Category: KevinMD

My colleagues are nervous. My patients are crying. And yet, we are here.

Do you remember when you were a bright-eyed pre-med student, head bowed at the computer, typing your personal statement? Type, type … backspace, backspace … type. You didn’t want to use the phrase “to help people” in your statement as your reason for w…

A critical first step in helping physicians cope with the stresses of practice

The rapid advances of medical science, patients’ expectations, the loss of autonomy, insurers’ regulations, fears of litigation, and the documentation burden of recording patient data on electronic medical records all contribute to widespread physician…

Pollution in China and Iran are worsening the coronavirus

The baffling spread of the novel coronavirus has given many scientists and policymakers pause. There may be some important clues in the patterns the disease is leaving that tell us quite a bit about what conditions can hasten its spread and even worsen…

The vast ethical void between primum non nocere and the customer is always right

First, do no harm. For physicians, these are hallowed words. Within religion, they are akin to the Golden Rule and are, in fact, quite similar. In the realm of ethics, Kant’s categorical imperative, to only do what you would have seen done universally …

COVID-19 is not a cause for panic. It is cause for action.

As many of my Facebook friends know, I have posted a great many updates about COVID-19, both public health recommendations and news updates, but this is my personal plea.  As a physician with a public health degree, looking at the data, looking at what…

Preventing depression in the wake of COVID-19

As I drove back home from the hospital yesterday, I noticed that traffic was lighter. Then tonight, as I walked my dog in the early evening, I cannot help but notice the lack of foot traffic, the relative emptiness of the street. There are others like …

In the midst of a pandemic, this nurse feels betrayed

This nurse notified his hospital unit director testing availability for novel coronavirus on January 26, 2020.  This nurse asked his hospital unit director if signs could be posted discouraging visitation unless necessary on March 10, 2020. The respons…

The medical basis of vampires

An excerpt from Of Plagues and Vampires: Believable Myths and Unbelievable Facts from Medical Practice. The concept of a vampire predates Bram Stoker’s tales of Count Dracula – probably by several centuries. But did vampires ever really exist? In…

COVID-19 is teaching us the value of vocation

“Suppose we did our work like the snow, quietly, quietly, leaving nothing out.” -Wendell Berry Greetings from the hospital. It’s a ghost town around here. The roads are empty. Shops are shuttered. Churches won’t be meeting for m…

7 reflections on grief and personal loss as told by a medical student

Being a medical student during your clinical years imparts a certain feeling of invincibility. For many of us, this is our first-time taking care of patients. Our history-taking and physical exam skills are being honed like superpowers. Our clinical kn…