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General surgery, palliative care and the new meaning of the phrase, “going viral” [PODCAST]

Podcast

January 20, 2021

“Today and for the foreseeable future, COVID-19 is a serious threat, virulent and contagious, not only leading to an impressive display of human vulnerability and arrogance, but also demonstrating how innovative and creative humans can be during a time of crisis.

On a daily basis, I am inspired by the outpouring of courage, …

The hidden reason you struggle with your charts and what you can do about it

Gail Gazelle, MD

Physician

January 20, 2021

For most clinicians, this will sound familiar:

I can feel the resentment bubbling up as I sit down to chart on a beautiful Saturday afternoon. I’ve got dozens of charts hanging over me, and if I don’t get them closed, there will be yet another miserable head thrashing with my practice admin. My kids are clamoring for my time, and every fiber of my being is resisting getting these charts done. …

Who is the ideal patient?

Dr. Tedi Zeng

Physician

January 20, 2021

I once attended a business coaching workshop for health care professionals. For one of the exercises, we had to draw our “ideal patient.” The instructor told us to be as specific as we could. We were encouraged to set up a full name profile, age, gender, race, and health challenges. Some of us even wrote two-page background stories about how our ideal patients grew up and who they were dating. …

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Who is the ideal patient?

My Klonopin withdrawal story

Bethany Silverman

Meds

January 20, 2021

It was September 11, 2001. My dad had cheated on my mom again, the building that I worked in at that time had received an anonymous tip that we were a potential target for the terrorist attacks, and my mom, who needed a reprieve from my dad’s crap, was vacationing in Florida and was worried for me and my well-being. Plus, my dad was threatening to kill himself, and I …

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My Klonopin withdrawal story

How shame almost ruined a physician’s life [PODCAST]

The Podcast by KevinMD

Podcast

January 19, 2021

“I do want you all to know that shame is a very familiar brain track (like an 8-track tape, if you know what that is), but not one I am stuck in. The above experience of failing a class turned out to be amazing. I am now appreciative of how far I …

End medical school grades

Adam Lieber

Education

January 19, 2021

There should be no grades in medical school. Forty-something percent of applicants get accepted to one or more medical schools. To even apply to medical school, one needs to have not only graduated or be on track to graduate college, but also needs to have passed the MCAT and have the support of a pre-medical application committee. I am no mathematician, but I do not think that it is a …

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End medical school grades

I am an orthopedic surgeon who decided to stop taking insurance

Daniel Paull, MD

Physician

January 19, 2021

I am an orthopedic surgeon, and I only take cash. When I tell people this, it usually conjures up images of some money-grubbing doctor eager to make a dollar any way they can. Personally, I am not incredibly incentivized by money in and of itself. I try to live a reasonable lifestyle and keep my expenses under control. I started a cash-only practice not for the love of money but …

COVID vaccines, overcoming skepticism, and pandemic theater [PODCAST]

Clayton Foster, MD

Podcast

January 18, 2021

“Environmental cleaning rightfully plays a more prominent role within health care facilities to control the spread of other diseases, but even hospitals have overreacted when it comes to contact precautions for SARS-CoV-2. I recently went to get a flu shot from one of the hospitals I cover, and I couldn’t help but …

Rest in peace, primary care

Alexis Gopal, MD

Physician

January 18, 2021

The corporatization of medicine has destroyed primary care as a specialty. The primary care physician is supposed to be your go-to doctor, your advocate, the coordinator of your health care. Now that corporations buy out hospitals and private practices in an almost predatory fashion, the priority is turning a profit for the corporation at the expense of not only patient health but also the health and well-being of the primary …

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Rest in peace, primary care

How ocean plastic picking made me a better pediatrician [PODCAST]

The Podcast by KevinMD

Podcast

January 17, 2021

“It has been over a month since I started this new hobby. I told my middle-school-aged daughter tonight, ‘I am going to write a post about how ocean plastic picking has made me a better pediatrician.’

