Yes, this is a piece on observation medicine as the expansion of our specialty. My oh my, have things changes since my days of training where I learned to care for all comers irrespective of their money, background, color or creed. I learned to stabilize, evaluate and treat then admit or discharge. Clearly, I’m simplifying though, historically, our […]
Category: KevinMD
How do I keep my kids out of the ER this Halloween?
I have worked most of the last 20 Halloweens in the pediatric emergency department (ED), so I’ve seen how a split second can ruin your child’s holiday. Here are some things you can do to plan ahead and avoid the ED. 1. Avoid trip hazards It’s a recipe for mishap. Your child is in a […]
How much is micromanagement of your time worth?
Some of us like to micromanage. Obviously, this trait is useful only for certain tasks that you need to accomplish. Managing money can take some attention to detail, but fortunately, many issues work themselves out if you follow broad principles. How much you should micromanage your daily expenditures really depends on your own tolerance and […]
Millennials want convenient care
The Kaiser Health News article, “Spurred By Convenience, Millennials Often Spurn The ‘Family Doctor’ Model,” caught my eye. Millennial patients want “convenience, fast service, connectivity, and price transparency” while doctors and health experts worry about “fragmented or unnecessary care, including the misuse of antibiotics” and loss of “care that is coordinated and longitudinal.” It’s as […]
Should a HIPAA-questionable good deed go unpunished?
On a Saturday morning, Michael, a physician, was making his way through the hospital atrium after his weekend rounds. On his way out, he noticed a family he knew well. They were talking quietly and appeared distraught. He asked them if they were okay. They said that the husband’s mother had been admitted overnight with […]
The man that scares me and the man I love
There is a man. He is in my house. I don’t know where he came from. But he just came into my house. And now he is living there. And I am afraid of him. I do not know who he is. There is a man in my house. I am so scared. I don’t […]
MKSAP: 30-year-old woman is evaluated for a 2-month history of diarrhea
Test your medicine knowledge with the MKSAP challenge, in partnership with the American College of Physicians. A 30-year-old woman is evaluated for a 2-month history of diarrhea with three to five loose stools per day. She has mild abdominal cramps, bloating, intermittent nausea, and mild anorexia that has resulted in the loss of 2.3 kg (5.0 lb). […]
What we can learn from the tragic deaths of CEOs
An excerpt from Dead Execs Don’t Get Bonuse$: The Ultimate Guide to Surviving Your Career With a Healthy Heart. The details of the careers and tragic deaths of these CEOs are a matter of public record, and the disruption that followed their deaths was enormous. Take Ranjan Das, for example. At age forty-two, he was the […]
What we can learn from the tragic deaths of CEOs
An excerpt from Dead Execs Don’t Get Bonuse$: The Ultimate Guide to Surviving Your Career With a Healthy Heart. The details of the careers and tragic deaths of these CEOs are a matter of public record, and the disruption that followed their deaths was enormous. Take Ranjan Das, for example. At age forty-two, he was the […]
Is cancer truly the enemy?
Cancer is the enemy. So, our immediate desire is to get rid of it, throw it away, and never hear from it again. Current therapies that require living tissue are proving that false. We know that your living tumor tissue is like your fingerprint, unique to each individual patient. It contains information specific to you, […]
