The secret to staying alert during night shifts: coffee naps and more

Conditions
April 17, 2023

Working night shifts in health care, particularly emergency medicine, requires maintaining alertness and focus during extended hours. I’ve experienced firsthand the challenges and risks associated with sleep deprivation, including a frightening incident when I fell asleep while driving after a long stretch of night shifts. Fortunately, nothing serious occurred, but it highlighted the importance of staying alert. One potential solution gaining popularity …

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The sacred work of a quality doctor: lessons in contemplative medicine

Physician
April 17, 2023

This past year I was fortunate to begin a fellowship in contemplative medicine at the New York Zen Center for Contemplative Care. Maybe this isn’t the extra-curricular activity you would expect from an orthopedic trauma specialist. Since I entered medical school almost 30 years ago, this has been the most rewarding experience by far.

Why? We all know our system is broken, but its brokenness goes beyond the “for-profits, occasionally also …

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Start your own locums agency today: a step-by-step guide

Physician
April 17, 2023

Are you tired of being an employed physician or working for a staffing agency? Are you tired of being one of their many minions? Are you indeed ready to be your own boss? Are you ready to make some serious money? If so, then it’s time you start your own locums agency!

Are you tired of the bureaucracy and lack of respect from administrators? Are you frustrated by the lack of …

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The battle for authorship: humanity vs. AI

Tech
April 17, 2023

It has long been known that humans are scared of ghosts. So, it’s not surprising that humanity is getting scared of artificial intelligence. Too much has already been written about this fear. Here, it’s worth writing about one specific fear: the fear of sharing credits when artificial intelligence is “writing” for humanity and yet remaining the ghost despite the obvious after reading such write-ups. The question is, why is humanity …

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How strong leadership revives faltering health care cultures [PODCAST]

Podcast
April 16, 2023
YouTube video

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In this episode, we are joined by Robert Allan Bear, a physician and health care consultant, to explore the challenges of maintaining strong organizational cultures in health care systems. Robert delves into the impact of pre-pandemic stress …

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Surviving infidelity: a story of strength and hope

Conditions
April 16, 2023

I was sitting alone in a rundown trailer in the woods, surrounded by five acres of trees that crowded the blue sky. I had 60 aminophylline pills in my hand, hoping they would end my life. As an asthmatic, I believed that this was the best way to escape my problems, and no one would ever find me in this remote location.

My husband and I had moved to this place …

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The insurance denial process: one oncologist’s fight against a broken system

Physician
April 16, 2023

It is 4:15 p.m. in my clinic, and I’m running an hour behind.

One of my morning patients arrived acutely ill and thus required more of my time and attention than the schedule allotted for. Accordingly, every patient after that has ended up waiting for me. And, as I’m a cancer physician, each of them requires—and deserves—all my time and energy. There are no “easy” visits here.

By the end of the …

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From addiction to exclusion: a physician’s struggle for redemption

Physician
April 16, 2023

Many consequences can happen to a physician who has faced the disease of addiction. One of the worst is to be placed on the Office of the Inspector General (OIG) exclusion list, which prohibits billing for both Medicare and Medicaid. During my hydrocodone addiction, I diverted the medication by writing prescriptions to my patients, who would bring the pills back to me for my use. I was charged with a …

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April 16th is National Healthcare Decisions Day: Plan for your end-of-life care now

Physician
April 16, 2023

When COVID killed thousands of seniors three years ago, few of them showed up in emergency rooms with advance directives. Even fewer thought about the end of life or how to die. Sadly, many lives were discarded in makeshift morgues/cooling trucks behind hospitals. It’s never too early to plan for the next pandemic, retirement, and the end of life.

On April 16, 2023, National Healthcare Decisions Day, take a moment and …

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Fighting for life: inside an emergency room during a medical crisis

Conditions
April 16, 2023

The emergency room was bustling with activity as the medical staff worked to stabilize the patient, who was lying unconscious on a hospital bed. His wife sat anxiously by his side, tears streaming down her face.

