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KevinMD Today: Sep. 14, 2017
[Health care is obsolete. Let’s fix it.](
The writing’s on the wall. The last few decades have seen two groups of people: One group that is “dying longer,” yes some might call it living long but not healthy. (As a physician, I call it dying longer). These are folks who are disabled, obese or emaciated and depressed or demented, with multiple medical […]
[What Hurricane Harvey taught this medical student about patient care](
“Apocalyptic” was the word used by my fellow volunteers at the local church, a temporary shelter for displaced families on post-hurricane-landfall day 3. Although the flooded roads harboring similarly displaced alligators, fire ants, and snakes and the black flecks in the sky representing rescue helicopters were grossly removed from the many-eyed beasts of Revelations, I […]
[How mindfulness may ease your suffering](
Which arrow causes you more pain, the first or the second? Fellow blogger Michelle at The Green Study recently posted a piece in which she distinguished between pain and suffering. It reminded me of a Buddhist teaching that inspires and humbles me. Blogger and curator extraordinaire Maria Popova quotes it in an article she wrote […]
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[Cancer doesn’t take away from the beauty of life](
As an oncologist, I have spent my career learning how to break bad news. I am still not entirely sure how to tell my children about the tumor in my pancreas, why I will be gone from our home next week for a Whipple operation, or my excuse for abstaining from wrestling matches for the […]
[Are doctors more like humans, animals or robots?](
I was inspired a couple of weeks ago. Sitting at the WeWork facility in Northern Liberties, Philadelphia. I looked at the group of entrepreneurs, creatives and innovative thinkers sitting in front of me. What were we doing you might ask? Collaborating to help one another build our dreams. This is the epitome of the human […]
[Let’s not be petty about affirmative action in medical school](
Just a year after the Supreme Court rejected a challenge to race-conscious admissions in Fisher v. University of Texas, this issue is being pushed back to the front of the room by none other than the Trump administration’s Justice Department hauling out hoary tropes about “reverse discrimination.” They are preparing cases against Harvard and the […]
[Being a CEO isn’t that different from being a clinician](
As a pediatrician, I have always known the value of my presence. At least, that is how I remember feeling during long nights in the hospital taking care of sick children, in the clinic or in any situation that required pediatric expertise. “How can I help?” I would always ask as I entered an exam […]
[Here’s why this nurse really retired](
This is by no means a scientific study, just some thoughts on what I have seen in my 22 years as a nurse and the loss of bedside nurses who hate it. I think the advent of nurses leaving the bedside will cause a greater crisis for the nursing profession. I obtained my ADN in […]
[Race to the bottom: The myth of low-quality care in America](
The McDonald’s cheeseburger is an icon of America. Admit it, you know you love one. A guilty pleasure to say the least, but as far as cheeseburgers go, it is far from the best. In reality, if you were to taste test all cheeseburgers, the McDonald’s burger would probably rank near the bottom. The beauty […]
[When we are in need, we crave someone who knows us](
During elementary school, I saw my dad mostly on weekends, because he traveled for business during the week. Between watching soccer games and running errands, he never missed an opportunity to tune the radio to Car Talk. He is an engineer with a passion for cars, and Car Talk was his Holy Grail. He would guess what was […]
[Pursuing a career as a physician: A reminder why](
Last week, I spent a few hours completing an online module for one of my immunology courses. The purpose of this module was simply to expose students to the format of lecturing and assessments that would take place throughout the length of this course. The portion of the module that I found really exciting was […]
[A pediatrician was bullied by his fellow physicians on Twitter](
#Tweetiatrician is a common hashtag used by pediatricians as a way I assumed to find advocates for children’s issues. Recently, I used this hashtag to start a new Twitter account. I sought educated dialogue on Medicaid, health care reform, vaccination, and other pediatric topics. I am a pediatric emergency medicine physician and consider myself a […]
[When we talk about quality, what exactly do we mean?](
It’s a health care buzzword for sure, but when we talk about quality, what do we mean? We can compare the quality of similar things and focus on its absence, but otherwise, putting the idea into words becomes complicated. Context is important. And so is perspective: One’s position within the health care system influences how […]
[What rejection taught this doctor](
I sat on my floor, surrounded by boxes in various states of organization and disarray, sifting through a pile of papers. I was moving for my surgical fellowship and, of course, put off packing to the last minute. However, in the middle of the hectic and scattered process, a particular stack of papers caught my […]
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