Does pro-vaccine always have to be pro-mandate?
“They are firing me for not getting the COVID vaccine. I can make more money working at Michael’s than I do at this job. I was only doing this because I like to help people. But this is it for me. I’m quitting. I’ll miss the patients, but I cannot be forced into doing somethingRead more …Does pro-vaccine always have to be pro-mandate? originally appeared inKevinMD.com. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - October 19, 2021 Category: General Medicine Authors: < span itemprop="author" > < a href="https://www.kevinmd.com/blog/post-author/farhan-s-imran" rel="tag" > Farhan S. Imran, MD < /a > < /span > Tags: Physician COVID-19 coronavirus Infectious Disease Source Type: blogs

What we can learn from an orthopedic surgeon who publishes a novel [PODCAST]
“Transections, eviscerations, exsanguinations, amputations, decapitations, disembowelments, penetrations, disarticulations, emasculations, enucleations, incinerations —these things he has seen. But of late he chooses to see only the glimmering vials. His vision fades and darkens as he draws closer to the OR where the ultimate reality lies prepped, draped, framed, and illuminated, waiting for the surgeon to fix itRead more …What we can learn from an orthopedic surgeon who publishes a novel [PODCAST] originally appeared inKevinMD.com. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - October 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 Orthopedics Source Type: blogs

How the board certification exams infantilize resident training
Not long ago, my patient in a complex thoracic case developed progressive bradycardia followed by a malignant-looking multifocal atrial arrhythmia that didn ’t generate any blood pressure. “Get out some epinephrine!” I said to my resident, who was standing closer than I was to the drug cart. The resident quickly drew up a milligram of epi,Read more …How the board certification exams infantilize resident training originally appeared inKevinMD.com. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - October 18, 2021 Category: General Medicine Authors: < span itemprop="author" > < a href="https://www.kevinmd.com/blog/post-author/karen-s-sibert" rel="tag" > Karen S. Sibert, MD < /a > < /span > Tags: Physician Anesthesiology Source Type: blogs

Some health issues should not be evaluated in the office
I received a phone call from an elderly gentleman who was closer to ninety years of age than 80, was taking an aspirin, and had just suffered a fall and hit his head. He did not know why or how he fell. He asked for an appointment the same day to “check me out.” MyRead more …Some health issues should not be evaluated in the office originally appeared inKevinMD.com. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - October 18, 2021 Category: General Medicine Authors: < span itemprop="author" > < a href="https://www.kevinmd.com/blog/post-author/steven-reznick" rel="tag" > Steven Reznick, MD < /a > < /span > Tags: Physician Primary Care Source Type: blogs

Ivermectin is a Nobel Prize-winning wonder drug
Ivermectin is an over 30-year-old wonder drug that treats life- and sight-threatening parasitic infections. Its lasting influence on global health has been so profound that two of the key researchers in its discovery and development won the Nobel Prize in 2015. I ’ve been an infectious disease pharmacist for over 25 years. I’ve also managed patientsRead more …Ivermectin is a Nobel Prize-winning wonder drug originally appeared inKevinMD.com. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - October 18, 2021 Category: General Medicine Authors: < span itemprop="author" > < a href="https://www.kevinmd.com/blog/post-author/jeffrey-r-aeschlimann" rel="tag" > Jeffrey R. Aeschlimann, PharmD < /a > < /span > Tags: Meds Infectious Disease Source Type: blogs

A story of a physician photojournalist [PODCAST]
“Her face is decorated in colors of the earth. With events on Earth Day and throughout the week, New York City celebrates sustainability and ways to live in harmony with the planet. Scheduled festivities include a march down Broadway with a mix of virtual talks and celebrations and in-person walks and volunteer opportunities across theRead more …A story of a physician photojournalist [PODCAST] originally appeared inKevinMD.com. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - October 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 Primary Care Source Type: blogs

