The medical team is at a breaking point
It was a cold day in Durban. Sixteen degrees Celsius is cold for us on the East Coast of sub-tropical Africa. I had made a trip through the suburbs to drop something off for my theatre scrub sister.   The roadblocks are manned by community commandos, most of who are my patients and it’s easy toRead more …The medical team is at a breaking point originally appeared inKevinMD.com. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - July 25, 2021 Category: General Medicine Authors: < span itemprop="author" > < a href="https://www.kevinmd.com/blog/post-author/basil-stathoulis" rel="tag" > Dr. Basil Stathoulis < /a > < /span > Tags: Physician Surgery Source Type: blogs

Trauma: Encountering the past in the present
“Code blue!” the overhead speaker blared. I had just started my shift in the pediatric emergency department.  “This will be good for you to see,” the off-service junior resident said to me, as she sprang up from her chair in Pavlovian fashion. With a surge of adrenaline, I blindly followed a group of nurses andRead more …Trauma: Encountering the past in the present originally appeared inKevinMD.com. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - July 25, 2021 Category: General Medicine Authors: < span itemprop="author" > < a href="https://www.kevinmd.com/blog/post-author/siraj-zahr" rel="tag" > Siraj Zahr, PhD < /a > < /span > Tags: Education Emergency Medicine Medical school Source Type: blogs

Marshall Allen on how to contest hospital bills and avoid treatment you don ’t need [PODCAST]
“It ’s rare for anyone to try and tally the precise cost of unnecessary care. But when they do, the estimates are staggering. The Washington Health Alliance, a nonprofit dedicated to making care safe and affordable, analyzed insurance claims from 1.3 million patients who received one of 47 tests or se rvices that are considered overused orRead more …Marshall Allen on how to contest hospital bills and avoid treatment you don ’t need [PODCAST] originally appeared inKevinMD.com. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - July 24, 2021 Category: General Medicine Authors: < span itemprop="author" > < a href="https://www.kevinmd.com/blog/post-author/the-podcast-by-kevinmd" rel="tag" > The Podcast by KevinMD < /a > < /span > Tags: Podcast Public Health & Policy Source Type: blogs

Education is the key to moving past the pandemic
Our country is seventeen months into a pandemic that we have an effective vaccine for, and yet, COVID-19 cases are still rising at an alarming rate.   Currently, this dramatic acceleration in cases is evident in several states. Furthermore, these areas with high numbers of COVID-19 case rates are associated with low vaccination rates. These unfortunateRead more …Education is the key to moving past the pandemic originally appeared inKevinMD.com. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - July 24, 2021 Category: General Medicine Authors: < span itemprop="author" > < a href="https://www.kevinmd.com/blog/post-author/sarah-c-smith" rel="tag" > Sarah C. Smith, DO < /a > < /span > Tags: Conditions COVID-19 coronavirus Infectious Disease Source Type: blogs

Celebrating everyday Olympians: The “average” among us who always show up
When it comes to running, I am 100 percent pure-bred, authentically average. I love to run, but I don ’t ever expect any record-breaking times. Did that woman in a hot-dog costume just pass me on the course? Sure did! As the Olympic games are upon us and we watch and admire the best-of-the-best, I challengeRead more …Celebrating everyday Olympians: The“average” among us who always show up originally appeared inKevinMD.com. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - July 24, 2021 Category: General Medicine Authors: < span itemprop="author" > < a href="https://www.kevinmd.com/blog/post-author/michelle-housel" rel="tag" > Michelle Housel, MD < /a > < /span > Tags: Physician Primary Care Source Type: blogs

The 5 secrets to setting boundaries at work
Karen is a 35-year-old physician recently recruited to lead a newly formed department at a large academic health system. She was new to leadership and initially let the prevailing culture dictate the ways meetings were held. There were many tangential conversations and virtually no relationship building. She left each one feeling depleted and angry. “WeRead more …The 5 secrets to setting boundaries at work originally appeared inKevinMD.com. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - July 24, 2021 Category: General Medicine Authors: < span itemprop="author" > < a href="https://www.kevinmd.com/blog/post-author/diane-w-shannon" rel="tag" > Diane W. Shannon, MD, MPH < /a > < /span > Tags: Physician Practice Management Source Type: blogs