She replied, ‘You mean better than other pediatricians?’

‘No, I mean a better pediatrician than I was …

Is pathology an ATM machine?

Albert Alhatem, MD and Debra Heller, MD

Physician

January 17, 2021

It was Friday night, and after a long day of grossing, I was ready to leave the hospital when the department’s door opened, and the nurse shouted, “we have a frozen for an emergency liver transplant.” Without hesitation, I took the specimen and called the attending on call. After a few minutes, the surgeon arrived anxiously to our reading room. “We flew all the way from Pennsylvania to get this …

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Is pathology an ATM machine?

A real-life example of irrational health care spending

Taylor J. Christensen, MD

Policy

January 17, 2021

This week at work, I had a patient in the hospital who had been through a pretty challenging illness, and he was going to have to be discharged to a skilled nursing facility (SNF) to rehab for a few weeks. Sadly, SNFs in my area do not currently allow any visitors due to the pandemic. The patient is very close to his daughter, who lives out of state, and she …

This physician is overwhelmed. She is not alone. [PODCAST]

The Podcast by KevinMD

Podcast

January 16, 2021

“I am overwhelmed right now. I know I am not alone. I hear it in the voices of my friends, family, colleagues, patients. We are all feeling it.

I am overwhelmed by this virus. There is so much to learn, so much to teach. Every day the information changes. Who is credible? Who …

Tips for medical students starting their clinical rotations [PODCAST]

The Podcast by KevinMD

Podcast

January 15, 2021

“Each year, medical students across the country prepare to start the long-anticipated core clinical rotations. Suddenly, we’re thrust into a world of constant adaptation and evaluation, with many highs and many lows.

As I finish up the year and new students get ready to start, I’ve been asked time and time again for …

As a busy primary care doctor, here is what I am facing

Amy K. Weimer, MD

Conditions

January 15, 2021

“Doctor, how are you doing?”

I’m really so grateful when people take the time to ask this. But when I respond, candidly, that it’s been tough and I’m definitely not doing great, I often hear, “But you haven’t had any patients who have died from COVID, have you? And you got the vaccine, didn’t you?” Fortunately, no (not yet) and yes.

My heart goes out to our ICU, inpatient, and ER teams …

The adaptive unconscious, the physician, and AI

Saira Nasar, MD

Tech

January 15, 2021

Being an internist, the day is filled with problem-solving. The problems are often not straightforward and require thinking, rethinking, reevaluating, and reading up and researching before the problem can be solved. However, when a sixth sense, an intuition kicks in that warns us that something needs to be addressed urgently even when we cannot specify or articulate why.

Once I had a patient come in for shortness of breath that is …

Do doctors make great entrepreneurs? [PODCAST]

The Podcast by KevinMD

Podcast

January 14, 2021

“We in medicine are experts in delayed gratification. We’ve been in school for what, about 21 years before residency? Then we finally become an attending. Then we can splurge a little. But still, we were told to hold back. Live like a resident.

This is a great skill to have as an entrepreneur. …

The consequences of the coronavirus pandemic are eternal

Earl Stewart, Jr., MD

Conditions

January 14, 2021

She was rather calm during her visit. It was the first time we’d met, and she was establishing primary care with our office and me. We were both delighted to learn she was from a small Georgia town not too far from where I previously practiced, and we quickly reminisced about the slow pace, lack of certain resources, and genuinely good, devout people that often stem from and still reside …

It is not enough to say we are anti-racist. We must address glaring disparities in treatment.

Jane Gagliardi, MD

Policy

January 14, 2021

Sometimes structural racism surfaces in a way that even those of us who would like to be “color-blind” cannot help but see.

In the spring of 2020, the video-recorded death of George Floyd (who was Black) at the hands of a law enforcement officer (who was white) brought millions of witnesses to the kind of hostility that is all-too-familiar to individuals of color. Individuals, many non-white, took to our nation’s capital …

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