Doctors spend their early adulthood preparing for medicine. In college, we take classes to satisfy prerequisites and prepare for the MCAT exam. Medical school has a life of its own. The volume of material to master is extensive, and the pressure mounts to be your best. Next is the interview process for residency training and […]
Category: KevinMD
Your son is dead. How will you remember me?
I introduced myself to the family sitting anxiously in the private room away from the chaotic symphony of beeping monitors in the main ER. When I opened the door, four pairs of bewildered eyes landed squarely and intensely on me. I wanted to look away so as not to betray my own emotions but instead […]
A reminder that science is never settled
Science is in a constant state of flux. Theories are put forth to explain natural phenomena, based on the best knowledge of the day. These theories are tested. If they correctly predict future observations, the theories become more credible. If, however, these theories fail to predict accurately, they require modification or outright dismissal. What is considered […]
How to avoid negative press and fines during the opioid crisis
No news is good news. Especially for hospitals in the middle of the opioid epidemic. Recently, the University of Michigan Health System (UMHS) agreed to a civil penalty in the amount of $4.3 million for failing to prevent opioid drug diversion and federal recordkeeping violations as a result of a DEA investigation. The headline from […]
With rising obesity, microbiomes tip the scale
Human beings have grappled with obesity for thousands of years. Greek philosopher and physician Galen described “bad humors” as the cause of obesity and prescribed low-calorie foods, massages, baths, greens and garlic to his patients to help them slim down. In the 18th century, William Banting successfully lost weight following a low-carb diet and spread […]
Judges versus coaches in medical education
I flash a smile as I look up from my notes. “Do it again,” I say, encouraged by his progress, “but this time start with the physical exam.” I am the internal medicine resident leading our “twilight” admitting team, and Vikram, a student on the first day of his medicine clerkship, sits across from me. […]
Where this physician finds joy in medicine
My country rotation as a medical student was overshadowed by a heated argument between the general practitioner and his wife. She was sacrificing her life in this “hole of a place” and angrily stormed out to visit her children in boarding school in the city. Decades later, I now understand the frustration and challenges of […]
The myth of compassion in health care
I have a confession. I didn’t enter my profession to help people. I know. It’s shocking. Don’t get me wrong. I take my professional responsibility extremely seriously. I’m only admitting that the primary reason for choosing my profession was not altruistic. I made a practical decision to go down this path because of a junior […]