Episodes

A pediatrician reflects after a difficult conversation

"There is silence, then the words from the family flow forth. Angry, accusatory, confused, dismissive, worried, ugly, personal. The words cut deeply, and when I pick up the next chart, I feel as though I am still bleeding."  is a pediatrics...

Miscarriages in a post-Roe world

"The consequences of making miscarriage management unsafe will land most heavily on the marginalized and vulnerable. Our appalling maternal mortality rate in people of color will increase by miscarrying while Black. Our country and health care system...

Exploring the critical gaps in Canada’s health workforce planning

"We need to stop simply clapping our hands in support of health workers — and start planning to create better workforce conditions for them.  Let’s make improved health workforce science in Canada a key legacy in support of our health care...

Who are the neurodiverse people in your life?

"Neurodiverse individuals enhance our lives. Without neurodiverse people, we wouldn't have Ghostbusters (Dan Akroyd has Asperger's syndrome, which is on the autism spectrum), the theory of relativity (Einstein likely had dyslexia), or Microsoft (Bill...

There are so many paths to financial freedom

"More than anything, I want to help our physician colleagues build financial freedom. We work with so many talented and passionate individuals. I know each one of you has dreams and passions that drive you. You may find your pa within medicine; some...

Meet the emergency physician who writes satire

"In the dark radiology reading rooms, only the gentle hum of the computers and the quiet chatter of residents dictating radiology reads break the silence. Among the computers sits Dr. Exner, a senior radiology resident at Hospital Woeisme. He has...

Public health requires collective courage

"To create a healthier, more just, and more equitable world, we must confront the truth, and that requires an act of collective courage. Perhaps there needs to be a whole new consciousness that abandons ideas of reforms and instead labors a social...

Premature babies grow up. It’s time to pay attention.

"Premature babies (a.k.a. preemies) and their families are increasingly becoming a powerful voice in society. Life in and after the neonatal intensive care unit (NICU) is like being dropped off a cliff. I support the preemie community from pregnancy...

Your anesthesiologist cares for you

"It’s one of the hard things about anesthesiology. A window opens, you work like all get out, doing all sorts of things while the breeze blows in, then it’s shut again. Sometimes, you see your patient once more; sometimes, if things go awry, you...

Insurance companies deny medical care. And that's wrong.

"Securing prior authorizations is a daily ordeal for most doctors’ offices. Doctors report that, on average, they must get insurance company approvals 41 times every week. Of the authorization requests that are denied, fully 73% ultimately get...

My postpartum blood pressure spike

"I think about my preeclampsia-specific and general knowledge gaps. I could not recall learning about postpartum preeclampsia in my prenatal classes. I wasn’t given any written instructions on what symptoms to expect with my blood pressure returning...

Think about genetics in heart disease

"Despite these high numbers, we cardiologists often look to genetic screening last in our diagnostic workup. But without genetic screening, we can’t always see the whole picture in our cardiomyopathy patients. Once we’ve excluded coronary disease...

A physician's reflections with certainty in medicine

"Lacking a supreme being in which to place our faith, my wife and I decided to make the most difficult decision of our lives and discontinue life support. I still wonder if we made the right decision, question whether fear made us give up too early,...

We are all responsible for women physicians’ pay discrepancy

"Take the time to invest in yourself; it is the best investment you can make. Work to improve your communication, negotiation skills, and financial literacy skills. Think twice before accepting the first offer at face value; you owe it to yourself....

Practical solutions to prevent and prepare for hypoglycemia

Despite advances in diabetes care, hypoglycemia remains a common complication. Yes, new therapies are associated with less hypoglycemia risk, and patients are increasingly using continuous glucose monitoring, but episodes of hypoglycemia still occur....

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...