Should Medicare pay for Aduhelm?
In June, the FDA approved aducanumab (Aduhelm)  to treat patients with Alzheimer’s disease using the agency’s accelerated approval pathway, despite significant concerns about the evidence regarding the drug’s safety and effectiveness. The agency’s approval decision contradicted the recommendations of its own advisory committee, which  voted overwhelmingly against the evidence presented in support of the drug. Soon afterRead more …Should Medicare pay for Aduhelm? originally appeared inKevinMD.com. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - July 24, 2021 Category: General Medicine Authors: < span itemprop="author" > < a href="https://www.kevinmd.com/blog/post-author/michael-k-gusmano-and-karen-j-maschke" rel="tag" > Michael K. Gusmano, PhD and Karen J. Maschke, PhD < /a > < /span > Tags: Policy Neurology Source Type: blogs

Medical school is more than practice problems
It was the first day of my third year of medical school. I was assigned to an outpatient OB/GYN clinic. I woke up early, had only a coffee for breakfast that I would later regret, hesitantly wrapped a stethoscope around my neck, unsure if this specialty required such a tool, and punched the address intoRead more …Medical school is more than practice problems originally appeared inKevinMD.com. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - July 24, 2021 Category: General Medicine Authors: < span itemprop="author" > < a href="https://www.kevinmd.com/blog/post-author/kira-kopacz" rel="tag" > Kira Kopacz < /a > < /span > Tags: Education Medical school OB/GYN Source Type: blogs

How physicians can be better medical leaders [PODCAST]
“A sad truth is this: Most everywhere, health care is a low-margin industry that lacks resources to invest in leadership development. Although our business ’s central, sacred function is caring for our fellow human beings, many who move up in the health care hierarchy do so without possessing the so-called‘soft skills’ that facilitate one ’s abilityRead more …How physicians can be better medical leaders [PODCAST] originally appeared inKevinMD.com. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - July 23, 2021 Category: General Medicine Authors: < span itemprop="author" > < a href="https://www.kevinmd.com/blog/post-author/the-podcast-by-kevinmd" rel="tag" > The Podcast by KevinMD < /a > < /span > Tags: Podcast Practice Management Source Type: blogs

Let ’s talk about hierarchy and priorities in medicine
Life is full of hierarchies — whether you are the older brother in the family, the supervisor in a company, a chief resident in medicine. There is always a hierarchy. It is a pecking order that keeps our society organized. You know where to look for guidance. Who is the person above your title thatRead more …Let’s talk about hierarchy and priorities in medicine originally appeared inKevinMD.com. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - July 23, 2021 Category: General Medicine Authors: < span itemprop="author" > < a href="https://www.kevinmd.com/blog/post-author/diana-londono" rel="tag" > Diana Londo ño, MD < /a > < /span > Tags: Physician Specialist Source Type: blogs

The horror of keeping a loved one alive at all costs
He was in his ICU bed without movement or brain stem involvement. His weight was down to 90 pounds. His six-foot frame and skeletal body made me gasp. After countless sessions with the patient’s daughter to make her 92-year-old dad“comfort care,” the intensivist sadly hung his head down low. The daughter insisted on doingRead more …The horror of keeping a loved one alive at all costs originally appeared inKevinMD.com. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - July 23, 2021 Category: General Medicine Authors: < span itemprop="author" > < a href="https://www.kevinmd.com/blog/post-author/debbie-moore-black" rel="tag" > Debbie Moore-Black, RN < /a > < /span > Tags: Conditions Critical Care Source Type: blogs

Advocating for people with disabilities: People First Language
You are more likely to be struck by lightning than be born with cri du chat syndrome and OCD. The chances of becoming a performer with these diagnoses are even smaller, and yet, what a show Tanner performed. His performance is meticulously planned out. Pump soap dispenser twice. Rub hands three times. Wash quickly. CreateRead more …Advocating for people with disabilities: People First Language originally appeared inKevinMD.com. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - July 23, 2021 Category: General Medicine Authors: < span itemprop="author" > < a href="https://www.kevinmd.com/blog/post-author/leonard-wang" rel="tag" > Leonard Wang < /a > < /span > Tags: Education Medical school Source Type: blogs

Is Open Notes as good in practice as it is in theory?
Earlier this year, a  federal rule that requires clinical information such as doctors’ notes and lab and imaging results to be made immediately available to patients took effect. A little more than three months out from implementation, there are mixed reviews as to how well the so-called“Open Notes” rule is actually improving patient care. PatientRead more …Is Open Notes as good in practice as it is in theory? originally appeared inKevinMD.com. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - July 23, 2021 Category: General Medicine Authors: < span itemprop="author" > < a href="https://www.kevinmd.com/blog/post-author/jennifer-henderson" rel="tag" > Jennifer Henderson < /a > < /span > Tags: Tech Health IT Source Type: blogs

