Category: KevinMD

Do patients addicted to drugs truly have capacity?

Is it time to rethink how we determine the capacity of our patients who are addicted to drugs?  I recently began debating this question after I took care of a young woman with endocarditis.  She had a long history of IV drug abuse that had led to the d…

A doctor’s COVID-19 advice to physician leaders

I work as the medical director for a non-profit agency that serves people who are currently or formerly homeless. I am trained as a psychiatrist and have previously worked in local government. I live in the county in Washington State, where people have…

Doctors: It’s OK to sometimes suck

I’m here today to let you in on a little secret. It’s not something that I’m particularly proud of, and it’s work that I’m always trying to improve upon. But it’s true. And today you’re about to find out someth…

Seattle is at risk for explosive coronavirus growth

The coronavirus outbreak in the Seattle area is at a critical juncture and could see explosive growth in cases much like Wuhan, China, if public officials don’t take immediate, forceful measures, according to a new analysis of genetic data. The author …

Surgery is nothing short of a stupendous magic act

An excerpt from The Invention of Surgery: A History of Modern Medicine: From the Renaissance to the Implant Revolution. Johns Hopkins University was unlike anything ever built. Armed with an enormous endowment from a wealthy industrialist, the hospital…

A physician’s chilling COVID-19 diagnostic journey

We watched as the new viral outbreak happened in a remote place in China, wondering if this would be a quick flameout or if Mother Nature would again exert her majesty on us mortals. My associate, Madilyn, and I watched with more interest, knowing that…

More worried about the coronavirus than the seasonal flu? Here’s why you should be.

The spread of the new coronavirus, which has infected over 80,000 people worldwide and resulted in the death of more than 3,000, has raised alarms around the world. At the same time, the seasonal influenza, known as the flu, causes severe illness in be…

The alarming risk of COVID-19 in nursing homes

An outbreak of coronavirus disease in a nursing home near Seattle is prompting urgent calls for precautionary tactics at America’s elder care facilities, where residents are at heightened risk of serious complications from the illness because of the du…

How many people have coronavirus? We don’t really know.

It has been nearly three months since the first cases of a new coronavirus pneumonia appeared in Wuhan, China, and it is now a global outbreak. And yet, despite nearly 90,000 infections worldwide (most of them in China), the world still doesn’t have a …

Why does Generation Z require so many workplace accommodations?

Recently the Wall Street Journal reported on how many young people are now seeking “accommodations” at work for their anxiety, PTSD, depression, and other mental conditions. The article provoked a lively discussion split largely on age line…