The Podcast by KevinMD

Kevin Pho, MD
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Aug 27, 2020 • 14min

How COVID-19 impacts rural America

"We all knew this pandemic was going to change how we practiced medicine, but I, personally, was not prepared for how much it would challenge the 'work-life balance' that I have spent years carefully maneuvering. Female physicians are often hesitant to express individual needs for fear of being viewed as "weak." I'm finding freedom in removing the stigma of weakness and shame from my own concept of vulnerability. It can unite and connect us, giving us strength and empowerment in a time when so much seems beyond our control." Erica Gillette is a family physician. She shares her story and discusses her KevinMD article, "Vulnerability gives us strength in a time when so much seems beyond our control." (https://www.kevinmd.com/blog/2020/05/vulnerability-gives-us-strength-in-a-time-when-so-much-seems-beyond-our-control.html)
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Aug 26, 2020 • 14min

Physician personal development and growth

"COVID-19 has given all of us the opportunity to live in extremely challenging times. We can choose to run away from this challenge or decide to acknowledge it as part of our journey to grow and transform. So, will you face your habitual reactions, biases, and unpleasant emotions and turn these COVID-19 related challenges into opportunities for personal development and growth? It's up to you." Francis Yoo is a family physician and the author of Physician Freedom: Living Your Authentic Physician Life and COVID Contemplations for Self-Awareness and Personal Development. He can be reached at his self-titled site, Dr. Francis Yoo. He shares his story and discusses his KevinMD article, "Personal development and growth during COVID times." (https://www.kevinmd.com/blog/2020/08/personal-development-and-growth-during-covid-times.html)
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Aug 25, 2020 • 13min

Challenges female physicians face in medicine and the strength of vulnerability

"I know I am not alone in my thoughts; I am just echoing sentiments of other female physicians. We are mothers, wives, patient advocates, and educators. And we're all suddenly finding ourselves in unchartered waters. In weathering this pandemic, I've taken time to reflect. I wish I could say I emerged from this introspection having conquered all my fears. Instead, I have discovered the immense strength it takes to be vulnerable. I can admit I do not have all the answers, and the uncertainty of tomorrow gnaws at me. I also know that despite the upheaval, I wouldn't trade my job for anything in the world." Shweta Akhouri is a family physician. She shares her story and discusses her KevinMD articles, "I have discovered the immense strength it takes to be vulnerable." (https://www.kevinmd.com/blog/2020/05/i-have-discovered-the-immense-strength-it-takes-to-be-vulnerable.html)
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Aug 24, 2020 • 12min

Remembering Kobe Bryant and what basketball can teach us in medicine

"Through my coaching of girl's basketball in California's Central Valley, my daughter and I were fortunate enough to know Kobe as a mentor and coach, and a person who inspired my daughter to be the best through hard work, dedication, and passion. While Kobe will live on as one of the game's greatest athletes, he wanted to be remembered for much more than his championships and scoring records. It's clear that he's left a legacy greater than his legendary basketball career, and I thank him for inspiring me to strive for greatness while honoring what matters most in life." Imamu Tomlinson is an emergency physician and CEO, Vituity. He shares his story and discusses his KevinMD article, "What I learned from Kobe Bryant as a parent, coach, and doctor." (https://www.kevinmd.com/blog/2020/03/what-i-learned-from-kobe-bryant-as-a-parent-coach-and-doctor.html)
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Aug 23, 2020 • 11min

Now is not the time for medical students to be spectators

"It is time to stop being spectators. We are at a critical turning point in our fight against this disease, and our actions now will determine whether we stay on the sidelines, or put an effective end to the scourge of the disease. If we want to avoid a deadlier and costlier battle for the years to come, students, and the general public, have to take steps to work together to disrupt disease transmission and increase cooperation. In the case these steps are not taken, humanity may soon be facing its own Civil War, where our societal fabric may be further ripped apart." Adithya Sivakumar is a medical student. He shares his story and discusses his KevinMD article, "Medical students: It is time to stop being spectators." (https://www.kevinmd.com/blog/2020/03/medical-students-it-is-time-to-stop-being-spectators.html)
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Aug 22, 2020 • 15min

