The Podcast by KevinMD

"As a doctor, it is pretty humbling to reflect on the fairly minimal impact our health care system has on individuals' overall health. One study I find particularly intriguing shows that socioeconomic factors (e.g., education and income), and physical environment (e.g., security and safety at home and reliable access to transportation), affect a person's health outcomes just as much as their behaviors (e.g., mental health, diet, and physical activity) and the clinical care they receive. The data indicates an even, 50/50 split. I suspect that many people view such data as interesting—but not exactly surprising. We have always known that sometimes there is little we can do medically to help a person until we have attended to their so-called social determinants of health (SDOH). Concerns about money, transportation, food security, housing uncertainty, and other socioeconomic factors nearly always prevent people from concentrating on their health." Joe Nicholson is a health care executive. He shares his story and discusses his KevinMD article, "It is time to make a dent in social determinants of health." 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. Reflect and earn 1.0 AMA PRA Category 1 CME for this episode. Also available in Category 1 CME bundles. Powered by CMEfy - a seamless way for busy clinician learners to discover Internet Point-of-Care Learning opportunities that reward AMA PRA Category 1 Credit(s)™. Learn more at about.cmefy.com/cme-info

"Pediatric cardiac anesthesiologist, woman, mother, wife, friend, mentor. I can't remember a time when I wasn't trying to "work smarter, not harder" to get it all done and feel good about myself, only to begin climbing the mountain with a fresh list the next day. My goals were simple: peace of mind and a sense that I was in control of my life and doing a good job for all the people who needed me. Just a little more effort, better organization, and I would be there. As a physician coach, I find that the topic of work-life integration is always at or near the top of the list of issues for clients. Reading Oliver Burkeman's excellent book Four Thousand Weeks: Time Management for Mortals made me do some critical thinking. Although we act as if time is a commodity, it has no tangible essence. It can't be owned. And though we constantly behave as if it's unlimited, we know better, especially as physicians. All we really have is the present moment. What is it we're really trying to manage? And, equally importantly, what sense of failure do we inflict on ourselves with our continuing unsuccessful attempts to fit more than 24 hours of activities into each day?" Laura Berenstain is a pediatric cardiac anesthesiologist and physician coach. She shares her story and discusses her KevinMD article, "The new rules of time management." 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. Reflect and earn 1.0 AMA PRA Category 1 CME for this episode. Also available in Category 1 CME bundles. Powered by CMEfy - a seamless way for busy clinician learners to discover Internet Point-of-Care Learning opportunities that reward AMA PRA Category 1 Credit(s)™. Learn more at about.cmefy.com/cme-info

"Knowing that an important number of Latinx are not yet fully vaccinated and understanding the health care gaps and social disparities that affect this group, it is reasonable to assume that the Latinx community will be disproportionately affected by the pain and sorrow of the new wave of the COVID-19 pandemic. More efforts and resources need to be designated to continue educating and empowering the Latinx community to comply with vaccination and other well-proven preventive measures that will protect them from COVID-19 and its devastating consequences now and in the future. In addition, medical schools, societies, and other related health care institutions need to become more socially and culturally aware and advocate for a diverse, inclusive health care system that promotes equity and reduces disparities." Miriam Zylberglait Lisigurski is an internal medicine physician. Ricardo Correa is an endocrinologist. They share their stories and discuss the KevinMD article, "COVID-19 vaccination: the Latinx experience." 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. Reflect and earn 1.0 AMA PRA Category 1 CME for this episode. Also available in Category 1 CME bundles. Powered by CMEfy - a seamless way for busy clinician learners to discover Internet Point-of-Care Learning opportunities that reward AMA PRA Category 1 Credit(s)™. Learn more at about.cmefy.com/cme-info

"Sickle cell disease (SCD) affects about 100,000 Americans as an inherited genetic disorder with intermittent exacerbations requiring hospitalization. SCD is also a painful and complicated disease with no single physician specialist that can provide pain relief. While SCD pain is similar in severity to cancer pain, patients struggle to find adequate pain relief because they are often labeled as 'doesn't appear in pain' as the imaging scans may not show actual pathology. Some palliative colleagues draw the comparison that cancer is visible in scans and SCD is not, which gives mental ease to clinicians as cancer patients' pain is easier to believe and treat appropriately. However, the source of SCD pain is typically micro-vascular because the disease generates pain due to occlusion in the micro-vascular. It can't be "seen" on scans except when worse complications like acute chest syndrome or avascular necrosis of a bigger joint are present." Ramandeep Kaur is a palliative medicine physician. She shares her story and discusses her KevinMD article, "Patients need palliative care to manage the pain of sickle cell disease." 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. Reflect and earn 1.0 AMA PRA Category 1 CME for this episode. Also available in Category 1 CME bundles. Powered by CMEfy - a seamless way for busy clinician learners to discover Internet Point-of-Care Learning opportunities that reward AMA PRA Category 1 Credit(s)™. Learn more at about.cmefy.com/cme-info

"We know regulators can move quickly to confront a health crisis because we have seen it in action. During COVID, the nation eased regulatory burdens at all levels of government to help health systems and doctors leverage technology and change the way they deliver care and to drive vaccine innovation. During the AIDS epidemic, we saw how effectively we could mobilize across the public and private sector to really change the course of the fight. Now is the time to harness the same energy for the opioid crisis. When you begin multiplying the number of those who have died from overdoses by the number of friends and loved ones who cared about each person and are now experiencing life-altering losses, there are fewer and fewer Americans unaffected by this crisis. The status quo is not only failing people with opioid use disorder, it's failing all of us." Arthur Robin Williams is a psychiatrist. He shares his story and discusses his KevinMD article, "The status quo is failing people with opioid use disorder." 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. Reflect and earn 1.0 AMA PRA Category 1 CME for this episode. Also available in Category 1 CME bundles. Powered by CMEfy - a seamless way for busy clinician learners to discover Internet Point-of-Care Learning opportunities that reward AMA PRA Category 1 Credit(s)™. Learn more at about.cmefy.com/cme-info

"Their absence makes me feel sad, I look around at my peers, envious and curious, Obsessing over when they will show up. When they do, they never seem to live up to expectations, Too small, too uneven, but what's sure is it's a sign I'm no longer a child. It adds to my wardrobe in a hushed way, I don't know whether to be proud or embarrassed that they're finally here. I look at magazines; should I display them more? Or will my whole essence be reduced to how big they appear under my shirt. I'm confused but feel alone with no one to talk to about these new guests." Poonam Merai is an internal medicine physician. She shares her story and discusses her KevinMD article, "There is no other body part that has filled me with such a roller coaster of emotion." 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. Reflect and earn 1.0 AMA PRA Category 1 CME for this episode. Also available in Category 1 CME bundles. Powered by CMEfy - a seamless way for busy clinician learners to discover Internet Point-of-Care Learning opportunities that reward AMA PRA Category 1 Credit(s)™. Learn more at about.cmefy.com/cme-info

