It seems impossible that 2020 could have brought another existential challenge to life as a lung and ICU doctor. As COVID-19 broke out earlier this year, I found myself on phone calls with physicians practicing in far-flung areas, helping host regular calls and webinar to keep doctors in my state updated on the rapidly changing science, working on triage protocols for decisions nobody should ever have to make, ...

Read more...

I was recently asked to see an 89-year-old woman who was gravely ill in the intensive care unit. She was admitted with cholangitis due to bile duct stones causing complete obstruction leading to septic shock. It is a life-threatening situation, especially in elderly patients. She needed an emergency endoscopic procedure: ERCP. By the way, one minor detail that makes this case more interesting and the intensivist called it a "wrench" ...

Read more...

I was admitted to the hospital for psychiatric evaluation and stabilization just after my third year of medical school. Leading up to my episode, I thought I was fine - stressed, sure, overworked, definitely, but I thought that was normal for someone just finishing a year of clinical rotations. I deteriorated rapidly, and by the time I was admitted, I felt dazed, disoriented, and completely exhausted. I didn’t know what ...

Read more...

As COVID-19 continues to surge across the country, with an anticipated death toll reaching 300,000 by the end of the year, the NFL season has just kicked off. Multiple professional and college sports programs have also returned to play. To prevent outbreaks among the athletes, they are tested frequently, sometimes daily, and with quicker results than our patients, health care providers, schools, and seniors, the population with the highest death ...

Read more...

It is hard to imagine an age in which assisted reproductive technology (ART) did not exist. The CDC reported that 1.7 percent of U.S. births in 2017 were attributable to ART, with approximately 285,000 ART cycles reported that year. In reality, the process is not as straightforward as it may seem on paper.

As a radiologist, I was involved peripherally with patients struggling ...

Read more...

The stresses of the ongoing COVID-19 pandemic are taking a significant toll on not only physical health but also mental health and wellbeing. A recent study published on JAMA Network Open found that symptoms of depression were three times more prevalent among the U.S. adults surveyed during the pandemic than before it. Those with lower income, less money in savings, and exposure to more sources of ...

Read more...

It is probably a very good friend right now. COVID-19 vaccine trials are underway in an unprecedented fashion.  But lately, questions about the integrity of Operation Warp Speed have started to linger.  A vaccine availability deadline prior to phase 3 data has not helped, and many think that immunity, while feasible, is still distant. While awaiting proof of vaccine reliance, 
Read more...

That’s the question that will be on the minds of many as the Food and Drug Administration releases a second study on the absorption of sunscreens. The reality is that answering the “safe” question is becoming more complicated—and more important as well, given the fact that so many of us use sunscreens as part of our own sun safety efforts, while others (me included) use sunscreen as part of our daily ...

Read more...

Americans are in a sprint to return to the sports they love. Players want to play, coaches want to coach, and teams want to see fans in the stands sooner than later. But what if a return to sports (as they once were) winds up being more of a marathon than a sprint? For months I’ve been 
Read more...

Medicine is a moral pursuit. Physicians inherit the tools of medicine not only through their training, but also by taking an oath to do good, avoid harm, and tell the truth. Hippocrates, the father of medical ethics, realized that the tools he possessed as a physician could be used for either good or for harm. Even today, the modern students of Hippocrates promise that they will ...

Read more...

Most Popular

✓ Join 150,000+ subscribers
✓ Get KevinMD's most popular stories