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Topoisomerase inhibitors and chronic pain
Topoisomerase inhibitors emerged in the American medical landscape in 1971, thanks to the discovery by Dr. Jim Wang of the E. coli omega protein. Topoisomerase I, an enzyme identified by Dr. Wang, plays a crucial role in DNA unwrapping from supercoiling. Supercoiling involves tightly wrapping DNA for storage and protection, requiring unwrapping for reading, a Read more… Topoisomerase inhibitors and chronic pain originally appeared in KevinMD.com. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - March 23, 2024 Category: General Medicine Authors: Tags: Meds Medications Pain Management Source Type: blogs

The Alaska Air Flight 1282 door blowout and patient safety
Alaska Air Flight 1282 was on a trip from Portland to Ontario, California, on January 5, 2024. Barely six minutes into the flight, passengers heard a loud bang and a whoosh as the door plug in the middle section of the aircraft blew out. An unused exit door in the mid-part of the aircraft’s main Read more… The Alaska Air Flight 1282 door blowout and patient safety originally appeared in KevinMD.com. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - March 23, 2024 Category: General Medicine Authors: Tags: Physician Practice Management Source Type: blogs

The truth about health care startups: financial sacrifices and emotional toll
The allure of joining a startup as a health care professional is undeniable. With over 70 percent of physicians now employed by health systems and other corporate entities – we often feel like invisible cogs in a machine and feel excluded from any opportunities to contribute to real change. Social media is seemingly filled with Read more… The truth about health care startups: financial sacrifices and emotional toll originally appeared in KevinMD.com. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - March 23, 2024 Category: General Medicine Authors: Tags: Finance Health IT Source Type: blogs

Off-label prescriptions, side effects, and lawsuits: Navigating ethical and legal dilemmas
A recent TV advertisement attempted to recruit clients for a class action suit against a pharmaceutical manufacturer (PM) for a medication side effect (SE). The “cause of action” was unstated: was it the side effect’s existence or that the company failed to emphasize its severity? The SE was acknowledged not only by the company but Read more… Off-label prescriptions, side effects, and lawsuits: Navigating ethical and legal dilemmas originally appeared in KevinMD.com. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - March 23, 2024 Category: General Medicine Authors: Tags: Meds Medications Source Type: blogs

Navigating a medical school leave of absence [PODCAST]
Subscribe to The Podcast by KevinMD. Watch on YouTube. Catch up on old episodes! We dive deep into the topic of taking a leave of absence from medical school with Stephanie E. Moss. Stephanie, a medical student who made the decision to take a break between her 2nd and 3rd year, shares her personal journey Read more… Navigating a medical school leave of absence [PODCAST] originally appeared in KevinMD.com. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - March 22, 2024 Category: General Medicine Authors: Tags: Podcast Medical school Source Type: blogs

Fostering Black joy in an anti-DEI environment: community, resilience, and equity
As Black History Month draws to a close, it is crucial to recognize the ongoing challenges faced by Black physicians and the importance of fostering diversity, equity, inclusion (DEI), and belonging in the medical field. National rhetoric condemning DEI efforts has made for an increasingly difficult environment for Black medical trainees to thrive. This Black Read more… Fostering Black joy in an anti-DEI environment: community, resilience, and equity originally appeared in KevinMD.com. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - March 22, 2024 Category: General Medicine Authors: Tags: Physician Medical school Source Type: blogs

Beyond the oath: the unaddressed challenge of physician impairment
Despite their idealized oath to do no harm, physicians are still human, and as such, mistakes, errors, and the unpredictability of life still occur. Although the stories that grab headlines are of doctors intentionally harming patients, such instances are exceedingly rare. Far more prevalent, however, are the cases of physicians who begin their careers with Read more… Beyond the oath: the unaddressed challenge of physician impairment originally appeared in KevinMD.com. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - March 22, 2024 Category: General Medicine Authors: Tags: Physician Psychiatry Source Type: blogs

Challenging patients and the art of empathy
On a fine afternoon, my nurse came in and gave me a heads-up. “Doctor, the next one’s a bit of a handful. Made a fuss scheduling, complained about her old doctor endlessly at reception … doesn’t seem like a picnic.” I smiled reassuringly, reminding her (and myself) that non-judgmental care is the cornerstone of medicine. Read more… Challenging patients and the art of empathy originally appeared in KevinMD.com. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - March 22, 2024 Category: General Medicine Authors: Tags: Physician Ophthalmology Source Type: blogs

