"Much is written about the advantages for primary care physicians and patients of working within a retainer model, direct primary care, concierge-type care model. Little is written about the downside or disadvantages. It is time to shine a light on the benefits and challenges of concierge and standard models through…
What should patients know about diet and its effects on the microbiome? How should primary care clinicians address diet and its effects on the microbiome? What are your tips to address obesity? What are the gastroenterological manifestations of COVID-19? Supriya Rao is a gastroenterologist. She shares her story and her…
"Was I that different? I had severe anxiety necessitating medication, compounded by stress, my own narcissistic tendencies, and a series of life choices—but Jason had something much worse. It all gave me pause. I was now twenty-four, just barely older than Jason when the committee took residence. Would I soon…
Hosted by Kevin Pho, MD, The Podcast by KevinMD shares the stories of the many who intersect with our health care system but are rarely heard from. Welcome to The Podcast by KevinMD. Now on the Health Podcast Network: https://healthpodcastnetwork.com/show/the-podcast-by-kevinmd/ Subscribe on Apple Podcasts: https://podcasts.apple.com/us/podcast/the-podcast-by-kevinmd/id1515033137 Subscribe on Google Podcasts: https://podcasts.google.com/?feed=aHR0cHM6Ly9rZXZpbm1kLmxpYnN5bi5jb20vcnNz…
"Could COVID-19 be an opportunity that brings the plight of health care professionals finally to the forefront? Protect us so we can protect you. Do your part and stay home. Flatten the curve to give health care professionals a chance. Donate PPE. Donate food. And yet through this war, we,…
"We are grateful to be avoiding the need to use draconian measures for resource allocation. We have been afforded the blessing of lead-time here in Los Angeles and have the chance to learn from other parts of the world, as well as other areas within the United States. We are…
"We are in the midst of the COVID-19 pandemic, but it’s already very clear that the infection prevention community in the U.S. has never faced such an enormous challenge. We have learned many things that will make us better prepared for the long term. We are far too reliant on…
"People remember stories in your speech. The rest fades away. I learned that pearl of wisdom from studying great literature and telling personal stories, and now teach it to students of speech. Who can forget the stories of The Iliad and The Odyssey having once read the books or heard…
"Being a parent in the middle of a pandemic is not easy. Sheltering in place with canceled daycare, school, and college, while also being a doctor or other healthcare worker, working in high-risk, high-intensity situations, presents many challenges. It also presents many opportunities. It is possible to choose thoughts about…
"Many physicians are looking for alternative sources of income and are looking for ways to diversify their investment portfolio from the volatility of the stock market. Some have heard of real estate syndications, but what exactly is a syndication? For those who have not heard of it, real estate syndications…
"Each patient I have seen over these four decades has made me a better doctor. Books do not impact long term memory the way a real patient can. I once heard the chair of medicine at a teaching hospital say that the worst thing about being on call every other…
"We know that the past two months haven’t been easy. We know about the sleepless nights, anger, tears, depression, and anxiety. We know all of this because we know what trauma does to a person, and you are in the middle of experiencing a repeated trauma. The trauma of watching…
"The COVID-19 pandemic has upended health care, with telemedicine emerging as a strategy to reduce risk exposures for patients and clinicians. Video visits, in particular, can be effective for many types of clinical care and offer convenience and savings for patients. As care shifts to this virtual modality, however, there…
"Faced with the prospect of not being able to provide all COVID-19 patients with the life support that they may need, physicians and nurses are working in conditions that have been described as 'hell.' How are providers to cope with the trauma they are experiencing in New York and Italy,…
"After almost 30 years in this profession, I have come to the conclusion that there is some truth to that, as no day or week passes that I do not have a depressed, anxious or suicidal teen on my 'to see list.' Could it be my own personal history of…
"Where did the myth of vampires come from? Like many myths, it is based partly in fact. A blood disorder called porphyria, which has has been with us for millennia, became prevalent among the nobility and royalty of Eastern Europe. A genetic disorder, it becomes more common with inbreeding. Porphyria…
"As women physicians, especially physician moms and women physicians of color, we have handled and achieved more than the vast majority of the population, in order to reach our current status of physician. We do because we can. We are Superwomen. Until we’re not. Without thought, we take on others’…
What are the challenges facing psychiatry? How does psychiatry need to innovate the continue to thrive? What is the future of psychiatry What's your #1 tip for those considering the profession? What advice can you give to primary care clinicians as it relates to behavioral health issues? Owen Muir is…
"Death is not meant to be rushed. Saying goodbye shouldn’t be rushed. Celebrating a life once lived cannot be rushed. And yet, we must. Taking a moment, a minute, an hour, maybe a day to feel something that normally takes far longer. Because we must. And in our hearts, the…
"Over the last 100 years, the U.S. has had to respond to five avian flu pandemics. The most severe was the 1918 avian influenza infecting 1/3 of the world’s population and killing 650,000 Americans. It was also the last time wide-spread containment, mitigation, and isolation strategies were used in the…
"The unparalleled and pervasive nature of the evolving COVID-19 pandemic has touched all of us in some way. There is limited, albeit growing, research on the mental health effects of disasters. A recent review article pointed out the potentially negative consequences of prolonged quarantine, while other research from Wuhan, China,…
"Recent articles have accused some physicians of hoarding medications for themselves during our international medical crisis. Authors such as these should be ashamed of their coverage and wasted ability on sensationalism when they could be spending their time informing the public about the dangers of COVID-19 and the actions communities,…
"This pandemic presents a unique opportunity for senior anesthesiologists to see the benefit of accommodating the health care needs of our workforce. Just as I tried to avoid the teratogenic effects of certain cases when pregnant, we should consider the most effective ways to protect senior anesthesiologists from a life-threatening…
"Being present is a wonderful thing. It relieves stress caused by focusing on failures of the past and worries of the future. Both realms are unreachable, largely unchangeable. But at the same time, they both entice and tease our minds such that we often find ourselves everywhere, but at the…