Why physician advocacy is so important

"We need to stay healthy for our patients, but also for ourselves and our families. We need to mobilize the faction not just with regard to this pandemic, but by anticipating the arrival of others. So how do we advocate for ourselves? A great way to start is continuing our conversations amongst our colleagues and sharing experiences, looking to local businesses in our communities who are helping us procure masks and other supplies (several salons have already started contributing their supplies to local hospitals), and demanding more from our government going forward. Our government is prepared to increase spending when it comes to the military (in 2019, Congress authorized 716 billion in military spending), but health care workers are now in the midst of a devastating war, and all we are offered are substandard responses, 'there aren't enough tests,' 'do what you can with what you have,' 'wear bandanas' etc. Remember these moments going forward. Remember the failure of the system to support us. Remember the fear, the anxiety, the guilt for not being able to do more. Take these wartime memories and harness them into political power because we are far more powerful as a unit than we are as lone warriors." Jessica Kiarashi is a neurologist and can be reached on Twitter @jkiarashimd. She shares her story and discusses her KevinMD articles, "Physician advocacy in the age of COVID-19" (https://www.kevinmd.com/blog/2020/03/physician-advocacy-in-the-age-of-covid-19.html) and "Why doctors should get political." (https://www.kevinmd.com/blog/2020/03/why-doctors-should-get-political.html)
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Aug 21, 2020 • 13min

Pediatric practices face financial strain

"Physicians are trained to do what is best for their patients and to do no harm. Independent practices have sat quietly watching, feeling hopeless as our communities cannot access the care they need, shamefully shutting our doors to spend hours on the phone with insurers. But no more. We can no longer remain quiet: Our pediatric patients may not be suffering from COVID-19 at the alarming rate of adults, but this pandemic will send long-standing shockwaves to future generations if our voices are not heard." Nidhi Kukreja is a pediatrician. She shares her story and discusses her KevinMD article, "How COVID-19 will close pediatric practices." (https://www.kevinmd.com/blog/2020/05/how-covid-19-will-close-pediatric-practices.html)
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Aug 20, 2020 • 13min

Do patients addicted to drugs truly have capacity?

"We care for patients suffering from addictions every shift and are often the only care providers they can turn to. Despite our best efforts, we are often forced to watch as these patients continually succumb to their addiction, sacrificing their bodies as collateral damage in the battle. What frustrates me the most is that every time one of these patients leaves against medical advice, they are deemed to have the capacity to refuse medical treatment. I suppose in the strictest legal sense they do. They understand and can repeat back the risks of leaving without proper treatment. They understand that forgoing this treatment can ultimately lead to their death." Gregory Jasani is an emergency medicine resident. He shares his story and discusses his KevinMD articles, "Do patients addicted to drugs truly have capacity?" (https://www.kevinmd.com/blog/2020/03/do-patients-addicted-to-drugs-truly-have-capacity.html) and "Please don't make physicians choose." (https://www.kevinmd.com/blog/2020/04/please-dont-make-physicians-choose.html)
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Aug 19, 2020 • 20min

Why telemedicine needs to be a permanent part of Medicare

"While preparing to assist our patients in the emergency rooms and dedicated COVID-19 wards, our clinic continues to triage patient concerns, creates new care plans, and provides a necessary layer of support, reassurance, and education in a chaotic and stressful time. Like all of you, my colleagues and I look forward to resuming our normal lives as once this pandemic is resolved. But, the resolution of this unprecedented public health emergency should not be a reason for CMS to revert back to its old rules. As these first weeks have shown, telemedicine is a valuable, proven, and effective tool for our patients, their families, and our medical community." Magdalena Bednarczyk is a geriatric medicine physician. She shares her story and discusses her KevinMD article, "CMS needs to permanently eliminate barriers preventing routine use of telemedicine." (https://www.kevinmd.com/blog/2020/04/cms-needs-to-permanently-eliminate-barriers-preventing-routine-use-of-telemedicine.html)
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Aug 18, 2020 • 13min

A medical student graduates with a lack of closure

"I initially fell into the dangerous grief and shame spiral. I shoved these feelings of loss deep down and let shame bubble up. How could I legitimize my feelings when people are dying? However, I have been working through the idea that comparative pain and its conflicting feelings do not help. To a toddler, their worst grief is not being able to see their friends at preschool graduation. To a high school senior, perhaps prom. To a college athlete, the inability to finish their senior season. To a new business owner, the shuttering of their barbershop opening. Denouncing one's own suffering does not benefit health care workers, those who are sick, or those who have "greater" losses. A grocery store worker's 14-hour shift does not get any easier. A nurse does not magically get a mask. So, allow yourself to feel wholeheartedly, to lament without embarrassment. Feel sad. Be scared. Yell. Have a pity party. Then, when you have a moment of strength, reach out and lift someone up (virtually for now). Together we celebrate milestones, together we grieve, and together we are strong." Emily Masterson is a pediatric resident. She shares her story and discusses her KevinMD article, "A medical student about to graduate. And a lack of closure." (https://www.kevinmd.com/blog/2020/04/a-medical-student-about-the-graduate-and-a-lack-of-closure.html)

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