A friend of mine recently underwent a total knee replacement. Although he did well and was pain-free, he did say that he felt he was on an assembly line. I asked him what he meant. As he was talking, I flashed back 30 years, back to a time when by today's standards I would be considered a “good old country orthopedist.” Thirty years ago, I moved to a small community to ...

Read more...

During a 15-minute recess, the elementary school students trooped from the playground toward nurse Catherin Crofton’s office — one with a bloody nose, a second with a scraped knee and a third with a headache. Kids quickly filled a row of chairs. Staffers brought paper towels for the bleeders and tried to comfort the crying. “We’re here for first aid, emergency, counseling,” said Crofton of the Mount Diablo Unified School District. “There ...

Read more...

It’s a tale of two health systems: the VA and Kaiser Permanente. The U.S. Department of Veterans Affairs, Veterans Health Administration (VA) is a mission-driven health organization, serving our nation’s veterans. A patient population of 8.9 million, led by David Shulkin, MD. An early leader in health technology adoption. The VA has faced serious issues; however: long patient wait times (deadly long in some cases) and high physician turnover rates. Kaiser Permanente ...

Read more...

I've discovered a new condition called "Cadillac Health Care Syndrome." Those afflicted are relatively healthy people who have numerous diagnoses, take multiple medications and have frequent surgical procedures because they have excellent health insurance with little to no out-of-pocket expenses. Risk factors include early retirement, lack of hobbies, jobs with paid sick days, excessive television watching and overuse of the Internet to investigate symptoms. It has been widely assumed that better ...

Read more...

Since the birth of our nation, labor unions have existed in one form or another in the United States. Unions are a force to protect the "working population" from inequality, gaps in wages and a political system failing to represent specific industry groups. Historically, unions organize skilled workers in a specific corporation, such as a railroad or production plant. However, unions can organize numerous workers within a particular industry. Known ...

Read more...

I was a chubby kid, but my parents still introduced me to lots of sports. Soccer, swimming, tennis, basketball; so many sports, when all I wanted to do was read and eat Doritos.  I wasn’t particularly good at any of them, but some of my teams were better than good. We were champs. My swim team won the Cape Cod Summer League, my soccer team won its division one year, ...

Read more...

The statistics are staggering. The high maternal mortality rate in the U.S. has been a matter of great interest and debate, spurring a reflective look into our health care system to determine why our country is on the wrong end of this statistic. The reasons and numbers vary across the country and notably in the state of Maryland, which has had a higher than average maternal mortality rate, the number of ...

Read more...

It’s no secret that the United States is in the midst of an opiate epidemic. Almost 60,000 people died last year from overdoses, and overdose deaths are now the most common killer of Americans under the age of 50. Physicians and our patients have finally started the difficult conversation about what it will take to stop the suffering. But what’s been missing from this conversation is that this is not ...

Read more...

According to the National Institute of Mental Health (NIMH), about 9.8 million adults (or 4 percent of all adults) over the age of 18 years suffered a serious mental illness in 2015. A serious mental illness is one that affects a patient’s daily functioning. Considering all mental illness in adults in the same time period, 43.4 million adults (or 17.9 percent) who met the criteria for a ...

Read more...

Over the past seven seasons, Game of Thrones fans have demonstrated the ability to spot an emerging threat early on -- a quality more leaders in health care need to possess. If you've tuned into the popular HBO series from the beginning, you likely recall Ned Stark (Lord of Winterfell) forecasting doom and gloom in the show's opening episode, appropriately titled “Winter Is Coming.” Right then, you knew something bad was ...

Read more...

Most Popular

Get KevinMD's 5 most popular stories.