“A few months ago, I embarked on an ethnographic study to understand what health care professionals saw as the psychosocial needs of pediatric patients. This involved conversations with several doctors in Pakistan, who had volunteered to share their views about pediatric patient care. As I engaged in deep, organic discussions with …
Listening to the doctor’s heart [PODCAST]
This spring, in my culminating semester of PA school, I took a course entitled “Health Care Delivery Systems.” After 30-something months, the end was in sight, and I was not particularly excited for another serious class while I was wrapping up rotations, studying for my boards, and writing my master’s paper.
However, as soon as I started working on the class assignments, I realized this class might deserve a higher rank …
A specific way to improve our health care delivery system
Like many fellow Americans, I had my first psychedelic experience in the middle of the pandemic, in a place where the use of psychedelics is decriminalized.
I grew up in a Communist country, and the ban and stigma against psychedelics were tremendous. There was no plant medicine available, and I didn’t know even one person using anything other than alcohol and prescription drugs.
I read Michael Pollan’s book How …
Are psychedelics the heroes or villains?
In this episode, we talk with writer Dustin Grinnell. He takes us behind the scenes on his ideas for his books, his research process, and how he brings medical stories to life. We also delve into the realm of speculative fiction, and how that intersects with medicine, technology, and ethical dilemmas.
Inside the mind of a medical novel writer [PODCAST]
A guest column by the American Society of Anesthesiologists, exclusive to KevinMD.
As leaders in patient safety, anesthesiologists are committed to improving patient care and positively impacting the experiences of expectant mothers to ensure the health and safety of mom and baby. Along with primary health care providers, anesthesiologists are available to help expectant …
All mothers deserve to give their newborns the best start in life
The 2022 Medscape poll on physician burnout confirms what has been painfully obvious to doctors on the frontlines of COVID-19: Their burnout is intensifying.
According to the survey of 13,000 doctors, the nation’s most burned-out physicians are those in emergency medicine (60%) and critical care (56%). Medscape, a leading health care publication, describes burnout as “long-term, unresolvable job-related stress that leads to exhaustion, cynicism, and …
Gender inequality is making burnout worse
It was a known fact — I was 4′ 11″ but I had a mouth on me to compensate. I was loud and noisy. Fellow nurses called me the “rebel without a cause.”
But I had a cause.
I knew I was David against Goliath. Almost everything became my cause. And I verbally fought my way through this iron-clad management structure.
I had to fight for the betterment of the patients, their survival, …
Lesson learned: Pick your battles
A little-known fact about doctors that most patients would find horrifying is that physicians don’t keep track of their results.
If I botch a knee surgery so badly that my patient requires five repairs by a different specialist, I might never find out. As a result, I will continue to use a flawed technique on patient after patient. The fact that I never hear from any of them again will be …
Your doctors don’t keep track of what they’re doing
We have probably heard this saying with different permutations many times about someone showing “their true colors.”
As physician and best-selling author, Tess Gerritsen, shared: “There is no better test of character than when you’re tossed into crisis. That’s when we see one’s true colors shine through. So, I try my best to make my characters personally involved in the plot, in a way that stresses them and tests them.”
It made …
“The Great Resignation. I doubt there is a medical practice out there that has not been affected by it. And experts predict we are just at the beginning. The U.S. Bureau of Labor Statistics’ early data from 2022 shows that health care is among the top three industries increasing in monthly …
COVID-19 and the Great Resignation: a catalyst, not the cause [PODCAST]
Medical-legal consulting is a great way to use your medical training in a non-clinical field that helps people. Physicians all over the country are now doing medical-legal consulting as a rewarding part-time gig.
One service out of many we provide is to give our opinions regarding the causation of traumatic injuries. Some attorneys ask us to provide opinion letters regarding a particular injury caused in a work-related situation, a personal injury …
An example of medical-legal consulting
In this episode, I interview Jim Dahle, creator of the White Coat Investor. He has literally created a new asset class of content: the health care professional personal finance space.
He discusses how he got his start with the White Coat Investor, why his message still resonates today, and how financial literacy …
Jim Dahle, MD and the White Coat Investor [PODCAST]
My residency baby just turned eighteen. Obviously, he isn’t really a baby anymore. He is six foot four and going to college, but somehow, I still think of him as that little baby. Maybe I’m just relieved that “we” both made it to eighteen. By “we,” I mean “me” as a physician mom and “him” as a person. I realize that sounds ridiculous, but honestly, being a physician mom is …
Medicine and motherhood: on call forever
Modern medicine, a system originally designed to fix acute health care problems, now creates more chronic health care problems than helping to solve them. I see the dangers of over-testing and over-prescribing taking place each day in my day-to-day pediatric clinical practice.
It scares me to see how many doctors reflexively prescribe pills designed to merely mask symptoms rather than take time to understand the underlying cause or that most chronic …
A call to action for my medical colleagues
This article is sponsored by Forme Financial, a highly specialized advisory that works only with physicians.
Whether in early practice or nearing retirement, physicians face far more career and financial complexities than other professions. But until now they were limited to financial advisors who offer essentially the same solutions to all their clients, regardless of profession.
Forme Financial …
Introducing a new kind of financial advisory. Custom built to serve physicians.
“I propose that we look at what each choice in food does for us: How does it make my body feel? How am I able to sleep and move and focus when I eat this food? How am I giving my body what it needs right now and what will keep it …
We are not defined by what we eat [PODCAST]
“Yeah, I mean, whatever, it’s a master’s! Have your own damn party.”
My jaw dropped in disgusted shock. The wall was thin, very thin. Come to think of it, it wasn’t even a wall. It was a partition: the separation of space between different office spaces. My mentor uttered these words: Assigned to support, encourage, and guide me through training; the person supposedly invested in my personal and professional growth. This …
Toxicity, gaslighting, and passive aggression in fellowship
Working in health care, going through medical school and residency, changes who you are. We invest so much of ourselves and our potential futures into accomplishing board certification. Once we achieve this feat, we often live in fear of one day losing what we have achieved. After all, many of us have sacrificed hundreds of thousands of dollars, relationships, friendships, marriages, the ability to have children, joys of life, our …
How medical careers are like argyle sweaters
High on my list of favorite operations was surgery on the stomach: The anatomy is neat, the re-plumbing alternatives clever, technical challenges rewarding, and, because it’s well-supplied with blood, complication-free healing is pretty predictable. Also, several procedures were invented by and named for history’s pioneer surgeons, and it’s nice to feel the connection, heir to the discoveries and invention of the greats. Let me tell you about one of my …
A surgeon’s favorite stomach surgery patient
I had my very first surgery ever, just last year. Despite being cut upon, it was a remarkable experience, and the staff cracked jokes at my expense, even as I was going under. In the mood for some inappropriate medical humor? Well, perhaps not in this public forum; I’ll save it for gatherings less formal and where beer is plentiful. Suffice it to say, I survived and was treated well: …
The doctor as a patient: a view from the other side
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