Episodes

June 20, 2022

Primary care's inevitable reboot

"The tech giants of Silicon Valley – love them or hate them – have put incredible personal technology tools into homes and pockets of our patients and their caregivers. Now, we must activate those instruments for our own sustainability, and …

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June 19, 2022

Art as a tool to manage pain

"I had also used arts and crafts previously in my own experience to help with healing. Including the previous year when I had a breast cancer recurrence did many crochet projects and took classes in mosaics making as I navigated …

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June 18, 2022

A bad death: the importance of truth-telling at end-of-life

"In their hearts, her daughters just wanted their mother to make the most of the time she had left. She never made it to the beach or hugged her grandchildren. From diagnosis to death, it was two short months. During …

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June 17, 2022

It’s time to flip the script on peer evaluations

"It’s time to flip the script on evaluations. How can we shine a light upon the strengths of the wonderful peers we are blessed to work with? How can we amplify their greatness, help them work in their own zone …

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June 16, 2022

Burnout is a spiritual crisis

"It is a time to ponder on those essential questions: What is your purpose in life, and how can you follow it? What talents can you share with the world, and what are you grateful for? When we deviate from …

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June 15, 2022

Virtual care is convenient, but is it better for everyone?

"2022 is well underway, and we are still unclear about exactly where this virus is headed and what the lasting impact it will have had on all of us. We have self-driving cars, drones delivering food, and most of us …

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June 14, 2022

How long will it take to address clinical inertia in T2DM?

"It’s been over twenty years since clinical inertia was coined a term, and since that time, experts have debated on how to define it, and where and when it exists across the treatment paradigm. Every year, scores of information cross …

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June 13, 2022

Eating disorder myths debunked

"When people think of eating disorders, the image is often of an emaciated, white teenage girl in the hospital hooked up to feeding tubes. In fact, eating disorders are varied in how they present in a person, and they certainly …

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June 12, 2022

Gender inequality is making burnout worse

"If we want to alleviate the fatigue and frustration women physicians are experiencing, we can always start by solving two old problems: (1) All doctors need fewer bureaucratic tasks forced upon them, and (2) women physicians must be able to …

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June 11, 2022

Thoughts of a retired physician

"COVID-19 melted down the world at a very inopportune time in history. Just as medicine was getting a handle on previously intractable conditions, from sophisticated diabetes management to less invasive surgical procedures, a new threat that...

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June 10, 2022

Nurses are struggling in isolation

"It’s apparent to most that the dark clouds and stormy waters in the business of health care continue. There is much that needs attention from both health care workers and consumers. We have learned that when we work together, strength, …

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June 9, 2022

A psychiatrist presenting emotion

"Many families still prefer their providers to wear a mask. I have no way to know who carries what political or health views around their mask-wearing. Their masks were off, and mine was on. When I asked them for their …

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June 8, 2022

A physician's infertility story

"My IVF baby turns 12 this week — and having attempted frozen and fresh IVF cycles six years ago, which did not result in pregnancies — I can also hold tenderly the space for those who have heard those words, …

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June 7, 2022

Burnout follows from physician to wellness director

"Over the years, trainees poured their hearts out. I began developing wellness electives and curriculum. I ultimately became a founding co-chair of faculty wellness at one institution and the director of wellness at another. This “’final”...

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June 6, 2022

Patient care is not a spectator sport

"Whether led by the patient or by a primary care physician or nurse practitioner, a proper leadership-based problem-solving methodology is a critical tool. The approach itself is not nearly as important as the discipline to use a formal approach. One...

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June 5, 2022

Why the Great Resignation is a great opportunity to renegotiate physi…

"There are numerous ways your contract (and your life) can be made better. If you do not want to do it for yourself, do it for your patients. A burned-out physician will not give those patients the same quality of …

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June 4, 2022

How to solve burnout with communication

"How does it work? We teach people to speak to one another’s values. Have you heard of listening to answer vs. listening to understand? Well, we take that one step further. We teach first to use personality science to find …

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June 3, 2022

Military and medicine: shared risk factors for eating disorder develo…

"To reduce eating disorder risks and to support those who may be suffering in silence, we need to keep talking and promote awareness of the issues while clarifying long-held misconceptions about eating disorders. We can’t help those who do not …

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June 2, 2022

How reversing Roe v. Wade will affect physicians and patients

"These changes on the horizon for our country are unlike anything we have ever experienced. We have only experienced an expansion of rights for those who have been denied fair treatment. Going backwards only infringes our ability to pursue life,...

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June 1, 2022

A call to dismantle structural heteronormative care

"The visit with my patient helped to change my perspective. I should not have made assumptions about her based on my implicit bias. I highly recommend the Harvard Implicit Bias tests as an exercise in introspection. We also need to …

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May 31, 2022

A story of a good death

"We must believe that inside, where our spirits live, there is an understanding, a belief, in those people we have loved and who have loved us, that they will live in us even if they are far away. And perhaps …

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May 30, 2022

Why is it hard to find grace in medicine?

"We can talk about the system-based approaches we have instituted to avoid burnout and the negative emotional consequences that arise from medical errors, miscommunication, or negative outcomes that occur outside our sphere of control: Just culture....

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May 29, 2022

How to maintain your relationships during nursing school

"Maintaining a relationship during nursing school takes some effort. Your time is taken up by studying, classes, clinicals and labs. Oh, did I mention studying? At the end of the day, there is just not much time left for significant …

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May 28, 2022

Why Congress should extend acute care at home waivers

"More studies are needed to fully understand the impact of in-home hospital care programs on quality and cost. Extending the waivers will give physicians, health systems, health services researchers, and policymakers the opportunity to further analyze...

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