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Here are the stories you missed on KevinMD. Thank you for your continuing readership.
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KevinMD Plus: Jul 16, 2018
[The problem with the adults in Netflix’s 13 Reasons Why](
Just like so many teenagers out there, I found myself hooked on the Netflix show 13 Reasons Why from the first episode. The only difference is that I am not a teenager, but a physician practicing child and adolescent psychiatry and managing inpatient child and adolescent psychiatric units for the last nine years. I was […]
[Prescription drugs are killing students and the educational system](
The Centers for Disease Control and Prevention reports that 63,632 individuals died in 2016 as a result of drug overdose. Among these, 66 percent died from opioid overdose. The statistics are derived from in-depth research that was carried out by the research institute in 2016. The Centers for Disease Control and Prevention warns that cases […]
[Female physicians: You’re lucky to be here](
Never touch your hair. It cannot be down, and it cannot look fancy. Optional styles include bun, ponytail, or braid. I might as well shave it off! I hear you thinking it – we’ve all thought it – but it’s wrong. The only thing worse than looking like a woman that’s too hot is looking […]
[6 pieces of advice for graduating medical students and residents](
My (sometimes solicited, but often unsolicited) advice for graduating medical students, residents, and fellows: June is one of my favorite times of the year. One, because it’s summer, but also because it’s graduation season. I love seeing and hearing about everyone’s accomplishments, and seeing years of hard work come to fruition – although if I’m […]
[What’s better: mentorship or sponsorship?](
Literature coming from business and human resource management suggests that women are over-mentored and unders-ponsored. However, if you have been reading reports about women in medicine, then you likely have heard that women are both over-mentored and under-mentored. Where does the truth lie? That depends on various factors including the definitions of these terms. What […]
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[Conference planners!]( Find vetted, handpicked physician speakers that shine on stage. [Physician Speaking by KevinMD: Your audience deserves the best](.
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[A conversation with a doctor who was tired of feeling burned out](
An excerpt from the Docs Outside the Box podcast, episode 1: When the going gets tough… MOVE! Dr. Nii: All right, well thank you very much for joining us on the Doc’s Outside-the-Box podcast. You are our first guest — first victim, I guess. It’s the inaugural episode, so I just wanted to thank you for joining […]
[My exit ramp from medicine](
One day, I was full of moderate despair, overworked, befuddled by the EHR with a tinge of burnout, staring at my computer, I treated myself to something I’ve not done before. It was my 62nd birthday that day, and I gave myself a birthday present. Before rising from that swivel chair, I had written down […]
[Crisis has its benefits](
I have neck pain. It’s been going on for years. Usually, I get sore stiff muscles once a week and a headache. This is the consequence of having a big bobblehead on a pencil thin, weak neck. In the throes of pain, I have thought many a time about doing the right thing, and going […]
[10 ways to stay out of the DEA’s crosshairs](
No news attracts attention like a physician who’s in trouble with DEA or their state medical board. So, how does it happen, what are the common issues and what can a physician do to safeguard themselves? First, let’s look at what the numbers and the research tell us. The Federation of State Medical Boards (FSMB) […]
[8 steps to have those difficult conversations](
An excerpt from No-Drama Leadership: How Enlightened Leaders Transform Culture in the Workplace. Although the ability to initiate difficult conversations is part of good leadership, I’ve never met a leader who enjoys it. Whether your conversation is about body odor, rude behavior, dress code, personal conduct or performance issues, difficult conversations are something that most […]
[Third year of medical school is like learning to ride a bike](
I could see the excitement on my six-year-old daughter’s face as we pulled into the parking lot and unloaded her new bike from the car. She had been anxiously awaiting this moment for several weeks — she was going to learn to ride a bicycle. She watched with increasing interest as I unscrewed the training […]
[Every patient has a rich history behind their current state of health](
As I was reviewing his chart, I noticed under social history that “freelance artist/painter” was listed as his occupation. I’ve never met a patient of such talent and honestly, I was excited to meet him. When I arrived at the ER, I was introduced to an unassuming elderly man. He wore a pair of worn […]
[Here’s why we need socioeconomic diversity](
Parents cheer, students rejoice, and teachers relax — it’s graduation season, one of my favorite times of the year. A few weeks ago, the Class of 2018 at Harvard Medical School (HMS) marched across campus to complete their final hoorah as medical students. I observed in awe and noticed something spectacular: most graduates who delivered […]
[It’s time for academic attendings to teach personal finance](
A recent post by the White Coat Investor got me pretty fired up. Dr. Dahle spoke about three of the main financial enemies that face physicians. The third one that he mentioned had something to do with medical culture. The gist of it was that talking money in academic medical centers is considered taboo. While I think […]
[Restoring the trust in the medical profession](
A guest column by the American College of Physicians, exclusive to KevinMD.com. Trust is the belief that another person or entity will act in your best interest, and it serves as the foundation upon which the doctor-patient relationship and our health care system are built. But we have a significant trust paradox in American medicine. […]
[Pronouns matter: How we can do better in LGBTQ patient care](
In the wake of Pride Month, I have been reflecting on how our health care system impacts the lives of individuals with identities across the gender spectrum. Sometimes, when sending a prescription to a pharmacy for any given patient, we will get a phone call that the date of birth on file with insurance does […]
[Doctors are conditioned to deny](
13 years ago a colleague of mine did a labiaplasty on my 18-year-old daughter for medical reasons. What was supposed to be routine has become a nightmare for her. Not only did he remove all of her labia minora, but he also denervated her clitoris. When he saw her post-op, he told her she was fine, […]
[What is the pediatrician’s role in marijuana use?](
I recently listened to DDx, a new podcast from Figure1. In their third episode, a 37-year-old man presents to the emergency department in the middle of the night with persistent vomiting and retching. He is highly vocal and agitated. Upon questioning, he reveals that he experiences these episodes frequently and previous investigations have all been […]
[MKSAP: 24-year-old woman with atopic dermatitis](
Test your medicine knowledge with the MKSAP challenge, in partnership with the American College of Physicians. A 24-year-old woman with longstanding atopic dermatitis is evaluated for an acute worsening of her disease in the past week. She has had increased pruritus and now has multiple painful areas within the involved skin. She has been applying petrolatum jelly […]
[Patients are more than lab results](
I loved my endocrinology block in medical school. It was one of my favorite units. One hormone acts on another gland, which either induces a positive feedback releasing its successor hormone or a negative feedback blocking its predecessor. It was step-by-step. It was straightforward. I loved the material so much that I reached out to […]
[How employers and plan sponsors can save the U.S. workforce from opioids](
Opioid use has reached epidemic proportions over the past decade, becoming one of America’s highest-priority public health issues. With opioid abuse spiraling out of control, lawmakers, regulators, and health professionals are scrambling to better understand key drivers of this issue and develop an effective action plan. Although the devastating impact of opioids on families and […]
[Why do so few doctors treat people with opioid addictions?](
Dear Doctor, Please help me understand why so few of you have chosen to treat people with opioid addictions. I’ve been following the topic of opioid addiction for years. It is one of the most common themes for First Opinion submissions. Authors routinely point to the importance of medication-assisted therapy, the standard of care for individuals with opioid […]
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