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Most patients called difficult have a reason nobody has asked about. Every chart carries labels, and the labels rarely carry the person. Stella Awua-Larbi is a nephrologist who has practiced in the Chicago suburbs for more than 15 years. This episode is based on her article "The person behind the diagnosis every chart hides," published on KevinMD. You will hear how one young patient, labeled noncompliant and difficult, changed the way she reads a chart, and why a patient days out from surgery refused to walk the hallway. You will hear why she treats social history as seriously as the history of present illness, and how asking why usually takes no extra time at all. You will also hear why she separates ordinary fatigue from disliking the work you do. Press play for the two questions she asks when a patient is labeled noncompliant, and what patients say when someone finally asks. 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 campaign, video interview, or a spot right here on the podcast, I offer the trusted space your brand deserves to be heard. Let's work together to tell your story. PARTNER WITH KEVINMD → https://kevinmd.com/influencer SUBSCRIBE TO THE PODCAST → https://www.kevinmd.com/podcast

A patient with a urinary tract infection calls at 9 p.m. and gets told to call back in the morning. Frustrated patients default to the emergency room instead. Tod Stillson is a family physician, health care entrepreneur, and founder and CEO of ChatRx. This episode is based on his article "Why medicine is late to asynchronous telehealth," published on KevinMD. You will hear why traditional telemedicine did not close this gap, because it is still appointment-based and still synchronous. You will hear how orchestrated AI agents and standing orders can tee up a low-acuity case so the decision itself takes seconds, why he calls that augmented clinical automation rather than autonomous AI, and what happens when he reviews a prescription the next morning and disagrees with it. You will also hear where he draws the line between this and the marketing funnels that route patients to doctors who rubber-stamp prescriptions. Press play for the case he makes for asynchronous care with a physician still in the loop, and the conditions he says never belong there. 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 campaign, video interview, or a spot right here on the podcast, I offer the trusted space your brand deserves to be heard. Let's work together to tell your story. PARTNER WITH KEVINMD → https://kevinmd.com/influencer SUBSCRIBE TO THE PODCAST → https://www.kevinmd.com/podcast

Only 4 in 10 caregivers say a doctor asked how the patient prefers to communicate. The patients who cannot answer often have the most to report. Chris Ross is a speech-language pathologist and school administrator. This episode is based on her article "Communication access is a patient safety issue," published on KevinMD. She spent 35 years giving nonverbal children a way to be understood, then woke from 12 days on ECMO with a tracheostomy and no way to say anything herself. You will hear what she tried when nobody on the unit knew sign language, what a respiratory therapist tore off a Kleenex box to give her, and why she still wonders whether a communication board would have eased her delirium. You will also hear about the chest tightness she could not report, what her hospital now hangs outside every room, and what she wants clinicians to ask a patient who communicates differently. Press play for what a patient on a ventilator is trying to tell you, and the free tool that lets them. 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 campaign, video interview, or a spot right here on the podcast, I offer the trusted space your brand deserves to be heard. Let's work together to tell your story. PARTNER WITH KEVINMD → https://kevinmd.com/influencer SUBSCRIBE TO THE PODCAST → https://www.kevinmd.com/podcast

Gratitude is easy to preach and hard to feel on a bad day. One physician spent a 40-year career learning to practice it on purpose. Scott Abramson is a neurologist and author. This episode is based on his article "A physician's three lessons on gratitude in medicine," published on KevinMD. You will hear the patient in a wheelchair who pointed out that his shoes never wear out, the colleague who still savors every sip of a Coca-Cola because he got one cup a year as a boy in Ghana, and what Paul McCartney's approach to singing Yesterday has to do with explaining the same diagnosis for the thousandth time. You will also hear the tool he calls the positive power of negative thinking, the index card he kept on his office computer, and the sentence his parents' generation repeated about shoes and feet. Press play for three stories that make gratitude feel less like advice and more like something you can practice on your next bad day. 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 campaign, video interview, or a spot right here on the podcast, I offer the trusted space your brand deserves to be heard. Let's work together to tell your story. PARTNER WITH KEVINMD → https://kevinmd.com/influencer SUBSCRIBE TO THE PODCAST → https://www.kevinmd.com/podcast