I ’ve broken free from time, and I am a better doctor for it
How many minutes have you given yourself to read this post? There was a time when none of us could tell time. Imagine not knowing what the ever-moving hands of a clock are trying to reveal. My memories skew, but in that era before I could tell time, all I remember is laughter, effervescence, andRead more …I’ve broken free from time, and I am a better doctor for it originally appeared inKevinMD.com. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - October 17, 2021 Category: General Medicine Authors: < span itemprop="author" > < a href="https://www.kevinmd.com/blog/post-author/sneha-shah" rel="tag" > Sneha Shah, MD < /a > < /span > Tags: Physician Hospital-Based Medicine Residency Source Type: blogs

Medical debt is the enemy of everyone
An excerpt from End Medical Debt: Curing America ’s $1 Trillion Unpayable Healthcare Debt. Medical debt is the mortal enemy of the patient, the physician, the hospital, the community, the state, and the nation. When we think of others’ debts, we tend to think such debts are their personal responsibility. If they’re unable to pay theRead more …Medical debt is the enemy of everyone originally appeared inKevinMD.com. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - October 17, 2021 Category: General Medicine Authors: < span itemprop="author" > < a href="https://www.kevinmd.com/blog/post-author/robert-e-goff" rel="tag" > Robert E. Goff, MBA < /a > < /span > Tags: Policy Public Health & Source Type: blogs

Compassion fatigue and the unvaccinated
“Do you get compassion fatigue when you take care of smokers or patients with obesity or diabetes?” This was in reply to an article on compassion fatigue I had posted on my Facebook page. The article was written by an exhausted physician caring for unvaccinated COVID-19 patients. My initial reaction was,“Of course not. That’sRead more …Compassion fatigue and the unvaccinated originally appeared inKevinMD.com. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - October 17, 2021 Category: General Medicine Authors: < span itemprop="author" > < a href="https://www.kevinmd.com/blog/post-author/jazbeen-ahmad" rel="tag" > Jazbeen Ahmad, MD < /a > < /span > Tags: Physician COVID-19 coronavirus Infectious Disease Source Type: blogs

Why it ’s important to take charge of your own health
Little did I know that after October 2, 2020, my life would completely change forever. I want to start by saying I am a pharmacist by profession, and I now finally understand the saying, “take charge of your health.” My brother and I had taken my dad to a hospital in Philadelphia on the morningRead more …Why it’s important to take charge of your own health originally appeared inKevinMD.com. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - October 17, 2021 Category: General Medicine Authors: < span itemprop="author" > < a href="https://www.kevinmd.com/blog/post-author/himani-joshi" rel="tag" > Himani Joshi, PharmD < /a > < /span > Tags: Conditions Cardiology Hospital-Based Medicine Source Type: blogs

When celebrities attack children with food allergies [PODCAST]
“A child is born with a food allergy. They do not choose to have their immune system compromised. Parents do not get the choice to opt-in or out of having their child ’s body recognize ordinary food as a threat. Food allergies are a unique disease in that we need the help of those around usRead more …When celebrities attack children with food allergies [PODCAST] originally appeared inKevinMD.com. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - October 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 Allergies & Immunology Source Type: blogs

We don ’t have to be heroes
On the first day of medical school, our anatomy lab instructor handed us scalpels and told us to skin our cadavers. Early on, I learned: A good physician does not betray her feelings. A good physician suffers long. A good physician embodies resilience. A good physician is  imperturbable. This lesson continued throughout training. I contemplated leaving medicineRead more …We don’t have to be heroes originally appeared inKevinMD.com. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - October 16, 2021 Category: General Medicine Authors: < span itemprop="author" > < a href="https://www.kevinmd.com/blog/post-author/yoojin-na" rel="tag" > Yoojin Na, MD < /a > < /span > Tags: Physician Emergency Medicine Source Type: blogs

