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Doctors as organizational stewards

Physician

May 31, 2022

COVID-19 melted down the world at a very inopportune time in history. Just as medicine was getting a handle on previously intractable conditions, from sophisticated diabetes management to less invasive surgical procedures, a new threat that devastates our population with few good treatments overwhelms health care.

Medical workers come to the rescue, as we always do, though at a personal and communal price. Somebody else keeps our food available, allows our …

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Doctors as organizational stewards

Why is it hard to find grace in medicine? [PODCAST]

The Podcast by KevinMD

Podcast

May 30, 2022

“We can talk about the system-based approaches we have instituted to avoid burnout and the negative emotional consequences that arise from medical errors, miscommunication, or negative outcomes that occur outside our sphere of control: Just culture. Peer review. Physician health and wellness committees. Social events. CMEs about burnout. Burnout surveys. State-run …

Warehouses for the elderly?

Gerald P. Corcoran, MD

Physician

May 30, 2022

Bringing in the mail recently, I was pleased to see a thick 5-by-7-inch booklet among the catalogs and bills. The anticipation of reading a few Reader’s Digest short stories and “Humor in Uniform” made the evening seem pleasurable. But when I opened the 244-page Reader’s Digest-sized booklet, I found the “Senior’s Blue Book for Greater Boston.” Here was page after page of assisted living communities, retirement communities, skilled nursing facilities, …

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Warehouses for the elderly?

Death and Dvořák

Daniel Song, MD

Education

May 30, 2022

Dvořák Symphony No. 9 in E minor (“From the New World”) – Movement II ‘Largo’: a soundscape like floating beside the clouds in a perfect blue sky. The brass chords flood your ears. The underlying orchestra adds harmonic depth and richness. The English horn solo tugs at heartstrings, sighing at the end of each phrase.

After years spent in numerous youth symphonic orchestras, this performance stands out to me among an …

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Death and Dvořák

Burnout is a spiritual crisis

Diana Londoño, MD

Physician

May 30, 2022

On my second year-long round of burnout, I lay in bed at night as I festered in my negativity, thinking to myself, “What am I good at, what do I like to do, what am I supposed to be doing?” Little did I realize this was a spiritual crisis.

After almost 15 years as a urologist, I wondered, “What else can I do? What am I supposed to be doing because …

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Burnout is a spiritual crisis

How to maintain your relationships during nursing school [PODCAST]

The Podcast by KevinMD

Podcast

May 29, 2022

“Maintaining a relationship during nursing school takes some effort. Your time is taken up by studying, classes, clinicals and labs. Oh, did I mention studying? At the end of the day, there is just not much time left for significant others. Now, I am referring to romantic relationships here, but the …

To scribe or not to scribe? That is the question.

Janet Tamaren, MD

Physician

May 29, 2022

By this title, I mean whether it is a good idea or not to hire a scribe to enter data into the electronic medical record (EMR) system.

I favor having a scribe. I came of age with paper charts, and I found the transition to EMR tricky and time-consuming.

My chief argument favoring scribes is that scribes can save doctors a lot of time. And by saving time, scribes can also help …

A call to dismantle structural heteronormative care

Naila Russell, DNP, FNP-BC

Policy

May 29, 2022

“That is a very heteronormative lens.”

These words were uttered to me by a 23-year-old female patient as I explained i-PLEDGE and the steps she must complete to take oral isotretinoin.

The visit started as fairly routine. A young female presented with a complaint of acne. I quickly appraised the patient on entering. She was petite, with a blonde pixie cut. She wore clothes that …

Reproductive and abortion care is health care

Susan Mann, MD and Haywood L. Brown, MD

Physician

May 29, 2022

It is getting very crowded in my exam room. As a practicing obstetrician, I have counseled women for more than the past 36 years and our conversations have always been private. Suddenly, for the first time in 50 years, judges and politicians are vying to join me in these intimate moments that can involve the life or death of the mother. This is impossible for me to comprehend or accept.

The …

A physician mom’s take on telemedicine

Sabari L. Sundarraj, MD

Physician

May 29, 2022

I know most of us have started adapting to the new way of life in our practice. However, some of us are still skeptical. I’m hoping to reach out to the skeptical ones among us.