An emergency physician bought a new iPad and found 53 phone numbers he had forgotten were there. Each one was a family he put on a video call to say goodbye before he intubated their loved one. Howie Mell is an emergency physician with a master's degree in public health. This episode is based on his article "COVID trauma in emergency physicians can surface suddenly," published on KevinMD. You will hear why he says he never wanted to be thanked for the work but did not expect to be attacked over it. He explains why he wants the word burnout retired, what he believes physicians are actually carrying, and why he never expected anyone else to say me too. He also describes what happened when he published the piece and his inbox filled with colleagues telling him their own version. He closes with the three things he tells physicians who have been carrying this in silence, starting with what to call it. 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 campaign, video interview, or a spot right here on the podcast, I offer the trusted space your brand deserves to be heard. Let's work together to tell your story. PARTNER WITH KEVINMD → https://kevinmd.com/influencer SUBSCRIBE TO THE PODCAST → https://www.kevinmd.com/podcast

Your patients can see everything you post. Tali Lando was posting funny videos from her office while two of her young patients lay in the hospital struggling to recover, and it left her torn. She is a pediatric otolaryngologist and airway surgeon. This episode is based on her article "The question doctors on social media should ask first," published on KevinMD. You will hear why she once had to stop posting, what two longtime parents said when she finally asked them directly, and why she calls their answer a selected group rather than a verdict. She explains how a silly video lowers a scared child's fear before an office procedure, how posting pulls her back from burnout, and the three things she tells physicians never to do online. Press play for the question she still has not answered and the limits she sets while she works on it. 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 campaign, video interview, or a spot right here on the podcast, I offer the trusted space your brand deserves to be heard. Let's work together to tell your story. PARTNER WITH KEVINMD → https://kevinmd.com/influencer SUBSCRIBE TO THE PODCAST → https://www.kevinmd.com/podcast

The lab says the potassium is critically low. You walk in, and the patient looks completely fine. Duane Penshorn is an emergency physician and author. This episode is based on his article "Automation bias is the new medical error," published on KevinMD. He explains that automation bias got its name from studies of airline pilots, who had seen an alert be correct so many times that they stopped checking whether this one was. You will hear why point-of-care machines never answer "I don't know," and why most errors trace to how the sample was handled rather than to the machine. One clumped platelet count sent a child to the hospital for nothing. He is direct about the fix. If the number does not fit the patient in front of you, order it again, and say so out loud to the radiologist when the scan does not fit either. If you have ever scanned a result for the red flags and moved on, this conversation will make you look twice. 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 campaign, video interview, or a spot right here on the podcast, I offer the trusted space your brand deserves to be heard. Let's work together to tell your story. PARTNER WITH KEVINMD → https://kevinmd.com/influencer SUBSCRIBE TO THE PODCAST → https://www.kevinmd.com/podcast

A man is dying. He cannot speak, and no one in his life can say what he would have wanted. Kirsten Engel is a palliative medicine physician, and Medha Tripathi is a health writer and incoming Fulbright research scholar. This episode is based on their article "Guardianship and hospice care fail dying patients," published on KevinMD. They explain what happens when a patient has no family and no health care proxy, and a court appoints a guardian who has never met them. A move to comfort measures then needs a court date that can take weeks, while the hospital works in hours and days. Estimates range from 5 to 25 percent of intensive care patients with no family member or proxy. You will hear what helps now: your state's rules, hospital social workers and ethics committees trained for them, and a proxy named long before anyone needs one. If you have never named one, this conversation explains who decides in your place, and what has to change so the decision comes in time. 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 campaign, video interview, or a spot right here on the podcast, I offer the trusted space your brand deserves to be heard. Let's work together to tell your story. PARTNER WITH KEVINMD → https://kevinmd.com/influencer SUBSCRIBE TO THE PODCAST → https://www.kevinmd.com/podcast

