The Podcast by KevinMD

"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, and these chronic doubts cut with the acuity of scalpels. But I also know that certainty is a fading flame in a failing body, and in a godless universe, sometimes a 'best guess' is all you have to go on." Mukund Gnanadesikan is a psychiatrist. He shares his story and discusses his KevinMD article, "Certainty is a fading flame in a failing body." This episode is sponsored by the Nuance Dragon Ambient eXperience. With so many demands on their time, physicians today report record levels of burnout. Burnout is caused by many factors, one of which is clinical documentation. Studies indicate physicians spend two hours documenting care for every hour spent with patients. At Nuance, we are committed to helping physicians do what you love – care for patients – and spend less time on clinical documentation. The Nuance Dragon Ambient eXperience, or DAX for short, is an AI-powered, ambient clinical intelligence solution that automatically captures patient encounters securely and accurately at the point of care. Physicians who use DAX have reported a 50 percent decrease in documentation time and a 70 percent reduction in feelings of burnout, and 83 percent of patients say their physician is more personable and conversational. Rediscover the joy of medicine with clinical documentation that writes itself, all within the EHR. Visit nuance.com/daxinaction to learn more. 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. Click here to 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

"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. Have a contract lawyer review your contract. A number of factors go into a contract, more so than salary. Consider vacation time, CME time, the amount of call, noncompetes, partnership eligibility, and benefits. Both parties: Have the discussion. Why is this? What can be done about it? Openly discuss and don't shy away from difficult conversations. Be the change maker." Sharon McLaughlin is a surgeon. She shares her story and discusses her KevinMD article, "We are all responsible for women physicians' pay discrepancy." This episode is sponsored by the Nuance Dragon Ambient eXperience. With so many demands on their time, physicians today report record levels of burnout. Burnout is caused by many factors, one of which is clinical documentation. Studies indicate physicians spend two hours documenting care for every hour spent with patients. At Nuance, we are committed to helping physicians do what you love – care for patients – and spend less time on clinical documentation. The Nuance Dragon Ambient eXperience, or DAX for short, is an AI-powered, ambient clinical intelligence solution that automatically captures patient encounters securely and accurately at the point of care. Physicians who use DAX have reported a 50 percent decrease in documentation time and a 70 percent reduction in feelings of burnout, and 83 percent of patients say their physician is more personable and conversational. Rediscover the joy of medicine with clinical documentation that writes itself, all within the EHR. Visit nuance.com/daxinaction to learn more. 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. Click here to 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

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. Some of these episodes are severe, and patients require assistance for recovery. To better support health care providers, Davida Kruger, APN-BC and Anne Peters, MD, in collaboration with the Academy for Continued Healthcare Learning (ACHL), developed a simple, systematic approach to quality improvement to ensure that patients are prepared to prevent, recognize, and manage hypoglycemia. The framework and tools are intended for easy access and application in any practice setting. Visit the tools and a CME quality improvement activity at preventhypotoolkit.org. This activity is supported by an educational grant from Lilly. This activity was sponsored by Purdue University College of Pharmacy in partnership with ACHL. VISIT THE CME QUALITY IMPROVEMENT ACTIVITY → http://preventhypotoolkit.org/ 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.

"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)." Linda Bluestein is an integrative medicine physician. Lauren Vasko is a patient advocate. They share their stories and discuss the KevinMD article, "The journey to diagnosing a mysterious illness." 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. Click here to 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

"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 relationship satisfaction is based on respectful openness and validation, the kind of communication that built love in the early days. To do otherwise is to risk a relationship with no real relating, and to miss out on a factor that may not only be part of the treatment for depression but a powerful deterrent." Joel Block is a psychologist and author of The 15-Minute Relationship Fix: A Clinically-Proven Strategy That Will Repair and Strengthen Your Love Life. He shares his story and discusses his KevinMD article, "Personal intimacy as an overlooked antidepressant." 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. Click here to 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

