I’m your primary care doctor. May I take your order?

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 [The Guide to Secure Messaging in Healthcare]( Learn strategies for keeping your data secure, making secure messaging part of a larger communication system, and ways to roll out your solution. [Read the ultimate guide]( to defining and deploying secure messaging in health care. Greater than 90 percent of breast cancer lawsuits involve diagnostic error. To reduce the chance of a claim, consider the [39 ways]( these suits occur. Get a free copy of [Money Insights for Physicians]( which teaches doctors the proven path to move from high income to high net worth! [Take the F3 Assessment]( and find out where you’re at along the path to financial freedom. New edition! [Murray & Nadel's Textbook of Respiratory Medicine]( - the definitive text on respiratory medicine worldwide. Check out what’s new in your specialty. [Shop Elsevier Health](. --------------------------------------------------------------- KevinMD Plus: Oct 25, 2021 [I’m your primary care doctor. May I take your order?]( My Tuesday out of clinic started off like any other Tuesday. I got up (sluggish, still chronically sleep-deprived), scrubbed my face and brushed my teeth, slipped into workout clothes then set to getting my two girls ready for school. After packing lunches, brushing hair, and waiving to the bus, I sat down to do what [...] [This doctor will be running for the legislature in the future]( You don’t know who I am yet, but you will in the future. I haven’t decided yet if I will run for the House, Senate, or the U.S. Congress. If you are a health care professional, whether it be a doctor able to change medicine, nurses, respiratory technicians, dieticians, phlebotomists, patient care technicians, janitors, and [...] [The dimming of the shining city]( In March 1630, John Winthrop delivered the treatise “A Model of Christian Charity” at Holyrood Church in Southampton, England, prior to leading the first settlers of the Massachusetts Bay colony on their to journey to the New World. In his address, he referred to the new community they would found as a city upon a [...] [Physicians are human and grief is as much a part of the human experience as love]( Since the first documented COVID death in the U.S. in February 2020, over 726,000 Americans have died. The number of deaths eclipses the death toll of any other American tragedy, whether war or the Spanish influenza epidemic of 1918, and health care providers have been involved with the care of many people who have died. [...] [Having a sad: A physician leans into the feeling of sadness]( I broke down crying. Again. — In this cold heart, I can live, or I can die. — It isn’t even on my sad song playlist, so why am I so upset? My scientific brain encouraged me to recreate the environment, remove the variables, and play the song again in isolation. — I believe if [...] [I was thinking about retiring, and COVID-19 gave me a push [PODCAST]]( “Last March, I was working in a small primary care practice on the west side of Denver. COVID-19 came to town. On Thursday, March 12, we were told the schools would be closing. On Friday, we were told that clinic staff had to wear masks — and the clinic had to start testing patients for [...] [Stratified reproduction in medicine]( Shellee Cohen defines “stratified reproduction” as the practice in which society assigns value to offspring and, therefore reproductive capacity of different groups of people. While commonly race or socioeconomically based, this can be based on any category we can divide people. This concept is ever-present in medicine, even in the most progressive environments. This became [...] [Crossing the liminal space of the pandemic]( We have been walking down a long hallway for many, many months. We left the room we resided in pre-COVID, but we have not yet found a room to rest. We are in the liminal space of COVID. This is unsettling and unnerving — liminal space often is. Liminal space in architecture is the area [...] [Amid powerlessness, reclaim your personal power]( You have more power than you realize. It’s no secret that medical providers feel structurally powerless in our chaotic health care system. Control over the volume, pace, and elements of our work often rests squarely in the hands of others. But know this: Your own personal power over your work remains formidable and fully intact. [...] [A son’s brain cancer. A father’s story. [PODCAST]]( “As you wait, you have a lot of time to think. You comb through the past in search of something you might have missed. If we had acted sooner on the signs of his illness—had the cancer been diagnosed earlier—would Lee have had a better chance? You think about your child as a toddler and [...] [Expanding health care access and equity through telehealth]( The COVID-19 public health emergency (PHE) has been an amplifier and catalyst for numerous issues. The pandemic has impacted health care delivery significantly, and inequities for the Black community are more apparent. Federal and state rules for telehealth compliance/reimbursement were relaxed to preserve health care access during the PHE. While we are still in the [...] [A physician’s pain poem]( For many years I was not certain physical pain existed. I know this is rude. But I felt so little of it. I could only assume that other people did too. Like a child, with a skinned knee. “All better,” I would say, and they would look at me. Quizzically. And at the knee and [...] [Technology’s impact on dermatology [PODCAST]]( “During COVID, the medical training system had to adapt because people couldn’t meet in person and even those that could didn’t have access to patients or facilities in the same capacity. However, the explosion of remote training tools that became available make this hybrid training method as good in many ways, and perhaps even preferable [...] [For doctors leaving clinical practice: Don't consider utilization review jobs]( When I decided to leave practice and explore non-clinical career options, I found no shortage of opportunities, ranging from the pharmaceutical industry to the health insurance industry and many points in between. I chose to work in the health insurance industry because jobs were plentiful, and the focus of work remained on the patient. A [...] [Systemic racism and Indigenous deaths in health care]( Ni cta ni akohikon: That hurts me. Carol pe ntamici: Carol, come see me. Ni taci sa micta mackikikatakoiin: They are overdosing me on drugs. Wipatc tca: Do it quickly. Those were the chilling words of Joyce Echaquan, broadcasting live from Facebook on September 28, 2020 at 10:27 am (English translation provided). On September 26, 2020, Joyce [...] [Why clinicians can’t keep ignoring care coordination [PODCAST]]( “Provider organizations may look at their budgets and think the traditional model of fax machines and landlines is serving their entity in optimizing revenue streams. They may even look at their providers’ full schedules and believe there isn’t a patient population that still needs care. But this would be a miscalculation. Without appropriate methods to [...] --------------------------------------------------------------- [Thousands of physicians are browsing this job board](. 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