Episodes

If you can't connect the issues, think connective tissues

"When Lauren came to my office as a 16-year-old, she had been diagnosed with postural orthostatic tachycardia syndrome (POTS) and a few other chronic illnesses. By the end of the appointment, she left with a diagnosis of Ehlers-Danlos Syndrome (EDS)."...

A 15-minute relationship fix

"Depression involves withdrawal, withdrawal from oneself and others. Feeling safe enough in a relationship to reveal our innermost feelings safely is connective and should be considered a valued part of the anti-depressant lifestyle. Continued...

KevinMD on PermanenteDocs Chat

In this special episode, KevinMD is on the other side of the microphone as he's interviewed by Dr. Alex McDonald, originally aired as a presented by The Permanente Federation at Kaiser Permanente. He shares his social media story, reasons why...

We need a mental health infrastructure bill

"As we slowly emerge from the physical withdrawal required during the pandemic, the emotional toll of this past year will become increasingly apparent. Complicated problems demand organized, financially-supported solutions. We need a mental health...

Walk to reduce your loneliness and improve your well-being

"Just before the pandemic, I walked 96 miles (154.5 km) in seven days on the West Highland Way in Scotland, though I was hardly alone in this endeavor. About 250 people start the walk each day, including the amazing group of primary women that I...

Myalgic encephalomyelitis/chronic fatigue syndrome and long COVID

"ME/CFS is a complex multi-system illness that destroys lives (essentially killing the person yet leaving them alive).  It leaves patients with unimaginable fatigue, post-exertional malaise (meaning that minor exertion makes them feel worse),...

4 steps to de-escalate hostile people

"The boundaries of unacceptable behavior have eroded in the past few years. Politicians, law enforcement, movie stars, health care providers, the health care system, and society, in general, are all acting badly occasionally. I’m amazed but no...

Lessons from Radonda Vaught: Nurses need to raise their voices

"One thing is hard to ignore – nurses need better treatment. Nurses need a seat at the table and advocacy. Nurses need to raise their voices, listen to each other, and unify to achieve the progress that we need to improve our workplace safety,...

A neurosurgeon puts down the knife

"MRI studies of these patients determined that it was not only the circuitry that was affected by the burnout but also the size of the brain structures. Compared with the controls, patients suffering from burnout showed volume loss in the prefrontal...

How to stay off my operating table

"Health isn't about luck — it's about intentionality. But even if you're doing and saying all the right things, you might not be any closer to your goals. I know because I was there. As a heart surgeon, I was very good at following the rules. But I...

Why are women leaving medicine? Gaslighting.

"We cannot change societal norms, gender biases, childhood needs, the education system, or stop a pandemic. But, we can stop gaslighting 50% of the population. We can start acknowledging that the simple fact of gender does greatly affect patient and...

Why physicians require business skills

"There are two valuable reasons why all physicians, especially medical students, should obtain or demand from their medical school academic business education. About 98 percent of physicians and medical students have never had an academic business...

A nut allergy nightmare at 35,000 feet

"People developing anaphylaxis will not always have five extra minutes to spare. I do appreciate that auto-injectors are expensive, but it is not at all expensive to have an ampule or vial of epinephrine on board, which can be drawn up in five...

Negotiating employment contracts from a place of strength

"The most important lesson when negotiating contracts is picking your battles and coming at them with optimism and positivity. Yes, you can and should be excited about this new opportunity, but you need to receive what’s fair and reasonable in the...

What to do if you're involved in a medical malpractice lawsuit

"The worry and anticipation of getting sued are heightened more than ever in the wake of the pandemic. It is in all physicians’ minds. I recently did a quick poll in some of my physician groups on social media, and roughly 500 physicians responded...

Antibodies are the future of cancer treatment

"Since President Nixon declared war on cancer in 1971, and despite some great victories and many losses, there continues to be a never-ending battle in this long-fought war that seems never-ending. The convergence of great intellect and resources of...

How you can donate effectively after tragedy

"Gun violence, war, pandemic, natural disasters — listening to the news or doom scrolling on social media during times of tragedy can leave us feeling devastated, discouraged, and angry. Tragedy can also make us feel like helping. We’re motivated...

Contractual issues for female physicians

"All physicians need to be concerned about issues such as potential delays in the start date, restrictive covenants, potential ownership in a private practice, malpractice tail coverage, employee benefits, etc. Unfortunately, until discrimination...

5 things this allergist-immunologist will never do

"Jumping on the recent TikTok trend of medical professionals sharing the things they would never do given their knowledge and expertise, I am sharing the five things I would never do as a board-certified allergist-immunologist."  is an...

Top tips for new interns

"New resident physicians who have earned their MD degrees will be heading to hospitals to start their residencies during the last two week in June and the first week in July. What can a beginning doctor do during the first month of internship to get...

When it comes to feeding infants, support is best

"What really is best and first when it comes to infant feeding: support. Support is best. Whether we are talking about infant feeding or frankly anything else related to postpartum or the fourth trimester, support is critical. The other slogans just...

How to make primary care rotations more appealing for students

"It is time that every health profession school specifies their criteria for optimal teaching primary care practices and for the training that would optimize their students’ experience. It is time that we, as primary care physicians, advocate for...

Skinny fat and normal weight obesity

"Obesity is genetically common in our family. I was being gaslighted and judged by a bunch of obese people, most of whom were doing nothing to improve their health and obesity issues. Yet they fully believe to this day that I am just naturally thin...

If it’s not clinically pertinent, then stay out of my uterus

"No matter how far we’ve come, women are still judged by fertility status but shouldn’t be. If it’s clinically pertinent to ask about reproductive health, then yes, absolutely ask … in a respectful way. That doesn’t mean judging personal...