Category: KevinMD

Can ketamine and SSRIs offer a complete depression treatment?

We have a problem with current recommendations for depression treatment. Thirty-five percent of patients will not go into remission or get any relief at all from SSRIs and SNRIs. And even when it does work, it takes about six weeks to start having an e…

The “little voice” physician burnout survey

If your conscious mind is asking, “Is this what burnout feels like?” your little voice already has the answer. One of the things physicians ask me on our coaching discovery call is whether or not I think they are burned out. They want a sec…

The critical link between America’s obesity epidemic and the liver

Obesity has undeniably become the top health issue of our time, with its prevalence and impact on our bodies making headlines across health care and popular media. This isn’t merely a matter of carrying extra pounds; it’s about the multitud…

Communication in health care: lessons from a standardized patient [PODCAST]

Subscribe to The Podcast by KevinMD. Catch up on old episodes! Join Esther Covington, a professional standardized patient. Esther shares her firsthand experiences, shedding light on the critical role communication, empathy, and assumptions play in medi…

Overcoming health challenges: one patient’s story

The patient was a typical one in my primary care practice, and for those of you in my field, one familiar to you as well. Jim, as we will call him, was a middle-aged, obese male with a history of hypertension, hyperlipidemia, and diabetes, whose most c…

Hit pause before embarking on a health guru’s protocol

In today’s age, it’s common to encounter a myriad of protocols, often promoted by celebrity doctors or health gurus, each promising solutions for various health concerns, from thyroid and adrenal issues to immune system and gut health. But …

Medicine has become the new McDonald’s of health care

I was having a conversation with a colleague about a state-funded Medicaid managed care organization (MCO). She told me that the mental health performance measures used by the state to evaluate the MCO were all “placement and provider issues,&#82…

Overcoming depression: a medical resident’s journey

How did I get here? Heading to the highest place I can find, in contemplation of jumping and falling to my death. I had always feared death before this point, but now it seemed the only logical solution. I seemed to have it all going my way. So why wou…

Maternal mortality disparities [PODCAST]

Subscribe to The Podcast by KevinMD. Catch up on old episodes! We are joined by Bayo Curry-Winchell, a family physician, as we delve into the alarming maternal mortality crisis among Black women in the U.S. Join us as we discuss the complex factors con…

It’s time for burnout to become a quality metric

I completed a fellowship in quality improvement, making quality metrics an integral part of my career for the past 15 years. At times, these metrics can be frustrating, especially when reimbursement is tied to constantly shifting targets. Yet, health s…