"I understand that the biggest fear you have about going through chemotherapy is losing your hair. I just want to tell you. You will be fine. Trust me. I know it's barbaric. Why don't we have medicines to treat cancer that will not make you lose your hair in this day and age? Strange, right? But science has its limits. Work is being done on finding such drugs, but we are not there yet. If you Google "forced standing," a black and white picture of a girl from a couple of hundred years ago pops up who is being forced to stand, by tying her neck and arms with ropes to the ceiling and walls. Her head is slightly slumped over to one side as if she does not want to stand. The caption will inform you that this is actually how clinical depression was treated at that time. Perhaps if someone is depressed and is lying in bed all day, forcing them to stand up would somehow cure depression. When we look at that picture today, it seems like a scene out of a horror movie. Whoever I have shown that picture to has gasped. But at that time, this treatment was likely endorsed by some, if not all, psychiatrist societies of the world. Human history, after all, has no deficit of theories and rituals that were popular at the time but later considered abhorrent.' Farhan S. Imran is a hematology-oncology physician who blogs at Did I Ask? He shares his story and discusses his KevinMD article, "To my patient who is going to lose her hair from chemotherapy." 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. Reflect and earn 1.0 AMA PRA Category 1 CME for this episode. Also available in Category 1 CME bundles. Powered by CMEfy - a seamless way for busy clinician learners to discover Internet Point-of-Care Learning opportunities that reward AMA PRA Category 1 Credit(s)™. Learn more at about.cmefy.com/cme-info

"Our patients go through some very predictable fears and responses to illness and injury. In turn, medical students and residents also think and respond with some thought distortions and misunderstandings about their patients and themselves. Armed with awareness and familiarity with the typical patterns, we learn more about what to expect. We anticipate when we will get push-back and we are better prepared to act calmly and confidently. Additionally, we can get curious and ask better questions during those challenging interactions. What else is true about that grumpy old man? Is he someone's father or grandfather? Could some of the patient's behavior be a symptom of his disease? If we remember that, don't those facts make the patient's actions a lot more understandable? Is there another way to approach a problem to which you see only one solution? Can you reach some collaborative plan that satisfies both the patient and you?" Joan Naidorf is an emergency physician and author of Changing How We Think about Difficult Patients: A Guide for Physicians and Healthcare Professionals. She shares her story and discusses her KevinMD article, "Changing how we think about difficult patients." 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. Reflect and earn 1.0 AMA PRA Category 1 CME for this episode. Also available in Category 1 CME bundles. Powered by CMEfy - a seamless way for busy clinician learners to discover Internet Point-of-Care Learning opportunities that reward AMA PRA Category 1 Credit(s)™. Learn more at about.cmefy.com/cme-info

"Overall, the health system in the United States is still not tilting its axes in favor of either primary care or family doctor. What is worse, family doctors as a collective are more balkanized and less cohesive than ever. There is a sense among those in the field that something is not right about the specialty. Some feel there is a bait-and-switch aspect to becoming a family doctor. It ends up being something much different than what they were initially told. Others feel it is an impossible job to do well. The ask is too big for them. Still others believe sincerely in the ideal definition of the role, that of the generalist or comprehensive doctor, but find themselves working too hard or sacrificing too much to get it done. They find other niche-oriented ways to convince themselves they are doing "true" family medicine work. Family doctors everywhere are searching out more sustainable career paths for themselves, leading to so much career variety that the very label family doctor starts losing its preferred connotation." Timothy Hoff is a professor of management and author of Searching for the Family Doctor: Primary Care on the Brink. He shares his story and discusses his article, "Family medicine and the fight for the soul of health care." 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. Reflect and earn 1.0 AMA PRA Category 1 CME for this episode. Also available in Category 1 CME bundles. Powered by CMEfy - a seamless way for busy clinician learners to discover Internet Point-of-Care Learning opportunities that reward AMA PRA Category 1 Credit(s)™. Learn more at about.cmefy.com/cme-info

"Our children are not OK. Our pediatricians are not OK. Please, let us not further ignore and jeopardize the future health of our society. Pediatrics needs a transformational change to direct primary care and other models that transition from transactional care to relational care. Encourage your employer to embrace direct primary care for children. The future health of our children is at stake." Andrew Hertz and Keili Mistovich are pediatricians. They share their stories and discuss the KevinMD article, "Kids are not OK: Health care is failing them." 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. Reflect and earn 1.0 AMA PRA Category 1 CME for this episode. Also available in Category 1 CME bundles. Powered by CMEfy - a seamless way for busy clinician learners to discover Internet Point-of-Care Learning opportunities that reward AMA PRA Category 1 Credit(s)™. Learn more at about.cmefy.com/cme-info

"I had sent an email to some key people in my organization about managing patients' expectations and how that needed to be addressed differently on an organizational level. The truth of the matter is that I am powerless to change the way the system handles a lot of things. The more personally relevant issue is managing my expectations, both how I relate to the needs/expectations of those in front of me and my own personal needs and expectations of myself in delivering that care. Since we truly only have control over ourselves, the key question becomes how do I manage my own expectations better as a way of managing my own inner resources, namely, time, energy, and mental/emotional output?" Anne M. Miller is a psychiatrist. She shares her story and discusses her KevinMD article, "Managing expectations in the face of COVID-19." 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. Reflect and earn 1.0 AMA PRA Category 1 CME for this episode. Also available in Category 1 CME bundles. Powered by CMEfy - a seamless way for busy clinician learners to discover Internet Point-of-Care Learning opportunities that reward AMA PRA Category 1 Credit(s)™. Learn more at about.cmefy.com/cme-info

"There is a small amount of literature about secondary trauma. This means that the people who respond to trauma (firefighters, police, doctors, EMTs, etc.) experience PTSD from experiences they were not the primary victims of. I haven't read the literature, and I don't know what qualifies. I do know that this is the single worst experience with humanity that I have ever had, and the images from that night are as clear in my head today as they were when I first saw them. I know I will never forget that night, nor will I ever cease to feel my heart drop and stomach churn when I think about the few steps that Amanda took from her bed to the bathroom. The last few of her life. Rehaan Shaffie is a hospitalist. He shares his story and discusses his KevinMD article, "The worst code I ever ran." 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. Reflect and earn 1.0 AMA PRA Category 1 CME for this episode. Also available in Category 1 CME bundles. Powered by CMEfy - a seamless way for busy clinician learners to discover Internet Point-of-Care Learning opportunities that reward AMA PRA Category 1 Credit(s)™. Learn more at about.cmefy.com/cme-info

"If you knew we are like the 'Two Fridas,' that our hearts are connected, would you change your mind? Would you stop as you are about to cut the artery feeding your heart and mine? If you knew that when you cry because of your loneliness, because of your longing for your family, that I cry, too, (though behind your back, after I have comforted you) would you change your mind? If you knew that your isolation, with the tubes and gadgets coming from you or going into you, extend to me would you change your mind then?" Rosemary Eseh-Logue is an internal medicine physician. She shares her story and discusses her KevinMD article, "Unrequited: love in the time of COVID-19." 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. Reflect and earn 1.0 AMA PRA Category 1 CME for this episode. Also available in Category 1 CME bundles. Powered by CMEfy - a seamless way for busy clinician learners to discover Internet Point-of-Care Learning opportunities that reward AMA PRA Category 1 Credit(s)™. Learn more at about.cmefy.com/cme-info

