Category: KevinMD

Why do we think obesity is caused by lack of exercise and not junk food?

There are now more than 700 million obese people worldwide, 108 million of them children, reported the New York Times in 2017. In Brazil, food giant Nestle sends vendors door-to-door hawking its high-calorie junk food and giving customers a full month to pay for their purchases. Nestle calls the junk food hawkers, who are themselves […]

Patient autonomy in times of shortage

Being self-aware sometimes to the point of turning self-critical — I, as a constituent of an anesthesiologist’s society, am writing this freestanding letter to bring forth our ethical questions and concerns regarding a shortage of not only medications but also skills, funds and time. Scenario 1: Patient requests for spinal anesthesia for cesarean section, but […]

Celebrate women (and men) who change their last names

When I first announced my boyfriend and I were engaged, I was met with follow up questions. “When is the wedding?” “How did he do it?” And, inevitably, “Will you be taking his last name?” My reply to the latter was often met with a furled brow. I heard, “I am surprised you of all […]

A breakdown of your pathology report

I’m a pathologist and the main way I communicate to the outside world — to your doctor and ultimately to you, the patient is via the pathology report. But the short missives I send from behind the microscope lack any excitement and can fall short of full communication. Here’s the usual story: Skin left scapula, […]

Here’s why you wait in the ER

All have to wait. As is normal with the busy ER, the ambient noises of machines, alarms ringing, painful moaning, and loud drunken outbursts permeate the department. It’s a controlled chaos. But, a woman’s scream pierced my soul. Her baby eight-month-old boy laid limp in her arms. He’s already pale, lips blue, his chest not […]

Should the Apple Watch monitor your heart?

The announcement that the next iteration of the Apple Watch can both monitor the wearer’s heart rhythm and, if a suspicious reading emerges, perform an electrocardiogram, could be a boon for users and their doctors. Or it could be a massive headache for the health care system. The new watch continuously monitors the wearer’s heart rate. It […]

Health care has too many moving parts

So many moving parts. Just last week, a patient I’ve cared for over 20 years came to see me, and she was despondent over a number of issues. First and foremost was that her partner of over 60 years has had progressive dementia, and finally things got so bad that he had to be transferred […]

Why historically black colleges and universities matter

Every few months, there happens to be another breathless news story about racism in health care. Mass media seems shocked, progressives angrily tweet, while conservatives claim that somehow it was all President Obama’s fault. Meanwhile, the four relatively unknown and certainly underappreciated historically black college or university (HBCU) medical schools in the United States (Howard […]

The dismantling of informed consent is a disaster

Informed consent is the cornerstone of medical ethics. And every physician must defend this sacred principle from every form of evil that would seek to dismantle, degrade and debase it. If informed consent is the sun, then privacy, confidentiality, dignity, and trust are planets that go around it. For without informed consent, the descent of […]

Financial education for doctors 101

An excerpt from the Docs Outside the Box podcast, episode 4: Financial Ed. for Docs 101 Dr. Nii: All right, everyone. Welcome to another episode of “Docs Outside the Box.” We have a treat for you today. Today, we’re going to be interviewing Katie Brewer, CFP, and owner of Your Richest Life. Katie, thank you […]