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Post-Roe, miscarriage is more dangerous

Physician

July 23, 2022

If guilt were an Olympic sport, mothers would win every medal. We worry we should have prevented our children’s problems or might have even caused them. Mothers tiptoe through a minefield of complex personal, family, and societal expectations that no one escapes unscathed.

As an OB/GYN resident, I sought extra training to care for mothers experiencing miscarriage and stillbirth. Miscarriage occurs in 1 in 4 pregnancies due to early genetic Read more…

Post-Roe, miscarriage is more dangerous

A gastric bypass might help some people bypass cancer

Hoag Memorial Hospital Presbyterian

Conditions

July 23, 2022

In an exciting recent study, researchers found that for adults with obesity, weight loss through bariatric surgery lowered their risk of cancer by 35% and reduced their risk of cancer-related death by 43%. This was true of both gastric bypass and gastric sleeve surgeries, and the results were observed ten years after patients’ procedures.

This is great news for people who have seen weight-loss success through bariatric surgery. The study …

Patient platforms should be intuitive in design and execution [PODCAST]

The Podcast by KevinMD

Podcast

July 22, 2022

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“Communication is both the sending and receiving of information. Data is as difficult to receive and act upon as the ingredients of a meal because much work is left to be done. Information is palatable, actionable, and leads to measurable results in the …

Why are women leaving medicine? Gaslighting.

Dawn Sears, MD

Physician

July 22, 2022

Not a week goes by that I don’t have a conversation with an amazingly successful women physician who states: “I’m thinking of quitting.” They are succeeding in all their goals: leadership, family, practice improvement, the highest level of patient care, contributing meaningful research and/or teaching, and even getting some homemade muffins or a bottle of cherry wine from patients on occasion.

Why would someone in this situation feel so dissatisfied to …

How doctors should organize

Drea Burbank, MD

Physician

July 22, 2022

Eric Topol wrote an excellent op-ed in the New Yorker titled “Why Doctors Should Organize.” I’m going to spell out exactly how they should organize.

Doctors should form a nationwide class-action lawsuit against the major EHR companies for cognitive repetitive-strain injury. They can easily prove lost wages and mental strain from technical debt in the software interfaces they are being forced to use.

They should demand …

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How doctors should organize

A cancer patient’s last wish

Farhan S. Imran, MD

Physician

July 22, 2022

It’s not a good feeling when you cannot do too much for your patient as a doctor. That’s how I felt when I walked into the room to see Valerie for the first time.

She was in her 60’s. She was flanked by her two adult granddaughters, who were very close to their grandma. You could tell that at some point in her life when she was younger, she may have …

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A cancer patient’s last wish

Fibromyalgia is not a trash can diagnosis [PODCAST]

The Podcast by KevinMD

Podcast

July 21, 2022

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“How would you like to see your career slip away from you as you gradually become less and less able to sleep, to rest, to feel awake, to feel like your memory is failing you, to be taking pills every night on call …

Nothing is sacred: Changing CPR algorithms can be a rude awakening

David A. Goodkin, MD

Conditions

July 21, 2022

It always makes my heart sink when the CPR guidelines change.

In 1980 I became a provider of advanced cardiovascular life support (ACLS) as certified by the American Heart Association. This was a great move. Through my internship and the many years that followed, it proved comforting to know that I would act decisively and with confidence in the setting of a cardiorespiratory arrest. The ACLS course dictated dogmatic protocols – …

How our sickest patients mirror the political divisions of our country

Rabia Rafi Razi, MD, MPH

Policy

July 21, 2022

I was on service as the attending physician recently, and it struck me how closely our sickest patients in the intensive care setting mirror the political mires of our country.

Usually, when I’m on service, it’s an all-consuming matter, with little time for media and external affairs. However, this time it was different: history in the making with a Supreme Court decision that eviscerated a woman’s right to choose, to care …

Destigmatize burnout and let those facing pain in silence know they are not alone

Anthony Avellino, MD, MBA

Physician

July 21, 2022

An excerpt from Finding Purpose: A Neurosurgeon’s Journey of Hope and Healing.

