Anesthesiology
Why this doctor stayed stuck in a job for years and how she finally broke free
My work was draining. The joy was no longer there. Sure, I loved caring for patients, but the schedules, the call, and missing my children’s life events were all catching up to me. It all was too much. After two decades at a Level 1 hospital, I was the epitome of a “burned-out” physician. My mind would harken back to the Clash’s famous song from the 1980s—”Should I stay or …
From career to motherhood: Navigating gender inequity [PODCAST]
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We sit down with Alopi Patel, an anesthesiologist and interventional pain physician, to explore the gender-based inequities women face in their careers. Inspired by the metaphor of flamingos losing their pink during times …
The shocking impact of incivility in health care: Are your team’s behaviors putting patients at risk?
Continuous quality improvement undoubtedly contributes to the ongoing honing of best practices in medicine. This health care-specific parallel of total quality management programs in business helps us daily inch closer to the ultimate goal of eradicating patient harm. Health care professionals familiar with these variation-reducing processes are likely well-versed in the popular Ishikawa fishbone diagram. While the focus is intended to be spread across materials, processes, equipment, and …
Teaming in health care: Why the future of patient care depends on collaboration [PODCAST]
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We explore the evolving dynamics of health care teams with guests Matthew Sherrer, an anesthesiologist, and Brooke Vining, a nurse anesthetist. We discuss the shift from traditional team structures to a “teaming” mindset, …
How pre-procedure optimization could save your life—and the economy
The term “organ harvesting,” once a misnomer for organ procurement after organ donation, echoes in the phrase “procedure harvesting,” which could be an inadvertent misnomer for procedure procurement following procedure donation. Who knows if some may even suggest preemptive extracorporeal membrane oxygenation when cardiac arrest seems imminent during an elective non-cardiac procedure? Regardless, while pre-procedure optimization is always a goal for elective procedure procurement—and may even be achievable in emergent …
Care teaming: a new paradigm for anesthesia care teams and beyond
When one envisions a team, sports teams likely come to mind. Musical groups represent another common example, as both musical groups and sports teams consist of bounded and static collections of individuals working toward a common goal. These individuals are physically located in the same place when they practice and perform together. As such, members of teams, in this sense, learn how to interact with one another, generally understanding each …
How AI is reshaping the anesthesia workforce
“Adapt or perish, now as ever, is nature’s inexorable imperative.”
– H. G. Wells, 1945
Many anesthesia professionals will likely recall the rise and fall of the Sedasys platform. Touted as a revolutionary advancement that would one day put anesthesiologists and nurse anesthetists “out of work,” the Sedasys computerized propofol-infusion platform predictably generated a fierce response from anesthesia professional societies who deemed it dangerous, off-label, and fraught with medicolegal liability. Sedasys …
Privacy protection after death: an ongoing dilemma
Privacy protection does not cease to exist at death, as privacy laws protect information until 50 years post-mortem. So, why does the protected information of public figures often find its way into the public domain long before this embargoed period elapses, sometimes almost immediately after death?
