The current popular notion is that postpartum depression (PPD) cannot be prevented. Rather, it can only be diagnosed with an Edinburgh test once the patient has PPD. Often PPD is considered to be both surprising and mysterious. In reality, it is neither. PPD is nothing new. We’ve known about it for years. My first experience with postpartum depression goes back to 1976, when I was a third-year medical student.
I listened …
The concept of patient-centered care has become pervasive in the health care industry over the last decade. However, as a health care provider, I often wonder if this approach is truly effective in improving patient outcomes and satisfaction. With the continuous emphasis on patient-centered care, I can’t help but question if it is actually a fallacy disguised as a solution.
In the past, patients had a strong relationship with their physicians, …
We don’t always choose to tap into the power of our emotions. Our reluctance frequently comes from our background, as the transformation required to channel our feelings is uncomfortable, forcing us to examine our biases and sit with them. Even though we are inherently born with this ability, there is a catch. Like any wild force, our emotions can be unruly and hard to contain, even dictating our actions if …
How do you change the paradigm in a rigid system? When the COVID-19 pandemic emerged in 2020, my team and I didn’t have a choice. We had built our hospital’s in-person cardiac rehabilitation program from the ground up, but this was a moment of reckoning. Our program would need to incorporate virtual care.
Completing cardiac rehabilitation can increase a patient’s life expectancy by up to five years, Read more…
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Join guests Kim Downey, a physical therapist, and Bryce Bowers, a family physician, as they discuss the challenges and triumphs of the medical profession. Delve into the world of health care, burnout, mental health, and creative outlets …
Difficult patients.
We’ve all encountered them.
Maybe we are them. (After all, they say doctors make the worst patients, and there’s probably some truth to that.)
But what makes a patient “difficult”?
Is it someone with multiple complex medical issues or a condition you haven’t been able to diagnose or don’t fully understand?
Is it someone with many questions, especially right at the end of their visit?
Is it someone who doesn’t follow your treatment plan …
I have long held the conviction that pediatricians, either in unison or in partnership with hospitals, have the potential to catalyze positive transformation within health care. The vision is clear: pediatricians leading the way, safeguarding health care from detrimental influences and steering it towards a brighter horizon. Yet, despite the rallying cries for innovation—be it through maintaining private practices, embracing direct primary care, or advocating for physician-owned hospitals—there is an …
The average medical student spends anywhere from 40 to 80 hours a week studying to become the future of health care, not to mention the hours outside of work that include family, community, jobs, volunteering, research, and day-to-day necessities. The average student goes to class, studies, goes home and studies some more.
However, this is not the reality for many Native medical students. We crave the ability to wake up, go …
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Join Jillian Rigert, an oral medicine specialist and radiation oncology research fellow. In this episode, we delve into the world of eating disorders, drawing from Jillian’s unique perspective as both a patient and a health care professional. …
At my [Resa] first emergency medicine position leading a clinical ultrasound section, I noticed the impact of organizing a monthly educator series. It started out as a fun way to invite friends to visit me in New York City. Win-win: I could amplify their expertise, they met my team who expanded their networks, and my friend could add a line item to their résumé. At the same time, the resident …
The acceleration of new Parkinson’s disease cases outpaces other age-related conditions, and as a result, the patient population is growing quickly. In 2022 there were about 90,000 new diagnoses in the U.S., versus the previous prevailing estimate of 60,000. While some of the increase can doubtless be attributed to improved diagnostics and improved access to health care, those factors affect the statistics of other diseases and cannot explain why …
A small, cliquish bevy of nurses was working their way through orientation in the NICU straight out of nursing school. They were happy and thrilled to be accepted into this specialized nursing unit: the NICU.
Practicing good hygiene, washing hands up to the elbows with soap each time one entered a baby’s cubicle, and gowning and gloving was a standard and mandatory protocol before touching the babies.
These were preemies in the …
The opioid addiction crisis has escalated into a formidable challenge within the U.S. health care system, causing widespread devastation. The opioid epidemic has not only devastated communities and individual lives but has also inflicted a substantial economic toll on the health care system. The opioid epidemic has led to a surge in health care costs, stemming from the increased demand for addiction treatment, including psychiatric and psychological evaluations, emergency room …
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Join Patrick Dotts, a health care executive. We’ll delve into the pressing challenges faced by the health care workforce, including high turnover rates and low employee satisfaction. Patrick will share insights on how health care organizations can …
Last week I drove to my favorite trails in Point Defiance Park. The roads seemed oddly empty and quiet, even for “the time between the years” as I’ve heard it called. Perhaps I hadn’t noticed it before, since in medicine, it’s always been just another week when most people don’t work, but we always had a full schedule.
The day was overcast, as it so often is during winter in the …
Every surgeon dreams of the day when they’ll wield the cold steel of the scalpel independently. Of the day they’ll see their name on the daily operating room (OR) schedule. Of the day they’ll be the one leading the surgery team. Of the day they will finally get to choose the music.
Surgeons are particular people, and our music choice is no exception. …
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As a lifelong learner who takes pride in self-directed learning, the importance of mentorship has not always been readily obvious to me. When I completed my residency and embarked on a career in academic medicine, little did I realize how important the mentorship of my then department chair, Dr. Janet Townsend, would be in terms of my career progression. In addition to supporting my commitment to staying clinically active while …
In a significant leap forward for medical science, recent breakthroughs in gene therapy are ushering in a new era of treatment for various human diseases. The field of gene therapy, which involves manipulating or introducing genetic material into a person’s cells to treat or prevent disease, has seen remarkable advancements, with several gene therapy drugs receiving approval from the Food and Drug Administration (FDA).
Gene therapy has emerged as a groundbreaking …
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Join Emily Schehlein, a glaucoma and cataract surgeon. In this episode, we delve into the emotional and ethical complexities of delivering life-altering medical diagnoses. Emily shares her insights and experiences in the world of ophthalmology and how …
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Kim Downey:
“Each year, almost 400 physicians die by suicide.” That sentence stopped me in my tracks.
I’d been reading all the articles here on KevinMD for almost a year when I came across one written by Dr. Avellino, with the opening line above.
One of my amazing doctors had died several months prior. I was, and in some ways still am, struggling with his death from over a year ago.
I clicked on …
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