No one I knew had food allergy, let alone peanut allergy, when I was a child. I grew up at a time when peanuts were given freely on airplanes, and there was no such thing as a peanut-free table at school. Fast forward to today and the world has changed, with food allergies taking on almost epidemic-like proportions. I am an allergist and became interested in food allergies ...

Read more...

I often hear people talking about their “investment” in gold. Then there are those who have a “diversified portfolio,” and gold is one of their forms of diversification. I’ve encountered people who have $60,000 worth of gold bars in their home safe, in case of a major financial crisis. We all see the celebrities pitching gold on national television ads with “now is a great time to buy gold.” If you ...

Read more...

Pain and suffering together is a universal language. It is unspoken, one that a person of any age feels when they see a loved one die, or when someone sees another human being suffer when nothing more medically can be done. I once saw a Vietnam War veteran who, within a few years of returning home, suffered from a hemorrhagic stroke. He was robbed of his ability to walk, to talk, ...

Read more...

Spoiler alert: Plot points of the movie "Joker" are revealed. "Joker" opened to a mix of rave reviews and criticism on October 2, 2019, amid fears of mass-shootings at theaters in the U.S. This left law enforcement agencies scrambling to beef up security at movie theaters to prevent any untoward incidents. Quite ironically, October  2, is also the 150th birthday of Mahatma Gandhi — the crusader and champion of non-violence. Warner Brothers even ...

Read more...

Flu vaccination prevents millions of flu-related illnesses and deaths annually, but vaccination rates are low for many reasons. During the 2018-2019 flu season, the Centers for Disease Control and Prevention reported that about 45% of U.S. adults received the flu vaccine. While this is an increase of 8% from 2017-2018, it falls way below the national goal of 70% of American adults ...

Read more...

Addressed to Dr. Lynes, the note sat menacingly in my inbox like a distress signal ominously blinking on a battered ocean coast. “Mr. Smith wants you to read the note before his preop, the nurse said harmlessly.” A premonition that day, just one more irrational fear in my downward spiral into darkness. I am a physician, practicing a noble profession of merit. Sepsis, from a visit to Mexico, began a sad journey ...

Read more...

A featured article titled "Death by A Thousand Clicks" addressed some of the serious problems and challenges we still face in the "digitization" of health care. As an early adopter of EHR since 2003 and a self-avowed "techie," I can vouch for the fact that many of the government initiatives in HIT, like "meaningful use," actually made many EHRs worse. Why? Because many of the regulations were being written by ...

Read more...

Test your medicine knowledge with the MKSAP challenge, in partnership with the American College of Physicians. A 65-year-old man is evaluated during a visit to establish care. He is interested in colorectal cancer screening; however, he adamantly refuses to undergo colon preparation, and he does not want to modify his diet for screening. He has never undergone colorectal cancer screening. Medical and family histories are ...

Read more...

There are limited studies regarding pediatric malpractice claims, especially for the emergency department (ED). A recent study of malpractice claims involving children highlights the role of communication and systems issues. This 10-year study is important because it focuses exclusively on children and provides data on the top specialties named as defendants, including emergency medicine. The study found communication breakdowns between patients/families, and providers contributed to 15 to ...

Read more...

Why does the most expensive health care system on the planet do such a poor job protecting the lives of pregnant women? More important, what can be done about it? The United States continues to lead the world in health care spending yet it has the highest maternal death rate among wealthy nations. Researchers have found that maternal mortality in the United States 
Read more...

In journalism, the lede is the first part of a news story. A good lede will entice the reader to read more. It contains the key points and gives the general idea of the article. Ledes are also crucial in the field of medicine. As a graduate student in journalism and a general practitioner, I can appreciate the value of ledes in both fields. When health care professionals communicate with each ...

Read more...

The sun rises in the distance. The finish line beckons. A wave of adrenaline propels me forward. Finally, after almost 24 hours of running, 100 miles were in my rearview mirror. Years of training prepared me for this moment, and I was particularly proud I accomplished this despite being in medical school. While the preparation was time-consuming and the miles were physically draining, running 100 miles unequivocally made me a ...

Read more...

Australian singer/songwriter Sia (born Sia Kate Isobelle Furler), 43, is known for wearing elaborate wigs and headpieces that hide her face. However, the "Chandelier" singer is not hiding the fact that she was recently diagnosed with the connective tissue disorder Ehlers-Danlos syndrome. In a tweet, Sia wrote: "Hey, I'm suffering with chronic pain, a ...

Read more...

For most of us, going to the doctor is not at the top of our favorite things-to-do list, but it may be one of the most important. Whether the visit is for a scheduled check-up or to deal with a new problem, there are ways you can make the visit less stressful and more useful. You must remember that things have changed. In the “good old days,” when I started in ...

Read more...

“When you start seeing your worth, you will find it harder to stay around people who don’t.” - Unknown After graduating from my residency a few years ago, I accepted a job within my organization as a staff psychiatrist and a medical director. The idea of familiarity was a big driver in my ambivalence towards pursuing alternate opportunities, even when they came knocking on my door. As the job started and progressed through ...

Read more...

Working in both the inpatient and outpatient setting, I have to frequently recommend my patients follow-up as soon as possible with their primary care doctors. I work in a couple of different locations, urban and rural, and I must say I have noticed a rather disturbing trend over the last few years. When I ask my patients who their primary care doctor is, I often get the reply: “My primary care ...

Read more...

Is your patient having trouble breathing? I can ask respiratory to give him a nebulizer. I'm looking at his chest X-ray now — why don't we bump up that Lasix, too? I wish the ER would have grabbed an ultrasound of that swollen leg. Does he need more oxygen? If something is missing from this picture, it isn't the clinical people who are at fault. Clinicians solve problems with the tools they're ...

Read more...

Tuesday, getting ready for work. Standing in the shower, it hit me. I couldn't remember the last time I wanted a drink. I almost got a blob of conditioner in my mouth as I snorted out loud. “Mom, you OK?” "Yeah, baby, I'm great." Incredible, actually. Like so many, my habit of using external things to feel better was well ingrained. As a kid, I'd sneak ziplock bags of homemade cookies. In residency, stress eating ...

Read more...

When Ashley Pintos went to the emergency room of St. Joseph Medical Center in Tacoma, Wash., in 2016, with a sharp pain in her abdomen and no insurance, a representative demanded a $500 deposit before treating her. “She said, ‘Do you have $200?’ I said no,” recalled Pintos, who then earned less than $30,000 at a company that made holsters for police. “She said, ‘Do you have $100?’ They were not ...

Read more...

Victor Frankl is an Austrian neurologist, psychiatrist, and Holocaust survivor, who survived three years in the concentration camps of Dachau and Auschwitz. He once told a story about a woman, his patient, who called him in the middle of the night saying that she wants to commit suicide. Viktor Frankl kept her on the phone, giving her many reasons to keep on living, until she promised not to take her life. ...

Read more...

1605 Pages
Join 150,000+ subscribers

Get the best of KevinMD in your inbox

Sign me up! It's free. 
close-link
✓ Join 150,000+ subscribers 
✓ Get KevinMD's 5 most popular stories
Subscribe. It's free.