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00:00 EDT 24th September 2018 | BioPortfolio

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Showing News Articles 1–25 of 1,300+ from KevinMD

Sunday 23rd September 2018

How to make the most of rushed physician visits

Physicians everywhere are having to deal with ever-shrinking time slots with their patients. Every doctor (or nurse) would love to have more time if possible, and it’s probably one the biggest frontline frustrations for any clinician who wants to do a good job. Time to go over the history in more detail, examine the patient […]

The impaired interactivity of EHRs

Ironically, the same electronic health records (EHRs) initially designed as a tool to help physicians diagnose diseases have largely evaded diagnostic scrutiny. Talk to physicians who utilize them on a daily basis, however, and it becomes abundantly clear that today’s EHRs are ailing. They are adding hours to the physicians’ workday, siphoning attention from patient […]

The EHR is autistic

Ironically, the same electronic health records (EHRs) initially designed as a tool to help physicians diagnose diseases have largely evaded diagnostic scrutiny. Talk to physicians who utilize them on a daily basis, however, and it becomes abundantly clear that today’s EHRs are ailing. They are adding hours to the physicians’ workday, siphoning attention from patient […]

Our health system is a sick system

Unhealthy behaviors such as smoking, overeating, or lack of exercise lead to chronic health conditions, and many patients wanting to make positive changes to their health may seek the advice of their doctor to do so. But our insurance payment system works against supporting people when they want to act in a healthy way, and […]

Quality over quantity in life and care

The surgical team filed out of the patient’s room. I looked over my shoulder to see a shaken daughter holding the wrinkled hand of her quiet, elderly mother who lay in the bed. I shuddered as I thought of the surgery her body would endure the next day. I knew I needed to return to […]

Saturday 22nd September 2018

10 financial tips for physician maternity leave

Let’s be real here. Women make babies. Women also kick butt working. Sometimes women need to make babies while kicking butt working. So, you know, the human race can survive … no big deal. But, all too often, families are unfairly burdened by our dismal maternity support system. Bleary-eyed and bloody, new mamas emerge from […]

Why this physician sees a therapist

I’ve had a lot of ups and downs throughout my schooling and career — not just related to my profession but personally as well. In the past, it has crossed my mind that I should probably seek professional help, but then some way or another, I would get past my issues and life would normalize. […]

Sometimes the most I can offer is to be present with people

I’m sitting in the ICU team room, staring at the computer, trying to look like I’m writing a note. But my head is pounding. As an internal-medicine resident doing my first month of residency, I’ve found the ICU of the bustling county hospital a jarring place to start my training. Although I’d anticipated the clinical […]

MKSAP: 25-year-old woman with type 1 diabetes mellitus

Test your medicine knowledge with the MKSAP challenge, in partnership with the American College of Physicians. A 25-year-old woman with type 1 diabetes mellitus is evaluated for recent-onset glycemic fluctuations without symptomatic hypoglycemia. She was diagnosed with diabetes 7 years ago. Her HbA1c levels since diagnosis have ranged from 6.4% to 7.3%, with the most recent value […]

Friday 21st September 2018

Why doctors can’t take sick days

I learn all manner of interesting things from the information sheets posted on the walls of the employee bathrooms at my hospital. I learn, for example, about upcoming CME offerings for advance practice providers, how many seconds one has to scrub the hub of a central line, and what the new process is when nurses […]

100 percent satisfaction doesn’t work in our health system

“I want answers!” My mother was upset over the care for her ill husband. Previously able to converse normally, he was now incoherent and disoriented. The recent recipient of a bone marrow transplant to treat his advanced leukemia, he probably experienced a brain infection because of the immune suppression therapy needed to accept the marrow. […]

What physicians need to make a telehealth program stand out

When I became a physician years ago, the idea of telehealth had barely taken hold among doctors or patients. Today, as we bask in the passage of the CHRONIC Care Act of 2017, we’re seeing dozens of use cases in stroke, emergent care, psychiatry and more that underscore telehealth’s potential. Consumers are becoming increasingly digitally […]

Challenging gender bias in the house of medicine

A guest column by the American Medical Association, exclusive to Since the 1970s, women have been carving out an increasingly large role in medicine, and the profession is becoming more representative of our society. September is Women in Medicine Month, a great time to acknowledge the changing face of medicine, but also to note that female […]

A patient waits. And waits.

