Health care has crossed into a realm of moral injury and systemic collapse

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[Ferri's Clinical Advisor 2022](. Find fast answers to inform your daily diagnosis and treatment decisions. Check out what’s new in your specialty. [Shop Elsevier Health](. --------------------------------------------------------------- KevinMD Plus: Nov 26, 2021 [Health care has crossed into a realm of moral injury and systemic collapse]( Recently I have been more quiet than usual. Less writing. Less fire and brimstone. Quiet, at least for me. But anyone who is paying attention knows that when the most passionate and the most invested get quiet, something is truly amiss. Whether it be a looming threat or a very real and present crisis is [...] [It’s not an easy thing to unlearn how to save a life]( For the last couple of decades, I was trained to save lives. I sat shoulder to shoulder with others who drilled this in me when I was green, sometimes even through humiliation. I learned to perceptively read patient cues, develop quick reflexes, and think on the spot in critical moments, wherever and whenever life was [...] [We must help physicians at the brink of burnout, depression, and high stress]( One patient down. Nine more to go. My attending politely closed the door behind him and walked back to his computer to chart his patient. His pen crossed off a line from the list that he pulled from his pocket. His schedule was listed in 15-minute intervals. As we got to the workroom, he sat [...] [A children’s guide to getting vaccinated, in comic form]( Emily Watters is a physician and created a children’s guide to getting vaccinated, in comic form. [...] [Why economics is the best pre-med major [PODCAST]]( “Economics taught me that I didn’t have to culture cells in a dish to do interesting and life-changing work. I built a habit of being inquisitive and intellectually curious about the world around me because I learned in undergrad that our human, flawed world contains elegant experiments, puzzling oddities, and fertile ground for inquiry. That [...] [What change are you resisting? What should you deliberately practice?]( My 13-year-old daughter inspired this article. If you parent a middle school volleyball player, you know that overhand serving is the holy grail of the game at that level. My daughter has a solid underhand serve that works well for her, but a consistent overhand serve would give her a big boost. To my consternation, [...] [How to address the mental health fallout of climate change]( An existential crisis On August 9, the 2021 Intergovernmental Panel on Climate Change (IPCC) Sixth Assessment Report made public what many had feared. Global temperature warming to 1.5 C is all but inevitable by 2040 — even by the most optimistic scenarios — unless radically drastic steps are taken to end the use of fossil [...] [What I learned about medicine in the House of Pain]( Recently, I finished reading a book about Dr. D.S. “Doc” Ping titled The Legend of Doc Ping. Doc, a former United States Marine and Vietnam veteran, mentored me for a near-decade from my adolescence through early adulthood. As I was reading this book, I could not help but reflect on my time training with him, [...] [Should you stay or leave medicine? [PODCAST]]( “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 [...] [“Take it or leave it” is not negotiation but coercion]( “Take it or leave it” is not negotiation but coercion. Physicians have been subject to this tactic for much too long. As an ophthalmologist in clinical practice for nearly four decades, I experienced too often what a recent author on KevinMD described as a one-sided arrangement with a health insurance company. “Here is the fee [...] [Bringing the Hippocratic Oath into the field of venture capital and entrepreneurship]( An excerpt from Physician Underdog. When investors make the decision to invest, there is something deeper that occurs outside of the capital. A foundation of empowerment is built, and the founders have an edge now over others that didn’t get investment. This comes back to how powerful venture capitalists can be, because they have the [...] [A doctor turned Hollywood actor on physicians who struggle with suicidal ideation [PODCAST]]( “Thanks for gathering today in this anonymous detached space. Since it’s unlikely that we’ll ever publicly convene in a circle on metal folding chairs, I’m reaching out through this letter. You can peruse this in private and perhaps see a piece of yourself here. As a non-practicing physician who speaks openly about my decades of [...] --------------------------------------------------------------- [Thousands of physicians are browsing this job board](. They love its selection of over 12,000 openings across the U.S. [Physicians are finding opportunities they almost missed](. --------------------------------------------------------------- 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](