To “fix” health care delivery, turn to a value-based health care system
With over two-thirds of the public believing that health care should be a top policy priority, there is no debating the importance of “fixing” our health care delivery system. On one extreme of the aisle, there is a growing chorus in support for “Medicare-for-all,” a single-payer, government-funded approach estimated by two independent studies from bothRead more …To“fix” health care delivery, turn to a value-based health care system originally appeared inKevinMD.com. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - October 16, 2021 Category: General Medicine Authors: < span itemprop="author" > < a href="https://www.kevinmd.com/blog/post-author/david-bernstein" rel="tag" > David Bernstein, MD, MBA < /a > < /span > Tags: Policy Public Health & Source Type: blogs

The inverse relationship of efficiency and resilience
I was recently coaching a bright, energetic primary care physician in her first few years of practice. She was working through her Life ’s Purpose statement, an exercise we often recommend. At the end of her admirable statement, she tagged on “with efficiency.” Naturally, we explored this a bit. Our conversation meandered toward an interesting conclusion:Read more …The inverse relationship of efficiency and resilience originally appeared inKevinMD.com. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - October 16, 2021 Category: General Medicine Authors: < span itemprop="author" > < a href="https://www.kevinmd.com/blog/post-author/erin-maslowski" rel="tag" > Erin Maslowski, MD < /a > < /span > Tags: Physician Practice Management Source Type: blogs

Patient complaints have psychological repercussions [PODCAST]
“I believe there is an art to medicine, a psychological connection to your patients through a hands-on patient encounter. There are nuances AI may take decades to compete with. For now, in my lifetime, I hope that people examine patients and when there are questions about the quality of care, institutions perform a deeper diveRead more …Patient complaints have psychological repercussions [PODCAST] originally appeared inKevinMD.com. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - October 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 Psychiatry Source Type: blogs

If you think a mother ’s pain is unimaginable, you should see her strength
“If you think a mother’s pain is unimaginable, you should see her strength.” You were visiting your mother when, while in another room, you became unresponsive and fell to the floor. She heard the thump of your fall and raced into the room to find you pale and barely breathing. Drug paraphernalia sat beside you.Read more …If you think a mother’s pain is unimaginable, you should see her strength originally appeared inKevinMD.com. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - October 15, 2021 Category: General Medicine Authors: < span itemprop="author" > < a href="https://www.kevinmd.com/blog/post-author/storytellerdoc" rel="tag" > StorytellERdoc, MD < /a > < /span > Tags: Physician Emergency Medicine Source Type: blogs

When the family wants to speak to the doctor
Being a doctor is often more about talking to people and communicating than it is about the scientific practice of medicine. This is something that is unfortunately not taught enough in medical school, and it ’s left to newly qualified doctors to realize very quickly as they start their careers. Throughout the busy and hectic dayRead more …When the family wants to speak to the doctor originally appeared inKevinMD.com. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - October 15, 2021 Category: General Medicine Authors: < span itemprop="author" > < a href="https://www.kevinmd.com/blog/post-author/suneel-dhand" rel="tag" > Suneel Dhand, MD < /a > < /span > Tags: Physician Hospital-Based Medicine Source Type: blogs

The American food conspiracy
Everybody knows how to operate smartphones and understands complex modern phenomena, but many Americans are frighteningly ignorant about basic human nutrition. I am convinced this is the result of a powerful conspiracy fueled by the (junk) food industry. Here are just a few examples: Milk has been advertised as a healthy beverage. It is not.Read more …The American food conspiracy originally appeared inKevinMD.com. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - October 15, 2021 Category: General Medicine Authors: < span itemprop="author" > < a href="https://www.kevinmd.com/blog/post-author/a-country-doctor" rel="tag" > Hans Duvefelt, MD < /a > < /span > Tags: Physician Nutrition Source Type: blogs

