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The unvaccinated and a history of cynicism

Physician

September 21, 2021

The vitriol that characterizes discussions about vaccines, masking, and school policies has been deeply disturbing. I am a physician who is concerned about COVID. At first, I thought that everyone would want to be vaccinated. I thought that the pandemic would cause everyone to isolate and socially distance to protect themselves, their families, and their communities. Now we know it did not turn out that way. As I reflect on …

Self-harm and eating disorders in teens

Richard Capriola, MBA

Conditions

September 20, 2021

An excerpt from The Addicted Child: A Parent’s Guide to Adolescent Substance Abuse.

How do you know if your teen has a substance problem? The inability to control substance use despite negative consequences is a classic definition of a severe substance use disorder. But substances aren’t the only thing afflicting adolescents. Another dangerous behavior is invading the adolescent population: process disorders. …

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Self-harm and eating disorders in teens

Treating formula as medicine may increase breastfeeding rates

Sonal Patel, MD

Conditions

September 20, 2021

Currently, there is an outcry against the pressures of breastfeeding, with an underlying backlash against the stigma of bottle feeding. Commercials from formula companies, such as Bobbie, are playing at the hearts of struggling breastfeeding mothers. Touted as an organic European formula comparable with breastmilk, Bobbie is the solution. Famous stars, like Queer Eye’s Tan France, emphatically narrates his decision on choosing formula over donor milk for their family. Over …

5 myths about compassion and patient rapport building in health care

Rush University Series at The Podcast by KevinMD

Podcast

September 20, 2021

This episode is sponsored by the Rush University Series at The Podcast by KevinMD.

As we enter a year and a half into a worldwide pandemic, many of us working in health care are fatigued, over-worked, and burned …

Racial disparities in surgical care [PODCAST]

The Podcast by KevinMD

Podcast

September 19, 2021

“As a practicing surgeon for 30 years in the super-specialized field of otology, neurotology and skull base surgery, I have been privy to some of the most disturbing realities of surgical care. Often, these realities are bleaker than most people expect. One thing physicians, and the general population, need to …

The degradation and devaluation of nurses

Debbie Moore-Black, RN

Conditions

September 19, 2021

Where do I begin? Maybe at the beginning.

Let’s start with the degradation and devaluation of nurses across this country.

For decades, I lived the devaluing of nurses. Daily huddles from our nurse managers, ER nurses, ICU nurses, and behavioral health nurses. Emails and huddles about downsizing. Nurse-patient ratios. Decreasing nursing staff and increasing patients. ICU nurses typically had a 2:1 ratio and, depending on the patient’s acuity, a 1:1 ratio. But …

The fundamental question that encircles the whole practice of psychiatry

Edward Kai Yan Tie

Conditions

September 19, 2021

Mary (identifying information changed) was extremely pleasant, to say the least.

By the time I met her on the senior unit, she had seemingly befriended even the orneriest of our geriatric patients. She wandered and danced about the unit, speaking with each fellow patient she encountered in a style one nurse called “cheerfully mad.”

Her strategy, maximalist and crude but stunningly effective, was to talk your ear off in a joyful stream …

Where does the joy and meaning in medicine dwell? [PODCAST]

The Podcast by KevinMD

Podcast

September 18, 2021

“The same question could be asked about the joy and meaning in medicine. Where does it dwell? And the answer may be the same. It dwells wherever we choose to let joy and meaning in medicine into our physician-healer lives.

As I look back upon my career, it saddens me to …

The unvaccinated are not difficult patients

Joan Naidorf, DO

Physician

September 18, 2021

We’re getting into trouble. With headlines like “Why I am angry” and “Burnout rates at an all-time high,” physicians need to take a moment and breath. Unvaccinated people are presenting as very difficult patients that physicians dread.

In his landmark article, “Taking Care of the Hateful Patient,” Dr. James Groves highlighted four distinct patient types that doctors shrink from. Hateful patients are noted to cause negative feelings in …

Who needs scientists? It’s not like we listen to them anyway. [PODCAST]

The Podcast by KevinMD

Podcast

September 17, 2021

“I am a proud science-trained medical doctor and concerned mother. I am not going to remain silent when the biggest tragedies are yet to hit earth yet. Like seriously, I do not want to become like the dinosaurs. History wasn’t too kind to them. Just saying. Scientists say the worst …

There is nothing soft about “soft skills”

Sherine Salib, MD

Physician

September 17, 2021

“Soft skills get little respect, but they will make or break your career.”
– Peggy Klaus

In the late 1960s, the U.S. Army created the term “soft skills” to refer to any skill that does not employ the use of machinery. “The military realized that many important activities were included within this category, and in fact, the social skills necessary to lead groups, motivate soldiers, and win wars were encompassed by skills …

Dying after leaving against medical advice [PODCAST]

The Podcast by KevinMD

Podcast

September 16, 2021

“This is where we are: Hospitalizations rising, new variants that are more infectious, and many people believing that this is all a hoax, or that millions of people have conspired together to make injections that harm people rather than helping them. Patients leaving AMA and dying because there’s no trust …

Take back the power and joy of being a doctor [PODCAST]

The Podcast by KevinMD

Podcast

September 15, 2021

“What can we control? Our behavior and our responses to circumstances. Focusing on what is in our power to control and putting all our energy and efforts in the right places and for the right reasons seems to be a step in the right direction to make positive changes and …

Eradicate the disability tax, before it’s too late [PODCAST]

The Podcast by KevinMD

Podcast

September 14, 2021

“Some may say that we all come into this world with our own luck, and if we end up having to endure a disability, then other people in society should not be held financially responsible. To that I say, do we not have a moral imperative to ensure that we …

How do we explain the unexplainable? Are there words for the things we’ve experienced?

Rachel Basham, RN, CCRN

Conditions

September 14, 2021

I’m usually good with words. The last year and a half of being a “front line nurse” has left me struggling to find the words. The frustration, anger, trauma, and sadness have so muddied my mind that I find it hard to sort through all of the complexities and put a name to them.

A patient told me the other day, “I know at least 60 people who have had COVID, …

No one is in charge of the free-for-all that is U.S. health care

Steve Adelman, MD

Policy

September 14, 2021

During these solemn high holy days of repentance and reckoning, millions of Jews around the world beseech God to stop COVID-19 from spreading and ending lives. Although it can be soothing and reassuring to believe that the universe is governed by a supreme being who listens and responds to the prayers of sentient human beings, the last 19 months suggest to me that “no one up there is listening or …

To my fellow physicians who are struggling with suicidal ideation

Eliza Shin, MD

Physician

September 14, 2021

Thanks for gathering today in this anonymous detached space. Since it’s unlikely that we’ll ever publicly convene in a circle on metal folding chairs, I’m reaching out through this letter. You can peruse this in private and perhaps see a piece of yourself here.

As a non-practicing physician who speaks openly about my decades of suicidal ideations, I know there’s a thirst for connection on this topic. Colleagues pull me aside …

Why physician-specialized private counseling practices are important [PODCAST]

The Podcast by KevinMD

Podcast

September 13, 2021

“Attending physicians struggling with a mental health issue should consider contacting a counselor first, rather than a department head or employer resource. A counselor can assess the mental health issue, offer treatment recommendations, and provide therapy that meets the physician’s needs – all while protecting that person’s privacy. Mental health …