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12:47 EDT 21st March 2018 | BioPortfolio

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

Wednesday 21st March 2018

What do you do when your loved one becomes suddenly ill?

When someone you love who has always been healthy and a go-getter suddenly takes ill, it can be very scary and confusing for both of you. It can be particularly scary and confusing for your loved one. Your loved one, while healing, is also experiencing grief/loss, and not just over the loss of health. Even […]

What Frederick Douglass can teach us about health care

“I’ve done this thousands of times. If you do not intubate him, he will die quickly. I’m a pro, but I don’t have all night: either decide to let me do my job, or he dies. But remember, he could die while I do the procedure as well.” These were the words that echoed around […]

Physicians: Focus on net time, rather than net income

We all understand the concept of net income or net pay. If you’re an employee, it’s what you see deposited into your bank account after federal and state taxes, Social Security taxes, Medicare taxes, etc. are all withheld. If you’re self-employed, it’s what you’re left with after you set aside the funds for many of […]

Tuesday 20th March 2018

6 reasons how exercise makes you a better physician

Practicing medicine sometimes feels a bit like pulling teeth, and getting regular exercise often resembles flossing. I have only recently started flossing on a regular basis. For most of my life, the bulk of my flossing activities would happen in the few days before my rapidly approaching dentist appointments. The “logic” I used to employ: […]

Tap water: an undervalued and overlooked key to health

Suffering from headaches? Drink more water. Feeling tired? Drink more water. Fighting the flu? Drink more water. Trying to lose weight? Drink more water. Continue reading ... Your patients are rating you online: How to respond. Manage your online reputation: A social media guide. Find out how.

10 tips to help patients through benzodiazepine withdrawal

As physicians, we are experts at prescribing medications. However, we often fail miserably when it comes to recognizing adverse reactions and tapering medications. It’s something that is simply lacking in our medical training. I have become a victim of this with benzodiazepines, as I detailed in a prior blog post. Benzodiazepines, in particular, are very […]

A millennial doctor’s love-hate relationship with EHRs

At the start of the transition to electronic health records (EHRs), I was totally on board as one would expect of a millennial doctor. I, along with my fellow millennials, grew up alongside the internet. We can type with our eyes closed, navigate pop-ups in a jiffy and intuitively know how to manipulate electronic charts […]

Physicians: scared of social media? Stop and dive in.

Fear of exposure I hear from a lot of my professional friends, especially the doctors I’m in touch with regularly, about the fear of diving in — of starting out on their own social media journey. They’re watching us all swim around them, paralyzed by the thought of even dipping in their feet. It’s OK […]

Enjoy financial freedom by reaching the land of critical mass

If you’re doing investing right, you’re saving a large percentage of your income every month (like 25-50%) and stuffing it into stocks, bonds, and real estate investments. At first, even with a high savings rate, your net worth will be low, and the money made by your investments will also be low, like maybe a few hundred […]

Monday 19th March 2018

How to find purpose in the age of burnout

A recent sports injury required me to have surgery. As a cardiothoracic surgeon, my experience as “the patient” reminded me of lessons-learned years ago on finding one’s purpose. You should never underestimate your capacity as a health care professional to dramatically impact the lives of your patients. As a pre-med in college, I interviewed at […]

The tiny gains of patient-centered medical homes. Are they worth it?

First, a history lesson. Back in the mid-2000 oughts, the AAFP launched a wholly owned subsidiary called TransforMed. It was originally started to help practices implement the “new model of care” from the Future of Family Medicine Report. Soon after it was launched, the joint principles of the patient-centered medical home (PCMH) were announced, so […]

How inflation will affect our health system

All eyes are on interest rates as investors look for more signs of trouble ahead. If their concerns over higher-than-expected inflation prove accurate, many players in the U.S. economy will suffer the burden of higher costs. But perhaps no sector would feel the strain more than health care. Higher costs would be just the start […]

The pain scale shares the blame for the opioid crisis in America

If you have ever had surgery or told your doctor about physical pain, no doubt you have heard the question: “How would you rate your pain on a scale of zero to 10, with zero being no pain and 10 being the worst pain you can imagine?” That sounds like a reasonable question, but everyone […]

Science and medicine are seemingly at constant odds

In the mid-1800s, Ignaz Semmelweis, then a professor at Johns Hopkins, proposed something outrageous: Doctors and medical students working in the maternity ward should wash their hands before delivering babies because doing so could reduce infant mortality. For proof, he performed a rigorous experiment that showed babies delivered by midwives, who traditionally did wash their hands prior […...

