Category: KevinMD

6 things wrong with hospital medicine

In 2002, when I began my first hospitalist job, I was a dyed-in-the-wool hospital medicine convert, convinced that the transfer of inpatient care to true specialists in hospital medicine (hospitalists) would dramatically improve the quality and efficiency of inpatient care, increase patient satisfaction and decrease costs. By 2008, I had developed serious doubts, which prompted […]

KevinMD Fall 2018 speaking appearances: MGMA18 featured speaker, CAP18, Pri-Med keynotes

I’m so excited to appear in several prestigious events this Fall. On Tuesday, October 7, 2018, I’ll be a featured speaker at MGMA18.  (You can receive $200 off your registration with promo code KEVINMD.) On Sunday, October 21, 2018, I will keynote CAP18, the annual conference of the College of American Pathologists.  Please listen to […]

A physician’s return to the ivory tower

I started internship July 1, 2008, as a terrified 25-year-old blank slate. Most days started with a combination of nausea and dread as I pumped myself up in the resident parking lot — conveniently located a mere 1/2 mile from the entrance to the ivory tower I called home. The days were long. The nights […]

How and why to treat sleep disturbance from depression

One of the aspects of depression that’s particularly difficult is the sleep disturbance which accompanies it and often continues after the traditional symptoms of depression have finally gotten better. When studied in the laboratory, the sleep of depressed person is short, shallow (with less deep slow-wave sleep), and frequently interrupted by awakenings. Additionally, there are […]

The one patient that drives physicians to burnout

We all have that one patient. That one patient who can always find a way to turn a good day bad, who just knows how to push your buttons in all the wrong ways. Who’s that patient for me? Let’s just call him Elton Reed. Oh, Mr. Reed … where to begin with him? When […]

The one patient that drives physicians to burnout

We all have that one patient. That one patient who can always find a way to turn a good day bad, who just knows how to push your buttons in all the wrong ways. Who’s that patient for me? Let’s just call him Elton Reed. Oh, Mr. Reed … where to begin with him? When […]

An immigrant physician’s journey

My name is Dr. Uchenna Umeh, and I am an immigrant (physician). As far back as I can remember, I’ve always wanted to be an architect. My journey to becoming a physician started somewhat as a dare. I was born in Nigeria, the first child of six children from middle-class parents. My father served in […]

A physician’s immigrant patients

In the living room of the house where I grew up hangs a framed copy of a 17th-century map of Pennsylvania. The land is divided into tiny plots, each painstakingly labeled with a family name. When I was little, I’d stand in front of the map and search for the little squares labeled “Sharples” — […]

A physician’s immigrant patients

In the living room of the house where I grew up hangs a framed copy of a 17th-century map of Pennsylvania. The land is divided into tiny plots, each painstakingly labeled with a family name. When I was little, I’d stand in front of the map and search for the little squares labeled “Sharples” — […]

Many women carry their losses in their hearts for a lifetime

I understand why J35, the killer whale, carried her dead calf. A member of an Orca pod in the Pacific Northwest, Tahlequah (J35 as she is known to researchers) gave birth to a calf who died a few hours later. For an unprecedented 17 days this summer, J35 carried out an exhausting ritual of pushing […]