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Why this anesthesiologist has a problem with monitored anesthesia care (MAC)

Conditions

June 11, 2020

I have a major issue with MAC.

To be more specific, I have a major issue with how we communicate the concept of MAC to our patients, anesthesia care team members, and proceduralist colleagues.

MAC stands for “monitored anesthesia care,” and we tend to throw it around and use it interchangeably with a lot of other terms:

Sedation
Procedural sedation
Conscious sedation
Twilight anesthesia
Light anesthesia

The fact is, these entities are not …

How doctors can navigate the financial crisis [PODCAST]

The Podcast by KevinMD

Podcast

June 10, 2020

“Out of the blue, a new virus popped up, and ten weeks later, it is a pandemic. Within the last ten weeks, doctors have identified this new disease, figured out how it is transmitted, identified what body fluid we need to test to determine who has contracted the disease, developed a test for it, mass-produced that test, and distributed the tests …

Why physicians should invest in real estate

Fola Babatunde, MD

Finance

June 10, 2020

We have all heard that real estate is the investment vehicle of the wealthy. However, not many physicians take advantage of this tremendous resource.

The reality is the average medical student graduates with close to $200,000 in debt and does not finish training until his/her late 20s/early 30s with no financial education. The current COVID-19 pandemic has shown us that no job is protected, and earning potential can decline at any …

Don’t let the protests become last week’s news. It is our reality every day. [PODCAST]

The Podcast by KevinMD

Podcast

June 9, 2020

“Here we are again, mourning the death of another black person at the hands of the people that are supposed to protect and defend our rights. Another casualty in the 400+ year struggle that we have had in this country to be granted the same right to liberty, the same access to success and the same ability to live without fear, …

The racial disparities of COVID-19 [PODCAST]

The Podcast by KevinMD

Podcast

June 9, 2020

“Some media outlets and public figures have heralded the ongoing pandemic as a great equalizer, referencing the pathogen’s indiscriminate spread and disregard for national borders and tax brackets.

The sobering mortality statistics, however, dispense any notion of an equal-opportunity crisis, revealing a familiar theme among public health challenges in America: significant racial disparities exist, and communities of color are disproportionately affected.”

I am an ICU nurse. We are drowning.

Lauren Powers, RN, CCRN

Conditions

June 9, 2020

I am an ICU nurse. I love what I do; It’s not just a career: It’s who I am. No other job could offer me the intimate opportunity to support and guide a total stranger through the worst (and occasionally best) days of their life. Nowhere else would I leave feeling humbled by what I do every day. Nothing compares to that. Simply put: You don’t find that sense of …

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I am an ICU nurse. We are drowning.

Why medical trainees need knowledge and education on health care systems and policy [PODCAST]

The Podcast by KevinMD

Podcast

June 8, 2020

“As medical trainees, we will shape the rapidly changing health care environment in this country. We are fiercely advocating for our disadvantaged patients, debating the price of life-saving medications, and carefully considering how the upcoming elections will shape the health care system in which we both provide and receive care. All the while, we handle our responsibilities and prepare to care …

A better way to screen police officers

Alex El Sehamy, MD

Physician

June 8, 2020

I’m exhausted. I don’t think I’ll be able to forget these sleepless nights with the sight and sound of protesters in the streets right outside of my apartment. I’ve lied awake until 2 a.m. watching videos on Twitter taken by protestors themselves, torturing myself with the displays of violence that are complex to understand, but shocking nonetheless.

As I watched police officers and protestors clash on the lightbox in my hands, …

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A better way to screen police officers

During the pandemic, faith keeps us together [PODCAST]

The Podcast by KevinMD

Podcast

June 7, 2020

Thank you for listening to the podcast. There were some audio difficulties, which I hope you can overlook. It certainly does not take away from Dr. Syed’s message and her wonderful interview.

“An essential part of daily living for many people is faith. No matter what faith you belong to, people practice their faith in different ways. Most people have faith intertwined …

We need to stop seeing patients as dollar signs

Anonymous

Physician

June 7, 2020

I am a newly minted surgical specialist, less than one year into practice. Residency was no walk in the park, but the clinical experience, along with hours of studying, reading papers, and reviewing practice guidelines, undoubtedly gave me the tools to practice modern, evidence-based medicine. As residency came to a close and the light at the end of the tunnel grew bigger and brighter, my excitement to move on to …

Health care workers in the time of COVID: reluctant superheroes?

