1+ hour, 54+ min ago  (338+ words) The supplement snake oil Supplements are even worse. Ninety-nine percent of them are completely useless. They are the multibillion-dollar industry equivalent of snake oil, dressed in shiny bottles and marketing jargon. If you are eating real food and living in…...

2+ hour, 47+ min ago  (1425+ words) How to handle clinical disagreement with patients'KevinMD.com One of the hardest moments in medicine is not making a diagnosis. It is not writing the prescription. It is sitting across from a patient who wants something you do not believe…...

6+ hour, 54+ min ago  (953+ words) A celebrity patient and the core of patient confidentiality'KevinMD.com During my second year of private practice, I was still close enough to academics to miss morning conferences, but far enough along to appreciate a predictable lunch break. It was…...

9+ hour, 54+ min ago  (370+ words) Oh, how I remember this well: The wicked snowstorm that paralyzed many cities, year after year. I was driving my van to work as it slid on black ice and directed me down a hill towards a large church. I…...

21+ hour, 54+ min ago  (824+ words) Partner with me on the KevinMD platform. With over three million monthly readers and half a million social media followers, I give you direct access to the doctors and patients who matter most. Whether you need a sponsored article, email…...

23+ hour, 55+ min ago  (598+ words) There is a kind of discipline that develops quietly over time, shaped not by certainty, but by persistence. I often think of it as the Mamba Mentality: a commitment to steady improvement, resilience, and focus on the process rather than…...

1+ day, 1+ hour ago  (326+ words) 1. Hospital ownership drives up health care costs Multiple studies have shown that hospital-owned practices charge significantly more for identical services, with no corresponding improvement in quality or outcomes. While this may increase salary to physicians, these increased costs are borne…...

1+ day, 5+ hour ago  (653+ words) I'd rather be a sex worker than practice medicine in this broken system (and I'm 53, menopausal, and retired from my hot years). Let us compare, shall we? The American health care system: You train for 12 to 15 years, wrack up $300,000+ in…...

1+ week, 1+ day ago  (641+ words) I first learned to respect silence over a chessboard. Two players sit across from one another, the clock ticking audibly, 64 squares holding more possibility than certainty. You arrive, survey the position, and wait. You gather information, recall principles, recognize patterns,…...

1+ day, 9+ hour ago  (710+ words) I cannot recall the first time my name was mispronounced; that is the point. It happened so often that no single moment stands out. The sounds were altered to make them easier. In first grade, a boy loudly said my…...