"For the most highly educated and specialized professional on the health care totem pole, physicians put up with a ridiculous amount of nonsense in the workplace. You are pressured to see high volumes of patients in a rapid-fire fashion (15 minutes per visit) even when it interferes with the quality of care. You are expected to complete mundane and excessive administrative tasks and generally are not directly compensated for this time. You are given very little flexibility from your employers when it comes to rearranging your schedule and taking personal time off. For the average physician, the working conditions are intolerable at best and inhumane at worst. So the question is, why is this poor treatment tolerated?" Chelsea Turgeon is a former OB/GYN resident and can be reached at Coach Chels MD. She shares her story and discusses her KevinMD article, "Why do physicians stay in toxic work environments?" 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. Reflect and earn 1.0 AMA PRA Category 1 CME for this episode. Also available in Category 1 CME bundles. Powered by CMEfy - a seamless way for busy clinician learners to discover Internet Point-of-Care Learning opportunities that reward AMA PRA Category 1 Credit(s)™. Learn more at about.cmefy.com/cme-info

"Unfortunately, when negotiating with hospitals I am frequently forced to deal with individuals who need to 'explain' the importance of maintaining flexibility in their workforce (a wonderful business school phrase that appropriately dehumanizes the people who are accomplishing the purported mission of the hospital to treat the sick and injured). The hospital personnel frequently tell me that limiting patient contact hours to 'only' 32 or 36 hours per week is considered part-time. Many contend that keeping the electronic health record boxes all appropriately checked should be done on the physician's own time. I assume the hospital administrators would be pleased if a physician avoided any personal contact with the patient during whatever brief moments are allocated for a visit so that the electronic health record can be put into a condition that allows billing for the visit. Physicians, of course, spend their visits treating the patient as a human being rather than a unit on the assembly line that is their schedule. Doing so requires significant outside time polishing the record so that the hospital may bill. Hospital executives apparently view this as an inefficient use of resources, and therefore frequently insist upon 40 patient contact hours per week." Dennis Hursh is a physician contract lawyer. He blogs at Physicians Contracts Blog. He shares his story and discusses his KevinMD article, "Are hospitals evil? A physician contract lawyer explains." 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. Reflect and earn 1.0 AMA PRA Category 1 CME for this episode. Also available in Category 1 CME bundles. Powered by CMEfy - a seamless way for busy clinician learners to discover Internet Point-of-Care Learning opportunities that reward AMA PRA Category 1 Credit(s)™. Learn more at about.cmefy.com/cme-info

"I thought of her with each miscarriage I saw in COVID+ mothers, and during each delivery of premature rupture of membranes due to infection. I thought of her every time I gave steroids, increased the oxygen flow for someone struggling to breathe, or held the hand of someone before their emergency delivery. I saw her face when I was frantically calling a pulmonologist to help me manage oxygen on a deteriorating patient on the unit. She stayed with me through each obstetric emergency. She probably never thought of me. I was the doctor who made her cry when she was most excited to tell me that she wanted children. I don't know if she'll be back, and I don't know if I am better or worse at explaining the urgency. All I know is that we all make choices. With COVID, some choices will save lives, whereas other choices might end with the unimaginable." Yuliya Malayev is an obstetrician-gynecologist. She shares her story and discusses her KevinMD article, "What does it even mean to work through the unimaginable?" 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. Reflect and earn 1.0 AMA PRA Category 1 CME for this episode. Also available in Category 1 CME bundles. Powered by CMEfy - a seamless way for busy clinician learners to discover Internet Point-of-Care Learning opportunities that reward AMA PRA Category 1 Credit(s)™. Learn more at about.cmefy.com/cme-info

"I failed my Step 1 medical school board exam by 1 point. This was very hard for me to process, and I consistently wondered if I would have passed if I had just waited an additional week. This new challenge led me to reach out to a new resource: the disability office. Never before had I considered my medical diagnosis of endometriosis and anxiety as a 'disability.' I had obviously done well enough to graduate college and get into medical school. Although, I never seemed to be able to achieve top grades in my class. I had always believed this was an explanation for being less intelligent than my peers. However, the disability office helped me realize that the standardized testing system was not equitable and did not allow me to do my very best in these exams. Through this experience, I realized that I do have a disability. All a disability means is that one is not able to achieve what other people without the disability can achieve." Stephanie E. Moss is a medical student. She shares her story and discusses her KevinMD article, "Requesting disability accommodations in medical school." 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. Reflect and earn 1.0 AMA PRA Category 1 CME for this episode. Also available in Category 1 CME bundles. Powered by CMEfy - a seamless way for busy clinician learners to discover Internet Point-of-Care Learning opportunities that reward AMA PRA Category 1 Credit(s)™. Learn more at about.cmefy.com/cme-info

"What makes soldiers and doctors good at their jobs are also the very things that make it hard to leave work at work. My former husband was, and is, very good at his job, especially when it comes to compassion and care for his patients. At work, he gives his all. He sits with grieving families, helping them understand what's happening with their loved ones and even crying with them as they die. To ask one more thing of him when he'd given every ounce of his soul all day seemed selfish and childish. So I tried to be civilized and grown-up, swallowing my need for love, to be seen and cared for the way his patients were. By the end of the day, he was so drained; he must have felt that no story he could tell me could bridge the huge divide between the battlefield of the hospital and the home we shared. This is what many doctors do: go back and forth between the battlefield and whatever "home" they've created. They are soldiers in everyday life." Susan Hart Gaines is an executive coach specializing in physician wellbeing. She shares her story and discusses her KevinMD article, "The difficulty in coming home: What doctors and soldiers have in common." 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. Reflect and earn 1.0 AMA PRA Category 1 CME for this episode. Also available in Category 1 CME bundles. Powered by CMEfy - a seamless way for busy clinician learners to discover Internet Point-of-Care Learning opportunities that reward AMA PRA Category 1 Credit(s)™. Learn more at about.cmefy.com/cme-info

"Life can feel full of uncertainty when battling cancer, with few guarantees. 'Is there still cancer in my body?' and 'Will it come back?' are common questions that have long been difficult to answer confidently until recently. Advances in next-generation sequencing — and a growing understanding of how our bodies respond to illness and treatment — have brought us closer than ever to predicting our individual futures, at least when it comes to cancer. In recent years, cancer researchers have embraced new noninvasive technologies that can detect small amounts of DNA shed by tumors into the blood, also known as circulating tumor DNA (ctDNA). This is no easy feat, as ctDNA is extremely scarce after surgery and treatment — as low as a single molecule in a tube of blood. But by broadly sequencing one's tumor, we can identify its unique genetic signature, allowing for the creation of a highly sensitive and personalized assay that can track cancer in the body over time." Alexey Aleshin is a hematology-oncology physician and health care executive. He can be reached on Twitter @aaleshin. He shares his story and discusses his KevinMD article, "Tumor-informed residual disease testing can help inform cancer treatment." 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. Reflect and earn 1.0 AMA PRA Category 1 CME for this episode. Also available in Category 1 CME bundles. Powered by CMEfy - a seamless way for busy clinician learners to discover Internet Point-of-Care Learning opportunities that reward AMA PRA Category 1 Credit(s)™. Learn more at about.cmefy.com/cme-info