Someone you love says they are fine. They still eat, they still go to work, and no one asks a second time. Nneka Oluoha is an internal medicine physician and the author of a novel about a Nigerian immigrant living with depression. This episode is based on her article "The signs of depression a husband almost missed," published on KevinMD. She explains why depression is an illness the entire family carries, and why the people around someone are left with challenges of their own. You will hear why she believes therapy belongs to men and to children, and where the pressure to look strong begins. She found the same stigma in the United States that she grew up around in Nigeria. Her answer is not complicated: more honest conversations, and a willingness to sit and listen when someone cannot say what is wrong. If someone close to you keeps insisting nothing is wrong, this conversation will change what you listen for. 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 campaign, video interview, or a spot right here on the podcast, I offer the trusted space your brand deserves to be heard. Let's work together to tell your story. PARTNER WITH KEVINMD → https://kevinmd.com/influencer SUBSCRIBE TO THE PODCAST → https://www.kevinmd.com/podcast

A young mother arrived in the intensive care unit sick but improving. Overnight, her care was handed to a telemedicine physician on a video screen. By morning she was beyond saving. Keith Corl is an emergency and critical care medicine physician who has worked in more than 40 community hospitals. This episode is based on his article "Why tele-critical care fails the sickest ICU patients," published on KevinMD. You will hear how remote ICU coverage works in practice, why a physician who beams in arrives without the context that builds at the bedside, and what a split physical exam misses. He walks through the sign-out math behind covering dozens of beds across multiple hospitals. He explains why the 2024 TELESCOPE trial found no reduction in mortality or length of stay, and why the older studies hospitals cite tested adding remote physicians rather than replacing bedside ones. Press play to hear what remote coverage costs the sickest patients, and the standard he says physicians and patients should insist on. 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 campaign, video interview, or a spot right here on the podcast, I offer the trusted space your brand deserves to be heard. Let's work together to tell your story. PARTNER WITH KEVINMD → https://kevinmd.com/influencer SUBSCRIBE TO THE PODCAST → https://www.kevinmd.com/podcast

A trauma surgeon spent two decades on call for the worst nights of other people's lives. Then he ran his hospital's pandemic response. Then he could not function. Jeremy Heffner is a trauma surgeon, speaker, and author. This episode is based on his article "Why frontline health care workers get no mental support," published on KevinMD. You will hear how compartmentalizing one case after another works until it does not, and why he was told the system had nothing for him until he was in acute crisis. He describes what he learned about how a board treats a physician who asks for help voluntarily, and the therapy that finally let him talk about a case he had blocked out for years. He explains why untreated trauma often shows up as anger that colleagues read as a character problem. Press play for a direct account of what frontline exposure did to one surgeon, and what he thinks health care owes the people working its front line. 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 campaign, video interview, or a spot right here on the podcast, I offer the trusted space your brand deserves to be heard. Let's work together to tell your story. PARTNER WITH KEVINMD → https://kevinmd.com/influencer SUBSCRIBE TO THE PODCAST → https://www.kevinmd.com/podcast

A patient in intensive care gets worse at 2 a.m., and the hospital has no critical care doctor in the building. Chris Gallagher, a cardiologist and founder of Access TeleCare, has spent 15 years building virtual care programs inside hospitals, and he explains why that gap is so hard to close. This episode is based on his article "Why tele-critical care deserves expansion, not retreat," published on KevinMD. You will hear why the technology can never be allowed to fail, why training doctors to build trust through a screen is its own skill, and how a team-based approach let his group manage cardiac arrests with the doctor not in the hospital. He walks through the hybrid staffing hospitals are using now, with nurse practitioners at the bedside and physicians on video, and answers the charge that telemedicine is a cost-cutting move. He is also direct about the limits of the current evidence. Press play to hear what separates virtual critical care done right from done wrong. 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 campaign, video interview, or a spot right here on the podcast, I offer the trusted space your brand deserves to be heard. Let's work together to tell your story. PARTNER WITH KEVINMD → https://kevinmd.com/influencer SUBSCRIBE TO THE PODCAST → https://www.kevinmd.com/podcast