The reason I say that is I was in your shoes as I started my career in a brick-and-mortar practice. In 2017 when my twins were born and after a short parental leave, I returned to …

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A physician mom’s take on telemedicine

Why Congress should extend acute care at home waivers [PODCAST]

The Podcast by KevinMD

Podcast

May 28, 2022

“More studies are needed to fully understand the impact of in-home hospital care programs on quality and cost. Extending the waivers will give physicians, health systems, health services researchers, and policymakers the opportunity to further analyze these programs’ results to determine the future for this person-centered care model.

The movement from inpatient …

These wounds will never heal

Anonymous

Conditions

May 28, 2022

May is National Stroke Awareness Month, and I want to share my story of my dad’s journey after his strokes.

Doors open and shut during the early morning hours. I hear the drip dispensing the next dose and some muffled chatter outside the room. Several phones are ringing in all directions, and I listen to alarms going off next door. This means the heart rate is too high.

Snoring beside me, I …

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These wounds will never heal

Combating antimicrobial resistance during COVID: What clinicians need to know

Anne Meneghetti, MD

Conditions

May 28, 2022

While the world has spent the last two years laser-focused on the COVID pandemic, another public health threat is still lurking in the shadows: the rise of antibiotic-resistant bacteria. Antimicrobial resistance (AMR) has been recognized since the early 1900s, yet rigorous research over the past decade has illuminated the magnitude of the threat and its implications for future infection control. More than 35 thousand patients die from antibacterial resistance every …

A physician returns to creativity

Michelle Corbier, MD

Physician

May 28, 2022

Medicine as art appealed to me as a child. Working with families to achieve a state of health was an admirable goal—if naïve. I only went to the physician for immunizations and obligatory school physicals during childhood. My mom employed home remedies and time if I became ill, which fortunately worked.

I had no concept of what a career in medicine involved. Over twenty-five years, I explored every avenue available to …

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A physician returns to creativity

Health care communications during the pandemic era [PODCAST]

The Podcast by KevinMD

Podcast

May 27, 2022

“At the interpersonal level, people can help to normalize vaccination as the standard among their friends and family–not by lecturing or hectoring, simply by openly sharing that they themselves are vaccinated. Health care providers also have a role to play in de-sensationalizing the issue and making discussions about COVID vaccination a more routine …

Depp v. Heard and uncovering the truth about intimate partner violence

Renée Sorrentino, MD and Susan Hatters Friedman, MD

Conditions

May 27, 2022

On April 12, 2022, Day One of the Johnny Depp v. Amber Heard civil defamation trial began. In the days that have ensued, more than 330 million viewers from the United States, Canada, and the U.K. watched the televised trial. At the core of the trial is the issue of intimate partner violence and its aftermath. Depp and Heard have each claimed to be victims of intimate …

A choice of maternal compassion

Anonymous

Physician

May 27, 2022

It was supposed to be a routine 20-week ultrasound appointment. The specialist abruptly knocked and entered. The next few hours of my life went by in choppy, disconnected segments. The specialist said he was sorry. Her bones were not growing properly. Her rib cage was small. Her lungs were underdeveloped. This baby, whom I had allowed myself to love and believe in after my normal prenatal testing and ultrasounds, living …

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A choice of maternal compassion

Shortening the diagnostic odyssey for hypermobile Ehlers-Danlos syndrome: a primer for the primary care physician

Linda Bluestein, MD

Conditions

May 27, 2022

Joint pain, nausea, dizziness, bloating, palpitations, urticaria, headache, and fatigue. Surely this must be a list of the chief concerns for each of your first eight patients for the day.

No, these chief concerns all belong to your very first patient of the day. A new patient is scheduled for a 20-minute slot.

How will you possibly get out of the room in time? How can you ever help this young woman? …

Senators are killing children by failing to enact gun control laws

Marina Mai

Policy

May 27, 2022

Nineteen children were killed in a mass shooting in Texas. I have barely escaped the pandemonium of the pediatric emergency department to scarf down a bowl of pasta when I hear the announcement on the breakroom TV. My stomach drops. Again? How is it possible?

I step back into the ED and immediately am called over by an agitated mother whose infant came in with respiratory distress 30 minutes earlier. Any …

Mothers and sweaters: the gifts of letting go

Roxanne Almas, MD, MSPH

Physician

May 27, 2022

I sifted through both cars, my own and my husband’s, underneath our boys’ baseball equipment, candy wrappers, and empty water bottles. The felt bag was nowhere to be found.

I was finally ready to take this bag of a dozen sweaters, some of which were my fancy cashmeres, to the dry cleaners. Why a dozen, you may ask? Well, these were essentially all the nice sweaters I owned. I waited a …

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