"We are social beings. Evolution has taught us that in order to survive, we must work together. Community trust (trusting your fellow citizen) is a very effective way to build community resilience when hardships strike. Studies have been done in the wake of natural disasters and have shown that social infrastructure and connections have equal, if not more, impact on the ability of a community to 'bounce back' than physical infrastructure. During this terrible pandemic, let’s make compassion go v...
Nov 14, 2020•20 min
"Why real estate? By having a 'why' you want something, it’ll help keep you motivated to pursue your goals when setbacks and mistakes occur. For our family, we wanted passive income streams. Passive income gives you options. I love options. It doesn’t matter if you want to work forever, retire early, or change careers, multiple income sources can make it happen. Our passive income is not only tax-free, but we’re also able to access it if needed, unlike traditional retirement accounts." Jeff Anza...
Nov 13, 2020•18 min
"Like 9/11, we have a new reference point touching everyone on the planet: life before COVID-19 and life after. Regardless if you get it or don’t, the unknowns and secondary consequences are scary. Life before COVID was scary, too, minus the urgency. Before COVID, we sensed the weight of living on a sick planet. We felt powerless to change the tide of forces affecting our lives for the worst. We normalized the slow spiral down the drain of political divisions, economic inequality, costly health ...
Nov 12, 2020•20 min
"The inflammatory response elicited by the novel coronavirus can do great damage to the essential function of lungs. People with underlying lung disease are more vulnerable to this coronavirus, including people with asthma, emphysema, lung fibrosis, and even people with high exposure to air pollution. Smoking and vaping are perfectly preventable forms of high-intensity air pollution. We strongly urge city, county, and state governments across the planet to place a temporary moratorium on the sal...
Nov 11, 2020•11 min
"Holding space means being physically, mentally, and emotionally present for someone. It means putting your focus on someone to support them as they feel their feelings. An important aspect of holding space is managing judgment while you are present. Like when you tell a patient that they have stage IV pancreatic cancer and that it is nonsurgical and even with the best treatments, their time is very short. Then you hold space. You say nothing. You sit there and provide support by sitting there-n...
Nov 10, 2020•14 min
"The reality of being a medical practice owner is that we are small business owners and very vulnerable to the impact of COVID. Having previously worked in the telemedicine industry and because I am a psychiatrist, I initially felt that I was in a good position to adapt to this crisis – and this has been overall true, but the reality is it hasn’t been so easy in other ways. I was able to transition to a full telemedicine practice rather quickly and seamlessly; I am fortunate that I have been abl...
Nov 09, 2020•20 min
"To help the reader understand the issues better, I would like to relate some stories. A friend of mine was dying of pancreatic cancer. He had an implantable morphine pump and was on both hospice and palliative care. Still, he found that his suffering was unbearable and wanted to die sooner. Doctors told him that his only option to end his suffering was to voluntarily stop eating and drinking, which he did. As a result, he developed psychosis, and his loving family has been scarred by the experi...
Nov 08, 2020•18 min
"There are some things that we are living through as a result of COVID-19 that I did not imagine in my fictional account. For example: the timeline. As we are now four full months into this pandemic in the U.S., some experts estimate that we are still early in the game. As one doctor put it, we are only at about the twenty-yard line of the football field. My imagined timeline was much shorter. Another thing I didn’t foresee was the perception of danger dividing along political lines. In fact, I ...
Nov 07, 2020•13 min
"As our office begins to return to pre-COVID operations, it has been uplifting to have a relative sense of normalcy, even though morale seems to be reduced. It is difficult to promote team building and improve morale when everyone has to maintain social distancing. I would love to go out for a meal with my staff, hug my patients, and lecture our trainees face-to-face in a classroom. While the hope is that all of these distancing measures are temporary, avoiding despair is another layer added ont...
Nov 06, 2020•17 min
"The duty of physician officials in the government exceeds that of other officials. As physicians, they have a unique moral obligation to do more than protect the constitution from enemies, foreign and domestic. They have a duty to be unambiguously truthful, to use their power to do good, and to avoid harm. If they fail in any of those regards, they must be held accountable by their peers, and by society. This is especially urgent when those who appointed them to these positions of authority fai...
