Category: KevinMD

Break the reaction to high pain scores

Pain usually cannot be “treated” like a standard ear infection. Treating patients in pain requires setting realistic expectations, using a variety of approaches, and patience. One patient I treated months ago highlights these points. At 6 a.m., I was r…

Academic media: Don’t criticize your colleagues for “dumbing it down”

Are you a media whore? Or do you worry you might be labeled one by your colleagues – if not to your face, then behind your back? In the process of delivering hundreds of media engagement workshops, I’ve heard dozens and dozens of you express this fear,…

How Google is quietly influencing medicine

With nearly 80 percent of internet users searching online for health-related information, it’s no wonder the catchphrase “Dr. Google” has caught on, to the delight of many searchers and the dismay of many real doctors. What’s received little attention …

The antibiotics arms race must end

“Cha-ching!” goes urgent care. For your rhinovirus, adenovirus, or seasonal allergies you get a strep screen, flu swab, CBC, and chest X-ray. You get a steroid shot, Rocephin, and Z-Pak. A week later, you present for medical care again, because your vi…

Take ownership of our broken health care system now

In health care, we enjoy a unique opportunity to create special relationships with our work. Few enter these professions for practical reasons, and fewer still survive rigorous training without genuine belief in what they might accomplish. And cliched …

A lesson in never giving up

Jim Henson, creator of the Muppets and Sesame Street, died at the age of 53. His diagnosis was toxic shock syndrome/streptococcus pneumonia — a deadly bacterial infection. We were on vacation when we heard the news: The genius who opened the imaginatio…

How long life doesn’t mean dignity

“For the rest of my life, I’ll never see her again or smell the scent of her unwashed hair. I’ll never hug her soft squishy hips or sigh when she tells me to stop sleeping, get up, and enjoy the day.” This runs through my head before I start sobbing in…

What common words and phrases really say about medicine

Medicine is currently struggling with the problem of physician burnout and the specter of diminishing wellness. Despite concerted efforts, burnout continues to expand. In light of this, being vigilant for limitations in the current framing of the issue…

Don’t judge when trainees use dating apps in the hospital

During rounds, in between seeing patients, the medical student pulls out his phone and scans a dating app for new matches. In the team room, a resident opens Facebook before responding to a non-urgent page. Each of these instances may seem trivial enou…

Being on the lists of the best and worst doctors

As each calendar year closes, organizations compile best/worst lists: TV shows, movies, exceptional people that bring character or immortality to our year as it fades into history. Medicine has its heroes and scoundrels. I would expect that all physici…