The Podcast by KevinMD

"Our relationship with Big Pharma is a dangerous, nasty, and abusive one, and it can prove to be fatal too. Benzos aren't limited to a specific class, race, gender, creed, etc. Many stars have died from mixing benzodiazepines with opioids or illegal drugs. It has been a little over a year that I have been off of Klonopin, and I'm happy to report that most of my withdrawal symptoms are gone. I handle stress better now, and I feel emotions more deeply and genuinely. Please be patient with the process and with yourself. It gets better, I promise." Bethany Silverman is a writer. She shares her story and discusses her KevinMD article, "My Klonopin withdrawal story." (https://www.kevinmd.com/blog/2021/01/my-klonopin-withdrawal-story.html)

"Had I understood the nature of my struggles and felt permitted and supported in actively addressing them, I would have been more effective, a better learner, and more fulfilled. After trying out a few clinical settings, a lot of reading, and some much-needed coaching, I found my identity as a healthy, inspired physician. Eventually, by setting boundaries and understanding my patterns, I discovered what I needed to thrive. So, maybe we need to reimagine medical education. From medical school onward, physician education and training should be conceptualized as a career-long process supporting the holistic development of life-long learners, leaders, and healers. Certainly, there has got to be a better way than my circuitous, self-designed, and at times, painful and exhausting pathway." Tracy Asamoah is a child and adolescent psychiatrist and can be reached at Tracy Asamoah Coaching. She shares her story and discusses her KevinMD article, "It's time to focus medical education on training the whole person." (https://www.kevinmd.com/blog/2021/01/its-time-to-focus-medical-education-on-training-the-whole-person.html)

"Dr. Fauci navigated the delicate balance between his obligation to the American people as one of our most respected physician-scientists and holding on to his job in a federal government whose leader doesn't take kindly to independent thought that potentially upstages his own. Dr. Fauci not only survived multiple appearances on the national stage with Trump, as the task force morphed into charade, but he even emerged as a popular folk hero, all the while maintaining his status as a respected medical authority. Despite having ample opportunity to confront the president on his misinformation, Dr. Fauci focused his unwavering attention on mitigation of the virus, refuting Trump's often puzzling and sometimes harmful pronouncements, without even having to directly acknowledge them." Michael Miyamoto is a cardiologist. He shares his story and discusses his KevinMD article, "Dealing with a bad boss: lessons from Dr. Fauci." (https://www.kevinmd.com/blog/2021/01/dealing-with-a-bad-boss-lessons-from-dr-fauci.html)

"I am a nurse who has worked at a rural hospital. My husband is a board-certified family medicine doctor. In the fall of 2020, I was raped by my massage therapist. I know that everyone has an opinion of what they would do in that situation, and I was probably one of those people. However, to my complete shock (quite literally), I didn't behave in any manner that I would have thought. Much to my embarrassment, I was a nurse who had no idea what to do when I was raped on top of the previously mentioned humiliation." The guest is an anonymous nurse who shares her story and discusses her KevinMD article, "There needs to be a better approach to victims of sexual violence." (https://www.kevinmd.com/blog/2020/12/there-needs-to-be-a-better-approach-to-victims-of-sexual-violence.html)

"When the public was made aware of the risk of transmitting the virus and the far-reaching measures of social distancing, closing schools, and lock-down, most Americans willingly complied. After all, they became aware, for the first time, of the risk of aerosolized viral particles present in theatres, churches, restaurants, and classrooms. But we physicians already knew that. We knew that when we went into the operating room or the bedside to repair a laceration in the emergency department, we wore masks to protect our patients from the microorganisms living in our noses and mouths. We already knew that the spread of norovirus and other food-borne illness can be mitigated by the use of hand-washing and the use of sanitizing cleaners. Physicians already knew that the world was a rather naïve and scary place in terms of infectious disease." Joan Naidorf is an emergency physician. She shares her story and discusses her KevinMD article, "Influenza: a deadly risk in schools before COVID." (https://www.kevinmd.com/blog/2021/03/influenza-a-deadly-risk-in-schools-before-covid.html)

