The Podcast by KevinMD

"In the time of the COVID-19 pandemic, I am both hopeful and inspired as well as disappointed. I see those angry that their ideas or opinions conflict with science. Instead of the steady path and hard work of building bridges, they create division. I see many capitalizing on fear and uncertainty, weaving a compelling story and drawing in the desperate ones who need a scapegoat, an explanation, or some form of certainty. It's OK to be a dissenter. It's OK to challenge what seems to be the status quo. It's OK to ask questions about why we do things the way we do them. But if you really want to see a meaningful conversation, you must go about it in the right way. The right way is usually slow and painful but full of the promise of refinement that only comes through allowing our work and our perspectives to pass through the filters of those who see the world differently. Only then can the purest form of our questions be answered, and our message be heard." Jaclyn Lewis Albin is an internal medicine-pediatrics physician. She shares her story and discusses her KevinMD article, "Dissent in the time of COVID-19." (https://www.kevinmd.com/blog/2020/05/dissent-in-the-time-of-covid-19.html)

"Billroth spent long hours dissecting cadavers and planning on surgical interventions. He was able to pioneer abdominal surgery with careful preparation and strict adherence to meticulous antiseptic technique. Animal experimentation and cadaveric-rehearsed surgery emboldened the Viennese professor; perhaps the abdomen could be entered. Nothing short of a 'godlike creative spirit,' as Mukherjee calls it, would suffice when it came to intestinal surgery. Vienna has a centuries' old reputation for virtuoso performances; with Imperial spirit, maestro Billroth would take his place for master class performances in the greatest theater in the City of Music: the Allgemeines Krankenhaus operative theater. In 1872 Billroth resected a portion of the esophagus and joined the ends together. In 1873, he performed the first complete excision of a larynx. Even more amazing, he became the first surgeon to excise a rectal cancer, and by 1876, he had performed thirty-three such operations. What seems commonplace today (abdominal surgery) is nothing short of a stupendous magic act, in reality." David J. Schneider is an orthopedic surgeon and author of The Invention of Surgery: A History of Modern Medicine: From the Renaissance to the Implant Revolution. (https://amzn.to/2CtzDQb) He shares his story and discusses his KevinMD article, "Surgery is nothing short of a stupendous magic act." (https://www.kevinmd.com/blog/2020/03/surgery-is-nothing-short-of-a-stupendous-magic-act.html)

"As COVID-19 devastates America and the world, I hope that fundamental change to our health care system results from its horrific exposé. Without COVID-19, the pressures placed on physicians are already immense. In the age of COVID-19, these pressures are proving to be insurmountable. Being a physician is difficult, but it does not have to be deadly. Physicians deserve proper stigma- and repercussion-free mental health care as much as they deserve proper personal protective equipment. By definition, a hero is the offspring of a god and a mortal; if we physicians are to be known as heroes, we deserve to have our human mental health care needs met.​" Sarah Bridge is an emergency medicine resident. She shares her story and discusses her KevinMD article, "Physicians and the psychological trauma of COVID-19." (https://www.kevinmd.com/blog/2020/05/physicians-and-the-psychological-trauma-of-covid-19.html)

"COVID-19 has rapidly spread across the nation, leading to the implementation of stringent social distancing guidelines by local and regional authorities. In a desperate effort to limit infection rates, in-person social interactions have been reduced, and many have turned towards indoor hobbies and online platforms to connect with their loved ones. Still, this solution to mitigate the spread of the virus deeply impacts vulnerable groups. Specifically, social isolation of the elderly population, already deemed a neglected issue, is an exacerbated side effect of the coronavirus pandemic." Vismaya Bachu is a medical student. She shares her story and discusses her KevinMD article, "The exacerbation of social isolation among the elderly." (https://www.kevinmd.com/blog/2020/05/the-exacerbation-of-social-isolation-among-the-elderly.html)

