Rising nurse practitioner burnout: charting and work-life balance

Conditions
November 4, 2023

Nurse practitioner (NP) burnout is at an all-time high. Many nurse practitioners (and health care providers in general) are struggling right now, feeling mentally, physically, and emotionally exhausted. Many are contemplating leaving health care altogether. The factors contributing to nurse practitioner burnout are multifactorial, stemming from various personal and work-related causes. However, for APRNs, there is a leading cause of burnout.

Signs and symptoms of nurse practitioner burnout:

Before we delve into …

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Exploring changing definitions of addiction [PODCAST]

Podcast
November 3, 2023
YouTube video

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Join L. Joseph Parker, a research physician, as we delve into the evolving definitions of addiction, particularly in the context of chronic pain management. Explore the historical shifts in diagnostic criteria, the challenges faced by chronic pain …

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We all make mistakes. Don’t let them define you.

Physician
November 3, 2023

We are human and we all make mistakes. It’s an inherent part of our nature. It’s easy to get caught up in the belief that our mistakes define us or determine our worth; however, this couldn’t be further from the truth.

As physicians, mistakes often serve as the uninvited guests in our otherwise meticulously planned professional lives. Yet, it is crucial to recognize that these errors are not stamps of incompetence …

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Can ketamine and SSRIs offer a complete depression treatment?

Meds
November 3, 2023

We have a problem with current recommendations for depression treatment. Thirty-five percent of patients will not go into remission or get any relief at all from SSRIs and SNRIs. And even when it does work, it takes about six weeks to start having an effect.

The prevailing theory was that serotonin, abbreviated 5-HT, was the “satisfaction” neurotransmitter. Just as dopamine has been considered the pleasure neurotransmitter. Using selective serotonin reuptake inhibitors …

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The “little voice” physician burnout survey

Physician
November 3, 2023

If your conscious mind is asking, “Is this what burnout feels like?” your little voice already has the answer.

One of the things physicians ask me on our coaching discovery call is whether or not I think they are burned out.

They want a second opinion from a fellow doctor. That’s a natural instinct, and yet, my opinion is completely irrelevant in the arc of their life as a physician.

What matters is …

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The critical link between America’s obesity epidemic and the liver

Conditions
November 3, 2023

Obesity has undeniably become the top health issue of our time, with its prevalence and impact on our bodies making headlines across health care and popular media.

This isn’t merely a matter of carrying extra pounds; it’s about the multitude of serious health complications that come in its wake. The conversation around obesity often gravitates towards heart disease, diabetes, and certain cancers.

Still, another critical aspect frequently slips under the radar – …

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Communication in health care: lessons from a standardized patient [PODCAST]

Podcast
November 2, 2023
YouTube video

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Join Esther Covington, a professional standardized patient. Esther shares her firsthand experiences, shedding light on the critical role communication, empathy, and assumptions play in medical education. We delve into the impact of assumptions on patient care, the …

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Overcoming health challenges: one patient’s story

Conditions
November 2, 2023

The patient was a typical one in my primary care practice, and for those of you in my field, one familiar to you as well. Jim, as we will call him, was a middle-aged, obese male with a history of hypertension, hyperlipidemia, and diabetes, whose most concerning medical problem was his long history of noncompliance. He came in once a year for the physical his company required but otherwise ignored …

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Hit pause before embarking on a health guru’s protocol

Physician
November 2, 2023

In today’s age, it’s common to encounter a myriad of protocols, often promoted by celebrity doctors or health gurus, each promising solutions for various health concerns, from thyroid and adrenal issues to immune system and gut health. But what exactly is a protocol in this context? It is essentially a set of guidelines or rules designed to address specific health issues or optimize well-being. These protocols often come with dietary …

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Medicine has become the new McDonald’s of health care

Policy
November 2, 2023

I was having a conversation with a colleague about a state-funded Medicaid managed care organization (MCO). She told me that the mental health performance measures used by the state to evaluate the MCO were all “placement and provider issues,” such as the amount of time children spent sleeping on the floors of social services offices or languishing in emergency departments (ED) before they were transferred for treatment or placed into …

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Overcoming depression: a medical resident’s journey

