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How the board certification exams infantilize resident training

Physician

October 18, 2021

Not long ago, my patient in a complex thoracic case developed progressive bradycardia followed by a malignant-looking multifocal atrial arrhythmia that didn’t generate any blood pressure.

“Get out some epinephrine!” I said to my resident, who was standing closer than I was to the drug cart. The resident quickly drew up a milligram of epi, but then paused. I could almost see the thought bubble overhead: “Should I print out a …

Some health issues should not be evaluated in the office

Steven Reznick, MD

Physician

October 18, 2021

I received a phone call from an elderly gentleman who was closer to ninety years of age than 80, was taking an aspirin, and had just suffered a fall and hit his head. He did not know why or how he fell. He asked for an appointment the same day to “check me out.”

My staff asked all the pertinent questions and immediately brought the information to me. After reviewing it, …

Ivermectin is a Nobel Prize-winning wonder drug

Jeffrey R. Aeschlimann, PharmD

Meds

October 18, 2021

Ivermectin is an over 30-year-old wonder drug that treats life- and sight-threatening parasitic infections. Its lasting influence on global health has been so profound that two of the key researchers in its discovery and development won the Nobel Prize in 2015.

I’ve been an infectious disease pharmacist for over 25 years. I’ve also managed patients who delayed proper treatment for their severe …

A story of a physician photojournalist [PODCAST]

The Podcast by KevinMD

Podcast

October 17, 2021

“Her face is decorated in colors of the earth. With events on Earth Day and throughout the week, New York City celebrates sustainability and ways to live in harmony with the planet. Scheduled festivities include a march down Broadway with a mix of virtual talks and celebrations and in-person walks …

I’ve broken free from time, and I am a better doctor for it

Sneha Shah, MD

Physician

October 17, 2021

How many minutes have you given yourself to read this post?

There was a time when none of us could tell time. Imagine not knowing what the ever-moving hands of a clock are trying to reveal. My memories skew, but in that era before I could tell time, all I remember is laughter, effervescence, and the occasional injury. (The first time I hit my “funny bone” was quite the scare!)

Now, we …

Compassion fatigue and the unvaccinated

Jazbeen Ahmad, MD

Physician

October 17, 2021

“Do you get compassion fatigue when you take care of smokers or patients with obesity or diabetes?”

This was in reply to an article on compassion fatigue I had posted on my Facebook page. The article was written by an exhausted physician caring for unvaccinated COVID-19 patients. My initial reaction was, “Of course not. That’s my job!” But it made me think, why was it that caring for unvaccinated patients seemed …

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Compassion fatigue and the unvaccinated

Why it’s important to take charge of your own health

Himani Joshi, PharmD

Conditions

October 17, 2021

Little did I know that after October 2, 2020, my life would completely change forever. I want to start by saying I am a pharmacist by profession, and I now finally understand the saying, “take charge of your health.”

My brother and I had taken my dad to a hospital in Philadelphia on the morning of October 2, 2020. Caught by surprise, we found out my dad had four blockages. My …

When celebrities attack children with food allergies [PODCAST]

The Podcast by KevinMD

Podcast

October 16, 2021

“A child is born with a food allergy. They do not choose to have their immune system compromised. Parents do not get the choice to opt-in or out of having their child’s body recognize ordinary food as a threat. Food allergies are a unique disease in that we need the …

The inverse relationship of efficiency and resilience

Erin Maslowski, MD

Physician

October 16, 2021

I was recently coaching a bright, energetic primary care physician in her first few years of practice. She was working through her Life’s Purpose statement, an exercise we often recommend. At the end of her admirable statement, she tagged on “with efficiency.” Naturally, we explored this a bit. Our conversation meandered toward an interesting conclusion: the more she focused on efficiency, the more likely she was to feel overwhelmed and …

Patient complaints have psychological repercussions [PODCAST]

The Podcast by KevinMD

Podcast

October 15, 2021

“I believe there is an art to medicine, a psychological connection to your patients through a hands-on patient encounter. There are nuances AI may take decades to compete with. For now, in my lifetime, I hope that people examine patients and when there are questions about the quality of care, …

If you think a mother’s pain is unimaginable, you should see her strength

StorytellERdoc, MD

Physician

October 15, 2021

“If you think a mother’s pain is unimaginable, you should see her strength.”

