The link between orofacial myofunctional disorders and dental health

Conditions
September 17, 2023

How many rabbits have you seen with crooked teeth? How about bears or dogs? Why are humans the only mammals with crooked teeth?

An orofacial myofunctional disorder, or OMD, describes abnormal lip, jaw, or tongue positions during rest, swallowing, or speech. There are many distinct points at which a child or adult’s system may experience a breakdown, leading to subsequent events known as craniofacial sequences. Allowing these events to persist without …

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The link between orofacial myofunctional disorders and dental health

A message of hope for physicians

Physician
September 17, 2023

Physicians are struggling with challenges navigating the health care system while trying to provide the best possible care for their patients. Sometimes, struggles at work are compounded by struggles at home as we all face stressors during our travel through life; doctors are no exception.

Many physicians who went through a period of burnout have sought and are seeking help. They are feeling hope for the future. I asked three physicians …

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A message of hope for physicians

Motorcycle helmet laws: Balancing freedom and financial impact

Conditions
September 17, 2023

Several years ago, I cared for a young man who crashed his motorcycle at highway speeds. He arrived, slightly dazed, with a few broken bones. Because he was wearing a full-face helmet, he had sustained only a concussion. The paramedics brought in his helmet as they often do, this one with the metal side buffed down to the inner plastic cushion from the grinding contact with the asphalt. Had he …

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Motorcycle helmet laws: Balancing freedom and financial impact

Crying to be heard: women in emotional pain

Conditions
September 17, 2023

I am struck by how often crying is overlooked or trivialized by doctors despite its therapeutic value and need for recognition. Crying can play a significant role in healing and overall well-being. Research has shown that crying serves as an emotional release, provides pain relief, reduces stress, improves mood, and enhances communication. Encouraging a culture of acceptance and understanding around crying in medical settings can contribute to holistic and empathetic …

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Crying to be heard: women in emotional pain

From aversion to office politics to embracing independence

Physician
September 17, 2023

Though often described as friendly and a great team player, I sometimes find myself harboring strong opinions. When pushed, my personality occasionally veers towards the rebellious. I disdain formal meetings, struggle with office politics, and lack the art of flattery. These qualities collectively render me less than an ideal candidate for any conventional employment, or so I surmise.

Antecedent to the culmination of my residency and fellowship, a pivotal decision crystallized …

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From aversion to office politics to embracing independence

Empathy and compassion in palliative care [PODCAST]

Podcast
September 16, 2023
YouTube video

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Join Vickie Leff and Terry Altilio, both palliative care social workers, as we delve into their book, Mirrors and Windows: Reflections on the Journey in Serious Illness Practice, which offers a profound exploration of the experiences of health care professionals, including palliative social workers, in the world …

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Empathy and compassion in palliative care [PODCAST]

Unveiling excessive medical billing and greed

Policy
September 16, 2023

Recent op-eds have questioned medical billing and doctors’ pay, as both seemed high. Medical “greed” has become more apparent in the past two decades and has been well highlighted by two of my Dartmouth MPH Professors, Elliot Fisher, MD and Thom Walsh, PhD, DPT. Dr. Fisher has documented that higher billings compound the U.S. health care crisis, including medical debt, and …

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Unveiling excessive medical billing and greed

Navigating medical decision-making: Embracing limits and growth

Physician
September 16, 2023

“Ms. Smith is going to the MICU,” the resident on the other end of the line informs me.  My stomach tightens as that visceral sense of guilt and frustration sets in, familiar by now but this time with a newfound intensity.  It is my second week as an attending physician during my chief residency year, and Ms. Smith will now be the first patient transferred to the intensive care unit …

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Navigating medical decision-making: Embracing limits and growth

The importance of “I statements” in health care settings

Conditions
September 16, 2023

Three nurses are at the nurses’ station. Two are talking about managing a patient’s pain, and a third, Donna, is reviewing a patient’s lab results and finding it difficult to concentrate.

Which is Donna’s best statement?

1) Shhh, stop talking!
2) I’m frustrated with your talking. It’s hard to concentrate, and I’d appreciate it if you would quiet down.

Answer: It depends on the relationships and Donna’s preferences. If Donna has a positive history …

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The importance of “I statements” in health care settings

Chronic health issues and homelessness

Policy
September 16, 2023

In 2022, over 500,000 people in the United States found themselves homeless, without a permanent shelter to offer a sense of stability in their lives. This poses a far-reaching problem for the individuals who find themselves in this situation, but also for our society as a whole.

