Health


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Watching clot-busting drugs work is science in action

There is no better place to watch science in action than in the world of medicine. It was discovered in the 1930s that blood, in the presence of a certain streptococcus bacteria, did not clot. The agent formed by the bacteria was isolated and eventually called streptokinase, the first “clot-buster.” Through the decades, pharmaceutical companies […] Find jobs at Careers by KevinMD.com. Search thousands of physician, PA, NP, and CRNA jobs now. Learn more.
Tags: Conditions, Cardiology


It’s time to change the face of lung cancer

“Please don’t tell my family,” Mary (identifying information changed) immediately asked me after I disclosed the results of her lymph node biopsy and diagnosis of metastatic non-small cell lung cancer. At the time, I was a first-year oncology fellow. Initially, I thought it was a normal reaction (an example of my lack of experience). I […] Find jobs at Careers by KevinMD.com. Search thousands of physician, PA, NP, and CRNA jobs now. Learn more.
Tags: Conditions, Oncology/Hematology


An image that reminds us what life versus death looks like

This is what life versus death looks like. This is what medicine verses mortality looks like. This is what science verses humanity looks like. After a thoracotomy, a fellow ER doctor Dr. Mitch Li snapped this picture of the spilled blood and Propofol on the trauma bay floor. Blood courses through every one of our veins to sustain life. Propofol courses through […] Find jobs at Careers by KevinMD.com. Search thousands of physician, PA, NP, and CRNA jobs now. Learn more.
Tags: Physician, Emergency Medicine


The social isolation physicians face after they retire

Doctors by our nature do not handle idleness well. We value our vacations, of course. I never sought out a study to see if doctors vacationed differently than others. Some probably hang out someplace warm, others seek out the best eats of the place they are visiting, some cannot wait for the cruise ship to […] Find jobs at Careers by KevinMD.com. Search thousands of physician, PA, NP, and CRNA jobs now. Learn more.
Tags: Health, Practice Management, Physician, PA NP, Hospital-Based Medicine, CRNA


9 non-clinical career options for doctors

With burnout on the rise, many physicians are choosing to leave clinical medicine for alternative careers. Other physicians are wondering if it’s worth it to stay in a workforce that does not pull for the well being of their front line workers. Gone are the days where physicians stay stuck, suffering in a practice or […] Find jobs at Careers by KevinMD.com. Search thousands of physician, PA, NP, and CRNA jobs now. Learn more.
Tags: Health, Practice Management, Physician, PA NP, CRNA


Adverse childhood experiences: How changing a child’s environment can help

Some children present to me with complex problems or multiple problems that fail to resolve after the typical interventions. I recall a child with severe abdominal pain. He had tried numerous medicines and had had scopes and studies galore. It had reached the point where he was being scheduled for exploratory surgery to try and […] Find jobs at Careers by KevinMD.com. Search thousands of physician, PA, NP, and CRNA jobs now. Learn more.
Tags: Health, Psychiatry, Pediatrics, Conditions, PA NP, CRNA


A patient’s opposition to the anti-opioid movement

I recently read an article — “California Doctors Alarmed As State Links Their Opioid Prescriptions to Deaths” — that infuriates and frightens me I’m furious that doctors are being persecuted for opioid prescriptions written years ago, and frightened that my doctor here in California may be pressured to stop prescribing them for my painful genetic […] Find jobs at Careers by KevinMD.com. Search thousands of physician, PA, NP, and CRNA jobs now. Learn more.
Tags: Health, California, Pain Management, Medications, Meds, PA NP, CRNA


Physician heal thyself. At your own risk.

