A young woman stands in the freezing cold outside an urban Baltimore hospital. The woman, covered only by a thin hospital gown, moans incoherently at the man capturing her suffering on cellphone video. As seen on the now-viral video, she’d been left there by security personnel employed by the supposed place of healing just a few yards away. It hurts to watch. Mass ...

Read more...

We are standing at a crossroads in health care. Behind us lies a long-lost, nostalgia-tinged world of unfettered provider autonomy, sacred doctor-patient relationships, and a laser-like focus on the art and humanity of medicine. This was the world of my father, an immigrant and primary care physician in rural California. The world of Health 1.0. While many still pine for these “good old days” of medicine, we shouldn’t forget that those days weren’t really ...

Read more...

A long time ago in a galaxy far, far away ... what an uncannily accurate description of how it feels to practice in our very own “modern” health care system. In a world brimming over with exponential tech advances -- supercomputer smartphones with user interfaces an embryo could master, an open Internet backbone that connects us across continents and cultures -- our health care universe languishes with software that’s ...

Read more...

I have a love-hate relationship with the electronic health record (EHR). To be precise, it's 90 percent hate, 6 percent love. The missing 4 percent? That would be the percentage of time spent on the phone with tech support trying to figure out which order set I have to use to input percentages. I've been in practice long enough to straddle the transition from paper ... to even more paper (thanks EHR, you're the ...

Read more...

shutterstock_240724267 Like so many other medical professionals, I felt voiceless in the face of a gargantuan health care non-system built to do things to people, rather than for people. But after a decade of hospital practice, my “cry for help” looked slightly different than the typical midlife crisis: It involved the creation of a somewhat ridiculous blue-scrubbed rapping doctor alter ego. “ZDoggMD” could ...

Read more...

For the better part of a decade, I practiced inpatient hospital medicine at a large academic center (the name isn’t important, but it rhymes with Afghanistan … ford). I used to play a game with the med students and housestaff: Let’s estimate how many of our inpatients actually didn’t need hospitalization, had they simply received effective outpatient preventative care. Over the years, our totals were almost never less than 50%. For my ...

Read more...

1 Pages

Most Popular

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