The Podcast by KevinMD

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Why a nurse should not go to jail Jul 18, 2022

Show notes

"From a place of personal accountability and commitment to system improvement, RaDonda Vaught's conduct in the aftermath of this tragic event has been exemplary. She told what she knew, as soon as she knew it, to any stakeholder, for any purpose in hopes that understanding her actions, state of mind, priorities, omissions, and flaws could help her patient or any other. Much of what we have learned comes from the painful, candid narrative of RaDonda Vaught, at no small consequence to herself. She is the nurse the patient safety community has longed for, indeed has spent two-and-half decades nurturing.

She should not go to jail."

Barbara L. Olson is a nurse and senior advisor, The Just Culture Company. She supports health care clients in planning and sustaining Just Culture as a system of workplace justice and can be reached on Twitter @safetynurse.

She shares her story and discusses her KevinMD article, "Why a nurse should not go to jail."

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Malpractice may be negative, but its data can generate positive results Jul 17, 2022

Show notes

"When most health care professionals hear the word 'malpractice,' they want to run the other way. This is understandable—but also a missed opportunity. We can leverage malpractice data to target and drive investment in patient safety efforts. Malpractice data shows us that good communication and teamwork are vital to preventing adverse events and malpractice claims—while dramatically improving working conditions and enhancing patient safety.

Malpractice data shows that communication-related factors contribute to about 30 percent of claims. When communication is disrespectful, unclear, or simply missing, risks to patient safety and provider liability are amplified, whether the communication is between providers or between a provider and the patient/family."

David L. Feldman is chief medical officer, The Doctors Company and Healthcare Risk Advisors.

He shares his story and discusses his KevinMD article, "Malpractice may be negative, but its data can generate positive results."

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Historical lessons to improve health care today Jul 16, 2022

Show notes

"Medical advances can often stir up ethical issues, which ripple into two courts: the court of law and the court of public opinion. These news articles described a public relations nightmare brewing at the National Pituitary Agency (NPA), which operated with NIH funding. Founded in 1963, the NPA had been collecting 72,000 cadaver pituitary glands annually for research purposes. The intent was noble."

Alfred Sadler is a physician. Blair Sadler is an attorney. They are authors of the book, Pluck: Lessons We Learned for Improving Healthcare and the World.

They share their stories and discuss their KevinMD article, "Medical advances can often stir up ethical issues."

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Why the new 988 hotline has the potential to transform mental health care Jul 15, 2022

Show notes

"The federal 988 hotline represents a promising new approach to alleviating the nation's growing mental health crisis, but several key challenges loom that could derail this well-intentioned initiative.

One significant information technology challenge the hotline will face involves how to uniformly store and interpret mental health data (more on that later) but the most immediate roadblock is a lack of awareness.

Though the hotline is scheduled to debut in July, the program, which is federally sanctioned and funded but left up to individual states to implement, was announced with little fanfare, so many people within and outside of the medical community likely are unaware of its existence."

Rich Parker is an internal medicine physician.

He shares his story and discusses his KevinMD article, "The new 988 hotline has potential to transform mental health care, but challenges loom."

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Using inquiry-based stress reduction to treat medical malpractice stress syndrome Jul 14, 2022

Show notes

"We are busy people who have had much success; looking at our painful thoughts is not something we have had the need or opportunity to do. We may be a little anxious, neurotic, even, but we are respected, helpful, and successful. We tell ourselves that our anxiety is a small price to pay for all this success. Sometimes it takes a life-changing event to see that the truths we hold so close are not helping us. We are successful despite our anxiety, not because of it.

Opposing counsel desperately hopes we do not question our thinking. They bank on the legal process bringing up so many underlying beliefs that we settle cases early or show up to trial withdrawn, anxious or angry. Our mental clarity, unfettered by stressful thoughts sometimes carried for a lifetime, is our best legal defense."

Lara Patriquin is a radiologist and physician coach and speaker.

She shares her story and discusses her KevinMD article, "Using inquiry-based stress reduction to treat medical malpractice stress syndrome."

Resources:

Putting stressful thoughts on trial: A live one-on-one Zoom course to thrive during malpractice

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How to tackle the physician shortage Jul 13, 2022

Show notes

"The national physician shortage is an urgent issue that requires immediate attention. Otherwise, the next time you seek medical care, you might be treated by a non-physician for a condition that requires physician attention. This could be expensive and detrimental unless we solve the issue of training and retaining physicians.

Physicians are uniquely positioned to advocate for solutions in three roles: trusted messenger, physician-administrator, and political officeholders.

Surveys consistently show that health care is in the top three motivators for voters, yet patients are likely unaware that the physician shortage is a grave threat to their health and wellness. As trusted messengers, physicians can educate and inform the public about this particular peril in our broadly broken health care system. Voters can only effectively advocate for themselves and their communities and compel their elected officials to legislate change if they understand the roots of these issues."

Sujan Gogu is a family physician.

He shares his story and discusses the KevinMD article, "How to tackle the physician shortage."

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Not a cancer survivor or previvor, but a cancer preventer Jul 12, 2022

Show notes

"I know how different my experience is. I am not facing potentially debilitating treatment(s) or the fear of death. Still, I am experiencing a physical transformation, a redefining of my feminine self, yet I do not feel as if I have the 'right' to be scared, saddened or supported. This is a "me" problem but raises the broad need for inclusivity, acceptance, and support in general and by health care professionals.

