The effects of the nationwide stimulant shortage on a private psychiatry practice

Meds
February 8, 2023

I have a solo outpatient private practice focusing on psychiatric medication management and brief therapy for adults. Early on, I decided to accept insurance to help address the shortage of psychiatrists in this country. Because of the advances in telemedicine since the pandemic, I can see patients throughout the state where I am licensed. This should be the happiest time in my career. After several years of working as an …

Read more…

The hidden toll of racism in medicine: a doctor’s perspective

Physician
February 8, 2023

It felt like a monumental moment when I started my career in medicine. I grew up largely on the borderline of poverty; my parents lived check to check with my sister and me. Neither of them had gotten a college education, and they sacrificed much of their lives to support my ambitions. So to see their son realize his dream was a proud moment for them. But as a Hispanic …

Read more…

Leading through burnout: How health care executives can address burnout in the workplace [PODCAST]

Podcast
February 7, 2023
YouTube video

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

In this episode, we welcome Nicola F. De Paul, a clinical psychologist and health systems leadership consultant. Together, we dive into the topic of burnout among health care leaders. The COVID-19 pandemic has put immense stress on …

Read more…

How physicians can use writing to share their expertise and impact the lives of others

Physician
February 7, 2023

Oh, the stories we hold.

As physicians, we sit in the front row for many defining events in a person’s life. In our offices and hospitals, we bear witness: to whispered fears, hopeful moments, trauma unfolding, death, birth, and life events we could not make up. Whether that is a privilege or a burden depends on the instance or the telling.

And only one person can tell your story.

Many have …

Read more…

Geriatric foot care 101: How shoes can help reduce the risk of falls

Conditions
February 7, 2023

If you did not know all that I know about feet, you would think geriatricians (doctors for patients 65+ years old) have a foot fetish. We are obsessed with feet, but in a good way. You see, feet play a big role in balance and preventing falls. We really care about our elder patients’ health, which is why we care about what our patients wear. Falls kill, and if one …

Read more…

Say “no” to APNO and say “yes” to breastfeeding medicine

Conditions
February 7, 2023

It is common to get some nipple discomfort at the start of breastfeeding. Babies and moms are learning how to do this new skill, and sometimes they just don’t get it right, and nipple damage can occur. If caught and adjusted early, this can clear up quickly, but in the meantime, women can have cracks, bleeding, and extreme sensitivity to their nipples.

All-purpose nipple ointment – otherwise known as APNO – …

Read more…

When a loved one is a patient: Navigating the emotional burden for physicians

Physician
February 7, 2023

It can be uniquely difficult as a physician when your loved one needs medical care, and you can’t help them in the way you would like.

Many feelings arise (failure, anger, anxiety, frustration) and the sense that you are letting them down.

As with anything, speaking about the commonality of an experience and normalizing it can help us generate self-compassion, a useful emotion that does not readily come to most …

Read more…

How an eye for detail can save lives [PODCAST]

Podcast
February 6, 2023
YouTube video

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

In this episode, we talk to Claire Unis. She reflects on her experiences as a pediatrician and how small moments of contentment and satisfaction, like seeing a healthy baby or a budding tree, led her to realize …

Read more…

The solution to Canadian physicians’ administrative burdens: Invest in human resources

Physician
February 6, 2023

“Be the change you want to see in the world.”
– Gandhi

In Canada, the vast majority of physicians are part of the public health system. One of the biggest complaints among these physicians is the administrative burden they face, including filling out forms for insurance companies, workers’ compensation boards, and the government. This problem is not new, and despite decades of complaints, little has been done to reduce the burden on …

Read more…

A Father’s Day golf game to remember

Physician
February 6, 2023

It started with an early morning drive to the golf course on the day before Father’s Day.  It was a beautiful spring day in the Southwest, and the Man had it all to himself.  However, the second half of the day would belong to others — his wife, his kids, his house, and his job.  He was hoping for a quick 18 requiring no mental gymnastics beyond that of a …

Read more…

The silencing of gun violence research: a decades-long campaign

Policy
February 6, 2023

Violence, in particular, firearm violence, has been a specter of American culture for decades, and its impact on public health has been shrouded in the shadows for nearly as long, thanks to political lobbying by gun manufacturers. An NPR article entitled “How The NRA Worked To Stifle Gun Violence Research,” published in April 2018, provides some history on the topic. A short summary? The Dickey Amendment, passed in 1996, …

Read more…

Improving the physician-nurse relationship: insider tips from a physician advisor [PODCAST]

Podcast
February 5, 2023
YouTube video

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

In this episode, we dive into the physician-nurse relationship and explore the different communication styles and preferences of physicians. Our guest, Ronald Hirsch, is a medical director for case management at a community hospital and shares his …

Read more…

ADVERTISEMENT

Why North American medical cannabis can’t compete globally

Meds
February 5, 2023

The United States and Canada started a movement that began as medical cannabis and quickly exploded into adult-use cannabis markets. However, the North American operators failed to properly regulate the processes from growing to manufacturing to compete in a global pharmaceutical-level market. Europe has taken the lead as the heavy-weight producer of truly medical-grade pharmaceutical cannabis flowers and products. Notably, many operators in the U.S. and Canada claim to produce …

Read more…

The dark side of medicine: How the profession can become an emotionally and psychologically manipulative relationship

Physician
February 5, 2023

To the quiet physician who keeps her head down and powers through her days while secretly calculating the ratio of BS-to-be-tolerated versus time-to-retirement:

I have some tough love for you.

You are in a toxic relationship.

How do I know? I’ll let you in on my secret: I was in a psychologically and emotionally manipulative marriage for over twenty years.

At the start of our relationship, I felt blissfully lucky …

Read more…

Investing in real estate syndications: Is it right for you? [PODCAST]

Podcast
February 4, 2023
YouTube video

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

In this episode, we are joined by Harry Nima Zegarra, a critical care physician, as we dive into the world of real estate syndications. This type of group investment, where several people come together to acquire a …

Read more…

A heartbreaking yet heartwarming story of a pediatric neurology resident’s struggle and empathy

Physician
February 4, 2023

The pager beeps early on the first day of my inpatient pediatric neurology service week. The pediatric intensive care unit (PICU) would like us to perform a brain death examination on a young boy before potential organ donation. An apparently healthy boy who had an unexpected clinical course that led to his current state.

As a pediatric neurology resident, I often have difficult conversations with our patients and families, but the …

Read more…

The rise of at-home STI testing: a solution to America’s growing problem or a risky gamble?

Conditions
February 4, 2023

In 2021, I spent the year before starting medical school calling and counseling the patients of a busy urban emergency department on the results of their sexually transmitted infection (STI) tests.

“What exactly is gonorrhea?” some would ask. “Is there a cure?”

“No one ever taught me about this,” one older gentleman lamented when we discussed using condoms to prevent the transmission of infection.

Stories like his reflect our society’s hesitancy to discuss …

Read more…

612
pages