by Winston F. Mitchell I'm a 53 year-old male with no history of hypertension, no cholesterol problems and glucose count normal. I was overweight but still in great physical shape. But over a period of weeks, walking to work, I started experiencing a shortness of breath.  Finally I went to my doctor, he informed me he was going to admit me to the hospital immediately because a ...

Read more...

by Jon Meyer Looking at the industry response to the recent study released by the Center for Studying Health System Change, Physicians Slow to E-mail Routinely with Patients - Issue Brief No. 134, it appears that a piece of the puzzle is missing. Both the study, and the analysis, put the physician at the center of the email debate. In reality, about 30% of a medical practice’s communication is ...

Read more...

Every year US News & World Report publishes its rankings of the nation’s top 50 hospitals. Hospital administrators await this top 50 report with a tension and fervor that rivals the NFL first-draft pick. As soon as the report is released, snippets rocket their way into donor appeals, local hospital signage, and highway billboards. “Ranked X by US News & World Report” becomes a descriptor that is supposed to ...

Read more...

Oncology is the area where the health care cost conundrum is coming into sharpest focus. Theoretically, who wouldn’t spend whatever it takes to cure a life-threatening disease? And yet practically the costs of new treatments are so high, and the improvements usually modest enough, that when it comes right down to it costs are becoming a real issue for patients and doctors. An interesting article in the Journal of Clinical Oncology ...

Read more...

Doctor, why did you behave the way you behaved last night? Frankly, I don't really care how you behaved last night as a person, although you should. I do realize that the Christian religion states that "I am my brother's keeper." I do care about your welfare, but I am not that strong a believer as to make your personal life my personal business. But, if it were your professional behavior, I ...

Read more...

As a medical provider, while seeing a husband and wife, or a couple, regardless of gender, one comes across several situations that  may be considered difficult to handle and that require a good deal of tact and confidentiality. This is the case with seeing a husband and wife or (couple), together, for an examination. Ultimately, it depends on the rapport that the couple shares. If they ...

Read more...

by 911Doc, MD American medicine will die or be reborn in the next ten years. Correction, it will either continue an accelerated slide into banal mediocrity, or be reborn. The battle is finally joined, and it has been joined by the specialists. Thank you, doctors, for drawing the line in the sand. I hope you win. Honest. I am cheering against my own college here because they have ...

Read more...

by Anar Mikailov By now it is common knowledge that primary care is an undesirable field for newly graduating medical students. Additionally, many current primary care physicians are closing shop and either enter early retirement or seek non-clinical professions. According to the American Academy of Family Physicians, the 2010 Residency Match showed that 1,184 U.S. medical grads chose Family Medicine, less than half of the available positions ...

Read more...

Leaders often think about succession plans for their direct reports, but what about themselves? What if I had a serious health problem or accident that impaired my ability to lead my IT organizations? Here's my brief analysis. Beth Israel-Deaconess Medical Center My role at BIDMC is to document the strategies prioritized by our governance groups, ensure our organizational chart structure is optimized for executing the strategies, ...

Read more...

A guest column by the American College of Physicians, exclusive to KevinMD.com. by John Tooker, MD, MBA, MACP The campaigning for the mid-term elections reminds us once again of the state of civility – or lack of civility - in American politics. By civility, I mean showing regard for others. We are beset by campaign attack ...

Read more...

Join 147,000+ subscribers

Get the best of KevinMD in your inbox

Sign me up! It's free. 
close-link
✓ Join 148,000+ subscribers 
✓ Get KevinMD's 5 most popular stories
Subscribe. It's free.
close-image