Dr. Kristine Slam, COSABreast

05/22/2026

If patients ask me what supplements I’m on, this is on the list!
So many potential benefits for perimenopausal and post menopausal women.

05/14/2026

I’m a broken record in the office.
Please take your risk reduction meds, but add walking 150 minutes a week and do 2-3 strength training sessions per week.

Kim Landrum never imagined she would regain her strength after her breast cancer diagnosis.

05/12/2026

This is the best thing about private practice, IMO.
The ability to do what is best for my patients- if it means shifting a schedule to accommodate an urgent surgery, or running an extra office day in a week because many women need biopsies, or operating at a specific ASC because it saves the patient thousands on facility fees.

Patients deserve quick care at the lowest site of cost. Private practice doesn’t solve all of the problems, and we’re far from perfect, but being able to shift in the moment with autonomy to do what’s right by the patient is a huge plus ☺️

You called your doctor and they told you the next opening is in nine months.

It's not a doctor shortage. It's a small-office shortage. And there's a reason nobody at the front desk is allowed to say it out loud.

Fifteen years ago, 75 percent of US physicians were in private practice. Today, only about 25 percent are. The rest have been absorbed into hospitals and corporate health systems. And every door that closes makes the line longer for the rest of us.

Scott Tzorfas, a solo neurologist who has held out for 30 years, joined The Podcast by KevinMD to explain exactly how it happened.

Hospitals get paid two to three times more than independent doctors for the same office visit. For an echo or an MRI, three to five times more. Same physician work, same patient, completely different check, just because of the address on the door.

Then come the prior authorizations. His office spends hour after hour getting basic things approved. Generic headache medicine. Generic medications that did not need approval five years ago. Every MRI he orders. There are commercial insurers in his area that will approve a lumbar spine MRI but refuse a cervical spine MRI, the one that can cause paralysis if missed.

He says a typical small practice now does about 40 prior auths a week, and most of the denials come from algorithms, not from a doctor in his specialty. There is often no human on the other end of the line who can override anything.

This is what physician burnout in private practice actually looks like. It is not drama. It is the slow, deliberate strangling of the small office by paperwork until the doctor sells to a hospital, sells to private equity, or just retires. And then your wait gets longer.

Scott took a different path. He dug in. He runs his practice with his wife. He is busier now than he was 15 years ago because patients keep searching for someone who will actually look at them instead of clicking boxes.

Send this to the family member who is still waiting on a callback from a specialist. Send it to the friend who got denied an MRI last month. Send it to the new doctor in your life who has not yet been told that private practice is even an option.

Listen to the full conversation on The Podcast by KevinMD. Link in the comments.

What is the longest you have ever waited to see a specialist?

05/06/2026

Unfortunately, this is all too common with hospital-owned physician practices. I have been a proudly independent physician for nearly 20 years, and this is one of the primary benefits to patients. 

04/28/2026

Many women hear they have “dense breasts” after a mammogram. But what does that really mean, and why does it matter?

Join our webinar to learn what breast density is, how it is determined, how it can impact cancer detection, and what screening options may be right for you, so you know what to do next with confidence.

Register today: https://bit.ly/4d9r7Ey

04/21/2026

is associated with higher risk for 12 types and accounts for approximately 10% of annual new cancer cases in the US.

Excess adiposity promotes cancer development through inflammation, altered hormone production, disrupted immune function, genomic instability, and gut microbiome changes.

Weight loss interventions, including bariatric surgery and glucagon-like peptide 1 receptor agonists ( -1 RAs), have been linked to modest reductions in obesity-associated cancer risk, although >10% weight loss may be necessary for measurable benefit.

📄 This Review summarizes the primary biological pathways connecting obesity and cancer development.

https://ja.ma/4cVUp9w

04/11/2026

🍋🥗 Learn to Cook for Better Health! 🥗🍋

Join us for Culinary Medicine 101: Foundations, a 6‑week hands‑on cooking series where food meets health. Participants will build essential cooking skills while learning nutrition principles based on the Mediterranean dietary pattern, one of the most researched approaches for lifelong wellness. Register today: https://bit.ly/3HKf9OF

📅 Wednesdays, May 6 – June 10
⏰ 10:30 a.m. – 12:30 p.m.
Attendance at all 6 sessions is required.

04/09/2026

Spring time!!
Time for walks and outdoor activities

Less than half of adults in the U.S. are getting enough exercise, a new CDC report found.

Only 47% of Americans are meeting the recommended 150 minutes of moderate physical activity every week, according to the report. https://abcnews.visitlink.me/2VgPxY

02/20/2026

https://www.insideprecisionmedicine.com/topics/oncology/metastatic-breast-cancer-screening-increases-10-year-survival-from-20-to-60/

A new study shows that even at the most advanced stages of breast cancer, screening can make a major difference in patient outcomes.

02/08/2026

Creatine is gaining swing in the women’s health world for its potential brain and sleep benefits. It is traditionally used for muscular endurance, and for middle-aged women, it might be very important to improve physical activity. I take very few medications, but this is one I have been using for a bit now ☺️

There is emerging interest regarding the potential beneficial effects of creatine supplementation on indices of brain health and function. Creatine supplementation can increase brain creatine stores, which may help explain some of the positive ...