Each year, almost 400 physicians die by suicide. Reading that sentence should be enough to give anyone who has dedicated their life to helping and saving others cause for concern.

From the perspective of …

A child psychiatrist on Sarah Silverman’s The Bedwetter

Suzanne Garfinkle, MD

Physician

July 21, 2022

As a child psychiatrist, it was such a pleasure to see a play about a child who suffers psychologically and finds a way to heal that does not require an epic quest, a magical ability, becoming a princess, or even fixing the problem itself.

Sarah Silverman’s delightfully witty, dirty, and wordy musical, The Bedwetter, which ends its run today, features a spunky and irreverent 10-year-old girl with typical tween issues. A …

Don’t give up on intermittent fasting just yet [PODCAST]

The Podcast by KevinMD

Podcast

July 20, 2022

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“So don’t give up your eating window just yet! The good question I am hoping researchers will answer next: who loses the most weight? Is it the human who eats three meals and no snacks that include protein, fiber, and healthy fats, or …

An event, judgment, and reaction framework

Vitaliy Katsenelson

Finance

July 20, 2022

An excerpt from Soul in the Game: The Art of a Meaningful Life.

A rental car counter clerk had the audacity to tell me that the SUV I ordered was not available and I could only have a minivan. (I know, I can feel your blood boiling, too.) In …

The claims data dilemma: 4 things to consider

Martin Lustick, MD

Policy

July 20, 2022

I recently met with leaders of provider organizations representing a range of specialties and geographies. One of the themes that came through loud and clear was their ongoing struggle to obtain claims data from their payers. As providers continue their efforts to navigate alternative payment models (APM), their need for global claims data becomes a more pressing issue.

Why claims data is important to providers

Many providers are still in a position …

Why doctors are increasingly investing in real estate

Naheed Ali, MD, PhD

Finance

July 20, 2022

With many health care systems around the world an elaborate mess, real estate can be an efficient strategy for doctors to ensure their financial future after retirement. They can benefit from long-term appreciation and tax breaks by investing in real estate.

As economies and technologies continue to evolve, many physicians have started buying real estate for investment purposes. Some doctors choose to invest their money in real estate to diversify their …

A bullied medical assistant’s tragic story [PODCAST]

The Podcast by KevinMD

Podcast

July 19, 2022

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“Today, I’d like to tell you the story of one who was exemplary. He was never late to work. He never came in and insisted on finishing his breakfast at his desk before rooming our first patient. He was so personable that they …

The “golden consult” revisited

Arthur Lazarus, MD, MBA

Physician

July 19, 2022

For years, scholars have thought the perfect surgery consult was impossible. Comedic ophthalmologist Will Flanary, a.k.a. Dr. Glaucomflecken, characterizes the golden consult as one in which the surgeon is not consulted too soon — because the patient is not sick enough to require his or her services — and one in which the surgeon is not consulted too late, or else …

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The “golden consult” revisited

It’s time to invest in trauma-informed ACEs interventions

Vida Sandoval

Policy

July 19, 2022

Last year, I witnessed the extreme consequences of untreated childhood trauma as a medical trainee rotating through multiple safety-net hospitals in Los Angeles County.

I helped care for children who arrived in our emergency departments after multiple suicide attempts due to trouble in the home. Some children confided in me about their parents’ struggle with untreated substance use or mental illness and how witnessing these conditions deeply affected them.

Other children were …

Chaos and order: the simulated context

Carlo Mahfouz

Tech

July 19, 2022

An excerpt from Reality Check: In Pursuit of the Right Questions.

I was on the floor of the International Meeting on Simulation in Healthcare conference when I heard screaming in the near distance. I turned toward it and saw some people gathering and others running. It sounded like an …

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Chaos and order: the simulated context

Why a nurse should not go to jail [PODCAST]

The Podcast by KevinMD

Podcast

July 18, 2022

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“From a place of personal accountability and commitment to system improvement, RaDonda Vaught’s conduct in the aftermath of this tragic event has been exemplary. She told what she knew, as soon as she knew it, to any stakeholder, for any purpose in hopes …

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