"Now the room is silent as if nothing at all occurred. I stand watching the red stain forming on the pristine white sheet, mocking me in my failure. I trained at excellent institutions, survived residency, and served in combat. Now, here at a Level 1 trauma center, I could not save this life with every possible medical tool at my disposal. This injury, this particular injury, always has, and forever will, haunt my dreams. The hubris to think that I could be the difference, that I am better than those who came before me, was answered tonight, as it has been before, by this deserved slap in the face. I absorb the charged silence; my mind wanders back to my third year of medical school. I was doing well, a moderate prodigy of the medical department. I was ready for every conference, every patient, well-read and well prepared, until that fateful day." Richard Morand is a trauma surgeon. Melissa Fournier is a social worker. They are, respectively, contribute and co-editor, The Healer's Burden: Stories and Poems of Professional Grief. They share their stories and discuss the KevinMD article, "I could not save this life with every possible medical tool at my disposal." (https://www.kevinmd.com/blog/2020/11/i-could-not-save-this-life-with-every-possible-medical-tool-at-my-disposal.html)

"I really shouldn't complain. I haven't lost my housing or job. I have plenty of food and toilet paper, and so far, no close friend or family have died from COVID. That said, this pandemic is hard. In fact, it is exhausting. During the spring and summer, I gave positive COVID results to a number of patients from my home's safety, thanks to telehealth. But the reality of telling patients how to self-quarantine when six people live in two rooms with one bathroom, or giving resources about food and other basics because the household provider lost a job, or can't work because s/he is COVID positive, is tough. Tough on the recipient of the advice and tough on me." Therese Zink is a family physician and can be reached at her self-titled site, ThereseZink.com. She is the author of COVID Chronicles: How Essential Workers Cope. She shares her story and discusses her KevinMD article, "The long journey of COVID." (https://www.kevinmd.com/blog/2020/11/the-long-journey-of-covid.html)

"It is dangerously unfortunate that the use of masks has been politicized in many parts of our nation. The Dakotas (or North and South COVID as they were recently called on Saturday Night Live) are far from exempt from this phenomenon. Likely, if Governor Burgum's decision was less influenced by fear of criticism from his constituents and political retaliation, he would have required a mask mandate long before making it acceptable for infected individuals to leave their home. Masks have time and again proven to be safe and effective. It's not a big ask." Sheetal Khedkar Rao is an internal medicine physician. She shares her story and discusses her KevinMD article, "The problem with allowing COVID-positive health care workers to continue working." (https://www.kevinmd.com/blog/2020/11/the-problem-with-allowing-covid-positive-health-care-workers-to-continue-working.html)

"If PCPs want to meet the new competition from virtual primary care plans, I suggest that they gradually increase the percentage of their visits that they do through telehealth. Now that payers are reimbursing those visits at the same level as in-person visits, they have nothing to lose financially. Of course, there are some ancillary services that might be performed in their offices, such as lab tests, X-rays or bone density scans. But PCPs could order some of these when patients came in for visits, and they could also reduce their spending on staff and office space if they saw fewer patients in-house. Such a move would represent a big change for PCPs. But they've already adopted telehealth to a much greater extent than ever before. A fuller embrace of the technology could help them survive financially, and it might even improve chronic disease care if virtual follow-ups were combined with regular office visits." Ken Terry is a journalist and author of Physician-Led Health Care Reform: A New Approach to Medicare for All. He shares his story and discusses his KevinMD article, "PCPs could counter virtual plans by increasing telehealth visits." (https://www.kevinmd.com/blog/2021/03/pcps-could-counter-virtual-plans-by-increasing-telehealth-visits.html)

"Looking back on these words at the end of my rotation, I understand what I had felt, and I feel confident naming it: the futility of medicine. We can comfort and treat patients, but there's nothing more we can do after a certain point. As a bright-eyed medical student who wrote on all her medical school applications that she wanted to save lives, it was and still is difficult for me to understand that." Shereen Jeyakumar is a medical student. She shares her story and discusses her KevinMD article, "My first end-of-life conversation." (https://www.kevinmd.com/blog/2020/12/my-first-end-of-life-conversation.html)