an old, wise, seasoned, now-second year medical student, I know everything. Just kidding — I fumbled my way through first year like everyone else, and just like you will too. No piece of advice allows you to opt out from the […]

Advice for first-year medical students

A few days ago I received a message: “Any advice for incoming med students?” As an old, wise, seasoned, now-second year medical student, I know everything. Just kidding — I fumbled my way through first year like everyone else, and just like you will too. No piece of advice allows you to opt out from the […]

A physician on timeshares: Who are they right for?

Timeshares, for those who might not know, are a way to own the right to use a vacation resort. It comes in two forms, owning points or owning a specific room in a complex for a specific week. It’s like a partial ownership of a condo at a resort. These units can be traded for […]

The art of medicine is needed to prevent migraine headaches

He spoke with an aura of superiority, in a slightly nasal voice, and his topic was migraines. It was in the late 70s, a time when there were few options to treat migraines. “Most people who claim to have migraines just have simple tension headaches,” he scoffed. And in a move that seemed unorthodox at […]

How basic training changed me as a doctor

Written by George Kamajian as told by Bob Fedor. I’m an old family doctor. I’ve seen much and forgot more. Life has taught me that we touch our patients’ lives for a moment, a season or a reason — and sometimes with unforeseen consequences. I grew up in Erie, Pennsylvania. In 1968, when I was […]

Don’t let fear harm your health

I remember reciting a phrase during my childhood that goes something like this, “Step on a crack, break your mother’s back.” So as I would walk back and forth to school, I would make a conscious effort to avoid any and all cracks in the sidewalks for fear of bringing unwarranted harm to my mother. […]