Category: KevinMD

Physicians: Did you ever play the zero percent interest game?

Back in 2001, we paid off our last personal loan, our home mortgage. At that time, we decided to begin investing in real estate with the money that used to go towards digging us out of our personal debt. Our real estate was held in an LLC, and we acqui…

These medical students signed up for rural medicine. What happened to them?

The University of Kansas School of Medicine-Salina opened in 2011 — a one-building campus in the heart of wheat country dedicated to producing the rural doctors the country needs. Now, eight years later, the school’s first graduates are settling into t…

Physicians need moments of reflection throughout their days

“The music is not in the notes, but in the silence between them.” – Achilles Charles Debussy Silence is an important part of our everyday lives. Yet, we often don’t consider its critical importance in helping us to reflect on what we’…

How the changing roles of hospitals are isolating physicians

Physicians nearing the end of their careers often mourn the loss of the hospital as it once was — the undisputed center of the health care universe. They remember a time when every community doctor rounded on patients in the morning, and every su…

Vaping likely has dangers that could take years for scientists to even know about

The rise in cases of otherwise healthy young adults who have been hospitalized or even died from vaping-associated lung injury is alarming. Many people don’t know what is contained in these vaping devices, what the reported health effects actually mean…

3 ways to win back the public’s trust in medicine

The United States is currently facing the largest measles outbreak in three decades, with more than 1,200 cases reported to the Centers for Disease Control. The spread of that disease is a mere symptom of one of the most dangerous pandemics of our time…

Overspecialization in medical education: Is it hindering physician growth and stifling innovation?

In the recent book, Range: Why Generalists Triumph in a Specialized World, David Epstein makes a strong argument for exploring or sampling different interests and jobs before settling on a career of choice, a process that leads to “match quality,” whic…

The ideal health system lies between the two extremes

Admittedly, my views on funding health care have done a 180 since I left medical school. I grew up and went to university in the United Kingdom, which famously has one of the most heavily centralized socialized systems anywhere in the world. Born out o…

Why hospitals are getting into the housing business

One patient at Denver Health, the city’s largest safety-net hospital, occupied a bed for more than four years — a hospital record of 1,558 days. Another admitted for a hard-to-treat bacterial infection needed eight weeks of at-home IV antibiotics, but …

Why hospitals are getting into the housing business

One patient at Denver Health, the city’s largest safety-net hospital, occupied a bed for more than four years — a hospital record of 1,558 days. Another admitted for a hard-to-treat bacterial infection needed eight weeks of at-home IV antibiotics, but …