Giving my cell phone number to a patient. Is that what doctors should do?

Check out my new post on the pros and cons of doctors giving out their cell phone numbers up today on kevinmd. http://www.kevinmd.com/blog/2013/10/share-direct-contact-information-patients.html

Our Words Leave The Most Lasting Impression

My variously named post – “The Weight of Words” or “Our Words Leave The Most Lasting Impression” is now up at kevinmd.com. Check it out at http://www.kevinmd.com/blog/2013/10/words-leave-lasting-impression.html

The Weight of Words

“Sticks and stones can break my bones, but words can never harm me.”  I learned this saying when I came to America, but before that, I learned a different story.  A wood cutter got lost in the forest, it was getting dark and cold.  He met a bear, who offered him to come to his … Continue reading

Mad Women

I spent today, Saturday, in the hospital playing doctor, while my physician husband took our three kids to a birthday party at Chuck-E-Cheese.  Though I generally dread working on weekends, my work today was more satisfying than my prior experiences at Chuck-E-Cheese have been, and in the context of the recent swirl of leaning-in and opting-out, I should … Continue reading

Pre-existing Condition

“I didn’t have the sleep study that you recommended,” he says.  I wait.  “I went for the consultation.  She said that looking at me (30 year young fit man), I don’t fit the stereotype for sleep apnea, but talking to me, she thinks I have it and I should have the study.” I tell him … Continue reading

On Smoking and Death

“I don’t want to quit smoking,” my patient says with her face firmly set.  I’m taken aback. “I don’t think that’s true,” I say,” you just told me you quit, then you started again because your brother and grandson died in the past few months and you’re struggling with the loss.  I don’t think it’s … Continue reading

Rural Americans’ Healthcare SLC Tribune Editorial links

Here’s the link to my SLC Tribune Piece Sunday, June 9, 2013 Below are the links that were embedded in the piece. …..healthcare cost..is a major factor, but for many, geography correlates far more with what kind of care they get than health insurance status. …. While on vacation near what the guide book asterisk … Continue reading

Gorilla Glue and Heartbreak

“My friend said to tell you everything when I come,” she says as she opens a little zippered bag full of flakes. “My teeth are falling out and I can’t afford a dentist, so I use Gorilla Glue to glue back the pieces,” she says. She was referred to me for severe asthma, but she … Continue reading

Hubris

“I think he’s just anxious about it,” the medical student told me a few sentences into the presentation.  His patient had had a spontaneous pneumothorax, a leak of air between the lung and chest wall, a few years ago, and now he had some uncomfortable feeling and was worried about a recurrence.  I hadn’t heard the full story … Continue reading

Slow Medicine

Time heals all wounds, they say, or, in medicine, if not all, then many.  But with our improved efficiency and throughput of patients, we fail to allow this most magical treatment to work.  The pace and intensity of medicine has increased exponentially over the past several decades.  We see more doctors, have more procedures, take … Continue reading