Prior authorization reform for health care coverage takes center stage
One of the leading reasons for provider frustration is prior authorizations. The insurance companies initially created prior authorization (prior auth) to keep down the cost of care when a service fee was the primary payment method for payers. However, it has become a hindrance for providers and staff as they spend hours waiting for authorizationRead more …Prior authorization reform for health care coverage takes center stage originally appeared inKevinMD.com. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - July 23, 2021 Category: General Medicine Authors: < span itemprop="author" > < a href="https://www.kevinmd.com/blog/post-author/afua-aning" rel="tag" > Afua Aning, MD < /a > < /span > Tags: Policy Public Health & Source Type: blogs

How a homeless teen became a physician [PODCAST]
“During my medical school clerkships, an attending recognized a truth within me that I ’d hidden for many years. Just a few hours into my pediatrics rotation, the attending asked me,‘You had a rough childhood, didn ’t you?’ I was astonished. How had he known? I asked him, needing to know what gave away my mostRead more …How a homeless teen became a physician [PODCAST] originally appeared inKevinMD.com. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - July 22, 2021 Category: General Medicine Authors: < span itemprop="author" > < a href="https://www.kevinmd.com/blog/post-author/the-podcast-by-kevinmd" rel="tag" > The Podcast by KevinMD < /a > < /span > Tags: Podcast Medical school Source Type: blogs

Psychiatrists can be valuable vaccine educators
When watching the news or reading articles about COVID-19, the physicians who contribute are often in internal medicine, epidemiology, emergency medicine, etc. You do not typically see psychiatrists contributing to discussions on the virus itself but more about the mental health ramifications of COVID-19. Psychiatrists are also not often considered integral in the role ofRead more …Psychiatrists can be valuable vaccine educators originally appeared inKevinMD.com. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - July 22, 2021 Category: General Medicine Authors: < span itemprop="author" > < a href="https://www.kevinmd.com/blog/post-author/katherine-gantz-pannel" rel="tag" > Katherine Gantz Pannel, DO < /a > < /span > Tags: Physician COVID-19 coronavirus Infectious Disease Source Type: blogs

Menopause changes women ’s singing voices
Singing during the years around menopause can bring unforeseen challenges for some women. To Elaine, a 56-year-old professional singer and voice teacher, her voice has felt like a mystery for the last few years. Her vibrato was wider than it used to be, her usual songs didn’t feel good anymore, and her flexibility and agilityRead more …Menopause changes women’s singing voices originally appeared inKevinMD.com. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - July 22, 2021 Category: General Medicine Authors: < span itemprop="author" > < a href="https://www.kevinmd.com/blog/post-author/nancy-bos-cate-frazier-neely-and-joanne-bozeman" rel="tag" > Nancy Bos, Cate Frazier-Neely, and Joanne Bozeman < /a > < /span > Tags: Conditions Otolaryngology Source Type: blogs

Doing right in the everyday care of patients
Caring for patients is not only a clinical endeavor, it is also an ethical one. Patient care and ethics are woven together as an integral part of every doctor-patient encounter. Medical schools have traditionally taught students the principle-based ethics approach of autonomy, beneficence, non-malfeasance, and justice. These abstract principles are often applied to “big” patientRead more …Doing right in the everyday care of patients originally appeared inKevinMD.com. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - July 22, 2021 Category: General Medicine Authors: < span itemprop="author" > < a href="https://www.kevinmd.com/blog/post-author/sheila-crow" rel="tag" > Sheila Crow, PhD < /a > < /span > Tags: Physician Oncology/Hematology Primary Care Source Type: blogs

Teens need later school start times
Daily cries from parents, pediatricians, the press, and the public to reopen schools in the fall are certainly well-intentioned, but they are overlooking a critical opportunity to advance adolescent physical and mental health long after the COVID-19 pandemic is over. Delaying school start times for teens by an hour, or even two, could optimize aRead more …Teens need later school start times originally appeared inKevinMD.com. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - July 22, 2021 Category: General Medicine Authors: < span itemprop="author" > < a href="https://www.kevinmd.com/blog/post-author/hina-talib-and-shelby-harris" rel="tag" > Hina Talib, MD and Shelby Harris, PsyD < /a > < /span > Tags: Conditions Pediatrics Source Type: blogs

