by Dawn Barker, MD Until recently, it was easy to reply when an inquisitive acquaintance asked, “What do you do?” I would answer that I was a child and adolescent psychiatrist. Easy. The most difficult part was trying to explain that yes, a psychiatrist is a medical doctor, and no, I’m not a psychologist and there is a difference. But when ...

Read more...

I think that I am missing a gene from one of my X chromosomes. I attended my sister-in-law's baby shower recently.  I love my sister-in-law dearly and was happy to be there to support her.  If only I could have supported her in another way. I detest showers.  Once I was engaged, I stated clearly to everyone I knew that I did not, under any circumstances, want a bridal shower.  Naturally, everyone ...

Read more...

fatigue |fəˈtēg| noun 1 extreme tiredness, typically resulting from mental or physical exertion or illness : he was nearly dead with fatigue. • a reduction in the efficiency of a muscle or organ after prolonged activity. No, this post is not a part of my twenty six installment Psychiatry A to Z series. You'll have to wait for the next one in that group, which by the way will be looking at a "T" word. ...

Read more...

It is hard to imagine that someone can emerge from intern year – 12 months of chaos, little sleep, and hours upon hours spent responding to pages and putting orders in a computer – and know something, anything, about medicine. I did not believe in this training system until now, after my first night as a supervising resident. The knowledge I have absorbed over the ...

Read more...

What is the physician's most precious possession?  Some might answer that it is his patients. Others might respond it is the training and education that the physician has obtained to practice his (or her's) craft. But the real answer is that it's the physician's reputation. Doctors live and die by their reputations.  Reputations take years to ...

Read more...

How much attention do you pay to your Evaluation and Management (E&M) Coding practices? E&M codes represent the type, setting, and complexity of services provided and the patient status, such as new or established. Providers are responsible for ensuring that the codes they submit accurately reflect the services they provide. According to the Office of the Inspector General (OIG), Medicare paid $25 ...

Read more...

Just the other day I was called to see a patient coming up to the Intensive Care Unit with a diagnosis of pneumonia. Upon my arrival the patient is "hanging in there" with the blood pressure in the 60’ and 70’s systolic. This is a no-brainer situation - the patient is in sepsis and septic shock. Early intravenous antibiotics and aggressive resuscitation is what this gentleman needs right now. Per the ER ...

Read more...

I recently finished another 5-week clinical rotation.  This one was primary care (outpatient internal medicine +/- family medicine). First a few words about primary care as a field:  I found it to be both awesome and boring. It was awesome because I was the "doctor."  I had essentially full responsibility for my each patient.  From calling him in from the ...

Read more...

by Zakari Tata, MD Many articles have been written on physician suicides. Yet nothing practical has been implemented. The problem is probably much larger than reported, as families will try to avoid publicity where possible. In medicine, just as in the rest of society, people diagnosed with depression are wrongly labeled as weak, and discrimination, especially the subtle passive ...

Read more...

Is anyone else tired of hearing about how important empathy is in the physician-patient relationship?  Every other day it seems a new study is talking about the therapeutic value of empathy.  Enough already! It’s not that I don’t believe that empathy is important, I do.  I also believe the data that links physician empathy with improved patient outcomes, ...

Read more...

Most Popular

Join 141,000+ subscribers

Get the best of KevinMD in your inbox

Sign me up! It's free. 
close-link
✓ Join 141,000+ subscribers 
✓ Get KevinMD's 5 most popular stories
Subscribe. It's free.
close-image