Category: primary care

How can doctors address patients’ expectations?

No one wants to be sick, especially when no one can tell them what is wrong. In the U.S., we live in a culture where we want instant results; we want easy answers for complex problems. However, in medicine, there are often no easy fixes. Adverse medica…

Will the public be able to resist the pitch from 23andMe?

Just because something is legal, doesn’t make it right. Just because we enjoy a right of free speech, doesn’t mean we should be verbally insulting people. Just because the Food and Drug Administration (FDA) approves a treatment or a test, doesn’t mean …

Why medical students need more continuity of care training

One of the major challenges of being on medical school rotations is the necessity of changing rotations every four weeks, and how adapting to each new specialty feels like going through the first day of school all over again. I want to share my experie…

Healers: Peel away the layers

The mud is deep and thick and black. The smoothness of its surface is deceiving, drawing me closer to it with promises of contentment. It lures those who dare to tread upon it into its hidden depths. Hopes are dashed as one struggles for freedom. It is…

A physician defends Ayurveda: Is it the original personalized medicine?

As more patients and clinicians are searching for holistic approaches to health care, Ayurveda, or the traditional medical system of India, has been gaining popularity in the Western world.  Unfortunately, many allopathic physicians still view this sys…

CMS risks ACO success by forcing move to another track

Like many accountable care organizations, Austin Regional Clinic (ARC) in Texas is building a record of success on the Medicare Shared Savings Program’s (MSSP) so-called “Track One.” Now looming, however, is an automatic transfer of ARC to the MSSP’s r…

@HIMSS, physicians don’t want hype. They just want sensible EMR solutions.

A few years ago, I wrote a KevinMD blog post about how cumbersome it was to complete notes in the electronic medical record (EMR). I proposed a solution in our residency clinic but encountered resistance in the adoption process that eventually led to i…

Why increasing patient volume won’t work

Once again, we find ourselves stuck between a rock and a hard place. Increasingly, providers are being pressured to improve access for our patients, which we certainly think is a good thing. We want our patients to come in, whether it’s for their…

How many beers is too many?

“I drank beer with my friends. Almost everyone did.” Alcohol has become constitutional to American culture: “grabbing a drink” after work, happy hour, cheers before meals, on New Year’s, or just because. Our society’s normalization of drinking creates …

Twitch, Fortnite, and the emergence of eSports medicine

Here is a simple question: In terms of social media engagements, who is the most popular athlete in the world? Super Bowl sensation and apparent immortal Tom Brady? Nope. Philanthropist Lebron James? Not even close. International superstar Cristiano Ro…