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As we get older and the world changes, it’s not always an easy task to say “where”

Conditions

August 25, 2022

“Where does it hurt?”

As a child, I can remember this ubiquitous question being frequently asked of me. Having grown up on a farm, there was always some trouble for me to get into. A common hazard was my older sister’s 26-inch bicycle, which had no training wheels.

At age 5, if I was to be a “big kid,” I had to master the art of riding the “big” bike on our …

When medicine surrenders to the body

Eleanor Tanno, MD

Physician

August 25, 2022

I still get chills thinking about the moment I decided to go to medical school. I was bored in my college physiology class, watching the minute hand on the round lecture hall clock.

There were just a few minutes remaining in the class, and students were starting to pack up. The professor, Dr. Adams, said, “I want to talk about hemorrhage before you go.” His voice was getting lost in the …

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When medicine surrenders to the body

Improving communication requires tough soft skill development

Beth Boynton, RN, MS, CP

Conditions

August 25, 2022

If we are going to take on the challenge of improving communication and related behavior, a.k.a. “soft” skills among health care professionals, we should be realistic. As nurses, doctors, and other health care professionals, we are keenly aware of how difficult changing behavior can be. We see it daily in our patients’ efforts regarding healthy choices and lifestyles. For example, it can be hard to lose weight, exercise regularly, or …

Who gets to go to medical school?

Heidi Chumley, MD, MBA

Education

August 25, 2022

I knew I wanted to be a doctor when I was seven years old. I excelled in school, attended a good college, scored well on the MCAT, and was accepted into medical school just as I always knew I would be. It was only as I progressed in my career as a physician that I realized that being a white, middle-class individual had given me an advantage—I had access that …

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Who gets to go to medical school?

Why you need to care about oral health [PODCAST]

The Podcast by KevinMD

Podcast

August 24, 2022

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“Guess what? The mouth is attached to the rest of the body. And though dentistry and medicine are typically separated from the very beginning of professional training, they are irrevocably linked for patients and have an impact …

Putting on the mask of professionalism causes burnout

Chelsea Turgeon, MD

Physician

August 24, 2022

In medical school, we are not just taught the scientific information that doctors should know, we are also taught how doctors should look and behave.

I remember being shown a video on “professionalism” during our first day of orientation. It was meant to be humorous, demonstrating more extreme examples of dress code and behavioral violations.

Medical students walk into exam rooms with their bra straps hanging out.

Smacking on gum and blowing bubbles …

Releasing survivor’s guilt

Jillian Rigert, MD, DMD

Physician

August 24, 2022

Wednesday, August 10, 2016. You called to check-in. You knew I was struggling.

Months before, I shared with you that I developed suicidal ideation and was not sure I should continue residency. The forced sleeplessness and self-doubt were getting to me.

Did I deserve to be a surgical resident? I felt worthless.

I was so damn tired.

You knew I was afraid to leave the surgery and what that would mean for my military …

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Releasing survivor’s guilt

Withdrawing life-sustaining treatment over family objections

Thaddeus Mason Pope, JD, PhD

Conditions

August 24, 2022

“We can keep your loved one alive. but we won’t. Even though you think their life is worth living, we do not.”

The first time I helped a hospital convey this type of offensive message to a patient’s family, it deeply humbled me. My service on a hospital medical appropriateness review committee forged charitable respect for alternative viewpoints that now pervades my work to protect patient rights.

Hospital review committees adjudicate medical …

When should you consider surgery for scoliosis?

Hoag Memorial Hospital Presbyterian

Conditions

August 24, 2022

Most people with scoliosis will never require surgery. But who does need surgery, and how do you know?

Often diagnosed in childhood, scoliosis is characterized by an abnormal curve in the spine that can range from as small as 10 degrees to more than 100 degrees. In pediatric patients, this can result in pulmonary problems if the curve is severe.

However, pediatric patients’ complaints are mostly centered around their appearance due to …

Contract advice for physicians leaving the military [PODCAST]

The Podcast by KevinMD

Podcast

August 23, 2022

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“Military physicians should also realize that not all employers are equal or treat their physicians equally.

