The Podcast by KevinMD

Latest Episodes:

What you need to know about monkeypox Aug 17, 2022

Show notes

"What is currently known is that monkeypox is transmitted primarily through close contact with skin lesions, bodily fluids, and respiratory droplets. Men aged between 20 and 50 years, many of whom have sex with other men (MSM), are notably included in a majority of the cluster cases, thereby indicating that sexual contact may be a significant route of transmission. The correlation with sexual activity does not corroborate increased contamination or virulence; it simply highlights that close contact and skin lesions may allow for monkeypox to spread most effectively."

Divya Srinivasan is an undergraduate student. Tejas Sekhar is a graduate student.

They share their stories and discuss the KevinMD article, "What you need to know about monkeypox."

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Misaligned expectations lead to conflict, burnout, and disillusioned physician leaders Aug 16, 2022

Show notes

"Would you expect the chef at a restaurant to be told that they are not only required to prepare the food in the kitchen but also deliver it to each of the tables and manage the billing? What about sorting out the restaurant's finances or understanding the number of patrons that need to flow through per night to optimize income? If this sounds unreasonable, how did we end up asking physicians to undertake multiple roles in our health care organizations for which they have not trained? This expectation has led to untenable work environments, and we need to find solutions."

Amanda Brisebois is an internal medicine physician and palliative medicine specialist. Book a call with Dr. B to talk about conflict in your workplace.

She shares her story and discusses her KevinMD article, "Misaligned expectations lead to conflict, burnout, and disillusioned physician leaders."

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A medical student's advocacy journey Aug 15, 2022

Show notes

"As I looked across the boxes on my screen, I saw the gleaming faces of my peers. Just as it did then, and as it has for countless of my peers since, involvement in the Student Osteopathic Medical Association (SOMA) Advocacy Day showed me the difference that medical student voices make."

Scott Landman is an osteopathic medical student.

He shares his story and discusses his KevinMD article, "Student advocacy through the Student Osteopathic Medical Association (SOMA)."

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Are you ready to hear the truths about perfectionism? Aug 14, 2022

Show notes

"Are you a perfectionist?

Did you know that perfectionists are actually some of the biggest procrastinators? Yes, really.

In theory, perfectionism sounds like a good thing. Who doesn't want to do and be their best? It can even seem like a harmless way to motivate yourself.

But the reality is, nothing is perfect.

What does "perfect" even mean? What does it look like? Who has the instruction manual?

It's different for everyone. What's "perfect" in your eyes may not be perfect in someone else's eyes and vice versa.

As you can see, there is no end to this game. There is no way to win."

Cindy Tsai is an internal medicine physician and can be reached on Twitter @cindytsaimd.

She shares her story and discusses her KevinMD article, "Perfectionism is a myth: Are you ready to hear the truths about perfectionism?"

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Preserving humanity in the ICU Aug 13, 2022

Show notes

"Five days before this story begins, where everything is upside down, and the end is the beginning.

Me, standing in my PICU, slowly approaching that cradle, then removing the medication, one by one, turning off the syringe pumps. Saying out loud the number of milliliters passed, where that line is trapped, that little division between the professional and me, the person.

Where I stopped being a doctor and became a woman holding a baby."

Sylvia Belda-Hofheinz is a pediatric intensivist in Spain.

She shares her story and discusses her KevinMD article, "A dead baby in my arms."

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What a lifetime of gaslighting by other doctors feels like Aug 12, 2022

Show notes

"Ehlers-Danlos syndrome patients take an average of 10 years to be diagnosed.

In that time, the pain from microtrauma and joint instability can become unbearable. "Just exercising more" can backfire, causing injury and disability and creating a cycle of added stress from chronic illness. But the biggest challenge is when our physicians are our opposition. It's been more than 20 years since the first time I tried to convince a doctor to believe me. I was just a child, and the trauma of repeated dismissal still haunts me at every new appointment.

Thankfully, I am a physician myself now, and I am no longer powerless. I can advocate for myself AND my patients in ways most people cannot. I can navigate the system and find specialists independently. But I shouldn't have to, and neither should our patients.

And none of us should fear what our doctors say about us when they leave the room."

Sarah Cohen Solomon and Linda Bluestein are physicians.

They share their stories and discuss the KevinMD article, "What a lifetime of gaslighting by other doctors feels like."

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A caregiver's love story Aug 11, 2022

Show notes

"Dying and introspection happening at the same time were a dual reality that I found impossible to ignore when Bill was not doing well. As Bill's poor prognosis and impending death began to reflect on our life, it was getting harder to respond to the living as we had in the past. Bill seemed to be pulling away from everyone he knew, except for a handful of friends and me. As a dying person, he seemed to be concentrating on only one thing – dying. The truth is that nature is selfish and dying is just part of the natural transition as someone ages. You can't avoid it, and sometimes it can even sneak up on you."

Nancie Wiseman Attwater is the author of A Caregiver's Love Story.

She shares her story and discusses her KevinMD article, "Dying is a selfish business."

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A physician's work dread and what he did about it Aug 10, 2022

Show notes

"Work dread. Even if you didn't know it had a name, you know the feeling. It is that sensation in the pit of your stomach when you realize that the start of your workday or workweek is fast approaching, and you don't want it to come. Sometimes it begins on Sunday afternoon when you want to be enjoying time with your family. Other times, you might find yourself sitting in the hospital or clinic parking lot, resisting the beginning of another busy day. Maybe you sit in your car for an extra 10 minutes and allow yourself to finish a podcast episode. Or perhaps you doomscroll on Facebook for a few minutes before taking a deep breath, getting out of your car, and starting your day."

Michael Hersh is a gastroenterologist.

He shares his story and discusses his KevinMD article, "The epidemic of work dread."

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I'm a physician, not a provider Aug 09, 2022

Show notes

"This is an important time to rise up, come together, and understand that it is our time to remove the confusing veil put on us. We are not delirious. We are not psychotic. We are physicians. We are the ones who took an oath to benefit patients according to our most extraordinary ability and judgment to keep pure and holy both our lives and our art.

It is time to take back what belongs to us. It is ours. It is time to rise and start the revolution. Our title will not be taken away. You would never accept being called Laura when your name is Sarah. Our title has power. It is our healers' birthright. Start the revolution. It starts with your title. Reclaim your power. Hi. My name is Diana Londono, and I am a physician — #notaprovider.

Diana Londoño is a urologist and can be reached on Twitter @DianaLondonoMD.

She shares her story and discusses her KevinMD article, "I'm a physician, not a provider."

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Why doctors are getting their asses kicked by technology Aug 08, 2022

Show notes

"Physicians have terrible technology, but they refuse to recognize high-tech as a medical specialty. They must integrate technology as they do laboratory science.

Physicians are certainly suffering from poorly-designed electronic medical records (EHR), but they are also guilty of wilful blindness in abdicating responsibility for technology in medicine. This must change.

Physicians have a higher suicide rate than post-combat troops in the military. A lot of this is due to widespread burnout from poorly designed EHRs. Yes, it sucks, but who is really at fault?

What if this problem was a consequence of a professional stance medicine can choose to reverse? What if it won't go away until we do?"

Drea Burbank is a physician-entrepreneur.

She shares her story and discusses her KevinMD article, "Why doctors are getting their asses kicked by technology."

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