Category: KevinMD

Nurses are our most valuable resource

I am about to express a wildly under-advertised piece of advice: Our nurses are our most valuable resource. This reality has been true for physicians for many years, but with months of lost time on in-person rotations, it will be true for us more than …

Your brain and PTSD: biomarkers and high-stress states

If you’re reading this, you’re probably stressed. Whether it’s related to work, household chores, parenting, school, politics, or, yes, COVID, stress is a normal part of life. Because stress is a normal part of life, our bodies have adapted to react to…

The final insult after my husband died alone

This new virus is changing everyday life-hospitals are doing their best to protect their staff and patients.  One thing I’ve learned is that they need to do a better job of communicating with families. My husband was 70 years old when he died of …

A medical student’s 100 days of COVID

March 11, 2020. The medical school officially made all classes remote until the end of the semester. Tom Hanks and his wife have coronavirus. The NBA is suspended; Utah Jazz player Rudy Gobert has corona. Travel to Europe is suspended. The renal midter…

Physician personal development and growth [PODCAST]

“COVID-19 has given all of us the opportunity to live in extremely challenging times. We can choose to run away from this challenge or decide to acknowledge it as part of our journey to grow and transform. So, will you face your habitual reaction…

An alternative to the current model of primary care

What does a primary care visit look like from the patient’s point of view? I often wonder this myself, as a resident physician currently seeing patients at an FQHC in Austin, Texas. A brief look at the process reveals an often tumultuous ordeal for pat…

How a physician can learn to be an expert witness

When I was a full-time partner in a large radiology practice, I worked days, nights, evenings, and weekends without control over my schedule. Doing the laundry, I washed days’ worth of my children’s outfits that I never saw them wear. I saw…

Veering away from the predetermined path of training in medicine

With the advent of GPS, the need for self-directed navigation has all but vanished. We find ourselves at the mercy of and indebted to the wisdom of our devices. Occasionally given choices for route preference based on directness, speed limits, or tolls…

What has colon cancer screening got to do with self-driving cars?

An excerpt from Scope Forward: The Future of Gastroenterology Is Now in Your Hands. Over a decade ago, many of us still used landline phones, watched cable TV, rented DVDs, called for taxis, took photos using cameras, and drove over to Borders to brows…

When the best care is a comfortable death

I am no stranger to death. I have gently closed the eyelids of a woman dying from liver disease, blasted Led Zeppelin by request during a man’s last breath, and exchanged dog photos with an elderly gentleman on his final day. Although I cared for…