Just before I induced anesthesia, he said, “Doc, I want to apologize beforehand. I am incontinent due to a previous surgery so I might wet the sheets.” I told him not to worry and that we understood and that “these things do happen.” …
Category: KevinMD
Doctor by day, law student by night
I am a middle-aged, full-time emergency physician, and part-time law student. Usually, I practice medicine during the day and attend law classes in the evening. Sometimes I have law classes in the afternoon or early evening then work in the emergency d…
MKSAP: 38-year-old woman with primary membranous glomerulopathy
Test your medicine knowledge with the MKSAP challenge, in partnership with the American College of Physicians. A 38-year-old woman is evaluated during a follow-up visit for primary membranous glomerulopathy. Diagnosis was made by kidney biopsy 4 months…
The health effects of structural racism
In the United States, the health of African-Americans lags behind most other racial minority groups. Compared to whites, black men and women face higher risks of chronic illness, infection, and injuries. Taken altogether, the average life span for Af…
The cure to our malignant health system
An excerpt from Curing the Cancer in U. S. Healthcare: StatesCare and Market-Based Medicine. Clinical doctors can readily understand the continuing failure of the U.S. health care system. The attending physicians for Patient Healthcare–Washington, both…
A physician reflects on the worth of a decade
At first, I thought the light was reflecting off the mirror. But no. There It was – my first gray hair. I did not expect to live to see the day. I was ecstatic! At six months old, I was diagnosed with a severe illness called thalassemia major and…
Lawyers have figured out what doctors haven’t
Dear lawyers: You got it right. Your operations make sense. I know this is wrong for me to say — doctors and lawyers are often at odds with one another — but I have to tip my cap here. I have this unsettling feeling that — from a prof…
Why physicians should start thinking about climate change
Climate change. Global warming. The greenhouse effect. Devastating wildfires, dangerous air quality. Catastrophic weather events and mass human migration. It all sounds like post-apocalyptic fiction except that it’s real. Inside our air-condition…
Cookie-cutter medical students need decorating
“First Aid For The USMLE Step 1 — cost: $45, format: reference book.” “Pathoma — cost: $99 (1-year subscription), format: video explanations + reference book.” “SketchyMedical — cost: $150 (1-year subscription), format: cartoon video memory device.” Ou…
Fight burnout with a higher power
As physicians, we are constantly faced with a daily barrage of meeting minimum RVUs, while keeping up with EMRs as part of the necessary components to successfully practice medicine. This has resulted in a decrease in personal interactions with patient…
