The Podcast by KevinMD

"As we know, diabetes is a comorbidity that can cause more severe symptoms in COVID-positive patients. This knowledge, along with the sense that diabetes is overwhelming the entire body, can quickly deplete a patient's reserve of positive energy. Despite all their best efforts, diabetes is a disease that can often spiral out of control and make a patient feel helpless. While it's critical to maintain this "whole body" approach, it's also important to prioritize complications. One of the most debilitating complications of diabetes is diabetic amputation, but it's often not top of mind for many patients with diabetes — or the providers treating other diabetic complications. Yet every four minutes, a lower limb is amputated due to diabetes." Jon Bloom is an anesthesiologist and health care executive. He shares his story and discusses his KevinMD article, "Diabetes impacts the whole body, but the foot can't be forgotten." 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

"Setting boundaries can look like setting a time limit for patient appointments, availability for email responses, the number of shifts worked this month. You can set boundaries by saying 'no' to low compensation, setting a time limit on conversations with friends, setting a limit on our after-hours availability for work-related texts and emails and taking time off as a 'pause' rather than getting to a point where we are so burned out we lose any interest in medicine and leave. Boundaries help the system keep physicians even though it may be inconvenient in the short term. Boundaries help us design the careers we deserve and the life we want. What boundaries do you need to preserve the 'masterpiece' in 2022?" Maryna Mammoliti is a psychiatrist. She shares her story and discusses her KevinMD article, "Why boundaries should be part of your 2022 physician goals." 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

"Remember the things that we've discussed as the majority of people are broke. And just because your friends are showing off the 'stuff' things they buy doesn't mean they can actually afford them. Once you realize that everybody in the world is after your money, the quicker you know how the 'money game' is really being played. Just don't get played yourself." Jeff Anzalone is a periodontist who blogs at Debt Free Dr. He shares his story and discusses his KevinMD article, "How not to be a broke doctor (5 ways)." 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

"There's a new best practice emerging, one that lets you deliver a high standard of care today but that well-prepares you for a shift to value. We've been talking about it throughout this article series in terms of doing more with less and making the system work for you: it's group coaching combined with remote patient monitoring. And, based on the coding changes and expanded reimbursements, the data show that patient outcomes are vastly improving under this new model. The conclusion: It's time to expand and modernize your practice by offering group coaching services and having your patients' commercial insurance, Medicare, or workers comp pay the bill." James Maskell is a health care executive. He shares his story and discusses his KevinMD article, "Get familiar with the 2021/2022 coding changes." 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

"It is hard to understand and communicate the uncertainty that comes with evolving science, the changing recommendations as we learn more, the vaccine that didn't do all that was initially promised. It has become even harder with the erosion of trust and civility. Back to the poop. It stinks. It's not pleasant to slip and slide in, and even today, I saw a bag hanging from a tree! Was that owner practicing his pitch? Trying to hit a squirrel? Or did she toss it to the heavens for God to catch? Only God knows! Perhaps our way forward in these challenging times is to start small. Scoop up your dog poop and put the bag in the trash can. And if you are feeling kind, pick up the bag full of poop sitting at the side of the walking path. And please cover your nose when you are wearing a mask. Of course, wear a mask. Don't forget to get online and order the COVID tests for your household. And please get your vaccines and booster." Therese Zink is a family physician and can be reached at her self-titled site, ThereseZink.com. She shares her story and discusses her KevinMD article, "Dog poop, the social contract, and pandemic behaviors." 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