"I understand what it feels like to be in the depths of depression and hopelessness. I have had a lifelong battle with stuttering, obsessive-compulsive tendencies, depression, and suicide. I continually fight these battles and have learned to heal and recover through family, friends, and ultra-running. Since attempting to take my life on September 12, 2009, I have developed wellness tactics to help me journey through life to achieve optimum performance and to have a better work-life balance to lead a more healthy, peaceful, and purposeful life." Anthony Avellino is a pediatric neurosurgeon. He shares his story and discusses his KevinMD article, "Coming back from the brink of burnout." 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. Reflect and earn 1.0 AMA PRA Category 1 CME for this episode. Also available in Category 1 CME bundles. Powered by CMEfy - a seamless way for busy clinician learners to discover Internet Point-of-Care Learning opportunities that reward AMA PRA Category 1 Credit(s)™. Learn more at about.cmefy.com/cme-info

"I was diagnosed over 20 years ago, and looking back, I feel privileged that I did meet the stereotype for anorexia and be forced into treatment. However, along the way, I have gained insight that people of all bodies share my struggles. And the use of weight/BMI to determine whether someone is struggling and should have access to treatment results in delayed diagnoses, limitations in access to care, prolonged suffering, invalidation, and shame." Jillian Rigert is an oral medicine specialist and radiation oncology research fellow. She shares her story and discusses her KevinMD article, "Eating disorders thrive in secrecy, so let's talk about it. Starting with BMI." 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. Reflect and earn 1.0 AMA PRA Category 1 CME for this episode. Also available in Category 1 CME bundles. Powered by CMEfy - a seamless way for busy clinician learners to discover Internet Point-of-Care Learning opportunities that reward AMA PRA Category 1 Credit(s)™. Learn more at about.cmefy.com/cme-info

Often, physicians only give minimal attention to their financial futures, but potential federal changes could make tax planning even more important. The proposed infrastructure bill would increase taxes, affecting those with an annual income higher than $400,000, which is not uncommon for physicians. These changes make it vital for physicians to sit down with their financial advisors and CPAs now to minimize their own tax burden. Syed Nishat is a partner, Wall Street Alliance Group. This article is sponsored by Wall Street Alliance Group, specializing in physician financial planning. 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. Reflect and earn 1.0 AMA PRA Category 1 CME for this episode. Also available in Category 1 CME bundles. Powered by CMEfy - a seamless way for busy clinician learners to discover Internet Point-of-Care Learning opportunities that reward AMA PRA Category 1 Credit(s)™. Learn more at about.cmefy.com/cme-info

"The business of health care delivery differs markedly from other consumer and service industries in many ways. First and foremost, the economics differ. Specifically, the payers of medical care are often different from the customers, the government and third-party insurers are the primary payers, demand is inelastic, quality metrics are typically unavailable, and the industry consists largely of nonprofits that avoid taxes. And that's just the start of the economic differences. These profound economic differences vis-a-vis other industries lead to fundamental deficiencies in health care governance, leadership, organizational design, infrastructure, and operations. We believe economic exceptionalism is the root cause." Joe Mandato is a venture capitalist. Ryan Van Wert is a pulmonary physician and health care executive. They share their stories and discuss their KevinMD article, "Why health care delivery is an exceptionally different industry." 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. Reflect and earn 1.0 AMA PRA Category 1 CME for this episode. Also available in Category 1 CME bundles. Powered by CMEfy - a seamless way for busy clinician learners to discover Internet Point-of-Care Learning opportunities that reward AMA PRA Category 1 Credit(s)™. Learn more at about.cmefy.com/cme-info

"I see lamenting the Great Resignation. I celebrate it. It's not so much about what people are leaving – but where are they going? What have they empowered themselves to become? The thought, 'There has to be something more,' has been pondered and fleshed out. We are stretching our wings, becoming educators, influencers, and entrepreneurs; creating movements and businesses; becoming the parents we always wanted to be. And I dare say that the writing is on the wall for organized medicine. We can lament that physicians are resigning and feverishly design retention programs. Or we can see that physicians do not want to be retained in this system. We are big thinkers, we are idealists, we are creative, and we are creating the future of medicine right now." Wendy Schofer is a pediatrician. She shares her story and discusses her KevinMD article, "Why we should celebrate the Great Resignation." 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. Reflect and earn 1.0 AMA PRA Category 1 CME for this episode. Also available in Category 1 CME bundles. Powered by CMEfy - a seamless way for busy clinician learners to discover Internet Point-of-Care Learning opportunities that reward AMA PRA Category 1 Credit(s)™. Learn more at about.cmefy.com/cme-info

"Digital mental health apps have increased access to mental health care for people around the world. You can find services that fit your specific needs, often on a 24/7/365 basis, so if you need support in the middle of the night, it's there. Digital apps can include resource libraries, artificial intelligence-driven chatbots that tailor the treatment they provide to your responses, and digital coaching from credentialed mental health professionals at any hour of the day or night from the privacy of your home. Busy schedules or concerns about stigma no longer need to hold people back from getting the support they need, so if the holidays have you struggling, help is available." Zereana Jess-Huff is a counselor and health care executive. She shares her story and discusses her KevinMD article, "Sustaining mental health during the holidays and starting strong in 2022." 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. Reflect and earn 1.0 AMA PRA Category 1 CME for this episode. Also available in Category 1 CME bundles. Powered by CMEfy - a seamless way for busy clinician learners to discover Internet Point-of-Care Learning opportunities that reward AMA PRA Category 1 Credit(s)™. Learn more at about.cmefy.com/cme-info

"The Tuskegee Syphilis Study is widely acknowledged as a violation of ethics today, but the social conditions of the time allowed the grave injustices to happen in plain sight. In the 1930s, social Darwinism emerged as justification for racist practices. The perceived inevitability of African Americans' natural "extinction" was used to justify many unethical practices within the study, including the decision to withhold known treatment from participants. The USPHS earned the approval of the United States government after making the case that African Americans would not seek out treatment of their own volition, a harmful preconception linked to the theory of social Darwinism." Bintou Diarra is a premedical student. She shares her story and discusses her KevinMD article, "COVID-19 and the Tuskegee syphilis study." 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. Reflect and earn 1.0 AMA PRA Category 1 CME for this episode. Also available in Category 1 CME bundles. Powered by CMEfy - a seamless way for busy clinician learners to discover Internet Point-of-Care Learning opportunities that reward AMA PRA Category 1 Credit(s)™. Learn more at about.cmefy.com/cme-info

