“As we know, diabetes is a comorbidity that can cause more severe symptoms in COVID-positive patients. This knowledge, along with the sense that diabetes is overwhelming the entire body, can quickly deplete a patient’s reserve of positive energy. Despite all their best efforts, diabetes is a disease that can …
Diabetes impacts the whole body, but the foot can’t be forgotten [PODCAST]
Since the spring of 2020, COVID-19 has disrupted our social and economic order. One of the unraveling consequences of the historic changes wrought by the pandemic is the grossly uneven gendered and racialized nature of those shouldering the burden. Across all labor and occupational sectors, frontline workers and essential service providers have become sacrificial beasts of burden. They range from retail store employees, waiters, transit providers, farmworkers, meat packers, delivery …
We need improved policies, not platitudes, for racialized and gendered frontline workers
A guest column by the American Society of Anesthesiologists, exclusive to KevinMD.
“Diversity is being invited to the party. Inclusion is being asked to dance.”
– Verna Myers, diversity advocate
Fostering a culture of diversity and inclusivity in health care professional organizations is important for many reasons, and thus should be a priority. First and foremost, …
Acknowledging and mitigating unconscious bias in health care
Trigger warning: This article discusses suicidal ideation. Please use your best judgment in reading. I am sharing my journey with caution in hopes that my reflection will help others, and I invite you to continue shall you feel it’s a safe and appropriate time for you to join in this discussion.
I am no stranger to existential crises. The moments where I realize my mortality and have a mild panic about …
Contemplating death taught me how to live
“Setting boundaries can look like setting a time limit for patient appointments, availability for email responses, the number of shifts worked this month. You can set boundaries by saying ‘no’ to low compensation, setting a time limit on conversations with friends, setting a limit on our after-hours availability for work-related …
Why boundaries should be part of your 2022 physician goals [PODCAST]
It starts with an invocation. A prayer. A plea for redemption. This is how the Sabbath Town Halls, Sufi Naqshbandi, and Bahá’í community gatherings begin and end.
Around the world, communities of faith are much more than a sanctuary. They provide a space for healing and hope. As religious exemptions, hesitation, and resistance for vaccinations and public health policies have taken on a new fervor, the critical role of faith-based institutions in supporting …
How faith-based dialogue can support vaccine acceptance
“Gimme five,” the TV doctor said to his little patient as he entered the exam room. As I watched this scene in an evening TV program, I was reminded of one of my pediatric practice’s most gratifying stories, which happened over 20 years ago.
Before the days of cellphones, the internet, and social media, I had become the local expert on support groups. After realizing how what I learned from support …
Support groups are life-changing for many patients
Each day I am inundated with reminders of why doctors are leaving clinical practice. My peers are exhausted by pandemic patients and pandemic controversies. They feel unappreciated and overworked doing what was originally their passion. Many feel they are part of an industrial machine, turning out widgets in the form of patient visits or procedures. They want to leave. Should I? Wouldn’t it be easier to be a dog-walker, park …
A neurosurgeon finds another reason to stay in clinical practice
“Remember the things that we’ve discussed as the majority of people are broke. And just because your friends are showing off the ‘stuff’ things they buy doesn’t mean they can actually afford them.
Once you realize that everybody in the world is after your money, the quicker you know how …
How not to be a broke doctor [PODCAST]
Someone once described war as: “Long periods of boredom punctuated by moments of sheer terror.”
Similar to flying: “Hours and hours of sheer boredom punctuated by moments of stark panic.”
My life is like that: Fairly mundane, routine and predictable — until it isn’t.
Near where I work is a sandwich shop. I have walked to it, but usually, under some time constraint, I drive. I have taken to getting a large sandwich, …
Finding joy in my forgetfulness
I started planning my escape in late 2020. I would find a way to quit health care, to cease being a practicing physician altogether. Living the life of a doctor-mom, I felt consumed with daily obligations and duties.
Guilt plagued me for feeling burdened by this life, for feeling it was a monotonous prison. The guilt soon transformed to anger. I was not showing up to my life in a meaningful …
Cities and urban environments tend to have large gaps in health care accessibility and correspondent health care disparities. Despite the existence of localized public health infrastructure, such infrastructure tends to be fragmented and cannot fully encompass the level of nuance within its patient population as a result. As such, health care inequities are cyclically perpetuated in part through discontinuous health systems. Smarter, patient-centric approaches are needed to move the needle …
Inhaler nonadherence and social determinants of health
“There’s a new best practice emerging, one that lets you deliver a high standard of care today but that well-prepares you for a shift to value. We’ve been talking about it throughout this article series in terms of doing more with less and making the system work for you: it’s …
Opportunities from the coding changes in primary care [PODCAST]
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The stress and hardship of the ongoing pandemic caused an increase in the number of adults, teens, and children who have sought mental health care recently. More than 23 million American adults received mental health care last year and the American Academy of Pediatrics, the Children’s Hospital Association, and the American Academy of Child and Adolescent Psychiatry warned of a mental health crisis among children and adolescents.
Of course, the need …
Is it time to find a new mental health provider?
As the latest pandemic wave seems to be easing, I am again thinking about traveling. I love to travel on vacation. A staycation can be nice, especially if there’s a lot to do around the home, whether that’s working on my home (decluttering and organizing anyone?) or just getting all the little things done that I usually don’t make time for. A break from working, but still at home.
Those homestay …
How physicians can restore themselves on vacation
An excerpt from Preserving Brain Health in a Toxic Age: New Insights from Neuroscience, Integrative Medicine, and Public Health.
When my wife and I visited Salzburg Austria a few years ago, we stayed in a small boutique hotel formerly part of the Saint Sebastian monastery. In its famous church courtyard cemetery are buried both Mozart’s wife and his father, …
Paracelsus and the birth of toxicology
“It is hard to understand and communicate the uncertainty that comes with evolving science, the changing recommendations as we learn more, the vaccine that didn’t do all that was initially promised. It has become even harder with the erosion of trust and civility.
Back to the poop. It stinks. It’s not …
Pandemic behaviors, dog poop, and the social contract [PODCAST]
On December 14th, 2021, hospital CEOs met under the guise of The Transformative CEO Healthcare Summit to brainstorm novel ideas in health care and to create “a new world ecosystem.” Themes included how to utilize medical data, how technology can transform health care and expanding at-home delivery systems of care.
Leaders in health care met just weeks before hospital admissions skyrocketed to an all-time high of Read more…
Are hospital CEOs responding to the realities of health care?
I am so tired. Not in the usual “hard day at work,” but in a “deep-in-my-soul” tired. I am exhausted.
I am heading into my third year as system medical director, where I lead a system-wide palliative medicine program in rural health.
As in many rural systems, we have issues with broad geographic spread coupled with lower population density and limited resources.
But for those of us working in rural health, there is …
Granny Rachel, my husband’s mother, was an old country soul. She was a simple lady who loved the Lord.
She accepted me with open arms when my own parents turned their backs on me.
Granny Rachel made the best sweet tea and the best homemade vegetable soup with cornbread and gave unconditional love to all.
She totaled two of her cars twice. Her son would check on her and found multiple candles lit …
How do we explain the end-of-life rally?
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