The Podcast by KevinMD

"The COVID-19 pandemic has impacted everyone, especially those of us in health care. Our way of practicing medicine has been changed; some would say forever. We find ourselves affected not only clinically but also emotionally. As a result, clinicians are experiencing more stress and anxiety than ever before. These feelings are not new but have been heightened in the face of the pandemic. Physicians are perceived as self-reliant, emotionally stoic, and pillars of the medical community. Society expects perfection from our health care system and turns to us in times of medical crisis. As clinicians, we need to recognize our humanity; doctors are people too, with the same emotional needs as any other individual. In fact, one could argue that medicine demands require an even greater level of emotional support than other professions." Susan Wilson is an emergency physician and physician coach. She shares her story and discusses her KevinMD article, "Peer-to-peer support and the second victim syndrome." (https://www.kevinmd.com/blog/2020/11/peer-to-peer-support-and-the-second-victim-syndrome.html)

"Doctors are indeed noble for what they do. Their work is undoubtedly physically intense and emotionally taxing. But the notion that they are 'superhuman' and 'different' from the rest of society is exactly the trap that we fall into the moment we don our white coats as medical students. It is because of this trap that we get tunnel vision and let mistakes during our medical school training define our self-worth. We forget that there is a world outside of our flashcards, PowerPoint slides, exams, and clerkships teeming with people, adventures, and stories that, if we so choose, we can enrich our lives with, intellectually, physically, and spiritually. There's a reason depression, anxiety, and burnout is disproportionately higher among medical students and physicians. In fact, nearly 400 physicians commit suicide a year, the highest of any profession. Might it be because we are anchored to one thing and one thing only? Those of us who pursue medicine have built our entire personhood around the goal of becoming a doctor. If that is all that is meaningful to us, should we really be surprised at the statistics on mental health?" King Pascual is a medical student. He shares his story and discusses his KevinMD article, "Why medical students should not let medicine define them." (https://www.kevinmd.com/blog/2018/10/why-medical-students-should-not-let-medicine-define-them.html)

"I am left wondering what would have happened if I was the patient's daughter, niece (who she said I reminded her of), or friend. The nurse made a quick judgment based on my physical characteristics, and she was completely incorrect. I am blessed to be able to challenge people's implicit bias on a daily basis. When I walk down a hall in the hospital with my medical student badge, I feel both proud and out of place. Medicine has a long way to go in terms of making sure that people of color who are underrepresented in medicine feel comfortable, welcomed, and included wherever they go. It starts with making sure we do not make quick judgments when we see Black people and assume that they are there to take out the trash." Akosua Y. Oppong is a medical student. She shares her story and discusses her KevinMD article, "A medical student's story of racism and bias." (https://www.kevinmd.com/blog/2020/10/a-medical-students-story-of-racism-and-bias.html)

"My own dream-induced pain started at the same time this child was mowed down. Then and there is when and where my faith in God died because God, the higher power, had allowed this unspeakable nightmare to happen. My hope for the future evaporated, all while helplessness chewed through my guts From Left to Right. This was the same moment I realized that humanity is connected in a definitive, tangible, and spiritual way. A trigger-happy and scared Marine was likewise connected. He made an understandable mistake in the heat of the moment and accidentally destroyed this innocent little girl. His solitary action grew into horror, altering all of our lives. We are all intrinsically connected, and yet, we point weapons at each other, pulling triggers, and then we deal with a fragmented, amputated existence. War eviscerates us all." Reagan Anderson is a dermatologist and author of Universal Death Care. (https://amzn.to/38u63Ht) He shares his story and discusses his KevinMD article, "The trauma of a combat doctor in Iraq." (https://www.kevinmd.com/blog/2020/11/the-trauma-of-a-combat-doctor-in-iraq.html)

"The new American Medical Association policy recognizing racism as a public health threat and providing an anti-racist approach to equitable care will have no effectiveness unless health care organizations get their own houses in order and actively do anti-racism work in their own institutions. Although I'm not a health care provider, as a health care communicator whose role is dedicated to diversity, equity, and inclusion, I sit in rooms where health disparities in hard-hit communities due to systemic racism are regular topics of conversations. But in the hallways, on Zoom meetings, in texts and email conversations, I also learn about all how disparities due to systemic racism are rampant inside an institution and make organizational health equity seem like a faraway dream. How can you fight to advance health equity and racial justice out in the community when you're not doing the same within your own organization?" Nikki Hopewell is a communications strategist. She shares her story and discusses her KevinMD article, "Health care organizations: Clean up your house first, then you can tackle racism in patient care." (https://www.kevinmd.com/blog/2020/12/health-care-organizations-clean-up-your-house-first-then-you-can-tackle-racism-in-patient-care.html)