Military physicians entering the civilian job market are in a ‘seller’s market.’ They should get a reasonable employment agreement. It is important …

Advancing health equity conversations through cultural humility

Sylk Sotto-Santiago, EdD, MBA and Erik Fernández y García, MD, MPH

Policy

August 23, 2022

In 1998, Drs. Tervalon and Murray-Garcia created the concept of “cultural humility” as a way to transcend the prevailing but limiting concept of cultural competence in teaching medical students and trainees how to respectfully deliver health care to the increasingly diverse populations of the U.S. The cultural competence paradigm leads health care professionals to assign patient group traits or labels. On the other hand, cultural humility incorporates a lifelong commitment …

How hearing is connected to well-being

Amy Sarow, AuD

Conditions

August 23, 2022

As an audiologist, treating hearing loss is a part of my everyday life. Even still, I’m sometimes amazed at the difference hearing aids can make in patients’ lives. For example, recently, when an older patient with longstanding hearing loss was fitted with a pair of hearing aids, he was suddenly able to participate in conversation with his son again. The smile across his face said everything.

Hearing well can slow cognitive …

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How hearing is connected to well-being

Management of acute postoperative pain reveals systemic flaws in health care policy

Ross Zbar, MD

Physician

August 23, 2022

Medical care in the United States is broken. The pandemic contributed, but we were well along this misdirected journey. There is a pathological push/pull between financial pressures applied by payors and health care systems to decrease costs, thereby generating profits versus the desire of providers to deliver outstanding care to patients. This is ingrained into our system as it is designed. The dynamic is further muddled by our unique medicolegal …

Melting the iron triangle: health equity in innovative health care landscapes [PODCAST]

The Podcast by KevinMD

Podcast

August 22, 2022

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“While the technological boom in the health care field is not a circumstance of the pandemic, the accelerated roll-out and adoption of digital features certainly are. And rapid innovation in the health care technology field is not …

Let’s address the needs of millions of students with sensory processing disorders

Lisa Yeh, MD

Conditions

August 22, 2022

As public and private schools around the country gear up for opening their doors to in-person learning later this month, it is important to acknowledge and accommodate the millions of children who deal with sensory processing disorders.

An estimated 5 to 16 percent of school-aged children have difficulties processing the senses either by overreacting or underreacting to sensory information. This includes not only the five senses of touch, …

Patients who are openly skeptical of a physician’s science-backed advice

Anonymous

Physician

August 22, 2022

I’ve just passed the 15-year milestone of practicing family medicine in a small farm town in the Midwest. Knowing my patients and their multi-generational families deeply and enjoying their trust is a major part of my job satisfaction.

Unfortunately, the last two years have put a serious dent in both the trust and the satisfaction.

No one ever takes all the advice their physician gives them, at least in my experience. Until …

Keep us safe: Stop the violence against health care workers

Sara Mirza, MD

Physician

August 22, 2022

Violence against health care workers has escalated to unprecedented levels in the last decade. The pandemic seems to have accelerated outbursts against health care providers online, in print, and in person.

A man from Tulsa, Oklahoma, recently angry over back pain, killed his surgeon and other health care workers before ending his own life.

Many health care workers report they are used to working in environments that are …

Non-judgmental empathy in the exam room [PODCAST]

The Podcast by KevinMD

Podcast

August 21, 2022

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

“I think we all have an inclination—at least from time to time—to judge others. No matter how experienced, compassionate, and professional we are as physicians, we’re still human. I can admit that I have indeed struggled with …

Not a cheater? Let’s count the ways.

Joel Block, PhD

Conditions

August 21, 2022

Sexual infidelity is the headline grabber when most people think about betrayals in love relationships. But, everyday breaches of trust slide under the radar and can erode even the strongest of relationships.

A small lie about a purchase, a slight exaggeration about a job promotion, a cover-up about a forgotten birthday—each takes a bite out of trust and is a form of cheating. Most of us are disappointed by a love …

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Not a cheater? Let’s count the ways.

Controlling physician behavior

Charles Sharp, MD

Physician

August 21, 2022

Some years ago, I had the privilege of serving as chief of staff of my community hospital. One of my responsibilities was to review complaints directed at doctors. Ten to twenty “occurrence reports” came across my desk every week. Most were from nurses who felt doctors had unfairly reproached them.

Hospitals are required by their deeming organizations — ours is The Joint Commission (TJC) — to adjudicate each item with due …

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Controlling physician behavior