Category: KevinMD

CURES is not a fix for the opioid crisis

The California Department of Justice mandate to consult CURES (Controlled Substance Utilization Review and Evaluation) prior to prescribing, ordering, administering, or furnishing a Schedule II, II or IV controlled substance becomes effective on October 2, 2018. The law states that CURES must be consulted the first time a patient is prescribed, ordered or administered a Schedule […]

Welcome to your new career center!

I’m proud to announce that I have partnered with Health eCareers to launch Careers by KevinMD.com: a new, dedicated career center ready to support your career at every stage. Whether you’re ready to make the leap to a new job or just keeping your ear to the ground, there’s something here for every medical professional. […]

The answer to your prior authorization problem is simpler than you think

Prior authorizations (PAs) have become increasingly burdensome for providers — they contribute to 92 percent of care delays and an estimated 77 million are submitted manually each year. In fact, the process has become so burdensome that many physicians get fed up with the process end up writing for less-effective prescriptions because they know the […]

What my young patients taught me about parenting

Despite meticulous time management and delegation as a doctor, there were times when I found cobwebs on the laundry left on the clothesline too long, or a moldy school lunch or squashed banana forgotten at the bottom of a school bag at home. I would ensure all the important school dates were in my diary, […]

Sometimes the most entitled people aren’t those you expect

As I sat in a frozen yogurt store a couple of years back, I watched as two young men pulled up in an expensive vehicle. They were wearing athletic attire from a private faith-affiliated university in the neighborhood. Both grabbed sample cups and cup-by-cup consumed about ten dollars-worth of yogurt each before jestfully yelling “Gracias” […]

This physician stuck himself with a needle. Intentionally.

I stuck myself with a hypodermic needle the other day. Intentionally. The first time in over 25 years of doctoring. More surprising, a six-year-old patient told me to do it, so I had to. The boy, who I’ll call Tyler, came to the office with his father and had a large ganglion cyst on the […]

No, the flu shot doesn’t cause the flu

Does the flu shot cause the flu? Let me tell you, without a doubt, that the flu shot does not give you the flu. This is perhaps one of the most common misconceptions I hear as a physician. People absolutely swear by it. I’ve even had people tell me that family members got the flu […]

The practice of medicine has experienced its own version of climate change

When you or a loved one is sick or injured, health care decisions are fundamentally a matter of trust.  You trust your physician will have the answers you need, because you know that, as a highly-trained medical professional, they’re qualified to make the best recommendation for each and every patient under their care. Physicians receive […]

A new way to reduce sugary beverage consumption

The beverage industry derailed the movement for soda taxes in California by convincing state elected officials to pre-empt local taxing authority in exchange for cancelling a ballot initiative that would have made all new taxes difficult to pass. But taxes are not the only way to reduce sugary beverage consumption in California or the U.S. as a whole. […]

MKSAP: 56-year-old man with painless intermittent bloody urine

Test your medicine knowledge with the MKSAP challenge, in partnership with the American College of Physicians. A 56-year-old man is evaluated for painless intermittent bloody urine of 6 weeks’ duration. History is significant for granulomatosis with polyangiitis (formerly known as Wegener granulomatosis) diagnosed 10 years ago, which is now in remission; he was treated with prednisone for […]