Nov 05, 2020•16 min
"Growing up, my family sheltered and protected me with everything related to vitiligo. People never really asked me what happened to my skin. And, if I did get questions, I honestly did not know how to answer them, so I would say 'oh, they’re just sunburn scars' or some version of that story, and moved on. Thinking back, I probably was too supported and busy to really have an opportunity to be bothered by it. That, in itself, was a blessing. I pursued many years of schooling and training to ulti...
Nov 04, 2020•10 min
"The daily email update on COVID-19 affecting our hospital system is a glaring reflection of the health disparities amongst those in marginalized groups. The farther south you go, generally in San Diego, the higher the number of socioeconomically disadvantaged persons, and that tends to include a disproportionate number of persons of color. These populations may be unable to physically distance due to living conditions and job conditions. Perhaps there is a higher number of persons living togeth...
Nov 03, 2020•13 min
"Signing up for an improv class was unchartered territory. It was far beyond my comfort zone, like skydiving, for a little thrill. I’m not an adrenaline junkie interested in the ultimate adventure nor an aspiring actress hoping for a guest appearance on SNL. I’m a physician and a physician leader. Learning improvisational theatre wasn’t on my comprehensive, personal to-do list. But I’m also a physician coach. I sense what others feel in the moment without interpretation or judgment. However, whe...
Nov 02, 2020•15 min
"What on earth are we doing here, folks? To try to save a tanking economy, workers were sent back to their jobs much too early, causing again a spike in cases of the virus. I realize that the loss of a paycheck is a major traumatic situation for any breadwinner, but so is the loss of life. Our doctors and nurses are doing their best to treat COVID-19 patients under their care. Many are putting themselves in harm’s way and risking their health to care for those hospitalized. Some have been separa...
Nov 01, 2020•19 min
"I have been depressed. I have been burned out. I have been both. I have been neither. How do you know if you are depressed vs. burned out when your chief complaint is, “I feel like crap?” It’s time to call a consult. I don’t mean curbsiding your colleagues to fill your medications off the record without evaluation. I mean, ask for real help, from someone who can objectively help you define your diagnosis and the best path forward. If you “feel like crap” and think you may be depressed or burned...
Oct 31, 2020•11 min
"An increasing number of institutions are relying on telemedicine to continue delivering care to patients in lieu of typical outpatient visits in response to the COVID-19 pandemic. Telemedicine has been lauded as a potential equalizer in health care access. Indeed, it allows for safe and easy access to medical professionals. It especially benefits patients with transportation issues or those seeking specialty care from far away. Some pitfalls such as reimbursement issues and lack of physical exa...
Oct 30, 2020•13 min
"While our bodies have been a bastion of the heart and soul of medicine, a group of our peers thought it was acceptable to diminish the capabilities of our bodies to pictures on social media. They thought our ability to be exceptional physicians was inversely proportional to the number of pictures that showed us holding a drink or wearing a bikini. Our bodies do so much more than just practice medicine. What we choose to do with our bodies in our own free time should not become part of an invest...
Oct 29, 2020•15 min
Meet the physician who has written multiple widely-shared articles on KevinMD. How does writing change minds and bring people together? Why is humor such an important part of her pieces? Explore how her articles come together, and why writing has made her a better physician. Rada Jones is an emergency physician and can be reached at her self-titled site, RadaJonesMD , and on Twitter @jonesrada . She is the author of Overdose . She shares her story and discusses her KevinMD article, " How masks a...
Oct 28, 2020•14 min
"I wonder what keeps us physicians going? What makes us show up to work every day? Even though it might sound clichéd, for most of us, it’s the love for medicine; it’s the love to be there and still be able to make a difference. And maybe money too. Here I have some self-help tips/tools that could potentially help us through these tough times. We cannot change our surroundings. We can certainly adapt." Manju Mahajan is a family physician. She shares her story and discusses her KevinMD article, "...
Oct 27, 2020•14 min
"What is SEO? In short, it is the process of optimizing content found online in order to help it be seen by those searching for the information found in that content. It used to be that people would just stuff their poorly written, short, and low-quality blog posts with their keyword, and they would rank for that keyword. Long gone are those days, and it’s a good thing because when it comes to health care and medical content, that kind of content has no place being seen. If we all start putting ...
