“What on earth are we doing here, folks? To try to save a tanking economy, workers were sent back to their jobs much too early, causing again a spike in cases of the virus. I realize that the loss of a paycheck is a major traumatic situation for …
Category: KevinMD
A thank you to all artists on behalf of the health care community
Amid the pandemic, when the world quieted to the sounds of our own breathing when the stillness of our isolation felt dark, who did the health care workers on the frontlines battling COVID-19 turn to, earnestly and urgently, for comfort and meaning? Th…
Traumatic brain injury, race, and economics: the unpleasant reality
I have observed with impunity, a silent form of racism that exists in our society and in just about every American health care delivery system against people of color. If you are on Medicaid, without health care coverage, or have a low cost/low premium…
Election anxiety? Here’s a guide to practicing medicine in Canada.
Oh, Canada! Every presidential election cycle, my colleagues joke that if the election result is not to their liking, they will move to Canada. On election night 2016, “move to Canada” trended on Google, and the Canadian immigration website crashed. Th…
In the burnout epidemic, is mindfulness the new opioid?
At a recent annual exam for one of us (Walter), the medical assistant had checked heart rate, blood pressure, temperature, and oxygen saturation. Inquiring cheerfully about the Fifth Vital Sign, she flashed the 10-point pain scale of emojis ranging fro…
The confluence of coronavirus and chronic illness
During the global pandemic, we count the numbers of hospital admissions. Of respirators. Of deaths. Days of quarantine. Days since our last morning swim. We count how many armfuls of laundry we do at dawn. We count how many dishes we wash, how many …
Depression vs. burnout: A physician goes through both [PODCAST]
“I have been depressed. I have been burned out. I have been both. I have been neither. How do you know if you are depressed vs. burned out when your chief complaint is, “I feel like crap?” It’s time to call a consult. I don’t mean curbsiding your…
Interstate licensure for telehealth can fuel medical practice growth
When it comes to using telehealth to treat patients out of state, most physicians are mindful about licensure issues. But some are not aware that if you don’t have a license to practice medicine in a given state, it isn’t just malpractice: It’s a crimi…
Can physicians live wholehearted lives?
Brené Brown’s book, The Gifts of Imperfection, has recently been re-released with a new cover and subtitle: 10th Anniversary edition, Including New Tools to Make the Work Your Own. I’ve had my original paperback copy for 8 years. It’s dog-eared, highl…
Understanding critical care in the ICU: then and now
Late one evening, an ICU physician calls a family to say Dad’s breathing rate had slowed to such an extent that he did not believe Dad would survive the night without life support. This seasoned doctor added that he had never seen patients come back fr…
