Yes, med-peds is a real residency! It is a real specialty! And it is a practicing profession by many physicians today! It can open doors for so many wonderful professional opportunities. It is a discipline that can provide patients and communities extremely comprehensive medical care. People need to know more about this unique and sometimes under-recognized field. And here is why: Like many people today, I didn’t even know what med-peds ...

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It is a known fact, but every generation feels that they had it worst and that other generations have it made. "When I went to school we had to walk uphill in the snow both ways!" says every grandparent I identify myself with the Generation X physicians, finishing medical school in 1997 and my radiology residency and fellowship training in 2003. During this time I have seen quite a change in the medical ...

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I have had several dealings with the benefits managers/HR managers of large corporations and other large organizations over my career. I have one over-arching conclusion about what motivates these people: They will never be a source of disruptive innovation in health care. I find them to be passive people. They are fundamentally people pleasers. They derive joy from helping their employees navigate their insurance plans, figure out deductibles and co-pays, explain ...

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A few days ago, I made a call to my neurologist's office. The fourth call about the same issue. I needed my migraine medication and wasn't able to get it. I was almost ready to give up and give in to having migraines on a daily basis. None of the usual preventative medications have worked for me, so I am on one of the new, hi-tech injectable medications for migraine ...

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This weekend was bliss.  I went from Friday night to Monday morning without a single phone call.  No nursing homes were needing to send a patient to the emergency room: no new fevers or unexpected falls.  I can honestly say that it is the first time in more than a decade that I have gone a whole weekend without doing some work.  The thing about my half retirement is ...

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A guest column by the American Society of Anesthesiologists, exclusive to KevinMD.com. I imagine every physician anesthesiologist has experienced drug or equipment shortages in the last year. How frustrating that even in the world’s largest health care system, basic medications can be unavailable. However, when I step back and look at the big picture, I am ...

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“Red” McDougall had terrible leg pains soon after going to bed. He did have a bad back, and some mild spinal stenosis, but I hadn’t heard much about that in the past few years. He was dealing with the ache in his legs when he was on his feet too long. A few months ago he saw his vascular surgeon for a routine followup. He’d had a femoral-popliteal bypass to restore ...

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So many people are suggesting that if only doctors practice self-care we could deflect burnout before it overtakes us. Yes, physicians are probably the worst professionals for taking care of ourselves. We work long hours,  answer calls at all hours of the night, take little vacation, work in stressful situations, and often face hostility in the workplace. But this is not the reason we are burning out at high rates; ...

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I was having dinner with somebody not so long ago, and the conversation turned to what life is like as a physician. I always find it interesting to have these conversations with people who are not in the medical field, especially those who have got their ideas from watching medical shows on television! The person I was speaking to on this occasion, however, wasn’t about to go down that route, ...

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An excerpt from Doctor Brooklyn: Love & Life at the End of a Knife. “Goddamn, you’re getting married? Are you outta your mind?” “I’m going to tell Goldie your advice on marriage. I predict you will spend the next twenty years sleeping on that very lumpy couch you own,” Zach said to ...

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