The Podcast by KevinMD

Kevin Pho, MD
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Apr 12, 2022 • 16min

Writing is an outlet for this physician

"There is something about physically putting pen to paper, that connection between your mind and your body that is just very health-inducing. And it takes time. And often we do not dedicate the time to taking care of ourselves and something as simple as writing in a journal, writing these, you know, these pieces. In eight minutes, you can get a lot done. It's been amazing what people come up with. And so I think the first part is just committing the time and giving yourself the space to do something that is fun and really brings pleasure." Janet E. Patin is a family physician. She shares her story and discusses her KevinMD article, "Stunning new medical conditions overlooked!" 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
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Apr 11, 2022 • 15min

How the pandemic affected teen mental health and substance abuse

"Two issues drive teen substance use: drug availability and perception of risk. Availability: Today's teens know that obtaining substances is far too easy. For example, 70 percent of high school seniors say marijuana is either "fairly easy" or "very easy" to obtain. Seventy-seven percent say getting their hands on alcohol is very easy and twenty-one percent of seniors believe it is easy to find MDMA (ecstasy). Thirty percent say getting their hands on amphetamines is also very easy. Perhaps more alarming, 27 percent of eighth-graders said getting ahold of a drug like marijuana is either fairly easy or very easy to do. And nearly 50 percent said alcohol is easy to find." Richard Capriola is a counselor and author of The Addicted Child: A Parent's Guide to Adolescent Substance Abuse. He shares his story and discusses his KevinMD article, "The pandemic drives a decline in teen substance abuse." 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
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Apr 10, 2022 • 19min

Incredible true stories of pioneer patients

"It was probably in early 1803, as Jenner's fame swelled and more doctors were adopting vaccination, when Bell met a farmer with a curious story. The farmer's name was Benjamin Jesty, from the Downshay farm in a nearby village. Seeing the growing practice of vaccination, Jesty was eager to tell his story and claimed he deserved rewards just like Jenner. Bell, probably intrigued, recorded Jesty's account." Rod Tanchanco is an internal medicine physician and can be reached on Twitter @rodtmd. He is the author of First Patients: The incredible true stories of pioneer patients. He shares his story and discusses his KevinMD article, "Farmer Jesty's bold experiment." 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
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Apr 9, 2022 • 16min

Am I a doctor or a contingency plan?

"I suspect that some of the nearly 20 percent of physicians who have quit their jobs during this pandemic needed to feel this relief, too. They needed to feel the relief of having no plan. No 'if this, then that.' They needed to just exist in the now. Because who knows how long the now will be around anyway? Will we wake up one day and find that years have gone by without knowing it because we were so busy planning ahead for scenarios that never occurred? This is not something that worksite wellness programs can provide or resilience training can foster. It is a reality of COVID-19 when you are caring for anyone who needs you, as much as (or more than) your patients. The miracle is that there are so many of us left in the workforce at all, riding the waves of uncertainty feeling like the only COVID contingency plan we can depend upon is ourselves." Margaret B. Nolan is a physician-scientist. She shares her story and discusses her KevinMD article, "Am I a doctor or a contingency plan?" 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
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Apr 8, 2022 • 16min

New strategies are needed for mental health treatment

"Reducing the occurrence of comorbid mental and physical disorders will require an integrated model combining medical and behavioral health care services. The window of opportunity is open for health insurers and employers to invest in employee assistance programs and telehealth platforms and build on a newfound acceptance of mental health services. Additionally, health care providers can mitigate the cost of care and improve their outcomes with an increased focus on interdisciplinary training that accounts for the common occurrence of both physical and mental health conditions. With a new approach to mental health services, we will see a noticeable decrease of stress levels, happier patients, and higher productivity in the workplace." Christopher Valerian is a health care executive. He shares his story and discusses his KevinMD article, "New strategies are needed for mental health treatment." 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
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Apr 7, 2022 • 19min

Primary care should be the center of gravity in health care

"If we want a more effective health care system, it needs to be re-engineered to revolve around the true center of gravity – the patient. We must involve patients early and often in the design of health policy, health technology, and health care ecosystems. We must reinvent health care payment models to tie incentives to what is of value to patients. And we must give every American access to a high-quality PCP. Until we do this, we'll continue to pay too much money for too little value, and we'll all suffer in a system perfectly designed to keep getting the results it's getting." Sara Pastoor is a family physician. She shares her story and discusses her KevinMD article, "The center of gravity in health care and the role of primary care." 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
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Apr 6, 2022 • 19min

How a legal injustice changed this physician's career

"I do not hesitate to share what I endured. I recognize that there is a code of silence that must be broken when one is involved in legal action. It is imperative that we speak out to patients, legislators, and other physicians against these types of injustices. The sense of isolation can be overwhelming. I do not want anyone to go through what I have gone through, questioning myself, my skills, and my self-worth. Hopefully sharing our stories will help to give other physicians added strength. I have come to firmly believe that publicity and sharing our experiences are our best tools against legal injustice." Mark Lopatin is a rheumatologist and author of Rheum for Improvement: The Evolution of a Health-Care Advocate. He shares his story and discusses his KevinMD article, "Publicity and sharing our experiences are our best tools against legal injustice." 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
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Apr 5, 2022 • 19min

Nurses are in need of racial healing

"Now more than ever, our profession needs to move toward racial healing. There is an urgent need for nursing to acknowledge its history of racism, boldly confront racism wherever it shows up, and address the racism that nurses witness when delivering care to those they serve. This will not happen until nurses engage in self-awareness and reflection as well as confront any personal racist attitudes and behaviors. When nursing demonstrates a commitment to creating an antiracist culture within the profession, nurses and patients, both in need of healing, will be better served. It is our hope that this report will open a window of opportunity for nursing to acknowledge its history of racism and resolve to solidify a future that is welcoming, respectful, and supportive of all nurses regardless of race, ethnicity, or any other unique attributes. Anything less is counter to the core principles of a profession that demands caring, compassion, and respect for everyone." Janice Phillips and Katie Boston-Leary are nurses. They share their stories and discuss their KevinMD article, "Nurses are in need of racial healing." 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
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Apr 4, 2022 • 14min

Physicians and the weight of expectations

"What exactly is my obligation to medicine? Am I supposed to practice medicine forever? Is it my duty? Do I have to continue serving my patients, the hospital, and society because of these expectations? The answer is simple: You get to decide. Most physicians I know love practicing medicine. It is and has always been a calling. The problem lies only in the thought that you should practice medicine. When used in this way, the word should is a cognitive distortion. A cognitive distortion is a pattern of thinking that is generally false or inaccurate and carries the potential to cause psychological harm. When you use the word should, there is often an accompanying shift in focus from what you want to what others might think." Michael Hersh is a gastroenterologist. He shares his story and discusses his KevinMD article, "Stop 'shoulding' all over yourself." 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
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Apr 3, 2022 • 17min

Can patients just say no to treatment?

"Deeming individuals 'non-decisional' for misinformed beliefs that are not representative of a psychiatric illness is inappropriate, unfairly medicalizes the narrative and incurs a risk of further public distrust of the health care system. It is not the province of psychiatry to adjudicate uncomfortable social discourse so much as to elicit it. Empathic listening — curiosity rather than social judgment — has always been the most profound and powerful tool at our disposal, and it must remain so." Charles Hebert is a psychiatrist. He shares his story and discusses his KevinMD article, "Can patients just say no to treatment?" 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

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