Homelessness can be caused by a combination of factors, such as poverty, unemployment, lack of affordable housing, mental and substance disorders, trauma,, and violence, …

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Chronic health issues and homelessness

Transformative lessons from a pandemic experience [PODCAST]

Podcast
September 15, 2023
YouTube video

Subscribe to The Podcast by KevinMD. Catch up on old episodes!

Join Lee Scheinbart, a medical oncologist, as he shares his transformative experience during the height of the COVID pandemic. Discover the power of intrinsic motivation, advocacy, and empathy in health care. In this episode, we delve into the lessons learned from a …

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Transformative lessons from a pandemic experience [PODCAST]

Balancing tension and kindness in medical education

Education
September 15, 2023

I recall a particularly tense interaction on my surgery rotation in medical school. The sub-intern on our team, a dedicated classmate of mine, was instructed to carry the call pager one Friday afternoon, to the undue chagrin of the team’s nurse practitioner. With an irritable toss of her blonde hair, eyes rolling with exasperation, the NP snappily handed off the pager to our sub-intern. “Ugh, this is going to slow …

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Balancing tension and kindness in medical education

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For newer doctors, avoid lifestyle inflation

Finance
September 15, 2023

Let me share a story about Dr. Sarah Mitchell.

Dr. Mitchell, like many of us, started her career with a resident’s salary, which was around $40,000 per year. After completing her residency, she received an enticing offer as an oncologist with an annual salary of $350,000.

However, instead of succumbing to lifestyle inflation, Dr. Mitchell made a financially savvy decision.

She committed to living on an annual budget of $60,000 for the first …

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For newer doctors, avoid lifestyle inflation

Ethical considerations in medicine: unity and open discourse

Physician
September 15, 2023

Navigating the complexities of medical ethics in our modern world can present significant challenges. It’s worth considering a deeper examination of this issue. In the year 2023, the global landscape is rapidly evolving across various spheres. As a former pediatric resident physician in New York City, I had the opportunity to witness an extraordinary range of social diversity. The city is truly a melting pot, embodying a diverse tapestry of …

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Ethical considerations in medicine: unity and open discourse

Revelations about physician age [PODCAST]

Podcast
September 14, 2023
YouTube video

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We’re joined by Paul Pender, an ophthalmologist and author of Standing Up & Speaking Out for Patients & Doctors. Together, we explore the study’s revelations about physician age, patient outcomes, and the critical role of experience and skill in health care.

Paul …

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Revelations about physician age [PODCAST]

I want to be a doctor who can provide care for women: What states must I rule out for my medical education?

Education
September 14, 2023

The major implications of the Dobbs v. Jackson Women’s Health Organization decision, overturning Roe v. Wade, have centered on state-based rulings to remove a person’s right to abortion, thus preventing clinicians from supplying lifesaving health care and undermining an individual’s autonomy over their body. Further, as states eliminate this essential option in providing reproductive care, another important damaging impact of the Dobbs decision is beginning to be recognized. Namely, where …

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I want to be a doctor who can provide care for women: What states must I rule out for my medical education?

Man’s search for meaning is spiritual, and relevant to medicine

Physician
September 14, 2023

Viktor Frankl’s Holocaust memoir, Man’s Search for Meaning, is an extraordinary essay on resilience and spirituality, a reminder that human life, under any circumstances, never ceases to have meaning. At the risk of mentioning Bob Dylan in the same sentence as Viktor Frankl, it was Dylan who said: “When you ain’t got nothing, you got nothing to lose.” I suppose Bob Dylan read the book too, ranked …

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Man’s search for meaning is spiritual, and relevant to medicine

Change, accept or leave: wisdom for physicians who feel stuck

Physician
September 14, 2023

Often in coaching sessions, a client will bring to the session a problem or obstacle in their path forward. In life, challenging situations can make us feel stuck and unable to move. We find ourselves remaining in relationships, jobs, or patterns that no longer fulfill us.

Years ago, I came upon a powerful mantra: “change, accept, or leave.” This wisdom shifted my focus from my problems to the possible solutions for …

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Change, accept or leave: wisdom for physicians who feel stuck

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