Women physicians are walking away from practice in their forties, and not because they stopped loving the work. Dawn Sears is a gastroenterologist of 25 years and the founder of GutGirlMD Consulting, where she coaches physicians and runs Women in Medicine groups. This episode is based on her article "10 ways to keep women physicians from leaving," published on KevinMD. You will hear why the job asks women to carry patient care, child rearing, and elder care at the same time, how the patient portal routes them 25 percent more messages than male physicians in the same practice, and what has genuinely improved over the last decade. Dawn walks through fixes she has watched work, from half call and half weekends for the first six months after a baby to a handful of extra days off for screenings and staff support to triage the inbox. She also shows you how to ask, using a hostage negotiator's playbook and the reframe that brings a skeptical colleague back to the table. 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 campaign, video interview, or a spot right here on the podcast, I offer the trusted space your brand deserves to be heard. Let's work together to tell your story. PARTNER WITH KEVINMD → https://kevinmd.com/influencer SUBSCRIBE TO THE PODCAST → https://www.kevinmd.com/podcast

Medical training hands you a ready-made group of friends. Then it ends, and many women physicians find themselves starting over alone in a new city. Cassie Burton Greenbaum is a pediatric critical care physician and the founder of Off Service Mom Co., a friendship matchmaking service for physician moms. This episode is based on her article "Physician loneliness is driving women out of medicine," published on KevinMD. You will hear why friendships get harder to build once you are the attending, and how a schedule with no pattern to it pulls you away from everyone who works ordinary hours. She explains how chronic loneliness turns into burnout and lost career satisfaction, and how the shame around the word lonely keeps physicians from ever saying it out loud. She describes the six-week pilot she ran with 20 physician moms and what made the matches work. Press play for the specific moves she recommends, starting with the reason that waiting until you feel less busy never works. This episode is brought to you by ModMed. Welcome to your new AI-Powered Practice from ModMed. We're transforming specialty care by embedding AI Assistants across your entire workflow. Our all-in-one platform of EHR, patient engagement, practice management, and RCM helps reduce repetitive work while keeping you firmly in control. Trained on de-identified data from nearly a billion patient encounters, this isn't just smarter software. It's a new way of working for specialty medicine, more efficient and more connected to the patient experience. Start building your AI-Powered Practice at modmed.com. VISIT SPONSOR → https://www.modmed.com/ SUBSCRIBE TO THE PODCAST → https://www.kevinmd.com/podcast

Fear of AI is not the problem. Refusing to test it is. Eric Jennings, a board-certified, fellowship-trained ophthalmologist and the senior medical director of ophthalmology at ModMed, argues that hesitancy about AI is a protective clinical instinct, and that the right response is the one physicians are already trained to use: appraise it the way you would appraise a new drug or a new procedure. You will hear the line he draws between cautious skepticism, which asks to see the validation data, and paralysis, which demands a guarantee no technology can give. Eric explains how to read a vendor's training set the way you would read the N on a clinical trial, using the pneumonia algorithm that scored about 93 percent in the lab and then failed in clinic because it had learned to recognize portable X-ray machines rather than pneumonia. He lays out the guardrails to put in place on week one of a pilot, the human and technical signs that a practice moved too fast, and why the administrative side of the office, not the chart, is the safest place to start. This episode is brought to you by ModMed. Find out more at modmed.com. Press play to hear why he believes AI will arrive as an integrated ecosystem rather than one more bolted-on tool, and why the doctors who use it will replace the doctors who refuse it. VISIT SPONSOR → https://www.modmed.com/ SUBSCRIBE TO THE PODCAST → https://www.kevinmd.com/podcast