Category: KevinMD

Primary care is dying: Why that should scare every large employer

Primary care is on life support. COVID-19’s toll on American health care extends beyond the hospitals and medical workers besieged by infection. An equally insidious but less-visible crisis is engulfing primary care, the long-neglected foundation of ou…

What happens when patient capacity and autonomy diverge?

“I can’t take this, doc. It’s gonna kill me. I can’t. I just can’t,” exclaims my patient with persistent refusal of his medication. My frustration is met with my patient care team’s hesitation to give him the m…

Are negative news cycles and social media injurious to our health?

I am an avid social media user, and a news junkie who watches news religiously, even when the same stories are being recycled every hour and on every major news outlet. I am a proud member of Generation X, the generation that did not grow up with the i…

The view from an infectious disease physician in Texas [PODCAST]

“Death is not meant to be rushed. Saying goodbye shouldn’t be rushed. Celebrating a life once lived cannot be rushed. And yet, we must. Taking a moment, a minute, an hour, maybe a day to feel something that normally takes far longer. Because we m…

The emotional side of being a doctor during the COVID-19 pandemic

It was a Thursday. It was supposed to be one of those “regular” evening shifts. Then, at 6:15 p.m., my first page went off: Bed 11, Mrs. R., Dr. H. needs to talk to you. The page came from the COVID section of the emergency department. I immediately ca…

9 tips for new pediatric residents

It’s that wonderful time of year when new interns take their first steps into hospitals as practicing physicians One of us has just completed her intern year and the other quite a while back (but recently enough to still remember some of it), so we wan…

I don’t care what your cardiologist says

Yeah. I said it. As an anesthesiologist, especially as a cardiothoracic anesthesiologist, there are few things I am more interested in than how well or how poorly your heart functions and why.  And a cardiologist can help me obtain a lot of vital infor…

4 resolutions for a new academic year

With a flip of a calendar page, the new academic year is upon us. For much of the workforce, July 1st signifies the halfway point of the fiscal year, and most Americans would say that each new year starts on January 1st. However, those of us in academi…

A public health update on COVID-19 [PODCAST]

“Over the last 100 years, the U.S. has had to respond to five avian flu pandemics. The most severe was the 1918 avian influenza infecting 1/3 of the world’s population and killing 650,000 Americans. It was also the last time wide-spread containme…

Pandemic behavioral health tips from a psychiatrist [PODCAST]

“The unparalleled and pervasive nature of the evolving COVID-19 pandemic has touched all of us in some way. There is limited, albeit growing, research on the mental health effects of disasters.  A recent review article pointed out the potentially…