Why it ’s important to embrace dialectical thinking
“Embrace dialectical thinking, stupid!” That ’s the mantra I repeat when I catch myself getting worked up about a deep-seated belief, idea, or cause.  Understanding the flip side of the equation helps me to neutralize powerful negative feelings like righteous indignation, bitter disappointment, and utter disgust with the incompetence of fil l-in-the-blank. Dialectical thinking is the abilityRead more …Why it’s important to embrace dialectical thinking originally appeared inKevinMD.com. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - July 22, 2021 Category: General Medicine Authors: < span itemprop="author" > < a href="https://www.kevinmd.com/blog/post-author/steve-adelman" rel="tag" > Steve Adelman, MD < /a > < /span > Tags: Physician Psychiatry Source Type: blogs

What this physician learned from medicine in developing countries [PODCAST]
“On a recent call with a small health organization in rural Uganda, I asked the director about the C-section rate in the community. In some private maternity centers, this procedure is performed far more often than one might expect. I ’ve learned that while this practice may be financially motivated, the extra fees also pay forRead more …What this physician learned from medicine in developing countries [PODCAST] originally appeared inKevinMD.com. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - July 21, 2021 Category: General Medicine Authors: < span itemprop="author" > < a href="https://www.kevinmd.com/blog/post-author/the-podcast-by-kevinmd" rel="tag" > The Podcast by KevinMD < /a > < /span > Tags: Podcast Emergency Medicine Source Type: blogs

Be someone who sees the person beyond the BMI
You are about to see my patient in some acute setting. Maybe it’s the emergency department. Maybe it’s an ENT consult or ortho. In any case, you just met her. You do not have much of a relationship with her and are just evaluating one part of her health. And yes, of her many comorbidities,Read more …Be someone who sees the person beyond the BMI originally appeared inKevinMD.com. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - July 21, 2021 Category: General Medicine Authors: < span itemprop="author" > < a href="https://www.kevinmd.com/blog/post-author/merideth-c-norris" rel="tag" > Merideth C. Norris, DO < /a > < /span > Tags: Physician Obesity Source Type: blogs

Heal the system: Medicine must be anti-racist
My maternal grandmother, Susana, was one of the most important women in my life. I was named after her. At least, that is what I thought for many years. I had gone by my grandmother’s name until I transferred high schools in the suburbs of Chicago, and the registrar asked me to confirm my name.Read more …Heal the system: Medicine must be anti-racist originally appeared inKevinMD.com. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - July 21, 2021 Category: General Medicine Authors: < span itemprop="author" > < a href="https://www.kevinmd.com/blog/post-author/susan-lopez" rel="tag" > Susan Lopez, MD < /a > < /span > Tags: Physician Hospital-Based Medicine Public Health & Policy Source Type: blogs

Clinicians need fire pit time
The flames flicker, tantalizingly reaching upward, and I sit mesmerized. How many times have I sat by my backyard fire pit and watched this ageless dance? I think; I meditate; I pray. A cigar and bourbon often accompany me. I especially love to stand by it while the snow falls, enveloping me in all itsRead more …Clinicians need fire pit time originally appeared inKevinMD.com. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - July 21, 2021 Category: General Medicine Authors: < span itemprop="author" > < a href="https://www.kevinmd.com/blog/post-author/andy-lamb" rel="tag" > Andy Lamb, MD < /a > < /span > Tags: Physician Hospital-Based Medicine Source Type: blogs

JAMA retracts controversial masks study
A controversial study suggesting that masks may harm children by exposing them to high carbon dioxide levels was retracted on Friday. The  research letter released in JAMA Pediatrics on June 30 had reported unacceptably high levels of carbon dioxide by German standards in air inside masks worn by children in a laboratory environment. In the retraction notice, the journal editorsRead more …JAMA retracts controversial masks study originally appeared inKevinMD.com. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - July 21, 2021 Category: General Medicine Authors: < span itemprop="author" > < a href="https://www.kevinmd.com/blog/post-author/crystal-phend" rel="tag" > Crystal Phend < /a > < /span > Tags: Conditions COVID-19 coronavirus Infectious Disease Source Type: blogs

