The Podcast by KevinMD

"Far from signaling weakness, asking for and receiving help is not only a sign of strength, but a sign of courageous leadership. And so, I ask you to put on your own oxygen mask, and then to reach out and help your colleagues put on theirs, too. As physicians, the trauma we've experienced through our decades-long education and training, through our competitive medical culture, and through years of silence and self-sacrifice have created a common bond and an unspoken understanding. We must give ourselves the love and compassion that I know is deep within each of us, and we must help each other to do the same. Our greatest power comes from standing in support of each other, together. And it is the only way forward." Tammie Chang is a pediatric hematology-oncology physician and co-founder, Pink Coat, MD. She can be reached on Instagram @tammiechangmd and at her self-titled site, Tammie Chang, MD. She shares her story and discusses her KevinMD article, "Fellow physicians, what is our path forward?" 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. Reflect and 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

"With government and industry working hand in hand, we can develop and stockpile monoclonal antibody therapeutics in anticipation of variants to come. We need to be thinking several moves ahead to keep ahead of variants so that stockpiles of therapies do not become obsolete as they have now. Our government needs to ensure the proper funding to support the development and manufacturing of such therapies, and we need to begin demanding they do so. These are highly complex and time and resource-intensive endeavors. However, the technology exists today through modern antibody platforms to address these needs, and countless lives can be saved with such an approach. The more action we take now, the more we can be ready for future variants from threatening our nation's health." Ian Chan is a health care executive. He shares his story and discusses his KevinMD article, "To treat future COVID variants, we need more than vaccines." 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. Reflect and 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

"I have spent years in silence about my career decisions, nervous that my inability to take call and inability to thrive while sleep-deprived could be seen as weaknesses. Being afraid to admit I was advocating for my mental health and my life. That's a problem. I am experiencing fear for advocating for the health and safety of myself and others for concern that I may sound weak. That's a big problem. Silence is not the answer. Avoiding talking about it is not the answer. I cannot avoid call hard enough for prolonged sleep deprivation to be less of a problem for others. So let's keep talking. Physicians need sleep. The system needs to change. Many are not OK. I was one of them. We need to normalize talking about the hard things and creating environments that promote psychological safety and the ability to truly ask for help, not censor our struggles in mental health appointments to save face. And if you need to hear it: It's OK to crave basic needs and advocate for them. You're a human, not a robot; we need to create a system made for humans, not robots. If you are having dark thoughts, please seek help. While the best time may have been days or months ago, the next best time is now." Jillian Rigert is an oral medicine specialist and radiation oncology research fellow. She shares her story and discusses her KevinMD article, "I risked my career to save my life." 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. Reflect and 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

"That year, 2020, Uğur told the crowd, would be the year BioNTech proved the doubters wrong. There was no time to lose. Soon after he'd finished his talk, Uğur hopped on a plane to Seattle, where he met with a team at the Bill & Melinda Gates Foundation, which had recently signed a $100 million agreement with BioNTech to develop a slew of new drugs. Hours later, he moved on to Boston, to stop by a small cancer immunotherapy company that BioNTech was about to purchase in a $67 million deal. The purpose of the visit was to reassure staff that he, a fellow scientist, was interested in advancing their innovations and was not a vulture disguised in a lab coat who had come to gut the firm and slim down its workforce. At this point, Uğur was still fairly oblivious to events in Wuhan. He walked around the biotech firm's foyer, introducing himself to dozens of soon-to-be employees, shaking each of them vigorously by the hand." Joe Miller is a journalist. He shares his story and discusses the book, The Vaccine: Inside the Race to Conquer the COVID-19 Pandemic. 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. Reflect and 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

"America's health care workers are on the brink of collapse. If we want them to hold on and be there for us when we are too sick to walk, stand or breathe, we must act now. Cast aside political opinions. Follow CDC guidelines. Wear masks when you are in a group of people. Remain properly vaccinated. Maintain social distances. And please extend extra consideration to health care workers. Is that too much to ask to do for someone trying to save your life or the life of your loved one?" Julie Collins is a cardiovascular perfusionist. She shares her story and discusses her KevinMD article, "Support desperate health care workers now, before your life counts on them." 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. Reflect and 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