You were visiting your mother when, while in another room, you became unresponsive and fell to the floor. She heard the thump of your fall and raced into the room to find you pale and barely breathing. Drug paraphernalia sat beside you.

Your mother screamed. She cried. She fell to her knees and tried to wake you, slapping your …

When the family wants to speak to the doctor

Suneel Dhand, MD

Physician

October 15, 2021

Being a doctor is often more about talking to people and communicating than it is about the scientific practice of medicine. This is something that is unfortunately not taught enough in medical school, and it’s left to newly qualified doctors to realize very quickly as they start their careers.

Throughout the busy and hectic day of any hospital-based physician—no matter what their specialty—one of the most common requests we hear from …

The American food conspiracy

Hans Duvefelt, MD

Physician

October 15, 2021

Everybody knows how to operate smartphones and understands complex modern phenomena, but many Americans are frighteningly ignorant about basic human nutrition.

I am convinced this is the result of a powerful conspiracy fueled by the (junk) food industry. Here are just a few examples:

Milk has been advertised as a healthy beverage. It is not. No other species consumes milk beyond infancy. Milk-based products like ice cream and yogurt are on top …

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The American food conspiracy

Why the business school mindset doesn’t mind physician burnout [PODCAST]

The Podcast by KevinMD

Podcast

October 14, 2021

“We can’t expect those with a business school mindset to solve physician burnout. What is needed is leadership throughout health care organizations by those with expertise in the core business, deep commitment to health care workers and patients, extensive tacit knowledge, and credibility. Physician CEOs have better outcomes in all …

Why storytelling is critical in medicine

John F. McGeehan, MD

Physician

October 14, 2021

I love stories, either told, written, or listened to. Songs tell stories, as does art. Blogs such as the rich content open so many doors for rich conversations. Telling stories is part of who I am. My father loved to tell them, as did my grandfather, whose name I took. They were called bull-sh*tters – and perhaps some refer to me that way at times. In medicine, I find storytelling …

Honor your oath. Set boundaries. Demand respect.

Christina Dewey, MD

Physician

October 14, 2021

This morning, while scrolling through social media, I encountered a resounding theme. Multiple physicians posting about being challenged, disrespected, and made to feel worthless by the very people they were trying to help: their patients. Being brought to tears by the disrespect of the patient’s family members. Physician expertise blatantly questioned. Advice ignored.

Patients telling doctors – to their faces – that they “don’t like their tone” and then telling nurses …

A nurse’s story of health care workplace violence [PODCAST]

The Podcast by KevinMD

Podcast

October 13, 2021

“I can imagine the horror of watching a colleague being attacked. I worry about the coworker who Lynne protected that day, since being a survivor can be so bittersweet. I can feel the shock of how quickly the violence escalated, tasting the bitterness from the desperation of being so alone …

Looking at the studies behind masks

Vishwani Persaud-Sharma, DNP

Conditions

October 13, 2021

With the recent onset of the Delta variant rendering havoc on an already strained economy and weary population post- the rabid COVID-19 surge, there is much debate on effective policies that negate the harmful outcomes of viral acquisition. The B.1.617.2 Delta variant originated in India and is among the most easily transmissible form of the novel SAR-CoV-2 pathogen, apart from the Alpha-Britain isolated, Beta-South Africa isolated, and Gamma-Brazil isolated forms. …

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Looking at the studies behind masks

Sharing medical information between EHRs: 4 different approaches

Andy Muchmore, MD

Tech

October 13, 2021

The current COVID pandemic has brought into stark contrast the woeful state of medical data collection and data sharing in the United States. It has been a central goal of Health and Human Services (HHS) to at first encourage and later mandate sharing clinical data across multiple electronic health records. Unfortunately, progress has been slow and actual clinically useful widespread adoption of shared medical data remains an aspiration. Here, we …

When clinicians are bullied at a school board meeting [PODCAST]

The Podcast by KevinMD

Podcast

October 12, 2021

“The first amendment protects your right to free speech. But it does not make you more right, more ethical, or more kind. And nor does it give one license to rewrite history as has been occurring since July 27th, adding insult to our experience. Let me break this down.

On …

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