Episodes

July 2, 2021

To the patient who wants to die: a psychologist’s perspective

"I often think about how I can make you see these things about yourself that others see. I think about the ways I can tell you that things will get better even though the darkest of days is upon you …

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July 1, 2021

COVID vaccines' tragic dance

"As a species, we have been an abject failure in dealing with a worldwide crisis. We politicize things for money, political reasons and some kind of weird power, even when it kills us in the process. We already have a …

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June 30, 2021

Bloated notes are a huge problem and a time suck

"From a charting standpoint, the sins of commission easily outnumber the sins of omission. Our group’s progress note template begins with a summary that eventually becomes the narrative for the discharge summary. Most of the time, most of the...

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June 29, 2021

Pediatric patients need appropriate pain management after surgery

"We believe optimal postoperative pain management should provide adequate pain relief, minimize adverse effects, and reduce chances of drug misuse. While we cannot undertreat pain, we also cannot go back to the practice of over-prescribing or...

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June 28, 2021

What you need to know about Ehlers-Danlos syndrome patients

"The symptoms of EDS aren’t limited to the musculoskeletal system and commonly affect everything from hearing and vision to integumentary issues such as prolonged wound healing and easy bruising. It also became apparent that the specialists I had...

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June 27, 2021

Weight gain during the pandemic: An obesity medicine specialist expla…

"The impact of the pandemic on the lives of Americans will be felt for years, if not generations, to come. This includes its alarming effect on health behaviors that contribute to the already formidable challenge of obesity in this country. …

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June 26, 2021

How to keep your optimism in medicine

"Interviewing for medical schools was intense, excruciating, and terrifying. Despite the difficult questions, there are three that stand out to me. The first was to differentiate sympathy from empathy, where I spent 30 minutes defending my answer to...

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June 25, 2021

Attention mid-career physicians: Let’s find our ikigai

"Mid-career colleagues: it’s time to go back to the future. Time to learn again. Time to build professional and social networks at work. Take a lunch break. Bring home a few fewer RVUs. I recently started a monthly journal club …

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June 24, 2021

Unmasking the faces of COVID: pages from a neurologist’s diary

"COVID was ominously not only drowning people in their own spit but struck in different shades to alter human personality that kept helplessly getting lost in the maze of their own minds. It made the young maniacal, hearing voices and …

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June 23, 2021

Physicians and the midlife dip

"We all go through our early lives in the S-curve of our medical education–college, medical school, residency, early practice. As you reach the mastery phase, I would posit that there is a downward dip as we realize that we are …

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June 22, 2021

Malpractice claims from the COVID-19 pandemic

"We won’t know until 2022 or later whether there will be an increase in claims related to the pandemic. When a medical error occurs, it’s not like an automobile accident. Everybody nearby knows when there’s been an automobile accident because...

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June 21, 2021

Love is the strongest medicine

"We know this is true in our hearts and minds, but we also know it to be true in documentable terms. Studies have proven that strong, empathic engagement between doctors and their patients increases patients’ willingness to report symptoms and...

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June 20, 2021

Why doctors are such bad investors and how real estate can help

"How do we combat all these beliefs that can make doctors into bad investors? I have a few thoughts. First of all, don’t panic. Most of us are indeed starting behind the eight-ball when it comes to wealth accumulation. But …

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June 19, 2021

Health care leaders' roles in pandemic recovery: Caring for caregivers

"These are extraordinary times. Leaders have the opportunity to seize the day, to lean into this turning point in health care delivery, to drive organizational transformation, and to emerge from the devastation of the pandemic with an organization in...

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June 18, 2021

Physicians need growth days

"We can move from being a reactor to creator. Creators think of the future and make it start happening today. Reactors are just dealing with the crisis at hand, not progressing, feeling stuck, feeling like life is unfair. Reactors are …

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June 17, 2021

Our extraordinary lungs' power and fragility

"With the obvious accounted for, we turned to the obscure, the area of medicine where judgment and experience come into play. Fortunately, we received sound advice and guidance from the infectious disease physicians. Stick to the basics, they...

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June 16, 2021

Advice from graduating medical students to new ones

"We need you to join the ranks of this time-honored profession with new eyes and determined minds and eyes that see medicine’s problematic foundations and minds that are willing to act on it. Because it is you, future medical students, …

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June 15, 2021

In memory of Bernard Lown

"Ever the teacher, the Dr. Lown we knew modeled 'The Lost Art of Healing' (the title of one of his books) in the clinic, the laboratory, and the halls of power. As health professionals, we watched him listen carefully to …

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June 14, 2021

Why it's time to split the autism spectrum

"Legislative advocacy has become difficult for the severe autism population since the DSM-5 lumped Asperger’s syndrome with autism spectrum disorders (ASD). Further complicating the matter, a new population recently emerged who identify as...

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June 13, 2021

Estate planning mistakes for physicians to avoid

"My thoughts immediately went to the tragic loss of one of my best clients, a physician who recently passed away after battling COVID-19. I remember him not only as an excellent physician but even more so as a great person. …

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June 12, 2021

Teaching young children about the existence and acceptance of LGBTQ p…

"Even though there has been a lot of progress, LGBTQ youth are still struggling with discrimination. I am disheartened that 40 percent of LGBTQ youth surveyed by the Trevor project in 2020 seriously considered suicide in the previous 12 months, …

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June 11, 2021

It's time to reframe second victim syndrome

"Taking control of distress is done by embracing the concept of 'mental fitness.' Being mentally fit enables one to overcome the negative emotions that have traditionally sabotaged our lives, both personally and professionally. Similar to physical...

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June 10, 2021

What I learned from stepping away from medicine for a year

"Before COVID-19, I left the practice of medicine for what would turn out to become an entire year. While away, I found a new way of seeing our hearts and bodies as humans in the medical profession, allowing me to …

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June 9, 2021

Don't be the patient that says these words

"Don’t be the patient that says: 'Doc, just tell me what to do …' Instead, you should ask for information to empower yourself to make decisions about your healing process. Framing questions around the clinician’s experience is always a good...

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