Postpartum depression or psychosis: Understanding the reality behind Lindsay Clancy’s story

Conditions
February 2, 2023

The recent case of Lindsay Clancy has weighed heavily on my heart over the past several days. According to her husband, she was a young mother who was suffering from postpartum depression or psychosis and receiving treatment in an intensive outpatient program. She allegedly took her children’s lives and tried to end her own life.

The DSM 5-TR nomenclature for this condition is peripartum onset, referring to mood onset during pregnancy …

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A cardiac arrest is a tragedy. Multiple cardiac arrests are a moral injury.

Physician
February 2, 2023

On January 2, 2023, Buffalo Bills Safety Damar Hamlin collapsed secondary to cardiac arrest on live television, horrifying millions of Americans. We saw broadcasters, fans, players, and reporters crying on live TV as they watched the psychological trauma of a resuscitation. “No one should ever have to witness this” was a common refrain during the broadcast. For that one night, America was privy to what thousands of health care workers …

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7 ways to help your doctor help you: a guide to improving your health care experience

Physician
February 2, 2023

Surveys show that people are pretty unhappy with the state of health care in the United States these days. Insurance is way too expensive, and co-pays and cost-sharing are out of control, with patients paying the bulk of office visits out of their own pockets. Staffing shortages mean fewer people answer phones, and finding a primary care doctor open to new patients is darn near impossible in my neck …

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How to speak “Southern” in the ER

Physician
February 2, 2023

While one could say I was born in the South, I had to move a lot closer to the Mississippi to find that my Southern California momma and daddy had left certain nuances of expressive gentility untouched in the process of raising me right. Northwest Arkansas, where we’ve come to settle, may not be considered the Deep South, but you certainly can hear it from here.

One good place to do …

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Hospitals at a breaking point: Lack of staff and resources leave ERs in chaos

Physician
February 2, 2023

I recently worked an evening shift in the emergency department the day before New Year’s Eve. Patients arrived in waves, by car and by ambulance. They seemed to check into the triage area every few minutes. When I left at midnight, there were 23 patients awaiting admission in the ER waiting for four, six, 12 or more hours — some for a full day.

Simultaneously, there were about 20 waiting to …

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Navigating the health care system as a chronic patient and physician [PODCAST]

Podcast
February 1, 2023
YouTube video

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In this episode, we talk to Holly MacKenna, an integrative psychiatrist, about her experience as a chronic patient in the health care system. Holly shares how emotional and overwhelming the process was, and how she was able …

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The short-term rental tax loophole: a game-changer for physicians

Finance
February 1, 2023

Tax benefits are one of the primary reasons many doctors invest in real estate. The U.S. government incentivizes real estate ownership as it is considered starting a business, which creates jobs and increases tax revenue. One way to achieve significant tax savings is by becoming a real estate professional, but this is impossible for those working full-time. An alternative option for these individuals is short-term rental properties.

A short-term rental (STR) …

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Breaking the burnout: How health care leaders can support physician well-being

Physician
February 1, 2023

Recently I was scrolling through posts from a physician leadership Facebook group. I came upon one that caught my eye. It said something like, “Does anyone have information I can share with my radiologists to show them the impact of working through lunch?”

I was happy to see a post that focused on physician well-being. A leader who cares enough and wants her physicians to take a break. And then …

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From science nerd to accomplished ballroom dancer: my story as a hospitalist

Physician
February 1, 2023

“Life is about taking chances, trying new things, having fun, making mistakes, and learning from them.”
– Anonymous

Early journey as a science nerd

In high school, science was my thing. I wasn’t like the others. I wasn’t interested in teenage drama. The boys didn’t chase me, and I didn’t chase them. I was that nerd; I was committed to science. My love for science drew me to a degree in biology which …

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Pain management beyond prescription pills [PODCAST]

