As many readers of my work know, I have a huge passion for preventive medicine, and balance my acute care hospital work with an outpatient wellness clinic. I have always been into exercise and outdoor activities since a young age but only became a regular gym-goer after I finished my medical residency training. I also
The patient arrived in cardiac arrest. He had been brought to our emergency department in the middle of the night. Although he had a significant cardiac history, including bypass surgery, he was only in his late 40s. His transport from his house to our department had been less than 10 minutes, and the pre-hospital team
Test your medicine knowledge with the MKSAP challenge, in partnership with the American College of Physicians. A 61-year-old woman is evaluated for a 4-month history of progressive dyspnea and fatigue without chest pain. Eighteen months ago, she was diagnosed with liver cirrhosis due to nonalcoholic steatohepatitis (NASH). Medical history is also significant for obesity. Medications are propranolol,
On September 16, 2010, I attended Fact or Fiction: ADHD in America, a Capitol Hill Forum, along with Val Jones of Better Health and Rob Lamberts of Musings of a Distractible Mind. The event, coinciding with ADD/ADHD Awareness Week, was a panel discussion discussing the impact ADHD has on our society. It was sponsored by
It’s been more than a decade since the seminal report “To Err is Human” by the Institute of Medicine. The report made waves when it estimated that 1.5 million people are affected by medical errors and that nearly 100,000 die annually as a result of medical errors. Some of those numbers have been debated, but
Mark Perry provides an interesting inference from two news stories: a WSJ article that suggests consumers are using less health care and another that reports a big jump in MinuteClinic volumes. Consumers aren’t necessarily consuming less health care like the WSJ suggests; rather, they are shifting their demand for health care away from expensive, conventional
Do you know that the price of a contraceptive pill in Chicago pharmacies varies from $9 (Trinessa, aka generic Tricyclen, at Target pharmacy) to $84 (Loestrin 24 at Kmart pharmacy) a month? That means, over the course of the year, depending on what pill you take and where you shop, you could drop as little as $84 or —
Thank you all for your patience. The migration took longer than expected, but now the blog is running on WordPress and the acclaimed Thesis theme. Many thanks to Aaron Brazell, aka Technosailor, for doing the job and navigating the obstacles along the way. I am aware that the “Previous entries” link on the bottom of
There will be no posts over the next few days, as the blog will migrate to WordPress. Furthermore, comments will be temporarily turned off to ensure all of them make the transfer. With over 19,000+ posts, at least twice as many comments, and close to 500 MB of data, it’s a major undertaking. When it
Here are some of the more interesting comments readers have left recently.1. Carla Kakutani on the lack of primary care access in Massachusetts:So we have a chicken and egg problem. Do we wait health care reform until we have revived US primary care, or is that even possible without health care reform to create the
Well said.NYU’s Marc Siegel writes a poignant op-ed in the Wall Street Journal, echoing much of the sentiment on this blog.”With more and more doctors dropping out of one insurance plan or another, especially government plans,” writes Dr. Siegel, “there is no guarantee that you will be able to see a physician no matter what
Here are some of the more interesting comments readers have left recently.1. Manalive on quality measures:It is almost always a leap of faith to apply evidence-based guidelines to the frail elderly, to patients with many medical problems, to alcoholics, to the poorly insured — in short, to a large percentage of my practice. Accordingly, I
Welcome to KevinMD.com, where you’ll find opinion, commentary and news from the perspective of a primary care physician. You can read the About page to find out more about me.Your readership is valued, and I’d like to go over some of the ways you can explore the blog.Subscribe. Content can be e-mailed to your inbox.
Google Health and other personal health records have been touted as a way for patients to actively keep track of their medical history.However, some of the information, such as diagnoses and the active problem list, are populated using insurance billing codes. This presents a problem, as these codes are notoriously inaccurate, and can reflect a
Here are some of the more interesting comments readers have left recently.1. Dr. Gwenn on limited health literacy:For us to do a better job with patients and teach them to be better advocates for themselves, we need more time – plain and simple. At the same time, patients need more community supports to understand the
Here are the top posts from this past month, based on the number of times they were viewed. 1. Is Natasha Richardson brain dead? Was an epidural bleed, or “talk and die” syndrome, to blame after her ski accident?2. Did the Canadian health system fail Natasha Richardson?3. Dying from cervical cancer, and the questions surrounding
I’m aware that the blog’s RSS feed is not working.Unsurprisingly, the problem is on Blogger’s end, and I’ll have to wait out a fix.Sorry for the inconvenience, and thanks to all that gave me the heads up on the problem.Update 3/14 :I put in a temporary fix, so the feed should be up again. Thanks
Here are the top posts from this past month, based on the number of times they were viewed. Enjoy.1. How was Nadya Suleman impregnated with octuplets? Is IVF, the mother, or her doctors to blame?2. Nadya Suleman’s fertility specialist Michael Kamrava, and how he’s able to stay in practice despite a poor history of successful
I recently migrated the site’s RSS feed from Feedburner to Google.After the transition, it seems that I lost subscribers who had received a daily e-mail update from Feedburner.If you were someone who received a daily update, please re-subscribe, by entering your e-mail address at the top of the middle column, to the right of this
Is it possible?Medical Justice’s Jeffrey Segal proposes a model that benefits both patients and doctors, as well as cut costs.The premise is based on immunizing doctors who follow evidence-based practice guidelines from liability.As Dr. Segal writes, “Physicians would be armed with knowledge of how to predictably avoid an adversarial legal process. The conventional tort system
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