"They needed the final story to let go of her body, yet retain her spirit. Looking back on it, that's when I saw the greatest honor of all — the everyday honor of storytelling for our patients. Maybe that's the only cure we have for death … translating what happens from the body into the world. Perhaps that is the last frontier of care: sharing the understanding of how we get to the end — just as much as how we got to the beginning. Maybe, we should reframe the last note we write for our patients — and make it the last story we share instead." Giannina L. Garces-Ambrossi Muncey is a critical care physician. She shares her story and discusses her KevinMD article, "Your greatest role as a doctor? Storyteller." (https://www.kevinmd.com/blog/2018/10/your-greatest-role-as-a-doctor-storyteller.html)

"If you are finding yourself with trouble studying or focusing due to the state of the world, or due to changing circumstances in your own household, remember that a delay in this test or in any part of your application is not the end of the world. You need to focus on your health and well-being first so that you have the ability to keep pushing through this marathon of a process (and I don't just mean the application to medical school—there's a whole bunch to do once you get there as well!) Dive into meditation, exercise, and staying in contact with your friends and family. The MCAT, the application, and your dreams of being a physician will still be there when this is all over, so priority #1 is making sure that you are able to jump back into all of this when that time comes." Elisabeth Fassas is a medical student and author of Making Pre-Med Count: Everything I Wish I'd Known Before (Successfully) Applying to Medical School. (https://amzn.to/2DXWu73) She shares her story and discusses her KevinMD article, "COVID-19 and the MCAT: What should premedical students do?" (https://www.kevinmd.com/blog/2020/04/covid-19-and-the-mcat-what-should-premedical-students-do.html)

"Much is written about the advantages for primary care physicians and patients of working within a retainer model, direct primary care, concierge-type care model. Little is written about the downside or disadvantages. It is time to shine a light on the benefits and challenges of concierge and standard models through an experienced lens, particularly as drivers of burnout and the primary care shortage loom so large. The phase of a career may be an important factor." Annie Moore is an internal medicine physician. She shares her story and discusses her KevinMD article, "A physician leaves concierge medicine after 13 years." (https://www.kevinmd.com/blog/2020/03/a-physician-leaves-concierge-medicine-after-13-years.html)

What should patients know about diet and its effects on the microbiome? How should primary care clinicians address diet and its effects on the microbiome? What are your tips to address obesity? What are the gastroenterological manifestations of COVID-19? Supriya Rao is a gastroenterologist. She shares her story and her expertise in obesity and the diet-microbiome connection.

"Was I that different? I had severe anxiety necessitating medication, compounded by stress, my own narcissistic tendencies, and a series of life choices—but Jason had something much worse. It all gave me pause. I was now twenty-four, just barely older than Jason when the committee took residence. Would I soon begin hearing voices as well? I supposed that beginning the long and arduous road of medical education while having an infant at home with a lonely wife in a new place more than a thousand miles from our family counted as enough of a stressful event to trigger whatever may lay dormant in my brain." Kyle Bradford Jones is a family physician and can be reached on Twitter @kbjones11. He shares his story and discusses his book, Fallible: A Memoir of a Young Physician's Struggle with Mental Illness. (https://amzn.to/30oJezU)

"Could COVID-19 be an opportunity that brings the plight of health care professionals finally to the forefront? Protect us so we can protect you. Do your part and stay home. Flatten the curve to give health care professionals a chance. Donate PPE. Donate food. And yet through this war, we, health care professionals, along with the entirety of humanity, are united against a common, invisible enemy. We are all human; we all seek to be healthy and happy, all deserving of love and connection. Are we able to remind ourselves that health care professionals have never been so united before? That humanity has never been so united? Can all the health care professionals, no, all of humanity bear the weight of the world together? We can; we must. For our sake. For humanity's sake." Ni-Cheng Liang is a pulmonary physician and founder, the Mindful Healthcare Collective. She shares her story and discusses her KevinMD article, "Undergoing an appendectomy in a pandemic." (https://www.kevinmd.com/blog/2020/04/undergoing-an-appendectomy-in-a-pandemic.html)