Physician
November 2, 2023

How did I get here? Heading to the highest place I can find, in contemplation of jumping and falling to my death. I had always feared death before this point, but now it seemed the only logical solution. I seemed to have it all going my way. So why would a medical resident in a coveted training program in one of the most beautiful parts of the country, with a …

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Maternal mortality disparities [PODCAST]

Podcast
November 1, 2023
YouTube video

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We are joined by Bayo Curry-Winchell, a family physician, as we delve into the alarming maternal mortality crisis among Black women in the U.S. Join us as we discuss the complex factors contributing to this issue, the …

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It’s time for burnout to become a quality metric

Physician
November 1, 2023

I completed a fellowship in quality improvement, making quality metrics an integral part of my career for the past 15 years.

At times, these metrics can be frustrating, especially when reimbursement is tied to constantly shifting targets.

Yet, health systems invest hundreds of thousands of dollars in order to improve quality metrics because Medicare mandates it.

This led me to contemplate:

What if Medicare included burnout as a quality metric?

What if health systems were …

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Navigating the AI revolution in medicine: from liability and technicalities to ethics and policy

Tech
November 1, 2023

The current landscape of AI in medicine. Integrating artificial intelligence (AI) into health care is a complex yet transformative journey. As AI becomes increasingly indispensable, the medical community faces a paradigm shift—from being accountable for using AI to potentially being liable for not using it. In this article, we will explore the multifaceted implications of AI in medicine, from technical aspects to …

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Gaza’s medical crisis

Physician
November 1, 2023

On October 11th, cardiopulmonary resuscitation was performed on the lifeless body of paramedic Hatem Awad as he was rushed through an ambulance bay in Gaza. Awad and his colleagues from the Palestinian Red Crescent had just been given the green light to head into eastern Gaza to assist victims of airstrikes, not knowing they would become victims themselves.

On October 17th, surgeon Dr. Ghassan Abu Sittah stood in the ruins of …

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From immigrant to pediatrician: a midlife transformation

Physician
November 1, 2023

I was born in Tehran, Iran. I immigrated to the U.S., specifically Houston, Texas, at the age of 10. I completed my undergraduate degree, medical school, and pediatric training, all in Texas. I consider myself a Houstonian. I am a board-certified pediatrician. Additionally, I am an entrepreneur, co-founder, and managing partner at ABC Pediatric Clinic in East Houston, serving the low-income Hispanic community. I have an amazing and supportive husband …

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Menopause and chronic disease [PODCAST]

Podcast
October 31, 2023
YouTube video

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Join Susan J. Baumgaertel, an internal medicine physician. In this conversation, we dive into her book, The Menopause Menu, as Susan sheds light on navigating the complex intersection of menopause and chronic diseases.

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The alarming problem for rural medicine

Policy
October 31, 2023

Have you ever wondered what it’s like to have a heart attack? Or maybe you’ve had one. What about that same heart attack on a single-lane, pitted road flanked by cornfields on both sides, two hours from the nearest city? This is the reality for rural Americans, and it becomes more extreme by the day. Rural hospitals are sometimes the only tertiary care centers for hundreds of miles, and they’re …

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Cannabis compounds in fracture pain relief and healing

Meds
October 31, 2023

In a recent study published in the Journal of Bone and Mineral Research, it was found that two compounds found in cannabis, cannabidiol, and cannabigerol, may not just ease the pain of fractures but also speed up fracture healing. The study, titled “Cannabidiol (CBD) and Cannabigerol (CBG), Nonpsychotropic Cannabinoids, as Analgesics that Effectively Manage Bone Fracture Pain and Promote Healing in Mice,” is …

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What does the term “doctor” mean, who can use it, and does it matter?

Physician
October 31, 2023

From the Oxford Dictionary: Doctor.

a qualified practitioner of medicine; a physician. (a number of synonyms are listed, including “quack”)

a person who holds a doctorate.

Increasingly, non-physicians are using the term “doctor.” Clearly, a doctorate degree allows the holder to use that term semantically, contextual puffery or not. Nurses can obtain a doctorate degree through a rigorous peer-reviewed process of study. PhDs in various fields likewise. All MDs are doctors. Not all …

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