"Regulators should push health savings accounts (HSA) and businesses should offer them. While HSAs are growing, they are still only available to 30 percent of workers — more likely for larger companies than smaller ones. This, of course, is a way to help pay for extra medical costs almost always incurred under a high deductible health plan. Perhaps a better option is to require all health insurance plans come with free primary care office visits. That can encourage patients to seek care earlier at lower costs (especially when compared to hospital emergency rooms or urgent care facilities, sites of choice if patients wait). One compelling example of this is when plans build in access to direct primary care. In addition, we should advocate for price transparency at all levels and guide patients better on the "total cost" of their health care on an annual basis and not just the monthly premium cost. High deductible health plans are not going away, but we can guide our community better to make costs transparent for better decision making." Ben Aiken is a family physician and health care executive. He shares his story and discusses his KevinMD article, "High deductible health insurance is bankrupting Americans." 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. Reflect and earn 1.0 AMA PRA Category 1 CME for this episode. Also available in Category 1 CME bundles. Powered by CMEfy - a seamless way for busy clinician learners to discover Internet Point-of-Care Learning opportunities that reward AMA PRA Category 1 Credit(s)™. Learn more at about.cmefy.com/cme-info

"As the next COVID-19 variant hits our country, I feel a renewed sense of urgency. We need to move faster to invest in an infrastructure that protects our nation's health care workforce before we lose more nurses, doctors, and other care team members. Every day they risk their own safety for ours and our loved ones. It is time to reimagine safety and take action to make lasting change. That means investing in new policies, processes, resources, and solutions that ease the burden of team members and safeguard their physical, emotional, and psychological wellbeing. It means coming together as a nation and recognizing that health care is an essential infrastructure and that the people who work in health care are national assets and that their safety and wellbeing matters. We cannot afford to lose another nurse, physician, or frontline care team member." Bridget Duffy is an internal medicine physician and health care executive. She shares her story and discusses her KevinMD article, "End the trauma, stop health care's great resignation, and protect care teams now." 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. Reflect and earn 1.0 AMA PRA Category 1 CME for this episode. Also available in Category 1 CME bundles. Powered by CMEfy - a seamless way for busy clinician learners to discover Internet Point-of-Care Learning opportunities that reward AMA PRA Category 1 Credit(s)™. Learn more at about.cmefy.com/cme-info

"As we know, diabetes is a comorbidity that can cause more severe symptoms in COVID-positive patients. This knowledge, along with the sense that diabetes is overwhelming the entire body, can quickly deplete a patient's reserve of positive energy. Despite all their best efforts, diabetes is a disease that can often spiral out of control and make a patient feel helpless. While it's critical to maintain this "whole body" approach, it's also important to prioritize complications. One of the most debilitating complications of diabetes is diabetic amputation, but it's often not top of mind for many patients with diabetes — or the providers treating other diabetic complications. Yet every four minutes, a lower limb is amputated due to diabetes." Jon Bloom is an anesthesiologist and health care executive. He shares his story and discusses his KevinMD article, "Diabetes impacts the whole body, but the foot can't be forgotten." 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. Reflect and earn 1.0 AMA PRA Category 1 CME for this episode. Also available in Category 1 CME bundles. Powered by CMEfy - a seamless way for busy clinician learners to discover Internet Point-of-Care Learning opportunities that reward AMA PRA Category 1 Credit(s)™. Learn more at about.cmefy.com/cme-info

"Setting boundaries can look like setting a time limit for patient appointments, availability for email responses, the number of shifts worked this month. You can set boundaries by saying 'no' to low compensation, setting a time limit on conversations with friends, setting a limit on our after-hours availability for work-related texts and emails and taking time off as a 'pause' rather than getting to a point where we are so burned out we lose any interest in medicine and leave. Boundaries help the system keep physicians even though it may be inconvenient in the short term. Boundaries help us design the careers we deserve and the life we want. What boundaries do you need to preserve the 'masterpiece' in 2022?" Maryna Mammoliti is a psychiatrist. She shares her story and discusses her KevinMD article, "Why boundaries should be part of your 2022 physician goals." 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. Reflect and earn 1.0 AMA PRA Category 1 CME for this episode. Also available in Category 1 CME bundles. Powered by CMEfy - a seamless way for busy clinician learners to discover Internet Point-of-Care Learning opportunities that reward AMA PRA Category 1 Credit(s)™. Learn more at about.cmefy.com/cme-info

"Remember the things that we've discussed as the majority of people are broke. And just because your friends are showing off the 'stuff' things they buy doesn't mean they can actually afford them. Once you realize that everybody in the world is after your money, the quicker you know how the 'money game' is really being played. Just don't get played yourself." Jeff Anzalone is a periodontist who blogs at Debt Free Dr. He shares his story and discusses his KevinMD article, "How not to be a broke doctor (5 ways)." 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. Reflect and earn 1.0 AMA PRA Category 1 CME for this episode. Also available in Category 1 CME bundles. Powered by CMEfy - a seamless way for busy clinician learners to discover Internet Point-of-Care Learning opportunities that reward AMA PRA Category 1 Credit(s)™. Learn more at about.cmefy.com/cme-info

"There's a new best practice emerging, one that lets you deliver a high standard of care today but that well-prepares you for a shift to value. We've been talking about it throughout this article series in terms of doing more with less and making the system work for you: it's group coaching combined with remote patient monitoring. And, based on the coding changes and expanded reimbursements, the data show that patient outcomes are vastly improving under this new model. The conclusion: It's time to expand and modernize your practice by offering group coaching services and having your patients' commercial insurance, Medicare, or workers comp pay the bill." James Maskell is a health care executive. He shares his story and discusses his KevinMD article, "Get familiar with the 2021/2022 coding changes." 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. Reflect and earn 1.0 AMA PRA Category 1 CME for this episode. Also available in Category 1 CME bundles. Powered by CMEfy - a seamless way for busy clinician learners to discover Internet Point-of-Care Learning opportunities that reward AMA PRA Category 1 Credit(s)™. Learn more at about.cmefy.com/cme-info

"It is hard to understand and communicate the uncertainty that comes with evolving science, the changing recommendations as we learn more, the vaccine that didn't do all that was initially promised. It has become even harder with the erosion of trust and civility. Back to the poop. It stinks. It's not pleasant to slip and slide in, and even today, I saw a bag hanging from a tree! Was that owner practicing his pitch? Trying to hit a squirrel? Or did she toss it to the heavens for God to catch? Only God knows! Perhaps our way forward in these challenging times is to start small. Scoop up your dog poop and put the bag in the trash can. And if you are feeling kind, pick up the bag full of poop sitting at the side of the walking path. And please cover your nose when you are wearing a mask. Of course, wear a mask. Don't forget to get online and order the COVID tests for your household. And please get your vaccines and booster." Therese Zink is a family physician and can be reached at her self-titled site, ThereseZink.com. She shares her story and discusses her KevinMD article, "Dog poop, the social contract, and pandemic behaviors." 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. Reflect and earn 1.0 AMA PRA Category 1 CME for this episode. Also available in Category 1 CME bundles. Powered by CMEfy - a seamless way for busy clinician learners to discover Internet Point-of-Care Learning opportunities that reward AMA PRA Category 1 Credit(s)™. Learn more at about.cmefy.com/cme-info