Exclusion of BIPOC from VIP floors in an academic medical center
Omar Mirza is a psychiatrist and comic creator. In this comic, he discusses how Black, indigenous, and other people of color are excluded from VIP floors at an academic medical center (click to enlarge): Omar Mirza is a psychiatrist. Image credit: Omar MirzaExclusion of BIPOC from VIP floors in an academic medical center originally appeared inKevinMD.com. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - July 21, 2021 Category: General Medicine Authors: < span itemprop="author" > < a href="https://www.kevinmd.com/blog/post-author/omar-mirza" rel="tag" > Omar Mirza, MD < /a > < /span > Tags: Physician Hospital-Based Medicine Source Type: blogs

Using nanoparticles to treat polycystic kidney disease [PODCAST]
“Excited by the promise our research holds for PKD patients, we have been packaging a variety of PKD drugs into our nanoparticles, testing their ability to act as a courier service for renal drug delivery. We ’ve been testing this process on drugs that show therapeutic benefits in animal models but are shadowed by off-target sideRead more …Using nanoparticles to treat polycystic kidney disease [PODCAST] originally appeared inKevinMD.com. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - July 20, 2021 Category: General Medicine Authors: < span itemprop="author" > < a href="https://www.kevinmd.com/blog/post-author/the-podcast-by-kevinmd" rel="tag" > The Podcast by KevinMD < /a > < /span > Tags: Podcast Nephrology Source Type: blogs

Violent protests in a young African democracy closes a hospital
I had an uneasy weekend. On the one hand, I was watching the COVID-19 figures around the country and in my region of KwaZulu-Natal. We are waiting for the third wave to hit our hospital. Last week we stopped planned surgeries and reviewed our planning and capacity to deal with the surge. On the otherRead more …Violent protests in a young African democracy closes a hospital originally appeared inKevinMD.com. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - July 20, 2021 Category: General Medicine Authors: < span itemprop="author" > < a href="https://www.kevinmd.com/blog/post-author/basil-stathoulis" rel="tag" > Dr. Basil Stathoulis < /a > < /span > Tags: Physician Emergency Medicine Orthopedics Source Type: blogs

During COVID, older patients stopped going to the doctor. Here ’s how to change that.
When the COVID-19 pandemic broke out last year, Helen (not her real name) took all the right steps to protect herself. The 74-year-old self-isolated, wore a face mask, and practiced social distancing. Helen stayed safe from the virus during this time, but she put her health at risk in another way: for nearly two years,Read more …During COVID, older patients stopped going to the doctor. Here ’s how to change that. originally appeared inKevinMD.com. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - July 20, 2021 Category: General Medicine Authors: < span itemprop="author" > < a href="https://www.kevinmd.com/blog/post-author/romilla-batra" rel="tag" > Romilla Batra, MD, MBA < /a > < /span > Tags: Conditions COVID-19 coronavirus Geriatrics Infectious Disease Source Type: blogs

I learned the most about medicine from my dad ’s death
I had just finished a grueling orthopedic residency. Yet once again, I was on the run and bearing bad news. I was sprinting from a well-known Mumbai hospital to a nearby hotel room. But this time, the bad news wasn’t for the family of one of my patients. It was for my mother. As IRead more …I learned the most about medicine from my dad’s death originally appeared inKevinMD.com. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - July 20, 2021 Category: General Medicine Authors: < span itemprop="author" > < a href="https://www.kevinmd.com/blog/post-author/gleeson-rebello" rel="tag" > Dr. Gleeson Rebello < /a > < /span > Tags: Physician Cardiology Source Type: blogs

The memories of a nurse ’s old car
Today. Finally, a day off. I could oversleep, roll out of bed, then make a pot of coffee — and prepare for a“do nothing” day. But today is the day. After dealing with more electrical problems on this 160,000-mile-plus car, I will say goodbye, turn in the keys, and walk away. This car holdsRead more …The memories of a nurse’s old car originally appeared inKevinMD.com. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - July 20, 2021 Category: General Medicine Authors: < span itemprop="author" > < a href="https://www.kevinmd.com/blog/post-author/debbie-moore-black" rel="tag" > Debbie Moore-Black, RN < /a > < /span > Tags: Conditions Cardiology Source Type: blogs