Firstly, the primary question is: What defines a public figure? Some individuals are public figures long before their deaths, while others become public figures at …
Essential safety strategies in anesthesia: anticipation and prevention of complication
One of the best safety strategies in anesthesia is the anticipation and prevention of complications and errors at every step of preparation. An intact intravenous drug delivery system is essential for almost every anesthetic plan. In this article, we will specifically discuss the intravenous drug delivery system, focusing on its vulnerabilities, strategies for preparation against potential complications, and error prevention. We visualize this concept as an educational endeavor and as …
How mislabeling patients affects health care outcomes
When we call out to deem a patient difficult regarding access-airway-anesthesia, we do not consider the procedure, provider, proceduralist, place, phase, payer, or player as difficult. Does this mean that only patient conditions make it difficult, with conditions surrounding the procedure, provider, proceduralist, place, phase, payer, or player never coming into play? Aren’t we putting the onus solely on the patient when we document all such experiences of difficulty only …
Why distracted detecting is the hidden threat to your health and safety
Just like distracted driving, there can be a term called distracted detecting; however, when one delves further, one realizes that distracted driving itself is one form of distracted detecting. Distracted detecting can be understood through the prey-predator analogy within the animal kingdom, with particular relevance during vulnerable adolescence. This concept is detailed in books co-authored by Barbara Natterson-Horowitz and Kathryn Bowers, titled Zoobiquity: The Astonishing Connection Between Human and …
Why charm and competence are essential for career survival
Charm and competence among providers should ideally be concordant, but they can sometimes be discordant, which should be evaluated and corrected if possible. This discordance isn’t limited to health care; it can also be observed in politics, during litigation, and within families. Charming politicians can sway followers, charming litigators can sway juries, and charming family members can influence their families. Whether or not their competence, or lack thereof, gets overlooked …
A doctor’s broken heart: lessons learned from a failed relationship
It was something out of an Indian Bollywood movie. My best friend, Raj, found a girl he liked and was completely captivated by her. We had never seen Raj with such a glow – but for our group of friends, we knew something was different with Raj, and I dare say he was in “love.” For reference, he is the kind of man who is honest, loyal, trustworthy, and …
Stop and listen: How listening to patients and families is ever important for optimal care
A guest column by the American Society of Anesthesiologists, exclusive to KevinMD.
We always hear about the art and science of medicine, but with our busy practices, the science stays at the forefront, while the art can get lost. Personal experiences or a special patient can help open our eyes. The …
A doctor turned singing sensation [PODCAST]
Anesthesia is not my name: Knowing each other’s name improves results in the OR
As an anesthesiologist, I recall countless occasions when colleagues from the other side of the drape addressed me, like, “Anesthesia, did the patient receive antibiotics?” or “Anesthesia, I need more muscle relaxation here!”
Especially in my first years as a young physician full of insecurities, it intimidated me, so I never complained and only spoke up when vital.
Nowadays, I grasp the unspoken rules of the OR and can navigate the daily …
The ultimate guide to child dental sedation
Cavities in kids are common, and many children are unable to complete dental work without sedation. Dental anxiety must be balanced with safe and expedient dental treatment. Further information about early childhood caries can be found here. The prevalence of dental decay in children varies in different groups but is as high as 85 percent in some populations.
Sedation is recommended for the completion of dental work in children with …
Why immigrant physicians struggle to bring their aging parents to the U.S.
In the United States (U.S.), immigrating physicians typically fall into three categories: those working temporarily on nonimmigrant visas, those permanently residing on immigrant visas, and those who have become U.S. citizens through naturalization.
While immigrating physicians can easily move from their home countries to the U.S., they often encounter challenges when considering bringing their aging dependent parents with them. The U.S. offers temporary nonimmigrant pathways for parents of immigrating physicians who …
The hidden dangers of prioritizing patient happiness
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, …
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Past 6 Months
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Restoring compassionate pain care: a call to action
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How one ER’s choice changed my son’s life forever
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Recent Posts
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How fee-for-service shapes your doctor’s decisions
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Past Week
-
The U.S. Food and Drug Administration is talking when they should be listening
-
What the death of UnitedHealth CEO reveals about our broken health care system
-
American tears and allyship: Who is at your table?
-
The future of orthopedic care: Embracing the ASC-urgent care model
-
Do you think the needle is moving in health care?
-
The impact of digital health tools on preventing chronic disease: a public health revolution
-
Past 6 Months
-
If you are pro-psychiatry, should you be anti-RFK?
-
Restoring compassionate pain care: a call to action
-
Is the Goldwater Rule hindering us?
-
How one ER’s choice changed my son’s life forever
-
How to dress like a doctor
-
Ways that one can succeed in dermatology residency: words of wisdom from a program coordinator
-
Recent Posts
-
How fee-for-service shapes your doctor’s decisions
-
How being “the problem” can make you a force for change
-
The testosterone surge: Are men chasing solutions or creating new risks?
-
How primary care could transform our health system [PODCAST]
-
Navigating Goodhart’s Law dilemma and the future of AI in medicine
-
A wake-up call for dementia detection: the urgent need for precision tools across health care
-
