Category: KevinMD

My future as both a mother and a physician

My parents were married at the College of Physicians. They picked a location that was not tied to either of their family’s religions but still sated a ceremonial need. A justice of the peace filled the role of a rabbi or priest, and they got married under the only doctrine they both held sacred: the […]

The nursing shortage: then and now

I remember when I started nursing school about a decade ago, that there was a near militant attitude describing the nursing shortage. School administrators, politicians, and journalists hopped on this easy bandwagon and talking point. Research and polls of dubious quality rode the tidal wave of popular opinion. Unsurprisingly, their genesis in an echo chamber […]

How pharmacists lost control of their profession and why you should care

An excerpt from The Pharmacist is a Whore: How Pharmacists Lost Control of Their Profession and Why You Should Care. The day patients became customers was a black day for us all. Don’t get me wrong, pharmacy has always been a service profession, and we take that very seriously. However, by virtue of our degree in […]

You are more than an eating disorder

As you sit here in the office, waiting for this visit to be over, I wonder if you would let me share just a few things with you. Despite your impeccable eyeshadow, your impressive GPA, and the smile you flash so readily, I sense that there are things left unsaid. I am curious if there […]

Dealing with prejudice as a cancer patient

I sat in seat 23F next to the window, took out my leftover dinner from my backpack, and furiously started eating. A few minutes later, a man wearing an Astros baseball cap sat next to me with a puzzled look. “You sure look hungry.” “I am, can’t beat fried noodles with chicken. My name’s T.J. […]

Violence in the emergency department puts patients and physicians at risk

The stories are disturbing. A pregnant emergency physician assaulted in a hallway. A patient leaping from the bed, wielding medical equipment as a weapon against the care team. A security guard intervening in a tense waiting room confrontation late at night. Most people find the violence hard to fathom, but for emergency physicians, these threats […]

5 urban legends about risk-adjusted diagnosis coding

When I talk to medical practices about hierarchical condition category (HCC) and risk-adjusted diagnosis coding, I receive a lot of questions that point to the existence of persistent urban legends! Let’s separate fact from fiction. Urban legend #1: CPT fee-for-service coding will be a distant memory when we switch from volume to value Not anytime […]

One of the biggest lessons medical school can teach you

I spent my first two years of medical school collecting stories. I journaled about my thoughts in the anatomy lab. I wrote about what it was like to learn how to interview and examine patients, about the immense honor and privilege I felt just being able to don a white coat with a stethoscope around […]

Humanity in medicine is in crisis

“There’s no heartbeat.” Three words no one ever wants to hear. Three words no one ever wants to deliver. And yet, as a community of physicians, we deliver those crushing words on a daily basis. None of us would ever take the task of bearing this piece of news lightly, but for me, it was […]

Don’t sign off on fat acceptance. Don’t normalize obesity.

I cannot get behind fat acceptance, or better stated in medical lingo as “normalizing obesity.” As a physician and as someone who has been obese or morbidly obese my adult life, I know first hand what it’s like to hate my body and feel ashamed of it. I still do this very moment as I […]