"Have you ever been to a new city and realized you'd been pronouncing a street or a town name all wrong? Have you ever been from one of those cities and has it broken your heart to hear someone call Copley Square Cope-ly? Or pronounce the Schuylkill River or Worcester how it is spelled? This is how neurologists feel when you call a stroke a cerebrovascular accident, or a CVA. It's just … not what we do. Maybe it was in 1992, and maybe it is in the world of billing and coding, but it's not 1992, and billing and coding have never made sense. If we did call it a CVA, there'd be a high-impact factor journal called CVA instead of one called Stroke. And the International Stroke Conference (ISC) that brings together hundreds of thousands of stroke (not CVA) neurologists from around the world would be called the ICVAC. That acronym is just not as sexy or easy to say, you get the drift." Aleksandra Yakhkind is a neurointensivist. She shares her story and discusses her KevinMD article, "A PSA from a neurologist to the medical community." 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. Reflect and earn 1.0 AMA PRA Category 1 CME for this episode. Also available in Category 1 CME bundles. Powered by CMEfy - a seamless way for busy clinician learners to discover Internet Point-of-Care Learning opportunities that reward AMA PRA Category 1 Credit(s)™. Learn more at about.cmefy.com/cme-info

"Tears and sweat drown my face as I try to rip off my PPE and exit the room. I didn't want to leave him, but I couldn't bear another second in that reality. A whirlwind of emotions crash over me, and my knees weaken. I thought, "If I can just get this gown and mask off, I'll be able to breathe again." Even after ripping the damp N95 from my face, I was still breathless, speechless, and broken in disbelief of what happened in that room. I was suffocating. I nearly collapsed as I stepped through the barrier of his room with my coworkers there to catch me. Never in my life had I felt that level of hysteria as COVID showed us that what we were fearing was actually much worse than we could've imagined. This became the new standard for the worst night I've ever had. The best way I can describe the frontlines is trying to scream as loud as you can while underwater. We are all underwater, trapped in our fishbowl-like glass rooms behind closed doors, praying that someone will hear us. Imagine being the only thing standing between life and death for another human being, and everything you need to keep them alive is through a glass door that you can not open. While screaming underwater. We are drowning." Lauren Powers is a critical care nurse. She shares her story and discusses her KevinMD article, "I am an ICU nurse. We are drowning." 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. Reflect and earn 1.0 AMA PRA Category 1 CME for this episode. Also available in Category 1 CME bundles. Powered by CMEfy - a seamless way for busy clinician learners to discover Internet Point-of-Care Learning opportunities that reward AMA PRA Category 1 Credit(s)™. Learn more at about.cmefy.com/cme-info

"The starting point is to do our best to approach discussing COVID and vaccination with the appropriate type of empathy and understanding. To understand that our patients don't have access to the same level of data and research that we do, and even if they did, they might not understand it. To understand, they likely have fears underlying their reticence. Understand you may not ever reach them, or you may need to back off for a short time. This can all be done without acknowledging their conspiracy theory or misleading talking point from 24-hour cable news is a legitimate point of view. While admittedly anecdotal, I've reached more anti-vaxxers starting with empathy and understanding than with a 'that's the way it is, that's what the data shows' mentality. Even if I don't reach them, I'm a lot less stressed. Last but not least, take care of yourselves and each other." Kenneth Szwak is a physician assistant. He shares his story and discusses his KevinMD article, "A milligram of understanding for anti-vaxxers." 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. Reflect and earn 1.0 AMA PRA Category 1 CME for this episode. Also available in Category 1 CME bundles. Powered by CMEfy - a seamless way for busy clinician learners to discover Internet Point-of-Care Learning opportunities that reward AMA PRA Category 1 Credit(s)™. Learn more at about.cmefy.com/cme-info

"Instead of trading up for a faster horse by drawing in the exam room, it felt like I'd just built a motor car. I created a new workflow around my digital assets. When patients checked in for a clinic visit, I scanned the chart for their visit diagnosis and fired off a content link with the relevant videos. My MA roomed the patient and they watched content while I completed other tasks. When I enter the room, their questions are more targeted, insightful and our visits are faster and more satisfying. Doctors are unique in that our knowledge and experience are incredibly valuable, but distributed scarcely via single episode live events. When we convert our knowledge into digital assets that can be consumed at scale, we earn time, efficiency and carve space to do only the things we can do." David Grew is a radiation oncologist and can be reached on Twitter @doctorgrew. He shares his story and discusses his KevinMD article, "How to convert medical knowledge into digital assets that work for you." 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. Reflect and earn 1.0 AMA PRA Category 1 CME for this episode. Also available in Category 1 CME bundles. Powered by CMEfy - a seamless way for busy clinician learners to discover Internet Point-of-Care Learning opportunities that reward AMA PRA Category 1 Credit(s)™. Learn more at about.cmefy.com/cme-info

"When my patients asked me about losing weight, I would say, 'Eat less and exercise more.' I know that it is more complicated than that. There are psychological and socioeconomic factors. There is bariatric surgery and there are medications. But 'eat less and exercise more' is common sense, and every intervention should include 'eat less and exercise more.' Limiting guns is common sense too. If people do not have guns, they cannot kill and maim others with guns. They cannot kill teenagers playing basketball, children who happen to be on the street, or a 66-year-old man driving by. Fewer guns = fewer deaths. It is common sense." David Galinsky is a geriatrician. He shares his story and discusses his KevinMD article, "It is time for the Supreme Court to help stem gun deaths." Reflect and earn 1.0 AMA PRA Category 1 CME for this episode. 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.

"A resurgent CDC is necessary to recapture the vitality of U.S. medical science. A scientific researcher alone cannot do this work. This will also require heavy managerial work and restructuring and charting a different course altogether. CDC will need a double-headed leader approach, one excelling in scientific expertise and another proficient in managerial miracles. The current messaging algorithms at the CDC are misplaced. The CDC tried to placate diverse constituencies at different times without having a solid baseline policy. In some instances, the CDC came to wrong conclusions because there were no accurate scientific data to depend on. And the U.S. did not produce that data when COVID-19 was ravaging in 2020 and 2021." P. Dileep Kumar is a hospitalist. He shares his story and discusses his KevinMD article, "The CDC's continuing failures: Is there a way out?" Reflect and earn 1.0 AMA PRA Category 1 CME for this episode. 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.

