Category: KevinMD

Health care delivery after COVID-19: Move more procedures to the outpatient setting

The United States has some of the most advanced medical technology in the world, yet COVID-19 has exposed significant deficiencies in our health care system. As nothing will be the same after coronavirus, our health care system must also change as we m…

George Floyd: Framing police brutality through the lens of an emergent public health crisis

Those who knew George remembered him as “a big man with a heart to match” and a “good friend,” “good person,” and someone who “took care of people.” Tragically, George Floyd was murdered on May 25, 2020. …

A flurry of emotions as internal medicine residency comes to an end

As I come to the end of my internal medicine residency, I cannot help but experience a flurry of emotions. I am sure many of you, like myself, are feeling a whole host of sensations: relief at the fact that you have now completed over 23 years of educa…

We will soon see a mental health pandemic that will cause unnecessary deaths

Consents have become a prominent part of health care. We sign consents for visits, procedures, medication, privacy, release of information, care of minors … the list goes on and on. We must acknowledge and respect the patient’s autonomy in their care. …

Will telemedicine make us better diagnosticians?

We have all heard that 90 percent of the time, a patient’s history provides the diagnosis before we even perform a physical exam or order any tests. At the same time, much of our reimbursement used to hinge on how many body systems we examined. Like so…

A gut punch against COVID-19?

“You are what you eat.” Jean Anthelme Brillant-Savarin, a French lawyer, epicurean, and father of the low carbohydrate diet, penned these words in the 18th century. As we struggle through the COVID-19 pandemic, we search for personal ways to influence …

The new words from the coronavirus pandemic

With any new illness comes metaphor. It is humanity’s attempt to incorporate the mystery of disease into our own stories. We like to personify illness, give it human characteristics as a way of visualizing it. We name its actions to help lessen its unp…

COVID-19 misinformation: To respond, or not to respond, that is the question

Recently, I ran across a post on social media with multiple bullet points of theories targeted at the current COVID-19 pandemic. Having encountered handfuls of previous posts running along the lines of these factually incorrect claims, I decided it was…

Take a gratitude perspective on coronavirus

I often turn to my children when facing life’s vexing moments. So I did just that recently. “Kiddos, what do you think coronavirus is here to teach us?” My 11 year old spoke first, “To be thankful for our health.” Gratitude, huh? I step back from…

Ventilator rationing is guided by rules that could worsen health inequities

Imagine there are two individuals who have been admitted to a hospital due to COVID-19, and both desperately need ventilators. One is a 60-year-old with a heart condition, and another is a 63-year-old with chronic kidney disease. Because of resource co…