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A medical student’s experience at an urban free clinic

Education

August 22, 2020

During my first year of medical school, a professor in my clinical skills course shared a timeless adage in medicine: “If you listen closely enough to the patient, they will tell you the diagnosis.” I accepted this statement as a fact of medicine – if I could develop astute history taking skills in my first year, this skill would serve me well throughout my medical training. However, when I volunteered …

What can residents do to prepare for hospital closings?

Allison Latimore, MD

Physician

August 22, 2020

“We are transitioning.” In July of my intern year, this was the sentence that the CEO of our community hospital used to tell the staff that the hospital was closing its inpatient services. The emotions that traversed my mind were quite vast, to say the least. Anger was undeniably at the top of the list, but mostly directed at myself.

Initially, I thought medical school definitely did not prepare me for this. …

Pediatric practices face financial strain [PODCAST]

The Podcast by KevinMD

Podcast

August 21, 2020

“Physicians are trained to do what is best for their patients and to do no harm. Independent practices have sat quietly watching, feeling hopeless as our communities cannot access the care they need, shamefully shutting our doors to spend hours on the phone with insurers. But no more. We can no longer remain quiet: Our pediatric patients may not be suffering …

Do patients addicted to drugs truly have capacity? [PODCAST]

The Podcast by KevinMD

Podcast

August 20, 2020

“We care for patients suffering from addictions every shift and are often the only care providers they can turn to. Despite our best efforts, we are often forced to watch as these patients continually succumb to their addiction, sacrificing their bodies as collateral damage in the battle.

What frustrates me the most is that every time one of these patients leaves against …

Stop trying to impress your family by spending money and start impressing them by spending time

Cory Fawcett, MD

Finance

August 20, 2020

I have been reading alarming tales of doctors who think they can buy their way into the hearts of their spouse and kids on the weekend to make up for not being there during the week. The reality is your kids don’t need your money; they need you to spend time with them. Quality time is needed at work; quantity time is needed at home.

Buying a vacation home to use …

How masks are like your underwear

Rada Jones, MD

Physician

August 20, 2020

1. Both masks and underwear exist to contain badness. Neither works 100 percent, but they’ll curb the worst of the spill.
2. Don’t borrow someone else’s, no matter how cool they look.
3. Keep them on around strangers, unless you’ve both been tested.
4. Cotton breathes better than polyester.
5. If they don’t fit well, you’ll be chaffing.
6. Wear them both when you visit grandma.
7. They stink at the end of the day. They …

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How masks are like your underwear

Why telemedicine needs to be a permanent part of Medicare [PODCAST]

The Podcast by KevinMD

Podcast

August 19, 2020

“While preparing to assist our patients in the emergency rooms and dedicated COVID-19 wards, our clinic continues to triage patient concerns, creates new care plans, and provides a necessary layer of support, reassurance, and education in a chaotic and stressful time. Like all of you, my colleagues and I look forward to resuming our normal lives as once this pandemic is …

5 power tips to refine your critical thinking skills

Priti Golechha, MD

Physician

August 19, 2020

One thing, which is constant in health care, is that it is continuously evolving. The challenges health care leaders are facing are not simple. They are often multifaceted, which require strategic, creative, and inclusive solutions. There are competing priorities and goals. Critical thinking has become an essential skill for all healthcare leaders.

Here are five simple tips to help you practice your critical thinking skills.

1. Ponder on the challenge. Spend as …

Consider the natural ways to prevent or reverse atherosclerosis

Hans Duvefelt, MD

Conditions

August 19, 2020

Some people have high cholesterol but not much atherosclerosis. We think of their arteries as having nonstick surfaces. We know inflammation can predispose to plaque formation and plaque rupture, which is the trigger of most heart attacks.

We know statin drugs can prevent and reverse plaque buildup, and make existing plaque sturdier and less likely to rupture. These drugs lower blood levels of inflammatory substances. Most doctors focus on their cholesterol-lowering …

A medical student graduates with a lack of closure [PODCAST]

The Podcast by KevinMD

Podcast

August 18, 2020

“I initially fell into the dangerous grief and shame spiral. I shoved these feelings of loss deep down and let shame bubble up. How could I legitimize my feelings when people are dying?