Why the business school mindset doesn ’t mind physician burnout [PODCAST]
“We can ’t expect those with a business school mindset to solve physician burnout. What is needed is leadership throughout health care organizations by those with expertise in the core business, deep commitment to health care workers and patients, extensive tacit knowledge, and credibility. Physician CEOs have better outcomes in all critical metrics, including engagement amongRead more …Why the business school mindset doesn ’t mind physician burnout [PODCAST] originally appeared inKevinMD.com. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - October 14, 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 Source Type: blogs

Why storytelling is critical in medicine
I love stories, either told, written, or listened to. Songs tell stories, as does art. Blogs such as the rich content open so many doors for rich conversations. Telling stories is part of who I am. My father loved to tell them, as did my grandfather, whose name I took. They were called bull-sh*tters –Read more …Why storytelling is critical in medicine originally appeared inKevinMD.com. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - October 14, 2021 Category: General Medicine Authors: < span itemprop="author" > < a href="https://www.kevinmd.com/blog/post-author/john-f-mcgeehan" rel="tag" > John F. McGeehan, MD < /a > < /span > Tags: Physician Primary Care Source Type: blogs

Honor your oath. Set boundaries. Demand respect.
This morning, while scrolling through social media, I encountered a resounding theme. Multiple physicians posting about being challenged, disrespected, and made to feel worthless by the very people they were trying to help: their patients. Being brought to tears by the disrespect of the patient’s family members. Physician expertise blatantly questioned. Advice ignored. Patients tellingRead more …Honor your oath. Set boundaries. Demand respect. originally appeared inKevinMD.com. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - October 14, 2021 Category: General Medicine Authors: < span itemprop="author" > < a href="https://www.kevinmd.com/blog/post-author/christina-dewey" rel="tag" > Christina Dewey, MD < /a > < /span > Tags: Physician COVID-19 coronavirus Hospital-Based Medicine Infectious Disease Source Type: blogs

The value of in-person feedback
As I progress further in my medical career, I often feel that there are expectations of me that I have never been trained for. Teaching and feedback are large parts of my training that I do not always feel we are adequately prepared for. Feedback constitutes a large part of how we become better physicians.Read more …The value of in-person feedback originally appeared inKevinMD.com. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - October 14, 2021 Category: General Medicine Authors: < span itemprop="author" > < a href="https://www.kevinmd.com/blog/post-author/micaela-stevenson" rel="tag" > Micaela Stevenson < /a > < /span > Tags: Education Medical school Source Type: blogs

A nurse ’s story of health care workplace violence [PODCAST]
“I can imagine the horror of watching a colleague being attacked. I worry about the coworker who Lynne protected that day, since being a survivor can be so bittersweet. I can feel the shock of how quickly the violence escalated, tasting the bitterness from the desperation of being so alone in the immediate first secondsRead more …A nurse’s story of health care workplace violence [PODCAST] originally appeared inKevinMD.com. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - October 13, 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 Hospital-Based Medicine Source Type: blogs

Unyielding physicians. My congregation. Hold me up.
While I lack certainty in my faith, a church has always been a sanctuary.   And while I land in church rarely, and even less in this pandemic, when I’m in one, in any country across the globe, a certain feeling comes to me. My favorites are old, gothic, with a musty smell and an imposingRead more …Unyielding physicians. My congregation. Hold me up. originally appeared inKevinMD.com. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - October 13, 2021 Category: General Medicine Authors: < span itemprop="author" > < a href="https://www.kevinmd.com/blog/post-author/lindsay-a-mazotti" rel="tag" > Lindsay A. Mazotti, MD < /a > < /span > Tags: Physician Hospital-Based Medicine Source Type: blogs

Looking at the studies behind masks
With the recent onset of the Delta variant rendering havoc on an already strained economy and weary population post- the rabid COVID-19 surge, there is much debate on effective policies that negate the harmful outcomes of viral acquisition. The B.1.617.2 Delta variant originated in India and is among the most easily transmissible form of theRead more …Looking at the studies behind masks originally appeared inKevinMD.com. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - October 13, 2021 Category: General Medicine Authors: < span itemprop="author" > < a href="https://www.kevinmd.com/blog/post-author/vishwani-persaud-sharma" rel="tag" > Vishwani Persaud-Sharma, DNP < /a > < /span > Tags: Conditions COVID-19 coronavirus Infectious Disease Source Type: blogs

