Category: primary care

What if the hierarchy in medicine was dismantled?

About a year ago, before the pandemic hit, I was at the local fitness center, having just completed a group exercise class, when my former residency program director entered the room. I hadn’t seen him in 20 years. He looked exactly the same, give or t…

4 steps to help you prepare for a successful virtual second opinion

If you’ve been diagnosed with a serious, rare, or complex health condition or your doctor has recommended surgery as a treatment option, your next step should be to get a second opinion on both your diagnosis and treatment options. There are several re…

Recommending yoga to your patients? Consider this first.

The COVID-19 pandemic has exacerbated and highlighted many health issues, particularly those suffering from chronic pain. An estimated 50 million people in the U.S. live with chronic pain, of which approximately 19.6 million experience high-impact chro…

The attack in Buffalo, Minnesota: a primary care physician’s perspective 

You might be next.   I began my career as a family physician in Buffalo, MN in 2002. I have been an extremely productive doctor for 20 years and currently reside just out of St Paul, MN. For context, I can assure the reader that my ratings and reviews …

The case for physician peer coaching

I love metaphors. I think they can be so powerful and can convey so much, sometimes with just a few words. One metaphor we use in coaching to describe the coach’s role in a session with their client is that of a swimming pool. The client is in the swim…

How this physician escaped the system

“Wrong! The most important part of your job is to make money.” I will never forget those words from an attending in residency – though I did not know it at the time, it was a pivotal moment in my decision to pursue a nontraditional route in medicine. I…

The destructive health consequences of political polarization

A guest column by the American College of Physicians, exclusive to KevinMD. Political divisiveness has always been part of the fabric of America.  Even as our Founders laid the groundwork for the United States, they understood the challenges of seeking…

How divorce helped this physician

I got married the day after I graduated from medical school to someone I thought I’d spend the rest of my life with. Seven years later, we were divorced. Even though a high percentage of marriages end in divorce, there is still a stigma that many…

Yes, your doctor was a sorority girl

Patients often comment on my attire other than my white coat, particularly my impractical footwear, until I finally broke down and purchased Danskos to avoid being called out for my truthful impracticality. It is amazing how patients care more about my…

Building a bond of trust between patient and physician

We live in a world today where there is misinformation in abundant supply. What we see and hear in the media one day seems to be reversed the following day. What to believe, who to believe? Our world appears to be in a state of turmoil, a state of cont…