However, I have been working through the idea that comparative pain and its conflicting feelings do not help. To a toddler, their worst grief is not being able to …

Why gardening is the best medicine

John La Puma, MD

Physician

August 18, 2020

My first glimpse into the power of urban gardening was not through bucolic farmer’s markets or verdant nurseries, whose beauty I only came to after medical school. My introduction was in our small suburban backyard of clay soil. My dad planted silvery, wild-armed globe artichokes, because they could produce flower buds and leaves we could eat, to improve our digestion. That glimpse was enough to ignite my curiosity about homegrown …

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Why gardening is the best medicine

How physicians can find jobs in the pharmaceutical and biotechnology industries

Nerissa Kreher, MD, MBA

Physician

August 18, 2020

Fifteen years ago, my career path took a detour. As a two-physician household, we were managing my husband’s match and my job interviews in the cities he was considering. Boston, Milwaukee, and Los Angeles – could you get any more diverse? Definitely, an awkward way to interview; hard to sell excitement when it was clear that it really depended upon “the match.”

Boston! As soon as we got the match results …

How psychiatry has changed over the years

Greg Smith, MD

Conditions

August 18, 2020

I grew up in a small mill village in northwest Georgia. When things did not go right, someone got sick, or we had an accident, or we needed a sports physical, we would head around the circle to the entrance to the mill complex, just across the grassy field from my house, and see Dr. Harry Dawson. Dr. Dawson was that old omnipresent breed of physician who had a small …

A psychiatrist’s telemedicine experience [PODCAST]

The Podcast by KevinMD

Podcast

August 17, 2020

“I propose Zooming while driving be added to the DSM criteria for ADHD. I have gotten a new glimpse into the world of some of my patients. One patient even mentioned it’s hard for them to come to appointments, even with transportation, and we were able for the first time to talk at length about those psychological factors that prevent them …

A physician’s work is hard. And it is sacred.

Andy Lamb, MD

Physician

August 17, 2020

In today’s increasingly technological, data-driven, depersonalized world of health care, I wonder if the concept of “a good death” is even possible. The COVID-19 pandemic, in particular, has caused me to reflect on this. What does it look like? How do you define it? As I did, a patient came to mind. He was a retired minister in his 80s. I had cared for his wife as well until she …

Why it’s so important for medical students and physicians to write and share their stories [PODCAST]

The Podcast by KevinMD

Podcast

August 16, 2020

“I wrote a 55-word story in solidarity with my medical students and colleagues I had invited to share their lived experiences during COVID-19 on our Stories in Medicine blog. I wrote out of a need to “unmask” the guilt and angst of some of my colleagues and myself who, though practicing physicians, do not find ourselves directly on the front lines …

The next time you’re on call, please rethink what white and black clouds mean

Dante A. Mesa, MD

Physician

August 16, 2020

I distinctly remember one of many times I was reminded of “my place” in medicine. It was during the third year on a call day shift that had been lighter than most for our bustling hospital. As the residents were discussing who it was that had brought the good energy, I slipped in to mention that I often felt I had a white cloud energy myself. And the senior on …

How to recruit more students into family medicine

Kenneth Lin, MD

Physician

August 16, 2020

In 2019, a Policy One-Pager produced by the Robert Graham Center reported that the percentage of the active U.S. physician workforce in primary care practice declined from 32 percent in 2010 to 30 percent in 2018. Although family physicians represent 4 in 10 primary care physicians, in several states, a large percentage of family physicians are older than 55 years and anticipated to …

With COVID-19, a need to deregulate buprenorphine prescriptions [PODCAST]

Megana Dwarakanath, MD

Podcast

August 15, 2020

“With COVID-19, we have both the unique opportunity and need to deregulate buprenorphine prescriptions. The Substance Abuse and Mental Health Services Administration (SAHMSA) recently updated guidelines for buprenorphine prescriptions. There are new provisions for telephonic initiation of buprenorphine and scripts up to 28 days for stable patients. Unfortunately, this does not circumvent the major issue: redeployed providers will not be able …

4 ways to decrease your dread of being on-call

Katie Townes, DO

Physician

August 15, 2020

Have you ever been faced with an upcoming shift at work and felt an impending sense of doom? This type of anticipation can be a real killjoy. However, taking calls, working nights, weekends, and holidays is all part of the job, right?

Worst. Call. Ever.

I was just drifting off, entering the first phase of sleep when the whole body is relaxed, and you’ve entered that sweet twilight zone. …