Eating disorders thrive in secrecy

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[Shop now](. --------------------------------------------------------------- KevinMD Plus: Jan 27, 2022 [Eating disorders thrive in secrecy, so let’s talk about it. Starting with BMI.]( Thank you, Dr. Kara Pepper, for your recent article “Why you should not use BMI for your New Year’s resolution.” Our weight-obsessed, BMI-focused culture has been a thorn in my side for much of my life. And since eating disorders thrive in secrecy, let’s get talking. In sharing my story, I hope to encourage revision [...] [From the prison of my job to freedom]( It became a prison to me — impending doom. I knew I had only three months left before I could retire. Three months isn’t long, but it is a lifetime away. That long drive to work in that heavy highway traffic where there was always a collision. The anxiety of the drive knowing all along [...] [Coming back from the brink of burnout]( I understand what it feels like to be in the depths of depression and hopelessness. I have had a lifelong battle with stuttering, obsessive-compulsive tendencies, depression, and suicide. I continually fight these battles and have learned to heal and recover through family, friends, and ultra-running. Since attempting to take my life on September 12, 2009, [...] [Why travel bans in response to Omicron are harmful]( In late November, the state of the COVID-19 pandemic shifted once more when South African scientists reported the discovery of a new SARS-CoV-2 variant named Omicron. When panic surrounding Omicron’s emergence set in, numerous countries instituted travel bans on South Africa and neighboring nations. As a medical student, I have begun to examine COVID-19 epidemiology and [...] [The status quo is failing people with opioid use disorder]( As we anticipated the release of new CDC data on overdose deaths, those of us who specialize in substance use disorders braced for grim statistics, but this milestone was still shocking: over 100,000 lives lost to overdoses in one year, the great majority from opioids. Overdose deaths began outpacing traffic fatalities in the United States [...] [A physician’s self-care song [PODCAST]]( “No matter what, your healing work matters. No one should tell you otherwise, and nothing can change that, not even a shortcoming. You provide healing in a way no one else can. Care for yourself, and you can be the healer you truly wish to be.” J. C. Sue is a family medicine resident. He [...] [San Pedro de Macoris: a physician’s photojournal]( Once hailed as “The Paris of the Caribbean” the city of San Pedro de Macoris (SPM) was established in 1822 and became one of the major producers of sugar, molasses, bovine cattle, rum, and Major League Baseball players. In the mid-1800s Cuban immigrants threatened by a slave revolt and their own war of independence, settled [...] [Why I’m furious over observation status]( A 37-year-old man was diagnosed with Lyme carditis after presenting to the emergency department (ED) with fever, weakness, history of tick bite, and prolonged PR interval of 394 ms (a type of heart block) and positive Lyme testing. In the ED, second-degree AV block was noted intermittently on the monitor but not documented. Both infectious [...] [Playing the hand you are dealt]( Anyone can win at poker when dealt a royal flush. But what can you do when the cards you are dealt don’t appear winning at all? My answer: Make the best of what you have. Recently I learned of a colleague who sustained a broken back in an accident. He continues to work, wearing a [...] [What it’s like to work with International SOS]( At the beginning of August 2021, during the early stages of opening my practice, I decided to take an opportunity that I would be forever grateful for. The organization International SOS was looking for physicians and other health care providers to join a massive once-in-a-lifetime operation at Fort Lee military base. At the time, the [...] [Publicity and sharing our experiences are our best tools against legal injustice]( An excerpt from Rheum for Improvement: The Evolution of a Health-Care Advocate. Their expert witness, “Dr. Z,” was simply a hired gun willing to do their bidding for a price. He had completed only one year of a rotating internship in family practice in the 1960s. He had not done a residency and had no [...] [Lessons in caring too much from a fictional physician [PODCAST]]( “All the faceless young men who are brought to his operating table, prepped and draped, broken and bleeding, are finding their experience of war bears little resemblance to their reveries of war. They should have known better. At corner taverns in Chicago, Albuquerque, and Murphysboro, there were tired veterans with scars and limps; men with [...] [Debunking the myths around asynchronous care]( It is no secret that telehealth adoption has skyrocketed as a result of the pandemic, and because of that, many health systems are in the process of shifting to a virtual-first hybrid care model. Unfortunately, video visits, which most will equate with telehealth, have done little to help with the age-old issues of patient access [...] [“Doctor, you have been duped”]( “Doctor, you’ve been duped,” she said as she took slow, careful breaths of oxygen from the heated high-flow nasal cannula. These were definitely not the words I was expecting to hear. Responding to the perplexed look on my face, she added, “I mean I can tell that you are well-intentioned and a good person. But [...] [Are hospitals evil? A physician contract lawyer explains.]( As an attorney who negotiates physician employment agreements with hospitals on a daily basis, I have developed a healthy skepticism about mindset of hospital executives. It is painfully obvious that most executives in our hospital systems have a business school mindset, that views physicians as necessary (albeit expendable) cogs in the magnificent machine that is [...] [The social imperative of health]( As a nation, we have committed to a social imperative for education — an aspirational vision, based on its broad social benefit, for universal literacy and numeracy of our citizens — as manifested in our systems of mandatory K-12 education. While this vision remains a work-in-progress — there are significant inequities and differences of opinion [...] [5 science-backed strategies an allergist-mom is using to protect her family’s health]( Like most parents, my children are my world. I would do anything to protect them and keep them healthy. It is Darwinian. Instinctual. Most of us get by with a combination of sage advice from generations past interspersed with a “know better do better” approach. Personally and professionally, I encountered this duality pretty quickly. In [...] [Patient surveys: the quest for positive reviews [PODCAST]]( “Studies show that those physicians with negative online reviews were more often scored poorly due to non-physician specific causes. In my career, I’ve read comments from patients that said they were not satisfied with their provider because they didn’t like the color of the walls in the exam room. Another mentioned that tea wasn’t offered [...] --------------------------------------------------------------- [Thousands of physicians are browsing this job board](. 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