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KevinMD Plus: Feb 7, 2019
[The measles outbreak, media imagery, and the thoughtful focus of fear](
A rapidly escalating measles outbreak near Portland, OR has led local health officials to declare a public health emergency, with 44 confirmed cases, almost all in unimmunized children, almost all of them in unimmunized children. Meanwhile, New York and New Jersey have been facing a similar crisis over the past few months, with over 200 […]
[Why would any woman discourage a man’s advocacy or support?](
A male interventional radiologist who is active in the #HeForShe campaign recently told me that he is being pressured to stop advocating for women. My first instinct was the biggest sigh and eyeroll of my life followed by thoughts of locker room peer pressure and boys’ club type discussions. But the criticism did not just […]
[What Marie Kondo can teach us about physician burnout](
It seems you can’t open a magazine or surf the web these days without reading about Marie Kondo, the author of the New York Times bestseller, The Life Changing Magic of Tidying Up. Kondo has attained a cult-like status for her ability to help people improve their lives by radically reducing their stuff, and her […]
[What happened to the first name in medicine?](
I cannot begin to count the number of misspellings that I have witnessed of my first name. The number of “As” and the pronunciation confuse both first-timers and my closest friends. Its spelling on my first elementary school report card set the rhythm for things to come, from high school diplomas to wedding tabletop cards. […]
[Where’s the humor in medicine?](
“Come on, bring it on! Come on, bring it on!” the little girl repeatedly chanted behind the drawn curtain in the pre-op holding area. I pulled the curtain back and peered in to see my young patient in the bed and happy as a lark, her mother was sitting next to her trying to contain […]
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[5 ways for physicians to fight burnout](
There is a lot of discussion about what to do about physician burnout. The conversation includes debates on the actual incidence of burnout, why it varies among specialties and work environments, who is responsible for it and what can be done to combat it. For the physician who is on the front line, experiencing the […]
[Do you know why you’re having surgery?](
During my third year of medical school, I completed a clinical rotation in surgery. I was certain that it would be horrible. I envisioned myself in the OR, getting lightheaded, passing out onto the sterile field and being yelled at by my attending physician. I worried that the medical knowledge I’d worked so hard to […]
[The unsung heroes of sick kids](
Chances are that if you have kids, you’ve had at least one unplanned visit to the hospital. Taking care of children in the emergency department (ED) is a special challenge for many reasons including the fact that the child’s parents don’t choose to see me specifically, they are usually meeting me for the first time, […]
[Do whatever it takes to conquer this depression. Now and forever.](
“Ms. Taylor*?” “Yes, it’s me. I’m so deeply sorry to you and the team. You all helped me so much when I was here. But I started drinking a day after I left and blacked out.” Two weeks ago, Ms. Taylor was found by her sister lying unconscious on the bathroom floor after a week-long […]
[It’s time to update the stethoscope](
Perhaps the most important aspect of a physician’s role is our diagnostic capabilities. Truly, if we cannot identify and diagnose a patient’s pathology with reasonable accuracy, we cannot effectively treat them and may even cause greater harm. Let’s look back. The year is 1816, and you are a physician evaluating a patient with shortness of […]
[A fellow physician to Governor Northam: You must resign](
Governor Ralph Northam is my governor. I voted for this man. I shook his hand. He works across the street from me. He fights to end the opioid epidemic. He fights for women’s rights. He expanded Medicaid in Virginia. He has enacted programs that will change my patients’ lives. As a fellow physician, I was […]
[2 questions every physician should ask themselves](
The numbers are in. Medscape National Physician Burnout, Depression & Suicide Report 2019 indicates that the rate of physician burnout is still at an all-time high. Forty-four percent of physicians reported feeling burnt out. According to the report, 50 percent of women reported experiencing burnout versus 38 percent of men. Carol Bernstein, MD, a psychiatrist […]
[A physician’s ex-business partner is in prison. Here’s what this doctor learned.](
When I was a third-year resident, I was invited to join a practice owned by a doctor who had once been my chief resident. This was considered by all of my fellow residents to be the plum job in town, and I was thrilled. The doctor, whom I shall call “John,” was smart and funny […]
[Will artificial intelligence be able to have this conversation?](
Transformation of health care is underway: The landscape is filled with innovation, and the horizon is dotted with technological possibilities of “Star Trek” ilk. In a recent New England Journal of Medicine Catalyst article, there was a compelling argument for how artificial intelligence (AI) of the future will help deliver us from a high cost, […]
[Practice at the top of your license: What does that really mean?](
A guest column by the American College of Physicians, exclusive to KevinMD.com. Much has been discussed in recent years around the concept of “practicing at the top of your license.” But what does this really mean? The most common definition is that each medical professional’s routine activities should utilize the full extent of their education, […]
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