I no longer have breasts. Pathology confirmed for me that this was the right choice — no cancer yet. Findings indicated that it was 'just a matter of time.' While I truly have no regrets (even looking at my now truly, scarred flat chest) my vanity is still an issue. Time, a lavish, beautiful tattoo of lilacs or orchids and working toward washboard abs to match my washboard chest will help to heal this wound — and, most importantly, no more worries about breast cancer.

The guilt and doubt still linger, but then I see the relief in the faces of my family and understand that preventive mastectomy (and going flat) may not be right for everyone, but it was right for me.

I am not a survivor, not a previvor, but a preventer."

Nanette Elster is a bioethicist.

She shares her story and discusses her KevinMD article, "Not a cancer survivor, not a cancer previvor: Am I a cancer preventer?"

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A hospice doctor's advice on financial independence and living a regret-free life Jul 11, 2022

Show notes

"Unlike my dad, I grew up with very different feelings about my own longevity. I have always believed that I would live to a ripe old age. This belief has colored my approach to career and finances. In many ways, I was able to delay my passions in order to build the appropriate amount of jet fuel to power my transatlantic flight. The urgency of now was replaced with a wholehearted wish to delay gratification now to benefit the future.

Getting your financial house in order requires understanding these concepts, weighing them, and coming to terms with what scares you most. Armed with this knowledge you can create a financial plan which balances the urgency of now and your wealth needs for the future."

Jordan Grumet is an internal medicine physician, host of the Earn & Invest Podcast, and author of Taking Stock: A Hospice Doctor's Advice on Financial Independence, Building Wealth, and Living a Regret-Free Life.

He shares his story and discusses his KevinMD article, "A hospice doctor's advice on getting your finances in order."

This episode is sponsored by the American College of Lifestyle Medicine (ACLM).

Chronic disease is a global emergency. If you're interested in evidence-based lifestyle change to address the root causes of chronic disease and restore health, rather than the less effective approach of merely managing symptoms—it's time you heard about the American College of Lifestyle Medicine (ACLM).

Experience ACLM's annual lifestyle medicine conference, #LM2022, while you earn CME/CE and connect with leading lifestyle medicine experts.

Become an ACLM member before the conference and save up to 22 percent off registration.

Go to lifestylemedicine.org/membership to learn more.

Did you enjoy today's episode?

Rate and review the show so more audiences can find The Podcast by KevinMD.

Subscribe on your favorite podcast app to get notified when a new episode comes out.

Click here to earn 1.0 AMA PRA Category 1 CME for this episode.

Also available in Category 1 CME bundles.

An example of medical-legal consulting Jul 10, 2022

Show notes

"To a reasonable degree of medical probability, it was my opinion that the long hours the client spent typing, in addition to the poor ergonomics of his workstation, contributed to him being pre-disposed to a cervical injury sustained after lifting heavy boxes for several days. I was able to back up my opinions with evidence from the medical literature."

Armin Feldman is a medical consultant to attorneys.

He shares his story and discusses his KevinMD article, "An example of medical-legal consulting."

This episode is sponsored by the American College of Lifestyle Medicine (ACLM).

Experience ACLM's annual lifestyle medicine conference, #LM2022, while you earn CME/CE and connect with leading lifestyle medicine experts.

Become an ACLM member before the conference and save up to 22 percent off registration.

Go to lifestylemedicine.org/membership to learn more.

Did you enjoy today's episode?

Rate and review the show so more audiences can find The Podcast by KevinMD.

Subscribe on your favorite podcast app to get notified when a new episode comes out.

Click here to earn 1.0 AMA PRA Category 1 CME for this episode.

Also available in Category 1 CME bundles.

Allow yourself a moment to focus on yourself, not the next patient Jul 09, 2022

Show notes

"Allow yourself a moment to focus on yourself, not the next patient. Take a drink of cold water, go to the bathroom, and maybe take a lap around the room. Physically relax those tensed muscles.

This will allow you to start the journey of healing.

Instead of just pushing yourself deeper until the bottle of unprocessed emotions causes an explosion, notice each moment. The more that we are aware of what we are experiencing, the easier it is each time to ground yourself and process before moving on. This is not easy and requires practice, but we can do hard things. We graduated from medical school and residency! We spend so much time healing other people. It is time we heal ourselves too."

Mallory Salentine is a pediatrician and leadership coach.

She shares her story and discusses her KevinMD article, "Allow yourself a moment to focus on yourself, not the next patient."

This episode is sponsored by the American College of Lifestyle Medicine (ACLM).

Experience ACLM's annual lifestyle medicine conference, #LM2022, while you earn CME/CE and connect with leading lifestyle medicine experts.

Become an ACLM member before the conference and save up to 22 percent off registration.

Go to lifestylemedicine.org/membership to learn more.

Did you enjoy today's episode?

Rate and review the show so more audiences can find The Podcast by KevinMD.

Subscribe on your favorite podcast app to get notified when a new episode comes out.

Click here to earn 1.0 AMA PRA Category 1 CME for this episode.

Also available in Category 1 CME bundles.

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