Oct 26, 2020•16 min
"Physicians are advocates of health. This must include our own. Physicians identify threats to health. This must include those that threaten our own – burnout is proven a grave threat. Physicians seek, prescribe, and perform curative treatments. We have the treatment for burnout available – we must prescribe it for each other and seek it for ourselves. Physicians advocate for vaccination as prevention. We have the inoculation for burnout – we must make it widely accessible and encourage collecti...
Oct 25, 2020•13 min
"We can’t un-bungle our nation’s COVID-19 response. Political leaders acted too slowly; health agencies committed unforced errors with testing kits and, amid the confusion, an information fog settled over the land. Americans remain afraid, perplexed, and chronically misinformed (despite wall-to-wall coronavirus coverage across the leading cable news programs and print publications). To counter the uncertainty, any plan to get us out of the coronavirus crisis must first acknowledge and broadly co...
Oct 24, 2020•27 min
"Eventually, this thankfully passed. Now, almost three years later, I know that this loss will always be with us. Miriam was beautiful, she was our only girl, she was perfect for our family, and she’s always missing. Still, my memories of being in the hospital are incredibly sad but also peaceful. In part, this is due to the incredible support and love we got from our family, friends, rabbi, and community. But in a big part, this is due to the clear and honest way we got Miriam’s diagnosis and t...
Oct 23, 2020•13 min
"Setting: An impersonal, windowless conference room within a hospital Characters: A nurse in charge (NIC), a department chair (DC) and me (ME) NIC: Thank you for joining us to discuss the report you made of unprofessional behavior in the operating room. We’d like to start by letting you know that in this institution, we have a culture of informality. When I first got here, I found it unsettling that doctors were called by their first names in meetings. DC: Yes, this culture was also surprising t...
Oct 22, 2020•12 min
"Will the unfavorable regulatory environment permit telehealth to flourish? Perforce we’re beginning to see a relaxation of restrictions that have hitherto obstructed progress. Recently, federal officials approved interstate licensing, thereby prompting greater telehealth conversion, utilization, and expansion. Medicare’s 1135 Waiver is also encouraging, and, in as much as it serves the same ends, the Drug Enforcement Administration’s leave to prescribe via telemedicine without a prior in-person...
Oct 21, 2020•19 min
"Suzy was a bright and hardworking student. However, even though she was conscientious and generally cheery, her grades began to fall during her senior year, and she started to feel depressed. She also constantly had an upset stomach, which she had just accepted as a way of life. She’d had an ADHD diagnosis since she was younger, but while Ritalin had helped her focus on her work in the past, the effect seemed to be dwindling as she built up a tolerance. I noted that her diet seemed to have shif...
Oct 20, 2020•17 min
"Let’s not suffer more hardship then already incurred by COVID-19. Recognizing that both the psychosocial stressors arising from COVID-19 and the withdrawal of effective sexual offender treatment increase the risk of sexual violence, public safety demands that offenders have access to treatment. Without sexual offender treatment during COVID-19, we exchange one public health crisis for another." Renée Sorrentino is a psychiatrist. She shares her story and discusses her KevinMD article, " Sexual ...
Oct 19, 2020•11 min
"The incident bothered me all day and the following many days. I couldn’t quite put a finger on what it was and brushed it aside and stopped thinking about it. In the wake of recent events, it dawned upon me that it wasn’t the patient’s comments that bothered me. It was the fact that no one standing in the room witnessing the conversation stepped in. Not during the conversation, and not after. Considering I’ve worked with my colleagues every single day, and in the same place for the last 12 year...
Oct 18, 2020•18 min
"My mom was beyond vulnerable to the virus. May of 2020 marked two years since she’d become a nursing home resident—receiving care for several chronic illnesses. She died of failure to thrive due to Coronavirus 2019 on June 1, 2020, at the age of 75. As her oldest child, her health care proxy, and a health care writer for more than 15 years, I knew that a positive result in a long-term care facility was statistically almost sure to end one way. She’d already been showing signs of global decline ...
Oct 17, 2020•16 min
"You are a physician. You have put in years of hard work and sacrifice getting here. Now what? Does your life look and feel exactly how you imagined it would? If not, what does your ideal life look like? Certainly, answers to this question are deeply personal, and will vary depending on the individual. As physicians, we need to engage in a process of self-discovery to create the lives we want and deserve. This requires each of us to examine our lives as they currently are, envision what they cou...
Oct 16, 2020•16 min
