american society of anesthesiologistsA guest column by the American Society of Anesthesiologists, exclusive to KevinMD.com. As a lifelong resident of southeast Louisiana and a veteran of numerous weather and flood-related events that have required me to use my homeowners and flood insurance, I am very familiar with gaps in insurance coverage.  Insurance policies are very detailed agreements that many ...

Read more...

“When companies start unbundling costs, it is a sign of increasing consumer power and weakening market power.” This is what CEO David Goldhill and author of Catastrophic Care: Why Everything We Think We Know about Health Care Is Wrong told me once. Airlines have unbundled everything that used to be included in a plane ticket. No longer do tickets include meals, in-flight entertainment, and the ability to check in baggage. Today, ...

Read more...

“Afternoon,” the doctor says. “What brings you here today?” A cough? A cold? A belly ache? Some feelings of dismay? Well, tell me just what ails you, and I’ll try to do my best, To sort through all your problems and put your fears to rest. But give me just a moment -- my computer must get started. Without attention to its needs, your visit goes uncharted. You say your chest is hurting? And you’re really ...

Read more...

On an ordinary day last month, I saw patients for eight and a half hours. I addressed a dozen computer messages, took four or five calls from outside providers and held innumerable curbside conversations with medical assistants, case managers and colleagues. I didn’t get to any of the 100+ lab results or 50+ documents in my electronic inboxes. Consequently, the care for several dozens of my patients didn’t move forward. Many of ...

Read more...

From the first year of medical school, we are trained in probing into the most personal aspects of patients’ lives; but when it comes to spirituality, we shy away. In a survey of the U.S. general public, the 2008 Gallup Report demonstrated that 78 percent of people believed in God and an additional 15 percent believed in a higher power. Other studies have shown that religious beliefs and ...

Read more...

"What do you want to be when you grow up?” It’s a common question we ask our youth, and I remember as young child sharing my aspirations with family members. When I answered "I want to be a doctor when I grow up”, I received positive feedback and praise. As an innocent little girl, I had no idea that there were people in the world who wouldn’t be as supportive of a woman in medicine. Later ...

Read more...

I grew up studying my physician parents. My dad, a pathologist, was a hard-working hospital employee with multiple odd jobs on the side. He always worried about whether he’d have enough for retirement, though he never really wanted to retire. My mom, a psychiatrist, is more of an entrepreneurial businesswoman. She had her own private practice (even though all the other employed doctors warned she’d never make it ...

Read more...

Over the 2016 Christmas weekend, 27 Chicago citizens were shot, of which, 7 were shot fatally. While studying in a Chicago medical school in 2011, I saw the effects of gun violence first. It saddens me to realize that six years later, little, if anything has changed. This past year, Chicago has reported a total 745 homicides, a 56 percent increase since last year and the first time in over ...

Read more...

Yes, suggestions for improvement are coming at you from every angle.  Administrators, your patients, your colleagues, your mother, yourself.  It’s quite possible that the last thing you feel you need are resolutions.  But for those of you that are looking to make some concrete changes in 2017, here are some to consider: 1. Take care of yourself as well as you take care of your patients. 2016 has proven to us ...

Read more...

I bought my first house a few days before starting my second year of residency in St Louis. It was a townhome: two bedrooms, one and a half baths, hardwood floors and lots of wall space. So much wall space, in fact, that I immediately began to look for ways to adorn all those barren surfaces. After visiting some local art galleries, I came to two conclusions. I knew exactly what ...

Read more...

Most Popular