Category: KevinMD

The right support system makes all the difference for physicians

In the neonatal ICU, a baby dies from necrotizing enterocolitis or NEC.  It’s not the first, nor the last time I’ll experience death during my medical career. Doctors, nurses, respiratory therapists, surgeons, and the rest of the team spent the days pr…

Entitlement, arrogance, and isolation in modern-day medical practice

I recently read a medical school commencement, delivered by a physician, that was both inspiring and sadly reminiscent of what physicians should aspire to throughout their careers. This physician relayed how patients throughout her training and career …

Practicing oncology during COVID-19

Being an oncologist in New York, having recovered from the trauma of flooding from Hurricane Sandy and the aftermath that ensued when hospitals were flooded in 2012, my anxieties are now heightened again over the global threat and uncertainties surroun…

What COVID-19 taught me about autonomy

I came back from a family vacation to Italy one day before the first case of novel coronavirus was reported there.  Two days later, the CDC issued a Level 3 travel warning for visitors to Italy.  Eight days later, and six days after returning to work, …

What prevents coronavirus? A pathologist grades COVID-19 precautions.

COVID-19 is here, and it isn’t going away. The SARS-CoV2 virus, and the disease it causes, has entered the ecosystem of human pathogens and is running up numbers that make it appear to be heading into the realm of the pandemic. Let’s look a…

On-demand doctors: Are we becoming medical waiters?

Seven years ago, I vividly recalled a patient saying, “It needs to be as easy to schedule with you as OpenTable.” For most health care systems, this request is now a reality. Yet, how far has the restaurant metaphor moved into patient expec…

Love in the time of coronavirus

“The weak would never enter the kingdom of love.” ― Gabriel Garcí­a Márquez, Love in the Time of Cholera  As the medical community grapples to come up with an appropriate response and protect our patients from this latest pandemic, I cannot help but wo…

Dear patients: Please show up on time

There is constant tension to remain on-time working in a primary care clinic, seeing patients every twenty minutes back-to-back.  It takes an incredible ability for the front desk staff, medical assistants, and the physician to be able to keep this flo…

Continuing medical education: Why it’s important and how to make it effective

With the escalating pressures on hospitals, health care facilities, and practitioners to be cost-effective, it is increasingly difficult to justify spending money on education and training. Education and training are expensive when adding together the …

What makes health care workers superhuman

“So, the next step in the history taking process is to define the pain. You start this by asking for site, with questions like, “Where are you experiencing the pain? Can you pinpoint the site or is it more general? Does the pain radiate (spread anywher…