Hypertension is killing pregnant mothers. Blood pressure monitoring can help. [PODCAST]
“Hypertensive disorders with onset during pregnancies are among the leading causes of maternal and infant mortality and morbidity in the U.S. and can have far-reaching consequences for the long-term health of the mother and child. In Dr. Jerome Adams ’ recent Call to Action to recognize and address hypertension control as a public health priority, theRead more …Hypertension is killing pregnant mothers. Blood pressure monitoring can help. [PODCAST] originally appeared inKevinMD.com. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - July 19, 2021 Category: General Medicine Authors: < span itemprop="author" > < a href="https://www.kevinmd.com/blog/post-author/the-podcast-by-kevinmd" rel="tag" > The Podcast by KevinMD < /a > < /span > Tags: Podcast Cardiology OB/GYN Source Type: blogs

3 mistakes physicians make that triple charting time
Let’s face it, what’s getting most physicians down is not their patients. No, ask any group of physicians what the hardest part of the job is, and you’ll like get a pretty consistent response: It’s the EMR! With studies showing that we spend, on average, two hours on“paperwork” for every hour in the roomRead more …3 mistakes physicians make that triple charting time originally appeared inKevinMD.com. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - July 19, 2021 Category: General Medicine Authors: < span itemprop="author" > < a href="https://www.kevinmd.com/blog/post-author/gail-gazelle" rel="tag" > Gail Gazelle, MD < /a > < /span > Tags: Physician Health IT Primary Care Source Type: blogs

When air hurts and becomes the harshest invader
Wood art When Air Hurts When the Lung Repulses Air When Air Becomes the Harshest Invader When Air Is Heavier Than Mountains This work was inspired by my father and many other patients who were struggling to breathe. The soft, unnoticeable air suddenly becomes a palpable matter wildly invading the walls of the respiratory system,Read more …When air hurts and becomes the harshest invader originally appeared inKevinMD.com. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - July 19, 2021 Category: General Medicine Authors: < span itemprop="author" > < a href="https://www.kevinmd.com/blog/post-author/fery-pashang" rel="tag" > Fery Pashang, PharmD < /a > < /span > Tags: Conditions Pulmonology Source Type: blogs

Doctors and the 5 stages of grief
Thanks to the marvels of medicine, newly vaccinated Americans are returning to life as normal and partying like it ’s 2019. Doctors, who are emerging from the pandemic as national heroes, would like to turn back the clock even further—to the halcyon days of 20th-century medicine. But doctors, unlike their maskless and freewheeling patients, will beRead more …Doctors and the 5 stages of grief originally appeared inKevinMD.com. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - July 19, 2021 Category: General Medicine Authors: < span itemprop="author" > < a href="https://www.kevinmd.com/blog/post-author/robert-pearl" rel="tag" > Robert Pearl, MD < /a > < /span > Tags: Physician Public Health & Policy Source Type: blogs

The burden of the documentation and administrative tasks on physicians needs to be lightened significantly
It takes a special person to care for people during their most vulnerable states, to keep intimate details about people while remaining compassionate even toward the seemingly vilest of persons. The white color of a physicians ’ coat can be a metaphor for the purity expected of physicians. A physician’s signature or words carry weight. WithRead more …The burden of the documentation and administrative tasks on physicians needs to be lightened significantly originally appeared inKevinMD.com. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - July 19, 2021 Category: General Medicine Authors: < span itemprop="author" > < a href="https://www.kevinmd.com/blog/post-author/rosemary-eseh-logue" rel="tag" > Rosemary Eseh-Logue, MD < /a > < /span > Tags: Physician Health IT Primary Care Source Type: blogs

Winning at parenting without losing yourself [PODCAST]
“As working women, we have an opportunity to be an example of living with passion and priorities, of working hard, of staying committed, not necessarily to work itself but to the priorities we set around our work and our personal lives. When we work and parent simultaneously, we have a chance to teach our kidsRead more …Winning at parenting without losing yourself [PODCAST] originally appeared inKevinMD.com. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - July 18, 2021 Category: General Medicine Authors: < span itemprop="author" > < a href="https://www.kevinmd.com/blog/post-author/the-podcast-by-kevinmd" rel="tag" > The Podcast by KevinMD < /a > < /span > Tags: Podcast Practice Management Source Type: blogs

Survivorship bias and abandoning legacy thinking in residency
A challenge: Pick a time during residency training where the burden of patient care and education coalesced with scarce family time or social life, and the urge to quit lingered on the back of the tongue. Think about someone you reached out to, whether it be a co-resident, attending, mentor, and think about their response.Read more …Survivorship bias and abandoning legacy thinking in residency originally appeared inKevinMD.com. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - July 18, 2021 Category: General Medicine Authors: < span itemprop="author" > < a href="https://www.kevinmd.com/blog/post-author/elena-keith" rel="tag" > Elena Keith, DO < /a > < /span > Tags: Physician Residency Source Type: blogs