Sharing medical information between EHRs: 4 different approaches
The current COVID pandemic has brought into stark contrast the woeful state of medical data collection and data sharing in the United States. It has been a central goal of Health and Human Services (HHS) to at first encourage and later mandate sharing clinical data across multiple electronic health records. Unfortunately, progress has been slowRead more …Sharing medical information between EHRs: 4 different approaches originally appeared inKevinMD.com. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - October 13, 2021 Category: General Medicine Authors: < span itemprop="author" > < a href="https://www.kevinmd.com/blog/post-author/andy-muchmore" rel="tag" > Andy Muchmore, MD < /a > < /span > Tags: Tech Health IT Source Type: blogs

When clinicians are bullied at a school board meeting [PODCAST]
“The first amendment protects your right to free speech. But it does not make you more right, more ethical, or more kind. And nor does it give one license to rewrite history as has been occurring since July 27th, adding insult to our experience. Let me break this down. On one hand, three pediatric medicalRead more …When clinicians are bullied at a school board meeting [PODCAST] originally appeared inKevinMD.com. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - October 12, 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 COVID-19 coronavirus Infectious Disease Source Type: blogs

Patients should never underestimate the self-flagellation of the physician
Patients die. This is a tragic truism in the world of medicine. Usually, the patients who die are elderly. Patients die from diabetes and kidney disease, or from alcohol abuse and liver failure, or from heavy smoking and lung disease. Or patients die from cancer. As a physician, I take these deaths in stride. IRead more …Patients should never underestimate the self-flagellation of the physician originally appeared inKevinMD.com. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - October 12, 2021 Category: General Medicine Authors: < span itemprop="author" > < a href="https://www.kevinmd.com/blog/post-author/janet-tamaren" rel="tag" > Janet Tamaren, MD < /a > < /span > Tags: Physician Primary Care Source Type: blogs

“Call the family. Let them know she passed away.”
She was an ICU downgrade. Hospice care is what they told me. We added her name to our list, and my senior resident told me she was now my patient. I did not have a clear story. Sepsis? Complications? The ICU note was lengthy. Rounds were coming up, and I needed to see all myRead more …“Call the family. Let them know she passed away.” originally appeared inKevinMD.com. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - October 12, 2021 Category: General Medicine Authors: < span itemprop="author" > < a href="https://www.kevinmd.com/blog/post-author/nicholas-bellacicco" rel="tag" > Nicholas Bellacicco, DO < /a > < /span > Tags: Physician Hospital-Based Medicine Source Type: blogs

A COVID long-hauler shares her story
According to the WHO, 10 to 20 percent of COVID-19 patients experience lingering symptoms for several months following infection. What we know as long COVID is now termed post-COVID condition as of October 6. Post COVID-19 condition occurs in individuals with a history of probable or confirmed SARS-CoV-2 infection, usually three months from the onsetRead more …A COVID long-hauler shares her story originally appeared inKevinMD.com. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - October 12, 2021 Category: General Medicine Authors: < span itemprop="author" > < a href="https://www.kevinmd.com/blog/post-author/ton-la-jr" rel="tag" > Ton La, Jr., JD < /a > < /span > Tags: Conditions COVID-19 coronavirus Infectious Disease Source Type: blogs

How to recover from a bad electronic health records implementation [PODCAST]
“Is your health care organization reeling from a bad EHR implementation? There have been rumblings from hospital leadership and congressional committees about the Veterans Administration (VA) Hospitals ’ implementation of the Cerner Corporation electronic health record (EHR) replacing the VistA EHR. The $10 million EHR overhaul has been controversial since the staggered rollout started in Spokane,Read more …How to recover from a bad electronic health records implementation [PODCAST] originally appeared inKevinMD.com. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - October 11, 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 Health IT Source Type: blogs

