Nurse’s heart-wrenching encounter with newborn going through withdrawal

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 [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. In the wake of the Supreme Court ruling in Dobbs v. Jackson, clinicians identified their [top concerns]( in the volatile post-Roe landscape, including medical emergencies, training shortages, and more. --------------------------------------------------------------- KevinMD Plus: Jan 23, 2023 [Nurse’s heart-wrenching encounter with newborn going through withdrawal]( I always knew my work schedule, but this time I got it wrong … or maybe I got it right. I clocked in and reported to the ICU for my night shift to start, but I wasn’t on the schedule. Strangely enough, they had enough nurses that night. The nursing supervisor asked if I would [...] [Healing hearts: the power of authentic connection in medicine [PODCAST]]( In this episode, we speak with Elizabeth LaRusso, a psychiatrist who shares her experiences and insights on the importance of cultivating meaningful connections and holding space for others. She discusses the challenges of learning to hold space for oneself in the face of suffering [...] [The medical school selection process may be more crucial for shaping the future physician workforce]( Every year, thousands of applicants in the United States register for the Electronic Residency Application Service (ERAS). Many graduate medical education (GME) programs receive thousands of applications that are reviewed by recruitment teams with fewer than ten faculty members. In recent years, there has been an increase in the number of applications for GME programs [...] [The abusive surgeon and the sleep-deprived intern: a novel]( An excerpt from Doctor Zhulik. Christmas Eve “You know, you’re the worst f*cking intern I have ever seen.” How can he make such a declarative judgment when I’m just holding retraction? You coulda used one of those metal retractors that attaches to the table and holds back the abdominal wall, you big bastard. Instead, you [...] [A mundane ultrasound? The emotional weight of diagnostic tests.]( The word mundane is defined as an occurrence that is very ordinary and, therefore, not interesting. However, what may be mundane for one may be monumental for another, especially if one’s health is in question. An ultrasound provides needed information to trained medical personnel for the evaluation of the health status of an individual. In [...] [A physician’s story of survival: the importance of seeking help]( “Remember, today you could be standing next to someone trying their best not to fall apart. So whatever you do today, do it with kindness in your heart.” – Unknown Today, I want to talk personally from the perspective of a Black, female, physician. I have a confession, I struggle with setting boundaries. I did [...] [Creating a trauma-informed society: the role of government policy in reducing adverse childhood experiences [PODCAST]]( In this episode, we speak with Ariane Marie-Mitchell, a preventive medicine physician who discusses the impact of adverse childhood experiences (ACEs) on health and development. She discusses the challenges of using a clinical tool to diagnose patients with high ACEs, and the limitations of [...] [The decline of whole-person treatment in modern medicine]( Recently, a nurse practitioner responded to one of my op-eds in which I discussed the doctor-patient relationship. The nurse said: I feel so frustrated at times, by the time constraints forced on us by using a business model of practice. In the 30-plus years I’ve been a nurse, we have moved from patient-centered care (which [...] [Doctors struggle with unrealistic expectations and lack of self-care, leading to a lack of mercy towards colleagues]( “Mercy and consideration for the other man, but none for yourself, upon whom you have to keep an incessant watch.” – Sir William Osler, MD. Ironic, isn’t it? The physician is expected to go above and beyond, superhuman even, held to an unrealistic standard above most others, and yet, is their own worst critic. (Or [...] [Direct primary care: more access, more savings, more care]( Your doctor will see you now. Really, now. Come on in! Forget about waiting for two months for an appointment, hours on hold, or a six-hour wait at an urgent care clinic. Your doctor can see you now; shoot them a text. More and more primary care clinics are providing a more personal, accessible, convenient, [...] [Student loan forgiveness: a key step in achieving health equity for minority physicians and patients]( As student loan forgiveness awaits a decision from the Supreme Court, the Department of Education has launched a program that can forgive student loan debt for over 40,000 Americans and ease student debt burdens for up to 3.6 million borrowers. As this news circulates, what is less discussed is how student loan debt affects doctors and [...] [Balancing patient care and bureaucracy [PODCAST]]( In this episode, Susan Walker, a pediatrician, shares her experiences and insights into the demands placed on doctors, and how these demands can sometimes interfere with their ability to provide the best care for their patients. Susan discusses the importance of prioritizing patient care, [...] [Questioning medical traditions for the sake of patient care]( The United States consumes forty-six million turkeys every Thanksgiving. Have you ever wondered why? When traditions take hold in society, we start to forget why they existed in the first place. For example, the tradition of eating turkey on Thanksgiving started with a writer named Sarah Josepha Hale, who published scenic depictions of American life [...] [The unspoken contract between doctors and patients: Navigating mental illness in the jail setting]( There exists an unspoken contract between doctors and patients. The patient tells the doctor what is wrong with as much detail as possible, and the doctor uses their knowledge and skills to make the patient feel better. However, this paradigm does not always work. I am a jailhouse psychiatrist, working with some of the most [...] [The link between thoughts and emotions: How to change your feelings by changing your thinking]( Your emotions result from the way you think about things. Before you can experience (feel) any event, you must process it with your mind and give it meaning (thought). You must understand what is happening to you before you can feel it. Every time you feel sad or have intense negative emotions about something, try [...] [The impact of religious-spiritual values on individual lives]( A friend of mine recently went into the hospital for a surgical operation. Afterward, she told me about a conversation she had with her doctors. Meeting with her surgeon and her anesthesiologist before surgery, this retired lifelong Sunday school teacher couldn’t resist the temptation to give them both a Bible lesson. “Let me ask you, [...] [Finding strength in adversity: lessons from a health care worker [PODCAST]]( When disaster strikes, it can change our perspectives and priorities in life. In this episode, we speak with Linda Munroe, a nurse practitioner who shares her experiences and insights on the challenges and rewards of being a health care worker. She discusses the impact [...] [Saving mothers: How technology can aid in the fight against preventable maternal deaths]( Maternal morbidity and mortality rates in the United States are among the highest in the developed world—impacting roughly 50,000 women each year and taking the lives of 700 mothers annually. Three in five of these deaths are preventable, according to the Centers for Disease Control and Prevention (CDC). Last year, the U.S. Department of Health [...] [Cervical health awareness month: Unveiling inequities in cervical cancer outcomes]( According to the World Health Organization, cervical cancer is among the most preventable and treatable gynecological cancers. Human papillomavirus (HPV) vaccination and longitudinal screening are highly effective modes of prevention and detection, respectively. While statistics on the efficacy of vaccination and screening are promising, the realities surrounding cervical cancer outcomes are anything but. A closer [...] [Where have all the pediatric beds gone? The consequence of strict admission criteria.]( In the tale of the Pied Piper of Hamelin, the piper tunefully leads the children astray and to their doom. Well, the piper has returned. Actually, he has been back for several years, but few noticed. This time he is not making off with the children but rather the beds they lie in, specifically pediatric [...] [New York nurses strike for dignity and respect on the frontlines]( As a PA, I’ve worked in some of the city’s busiest emergency departments. While they differ in practice styles, patient population, and architecture, they all have one thing in common: the nurses are overworked. As thousands of them go on strike and thousands more threaten to do the same, it should come as no surprise [...] [End-of-life choices: Why Medicare needs to change [PODCAST]]( End-of-life care is a crucial and often overlooked aspect of health care. In this episode, we speak with Kevin Haselhorst, an emergency physician and author who shares his insights on the challenges and opportunities in this area. He discusses the limitations of the current [...] --------------------------------------------------------------- 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](