A word of advice from one chief resident to another
Chiefs, remember, one of those interns is going to fill your shoes in a few years. They may model you in that role, so you want to raise them well! As a former chief resident, I have lots of pearls for those entering residency. However, what I will tell you now is different from whatRead more …A word of advice from one chief resident to another originally appeared inKevinMD.com. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - July 18, 2021 Category: General Medicine Authors: < span itemprop="author" > < a href="https://www.kevinmd.com/blog/post-author/marion-mccrary" rel="tag" > Marion McCrary, MD < /a > < /span > Tags: Physician Residency Source Type: blogs

To the lady in the floral dress
I sat hunched over in a coffee shop, staring at anatomy flashcards as they appeared and quickly disappeared on my computer screen. I was in the midst of my first semester of medical school, and I was feeling discouraged and overwhelmed. My classmates and I had just finished a notoriously difficult block of material (foundationsRead more …To the lady in the floral dress originally appeared inKevinMD.com. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - July 18, 2021 Category: General Medicine Authors: < span itemprop="author" > < a href="https://www.kevinmd.com/blog/post-author/olivia-reszczynski" rel="tag" > Olivia Reszczynski < /a > < /span > Tags: Education Medical school Source Type: blogs

Anti-Asian racism and how bystander intervention training can save a life [PODCAST]
“Doctors undergo mandatory training sessions in medical school to prepare for unexpected medical emergencies. Health care workers are mandated reporters who have to undergo specific training for the purpose of identifying child and elder abuse or neglect. Bystander intervention should also be on that continuum of responsibility and training. I urge bystander intervention training toRead more …Anti-Asian racism and how bystander intervention training can save a life [PODCAST] originally appeared inKevinMD.com. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - July 17, 2021 Category: General Medicine Authors: < span itemprop="author" > < a href="https://www.kevinmd.com/blog/post-author/the-podcast-by-kevinmd" rel="tag" > The Podcast by KevinMD < /a > < /span > Tags: Podcast Psychiatry Public Health & Policy Source Type: blogs

4 lessons the pandemic has taught health care
COVID-19 has drastically impacted every facet of life. Health care has been the center of this pandemic, and those working in health care have seen first-hand the crisis and the advancements made. As we reflect on the impact this pandemic has, we have seen both the worst and best of our health care system. 1.Read more …4 lessons the pandemic has taught health care originally appeared inKevinMD.com. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - July 17, 2021 Category: General Medicine Authors: < span itemprop="author" > < a href="https://www.kevinmd.com/blog/post-author/christine-lau" rel="tag" > Christine Lau, MD < /a > < /span > Tags: Physician COVID-19 coronavirus Infectious Disease Source Type: blogs

Diagnosis: malformation of a health care system
In recent years, we have seen a magnificent increase in the accuracy of medical diagnoses. As the most compelling example, l propose the diagnosis provided by our country ’s top clinicians with regard to what ails our health care system. Seasoned veterans of outpatient clinics, emergency rooms, intensive care units, hospital wards, and operating suites, theyRead more …Diagnosis: malformation of a health care system originally appeared inKevinMD.com. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - July 17, 2021 Category: General Medicine Authors: < span itemprop="author" > < a href="https://www.kevinmd.com/blog/post-author/jeffrey-fraser" rel="tag" > Jeffrey Fraser, MD < /a > < /span > Tags: Policy Public Health & Source Type: blogs

A physician shares images of humanity
An excerpt from The Bonds We Share: Images of Humanity, 40 Years Around the Globe. A young girl decorated for the Jaisalmer camel festival. The Jaisalmer Desert Festival is an annual event that takes place in February in the beautiful city of Jaisalmer, India. The festival is celebrated amidst the beautiful dunes of the TharRead more …A physician shares images of humanity originally appeared inKevinMD.com. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - July 17, 2021 Category: General Medicine Authors: < span itemprop="author" > < a href="https://www.kevinmd.com/blog/post-author/glenn-mark-losack" rel="tag" > Glenn Mark Losack, MD < /a > < /span > Tags: Physician Public Health & Policy Source Type: blogs