HIV/AIDS vaccine underscores need for better health access
“HIV has been a blessing in my life.” Lola was a 48-year-old woman living in Denver when I interviewed her in 2002 about her HIV-positive diagnosis. She said the diagnosis improved her life in important ways; she had received income and housing support, nutritional assistance, health insurance, medication assistance and primary and infectious disease healthRead more …HIV/AIDS vaccine underscores need for better health access originally appeared inKevinMD.com. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - October 11, 2021 Category: General Medicine Authors: < span itemprop="author" > < a href="https://www.kevinmd.com/blog/post-author/alyson-odaniel" rel="tag" > Alyson O ’Daniel < /a > < /span > Tags: Policy Infectious Disease Public Health & Source Type: blogs

Domestic violence: May the circle be broken
My youngest daughter just got married to a fine young man. She was beautiful and radiant. As I gave my daughter away when the minister told me to, I sat down next to a picture of my deceased husband. He passed away four years ago. Lisa was our last child. Most likely, she saw theRead more …Domestic violence: May the circle be broken originally appeared inKevinMD.com. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - October 11, 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 Psychiatry Source Type: blogs

What my father taught me about language
Here — outside with nature — this was where I needed to be. It was raining cats and dogs, unlike the light drizzle earlier in the day. Earlier in the day. Earlier in the day, I could still see the casket go into the ground, adding finality to the affair as if death was notRead more …What my father taught me about language originally appeared inKevinMD.com. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - October 11, 2021 Category: General Medicine Authors: < span itemprop="author" > < a href="https://www.kevinmd.com/blog/post-author/sarah-fashakin" rel="tag" > Sarah Fashakin < /a > < /span > Tags: Education Medical school Source Type: blogs

Is COVID a turning point for sustainability in hospital supply chains? [PODCAST]
“Scarcity has, in many ways, defined the COVID-19 experience in the U.S., from shortages in personal protective equipment to ICU ventilators and hospital capacity, to COVID test kits, to drugs like Remdesivir in hard-hit states. These shortages have added impetus and new dimensions to existing conversations around health care supply chains, some of which hadRead more …Is COVID a turning point for sustainability in hospital supply chains? [PODCAST] originally appeared inKevinMD.com. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - October 10, 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 COVID-19 coronavirus Hospital-Based Medicine Infectious Disease Source Type: blogs

Can medicine transcend beyond the clinic walls? I ’d like to see us try.
Nothing like a tragic global pandemic to make everyone rethink their careers. This past year and a half have brought a lot of changes to the workplace. Many of us don ’t want to go back to the way things were. According to a Pew Research Center survey from late 2020, of the 71 percent ofRead more …Can medicine transcend beyond the clinic walls? I ’d like to see us try. originally appeared inKevinMD.com. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - October 10, 2021 Category: General Medicine Authors: < span itemprop="author" > < a href="https://www.kevinmd.com/blog/post-author/kirk-heath" rel="tag" > Kirk Heath, MD < /a > < /span > Tags: Physician Health IT Primary Care Source Type: blogs

The pediatricians are not alright
In the past week alone, I have heard the following comments from pediatricians on the front lines: “I’ve been practicing for 21 years, and I’ve never seen things this bad”; “I have been called uncaring because my patient had to wait an hour. But I couldn’t tell my patient that I was running behind becauseRead more …The pediatricians are not alright originally appeared inKevinMD.com. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - October 10, 2021 Category: General Medicine Authors: < span itemprop="author" > < a href="https://www.kevinmd.com/blog/post-author/krupa-bhojani-playforth" rel="tag" > Krupa Bhojani Playforth, MD < /a > < /span > Tags: Physician Pediatrics Source Type: blogs

