Here are the stories you missed on KevinMD. Thank you for your continuing readership.
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Here are the stories you missed on [KevinMD](. Thank you for your continuing readership.
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KevinMD Plus: Jan 13, 2020
[Stop penalizing physicians with pay for performance](
Throughout my career, Iâve contemplated what it means to be a good doctor. While I still cannot fully articulate it, I know a good doctor when I see one. Sheâs the masterful diagnostician who can solve any medical mystery. Heâs the physician-scientist who spends countless hours on finding a cure for HIV. Sheâs the colleague [â¦]
[Why this doctor decided to run for political office](
The practice of medicine is limited by what we can control. As students, we are taught to believe in the power of science, the importance of hard work, and the momentum of technological advancement as prime determinants in our patientsâ outcomes. However, as we get further along in our careers, we come to realize that many [â¦]
[Donât ask me about your husbandâs flatulence if heâs not my patient. Bring him in instead.](
Doctors dispense medical advice. Thatâs what we do. Folks come to our office with various medical issues. We talk to them. We poke around some of their body parts. Then, we exercise our medical judgment. We might order a CT scan. We might prescribe stuff. We might simply reassure them and send them on their [â¦]
[How to lead a sustainable life: A physicianâs victory over burnout](
Eighteen months out of residency and into outpatient psychiatry private practice, for the first time since before medical school, Iâm coming home actually feeling a surplus of energy to put into my life outside of clinical practice. Sure, I did my best to maintain my interests and relationships during my training, but doing so felt [â¦]
[A patient who touches your heart in unexpected ways](
Iâm a pediatric hospitalist, and I know that most days in the hospital are routine. But every once in a while, a patient pierces through your armor, and touches your heart in totally unexpected ways. Willow did that to me. Willow was five days old and had been admitted because her breathing was not quite [â¦]
[My name is not âMed Studentâ](
âI should explain to you, Socrates, that our friend Cratylus has been arguing about names; he says they are natural and not conventional; [â¦] that there is a truth or correctness in them.â â Plato I once heard that the sound of oneâs name is the most beautiful thing in the universe, which is probably [â¦]
[Corporate games have ruined the health care system](
There are certain paradoxes of life that are beyond the realm of rational explanation. To me, one of such is that a country that figured out how to defy gravity and conquered the cosmos has time and time again proven to be incapable of taking care of the most basic human need, namely: a commonsense [â¦]
[Warning: The medical system is fragile. And thatâs OK.](
Because everything around us usually works, it can be easy to forget how fragile some of the workings are. My patients see this with their bodies, as they fail, but not so apparent to them are the fragilities of the health care system that we doctors get to see. Despite what the if-it-bleeds-it-leads press might [â¦]
[Doing extra for a patient or overstepping boundaries?](
I wanted to go the extra mile for my patient. The resistance I found was unexpected. She was young. Her life â an incredible journey in diplomatic circles â was crippled too soon by a recurring disease that would ultimately prevail. Day after day, Iâd round on her in what seemed like a pointless exercise, [â¦]
[A physician shares the computer screen with patients](
I ran late the other morning. My first patient, an internal transfer, was already waiting. Booting up my laptop seemed to take forever. Usually, I try to poke around at least a little in the EMR before I enter the exam room, even when I know the patient well in order to remind myself of [â¦]
[Doctors shouldnât feel guilty about sick days](
Itâs 2 a.m. And Iâm in the emergency room. There are beads of sweat dripping from my forehead. One of my nurses comments that I just donât look quite right. I can feel the urge to vomit and know where the nearest trash can is at all times. Iâm clearly sick. Febrile. Shouldnât be working. [â¦]
[The profound influence of a physicianâs mother](
It is a busy time of year. I made my rounds to collect my skis after tuning, to pick up items for our Christmas guests, to get my haircut, and to claim my new eyeglasses. I drove to my golf course and took a half-hour walk on snow-covered paths with my dog. Dropped him at the groomers, then [â¦]
[Consumerism is killing us with the death of a thousand cuts](
School has gotten back into full swing, and thus we begin another cycle. Will this cycle be better than the last? Every year we find ourselves in this same spot. Summerâs over, big vacations are in the bag, back to school shopping is complete, and we start recovering from our summer spending. We often havenât [â¦]
[Itâs the Year of the Nurse](
The World Health Organization has designated 2020 as the Year of the Nurse and Midwife in honor of Florence Nightingaleâs 200th birthday. We owe a lot to Florence Nightingale, but what about Harriet Tubman or Mary Seacole? Nursing â and society â has been changing since the days of these nursing pioneers. Itâs way past [â¦]
[Medical school ends with a leap of faith](
âWhat do you want to be when you grow up?â Itâs a question I frequently hear from physicians on my clinical rotations. Phrased somewhat tongue-in-cheek, the wording allows me to answer either in jest or in earnest. âAn astronaut,â I sometimes say, hoping for laughs and no follow-up. Other times, I try out different responses [â¦]
[A physician considers 5 new financial goals for the New Year](
1. Increase retirement investments. As young professionals who will eventually retire or cut back on work at some point, we need to start investing in our future. While many of us may already have started setting aside money for retirement, others of us may not have begun that process. In 2020, letâs strive to do [â¦]
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