Category: KevinMD

A patient’s open letter to aspiring physicians

As a patient who has had extensive dealings with five prestigious Manhattan medical institutions, I have taken the liberty of writing this letter from the perspective of one who has spent many long and arduous years in the underbelly of our deeply troubled health care system, and one who has seen firsthand how the doctor-patient […]

It’s time to advocate for a new culture in medicine

The National Taskforce of Humanity in Healthcare recently published research showing physician burnout is impacting quality safety, and health care system performance — estimating that “costs for burnout-related turnover may be as high as $1.7B annually among hospital-employed physicians, and $17 billion across all U.S. physicians.” At Stanford Medicine, physician burnout costs at least $7.75M […]

The issues physicians face when changing their name

It’s my first day at a new facility — and I’m prepped with food, snacks and a closed-lid container for my morning coffee and to refill it in the afternoon with water. You never really know how stringent the policies will be for water containers at your new workstation or whether food or snacks are […]

MKSAP: 56-year-old man with a family history of hypertrophic cardiomyopathy (HCM)

Test your medicine knowledge with the MKSAP challenge, in partnership with the American College of Physicians. A 56-year-old man is being evaluated after his 18-year-old son had a syncopal episode during a high school basketball game and was diagnosed with hypertrophic cardiomyopathy (HCM). The patient has had no symptoms, including with physical activity such as golfing or […]

7 keys to having a medical career that serves your life

Doctors spend their early adulthood preparing for medicine. In college, we take classes to satisfy prerequisites and prepare for the MCAT exam.  Medical school has a life of its own. The volume of material to master is extensive, and the pressure mounts to be your best.  Next is the interview process for residency training and […]

Your son is dead. How will you remember me?

I introduced myself to the family sitting anxiously in the private room away from the chaotic symphony of beeping monitors in the main ER. When I opened the door, four pairs of bewildered eyes landed squarely and intensely on me. I wanted to look away so as not to betray my own emotions but instead […]

Your doctor may need lessons from a used car salesman

The other day I felt like a used car salesman. I was carefully phrasing my words, picking out just the right ones — the kind that really pack a punch — and delivering them at the right moment, with the perfect momentum. I was trying to make a sale. Now, my cadence happened to be spot […]

A reminder that science is never settled

Science is in a constant state of flux. Theories are put forth to explain natural phenomena, based on the best knowledge of the day. These theories are tested. If they correctly predict future observations, the theories become more credible. If, however, these theories fail to predict accurately, they require modification or outright dismissal. What is considered […]

How to avoid negative press and fines during the opioid crisis

No news is good news. Especially for hospitals in the middle of the opioid epidemic. Recently, the University of Michigan Health System (UMHS) agreed to a civil penalty in the amount of $4.3 million for failing to prevent opioid drug diversion and federal recordkeeping violations as a result of a DEA investigation. The headline from […]

With rising obesity, microbiomes tip the scale

Human beings have grappled with obesity for thousands of years. Greek philosopher and physician Galen described “bad humors” as the cause of obesity and prescribed low-calorie foods, massages, baths, greens and garlic to his patients to help them slim down. In the 18th century, William Banting successfully lost weight following a low-carb diet and spread […]