Before you vent about your doctor on social media, read this
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KevinMD Plus: Jan 31, 2019
Before you vent about your doctor on social media, read this
John and I met as young children and were high-school sweethearts. We married and put him through college and had four children during the process. He joined the Air Force to pay for medical school, and we spent four years overseas to help pay off the costs of his education. We recently counted how many […]
Before you vent about your doctor on social media, read this
John and I met as young children and were high-school sweethearts. We married and put him through college and had four children during the process. He joined the Air Force to pay for medical school, and we spent four years overseas to help pay off the costs of his education. We recently counted how many […]
In medicine, what’s in a name?
Before I could see her, I could hear her. My patient, a young woman with messy braided hair, was grunting with every effort to breathe. The noises quieted slightly when I reached her bedside, but her tears continued to fall between gasps. Her body movements were exaggerated, rooted in the rhythm of her labored breathing […]
Get ready for health care disruption
Just like you, I’m trying to make sense of the world around me. But there are no templates for the bridge that health care’s building for its future. All we can do is listen to weak signals and amplify them. Recently (and finally), CVS bought Aetna for $69 billion. I spoke to someone intimately familiar […]
Your patients are counting on you
A guest column by the American Society of Anesthesiologists, exclusive to KevinMD.com. I recently attended a state medical society’s annual meeting where the agenda consisted of an awards program, several speakers and a keynote address. The highlight of the evening, however, was listening to patients share their stories with the local medical community. We’ve all heard from […]
Why doctors-in-training need better nutritional education
Obesity is a global epidemic, and its prevalence is increasing in every part of the world. While we have new medications and complex surgical techniques that promote weight loss, the awareness of healthy eating habits and dietary education are still the most important factors in helping control body weight. Unfortunately, nutrition knowledge appears confined largely […]
Thousands of physicians are browsing this job board. They love its selection of over 12,000 openings across the U.S.. Physicians are finding opportunities they almost missed.
Before I could see her, I could hear her. My patient, a young woman with messy braided hair, was grunting with every effort to breathe. The noises quieted slightly when I reached her bedside, but her tears continued to fall between gasps. Her body movements were exaggerated, rooted in the rhythm of her labored breathing […]
Get ready for health care disruption
Just like you, I’m trying to make sense of the world around me. But there are no templates for the bridge that health care’s building for its future. All we can do is listen to weak signals and amplify them. Recently (and finally), CVS bought Aetna for $69 billion. I spoke to someone intimately familiar […]
Your patients are counting on you
A guest column by the American Society of Anesthesiologists, exclusive to KevinMD.com. I recently attended a state medical society’s annual meeting where the agenda consisted of an awards program, several speakers and a keynote address. The highlight of the evening, however, was listening to patients share their stories with the local medical community. We’ve all heard from […]
Why doctors-in-training need better nutritional education
Obesity is a global epidemic, and its prevalence is increasing in every part of the world. While we have new medications and complex surgical techniques that promote weight loss, the awareness of healthy eating habits and dietary education are still the most important factors in helping control body weight. Unfortunately, nutrition knowledge appears confined largely […]
Thousands of physicians are browsing this job board. They love its selection of over 12,000 openings across the U.S.. Physicians are finding opportunities they almost missed.
Should residency programs review their applicants’ social media history?
By now, I’m sure most of you probably have heard about the Cleveland Clinic first-year resident who was fired last September when it became known that in 2012 she had tweeted she would “purposely give all the yahood [Jews] the wrong meds …” The website Canary Mission documented numerous tweets expressing similar thoughts. She has apologized but will likely have great […]
The problem with abbreviations in the medical record
Several patients seen in our practice recently were significantly and dramatically transformed by the electronic health record (EHR). And not in a good way. Take, for instance, the patient whose outside chart was reviewed when she showed up in our office for a follow-up appointment after an emergency department visit. The notes from the emergency […]
Are clinically integrated networks a cure for checkbox medicine?
Years ago, I was contacted by a health plan about an elderly nursing home patient who had not been screened for osteoporosis. While brittle bones are a big problem in skilled nursing settings, the real problem for this health plan was its low HEDIS score for “osteoporosis testing and management.” Because of the underlying financial […]
What advocacy means to this physician
Patients first Patient care brings me enormous satisfaction. Nearly 40 years ago, when I chose medicine as a career, this was a driving force. Within moments of patients coming into my office, they often share aspects of their life history known only to their closest friends and family. Bestowing this trust is a huge honor […]
When a child dies, this pediatrician grieves
I found his obituary today. Kids do not always have obituaries. I am not sure why. Perhaps it is because children are not supposed to die and no one quite knows what to say. Still, I always look for them. He loved the color green. His death was so unexpected. I have never seen a […]
Sometimes, the biggest challenge to eliminate health disparities is geography
Driving north in a snowstorm Tuesday of Thanksgiving week I certainly took my time. I left after our Suboxone clinic wrap-up conference, around 7:30 p.m., and arrived at my unplowed driveway in Caribou about 1 a.m. On the way up, I saw two ambulances, one from Caribou and one from Presque Isle, on their way […]
Geriatric medicine is a calling
Often people (mostly residents and medical students) ask why on earth did I choose to do a geriatric fellowship? My response is because it is the medicine of the future. While we are all aging, the fastest growing age groups are those born between 1946 to 1964. The Baby Boomers. The Silver Tsunami. The Grey […]
Doctors: Never forget the importance of eye contact
Eye contact is one of the most basic mammalian traits that signals an interaction. Anybody who has a dog or cat at home sees on a daily basis how much animals value eye contact (and with dogs, it signals you’ve lost the battle!). In the case of health care, during frequent emotional exchanges between two […]
Is personalized medicine mostly marketing and hype?
“Personalized” medicine sounds appealing. Rather than just guessing at what medication to try, a genetic test can figure out, in advance, which medications will be effective and which medications are more likely to make you sicker. Except it doesn’t work. It’s mostly marketing and hype. The FDA has officially warned consumers and physicians that genetic tests sold […]
Generics aren’t going to help the cost of chemotherapy drugs
Chemotherapy drugs have become ridiculously expensive. Many new drugs come to market costing more than $100,000 per patient for a full course of treatment. Often, patients have to pay a significant portion of these costs. For example, a 20% co-insurance rate, typical for basic Medicare coverage, leaves patients responsible for more than $20,000 of chemotherapy costs, […]
Negotiation tips for new doctors
In an ideal world, we should all be compensated fairly for our services and skills. The reality, as we all experience, is an amalgam of mistakes and victories. One hopes that with time our skills will translate to a greater number of victories. Most greenhorns entering the workforce are unfortunately poorly equipped to assess their […]
A story of treatment failure and end-of-life decisions
Part 4 of a series. By the time my father’s metastatic prostate cancer was diagnosed, he was already experiencing symptoms of poor appetite and weight loss, which grew progressively worse following his first hospital admission. As his nutritional status continued to decline, the protein level in his blood decreased, causing significant fluid buildup in his legs […]
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