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An unplanned conversation leads to a mentorship opportunity

Physician

February 18, 2022

Charlotte: I initially met Richard at a wedding. Standing near the much-desired sushi buffet, we quickly started talking about the broken infrastructure of the health care system. At the time, I was an exhausted intern in internal medicine, happy to have the right weekend off. I shared big dreams of one day creating a new model of medical delivery. Richard, a senior executive with decades of leadership experience, listened compassionately. …

Want to publish a children’s book? Here’s how.

Robert Chan, MD

Physician

February 18, 2022

It was my son’s birthday, and I wanted to give him a gift he would remember. He had written a story when he was seven years old about eating boogers. As a urologist, I can attest that this is not a healthy habit and do not recommend it. I helped him publish his first book, Boogers for Brunch, on Amazon.

I …

We are actually made of mucus

Jonathan Reisman, MD

Conditions

February 18, 2022

An excerpt from The Unseen Body: A Doctor’s Journey Through the Hidden Wonders of Human Anatomy.

Everybody learns in grade school that the human body is composed mostly of water—roughly 60 percent in adults goes the statistic. I learned this fact as a child and understood that humans share their aqueous makeup with all other organisms. I imagined living things as …

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We are actually made of mucus

A shout out to small hospitals [PODCAST]

The Podcast by KevinMD

Podcast

February 17, 2022

This episode is sponsored by Athelas, the number one provider of remote patient monitoring.

“I’m a small-time doc in a small town, and I work at a small hospital in the Midwest, and I’m proud of it. The huge university hospitals (like Cleveland Clinic) get all the glory …

A message to new health care professionals

Tammy Baxter, ARNP

Conditions

February 17, 2022

The health care environment you are about to enter is very different from the one that existed when you entered school. The COVID pandemic has changed us all, but we, the health care providers, have taken one of the biggest hits.

We are exhausted physically, mentally, emotionally, and professionally. Even before the pandemic, we were often short-staffed and now those of us that are left are thankful for any staff, and …

Residency doesn’t have to be a war

Anonymous

Physician

February 17, 2022

This summer is supposed to be my turn to start residency in the States. I hear enough about work-life balance; but have mostly seen residents push the limits of what could be considered a human existence because it’s known: If you don’t work yourself to death, someone else will.

I’ve heard conversations about whether it’s proper to get married or have children during residency. Usually, the consensus is “no.” Is all …

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Residency doesn’t have to be a war

Reflections on physician mental health and tips for sustaining it

Rosa Yu, MD

Physician

February 17, 2022

The problem

Even in the midst of a global pandemic, mental health in medicine is rarely discussed. And yet, the circumstances of our profession create the perfect milieu for darkness. The long work hours. The regularity of tragedy and loss. The nights, weekends, and holidays you miss with those you love. The constant pressure to be perfect — to be professional, to be composed, to be vigilant, to not make any …

Metric fever will decimate our primary care workforce

Sara Bajuyo, MD

Physician

February 17, 2022

Primary care doctors have had enough. I’m sick of it as a family physician, and I know you are too. In our never-ending battle with insurance companies and CMS bureaucrats over how to do our job, the new turf is value-based care (VBC), and the latest weapon against us is metrics.

The central goals of VBC are timely access, better care quality, and efficiency. One could argue if …

Danielle Ofri, MD on sharing stories and the emotional epidemiology of disease [PODCAST]

The Podcast by KevinMD

Podcast

February 16, 2022

This episode is sponsored by Athelas, the number one provider of remote patient monitoring.

“This last mile of the COVID pandemic—Omicron or not—is a painstaking one-on-one endeavor. As is most of primary care. Sadly, we now have to deal with political epidemiology as much as emotional and …

BeMo MCAT Prep lesson #1: The liberal arts is a friend of MCAT test-takers

BeMo Academic Consulting

Patients are captive pharmacy benefits manager consumers

Beth Waldron

Meds

February 16, 2022

I still recall the ICU physician holding my hand and preparing me for the possibility I might not survive the blood clots in my lungs, pulmonary embolism. It was eighteen years ago when out of the blue, I found myself unexpectedly holding the hand of that gentle, concerned doctor, whose name I do not even know. My son was three years old at the time, and all I could think …

Fellow physicians, what is our path forward?