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 PermanenteDocs Chat presented by The Permanente Federation at Kaiser Permanente. He shares his social media story, reasons why physicians should be involved with social media, criteria for reliable online sources, and tips for those interested in taking the next online steps. Catch up on other PermanenteDocs Chats: https://permanente.org/news/permanente-live/permanentedocs-chat/ 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 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 infrastructure bill now, and we need to start rebuilding." Jennifer Reid is a psychiatrist and can be reached at her self-titled site, Jennifer Reid, M.D. She shares her story and discusses her KevinMD article, "We need a mental health infrastructure bill." This episode is sponsored by the Stanford Physician Leadership Certificate Program. For the aspiring physician leader, leadership skills are one of the most important and influential traits that will elevate your overall success. Leadership impacts nearly every aspect of your career in a complex and diverse health care system. Including how you effectively communicate and influence those around you, how you respond to conflict and make important key decisions, how you develop your team, and even how you navigate social dynamics in your workplace. Stanford Medicine recognizes the need to foster physician leaders in health care. That is why they developed the physician leadership certificate program. This 6-month cohort-based program includes live virtual sessions, self-paced learning modules, professional coaching, a capstone project, and much more: Providing C-suite education for the non-C-suite physician leader. They encourage all early career and aspiring physician leaders to apply. To find out more about the program or apply, visit physicianleadership.stanford.edu. 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. Click here to 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

"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 walked with, indicative of both the attraction of the trail and the popularity of this form of physical activity. All types of people were walking. There were young people and old people, some fit and some not so obviously so. The walk was exhilarating and at the same time hard and very long. Much of the great feeling of satisfaction I had at the end of every day was the feeling of achievement at having physically and emotionally pushed my own limits." Paula Rochon is a geriatrician. She shares her story and discusses her KevinMD article, "Reduce your loneliness, improve your well-being, and take the first step." This episode is sponsored by the Stanford Physician Leadership Certificate Program. For the aspiring physician leader, leadership skills are one of the most important and influential traits that will elevate your overall success. Leadership impacts nearly every aspect of your career in a complex and diverse health care system. Including how you effectively communicate and influence those around you, how you respond to conflict and make important key decisions, how you develop your team, and even how you navigate social dynamics in your workplace. Stanford Medicine recognizes the need to foster physician leaders in health care. That is why they developed the physician leadership certificate program. This 6-month cohort-based program includes live virtual sessions, self-paced learning modules, professional coaching, a capstone project, and much more: Providing C-suite education for the non-C-suite physician leader. They encourage all early career and aspiring physician leaders to apply. To find out more about the program or apply, visit physicianleadership.stanford.edu. 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. Click here to 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

"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), cognitive deficits, cardiovascular dysfunction, gastrointestinal malfunctions, unrefreshing sleep, pain, and much more. As a person who has lived with ME/CFS for 13 years, I urge everyone to avoid getting it at all costs. I also want to protect people like myself from getting sick with COVID and having our illnesses worsen to even graver severities." Stephanie Marcovici is a patient advocate. She shares her story and discusses her KevinMD article, "The consequences of unmasking and ending quarantines." This episode is sponsored by the Stanford Physician Leadership Certificate Program. For the aspiring physician leader, leadership skills are one of the most important and influential traits that will elevate your overall success. Leadership impacts nearly every aspect of your career in a complex and diverse health care system. Including how you effectively communicate and influence those around you, how you respond to conflict and make important key decisions, how you develop your team, and even how you navigate social dynamics in your workplace. Stanford Medicine recognizes the need to foster physician leaders in health care. That is why they developed the physician leadership certificate program. This 6-month cohort-based program includes live virtual sessions, self-paced learning modules, professional coaching, a capstone project, and much more: Providing C-suite education for the non-C-suite physician leader. They encourage all early career and aspiring physician leaders to apply. To find out more about the program or apply, visit physicianleadership.stanford.edu. 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. Click here to 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 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 longer surprised every time it happens. Patients and family members behaving badly have captured headlines lately. I'm sad that in addition to Code Blue and Code Red, my hospital now has a Code Purple, indicating out-of-control parents. And I'm saddened that now, teaching residents how to deal with unruly people is a routine part of my curriculum." Ann F. Beach is a pediatric hospitalist. She shares her story and discusses her KevinMD article, "People behaving badly: 4 steps to de-escalate hostile people." This episode is sponsored by the Stanford Physician Leadership Certificate Program. For the aspiring physician leader, leadership skills are one of the most important and influential traits that will elevate your overall success. Leadership impacts nearly every aspect of your career in a complex and diverse health care system. Including how you effectively communicate and influence those around you, how you respond to conflict and make important key decisions, how you develop your team, and even how you navigate social dynamics in your workplace. Stanford Medicine recognizes the need to foster physician leaders in health care. That is why they developed the physician leadership certificate program. This 6-month cohort-based program includes live virtual sessions, self-paced learning modules, professional coaching, a capstone project, and much more: Providing C-suite education for the non-C-suite physician leader. They encourage all early career and aspiring physician leaders to apply. To find out more about the program or apply, visit physicianleadership.stanford.edu. 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. Click here to 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