Health care surges: the role of virtual care partnerships [PODCAST]
Subscribe to The Podcast by KevinMD. Watch on YouTube. Catch up on old episodes! Join Lyle Berkowitz, a physician executive, as we explore the challenges faced by health systems during this time, from overcrowded emergency departments to increased demand for care. Lyle shares insights into traditional strategies employed by health care systems and discusses the Read more… Health care surges: the role of virtual care partnerships [PODCAST] originally appeared in KevinMD.com. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - March 21, 2024 Category: General Medicine Authors: Tags: Podcast Emergency Medicine Source Type: blogs

Understanding seasonal affective disorder: more than just winter blues
As the summer sun bids its farewell, a distinct group of people seem to “fall back” as a mysterious change begins to take hold. Several individuals get caught in the embrace of the transitions of fall and winter, revealing a shift between their mood and energy levels. Ever felt a subtle dip in energy, a Read more… Understanding seasonal affective disorder: more than just winter blues originally appeared in KevinMD.com. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - March 21, 2024 Category: General Medicine Authors: Tags: Conditions Psychiatry Source Type: blogs

Shedding some weight on the health care crisis
In today’s world, the term “obesity” is more than just a medical diagnosis—it’s a complex issue intertwined with personal experiences, societal norms, and systemic challenges. As a seasoned family doctor, I’ve witnessed firsthand the multifaceted nature of obesity and its profound impact on individuals’ lives. But beyond the clinical observations, I carry a personal history Read more… Shedding some weight on the health care crisis originally appeared in KevinMD.com. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - March 21, 2024 Category: General Medicine Authors: Tags: Conditions Obesity Source Type: blogs

Women of color face biases in endometriosis diagnosis and surgical treatment
March is endometriosis awareness month. Endometriosis, a disease in which tissue similar to the lining of the uterus grows outside of the uterus, affects 1 in 10 women, or 190 million individuals worldwide. Although endometriosis leads to chronic pain and fertility issues and can impact bowel, urinary, and sexual function, it may take up to Read more… Women of color face biases in endometriosis diagnosis and surgical treatment originally appeared in KevinMD.com. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - March 21, 2024 Category: General Medicine Authors: Tags: Conditions OB/GYN Source Type: blogs

Beyond the workout: the hidden struggle of diabetic gastroparesis
The final three minutes of my hour-long elliptical workout were not easy. Pain spread across my stomach, causing me to row in a half-sitting motion, and my chest vacillated between violent coughs and the sorts of deep breaths people take when they think they’ve seen a ghost. Perspiration fell from my shirtless torso to the Read more… Beyond the workout: the hidden struggle of diabetic gastroparesis originally appeared in KevinMD.com. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - March 21, 2024 Category: General Medicine Authors: Tags: Conditions Endocrinology Gastroenterology Source Type: blogs

Intralymphatic immunotherapy and the future of allergy care [PODCAST]
Subscribe to The Podcast by KevinMD. Watch on YouTube. Catch up on old episodes! Join Kara Wada, an adult and pediatric allergy and immunology physician. We’ll delve into the world of allergy treatments, exploring the challenges faced by millions dealing with seasonal and year-round allergies. From traditional methods like medications and avoidance to revolutionary advancements Read more… Intralymphatic immunotherapy and the future of allergy care [PODCAST] originally appeared in KevinMD.com. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - March 20, 2024 Category: General Medicine Authors: Tags: Podcast Allergies & Immunology Source Type: blogs

Physician burnout: a surgeon ’ s story of exhaustion, recovery, and systemic change
An excerpt from Safeguarding Physician Wellbeing. There are numerous books written by physicians of various specialties, primary care, and subspecialists, on the topic of physician burnout. Most physician authors, like me, have been inspired to write a book due to personal experience with a high degree of burnout, and/or have had academic interests and research Read more… Physician burnout: a surgeon’s story of exhaustion, recovery, and systemic change originally appeared in KevinMD.com. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - March 20, 2024 Category: General Medicine Authors: Tags: Physician Otolaryngology Source Type: blogs