If we don't support doctors, they will go away

Here are the stories you missed on KevinMD. Thank you for your continuing readership. ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ --------------------------------------------------------------- Here are the stories you missed on [KevinMD](. Thank you for your continuing readership. --------------------------------------------------------------- Sponsors [Reducing alarm fatigue: The essential guide for hospitals](. It’s time to make alarm management a priority, to protect patient safety, and to mitigate provider burnout. Find 8 steps in a [successful alarm management improvement process](. [Improving lifestyle, especially nutrition and diet]( is the most powerful approach to preventing or reversing heart disease. The challenge for physicians is finding an effective way to [talk about nutrition with their patients](. [Up to 58% of patients leave]( due to perceived poor treatment or poor service. Learn the true cost of losing patients and simple steps to [improve patient loyalty to benefit your business](. [Have you heard about MDforLives?]( It's a distinctive community of doctors around the world. Hassle-free surveys. Prompt and easy honoraria disbursement. Top-notch CME. [Join the largest network of health care specialists](. --------------------------------------------------------------- KevinMD Plus: Feb 27, 2020 [If we don’t support doctors, they will go away]( Family medicine — something I devoted my life to and believe in — is being undermined by local doctors and hospital administrators. And I would move, but it seems to be a national trend as well. It’s more cost-effective to hire NPs and turn a blind eye to the difference in education and training … […] [What is “good enough” for a surgeon?]( A surgery resident from halfway around the world emailed me the other day looking for advice as she was nearing graduation. She confessed, “I am beginning to question myself if I am good enough … what is ‘good enough’ anyway?” I had absolutely no idea how to answer the question – what is “good enough” […] [Learn to forge ahead with feedback in medicine]( A successful career in medicine means learning how to forge ahead with feedback and not allow it to stop you in your tracks. For some doctors, this is a challenge. Feedback feels bad. It’s perceived as negative, not being good enough. We’re exposed to it and its negative impact quite early on the journey as […] [Urgent care is emblematic of problems in our health system]( Working in urgent care, I’ve started supervising some of the other providers at sites other than my own — 19 sites in all in Pennsylvania and Delaware — so I hear about a lot of patient situations. The urgent care site where I work is in an affluent area. Most of our patients are employed or […] [When your doctor says you have dementia, don’t argue with her]( I know you want to. I know you would rather have anything other than dementia—even cancer. I know you are happy with your life and want it to continue as it is. If it has to change, I bet you’d like to slowly become more frail until one night you just die in your sleep. […] [When he knew his career as a surgeon was behind him]( I feel like I’m in prison. Vacation was a small taste of freedom. A fresh breeze on my face at 9:00 a.m.—the feeling of my mom’s breakfast casserole in my stomach—the small things that remind me I’m still human. I don’t know what I stand for anymore. I just yelled at the intern for not […] [Exceeding the stool limit in the emergency department]( Not long ago our emergency department got a call from the health department informing us that we had exceeded our stool limit. Not quite sure how this was measured, who sets the limits, or even why such a call would be necessary, but I do know that once again we have seen a lot of […] [The best teacher of medicine I ever had]( The best teacher of medicine I ever had was during my medical residency. He was a tough, old-school physician, trained at one of the premier institutions in the country, and specialized in pulmonology and intensive care. Before I had even rotated through the ICU, I had seen him around on the medical floors—and must admit I didn’t […] [When to tell your banker to mind their own damn business]( The banks ask us a lot of questions. And we answer a lot of questions. All of them. They need our information to be sure that we are who we say we are, that our money is, in fact, our money and that our money remains safely tucked away in their virtual vaults. Social Security […] [Healer: Heal thyself; forgive thyself]( It is a special group, a mish-mash of medical professionals all with a common purpose: Honing the ability to practice medicine in a more empathetic and compassionate manner, which will benefit both the patient and the professional alike. All meet to share viewpoints, share feelings, share the”what might have been.” Sessions are first given over […] [Welcome to prior-authorization hell]( “What diagnosis do you want to use for those ear drops you sent on Mr. Johnson,” Jenn texted me. “ICD-L21.8 for seborrheic dermatitis?” Sigh. Welcome to prior-authorization hell. These are generic ear drops I ordered for presumed fungal infection of the external ear. The cash price for the drops is $15 for a 10-milliliter bottle […] [Here’s why you should get a chaplain for your patient]( It was my first week of internal medicine rotation. A newly-minted third-year, I was rotating on the wards back in the spring, when I met a 90-something-year-old gentleman. He had come in for confusion after a fall. There were no relatives or friends in the waiting room. I was assigned to follow him. During his […] --------------------------------------------------------------- If a friend sent you this email and you want to subscribe, go to [KevinMD](. --------------------------------------------------------------- 345 Hudson Street New York NY 10014 USA [Unsubscribe]( | [Change Subscriber Options](