Do you remember Mad Libs from when you were a child? A story is filled with blanks, and as you fill them in with inappropriate and ridiculous words, you laugh until you can't see straight. You laugh until you can't breathe, and your parents beg you to stop! Let's be children again. Share these with the nurses, and give the shift a little levity. Pain medication. You see, doctor, my pain specialist ...

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shutterstock_202325860 The current state of telemedicine -- that is, teleconferencing with a physician over one’s smartphone -- worries many critics because it assumes patients can be evaluated without a physical exam.  The critics are right that those with a financial interest in “disrupting” health care typically minimize the trade-offs.  Convenience and lower cost are trumpeted, while risks of misdiagnosis and mismanagement are waved off.  The concerns of practicing physicians are dismissed ...

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shutterstock_223709917 I’m a physician, and I’m adrift. I am pretty much lost at sea. I’ve often thought of writing this column, but afraid I’d be recognized, I’ve hesitated for years. Even now, I’ll most likely remain anonymous, because I’m in a vulnerable position. Let me preface my remarks with the reassurance that I’m not a bad person. I developed dependence on opioids several ...

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shutterstock_86779999 Despite rates of drug use similar to white counterparts, black men are 11.8 times as likely to be arrested for drug offenses compared to whites. African Americans constitute 14 percent of regular drug users, and yet represent 37 percent of people arrested for drug offenses, 55 percent of drug convictions, and 74 percent of people sent to prison for drug possession. One in 
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Doctors4th-640x480 It’s July 4th! All across the country, Americans are celebrating freedom, liberty, and the pursuit of happiness. Families and friends are relishing potato salad, apple pie, barbecues and parades. Is your doctor decked out in red, white, and blue enjoying fireworks from his yacht? Probably not. Have you seen any medical students waving little flags? Unlikely. The truth is American medicine has little to ...

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shutterstock_168921674 1. You don’t have to make an appointment with your doctor, or sit in a crowded waiting room for hours, to get music -- you can just download it instantly from iTunes or pick up an instrument and play it. 2. Music costs far less than a medical office co-pay or out-of-pocket fee-for-service charge. And for many acute conditions, outcomes are probably pretty ...

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shutterstock_126288149 acp new logoA guest column by the American College of Physicians, exclusive to KevinMD.com. A few weeks ago, my partners and I held a “going away” dinner for one of our partners who retired in late March. It was a great evening. We reminisced, discussed how medicine has changed over the ...

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shutterstock_269726339 There is an assumption that is creeping into discussions about medical education, just like primary education: that memorization is outdated and doesn’t matter in the Internet era. That’s a mistake. The goal of education is to create an expert thinker. Memorization is at the core of that endeavor. Practicing medicine requires constant problem solving. Every patient is different and requires a bit ...

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shutterstock_216581827 On Monday, June 1st, I awoke with a mixture of butterflies and excitement.  Every 30 minutes I checked online to see if it was up.  My heart pounded every time I clicked the refresh button.  Finally, around noon, there it was -- my first piece of medical writing, published on KevinMD.com. In medicine, we often present the objective facts.  We ...

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shutterstock_126729563 I head to work at my new locums job on the California coast. Summer 2015 is going to be a great one, I think to myself. I make the turn into the hospital parking lot, and a rusty old Trans Am cuts me off. I slam on the brakes to the soundtrack of screeching tires. Geez, I think to myself. It’s ...

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