The Podcast by KevinMD

"In St. Louis, asthma is the greatest health care inequity, with African-American children having an incidence rate greater than 10x that of white children. Children in St. Louis are afflicted by rates of asthma 3x higher than that of the national average, and asthma is currently the leading chief complaint at St. Louis Children's Hospital. Underserved communities face a multitude of issues that exist beyond the medical aspects of health care. And unfortunately, asthma is not only an issue due to its accompanying signs and symptoms, but for its pertinence well beyond its pathology." Tejas Sekhar is a graduate student. He shares his story and discusses his KevinMD article, "Inhaler nonadherence and 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

"As a family physician for more than 40 years, I have seen countless patients struggling to alleviate chronic pain, with far too many turning to self-destructive coping methods such as alcohol and opioids. Unfortunately, the struggle with chronic pain isn't going away – and more alarming is the fact that those suffering from it are getting younger and younger. The latest data on chronic pain show patients between age 18 and 34 are reporting the most chronic pain, and they are desperately seeking relief. It's our job as physicians to help them. Right now, we may be failing." Resources mentioned in the show: Healing Oriented Practices & Environments Wayne B. Jonas is a family physician. He shares his story and discusses his KevinMD article, "Listening to pain in our younger patients." 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

"COVID has brought us new challenges and a genuine opportunity to be part of the critical response to optimize the care we deliver not just to our patients but also to their families and caregivers. I am lucky, blessed to do this work every day and carry such a deep passion. We are making a difference and impacting care in positive ways. We support not only patients, families, and caregivers but also each other, our colleagues, and other members of the health care teams. We are all in this together — a shared commitment for assuring humanity in medicine. And each day, we hope that our eyes will see the best in people, our hearts forgive the worst, our minds forget the bad, and our souls remain ever steadfast in our faith, commitment, and love for this sacred medical work we are so lucky to do." Patricia M. Fogelman is a nurse practitioner. She shares her story and discusses her KevinMD article, "A soul that never loses faith." 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 spent the first three days sitting next to my dad's hospital bed, watching his chest rise and fall slowly. He was asleep the majority of the time, fighting off something unknown. Anytime he moved, I jumped up from my chair and stood where he could see me just in case his eyes fluttered open for a split second. I wanted him to know that I was there, that I cared. I sat for hours listening to the unfamiliar noises in the room, like the IV pump, which sounded like a miniature helicopter hovering nearby. As the doctors and nurses came in and out of his room, running tests, trying to figure out what was wrong, I repeatedly had to say to them, 'This is not his normal. He has late-onset Huntington's disease (HD).'" Erin Paterson is a writer and the author of All Good Things: A Memoir About Genetic Testing, Infertility and One Woman's Relentless Search for Happiness. She shares her story and discusses her KevinMD article, "Advocating for a sick parent by confronting physician bias." 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

"What these substances have in common is that they are widely considered to fall into the category of psychedelics. What else they have in common is that the vast majority of us physicians learned nothing about them in medical school or residency, as most psychedelics are classified as Schedule 1 substances, which suggests they have no currently accepted medical use and pose a high potential for abuse. With these psychedelic-based therapies, clinicians are now presented with options to help patients who haven't benefited from traditional treatments. These therapies are vastly different from current medical models in that there is generally no pill to take every day, and some treatments need to be done only one or two times to have a lasting effect. As some psychedelic therapies are already available, and more are coming soon, now is the time for us to get up to speed on what these psychedelic medicines are, how they work, what conditions they may be able to treat, how they interact with other medications, possible dangers, and what our role may be in facilitating patient access to these medicines." Lynn Marie Morski is a physician, attorney, and president, Psychedelic Medicine Association. She shares her story and discusses her KevinMD article, "What doctors need to know about psychedelic medicine." 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

"Greater demands in the U.S. for billing and regulation-related documentation contribute to the excess time burden of EHR systems compared with other countries. A high volume of clinical alerts and other distractions in the EHR, as well as various other inefficiencies (such as locked computer screens and repetitive sign-in requirements), encumber physicians as they navigate the EHR. As a result, physicians can spend half of their total EHR time on clerical and administrative tasks, and another quarter on inbox management. Only half of a doctor's day remains for direct clinical interactions with patients. Physicians spend about one-fourth of EHR time outside the clinical session. The essential lesson from this EHR evidence is that the time burden it imposes on physicians is substantial in the U.S., occupying hours that could otherwise be spent building truly meaningful relationships with patients (not "meaningful use" metrics!) and providing quality care.' James G. Kahn is a health policy professor. Thrisha Gogineni is a student intern. They share their stories and discuss the KevinMD article, "How much time do physicians spend in the EHR?" 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

"The COVID-19 pandemic has been raging in the United States for over two years. Health care workers across the country have been chronically pushed to their limits as we navigate difficult situations on a daily basis. The advent of the COVID-19 vaccine, although a powerful tool in our crusade against the pandemic, has created a new branch of emotions for health care workers towards unvaccinated patients or those with vaccine hesitancy. The empathy we are often expected to have without fail can be difficult to maintain in the face of these new challenges. Nonetheless, COVID-19 persists. We owe it to ourselves and our patients to find ways to deal with these complex emotions." Masood R. Mohammed is an emergency medicine resident. He shares his story and discusses his KevinMD article, "How to cope with pandemic fatigue." 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 remember our first day in the cystic fibrosis clinic like it was yesterday. I cried in the parking garage and struggled to nurse my daughter in the waiting room. And then it happened. That moment is forever etched in my mind. The pediatric pulmonologist took my hands, looked me in the eye, and said, 'Your daughter is going to live a long and full life.' She went on to say that it was her job as a physician and my role as a parent to help enable this. At that moment, she recognized me as a mother and earned my trust. She forged the beginning of a partnership that would continue for years to come. And to this day, her words remain imprinted on my heart. I've spoken with hundreds of families like mine, and nearly all remember the exact moment their lives separated into 'before' and 'after.' That is why it is so important for physicians to deliver pediatric diagnoses with intention. Words and actions matter big time." Laura Spiegel is founder and president, Paint Her in Color. She shares her story and discusses her KevinMD article, "10 tips for delivering difficult pediatric diagnoses." 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

"So how can health systems and clinicians provide patients with an improved, consumer-friendly experience while also making strides to decrease provider administrative burden and burnout? They need to embrace virtual care beyond just video visits and look toward asynchronous telehealth. Asynchronous care allows providers to treat patients for common, low-acuity conditions online without a real-time, face-to-face interaction. It automates both the patient interview and clinician documentation, and provides clinical decision support while maintaining provider autonomy, keeping the clinician in control of diagnosis and treatment. Looking ahead, asynchronous telehealth holds unlocked potential for improving access and convenience for patients, reducing physician burnout, and driving efficiencies in care delivery to ultimately lower costs and improve outcomes." Christina Chen is a family medicine physician. She shares her story and discusses her KevinMD article, "Debunking the myths around asynchronous 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

"She kept quiet, but she had planted the seed. Interestingly I did not talk much about work during the appointment, so her question stirred my thoughts. Why did she think it was work-related? I started to look at my daily routine. I was able to recognize where I needed to set boundaries at work. At home, I delegated some simple chores to the kids. I must say kids are excellent learners if given the right directions. Small steps and changes made my life much more manageable. My somatic symptoms went away along with my stress. I owe it to my PCP for recognizing what I was struggling with and bringing it to the surface for me to address it." Sirosh Masuood is a psychiatrist. She shares her story and discusses her KevinMD article, "When primary care helps a psychiatrist." 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