Podcast
January 31, 2023
YouTube video

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In this episode, we welcome Cindy Perlin, a licensed clinical social worker and chronic pain survivor, to discuss the ongoing issue of prescription painkiller abuse and the dangers of relying on medication to treat pain. Research shows …

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The dark side of celebrity medicine

Physician
January 31, 2023

Sharon Stone has publicly said that medical professionals missed a large fibroid tumor. This followed a prior incident where she reported that she was given larger breast implants without her knowledge while undergoing reconstruction surgery. We all know that Michael Jackson was killed by his personal doctor, who failed to monitor him while he was given Propofol (an anesthetic that is never used at home). Dr. Murray was on the …

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The dark side of cannabis: increased risk of psychosis

Conditions
January 31, 2023

Psychosis is a broad term that describes a change in the perception of reality. It can be caused by various conditions, including metabolic, psychiatric, neurologic, genetic, and other medical conditions, as well as licit and illicit substances, particularly cannabis. The Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5) states that abnormalities define these disorders in one or more of the following five domains: delusions, hallucinations, disorganized thinking (speech), …

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Be a prepared physician: laceration repair kits for your home, vacation home, and cars

Sponsored
January 31, 2023
YouTube video

This article is sponsored by Prepared Physician laceration repair kits. Sourced from U.S. suppliers, they are hospital-grade, disposable, sterile, and complete.

As a physician, I know all too well the feeling of being caught off guard when a loved one comes to us with a laceration. We have the skills to repair it, but often don’t have the supplies …

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Why skipping your colonoscopy could be a deadly mistake

Conditions
January 31, 2023

I have to respond to and correct the recent article and podcast about a doctor having his first colonoscopy in his late 60s without anesthesia. There were multiple factual errors and misstatements by the doctor author, which may well dissuade doctors and laypeople from colonoscopies in the future.

First, he notes the reason he’s thus far not had a colonoscopy: he has no family history, and he’s athletic and overall …

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A physician’s journey with COVID-19: reflections on mental coping mechanisms and seeking care [PODCAST]

Podcast
January 30, 2023
YouTube video

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

In this episode, we hear from Alen Voskanian, a palliative care physician, who shares his personal experience with COVID-19. Dr. Voskanian reflects on the mental coping mechanisms he used to try and understand how he contracted the …

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Infertility: Navigating the challenges of IVF and the importance of self-advocacy

Conditions
January 30, 2023

I have undergone numerous IVF cycles. It is a heart-wrenching experience. Infertility is a pain that is difficult to describe unless personally experienced. I have never truly known heartbreak until the failure of IVF embryo transfers. Three preimplantation genetically tested normal embryos failed to implant, and knowing my three perfect embabies (embryos that were transferred but not implanted) will not be in my arms still hurt my heart. It took …

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Why are so many physicians quitting medicine? The real reasons revealed.

Physician
January 30, 2023

It is well-recognized that there is a large number of physicians leaving medicine or preparing to do so. This is not to be debated!

Many physicians are retiring due to age, and others have accepted early retirement as their best option with the current state of health care. Beyond those retiring, it is concerning how many young physicians are leaving medicine and no longer want to stay in the current health …

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Patients’ hilarious comebacks: a doctor’s perspective

Physician
January 30, 2023

I’ve had the opportunity to interact with a wide variety of patients. Along the way, I’ve heard some pretty memorable and interesting things. I thought it might be fun to share a few of my favorites.

One of the most common things I hear from my older patients is something like, “Doc, it’s just hell getting old!” Our standard response is usually …

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The isolation of the COVID ICU: the need for patient advocates

Conditions
January 30, 2023

The COVID ICU is abuzz with monitors beeping and doctors and nurses rushing from bed to bed to care for critically ill patients, most on ventilators. The machines – dialysis, vents, pumps – sound off their rhythmic repetitions; breaths are pushed in and pulled out, and meds are dripped. Only the patients themselves are silent. We know this, and we hear this, but we are not there. It’s thhe height …

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