"As a doctor, it is pretty humbling to reflect on the fairly minimal impact our health care system has on individuals' overall health. One study I find particularly intriguing shows that socioeconomic factors (e.g., education and income), and physical environment (e.g., security and safety at home and reliable access to transportation), affect a person's health outcomes just as much as their behaviors (e.g., mental health, diet, and physical activity) and the clinical care they receive. The data indicates an even, 50/50 split. I suspect that many people view such data as interesting—but not exactly surprising. We have always known that sometimes there is little we can do medically to help a person until we have attended to their so-called social determinants of health (SDOH). Concerns about money, transportation, food security, housing uncertainty, and other socioeconomic factors nearly always prevent people from concentrating on their health." Joe Nicholson is a health care executive. He shares his story and discusses his KevinMD article, "It is time to make a dent in social determinants of health." 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. Reflect and 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

"Pediatric cardiac anesthesiologist, woman, mother, wife, friend, mentor. I can't remember a time when I wasn't trying to "work smarter, not harder" to get it all done and feel good about myself, only to begin climbing the mountain with a fresh list the next day. My goals were simple: peace of mind and a sense that I was in control of my life and doing a good job for all the people who needed me. Just a little more effort, better organization, and I would be there. As a physician coach, I find that the topic of work-life integration is always at or near the top of the list of issues for clients. Reading Oliver Burkeman's excellent book Four Thousand Weeks: Time Management for Mortals made me do some critical thinking. Although we act as if time is a commodity, it has no tangible essence. It can't be owned. And though we constantly behave as if it's unlimited, we know better, especially as physicians. All we really have is the present moment. What is it we're really trying to manage? And, equally importantly, what sense of failure do we inflict on ourselves with our continuing unsuccessful attempts to fit more than 24 hours of activities into each day?" Laura Berenstain is a pediatric cardiac anesthesiologist and physician coach. She shares her story and discusses her KevinMD article, "The new rules of time management." 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. Reflect and 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

"Knowing that an important number of Latinx are not yet fully vaccinated and understanding the health care gaps and social disparities that affect this group, it is reasonable to assume that the Latinx community will be disproportionately affected by the pain and sorrow of the new wave of the COVID-19 pandemic. More efforts and resources need to be designated to continue educating and empowering the Latinx community to comply with vaccination and other well-proven preventive measures that will protect them from COVID-19 and its devastating consequences now and in the future. In addition, medical schools, societies, and other related health care institutions need to become more socially and culturally aware and advocate for a diverse, inclusive health care system that promotes equity and reduces disparities." Miriam Zylberglait Lisigurski is an internal medicine physician. Ricardo Correa is an endocrinologist. They share their stories and discuss the KevinMD article, "COVID-19 vaccination: the Latinx experience." 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. Reflect and 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

"Sickle cell disease (SCD) affects about 100,000 Americans as an inherited genetic disorder with intermittent exacerbations requiring hospitalization. SCD is also a painful and complicated disease with no single physician specialist that can provide pain relief. While SCD pain is similar in severity to cancer pain, patients struggle to find adequate pain relief because they are often labeled as 'doesn't appear in pain' as the imaging scans may not show actual pathology. Some palliative colleagues draw the comparison that cancer is visible in scans and SCD is not, which gives mental ease to clinicians as cancer patients' pain is easier to believe and treat appropriately. However, the source of SCD pain is typically micro-vascular because the disease generates pain due to occlusion in the micro-vascular. It can't be "seen" on scans except when worse complications like acute chest syndrome or avascular necrosis of a bigger joint are present." Ramandeep Kaur is a palliative medicine physician. She shares her story and discusses her KevinMD article, "Patients need palliative care to manage the pain of sickle cell disease." 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. Reflect and 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

"We know regulators can move quickly to confront a health crisis because we have seen it in action. During COVID, the nation eased regulatory burdens at all levels of government to help health systems and doctors leverage technology and change the way they deliver care and to drive vaccine innovation. During the AIDS epidemic, we saw how effectively we could mobilize across the public and private sector to really change the course of the fight. Now is the time to harness the same energy for the opioid crisis. When you begin multiplying the number of those who have died from overdoses by the number of friends and loved ones who cared about each person and are now experiencing life-altering losses, there are fewer and fewer Americans unaffected by this crisis. The status quo is not only failing people with opioid use disorder, it's failing all of us." Arthur Robin Williams is a psychiatrist. He shares his story and discusses his KevinMD article, "The status quo is failing people with opioid use disorder." 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. Reflect and 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