It wasn’t the first time 70-year-old Mr. Smith had been to the emergency room. His past medical history included high blood pressure and cholesterol, but his non-compliant attitude towards medication had put him at risk. …

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Healing the healer: How physicians can overcome the struggle of caring [PODCAST]

Podcast
April 15, 2023
YouTube video

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Join us in this insightful podcast episode as we welcome Karen Leitner, an internal medicine-pediatrics physician and life coach, to discuss the unique challenges physicians face when their loved ones need medical care. Karen shares her personal …

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Why weight loss drugs are not the answer to obesity

Conditions
April 15, 2023

Drugs that cause weight to melt away sound more tempting than chocolate cake, but weight loss drugs won’t cure obesity. And that’s OK, because obesity isn’t a disease to be cured. Obesity is just a risk factor for more important risk factors. Fat people are more likely to have high blood pressure, high cholesterol, and diabetes, conditions that can increase the risk of heart attacks and strokes – but it’s …

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An anesthesiologist’s story: Going beyond the protocol to save a life

Physician
April 15, 2023

I was waiting for my son at the ice rink in one of Chicago’s northern suburbs. Hundreds of people had gathered to watch the Illinois State Championship games. A parent, who knew I was an anesthesiologist, grabbed me by the elbow and said, “Hey, Doc, someone in the lobby is not feeling well.”

I went to the lobby, where I saw my firefighter friend performing chest compressions (CPR) on an older …

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The true value and power of respect is too often undervalued

Conditions
April 15, 2023

Everyone recognizes that respect is essential in critical relationships with colleagues, patients, their families, and others. So why should the topic deserve closer scrutiny?

Seven Ways to Fix Policing NOW: Building Trust, Authentic Partnerships, and Safe Communities was authored by Kathleen O’Toole and my colleague Robert Peirce. They describe why a Chicago detective had such an exceptional gift for handling even the most fraught situations.

He explained that “everyone was born a …

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Professional creep in medicine challenged by AI: How ChatGPT is revolutionizing medical diagnosis

Tech
April 15, 2023

Professional “creep” refers to the phenomenon where the responsibilities and expectations of a particular profession gradually expand beyond their original scope and begins to overlap with other professions. This can occur due to various factors, such as technological changes, societal expectations shifts, and personal and financial gains. Professional creep can be both positive and negative.

Goodbye, WebMD … and hello, ChatGPT!

As physicians, we are accustomed to hearing from our patients about …

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The rise and dark side of fungi: Exploring health benefits and pathogenic threats

Meds
April 15, 2023

Fungi have a well-deserved surge in popularity. More mushroom varieties have found their way to grocery store shelves, shopping lists, and food blogs. Mushroom foraging is a trending activity as people endeavor to connect to nature. There is a growing market of mushroom coffee shops touting health-related boosts and “medicinal fungi” being sold as herbal teas and supplements. Innovative products have hit the market, from …

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Physician and nursing shortages: How AI can help [PODCAST]

Podcast
April 14, 2023
YouTube video

Subscribe to The Podcast by KevinMD. Catch up on old episodes!

In this episode, we talk with Harvey Castro, a physician and health care consultant, about how artificial intelligence (AI) can help tackle the physician and nursing shortages in the United States. We discuss the contributing factors behind …

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Rural America’s health care crisis: Unmasking the physician shortage epidemic

Physician
April 14, 2023

Data published in 2021 by the Association of American Medical Colleges estimates that the U.S. could experience a shortage of 37,800 to 124,000 physicians by 2033. Rural America is struggling, as the majority of graduate training facilities are disproportionately located in metropolitan areas. This geographic imbalance directs doctors and residents away from already underserved and marginalized populations, leading to poorer health care access and increased morbidity and mortality rates. …

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The invisible epidemic: How physician burnout is affecting the medical community

Physician
April 14, 2023

Physicians dedicate their lives to the well-being of their patients, often neglecting their mental health in the process. The demanding nature of their profession, coupled with long hours, emotional exhaustion, and immense responsibility, can result in physician burnout, depression, anxiety, and even suicide. In this article, we will discuss the importance of mental health and self-care for physicians and provide some actionable …

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Why physicians are losing autonomy

Physician
April 14, 2023

There are difficult issues confronting physicians generally, regardless of whether they are primary care physicians or specialists or employed or in private practice. The list is long and growing as more and more requirements, costs, mandates, and regulations are being inflicted in an environment of decreasing compensation. All of these lend to the rapidly lost freedom and autonomy for a medical profession where these are foundational.

It seems clear that the …

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