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: Mar 2, 2020
[COVID-19 will expose EMTALA and the physician shortage](
Coronavirus, a.k.a. COVID-19, is lurking on the edges of the United States. What it will do here has yet to be seen. I was initially very concerned since I work on the front lines in community emergency medicine. For the last week or so, I have felt a little better after reading several articles. I [â¦]
[A peek behind that 8-minute $300 doctor visit](
If you or a loved one has ever been hospitalized, by day two or two of your hospital stay, you likely remember the doctor visiting you every day but not staying more than seven or eight minutes or 10 to 15 minutes max. It may have felt like he or she was just âdropping by [â¦]
[When a wife wonât let her husband die](
We were told to wear masks before entering this patientâs ICU room. Entering his room, you could smell his rotting flesh. He was 92 years old. His skin would slough off if you dared to bathe him. His decubitus ulcers were raging with infection. As long as Iâve been an ICU nurse, this was the [â¦]
[Confessions of a bed-sharing pediatrician mom](
I remember lying in my bed after my second delivery in severe pain. With my first delivery, I had already endured a C-section. Four years later, I wanted to experience a ânaturalâ delivery. I opted for a vaginal delivery after C-section (VBAC). The VBAC quickly turned into an emergency where the maternal-fetal medicine (MFM) physician [â¦]
[The art of diagnosis is like a riddle](
âI have a riddle,â Paul says, as the dining room falls silent. âYouâre at the bottom of the stairs. And on the wall, there are three light switches labeled one, two, and three. Thereâs a room upstairs with three lamps, labeled X, Y, and Z. You can turn on and off as many switches as [â¦]
[Your audience deserves the best: Consider Physician Speaking by KevinMD to highlight your event](
Physician Speaking by KevinMD is my boutique speakers bureau. We headlined over 20 events in 2019, and weâre on track to surpass that number in 2020. Physician speakers like Lynette Charity, MD, Jennifer Shine Dyer, MD, MPH, David Geier, MD, Jordan Grumet, MD, Mark McLaughlin, MD, Nisha Mehta, MD, Lipi Roy, MD, MPH, C. Nicole [â¦]
[The financial hole for patients begins on the first day of diagnosis](
I pushed open the door with a huge smile on my face while my eyes searched the room for the chubby toddler that was my patient. One sweep across the roomful of siblings, and my eyes stopped on the child crinkling the paper on the examination table. I could see the long, smooth scar poking out [â¦]
[How to find your squad in residency](
At nearly every stage in our education and training, we find âour people.â Maybe itâs your table-mate in kindergarten, or the kid with the really cool light-up sneakers in preschool who becomes your best friend. Maybe itâs your next-door neighbor who you play with after school or a coworker from your first job in high [â¦]
[Working as a digital nomad physician practicing telemedicine while travelling the world](
This is not the career path I set out to practice when I left medical school; in fact, itâs a career path that didnât even exist. But after making a number of lifestyle choices this is where I find myself today. I am sitting writing this article from the hot, tropical lowlands of Colombia, on [â¦]
[When an aging parent says no to much needed help](
The first signs are often subtle â missed appointments, unpaid bills, or a once immaculate home that now has an unmowed lawn and dirty dishes on the counter. Itâs easy for adult children of aging parents to miss these first signs that their parents need help with tasks they once handled easily on their own. [â¦]
[Everyone needs rudimentary statistical training](
Every day we get bombarded in the news with health statistics. Coffee causes cancer! Coffee cures cancer! And so on. Many of these are meant to grab headlines (and, these days, web page clicks), and the articles they accompany are often very poor at telling the reader what they mean. They often have statistics, and [â¦]
[Core values were key to reclaiming my physician identity](
My identity crisis attempted its first appearance five years ago. I had decided to leave my job as a psychiatrist in an outpatient, community-based practice. My professional role had become incongruent with the doctor I had envisioned becoming. In my misalignment, I had lost clarity in my identity as a physician. I was frustrated and [â¦]
[How businesses are handling COVID-19](
Chances are, if you work for a large company, you received an email like one sent to Volkswagen employees Monday: Coronavirus concerns mean some limits on business travel, everyone should remember to âwash your hands frequentlyâ and stay home if sick. As the viral illness, dubbed COVID-19, continues to spread, some employers are canceling conferences [â¦]
[The problems with testing for novel coronavirus](
Just weeks into the federal governmentâs efforts to contain the novel coronavirus, a new California case has exposed weaknesses in the testing procedures that could be masking more widespread reach of the disease. A woman in Solano County, California, who hadnât traveled abroad or had contact with another known patient with the illness was diagnosed [â¦]
[As the coronavirus spreads, should unvaccinated people be allowed to fly?](
As the coronavirus spreads, the nationâs leading health official told a Senate committee on Feb. 25 that âwe cannot hermetically seal off the United States to a virus.â The comments from Alex Azar II, head of Health and Human Services, heightened concerns about the effects of the coronavirus in the U.S., which so far has [â¦]
[Supporters of Obamacare should consider this Trump proposal](
Readers of my articles know that no one has been more critical of Obamacareâs flawsââparticularly over the impact the program has had on middle-class consumers in the individual health insurance market. And, readers already know that no one has been more supportive of the Medicaid expansion from the very beginning. Now, the Trump administration wants [â¦]
[Doctor, how do you define your days?](
During a particularly long stretch of being on call, of spending my days caring for patients, documenting in the EMR, and sleeping â I was spent. I felt like a horrible doctor. The blooper reel of my medical misadventures ran through my mind â the patient who decompensated before I got to the room, the [â¦]
[The most important aspect to a young doctorâs financial plan](
In a young physicianâs life, financially speaking, the single most important aspect to financial well-being has nothing to do with money; it has nothing to do with investments; it has nothing to do with budgeting and saving. I think financial advisors and financial planners sometimes miss the mark on whatâs really important. What does it [â¦]
[I struggle with my pride in the profession and fear of the health care system](
I believe in the practice of medicine and enjoy teaching others this amazing art. However, after experiencing nine months of interactions through medicine as the daughter of a sick patient, I struggle with my pride in the profession and fear of the health care system. My mother would proudly tell all her physicians that her [â¦]
[When a patient planned to kill a social worker](
It all began on Valentineâs Day when I arrived at my office and listened to my messages from the afternoon before. There was only one from a nurse at the state mental hospital. She had just seen, she said, a Mr. Lonnie M. and was calling to alert me (there is a law to this [â¦]
[A letter to her daughter: 8 things I learned from being a doctor and a mother](
My dearest daughter, Life is unpredictable. In case I wonât be around one day, here are things I learned from being a doctor and a mother that can guide you always. 1. New level. New devil! There will never be a time outside of death that life will stand still. Embrace change and know that [â¦]
[Being like squid is easy. Donât be one.](
Squid and other cephalopods have the amazing ability to change the color of their skin. In an instant, they can blend into their environment, matching the landscape perfectly to avoid detection. In contrast, they can turn a bright iridescent hue to warn predators or, in some circumstances, to attract a mate. They do this in [â¦]
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