My late father often repeated the adage, “Any man who serves as his own lawyer has a fool for a client.” We physicians may not represent ourselves in court, but we often try to treat ourselves or neglect our own medical care — and end up with a fool for a patient. My uncle was […] Find jobs at Careers by KevinMD.com. Search thousands of physician, PA, NP, and CRNA jobs now. Learn more.
Tags: Health, Primary Care, Physician, PA NP, CRNA


Celebrating Dr. Rebecca Lee Crumpler, the first African American female physician in the United States

Last month on February 3, 2019, we celebrated National Women Physician’s Day (NWPD). Created in 2016 by the Physician Mom Group (PMG) in collaboration with Physicians Working Together (PWT) and Medelita, NWPD honors the first female physician in the U.S., Dr. Elizabeth Blackwell and highlights gender inequality in medicine. The day is a social media […] Find jobs at Careers by KevinMD.com. Search thousands of physician, PA, NP, and CRNA jobs now. Learn more.
Tags: Health, United States, Medical School, Physician, Elizabeth Blackwell, PA NP, Rebecca Lee Crumpler, Public Health & Policy, CRNA, Physician Mom Group PMG


8 reasons why Instagram is important in medicine

I started sharing my journey through medicine on Instagram about four years ago after I failed the musculoskeletal block during my first year of medical school. I felt alone in my struggles and didn’t want anyone else to feel that way. So I started talking about it openly. It quickly became a place to nurture […] Find jobs at Careers by KevinMD.com. Search thousands of physician, PA, NP, and CRNA jobs now. Learn more.
Tags: Health, Instagram, Social Media, PA NP, Public Health & Policy, CRNA


Why are we hemorrhaging emergency nurses?

I started my medical career late. Really late. By that time, I’d lived a few lives. I’d earned a boatload of initials. I’d changed husbands, languages, and continents. I’d written a useless novel, and I’d been a Mary Kay lady. One day over lunch as I was looking for something to do with myself, my […] Find jobs at Careers by KevinMD.com. Search thousands of physician, PA, NP, and CRNA jobs now. Learn more.
Tags: Health, Policy, Nursing, Emergency Medicine, Mary Kay, PA NP, CRNA


How to increase your HPV vaccination rates

As chair of general pediatrics for a large medical group, I knew our HPV vaccination rates back in 2016 were low, but didn’t completely understand why. I’m here to share how we figured it out, and how we improved. The first task was to understand the barriers, and we went straight to the front line. […] Find jobs at Careers by KevinMD.com. Search thousands of physician, PA, NP, and CRNA jobs now. Learn more.
Tags: Health, Pediatrics, Meds, PA NP, CRNA


Medicare for all: a campaign promise, catchy bumper sticker, or viable program?     

With the 2020 election cycle already moving into high gear, we are hearing a lot about Medicare for all. But is it a serious campaign promise, a catchy bumper sticker or a viable national program? Supporters suggest it will be a panacea for our nation’s health insurance needs. Others are less sure. And some are […] Find jobs at Careers by KevinMD.com. Search thousands of physician, PA, NP, and CRNA jobs now. Learn more.
Tags: Health, Policy, Medicare, PA NP, Public Health & Policy, Washington Watch, CRNA


Clarity amidst chaos: an evolving perspective on resilience-building

I found myself in the privileged position recently of participating in the National Stop the Bleed Research Consensus Conference, at the table with an extraordinarily committed and compassionate group of thought leaders exploring the role, challenges and implications of this crucial initiative. My perspective as a consultation-liaison psychiatrist interested in trauma-informed care was aptly described […] Find jobs at Careers by KevinMD.com. Search thousands of physician, PA, NP, and CRNA jobs n...
Tags: Health, Psychiatry, Physician, PA NP, CRNA, Bleed Research Consensus Conference


Emergency medicine and the inevitability of death

Though many are not thrilled about the April 15th deadline, death is an even more inevitable part of life than taxes. Sometimes we try to lessen the impact of death through our words:  bit the dust, bought the farm, kicked the bucket, flat-lined, passed on, checked out, gave up the ghost, met his maker, paid […] Find jobs at Careers by KevinMD.com. Search thousands of physician, PA, NP, and CRNA jobs now. Learn more.
Tags: Health, Emergency Medicine, Physician, PA NP, CRNA


