Category: surgery

The heartbreak and joy of missions-based pain medicine: a pain physician’s perspective

A guest column by the American Society of Anesthesiologists, exclusive to KevinMD.com. Approximately 30 percent of the world’s population reports living with some form of pain, ranging from headaches to joint pain to cancer-related pain. Unfortunately,…

The ramparts of the neurosurgeon’s mind were unassailable

An excerpt from Azazel’s Public House. Pete tried to invade Tommy’s brain and force an oops moment. But the ramparts of the neurosurgeon’s mind were unassailable. Clancy, unaware he was battling on two fronts, tried to spare any brain…

Giving up the knife: Saying goodbye to surgery

This year, I stopped doing surgery — giving up the knife, so to speak. It wasn’t an easy decision to make. I’ve been a surgeon for 32 years since graduating from medical school. It’s been a distinct part of who I am for most of my lif…

A neurosurgeon puts down the knife [PODCAST]

Subscribe to The Podcast by KevinMD. Catch up on old episodes! “MRI studies of these patients determined that it was not only the circuitry that was affected by the burnout but also the size of the brain structures. Compared with the controls, pa…

How to stay off my operating table [PODCAST]

Subscribe to The Podcast by KevinMD. Catch up on old episodes! “Health isn’t about luck — it’s about intentionality. But even if you’re doing and saying all the right things, you might not be any closer to your goals. I know bec…

The appendix: an ancient organ for the modern age

An excerpt from Tornado of Life: A Doctor’s Journey Through Constraints and Creativity in the ER. Reprinted with permission from The MIT Press. Copyright 2022. The appendix is a body part with an image problem. Derived from the Latin word for &#8…

Just as medicine is rooted in relationships, so too is good advising

“Well, you may think you want to be a surgeon, now that you’re young and think you can do it all, but that will change — once children are in the picture. You’ll see how hard it is to leave them and wish you could be with them a…

Management of acute postoperative pain reveals systemic flaws in health care policy

Medical care in the United States is broken. The pandemic contributed, but we were well along this misdirected journey. There is a pathological push/pull between financial pressures applied by payors and health care systems to decrease costs, thereby g…

I didn’t know her name until it was over

I didn’t know her name until it was over, much too late. What I knew was she was thirteen and that on this winter day, someone in her family had been pulling her behind their car on a sled. No doubt laughing and looking in the rear-view mirror, t…

We are all responsible for women physicians’ pay discrepancy

A recent JAMA article showed that starting salaries for female physicians were lower than that of their male counterparts in most subspecialties. New physicians are not expected to have many differentiating factors besides gender, yet the starting sala…