Ankur Sharma, MD, MPH

Physician

June 7, 2020

Invisible and unassuming, the radioactive spider slowly descends from the ceiling, and before he knows it, Peter Parker’s life has changed forever. With that one bite, he is transformed from a normal man into a reluctant superhero. Only, that infamous spider is COVID-19, and Peter Parker is a health care worker during these troubled times.

It may surprise you to know that many of us in health care are uncomfortable being …

Anti-racism must be a priority for medical institutions

Alex Coston

Policy

June 7, 2020

I want to start with a moment of silence to remember so many who have been stolen from their families and communities as a direct result of rampant white supremacy, anti-blackness, and police violence: George Floyd, Ahmaud Arbery, Tony McDade, Breonna Taylor, and too many others.

George Floyd was murdered on May 25. Protests began the following day in Minneapolis and have catalyzed a swift wave of righteous anger and rebellion …

How emotional antibodies can help recover from the impact of COVID-19 [PODCAST]

The Podcast by KevinMD

Podcast

June 6, 2020

“In my lifetime, I have encountered those who have seemingly endured far greater states of human privation than I could ever imagine (though I try to eschew establishing comparative equivalencies [or non-equivalencies] among human suffering as much as possible because such an impossibly herculean task never ends well). And what I have come to realize is that the nexus of all …

Empathy is a crucial component when working with older adults [PODCAST]

The Podcast by KevinMD

Podcast

June 5, 2020

“Empathy is more than just loving an elderly loved one. It is more than simply making the decision we may feel is best for our loved one. Empathy is different from sympathy. Empathy means putting ourselves in someone else’s shoes and making an informed decision. Empathy is seeing through our loved ones’ eyes, hearing through her ears, feeling her emotions, and …

How MOC is contributing to the demise of physicians

Torie S. Sepah, MD

Physician

June 5, 2020

Let me start by saying that I am a diplomate (i.e., “board-certified”) by the American Board of Psychiatry and Neurology. I was completely in agreement that to display competence in my specialty after four years of residency, I should pass the oral and written exams required by the ABPN, further to prove I have maintained my skills, I have always found it …

3 enemas? For a man without a colon?

Raymond Abbott

Conditions

June 5, 2020

“Three Fleet enemas?” I ask the nurse. She isn’t much interested in a conversation with me about anything. She is busy.

“This man, so far as I understand it, does not have a colon.”

It looks to me like they want to reconnect his colon,” she says as if I hadn’t said what I just said.

“I am not a doctor,” I remind her, “but I don’t see how that is possible. Too …

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3 enemas? For a man without a colon?

Protect our medical trainees during the pandemic [PODCAST]

The Podcast by KevinMD

Podcast

June 4, 2020

“When I first heard about medical schools fast-tracking graduation for students and shifting young residents into high need areas to fight the pandemic of COVID-19, I thought of how panicked those students and residents must feel. Asking them to step in to fight a battle we don’t know how to win, and envisioning them witnessing the suffering and death of multiple …

The USMLE needs better pandemic communication [PODCAST]

The Podcast by KevinMD

Podcast

June 3, 2020

“The USMLE has failed the medical education community, and subsequently, future patients, as medical students will undoubtedly have irreplaceable damage from this experience; however, like all tests, it is possible to learn from mistakes and improve. In these unprecedented times, we as students understand the need to be flexible, but in return, we ask not to be forgotten and left abandoned …

Dear AAMC: Please limit residency interviews [PODCAST]

The Podcast by KevinMD

Podcast

June 2, 2020

“The COVID-19 pandemic has turned medical education upside-down. From exclusively virtual pre-clerkship courses, to delayed clerkships, to canceled graduation proceedings, there has been massive disruption. Now, after weeks of speculation, we’ve learned how the pandemic will be disrupting the 2020-2021 residency application cycle. The Association of American Medical Colleges (AAMC) is now recommending that all residency interviews be conducted virtually. While …

Does the EMR improve or worsen patient safety?

Danielle Ofri, MD, PhD

Physician

June 2, 2020

An excerpt from When We Do Harm: A Doctor Confronts Medical Error.

One of the selling points for the electronic medical record (EMR) was that it would be a boon for patient safety. Just having all the medical records in one place is a monumental improvement over …

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