Category: KevinMD

Why this mother is still a surgeon

Why does she work? It’s a question that she must answer, for it begs itself every time she picks him up from daycare. She always finds him happy there. And yet that — selfishly? — is part of what tears at her. Shouldn’t she be the one making him happy at 11 months? It’s more […]

You are never just a primary care physician

I am frequently asked what I do at social gatherings. My response, naturally, is that I am a physician. The individual then asks what your specialty is and I respond that I am a board-certified family physician. Then, I hear, “Oh, you are a GP.” Really! After all these 35 years, I am perceived as […]

Family therapy via medical missionary work

The initial doubts first surfaced mid-way through our flight bound for Montego Bay, Jamaica. In fact, we were not entirely sure that this trip was such a good idea after all. Our eldest son, 13 and in eighth grade, was already complaining about how much school he was missing and how much homework he had […]

Your greatest financial asset? Your spouse.

Often a stay at home mom, like we have in our house, is not thought of as a contributor to wealth. Too often, only the person who “really” works and brings home an income is considered to be generating wealth. This is a case of incorrect thinking. The non-working spouse is a very big factor […]

After Kate Spade and Anthony Bourdain, it’s time to shift on suicide

Surviving suicide loss is difficult. And in some sense, the resulting grief is open-ended. I am a mother and doctor whose two sons died by suicide associated with psychotic bipolar disorder. My ever-present sensitivity to the fierce loss of death by suicide is again touched when I hear of death by suicide. The suicides of […]

Am I a doctor or a mother first?

It is a little after 9 a.m. I am about to start the second of a long list of endoscopy cases when my phone rings. I glance briefly at the caller ID to confirm it isn’t my office or the hospital calling about another patient, and am quickly overcome with dread as I see the […]

Welcome to your intern year breakdown

Summer is upon us, and with it comes the end of the academic year, graduations and the arrival of the newest crop of interns. Soon these fresh-faced physicians will enter into one of the most remarkable educational experiences of their medical careers: residency. Many of these soon-to-be-interns are looking to attendings now for advice on […]

Is the stethoscope a vestigial organ?

In the context of human evolution, a vestigial organ is defined as one that has lost all or most of its original function through evolution. Charles Darwin provided a list of vestigial human organs in “The Descent of Man,” including the muscles of the ear, wisdom teeth, the appendix, the coccyx, body hair and the […]

How our health system is like the Marvel supervillain Thanos

You are a child of Thanos. “Hear me and rejoice!” “You have had the privilege of being saved by the American College of Cardiology and the American Heart Association. (Yeah, I know we said the same thing when we prescribed low-fat diets to decrease the risk of heart disease, but you gotta give us a […]