Medicine’s culture of betrayal

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The [Origin IncomePlus Fund]( is a diversified private real estate investment that delivers a nearly tax-free cash flow stream with monthly distributions protected by depreciation. [Download your Fund documents](. --------------------------------------------------------------- KevinMD Plus: Sep 13, 2021 [Medicine’s culture of betrayal]( An excerpt from Physician Betrayal: How Our Heroes Become Villains. A mass casualty event begins with one act of betrayal. By one person. A person with power. In medicine the assault weapon—doctor’s orders. One act of betrayal by one doctor may lead to an unstoppable cascade befalling all colleagues downstream in rapid succession. Physician betrayal [...] [The advocate’s sword stands polished and ready]( “The weapon of the advocate is the sword of the soldier, not the dagger of the assassin,” according to journalist and writer, Alexander Cockburn. The sword of the advocate, whether used for oneself or a loved one, may also end up opening doors that can benefit others. My work involves promoting the importance of family [...] [Clearing the air our kids share: a prescription for healthy schools]( As a pulmonary and critical care doctor and the mother of three children too young to receive a COVID-19 vaccine, life has been harrowing. At the beginning of the summer, however, I was beginning to breathe a sigh of relief. My children had been in school last spring, and by the heroic efforts of their [...] [A new paradigm for psychiatric emergencies [PODCAST]]( “Imagine this scenario: a busy mom struggles to balance work and parenting during the pandemic when suddenly her teenage son begins to anger. He gets out of control, screams threats, and kicks a hole in the wall. Neighbors call the police, who recommend the family go to the emergency department (ED). When the family arrives [...] [National Physician Suicide Awareness Day: Break the silence]( “I don’t know if I can keep doing this” “I can’t see a way out.” “I feel stuck – trapped.” What is it like? That feeling of being exhausted, stuck, not feeling like there is a way out. I think of it as running a marathon where you can’t stop. You are tired, it’s 90 [...] [Scenes from a pathology resident’s day]( An excerpt from Animals of Undetermined Significance. The “LIC-man” was at his usual post at the “Ultra Fastest Ever Laser Cassette Inscriptor 2XFL” known as the UFELCI- 2XFL, which was on a side counter near the Miami Beach grossing station. He was a tall, thin man who had never really wanted to work in the [...] [Terror in the family medicine office]( An excerpt from The Real Drama—Incredible Medicine. It was an ordinary day in my family medicine practice many years ago. A variety of patients, many longstanding and from various generations of whole families, were filling the waiting room. Back then, I had four very efficient and nice women working for me, with various duties. We [...] [How I used social media to get promoted to professor [PODCAST]]( “After my last promotion, my institution adopted new guidelines and criteria for incorporating social media into promotion. I understand several other academic institutions have taken similar approaches, and it is enlightening to learn that academic medicine is evolving to match the current state of medical education. I encourage anyone considering promotion to become familiar with [...] [The art of diagnosis]( Wood art The taxing journey of going through an illness often has the turning point of hearing a “diagnosis.” Diagnosis locks a person inside a sick body. Diagnosis is a label that dictates certain behavior in an individual and the whole circle of people around that person, including family members, workplace, health care providers, and [...] [A doctor’s fear of depression]( I was in my fourth year of medical college in psychiatry electives. I remember my professor discussing a young boy, an A-grade engineering student diagnosed with depression one year back and now was admitted in the psychiatry ward with severe depression with psychotic symptoms. I saw the boy, a tall, dark, handsome face — just [...] [A summary of state of the art COVID treatment]( Prevention Our most effective weapons are lockdowns, masks, distancing, ventilation and vaccination, but we can also protect close patient contacts pharmacologically. Subcutaneous REGEN-COV (Regeneron’s monoclonal antibody combo, casirivimab plus imdevimab) lowers the rate of illness by a whopping 81.4%. This has been known since April and blessed by the FDA in July, but has yet [...] [A heart transplant story in a 1-year-old, as told by his mother [PODCAST]]( “In January of 1991, at twenty-two months old, Nick had another heart catheterization. Andy and I had started thinking about the next stage of surgery to finish the heart repair. Just before Nick was discharged, I discussed it briefly with Dr. Kanter. ‘Tell me when you would like to do the surgery,’ he said. ‘Never, [...] [9/11: In memory of the blue man]( I was working as a doctor in a Kentucky clinic when I first met Mr. Stroud. The year was 2013. Mr. Stroud was memorable for several reasons. The first reason? He was blue. He was a 45-year-old stocky guy, pleasant in demeanor, with blue eyes and red hair. His skin was also blue. His lips [...] [Should you stay or leave medicine?]( I left my primary care practice earlier this year to focus on life coaching. Why did I leave? Because I wanted to do more and make a bigger impact. I remember how eager I was to complete medical training as I approached the light at the end of the tunnel. I thought I could finally [...] [As doctor burnout climbs, can we save primary care?]( It should come as no surprise that primary care physicians are looking for careers outside of medicine. That 40 percent of primary care clinicians are concerned their field won’t exist and that 21 percent plan to leave primary care in three years. Doctor burnout has reached epidemic levels. Primary care physicians feel like mice on [...] [Words of advice from a chief resident [PODCAST]]( “Chiefs, remember, one of those interns is going to fill your shoes in a few years. They may model you in that role, so you want to raise them well! As a former chief resident, I have lots of pearls for those entering residency. However, what I will tell you now is different from what [...] --------------------------------------------------------------- [Thousands of physicians are browsing this job board](. 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