"Have you ever been to a new city and realized you'd been pronouncing a street or a town name all wrong? Have you ever been from one of those cities and has it broken your heart to hear someone call Copley Square Cope-ly? Or pronounce the Schuylkill River or Worcester how it is spelled? This is how neurologists feel when you call a stroke a cerebrovascular accident, or a CVA. It's just … not what we do. Maybe it was in 1992, and maybe it is in the world of billing and coding, but it's not 1992, and billing and coding have never made sense. If we did call it a CVA, there'd be a high-impact factor journal called CVA instead of one called Stroke. And the International Stroke Conference (ISC) that brings together hundreds of thousands of stroke (not CVA) neurologists from around the world would be called the ICVAC. That acronym is just not as sexy or easy to say, you get the drift." Aleksandra Yakhkind is a neurointensivist. She shares her story and discusses her KevinMD article, "A PSA from a neurologist to the medical community." 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

"Tears and sweat drown my face as I try to rip off my PPE and exit the room. I didn't want to leave him, but I couldn't bear another second in that reality. A whirlwind of emotions crash over me, and my knees weaken. I thought, "If I can just get this gown and mask off, I'll be able to breathe again." Even after ripping the damp N95 from my face, I was still breathless, speechless, and broken in disbelief of what happened in that room. I was suffocating. I nearly collapsed as I stepped through the barrier of his room with my coworkers there to catch me. Never in my life had I felt that level of hysteria as COVID showed us that what we were fearing was actually much worse than we could've imagined. This became the new standard for the worst night I've ever had. The best way I can describe the frontlines is trying to scream as loud as you can while underwater. We are all underwater, trapped in our fishbowl-like glass rooms behind closed doors, praying that someone will hear us. Imagine being the only thing standing between life and death for another human being, and everything you need to keep them alive is through a glass door that you can not open. While screaming underwater. We are drowning." Lauren Powers is a critical care nurse. She shares her story and discusses her KevinMD article, "I am an ICU nurse. We are drowning." 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 starting point is to do our best to approach discussing COVID and vaccination with the appropriate type of empathy and understanding. To understand that our patients don't have access to the same level of data and research that we do, and even if they did, they might not understand it. To understand, they likely have fears underlying their reticence. Understand you may not ever reach them, or you may need to back off for a short time. This can all be done without acknowledging their conspiracy theory or misleading talking point from 24-hour cable news is a legitimate point of view. While admittedly anecdotal, I've reached more anti-vaxxers starting with empathy and understanding than with a 'that's the way it is, that's what the data shows' mentality. Even if I don't reach them, I'm a lot less stressed. Last but not least, take care of yourselves and each other." Kenneth Szwak is a physician assistant. He shares his story and discusses his KevinMD article, "A milligram of understanding for anti-vaxxers." 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

"Instead of trading up for a faster horse by drawing in the exam room, it felt like I'd just built a motor car. I created a new workflow around my digital assets. When patients checked in for a clinic visit, I scanned the chart for their visit diagnosis and fired off a content link with the relevant videos. My MA roomed the patient and they watched content while I completed other tasks. When I enter the room, their questions are more targeted, insightful and our visits are faster and more satisfying. Doctors are unique in that our knowledge and experience are incredibly valuable, but distributed scarcely via single episode live events. When we convert our knowledge into digital assets that can be consumed at scale, we earn time, efficiency and carve space to do only the things we can do." David Grew is a radiation oncologist and can be reached on Twitter @doctorgrew. He shares his story and discusses his KevinMD article, "How to convert medical knowledge into digital assets that work for you." 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

"When my patients asked me about losing weight, I would say, 'Eat less and exercise more.' I know that it is more complicated than that. There are psychological and socioeconomic factors. There is bariatric surgery and there are medications. But 'eat less and exercise more' is common sense, and every intervention should include 'eat less and exercise more.' Limiting guns is common sense too. If people do not have guns, they cannot kill and maim others with guns. They cannot kill teenagers playing basketball, children who happen to be on the street, or a 66-year-old man driving by. Fewer guns = fewer deaths. It is common sense." David Galinsky is a geriatrician. He shares his story and discusses his KevinMD article, "It is time for the Supreme Court to help stem gun deaths." Reflect and earn 1.0 AMA PRA Category 1 CME for this episode. 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.