Physician Speaking by KevinMD is my boutique speakers bureau. We headlined over 20 events in 2019, and we're on track to surpass that number in 2020. Physician speakers like Lynette Charity, MD, Jennifer Shine Dyer, MD, MPH, David Geier, MD, Jordan Grumet, MD,
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At nearly every stage in our education and training, we find “our people.”  Maybe it’s your table-mate in kindergarten, or the kid with the really cool light-up sneakers in preschool who becomes your best friend.  Maybe it’s your next-door neighbor who you play with after school or a coworker from your first job in high school.  These people become part of our squad — even if their membership is only ...

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I pushed open the door with a huge smile on my face while my eyes searched the room for the chubby toddler that was my patient. One sweep across the roomful of siblings, and my eyes stopped on the child crinkling the paper on the examination table. I could see the long, smooth scar poking out from beneath the hemline of her skirt. She smiled and waved at me with a skinny, ...

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I remember lying in my bed after my second delivery in severe pain. With my first delivery, I had already endured a C-section. Four years later, I wanted to experience a “natural” delivery. I opted for a vaginal delivery after C-section (VBAC). The VBAC quickly turned into an emergency where the maternal-fetal medicine (MFM) physician gave me two options: Get this baby out now or emergent C-section. My mind flashed back to ...

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"I have a riddle," Paul says, as the dining room falls silent. "You're at the bottom of the stairs. And on the wall, there are three light switches labeled one, two, and three. There's a room upstairs with three lamps, labeled X, Y, and Z. You can turn on and off as many switches as you want while you're downstairs, but you can only go upstairs once. And once you're upstairs, you ...

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It was my first week of internal medicine rotation. A newly-minted third-year, I was rotating on the wards back in the spring, when I met a 90-something-year-old gentleman. He had come in for confusion after a fall. There were no relatives or friends in the waiting room. I was assigned to follow him. During his stay, his words were few; it was often difficult to engage him in conversation. Whenever I pre-rounded, ...

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“What diagnosis do you want to use for those ear drops you sent on Mr. Johnson,” Jenn texted me. “ICD-L21.8 for seborrheic dermatitis?” Sigh. Welcome to prior-authorization hell. These are generic ear drops I ordered for presumed fungal infection of the external ear. The cash price for the drops is $15 for a 10-milliliter bottle (I checked before prescribing them). “No,” I responded, “it would be ICD-B36.9 for otomycosis.” (translation: ear fungus) Jenn ...

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It is a special group, a mish-mash of medical professionals all with a common purpose: Honing the ability to practice medicine in a more empathetic and compassionate manner, which will benefit both the patient and the professional alike. All meet to share viewpoints, share feelings, share the"what might have been." Sessions are first given over to close examinations of selected prose, poetry, art, or music. Reflecting upon what is placed before them, ...

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The banks ask us a lot of questions. And we answer a lot of questions. All of them. They need our information to be sure that we are who we say we are, that our money is, in fact, our money and that our money remains safely tucked away in their virtual vaults. Social Security number? Mother's maiden name? Home addresses for the past ten years? Bank account numbers with balances ...

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Family medicine — something I devoted my life to and believe in — is being undermined by local doctors and hospital administrators. And I would move, but it seems to be a national trend as well. It's more cost-effective to hire NPs and turn a blind eye to the difference in education and training ... you get what you pay for. So after 13 years of college and 25 years of ...

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The best teacher of medicine I ever had was during my medical residency. He was a tough, old-school physician, trained at one of the premier institutions in the country, and specialized in pulmonology and intensive care. Before I had even rotated through the ICU, I had seen him around on the medical floors—and must admit I didn’t like him very much at first. He seemed extremely serious, not particularly friendly to any ...

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Not long ago our emergency department got a call from the health department informing us that we had exceeded our stool limit. Not quite sure how this was measured, who sets the limits, or even why such a call would be necessary, but I do know that once again we have seen a lot of stomach flu running around. Unfortunately, we can’t just tell patients to stop pooping, so I’m ...

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I feel like I’m in prison. Vacation was a small taste of freedom. A fresh breeze on my face at 9:00 a.m.—the feeling of my mom’s breakfast casserole in my stomach—the small things that remind me I’m still human. I don’t know what I stand for anymore. I just yelled at the intern for not feeling comfortable consenting our kidney transplant patient. “Aren’t you a physician?!” I asked. How did I get ...

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I know you want to. I know you would rather have anything other than dementia—even cancer. I know you are happy with your life and want it to continue as it is. If it has to change, I bet you’d like to slowly become more frail until one night you just die in your sleep. You do not want to slowly become more confused. You don’t want to live ...

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 Working in urgent care, I've started supervising some of the other providers at sites other than my own -- 19 sites in all in Pennsylvania and Delaware -- so I hear about a lot of patient situations.

The urgent care site where I work is in an affluent area.  Most of our patients are employed or retired and have health insurance, though I have certainly encountered a number of patients ...

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A successful career in medicine means learning how to forge ahead with feedback and not allow it to stop you in your tracks.  For some doctors, this is a challenge.  Feedback feels bad. It’s perceived as negative, not being good enough.  We’re exposed to it and its negative impact quite early on the journey as medical students. Medical school rankings are feedback that begs the question, “Am I doing as ...

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A surgery resident from halfway around the world emailed me the other day looking for advice as she was nearing graduation.  She confessed, "I am beginning to question myself if I am good enough ... what is 'good enough' anyway?" I had absolutely no idea how to answer the question – what is "good enough" for a surgeon? First, I tried Google. "Am ... I ... Good ... Enough"? 2.5 billion hits and some ...

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For whatever reason, being 35,000 feet in the air makes me reflective. During one flight, I had a flurry of thoughts, and the reason I decided to get into this whole mess of direct primary care spilled out of me. I want to share it here because if you don't know why -- or you can't convey why -- you're doing something, what's the point in doing it? In line with ...

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Happiness doesn’t always come easily. Some people seem naturally happy, like they inherited the right gene or were born into the right circumstances. Many other people struggle to find happiness. Perhaps even more people hope to become happier than they already are. But what kind of plan should people follow if they are hoping to become happier? Or will any kind of plan merely make it harder to thrive?

It ...

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As I enter the exam room, I hear, “Don’t get old honey!” As a physician caring for a large population of geriatric patients in Florida, I hear this approximately five times a day. To this statement, I always reply, “There’s no alternative, though!”  I also try not to get offended by repeatedly being called “honey.” Although I am waiting to someday state; “it’s Doctor Honey.”  Usually, my level is offense is ...

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