"To understand how to create good shifts irrespective of external factors, I turned to the ancient philosophy of Stoicism. One of its core tenets is that we must focus on what is within our control. Epictetus said: 'Happiness and freedom begin with a clear understanding of one principle: Some things are within our control, and some things are not. It is only after you have faced up to this fundamental rule and learned to distinguish between what you can and can't control that inner tranquility and outer effectiveness become possible.' Too often, we ignore his admonitions, and we focus our efforts on things that are outside our control while paradoxically relinquishing control of things that are within our control. Things within our control, per the Stoics, are our own thoughts, emotions, and actions. We relinquish control of them by allowing our emotions to be unduly affected by external things. 'That person said something that made me upset,' or 'I'm angry because I couldn't get something I needed.' On the other hand, we try to control things that are outside our circle of control, such as other people's actions or opinions, politics, coronavirus, or even the weather. We try to control them in our minds by resisting their presence, continuously wishing them away, or perseverating that they should be different. In order to have the inner tranquility and outer effectiveness Epictetus encouraged, we must give up the fiction that we can control things outside ourselves and maintain better control of ourselves." Christina Shenvi is an emergency physician and can be reached on Twitter @clshenvi. She shares her story and discusses her KevinMD article, "How to (almost) never have a bad shift." (https://www.kevinmd.com/blog/2020/10/how-to-almost-never-have-a-bad-shift.html)

"Touted by some as a 'great equalizer,' the COVID-19 pandemic has brought to the forefront long-standing disparities in access to health for Black, Latinx, immigrant, and low-income communities. While we are all in this fight together, some are bearing the burden more than others. Studies have shown that Blacks in the United States are especially affected, with them being represented twice as often among COVID-19 deaths as they are in the population (13 percent of the population vs. 27 percent of COVID-19 deaths). In New York City (NYC), primarily Black and Latinx neighborhoods are being ravaged, while whiter and wealthier areas are seeing fewer cases and deaths. Furthermore, there has been a mass exodus from whiter and wealthier neighborhoods, while New York's Blacks, Latinxs, immigrants, and those from socioeconomically disadvantaged backgrounds have been unable to escape financial, mental, and literal suffocation by the virus." Aishwarya Raja is a medical student. Inginia Genao is an internal medicine physician. They share their stories and discuss their KevinMD article, "Unmasking inequality: the power of community organization during COVID-19." (https://www.kevinmd.com/blog/2020/10/unmasking-inequality-the-power-of-community-organization-during-covid-19.html)

"Today and for the foreseeable future, COVID-19 is a serious threat, virulent and contagious, not only leading to an impressive display of human vulnerability and arrogance, but also demonstrating how innovative and creative humans can be during a time of crisis. On a daily basis, I am inspired by the outpouring of courage, empathy, and compassion, as well as the injection of original and mutated ideas that will govern the blueprint of our destiny. The truth is that the coronavirus has gone viral and, in so doing, opened the door to other remarkable evolutionary adaptations. Adaptations that will both thwart its virility and enhance our society's immunity, resilience, and long-term survivability.' Pringl Miller is a general surgeon. She shares her story and discusses her KevinMD article, "The new meaning of the phrase, 'going viral'." (https://www.kevinmd.com/blog/2020/04/the-new-meaning-of-the-phrase-going-viral.html)

"I do want you all to know that shame is a very familiar brain track (like an 8-track tape, if you know what that is), but not one I am stuck in. The above experience of failing a class turned out to be amazing. I am now appreciative of how far I have come — of what I have learned, through much transformational therapy, mindfulness and coaching work. I am lucky enough to have a choice in my thoughts and to not disengage. I don't have to be stuck there. I can put it on speaker-phone with trusted individuals in my life. I can dedicate the work I do now to the memory of my patient and her family. I continue to heal and offer healing. Life is really an amazing tapestry with short fibers, longer fibers, many colors and most of all — each thread woven to make a perfect whole. It is when we feel stuck that guilt and shame can get the better of us, impacting all areas of our life. I am sharing this very personal story to make a difference with those stuck in the negative talk and the feeling that the core of who we are is not worthy. Enduring shame is associated with depression, anxiety, PTSD and addiction. Shedding light into the dark areas of thoughts we keep secret make a huge difference." Robyn Alley-Hay is an obstetrician-gynecologist and can be reached at her self-titled site, Dr. Robyn Alley-Hay. She shares her story and discusses her KevinMD article, "How shame almost ruined a physician's life." (https://www.kevinmd.com/blog/2019/02/she-was-dead-how-shame-almost-ruined-a-physicians-life.html)

"Environmental cleaning rightfully plays a more prominent role within health care facilities to control the spread of other diseases, but even hospitals have overreacted when it comes to contact precautions for SARS-CoV-2. I recently went to get a flu shot from one of the hospitals I cover, and I couldn't help but think that several steps in this process seemed wasteful. Even though everyone was already masking and maintaining appropriate distance, recipients were each assigned one large desk and one pen to fill out the obligatory paperwork. Once complete, the pens went into a "dirty" cup, and a gloved staff member had to wipe down the pen, clean the entire desk surface and dispose of the cup before anyone else was allowed to use that station. Before I could sit down and receive the vaccine, I had to stand back and allow the administering nurse to wipe down the whole chair with isopropyl alcohol. We didn't go to these lengths before the pandemic, so why go over the top now for a virus that, for all intents and purposes, is not spread by contact?" Clayton Foster is an infectious disease physician and founder, AirborneID. He can be reached on Facebook and Twitter @AirborneID_CO. He shares his story and discusses his KevinMD article, "COVID transmission should not be a touchy subject." (https://www.kevinmd.com/blog/2020/09/covid-transmission-should-not-be-a-touchy-subject.html)