Category: KevinMD

The middle school of medicine: a reflection on the first year of medical school

There is a picture of me kneeling in front of the Azure Window, once off the coast of Malta, eating a chocolate ice-cream cone. I am 12 years old, having just finished the sixth grade, wearing high-top “Bathroom Wall” Converse and not-at-all-grungy car…

To my kids from a mentally exhausted doctor

As I reflect on Independence Day, I think of soldiers that sacrificed their own lives for others – present and future.  They knew what they were facing, and yet, continued to push forward.  They imperfectly led our nation through unprecedented waters w…

Why it’s so important to look at the big picture

One of the last things my dad said to me before he passed was, “remember to always look at the big picture.” He said this many times throughout my childhood and teenage years, but it never quite resonated until I was thinking about it in re…

Children and adolescents need well-child visits and immunizations, even during the COVID-19 pandemic

Now more than ever, children and adolescents need to continue receiving routine well-child visits and regularly scheduled immunizations. From the earliest onset of the COVID19 pandemic, there has been a significant decrease in the number of preventive …

3 reasons why doctors don’t unionize

In a market economy, business leaders take every opportunity to shrink the cost line of labor on the balance sheet to boost profits and shareholder/investor value. It’s the metric on which they are evaluated, and left unopposed; they will do it m…

10 reasons why divorce is hard for doctors and 5 tips to make it easier

No matter who pulls the plug, divorce sucks. It does get better, and eventually, you get to a new normal — but the process sucks. I know this because our two-physician marriage ended 15 years ago when our daughters were six and seven years old. Divorce…

Why COVID-19 is a threat to hospital medicine

As hospitals everywhere have been using every health care provider available to them in response to COVID-19, the specialty of hospital medicine has shown itself to be uniquely suited for coordinating the effort, to be the front of the frontline respon…

What we can learn from a palliative care chaplain [PODCAST]

  “Faced with the prospect of not being able to provide all COVID-19 patients with the life support that they may need, physicians and nurses are working in conditions that have been described as ‘hell.’ How are providers to cope…

A physician who knows the power of listening and teamwork

Standing in the hallway, I look attentively to the computer screen while the attending skims the records. “This is a longstanding patient of mine.  I’m just going to have you listen while we do a visit with our psychologist,” he says. With the paucity …

The physician who treats depressed, anxious, and suicidal teens [PODCAST]

“After almost 30 years in this profession, I have come to the conclusion that there is some truth to that, as no day or week passes that I do not have a depressed, anxious or suicidal teen on my ‘to see list.’ Could it be my own perso…