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The medical basis of vampires and other medical myths [PODCAST]

Podcast

July 8, 2020

“Where did the myth of vampires come from? Like many myths, it is based partly in fact. A blood disorder called porphyria, which has has been with us for millennia, became prevalent among the nobility and royalty of Eastern Europe. A genetic disorder, it becomes more common with inbreeding. Porphyria is a malfunction in the process of hemoglobin production. Hemoglobin is …

6 tips for success in residency training

Adam Bitterman, DO and Randy M. Cohn, DO

Physician

July 8, 2020

Recently, a few colleagues and I sat down with our six incoming interns during a welcoming round-table discussion. Being the closest member of the faculty to these residents in age and time from residency, I was best able to relate to them and their current feelings.

I, too, sat in those chairs in a conference room that was last used for graduating our outgoing chief residents. I, too, remember the feelings …

The first night on call as a surgery intern

Arthur Williams, MD

Physician

July 8, 2020

An excerpt from The Surgeon’s Obol.

July 1, 8 p.m.

“Isabella Isaksen,” I said with an arm extended. “Most people call me ‘Izzie’.”

“Mike Gunderson,” came the reply. Most people called him Gundy, but he didn’t feel the need to let me, the goddamn intern, in on this. And …

Bottles and pacifiers: advice from a Latinx pediatrician

Johanna Vidal Phelan, MD, MBA

Conditions

July 8, 2020

Growing up in Puerto Rico, “babas” (bottles: biberón/botellas) and “bobos” (pacifiers: chupetes/chupón) were very common among the families and children of the island. I still remember our Abuelita giving us milk in our “babas,” so my younger sister and I were sure to fall asleep better. From the time of our births, to when my sister was three years old, the “bobo” was also consistently being used in our home.

Now, …

Why cultural competency courses should be requisites for medical school

Shvetali Thatte

Education

July 8, 2020

Like many others, I have felt immense frustration in the past couple of weeks. The news surrounding the Black Lives Matter movement, compounded by many other incidents of injustice against minorities, has made me feel constant rage at the society we live in.

I’ve tried to channel my anger into as much activism as I can think of, and I’m looking for more opportunities every day. Beyond donating, protesting, …

The guilt of physician-moms [PODCAST]

The Podcast by KevinMD

Podcast

July 7, 2020

“As women physicians, especially physician moms and women physicians of color, we have handled and achieved more than the vast majority of the population, in order to reach our current status of physician.

We do because we can.

We are Superwomen. Until we’re not.

Without thought, we take on others’ responsibilities, because we can.

In addition to our own personal responsibility to ourselves and to …

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The guilt of physician-moms [PODCAST]

The current state and future of psychiatry [PODCAST]

The Podcast by KevinMD

Podcast

July 6, 2020

What are the challenges facing psychiatry? How does psychiatry need to innovate the continue to thrive? What is the future of psychiatry What’s your #1 tip for those considering the profession? What advice can you give to primary care clinicians as it relates to behavioral health issues?

Owen Muir is a psychiatrist and host of the podcast, Pandemic Check In.

He shares his …

Minorities and medical research: Who is still excluded?

Katie Kinsella and Ximena Verduzco-Villanueva

Policy

July 6, 2020

In the United States, there is clear evidence that minority populations continue to be underrepresented in clinical research related to new therapies for common and serious long-term medical conditions such as type 2 diabetes (T2D). This is despite these same populations facing a continuing and disproportionate burden of T2D, which shows no signs of abating.

Black people have one of the highest rates of T2D (13.2 percent), a rate almost twice …

Primary care is dying: Why that should scare every large employer

Elizabeth Mitchell

Policy

July 6, 2020

Primary care is on life support. COVID-19’s toll on American health care extends beyond the hospitals and medical workers besieged by infection. An equally insidious but less-visible crisis is engulfing primary care, the long-neglected foundation of our health care system. Given the role of America’s largest corporations in providing health care benefits, the C-suite should be on high alert.

As growing numbers of patients postpone appointments over concerns about …

What happens when patient capacity and autonomy diverge?

Aula Ramo, MD

Physician

July 6, 2020

“I can’t take this, doc. It’s gonna kill me. I can’t. I just can’t,” exclaims my patient with persistent refusal of his medication. My frustration is met with my patient care team’s hesitation to give him the medication with fear of further conflict and possible escalation to violence. But who’s at fault? Any of us? All of us?