Tammie Chang, MD

Physician

February 16, 2022

As our health care system teeters yet again on the brink of collapse, the big questions on so many of our minds are: What does our future hold for us as physicians? What is our path forward?

As physicians, we currently live and work in a constant state of crisis. We’ve seen record numbers of patients, experienced personnel shortages, and instituted crisis staffing and standards of care. We’ve cared for patients …

Misinformation in transgender health care is harming patient care

Christy L. Olezeski, PhD

Conditions

February 16, 2022

Living in the U.S., chances are you get some regular mail that you never signed up for — a magazine, a journal, a sales flier. As medical professionals, we also get these free journals related to our field. We don’t always have the time to fact-check a publication. And with names that appear to be legitimate, we might take information at face value. This is especially true if we are …

Estate planning and asset protection challenges and strategies for single physicians

Syed Nishat, BFA

Finance

February 16, 2022

While chatting with a physician client of mine recently, an important topic came up that she hadn’t really asked about previously. My client is in her late 40s and is currently single with no plans of getting married. She’s the only child of her aged parents, and after working as a physician for over 15 years, she has become financially successful enough to slow her career down a bit. Her …

Medical-legal consulting as a side gig [PODCAST]

The Podcast by KevinMD

Podcast

February 15, 2022

This episode is sponsored by Athelas, the number one provider of remote patient monitoring.

“Medical-legal consulting is a great way to use your medical training in a non-clinical field that helps people. I started this field 14 years ago and have trained over 1,600 physicians to be medical-legal …

Here’s a crazy thought: Make technology work for doctors

Rodrigo Martínez, MD

Tech

February 15, 2022

We are surrounded by technology.

This hasn’t always been the case in the health care industry—we can be a bit more “deliberate,” if you will—but the pandemic notably accelerated the pace at which organizations invested in new technology. Rock Health’s 2021 year-end report found that digital health funding among U.S.-based startups reached a record $29.1 billion in 2021, which almost doubled the number ($14.9 billion) from 2020. The …

The paradox of treating pain in a system too full to manage it

David Prologo, MD

Physician

February 15, 2022

My 13-year-old daughter was writhing on the floor from pain in her back and belly, a fever, and intermittent chest pains. She was two days out from a spine surgery intended to fix an 8-month-old gymnastics injury. She couldn’t take any steps on her own, and it was a three-person project just to get her from the couch to the chair.

“Go to the ER,” the hospital answering service said.

I tried …

Beyond Jimmy Buffet: The new medical conference

Pat Rich

Education

February 15, 2022

The new reality of medical conferences shaped by the COVID-19 pandemic requires a new language and a fundamental rethink to make these major showcases of medical organizations and societies a place where physicians and patients can share their experiences and perspectives.

We can no longer characterize medical conferences as – in the words of an old Jimmy Buffet tune – “a Holiday Inn full of surgeons” who meet there every year …

Kids are not OK: Health care is failing them

Andrew Hertz, MD and Keili Mistovich, MD, MPH

Physician

February 15, 2022

Our medical system is failing our children. The rate of chronic diseases in children is skyrocketing. Obesity has increased. Behavioral health issues are at new highs, making suicide a leading cause of death in children. During the pandemic, rates of pediatric preventive health visits, vaccinations, and screening tests have decreased, thereby losing opportunities for early intervention.

These failures were evident before COVID …

Recognizing high functioning depression

Tomi Mitchell, MD

Conditions

February 15, 2022

High functioning depression (or HFD) is the mental health diagnosis given to an individual who exhibits symptoms of high-level depression but manages to maintain overall functionality in life. An HFD person will often engage in activities that would be considered “normal” and healthy for a typical person, maintaining a job and even social relationships (though they may not appear as close and involved as typically expected). However, they might find …

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Recognizing high functioning depression

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