"I'm a small-time doc in a small town, and I work at a small hospital in the Midwest, and I'm proud of it. The huge university hospitals (like Cleveland Clinic) get all the glory (especially in society and in the press), but small hospitals like mine drive this country. It has been really weird working at a small hospital, where it seems like the emotions are more magnified than in the big city. A year ago, it seems like there was a local community group every day bringing food or treats for the hospital workers. Nationally, there was this outcry to recognize those in the medical field. And, then, something changed. Now, for some reason, both nationally and locally, medical workers are seen as "the problem," and there is a lot of negative emotion directed at us. And, it seems locally, like that negative emotion is magnified. Why did that happen, and how did we get here?" Mike Sevilla is a family physician who blogs at his self-titled site, Dr. Mike Sevilla. He shares his story and discusses his KevinMD article, "A shout out to small hospitals." Reflect and earn 1.0 AMA PRA Category 1 CME for this episode. This episode is sponsored by Athelas, the number one provider of remote patient monitoring. Did you know more than 65 percent of doctors are actively investing in remote patient monitoring? That's because RPM is the fastest-growing segment in health care today. And for good reason: RPM boosts patient outcomes through preventative care. In fact, a recent study by the VA showed that implementing RPM at a practice can reduce hospital readmission rates by as much as 25 percent, saving more than $20,000 per patient in medical costs. If you're not investing in RPM, you're missing out. Luckily, Athelas can help you roll out RPM end-to-end. They provide devices to your patients, handle 100 percent of billing, and even provide a team of nurses to monitor patient vitals for you. All at zero net cost to your practice. Try out RPM for your practice by going to KevinMD.com/tryrpm. 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.

"This last mile of the COVID pandemic—Omicron or not—is a painstaking one-on-one endeavor. As is most of primary care. Sadly, we now have to deal with political epidemiology as much as emotional and clinical epidemiology. We'll sit with each of our patients, listening as much as possible, attempting to understand and address their concerns. With some, the bloc of silence may be impenetrable. This is heartbreaking, especially for those of us who've penned more condolence cards this past year than we have in a lifetime of clinical practice. But such is the reality of our society's self-inflicted wounds." Danielle Ofri is an internal medicine physician and editor-in-chief, Bellevue Literary Review. She can be reached at her self-titled site, Danielle Ofri. She shares her story and discusses her KevinMD article, "Emotional epidemiology of disease is as critical as clinical epidemiology." Reflect and earn 1.0 AMA PRA Category 1 CME for this episode. This episode is sponsored by Athelas, the number one provider of remote patient monitoring. Did you know more than 65 percent of doctors are actively investing in remote patient monitoring? That's because RPM is the fastest-growing segment in health care today. And for good reason: RPM boosts patient outcomes through preventative care. In fact, a recent study by the VA showed that implementing RPM at a practice can reduce hospital readmission rates by as much as 25 percent, saving more than $20,000 per patient in medical costs. If you're not investing in RPM, you're missing out. Luckily, Athelas can help you roll out RPM end-to-end. They provide devices to your patients, handle 100 percent of billing, and even provide a team of nurses to monitor patient vitals for you. All at zero net cost to your practice. Try out RPM for your practice by going to KevinMD.com/tryrpm. 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.

"Medical-legal consulting is a great way to use your medical training in a non-clinical field that helps people. I started this field 14 years ago and have trained over 1,600 physicians to be medical-legal consultants. Most physicians do medical-legal consulting as a part-time side gig. All of the work is pre-litigation and pre-trial. I don't act as a medical expert, and I don't participate in medical malpractice cases. There are over a dozen services and types of consultations I offer attorneys. One service we frequently provide is to give our opinions regarding specific medical questions that arise in cases. Usually, these reports help the attorney to prove a particular medical theory for the case." Armin Feldman is a medical consultant to attorneys. He shares his story and discusses his KevinMD article, "Medical-legal consulting as a side gig." Reflect and earn 1.0 AMA PRA Category 1 CME for this episode. This episode is sponsored by Athelas, the number one provider of remote patient monitoring. Did you know more than 65 percent of doctors are actively investing in remote patient monitoring? That's because RPM is the fastest-growing segment in health care today. And for good reason: RPM boosts patient outcomes through preventative care. In fact, a recent study by the VA showed that implementing RPM at a practice can reduce hospital readmission rates by as much as 25 percent, saving more than $20,000 per patient in medical costs. If you're not investing in RPM, you're missing out. Luckily, Athelas can help you roll out RPM end-to-end. They provide devices to your patients, handle 100 percent of billing, and even provide a team of nurses to monitor patient vitals for you. All at zero net cost to your practice. Try out RPM for your practice by going to KevinMD.com/tryrpm. 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.

"Instead of trying to earn a spot on a talk show to help a person dealing with costly treatments for illness, perhaps it is best to lobby policymakers to pass legislation that impacts big numbers of patients dealing with the high costs of treatment, ultimately including that person. Perhaps encouraging businesses, institutions, and organizations to allot funds for health care programs is a more salient idea. Talk shows end. The need to close the gap in medical funding does not." Amanda LaMonica-Weier is a nurse practitioner. She shares her story and discusses her KevinMD article, "Fund this: Policies can fill medical funding gaps for all." Reflect and earn 1.0 AMA PRA Category 1 CME for this episode. This episode is sponsored by Athelas, the number one provider of remote patient monitoring. Did you know more than 65 percent of doctors are actively investing in remote patient monitoring? That's because RPM is the fastest-growing segment in health care today. And for good reason: RPM boosts patient outcomes through preventative care. In fact, a recent study by the VA showed that implementing RPM at a practice can reduce hospital readmission rates by as much as 25 percent, saving more than $20,000 per patient in medical costs. If you're not investing in RPM, you're missing out. Luckily, Athelas can help you roll out RPM end-to-end. They provide devices to your patients, handle 100 percent of billing, and even provide a team of nurses to monitor patient vitals for you. All at zero net cost to your practice. Try out RPM for your practice by going to KevinMD.com/tryrpm. 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.

"In the ongoing saga of the pandemic, there is the debate whether to wear a mask or not. These are physical masks that temporarily hide our face, but we all wear another type of mask, a metaphorical mask. These are the masks we put on to present who we want the world to see. People who are referred to as having "high functioning autism" often put on the greatest masks of all; masks that society does not allow them to take off. "High functioning autism" is a term used to describe people with autism spectrum disorder (ASD) that have average or above IQ level and good language ability, which currently is about 44 percent of autistic people. As our understanding of autism expands, this number will grow. It is this group that is often left behind in advocating for individuals with ASD. The term "high functioning autism" obfuscates the real struggles that they endure. You may not realize there is a person with autism in your world hiding behind a mask that you could help." Lisa Yeh is a psychiatrist. She shares her story and discusses her KevinMD article, "Autism spectrum disorder and the masks we wear." Reflect and earn 1.0 AMA PRA Category 1 CME for this episode. This episode is sponsored by Athelas, the number one provider of remote patient monitoring. Did you know more than 65 percent of doctors are actively investing in remote patient monitoring? That's because RPM is the fastest-growing segment in health care today. And for good reason: RPM boosts patient outcomes through preventative care. In fact, a recent study by the VA showed that implementing RPM at a practice can reduce hospital readmission rates by as much as 25 percent, saving more than $20,000 per patient in medical costs. If you're not investing in RPM, you're missing out. Luckily, Athelas can help you roll out RPM end-to-end. They provide devices to your patients, handle 100 percent of billing, and even provide a team of nurses to monitor patient vitals for you. All at zero net cost to your practice. Try out RPM for your practice by going to KevinMD.com/tryrpm. 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.