My second patient, lying on the MRI table, shaking his head swiftly in …

The view from an infectious disease physician in Texas [PODCAST]

The Podcast by KevinMD

Podcast

July 5, 2020

“Death is not meant to be rushed. Saying goodbye shouldn’t be rushed. Celebrating a life once lived cannot be rushed. And yet, we must. Taking a moment, a minute, an hour, maybe a day to feel something that normally takes far longer. Because we must. And in our hearts, the grief remains. Frozen in time in this state of mourning that …

The emotional side of being a doctor during the COVID-19 pandemic

Jasminka Vukanovic-Criley, MD

Physician

July 5, 2020

It was a Thursday. It was supposed to be one of those “regular” evening shifts. Then, at 6:15 p.m., my first page went off: Bed 11, Mrs. R., Dr. H. needs to talk to you. The page came from the COVID section of the emergency department.

I immediately called back. It saddened me when I learned that our patient was a young woman health care worker in her early 50s. She …

9 tips for new pediatric residents

Gabriella Gonzales, MD and Alexander Rakowsky, MD

Physician

July 5, 2020

It’s that wonderful time of year when new interns take their first steps into hospitals as practicing physicians One of us has just completed her intern year and the other quite a while back (but recently enough to still remember some of it), so we wanted to share some tips for the pediatric interns about to start this wonderful adventure.

1. Don’t be overly anxious (as a little anxiety is expected). …

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9 tips for new pediatric residents

I don’t care what your cardiologist says

Stephen Freiberg, MD

Physician

July 5, 2020

Yeah.

I said it.

As an anesthesiologist, especially as a cardiothoracic anesthesiologist, there are few things I am more interested in than how well or how poorly your heart functions and why. And a cardiologist can help me obtain a lot of vital information in that regard. But there several things a cardiologist cannot, and I argue, should not do, when it comes to the perioperative care of patients.

First, a cardiologist’s assessment …

A public health update on COVID-19 [PODCAST]

The Podcast by KevinMD

Podcast

July 5, 2020

“Over the last 100 years, the U.S. has had to respond to five avian flu pandemics. The most severe was the 1918 avian influenza infecting 1/3 of the world’s population and killing 650,000 Americans. It was also the last time wide-spread containment, mitigation, and isolation strategies were used in the U.S. Seldom mentioned about the 1918 pandemic are the three ‘waves’ …

Pandemic behavioral health tips from a psychiatrist [PODCAST]

The Podcast by KevinMD

Podcast

July 4, 2020

“The unparalleled and pervasive nature of the evolving COVID-19 pandemic has touched all of us in some way. There is limited, albeit growing, research on the mental health effects of disasters. A recent review article pointed out the potentially negative consequences of prolonged quarantine, while other research from Wuhan, China, highlighted the impact of COVID-19, particularly amongst healthcare personnel. Psychiatrists and mental health professionals will play a …

A graduation speech to a residency class

Deborah Edberg, MD

Physician

July 4, 2020

I feet truly honored to have been asked to speak at your graduation and to have a chance to share on this day with all of you. We are experiencing a truly singular moment, and I imagine you are hoping that I might say something that would be comforting or inspiring, and I really can’t think what that could possibly be.

For the last half of your third year of residency, …

COVID-19 is a grim reminder of my roots

Josh Budhu, MD

Physician

July 4, 2020

Ever since the COVID-19 pandemic gripped New York City, I have come to dread calling home to my parents. Every conversation ultimately leads to the question: “Is everyone okay?” This is always followed by a pause as my parents consider how much to tell me. Over the past few months, I learned on an almost weekly basis of a new family member, family friend, or neighbor who was hospitalized, transferred …

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COVID-19 is a grim reminder of my roots

This is a time for national unity, not sensationalism [PODCAST]

The Podcast by KevinMD

Podcast

July 3, 2020

“Recent articles have accused some physicians of hoarding medications for themselves during our international medical crisis. Authors such as these should be ashamed of their coverage and wasted ability on sensationalism when they could be spending their time informing the public about the dangers of COVID-19 and the actions communities, hospitals, physicians, businesses, and public servants are taking on a daily …

Spare older anesthesiologists COVID-19 coronavirus risk [PODCAST]

The Podcast by KevinMD

Podcast

July 2, 2020

“This pandemic presents a unique opportunity for senior anesthesiologists to see the benefit of accommodating the health care needs of our workforce. Just as I tried to avoid the teratogenic effects of certain cases when pregnant, we should consider the most effective ways to protect senior anesthesiologists from a life-threatening infection. When the pandemic has passed, anesthesiologists of all ages can …

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