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Which study is right? Investigating the impact of screening on breast cancer mortality
A splashy headline in The Washington Post caught my attention: “Breast cancer death rate dropped 58 percent over 44 years in U.S.” A Stanford Medicine news story reports that this victorious conclusion is based on “a new multicenter study led by Stanford Medicine clinicians and biomedical data scientists.” Using observational data, clinical trial data, and simulation modeling, the researchers Read more… Which study is right? Investigating the impact of screening on breast cancer mortality originally appeared in KevinMD.com. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - April 13, 2024 Category: General Medicine Authors: Tags: Conditions Oncology/Hematology Source Type: blogs

A doctor turned singing sensation [PODCAST]
Subscribe to The Podcast by KevinMD. Watch on YouTube. Catch up on old episodes! We sit down with Sydelle Ross, an anesthesiologist who has discovered the healing power of music in her practice. Join us as Sydelle shares her journey from a childhood dream of becoming a singing doctor to her current role, where she Read more… A doctor turned singing sensation [PODCAST] originally appeared in KevinMD.com. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - April 12, 2024 Category: General Medicine Authors: Tags: Podcast Anesthesiology Source Type: blogs

Advance directives amidst COVID: a critical look
Are advance directives any better than they were four years ago when COVID was surging? Are patients still comfortable with being placed on ventilators? Do physicians better understand how to treat COVID as a serious illness?  Physicians provide emergency measures unless there’s an advance directive to the contrary. Only one-third of Americans have advance directives Read more… Advance directives amidst COVID: a critical look originally appeared in KevinMD.com. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - April 12, 2024 Category: General Medicine Authors: Tags: Physician Palliative Care Source Type: blogs

Pageantry: an unconventional education for aspiring psychiatrists
With the elegant gowns, stylized hair, carefully applied makeup, and moments in the spotlight, beauty pageants have attracted longstanding criticism for being allegedly superficial competitions that foster narcissism. But beneath the surface lies a wealth of opportunities for personal growth and skill development. Most modern pageants have moved away from being modeling competitions that assess Read more… Pageantry: an unconventional education for aspiring psychiatrists originally appeared in KevinMD.com. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - April 12, 2024 Category: General Medicine Authors: Tags: Physician Psychiatry Source Type: blogs

Talk to your patients about money
A non-compliant patient arrives at the ER for evaluation of high blood pressure. Why isn’t she taking her medication? It costs $300 per month, and she can’t afford it. Has she talked to her doctor about a less expensive alternative? No. Unfortunately, this type of interaction occurs far too frequently. The doctor would be happy Read more… Talk to your patients about money originally appeared in KevinMD.com. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - April 12, 2024 Category: General Medicine Authors: Tags: Physician Emergency Medicine Source Type: blogs

Polypharmacy and prescribing cascades [PODCAST]
Subscribe to The Podcast by KevinMD. Watch on YouTube. Catch up on old episodes! Join us for a discussion on medication awareness and prescribing cascades with Paula Rochon, a geriatrician. As we embark on a new year, many focus on diet and exercise resolutions, but overlooking medication management can have profound implications for health. With Read more… Polypharmacy and prescribing cascades [PODCAST] originally appeared in KevinMD.com. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - April 11, 2024 Category: General Medicine Authors: Tags: Podcast Geriatrics Medications Source Type: blogs

Medicine is not apolitical: Your vote dictates your ability to practice medicine
It’s Wednesday, March 6th, 2024. The day after Super Tuesday. I am sitting in the library, taking a break from writing a final paper for my health economics class, when I see a Politico article: “San Francisco’s Proposition F passed.” 3,000 miles away from my hometown and my medical school, all I can think about Read more… Medicine is not apolitical: Your vote dictates your ability to practice medicine originally appeared in KevinMD.com. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - April 11, 2024 Category: General Medicine Authors: Tags: Policy Public Health & Policy Source Type: blogs

Gene therapy ’ s impact on incurable illnesses
Gene therapy has been used recently to cure previously incurable diseases, including sickle cell anemia. It is a horrible disease that I have seen so many times in the ER that it haunts me at night, especially one patient. He was a sweet man with a loving and patient demeanor who tolerated the agony he Read more… Gene therapy’s impact on incurable illnesses originally appeared in KevinMD.com. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - April 11, 2024 Category: General Medicine Authors: Tags: Conditions Oncology/Hematology Source Type: blogs