"As a clinician who has received two Pfizer doses and a booster without any side effects, I wholeheartedly embrace vaccination to solve this pressing public health crisis. The key is for policymakers to identify the best tool for the job (i.e., Covaxin) and utilize it effectively to solve the widest-ranging public health crisis of the past century." Tayson DeLengocky is an ophthalmologist. He shares his story and discusses his KevinMD article, "Why is the world's first universal coronavirus vaccine not in the FDA's toolbox?" Reflect and earn 1.0 AMA PRA Category 1 CME for this episode. This episode is sponsored by Athelas, the number one provider of remote patient monitoring. Did you know more than 65 percent of doctors are actively investing in remote patient monitoring? That's because RPM is the fastest-growing segment in health care today. And for good reason: RPM boosts patient outcomes through preventative care. In fact, a recent study by the VA showed that implementing RPM at a practice can reduce hospital readmission rates by as much as 25 percent, saving more than $20,000 per patient in medical costs. If you're not investing in RPM, you're missing out. Luckily, Athelas can help you roll out RPM end-to-end. They provide devices to your patients, handle 100 percent of billing, and even provide a team of nurses to monitor patient vitals for you. All at zero net cost to your practice. Try out RPM for your practice by going to KevinMD.com/tryrpm. 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.

"At the beginning of my time as a CMIO, I needed to remain clinical to build camaraderie with my colleagues. This proved essential as the health system was going through a transition to a new EMR. The medical staff needed to know that every decision I made affected me as much as it affected them. As time went on and the EMR matured, it became less relevant if I practiced and more critical to perform as a change agent. However, I elected to still practice in a part-time fashion because of my love for orthopedics. I also recognized the importance of a minority surgeon for the community." Nathan Gause is an orthopedic surgeon and former CMIO. Afua Aning is a physician informaticist. They share their stories and discuss the KevinMD article, "Innovation and the ever-changing role of the CMIO." Reflect and earn 1.0 AMA PRA Category 1 CME for this episode. This episode is sponsored by Athelas, the number one provider of remote patient monitoring. Did you know more than 65 percent of doctors are actively investing in remote patient monitoring? That's because RPM is the fastest-growing segment in health care today. And for good reason: RPM boosts patient outcomes through preventative care. In fact, a recent study by the VA showed that implementing RPM at a practice can reduce hospital readmission rates by as much as 25 percent, saving more than $20,000 per patient in medical costs. If you're not investing in RPM, you're missing out. Luckily, Athelas can help you roll out RPM end-to-end. They provide devices to your patients, handle 100 percent of billing, and even provide a team of nurses to monitor patient vitals for you. All at zero net cost to your practice. Try out RPM for your practice by going to KevinMD.com/tryrpm. 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.

"Patients die. This is a tragic truism in the world of medicine. Usually, the patients who die are elderly. Patients die from diabetes and kidney disease, or from alcohol abuse and liver failure, or from heavy smoking and lung disease. Or patients die from cancer. As a physician, I take these deaths in stride. I try to provide comfort care as they lay dying. Patients often pass into a dreamlike state, at the end. They are not fully conscious. I provide morphine for any pain, which may or may not hasten their entry into the final, dreamlike state." Janet Tamaren is a family physician and author of Yankee Doctor in the Bible Belt: A Memoir. She can be reached at her self-titled site, Dr. Janet Tamaren, and on Twitter @jtamaren. She shares her story and discusses her KevinMD article, "Patients should never underestimate the self-flagellation of the physician." Reflect and earn 1.0 AMA PRA Category 1 CME for this episode. This episode is sponsored by Athelas, the number one provider of remote patient monitoring. Did you know more than 65 percent of doctors are actively investing in remote patient monitoring? That's because RPM is the fastest-growing segment in health care today. And for good reason: RPM boosts patient outcomes through preventative care. In fact, a recent study by the VA showed that implementing RPM at a practice can reduce hospital readmission rates by as much as 25 percent, saving more than $20,000 per patient in medical costs. If you're not investing in RPM, you're missing out. Luckily, Athelas can help you roll out RPM end-to-end. They provide devices to your patients, handle 100 percent of billing, and even provide a team of nurses to monitor patient vitals for you. All at zero net cost to your practice. Try out RPM for your practice by going to KevinMD.com/tryrpm. 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.

"The U.S. health care industry has large challenges that can be overcome if we remember why our systems and services exist. We are here to help patients, and we must obtain the needed staffing capacity to drive throughput so patients can receive the care they need. Our system will cease to exist if hospitals are forced to close or begin to limit services offered due to financial concerns. As stated in the title of this paper, the 'goal' is in peril. However, by remembering and instituting key principles from operations, accounting, and with federal assistance, we can overcome the challenges worsened by the pandemic and build a resilient health care system that will be in place in this country for years to come." Vincent Roddy is an emergency physician. He shares his story and discusses his KevinMD article, "The goal of health care is in peril." Reflect and earn 1.0 AMA PRA Category 1 CME for this episode.

"Absolutely, there are times when you need to be face-to-face with your patient. Yet looking at the broader picture, COVID-19 has shown us that in many instances, we can perform at an optimal level while remote. In my experience, I'm often able to see more patients, and the quality of the connections I form with them is higher when I don't have to shuffle them around in an office. Aside from the bonds I'm able to create with my patients, I'm also more productive without the distractions of sitting in an office. Expanding the options that we as patients and providers have readily available to us is, in turn, making health care more efficient for all of us." Kirk Heath is a health care executive and can be reached on Twitter @ModioHealth. He shares his story and discusses his KevinMD article, "Can medicine transcend beyond the clinic walls? I'd like to see us try." Reflect and earn 1.0 AMA PRA Category 1 CME for this episode.

"Gastroenterology clinics in rural areas have the unique opportunity to innovate the field by working with local community organizations and farms. Patients and physicians develop a deeper understanding of the root cause for chronic disease, particularly digestive diseases using a food as medicine approach. Cultivating gut microbes in the soil and gut can re-shape the management of chronic diseases rooted in inflammation and metabolic dysfunction. Rural gastroenterology clinics can be at the forefront of shaping the innovative clinic-to-farm-to-table paradigm in health care that can lead to cost savings and improved outcomes. This model ultimately can foster deeper connections between patients, physicians, communities, and nature as well as better health outcomes." Savita Srivastava is a gastroenterologist. She shares her story and discusses the KevinMD article, "Innovation in a rural gastroenterology practice using a farm." Reflect and earn 1.0 AMA PRA Category 1 CME for this episode.