The public’s unrealistic expectations about CPR

A survey of 1,000 volunteer adults found 71% regularly watched medical television dramas, but only 12% said the shows “were a reliable source of health information.” The participants were given some brief vignettes describing scenarios where CPR was administered: a 54-year-old who suffered a heart attack at home and received CPR by paramedics, an 80-year-old […]

Physicians: Are you paying attention to your mutual fund fees?

In the past, investors had to pay an actively-managed mutual fund to manage their money. The average actively-managed mutual fund charges about 1% of assets under management. Hedge funds typically charge 2% of assets and 20% of profits. And the worst of the worst mutual funds charge up to 3% or 4% of assets. Now, index funds […]

Sunday 18th March 2018

Communication skills: a tale of 2 doctors

There are two doctors working at the local hospital. They are both around the same age, been in practice for several years, and in the same specialty. Dr. Cooper grew up in Ohio and went to medical school in California, before moving to New York after his residency training. Dr. Steele grew up in Michigan, […]

The FDA approval of 23andMe’s BRCA test: What it means for you

The approval by the Food and Drug Administration of 23andMe’s BRCA test is bound to create a discussion about the merits and pitfalls of direct to consumer genetic testing for cancer risk. It is also going to add fuel to a growing fire about how we as a nation assess genetic risks for cancer, and whether society is prepared for […]

What to do if you have huge student loan debt

Q. Where do I start? I have a huge student loan debt and don’t think I’ll ever be able to pay it off. I am a physician assistant, and my partner is a physical therapist. We’re about two years out of school. I have only recently started to try and figure out how to be smart […]

How this emergency physician’s shift really went

She is 61, and she can’t help but smack her lips together repetitively. She has no teeth, and the curvature of her spine makes her a miniature version of what she once was. Her frizzy hair is a purple-gray tone, and there are dark particles of something in the knots alongside her left temple. Her […]

Saturday 17th March 2018

The truth about plastic surgery chains

Over 17 million cosmetic surgery and minimally invasive procedures were performed in the U.S. in 2016. With the increasing popularity of cosmetic procedures, it seems nearly everyone is out to get a bite of the apple. Cosmetic surgery chains are growing in size and popularity in an attempt to cash in on this market. Examples […]

Intern year is still universally hard. Intern year is also universally great.

4:00 p.m. Right on time. I am walking down the street with my brother on his first visit to me in residency; I’m only two weeks in. I turn to him: “Wait a second.” I place my hand on the cement wall next to us, and I start to heave. “Um … are you OK?” […]

The AHRQ is in the line of fire. Here’s why you should care.

For the past 30 years, a little-known U.S. health agency has supported and produced volumes of groundbreaking research on how to make health care safer, less wasteful, and more effective. Dubbed “the little federal agency that could,” AHRQ has accomplished this feat with a small fraction of the budgets of its higher-profile cousins, the Centers for Disease […]

MKSAP: 38-year-old man is evaluated during a periodic health maintenance visit

Test your medicine knowledge with the MKSAP challenge, in partnership with the American College of Physicians. A 38-year-old man is evaluated during a periodic health maintenance visit. His friend was recently diagnosed with type 2 diabetes mellitus, and the patient expresses interest in being screened. He is asymptomatic and reports no symptoms of polyuria or polydipsia. He […]

Friday 16th March 2018

When medical coders blame physicians

An interesting paper in CMAJ Open reports on a series of interviews with coders concerning their perceptions of their interactions with doctors. The study was done in Canada, but it rings true to what we experience in the U.S. The fundamental objective of coding is the same: to translate information about the patient’s story into a series of numeric ICD-10 […]

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