Category: KevinMD

The ethical dilemma facing health care workers today

Health care workers will face some very difficult decisions in the days ahead.  The decision: Am I willing to take care of coronavirus patients without proper protection? This is a very personal dilemma. Everyone who goes into any part of medicine is t…

Communicating about cancer: 5 common terms that are frequently misunderstood

In cancer language, it’s not unusual for the medical or scientific meaning of a word to be different from the way the same word is understood in everyday language. Sometimes the difference reflects a focus on populations vs. individuals, and in that ca…

Our collective struggle to fight COVID-19 coronavirus

I hope we eventually study the COVID-19 event after a sober period of analysis and reflection as an example of a societal panic attack. This is not Ebola, with a mortality rate of over 50%, or even SARS, with a 10% death rate.  We’ve seen this movie be…

COVID-19: 5 tips for psychiatrists

In February, I had my first patient ask about my thoughts on the coronavirus. At that time, I was aware of the coronavirus and cautiously optimistic about the situation. My advice to the patient was to have a healthy level of concern about the virus, g…

A guide for mental wellness while distancing: a psychiatrist’s perspective

One week ago, a mere glance at my phone between patients would have sufficiently caught me up on 30 minutes of disconnect from both social and mainstream media. Today, as I closed one virtual appointment and waited for my 9 o’clock follow-up to join me…

Interested in locum tenens? Beware of fees.

Eighty-five percent of health care facilities used locum tenens temporary doctors in 2019 to address their staffing shortages or gaps in coverage. Physicians are turning to locum tenens work to allow them more flexibility, extra income, the ability to …

Would Medicare for all help us combat COVID-19?

In 2009, when more than $35 billion was invested in expanding national electronic health record (EHR) uptake, one of many advantages touted was its value as a tool for managing population health. This promise has failed to materialize due to a chaotic …

An interruption from an evangelist

Charles looks older than his sixty-one years; he is very thin and quite stooped, and his eyes are what I guess are described as “lazy.” One goes one way, and one another. He is badly in need of dental work. He has emphysema, though he conti…

I am a physician and I am not isolating emotionally

I am a physician, and I am not isolating.  Like the Vietnam War defined my parents’ generation and World War 2 defined the generation before that, the COVID-19 pandemic will likely define mine.  My father and grandfathers went to battle – I am now call…

Residency training in the time of COVID-19

A few days ago, a good friend revived an email thread that routinely circulated among our social cohort of 17 aspiring doctors during our final two years of medical school. The subject line read: qThurs HH. Translation: happy hour every Thursday. Back …