When I was six years old, I made a public declaration that I would become a singing doctor. I knew I wanted to be a doctor, influenced by my pediatrician, and I also loved singing. So, at that time, it made perfect sense to me that I should be able to do both when I grew up. I had a vivid vision of singing to children while taking care of …
In the health care business, as in other industries, there are marginalized and privileged payers. The number of patients covered determines which health care payers can sell at wholesale pricing, benefiting themselves while expecting providers and institutions to make up for lower reimbursements with patient volume. Uninsured patients typically pay retail prices unless they can secure rare waivers from providers or institutions. These waivers are uncommon due to the complex …
As we recognize Mother’s Day on May 14, let’s take this time to reflect on how we can help ensure all moms celebrate with us, year after year. A recent report by the Centers for Disease Control and Prevention (CDC) shows the U.S. maternal mortality …
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In this episode, we speak with George Tewfik, an anesthesiologist, about the importance of recognizing and addressing knowledge gaps in anesthesia residents. George discusses how new residents may arrive with a sense of false confidence that can …
Every day, in my job as an anesthesiologist, I am called upon to manage conflict. Sometimes, it’s between two members of my team, sometimes it’s between coworkers, and many times it is a conflict I may have with my own co-worker or peer.
Whether it’s because someone I supervise is chronically late or underprepared, I have to go …
Working with and supervising residents takes a certain degree of trust. Empowering residents with trust can be a difficult proposition for educators. There’s a moment early in the career and education of an anesthesia resident where they earn the trust of their faculty and supervising attendings. This moment is not contingent upon the memorization of a textbook or the demonstration of intubation skills. It doesn’t depend on the recitation of …
A guest column by the American Society of Anesthesiologists, exclusive to KevinMD.com.
Health disparities affecting minority and vulnerable populations are increasingly well-recognized after the disproportionate impacts of the COVID-19 pandemic. Across a large number of quality metrics, the Agency for Healthcare Research and Quality’s latest National Healthcare Quality and Disparities Report found that Blacks, American Indians, Alaskan Natives, …
A guest column by the American Society of Anesthesiologists, exclusive to KevinMD.com.
My physician grandfather believed medicine was the noblest profession, a career that combined making an honest living with a meaningful difference. Inspired by his passion, I followed in his footsteps, believing I was on the path to a lucrative life of helping people in need.
The reality has …
A guest column by the American Society of Anesthesiologists, exclusive to KevinMD.com.
A nurse is assisting the attending physician in placing a central line in the intensive care unit.
It’s 3 a.m., and the attending is clearly tired, having admitted eight patients so far on her shift. The nurse notices the physician pushing her eyeglasses up her nose – after …
There is something to the movie The Secret Life of Walter Mitty that I just love. Every time I hear the music, I feel the sky of possibility opening as a melancholy feeling simultaneously hits. And today, while finishing my ACLS recertification, I realized another reason why: Walter Mitty finally starts designing his way forward. And you can too.
While sitting in between cases, one of my partners asked me why …
A guest column by the American Society of Anesthesiologists, exclusive to KevinMD.com.
The health care landscape has never been more complex. A deadly and enduring pandemic; health care delivery challenges that leave some communities at higher risk for adverse outcomes; an opioid crisis that takes nearly 200 American lives per day; and an ever-evolving regulatory …
A guest column by the American Society of Anesthesiologists, exclusive to KevinMD.com.
Approximately 30 percent of the world’s population reports living with some form of pain, ranging from headaches to joint pain to cancer-related pain. Unfortunately, pain medicine expertise and the medications and non-drug therapies available to relieve pain are not as widely distributed as …
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I am an anesthesiologist, a physician with a specialization in anesthesia. I chose this profession, with its difficulties and its rewards. I knew there would be sacrifices and I have gladly made them. I didn’t expect this, yet here I am, doing what has to be done, if for no other reason than it is what I do.
I want to share with you something I wrote in the summer of …
A guest column by the American Society of Anesthesiologists, exclusive to KevinMD.com.
There are some moments in life that, when you look back years later, you see a pivot. The fork in the road you didn’t recognize at the time, that looking back, changed the trajectory of your life.
One of those moments in my life …
A guest column by the American Society of Anesthesiologists, exclusive to KevinMD.
“I am so ashamed. I am truly sorry to anyone I hurt or offended.”
These were the first words Beverly said when I met her in the preoperative holding area before surgery. She was referring to her recent behavior during an episode of …
An excerpt from I Watch You Sleep: A Doctor’s Tales of Anesthesia and Chain Restaurants.
Medicine on television is often inaccurate. As a physician, it bugs me to see my field misrepresented. It is even rarer to see anesthesiology represented at all on TV. I’m sure lawyers scream …
A guest column by the American Society of Anesthesiologists, exclusive to KevinMD.
As leaders in patient safety, anesthesiologists are committed to improving patient care and positively impacting the experiences of expectant mothers to ensure the health and safety of mom and baby. Along with primary health care providers, anesthesiologists are available to help expectant …
He was sick-sick but he had broken his hip, and if you put a broken bone and an orthopedist together, you have an operation. It wasn’t as far afield as the classic ortho-anesthesia video where ortho calls for an OR for a dead patient, but believe me, all kinds of badness can occur that turns sick to dead.
A good sign was that the patient was ornery. He didn’t so much …
January 24, 2014, was a typical day for me, spent hurrying up and down the halls outside the operating rooms at the hospital where I was an attending anesthesiologist. I often “ran the board” or was the charge person, and I enjoyed being the facilitator. Each operation was written on a magnetic strip and we moved them around like pieces of a puzzle to get the surgeries done efficiently. I …
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