It is literally possible to be a woman in medicine! We are doing it every day.
I love America Ferrara’s monologue in Barbie. Similarly, the impossibility of being a woman in medicine, as so clearly stated in Dr. Jennifer Lycette’s recent essay in KevinMD, absolutely resonates with me.
And yet, let’s not forget that in 2021, two of five practicing physicians were women, with certain fields including (my own) dermatology, internal medicine, and pediatrics having a female predominance. Studies support that these female physicians have …
Psychiatry in 1984 vs. now: Has progress come at a cost?
This essay is part satire. The trouble is, I don’t know which part.
As far as I know, time travel is fodder for science fiction thrillers and movies. It doesn’t actually exist on Earth. However, I can time travel in my mind, and I do it frequently, reminiscing about the 40 years between the time I completed my psychiatric residency (in 1984) and now. What has changed in my specialty in …
Harmonies of medicine: the biopsychosocial symphony
In the heartstrings of medicine, a symphony resonates—a tale of profound connections and compassionate care. Envision a middle-aged man thrust into a harrowing journey: diagnosed suddenly with a life-threatening vascular disease, haunted by depression with suicidal thoughts, and navigating the complexities of life without social support. This narrative is both prologue and sonata, weaving through the very fabric of healthcare, unraveling the poignant threads that bind us to our patients.
The …
From Afghanistan to hope: a cancer patient’s remarkable story
A few weeks back, a young male from Afghanistan visited us in the oncology clinic. He was in his late 20s and came with a translator to facilitate his consultation. He was not very fluent in either Urdu or English but could still understand most of it. He seemed very anxious and perplexed in the initial assessment room. I observed him closely and noticed that there was no family member …
Exploring gene therapy for chronic pain [PODCAST]
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Join L. Joseph Parker, a research physician, as we explore recent breakthroughs in gene editing, including its use in curing deafness and treating sickle cell anemia. Joseph discusses the ethical implications, accessibility challenges, …
Bringing vital medical care to St. Lucia’s underserved
Our mission, should we choose to accept it, is seemingly simple: we are to join forces with another non-profit group in order to deliver medical care to those that need it most on St. Lucia, a West Indian island nation variously colonized by the English and French, with Arawak and Carib roots. It will be our inaugural trip to this Caribbean idyll and our first collaboration with another non-profit, but …
The opioid crisis: profits, lawsuits, and pharmaceutical influence
The absolute belief in a vast conspiracy is often associated with an unbalanced mind. People suffering from some forms of mental illness are prone to these beliefs, seeing the invisible hand of the CIA behind the music choices on their radio stations. But that’s not always the case. Dr. Andrew Wakefield was born in 1956 and completed his medical degree in 1981, becoming a fellow of the Royal College of …
Heart-stopping brain surgery: a surgeon’s harrowing dilemma
An excerpt from of Paint and Pancakes.
The epicenter of Jane’s cancer occupied some very expensive real estate between Broca’s area and the motor strip. Her ability to speak and form coherent words resided in Broca’s. A little further back was the Motor Strip, which controlled the movement of the right side of her body.
It all looks the same … so damned normal. Mike cleared his throat. High-price …
How a simple chore transformed my perspective on medicine
My son was born in a small community hospital with breathing and heart issues requiring transfer to a children’s hospital several hundred miles away. I arrived at the children’s hospital, worried, exhausted, and overwhelmed many hours after he did. Everything had happened so quickly my head was spinning.
After I checked on my son, I was directed to the Ronald McDonald house. I arrived in the wee hours of the morning …
Violence against health care workers [PODCAST]
Surviving a 28-hour hospital shift: a resident’s struggle and passion
I recently worked a 28-hour shift in the hospital. I am on a rotation where I work these long shifts every four days, and my last 3 or 4 of these shifts have been the kind that really tries a person’s soul. I got called all night to see new patients and take care of existing ones, and mind you, this is after a 6:45 a.m. to 5 p.m. day …
Sham peer review epidemic: A doctor’s career destroyed
An excerpt from The Medical Matrix: One Physician’s Story Maneuvering the Minefields of Medicine.
It was a routine Monday morning in the middle of May 2011. I had custody of my boys that day, so I dropped them off at school and headed to work.
As soon as I got to work I received a phone call from the vice CEO of the hospital. Maria (name changed) was a short woman …
Discover the physician who made a village his family
I finished my residency training on June 30th, 2000, in a combined internal medicine and pediatrics residency program at Ohio State University and Columbus Children’s Hospital (before it was renamed Nationwide Children’s Hospital). One month later, I was slated to begin my first “adult” job as I joined a private family medicine practice in Southern Ohio – practicing traditional medicine (outpatient and inpatient care). There were no hospitalists back then …
Beyond medical vs. N95: strategic masking for COVID protection
Do masks prevent COVID-19 infections? You might be thinking that it is a bit late to ponder these questions. But better late than never! As shown in the following graph provided by the CDC, COVID is here to stay with us, at least for the time being. Even though nothing compared to the 140,000 hospitalizations per week during the early 2022 wave, there were still about 40,000 weekly hospitalizations a …
The untold truth of medical residency: a look at its grueling past and present
An excerpt from First Do No Harm: A Physician’s Burnout and Mental Health Guidebook from Medical School to Retirement.
Residency requirements have changed drastically since my father completed medical school in the 1970s. Residents needed to be fully focused and alert despite working forty-eight- or seventy-two-hour days, which led some to substance misuse. Some residents took stimulants to help perk themselves …
Contract negotiations: When physicians ask for too much [PODCAST]
Subscribe to The Podcast by KevinMD. Watch on YouTube. Catch up on old episodes!
Join Dennis Hursh, a health care attorney. Dennis sheds light on the often misunderstood world of physician contract negotiations, emphasizing the importance of understanding one’s true value. He shares insights from his practice, …
Is your persistent cough more than a cold? Understanding micro-choking.
These days, everybody is coughing. The resurgence of COVID, RSV, and flu has overwhelmed emergency rooms and hospitals this early winter. But not all coughs are viral. If you recently visited a family member for the holidays and noticed a persistent cough after dinner, you may have witnessed not a viral illness but what’s known as an aspiration event.
As primary care providers, we frequently take care of people who are …
The costly divide: tech innovations and global health inequality
“You have various options for this procedure. However, we will only be able to get the best results with the newest artificial lens on the market. Unfortunately, this type of lens is not covered by any insurance provider since it is sold by a single company in U.S. dollars. Unless you can afford it out of pocket, we would have to go with the older version.”
This is part of a …
Why the medical community should be invested in understanding chronic wasting disease
Chronic wasting disease (CWD) is a transmissible prion disease seen in the deer family – including mule deer, whitetail deer, elk, and moose – in countries throughout the world. The prion affects nervous system tissue in infected animals. Eventually leading to erratic behavior and certain death. Currently, there is no evidence of direct transmission of CWD to humans. However, given the biological plausibility for transmission, equity/ecological concerns, and the …
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