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Depression treatment with ketamine and SSRIs [PODCAST]
Subscribe to The Podcast by KevinMD. Catch up on old episodes! Join L. Joseph Parker, a research physician, as we explore the intricacies of depression treatment. We’ll delve into the prevailing theories about serotonin, the delayed effects of SSRIs and SNRIs, and the emerging neuroplastic theory of depression. Discover how ketamine offers rapid relief and Read more… Depression treatment with ketamine and SSRIs [PODCAST] originally appeared in KevinMD.com. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - December 6, 2023 Category: General Medicine Authors: Tags: Podcast Psychiatry Source Type: blogs

Escape diagnostic rabbit holes with Markov chains
If you find yourself heading down a rabbit hole pursuing a diagnosis, consider using a Markov chain to get back out. No, it’s not a physical chain. It’s a metaphorical chain. In mathematics, statistics, and research, a Markov chain is a series of branching events where the options of what comes next at each branch Read more… Escape diagnostic rabbit holes with Markov chains originally appeared in KevinMD.com. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - December 5, 2023 Category: General Medicine Authors: Tags: Physician Radiology Source Type: blogs

Health care ’ s hidden problem: hospital primary care losses
Health care is constantly evolving, and it’s no secret that many hospitals are bleeding money when it comes to their primary care practices. On the low end, a hospital loses $127,000 per year on a primary care physician. Anecdotally, a rural hospital in Indiana expressed that they lose nearly $500,000 per year! Headlines are filled with Read more… Health care’s hidden problem: hospital primary care losses originally appeared in KevinMD.com. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - December 5, 2023 Category: General Medicine Authors: Tags: Policy Primary Care Source Type: blogs

How medicine ’ s demanding training took my sleep away
I, like many of my peers in medicine, am a terrible sleeper. And it’s no wonder, after all. I spent the better part of my twenties and thirties training my brain not to give in to sleep when I needed it. Then, in the rare hours I did sleep, I was forced to wake at Read more… How medicine’s demanding training took my sleep away originally appeared in KevinMD.com. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - December 5, 2023 Category: General Medicine Authors: Tags: Physician Residency Source Type: blogs

Navigating physician shortages in rural communities
In the rural area where I practice, two general surgeons recently retired, a medical oncologist moved out of the community, and two urologists left over a year ago. My patients with cancer are left wondering who will care for them. And this small community is not alone. An aging physician population, burnout, and understaffing of Read more… Navigating physician shortages in rural communities originally appeared in KevinMD.com. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - December 5, 2023 Category: General Medicine Authors: Tags: Physician Oncology/Hematology Source Type: blogs

Coping with grief in health care [PODCAST]
Subscribe to The Podcast by KevinMD. Catch up on old episodes! Join Natalya Beneschott, a pediatric infectious disease fellow, as she shares her personal experience and insights on coping with the lasting impact of a patient’s death, the challenges medical professionals face in processing grief, and the importance of creating a supportive environment for health Read more… Coping with grief in health care [PODCAST] originally appeared in KevinMD.com. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - December 5, 2023 Category: General Medicine Authors: Tags: Podcast Pediatrics Source Type: blogs

Kintsugi: Embracing brokenness and empathy
In the Japanese tradition of kintsugi, broken things are repaired with gold joinery. The repaired object is even lovelier than the original. The breakage and repair become an acknowledged part of the object’s history. The scars and wounds are cherished rather than disguised. What a beautiful reminder to harness the powers of darkness and light Read more… Kintsugi: Embracing brokenness and empathy originally appeared in KevinMD.com. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - December 4, 2023 Category: General Medicine Authors: Tags: Physician Primary Care Source Type: blogs

The synergy of AI and human intelligence in transforming health care
The health care industry is witnessing a transformative phase with the integration of artificial intelligence (AI). AI’s ability to process vast amounts of data and provide predictive insights is revolutionizing medical diagnostics and patient care. AI’s precision is invaluable in diagnosing and managing kidney disease, offering both speed and accuracy in analyzing patient data. Unleashing Read more… The synergy of AI and human intelligence in transforming health care originally appeared in KevinMD.com. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - December 4, 2023 Category: General Medicine Authors: Tags: Tech Health IT Source Type: blogs