A framework to understand universal health care

One of the most popular topics in health care is the idea of universal health care coverage. You know the soundbites: “Medicare for all.” “Single-payer system.” While universal coverage sounds desirable to many, some factors must be considered. In this post, I’m going to provide an aerial view of this complicated topic. My goal is […] Find jobs at Careers by KevinMD.com. Search thousands of physician, PA, NP, and CRNA jobs now. Learn more.
Tags: Health, Policy, PA NP, Public Health & Policy, Washington Watch, CRNA


A wife who couldn’t fully accept her spouse’s health problems

My husband, who’s had type 2 diabetes for 20 years, had been struggling for a long while to lower his hemoglobin A1C — a number that measures how well he’s managing his blood sugar over time. When he and I finally investigated the issue, it turned out that someone close to him was thwarting his […] Find jobs at Careers by KevinMD.com. Search thousands of physician, PA, NP, and CRNA jobs now. Learn more.
Tags: Health, Diabetes, Endocrinology, Patient, PA NP, CRNA


It is for these patients that the doctors at rural hospitals continue

Rural hospitals are closing their obstetric wards and stopping all obstetric services — at least those hospitals that manage to remain open at all. The tertiary care centers don’t seem to mind.Always wary of those rural hospital disasters in the middle of the night. Accepting transfers from a place where they must not have the […] Find jobs at Careers by KevinMD.com. Search thousands of physician, PA, NP, and CRNA jobs now. Learn more.
Tags: Health, Physician, OB/GYN, PA NP, Hospital-Based Medicine, CRNA


Clear and concise communication is key while delivering bad news

“Guys, are you alright in there?” I ask casually while taking the first bite of my dinner on a 24-hour PICU shift. No answer. “What is going on? Why is she beeping so much? Is her tube blocked?” My voice gets louder. Complete human silence. Except for the deafening hypoxia monitor going to 30s. Heart […] Find jobs at Careers by KevinMD.com. Search thousands of physician, PA, NP, and CRNA jobs now. Learn more.
Tags: Health, Neurology, Emergency Medicine, Pediatrics, Physician, PA NP, CRNA


What’s happened to clinician empathy?

In 2006, the Mayo Clinic asked 192 patients an important question: What makes an ideal physician? From their responses, several characteristics emerged. Among the top criteria, they wanted doctors to be “personal,” “empathetic” and “humane.” This shouldn’t come as much of a surprise. Of course, we want doctors who relate to their patients as people […] Find jobs at Careers by KevinMD.com. Search thousands of physician, PA, NP, and CRNA jobs now. Learn more.
Tags: Health, Practice Management, Mayo Clinic, Primary Care, Physician, PA NP, Hospital-Based Medicine, CRNA


This doctor paid off $200,000 in student loans in 19 months. Here’s how.

There are some milestones that need to be appropriately celebrated.  For the 80% of physicians who graduated with student loan debt, paying those loans off certainly qualifies as such a moment.  Everyone has a different way of tackling their student loans.  Today, I want to outline how we paid off $200,000 in student loans in […] Find jobs at Careers by KevinMD.com. Search thousands of physician, PA, NP, and CRNA jobs now. Learn more.
Tags: Health, Finance, Practice Management, PA NP, CRNA


Will blockchain become the coin of the medical realm?

First, there was Bitcoin, a cryptocurrency that utilizes blockchain, a decentralized system of data collection and transactions that we are told will defy hacking. (Wasn’t the Titanic said to be unsinkable?) We read that cryptocurrency and other blockchain functions will be a societal gamechanger, much like the internet was when Al Gore invented it some […] Find jobs at Careers by KevinMD.com. Search thousands of physician, PA, NP, and CRNA jobs now. Learn more.
Tags: Health, Tech, Practice Management, Al Gore, Health IT, PA NP, CRNA


We need RVUs for obtaining a prior authorization

I haven’t counted how many times this happens every month, but I find it annoying. I send a prescription for a drug (sometimes not even expensive) to the pharmacy and soon after, I get a fax asking me (or my medical assistant) to go online and print a prior authorization form to complete and fax […] Find jobs at Careers by KevinMD.com. Search thousands of physician, PA, NP, and CRNA jobs now. Learn more.
Tags: Health, Psychiatry, Pain Management, Medications, Physician, PA NP, CRNA