Ode to a little bile bag
Surgery to remove the gallbladder is a relatively late intervention.   The first laparotomy was performed in 1807 in Danville, Kentucky, and surgeons like Billroth and Kocher, were removing thyroids and even parts of the esophagus as early as the 1870s; the pricklish gallbladder was not completely excised until 1882. For years previously, the medical andRead more …Ode to a little bile bag originally appeared inKevinMD.com. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - October 10, 2021 Category: General Medicine Authors: < span itemprop="author" > < a href="https://www.kevinmd.com/blog/post-author/arthur-williams" rel="tag" > Arthur Williams, MD < /a > < /span > Tags: Conditions Surgery Source Type: blogs

Robotic surgery ’s impact on training the next generation of surgeons [PODCAST]
“Technology continues to evolve every day. In the near-term future, portable and easily deployable robots will allow surgeons all over the world to perform minimally invasive surgery in an increasing number of procedure types and become even more effective surgeons. To achieve our goal of having a future surgeon workforce that meets the demands ofRead more …Robotic surgery ’s impact on training the next generation of surgeons [PODCAST] originally appeared inKevinMD.com. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - October 9, 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 Surgery Source Type: blogs

Trapped in a cauldron of suffering, medical staff are weary
Sometimes I really look forward to something new. An alien race arriving on earth would be a nice start. I think we could all use a change in the news cycle. Because I am very tired of thinking about, talking about, and especially treating COVID-19. In all of my years of medical practice, I haveRead more …Trapped in a cauldron of suffering, medical staff are weary originally appeared inKevinMD.com. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - October 9, 2021 Category: General Medicine Authors: < span itemprop="author" > < a href="https://www.kevinmd.com/blog/post-author/edwin-leap" rel="tag" > Edwin Leap, MD < /a > < /span > Tags: Physician COVID-19 coronavirus Emergency Medicine Hospital-Based Medicine Infectious Disease Source Type: blogs

Clinicians are diamonds in the rough
According to the Smithsonian Magazine, diamonds are formed deep within the earth, about one hundred miles down in the upper mantle. As you might imagine, it is quite hot in that part of the planet, and there is a tremendous amount of pressure bearing down in that location. The brutal combination of pressure and heatRead more …Clinicians are diamonds in the rough originally appeared inKevinMD.com. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - October 9, 2021 Category: General Medicine Authors: < span itemprop="author" > < a href="https://www.kevinmd.com/blog/post-author/greg-smith" rel="tag" > Greg Smith, MD < /a > < /span > Tags: Physician COVID-19 coronavirus Infectious Disease Source Type: blogs

5 technologies that will transform medicine post-COVID
When medical historians write about the coronavirus pandemic, they ’ll likely focus on the slow U.S. response and failures of leadership that led to a tragically high death toll. But that will be only part of the story. From the wreckage and devastation will emerge something few contemporary observers would expect: a brighter future for AmericanRead more …5 technologies that will transform medicine post-COVID originally appeared inKevinMD.com. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - October 9, 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 COVID-19 coronavirus Infectious Disease Source Type: blogs

Physicians and the importance of servant leadership [PODCAST]
“Dear resident physicians: Soon you ’ll finish residency, and you may be wondering what’s next. Some of you will start fellowships, but most of you will practice your specialty. You may be looking for opportunities that are a good match with your needs and wants. Virtually all of you are looking forward to greater income. IRead more …Physicians and the importance of servant leadership [PODCAST] originally appeared inKevinMD.com. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - October 8, 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: Physician Primary Care Source Type: blogs