Intravenous immunoglobulin for gastroparesis: What happened to me
Six months after being diagnosed with gastroparesis, I underwent experimental intravenous immunoglobulin treatment. What is often considered a wonder drug, with the ability to treat hundreds of rare illnesses, resulted in the worst experience of my life. I suspect that I developed aseptic meningitis, feeling like I had brain-damaged myself. What is intravenous immunoglobulin? Immunoglobulin Read more… Intravenous immunoglobulin for gastroparesis: What happened to me originally appeared in KevinMD.com. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - December 4, 2023 Category: General Medicine Authors: Tags: Conditions Gastroenterology Source Type: blogs

Physicians turn feelings of frustration and powerlessness into purpose and hope
Every physician has a story to tell, about their medical training, about their clinical work. Every story is unique. Simultaneously, there are common shared themes about the joys and the difficulties. These experiences are universal, regardless of gender, specialty, or geographic location. I asked two physicians, a female ER doctor on the East Coast in Read more… Physicians turn feelings of frustration and powerlessness into purpose and hope originally appeared in KevinMD.com. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - December 4, 2023 Category: General Medicine Authors: Tags: Physician Psychiatry Source Type: blogs

AI and the patient-physician relationship [PODCAST]
Subscribe to The Podcast by KevinMD. Catch up on old episodes! We sit down with guest Andrew Wilner, a neurologist, to explore the transformative impact of artificial intelligence on medicine. Join us as we discuss how AI is changing the role of health care professionals, the tasks it can take over, its limitations, and the Read more… AI and the patient-physician relationship [PODCAST] originally appeared in KevinMD.com. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - December 4, 2023 Category: General Medicine Authors: Tags: Podcast Health IT Source Type: blogs

From fishing licenses to gun control
My son’s favorite thing to do is fish. I bought him a brand-new Mickey the Mouse fishing pole and a tackle box for his birthday. His favorite spot was on a small inland lake in a state park. On the bank of the lake, we would fish underneath a large cottonwood tree decorated with bobbers Read more… From fishing licenses to gun control originally appeared in KevinMD.com. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - December 3, 2023 Category: General Medicine Authors: Tags: Policy Public Health & Policy Source Type: blogs

3 key things to do before year end to reduce taxes
As the year draws to a close, it is important that we maximize our opportunities to reduce our taxes. Let’s explore three essential moves that doctors should consider before the tax year concludes to reduce their tax liabilities. 1. Contribute to tax-advantaged retirement accounts. One of the most effective ways for doctors to reduce their Read more… 3 key things to do before year end to reduce taxes originally appeared in KevinMD.com. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - December 3, 2023 Category: General Medicine Authors: Tags: Finance Practice Management Source Type: blogs

How the NFL offers a window into health care solutions for our country
The NFL season is now in full swing, with TV screens ablaze in households across the nation, eyes glued to an elliptically-shaped ball being thrown and kicked far distances. This reminds me of an incredibly rare case that happened to a male patient I saw in the ER many years ago, whose right testicle had Read more… How the NFL offers a window into health care solutions for our country originally appeared in KevinMD.com. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - December 3, 2023 Category: General Medicine Authors: Tags: Policy Public Health & Policy Source Type: blogs

How generative AI will upend the doctor-patient relationship
After decades of “doctor knows best,” the traditional physician-patient relationship is on the verge of a monumental shift. Generative AI tools like OpenAI’s ChatGPT, Google’s Bard, and Microsoft’s Bing are poised to give people significantly more power and control—not just over their personal lives and professional tasks but over their own medical health, as well. Read more… How generative AI will upend the doctor-patient relationship originally appeared in KevinMD.com. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - December 3, 2023 Category: General Medicine Authors: Tags: Tech Health IT Source Type: blogs