Episodes

Never underestimate the self-flagellation of the physician

"Patients die. This is a tragic truism in the world of medicine. Usually, the patients who die are elderly. Patients die from diabetes and kidney disease, or from alcohol abuse and liver failure, or from heavy smoking and lung disease. Or patients die...

Health care's goal is in peril

"The U.S. health care industry has large challenges that can be overcome if we remember why our systems and services exist. We are here to help patients, and we must obtain the needed staffing capacity to drive throughput so patients can receive the...

Can medicine transcend beyond the clinic walls?

"Absolutely, there are times when you need to be face-to-face with your patient. Yet looking at the broader picture, COVID-19 has shown us that in many instances, we can perform at an optimal level while remote. In my experience, I’m often able to...

Innovation in a rural gastroenterology practice using a farm

"Gastroenterology clinics in rural areas have the unique opportunity to innovate the field by working with local community organizations and farms. Patients and physicians develop a deeper understanding of the root cause for chronic disease,...

Why and how to get a second opinion

"In the end, the patient-physician relationship is crucial to overall decision-making for any plan of care, treatment, or surgery. There are many variations in the reviewed studies in health care literature as to the cost-effectiveness of second...

What shared journeys to the afterlife teach about dying well and living better

"The more I spoke with individuals who had experienced a shared crossing event, the more I also noticed repeating patterns. A woman in West Virginia and a woman in Australia with deeply similar experiences around the loss of a baby. A grown daughter...

Is Descovy really the better option?

"As individual patients, we often don’t think about these costs. In my Instagram poll, nearly everyone taking Descovy reported receiving the drug effectively for free, largely due to Gilead’s copay coupons. However, as with anything in life,...

Noah Kaufman, MD on the cryptocurrency market and educating physicians about Bitcoin

Emergency physician and financial planner Noah Kaufman gives a general cryptocurrency market update. He discusses the state of Bitcoin and the impact of fiscal tightening by the Federal Reserve and also comments on Paul Krugman's recent New York Times...

Bringing the Hippocratic Oath into the venture capital world

"When I came into the business world, I saw a huge spectrum of ethics and am still shocked at how there aren’t any standards. Why must one be in a professional career only to have some guidelines and/or rules to follow? I don’t currently have...

Why lifestyle medicine is an urgent priority

"Lifestyle medicine’s foundational pillars include a specialized look into diet, physical activity, sleep, stress, mood, substance use, and relationships. Creating a patient-centered plan of care based on these areas are proven successful in...

Prioritizing physician wellness: Reducing burnout during the COVID-19 pandemic and beyond

"Ultimately, patients need doctors to help them be healthy, and need their doctors to be healthy to help them! Unless interventions are done now, our health care system risks a downward spiral. While the pandemic has brought increased levels of stress...

How physicians can play the hand they're dealt

"Anyone can win at poker when dealt a royal flush. But what can you do when the cards you are dealt don’t appear winning at all? My answer: Make the best of what you have. Recently I learned of a colleague who sustained a broken back in an accident....

Pay heed to the little life traumas that hit us daily

"Taking stock of all these experiences, I feel like I have no answers. They lead me to a space of unrest and dissatisfaction for not having a pill that would instantly drop 10 kilos, cure hep E, curb food craving or resolve a heartache. But I feel...

When records are wrong, patients are at risk

"Inaccurate patient records aren’t just an inconvenience. They’re a risk. The EHR might speak for the patient when they cannot speak for themselves, and if it’s wrong, it’s a serious liability. In lieu of any system-wide improvements to EHRs,...

Mental health and the balance between technology and the human touch

"The reality of the last two years is that almost all of us have experienced some mental health disorder symptoms, and that mental and physical health are equally important components of overall health. We call these subclinical symptoms, or symptoms...

Men's health is a catastrophe. Here's how we can help.

"A hundred years ago, women lived one year longer than men, but now they live five years longer than men. And things are getting worse. Currently, the lifespan of men in the U.S. is declining due to alcohol, opioids, and suicide. These trends need to...

Patient surveys: the quest for positive reviews

"Studies show that those physicians with negative online reviews were more often scored poorly due to non-physician specific causes. In my career, I’ve read comments from patients that said they were not satisfied with their provider because they...

Lessons in caring too much from a fictional physician

"All the faceless young men who are brought to his operating table, prepped and draped, broken and bleeding, are finding their experience of war bears little resemblance to their reveries of war. They should have known better. At corner taverns in...

A physician's self-care song

"No matter what, your healing work matters. No one should tell you otherwise, and nothing can change that, not even a shortcoming. You provide healing in a way no one else can. Care for yourself, and you can be the healer you truly wish to be." J. C....

Information overload and physician burnout: a KevinMD panel discussion

Welcome to a special episode of The Podcast by KevinMD. In this 60-minute episode, I partner with , a pioneer in health IT for over 20 years. We bring together physicians with different backgrounds to explore information overload and physician...

Coal mining culture and the opioid crisis

"For me, my own personal stories of opioid patients come to mind, including one who keyed my car when I stopped prescribing his opioid after an acute injury. I think of some local opioid overdose deaths in my community. I would love to hear what other...

How advanced analytics can help social determinants of health

"Advanced analytics can provide the insights needed to understand social determinants and help develop interventions that assist patients in overcoming some of the challenges and adverse environmental and social factors that are barriers to healthier...

What I learned about medicine in the House of Pain

"Guiding kindly illustrates mentorship, whether it be in the dojo or in an academic medical setting. Regardless of one’s stage in medical training, certain errors in patient management will be made … this is part of the learning process. It is the...

Culinary medicine and why clinicians should garden

"For too long have gardeners allowed our food supply to be dependent on mysterious logistics. We have criminally allowed our own food growing capacity to be displaced. Growing something you eat and trading with people who grow what you don’t are...