I sit before you and others like you, in silence, anxious about what I might be told. You deliver a litany of questions to my countenance as I sit in a chair beside you. Your attention is diverted to the cold and detached computer screen where my responses are entered without you ever noticing the […]

A physician with congenital heart disease

Everyone always jokes with doctors, “What happens if you get sick?” Some of us laugh off the question. The busy schedule of health care often means our own health comes last. However, what happens when it’s a chronic disease that requires treatment? Then the answer to this question is a little different. I am a […]

Thursday 20th September 2018

Doctor, when is your next vacation?

Life is short. We always hear that phrase but really don’t know what it truly means. What I mean is that life doesn’t feel short; we complain of our days being too long, or weeks too busy and dragged out. The only thing that feels too short in my life are weekends. There comes a […]

Looking for the silver lining at supervised injection facilities

The Hippocratic Oath, as presumably most of us know, is the oath taken by physicians promising to uphold ethical standards in treating their patients. The four pillars of medical ethics primarily stem for this oath: autonomy, beneficence, non-maleficence, and justice. The world we see now is socially different compared to what it was when Hippocrates […]

Opioid cheating is a billion-dollar industry

If you search for “how to pass a urine drug test” on the internet, you will get several million results. As physicians, we see and manage the national opioid crisis every day. We see the impacts of this in our practices and our lives. The crisis frankly shows no signs of abating or becoming a […]

Happy National Grateful Patient Day!

One day I found out that it was National Limerick Day. I didn’t even know there was a National Limerick Day. I investigated other “days” and found out that September 7th was National Grateful Patient Day. So, this grateful patient will start her post with a limerick: There was a patient in a flimsy gown, […]

Words can hurt those on benzodiazepines

There exists a large, mostly-underground, a growing community consisting of those iatrogenically harmed by benzodiazepines. Guilty only of following doctors orders, these patients are marginalized and misunderstood. This has been enabled, at least in part, by poor terminology. Recently on Twitter, Michael P. Hengartner and Marnie Wedlake both posted critical questions in response to a […]

Shortening time in medical school is a bad idea. Or is it?

Recently, there has been a number of articles on reducing the length of medical training to help ease the physician shortage. And our medical curriculum is due for a major overhaul. Its foundational document, the Flexner report, was released over 100 years ago, and our medical needs and knowledge have changed. Shortening medical education may […]

Wednesday 19th September 2018

The hazard of the health care common is communication

Both in and outside of health care certain buzz words and phrases become so ubiquitously used that a shared understanding is assumed despite conflicting perceptions of what these sentiments actually mean. Examples in health care include: shared decision making, quality of life, professionalism, patient-centered care, and evidence-based. Each sounds positive and intuitive — what health […]

Think of investing as one long road trip

I was driving up to Northern Michigan recently for a nice vacation with family, and like any long road trip, before I left, I turned on my GPS on my iPhone to see how many hours it would take to get there. There’s an initial excitement to get on the road, looking forward to how […]

When men struggle with treatment decisions

It usually starts with a phone call: “Doc, can I come and talk to you about something?” The “something” might be erectile difficulties or other side effect(s) from prostate cancer treatment. It might be confusion or indecision about what treatment to agree to. I always inform the caller that any of these issues are better […]

Why your child should have a black, male doctor

When I was 20 years old, I boarded a flight from St. Louis, Missouri to Houston, Texas.  It was Fall and the temperature had begun dropping.  That being the case, I was dressed like a typical college student at that time of year: sweatpants and a hoodie.  After taking my seat, a middle-aged white woman […]

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