3 health tips to help busy physicians

Practicing medicine at the frontlines is hard. It’s damn hard. Every minute you need to be alert, ready to respond to a potential life or death situation, and be called to another important problem. The current medical practice environment — with excessive bureaucracy, suboptimal information technology, and extreme time pressure with patients — adds exponentially […] Find jobs at Careers by KevinMD.com. Search thousands of physician, PA, NP, and CRNA jobs now. Learn more.
Tags: Health, Practice Management, Primary Care, Physician, PA NP, Hospital-Based Medicine, CRNA


Why many doctors live paycheck to paycheck

Wealth seems to be an elusive dream for many people. They desire to become wealthy, but feel they don’t earn enough money to reach that goal, as if earning more would make the difference. A study of 10,000 millionaires presented in Chris Hogan’s new book, Everyday Millionaires, showed that 69% of these millionaires reached that level of affluence […] Find jobs at Careers by KevinMD.com. Search thousands of physician, PA, NP, and CRNA jobs now. Learn more.
Tags: Health, Finance, Practice Management, Chris Hogan, PA NP, CRNA


The difference between learning medicine and doing medicine

Back when I was a third-year medical student, I would sometimes bike to the hospital campus early enough to catch the groundskeepers cleaning the promenade in front of the medical school before the foot traffic arrived. Discovery Walk, as it’s called, is a beautiful promenade with stone murals commemorating the significant discoveries made at Stanford. […] Find jobs at Careers by KevinMD.com. Search thousands of physician, PA, NP, and CRNA jobs now. Learn more.
Tags: Health, Education, Stanford, Medical School, PA NP, Hospital-Based Medicine, CRNA


Is the physician financial independence community preaching to the choir?

Proof of concept is important because accountability is a tenuous thing. One can pretty much say whatever they want on the internet. They can boast. Spin half-truths. Tell a tale. The most deadly of these are the ones that are just a slight variation of reality. Personal finance is no different. Net worth projections, budgets, the acumen […] Find jobs at Careers by KevinMD.com. Search thousands of physician, PA, NP, and CRNA jobs now. Learn more.
Tags: Health, Finance, Practice Management, PA NP, CRNA


Teaching medical professionalism through literature

A excerpt from From Reading to Healing: Teaching Medical Professionalism through Literature (Literature and Medicine). There are several traditional ways to teach about professionalism. Some training programs have didactic lectures on this issue. These typically focus on principle-based ethics and “rules” about professionalism. “Do this. Don’t do that.” Most educators and students will agree that lecturing […] Find jobs at Careers by KevinMD.com. Search thousands of physician, PA, NP, and CRNA j...
Tags: Health, Education, Psychiatry, Medical School, PA NP, CRNA


The tide is turning: a pro-vaccine Facebook thread

People often say that they can die happy if … Well, I have no intention of dying, but one of my goals in life was achieved recently. Historically, Facebook moms groups have been the bane of existence for many physicians, particularly pediatricians. We are often rated and compared like hotel mattresses. Well, last night one […] Find jobs at Careers by KevinMD.com. Search thousands of physician, PA, NP, and CRNA jobs now. Learn more.
Tags: Health, Facebook, Pediatrics, Physician, PA NP, CRNA


Refuse to accept that burnout is a natural experience in health care

Burnout is a myth. Dedicated clinicians, working under circumstances that connect their skills and compassion with opportunities to impact patients, won’t experience burnout any more often than they might by doing other jobs. The story we tell — the one that dissatisfaction is this system’s inevitable byproduct — perpetuates more harm than we know. This […] Find jobs at Careers by KevinMD.com. Search thousands of physician, PA, NP, and CRNA jobs now. Learn more.
Tags: Health, Psychiatry, Practice Management, Physician, PA NP, CRNA



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