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From compassionate care to corporate medicine: Physicians speak out

Jason E. Liebowitz, MD, Kenneth M. Prager, MD, and Wendy Dean, MD

Physician

November 5, 2023

Four years ago, I (JEL) had just finished a fellowship and was elated to start my dream job in a physician-owned and operated group practice. The doctors in the group were tight-knit supporters of each other and the local community. Right away, I began building meaningful relationships with the patients and colleagues that I thought would be with me for decades. But without warning, in year two, the group’s senior …

Exploring psychedelic therapies [PODCAST]

The Podcast by KevinMD

Podcast

November 4, 2023

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

Join Thaís Salles Araujo, an internal medicine resident. Discover the potential benefits, challenges, and the need for greater awareness and education in integrating these therapies into modern medicine. Gain insights into the evolving landscape of patient care, with a …

A surgeon without health care

Adil Shahzad Ahmed, MD

Physician

November 4, 2023

I’m squished in an unnaturally upright seat. My elbows slowly develop pressure sores atop rigid armrests, with my wife on one side and a semi-uncomfortable stranger on the other. I stare at my lopsided gray tray table, sporting a Styrofoam cup of lukewarm coffee, the chalice special of Sky Chefs. My ears have become one with the perpetual background hum of engines, a prelude to the impending orchestra of jet …

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A surgeon without health care

Not all physicians are nice

Dennis Hursh, Esq

Policy

November 4, 2023

I have been representing physicians for over 40 years, and the vast majority of the people I work with are genuinely nice. Overworked, stressed, sometimes distracted – yes, but most physicians entered the profession because they were sincerely concerned about people and wanted to help. Medicine can be a truly thankless job, and the vast majority of physicians don’t pursue it solely for the money.

Unfortunately, this characterization of physicians is …

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Not all physicians are nice

Rising nurse practitioner burnout: charting and work-life balance

Erica Dorn, FNP

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 …

Exploring changing definitions of addiction [PODCAST]

The Podcast by KevinMD

Podcast

November 3, 2023

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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 …

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

Josh Schwarzbaum, MD, MBA

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 …

Can ketamine and SSRIs offer a complete depression treatment?

L. Joseph Parker, MD

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 …

The “little voice” physician burnout survey

Dike Drummond, MD

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 …

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

Darryn Potosky, MD

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 – …

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

The Podcast by KevinMD

Podcast

November 2, 2023

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

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 …

Overcoming health challenges: one patient’s story

Becky Purkaple, MD

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 …

Hit pause before embarking on a health guru’s protocol

Kara Wada, MD

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 …

Medicine has become the new McDonald’s of health care

Arthur Lazarus, MD, MBA

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 …

Overcoming depression: a medical resident’s journey

Anonymous

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 …

Maternal mortality disparities [PODCAST]

The Podcast by KevinMD

Podcast

November 1, 2023

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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 …

It’s time for burnout to become a quality metric

Trina E. Dorrah, MD

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 …

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

Harvey Castro, MD, MBA

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 …

Gaza’s medical crisis

Tammy Abughnaim, MD and Emily Hacker, MPH

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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Gaza’s medical crisis

From immigrant to pediatrician: a midlife transformation

Sogol Pahlavan, MD

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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