What you need to know about the updated benzodiazepine boxed warning [PODCAST]
“The FDA recommended an updated boxed warning and standardization of product labels across the drug class. They recommended judicious prescribing and a gradual taper to mitigate withdrawal reactions. While I am optimistic about these changes, the updated warning doesn ’t tell the whole story. After reviewing the newly updated Xanax Medication Guide, I have some concerns.”Read more …What you need to know about the updated benzodiazepine boxed warning [PODCAST] originally appeared inKevinMD.com. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - July 16, 2021 Category: General Medicine Authors: < span itemprop="author" > < a href="https://www.kevinmd.com/blog/post-author/the-podcast-by-kevinmd" rel="tag" > The Podcast by KevinMD < /a > < /span > Tags: Podcast Medications Psychiatry Source Type: blogs

A case for changing the way we talk about obesity
You are finger. No, I have fingers. You are leg. No, I have legs. You are pancreas. No, I have a pancreas. You are fat. Hmm … Now let’s try this with disease processes: You are diabetes. No, I have diabetes. You are cancer. No, I have cancer. You are anorexia. No, I have anorexia.Read more …A case for changing the way we talk about obesity originally appeared inKevinMD.com. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - July 16, 2021 Category: General Medicine Authors: < span itemprop="author" > < a href="https://www.kevinmd.com/blog/post-author/jill-becker" rel="tag" > Jill Becker, MD < /a > < /span > Tags: Conditions Obesity Source Type: blogs

A morning code blue for a COVID patient
An excerpt from An Eschatological Isolation. At 12:11 p.m., the overhead speaker announced: “Code Blue, Three West.” She repeated, “Code Blue, Three West.” Shit. I started my stopwatch and saved the patient note I was writing in the back office of Three West, the intensive care unit of a community hospital in Tampa Bay. AlreadyRead more …A morning code blue for a COVID patient originally appeared inKevinMD.com. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - July 16, 2021 Category: General Medicine Authors: < span itemprop="author" > < a href="https://www.kevinmd.com/blog/post-author/ammura-hernandez" rel="tag" > Ammura Hernandez, MD < /a > < /span > Tags: Physician COVID-19 coronavirus Hospital-Based Medicine Infectious Disease Source Type: blogs

America ’s prescription epidemic: Breaking an ancient promise
I never thought I ’d ever consider disregarding my oath. She is a strong, charismatic, caring, successful, disciplined, and reflected woman. As her significant other, I am subjected to a degree of observer bias; nevertheless, her life’s accomplishments and her friends and acquaintances would validate these charac teristics all the same. She looks nothing like a typicalRead more …America ’s prescription epidemic: Breaking an ancient promise originally appeared inKevinMD.com. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - July 16, 2021 Category: General Medicine Authors: < span itemprop="author" > < a href="https://www.kevinmd.com/blog/post-author/jesse-seilern-und-aspang-riana-patel-and-mara-schenker" rel="tag" > Jesse Seilern und Aspang, MD, Riana Patel, MD and Mara Schenker, MD < /a > < /span > Tags: Meds Pain Management Source Type: blogs

A message to medical doctors who are unhappy with their careers [PODCAST]
“This is a message to any medical doctor who is unhappy with their career. The individual reasons for this dissatisfaction will vary. Whatever the issue, it is important to ask,‘Is the problem correctable?’ If yes, then you must act and secure your happiness. If no, you must consider other options. One uncomplicated choice isRead more …A message to medical doctors who are unhappy with their careers [PODCAST] originally appeared inKevinMD.com. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - July 15, 2021 Category: General Medicine Authors: < span itemprop="author" > < a href="https://www.kevinmd.com/blog/post-author/the-podcast-by-kevinmd" rel="tag" > The Podcast by KevinMD < /a > < /span > Tags: Podcast Practice Management Source Type: blogs

Tips to help you overcome your pandemic bad habits
When the COVID-19 pandemic began in the U.S., and states issued stay-at-home orders, many people vowed to use their time at home positively, learning new skills, virtually volunteering, and getting into shape. Now, more than a year into the pandemic, many of those plans to better ourselves have fallen by the wayside, and people haveRead more …Tips to help you overcome your pandemic bad habits originally appeared inKevinMD.com. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - July 15, 2021 Category: General Medicine Authors: < span itemprop="author" > < a href="https://www.kevinmd.com/blog/post-author/miles-j-varn" rel="tag" > Miles J. Varn, MD < /a > < /span > Tags: Conditions COVID-19 coronavirus Infectious Disease Source Type: blogs