Rethinking teen medical consent: Navigating complex health needs
Is it time to reconsider the age of medical consent for teens? This is a question I have been asking myself as my children are approaching 18. For many years, I’ve dreaded the thought of my medically challenging child turning 18 and suddenly being thrust into the not-so-warm and fuzzy adult world. I have nightmares Read more… Rethinking teen medical consent: Navigating complex health needs originally appeared in KevinMD.com. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - April 11, 2024 Category: General Medicine Authors: Tags: Conditions Pediatrics Source Type: blogs

Navigating crucial conversations in health care [PODCAST]
Subscribe to The Podcast by KevinMD. Watch on YouTube. Catch up on old episodes! We sit down with Kim Downey, a physical therapist, and Frances Mei Hardin, an otolaryngologist, to dive into the nuances of navigating difficult discussions in the medical field. From delivering challenging diagnoses to addressing patient concerns, we’ll uncover strategies for preparing, Read more… Navigating crucial conversations in health care [PODCAST] originally appeared in KevinMD.com. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - April 10, 2024 Category: General Medicine Authors: Tags: Podcast Oncology/Hematology Source Type: blogs

From perfunctory to profound: 4 self-evaluation questions that blew my mind
The McLaughlin 360 Evaluation: preparation (part one) Have you ever heard the expression, “The truth will set you free”? Well, it might. But before it sets you free, it’s probably going to piss you off. If you are seriously interested in self-improvement, you have to ask hard questions. And then listen! About a year ago, Read more… From perfunctory to profound: 4 self-evaluation questions that blew my mind originally appeared in KevinMD.com. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - April 10, 2024 Category: General Medicine Authors: Tags: Physician Surgery Source Type: blogs

What ’s love got to do with it? The emotional toll of the practice of medicine.
In medicine, we are taught to be professional and, at all times, to keep our emotions at bay. While this approach may work for some professionals, it is particularly challenging in medicine, especially in primary care. As a family physician, I have witnessed the journey of my patients over the years—sometimes spanning generations within a Read more… What’s love got to do with it? The emotional toll of the practice of medicine. originally appeared in KevinMD.com. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - April 10, 2024 Category: General Medicine Authors: Tags: Physician Primary Care Source Type: blogs

EMRs and insurance: a pediatrician ’ s success story
I am a pediatrician who trained in a residency program that taught us insurance companies were evil entities intent on profits over patient care. As ICD codes and CPT codes expanded, my colleagues complained that these were ways insurers could deny care and keep them from making a living. When electronic medical records (EMR) entered Read more… EMRs and insurance: a pediatrician’s success story originally appeared in KevinMD.com. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - April 10, 2024 Category: General Medicine Authors: Tags: Physician Health IT Pediatrics Source Type: blogs

Suspicions of medical child abuse delayed my child ’ s cancer diagnosis
It was November 2014. I was leaving the parking structure of my local children’s hospital when I realized, “They don’t believe us.” I didn’t know it at the time, but it would take seven more months to find the cause of my eight-year-old daughter’s unremitting abdominal pain. An ultrasound ultimately revealed a malignant mass on Read more… Suspicions of medical child abuse delayed my child’s cancer diagnosis originally appeared in KevinMD.com. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - April 10, 2024 Category: General Medicine Authors: Tags: Conditions Oncology/Hematology Psychiatry Source Type: blogs

Cadaver heads, Botox, and an ophthalmologist turned comedian [PODCAST]
Subscribe to The Podcast by KevinMD. Watch on YouTube. Catch up on old episodes! Join ophthalmologist Jade Wong as she shares her firsthand experience of attending a Botox training session that took an unexpected turn when cadaver heads became the teaching tools. Discover the initial shock and subsequent evolution of emotions as Jade navigated through Read more… Cadaver heads, Botox, and an ophthalmologist turned comedian [PODCAST] originally appeared in KevinMD.com. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - April 9, 2024 Category: General Medicine Authors: Tags: Podcast Ophthalmology Source Type: blogs