The emotional side of genetic testing
An excerpt from All Good Things: A Memoir About Genetic Testing, Infertility and One Woman ’s Relentless Search for Happiness. I had permanent black bags under my eyes from not sleeping properly. I never woke up feeling rested. I hit the snooze button three or four times every morning, prolonging the start of each day. OneRead more …The emotional side of genetic testing originally appeared inKevinMD.com. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - October 8, 2021 Category: General Medicine Authors: < span itemprop="author" > < a href="https://www.kevinmd.com/blog/post-author/erin-paterson" rel="tag" > Erin Paterson < /a > < /span > Tags: Patient Genetics Source Type: blogs

Being a health care hero means we get free ChapStick
Guess what, everyone, I am a health care hero. I have been applauded by strangers. The Blue Angels flew over the hospital once in the pitch of COVID to salute us. I once sifted through a giant box of free chapsticks delivered to the hospital basement and grabbed one for my colleagues. First of all,Read more …Being a health care hero means we get free ChapStick originally appeared inKevinMD.com. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - October 8, 2021 Category: General Medicine Authors: < span itemprop="author" > < a href="https://www.kevinmd.com/blog/post-author/anonymous" rel="tag" > Anonymous < /a > < /span > Tags: Physician COVID-19 coronavirus Infectious Disease Source Type: blogs

Why residency applications need to change
So, what’s the problem? Alright, anybody that has been through the process knows that applying to residency programs is a long and expensive process. The issue is not how long it is, or honestly how expensive it is, even though those are problems. The issue is the secrecy of it all from an applicant’s perspective.Read more …Why residency applications need to change originally appeared inKevinMD.com. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - October 8, 2021 Category: General Medicine Authors: < span itemprop="author" > < a href="https://www.kevinmd.com/blog/post-author/sean-kiesel" rel="tag" > Sean Kiesel, DO, MBA < /a > < /span > Tags: Education Medical school Residency Source Type: blogs

Stop resisting the imposter [PODCAST]
“The problem with feeling like an imposter is thinking there ’s something wrong with it. I know this is different from any way you have thought about it, but humor me. What happens when we are offered an opportunity but we feel like an imposter? We hide. We overwork to compensate. We look around at ourRead more …Stop resisting the imposter [PODCAST] originally appeared inKevinMD.com. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - October 7, 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

How to overcome the roadblocks to getting a medical second opinion
There are many reasons why you should seek a second opinion. A second opinion can help you: Make sure your diagnosis is accurate, lowering your risk of misdiagnosis and the harms that can cause. Ensure that you ’re choosing an appropriate, evidence-based treatment that has been shown to achieve better outcomes. Learn about all appropriate treatmentRead more …How to overcome the roadblocks to getting a medical second opinion originally appeared inKevinMD.com. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - October 7, 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: Physician Oncology/Hematology Source Type: blogs

Women are still being “burned at the stake” in medicine
Are you a woman, and your sanity has been questioned? Congratulations: You are now an activist. There is such a thing as implicit bias in which we may not be aware of how our subconscious thoughts are affecting our conscious thoughts, opinions, or actions we have daily. They manifest in all aspects of life. WhetherRead more …Women are still being“burned at the stake” in medicine originally appeared inKevinMD.com. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - October 7, 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 Public Health & Policy Source Type: blogs

Sexism in medicine: Alive and well or a dying breed?
Thirty-five years ago, as a first-year student, I (DWS) wrote an article for my medical school’s student-run newspaper titled,“Sexism in Medical School.” The article highlighted three examples of sexism: In the middle of a pathology lecture, the professor projected a photo of a woman in a skimpy bikini lounging on a sports car toRead more …Sexism in medicine: Alive and well or a dying breed? originally appeared inKevinMD.com. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - October 7, 2021 Category: General Medicine Authors: < span itemprop="author" > < a href="https://www.kevinmd.com/blog/post-author/diane-w-shannon-dieula-john-c-elena-cervantes-miriam-zylberglait-lisigurski-nadia-obaed" rel="tag" > Diane W. Shannon, MD, MPH, Nadia Obaed, Dieula John, MD, C. Elena Cervantes, Tags: Physician Public Health & Policy Source Type: blogs