ICU nurse of 33 years speaks out on the harsh reality of corporate hospitals

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 decade ending in 2021, between $2.4 and $3.5 billion, or 8 to 11 percent, of all medical malpractice losses incurred by physician-focused insurers stemmed from [social inflation](. [Quickly compare and buy physician disability insurance](. Eliminate confusion. Save time. --------------------------------------------------------------- KevinMD Plus: Jan 30, 2023 [ICU nurse of 33 years speaks out on the harsh reality of corporate hospitals]( I wasn’t supposed to hear this, but I did. It sealed the deal for me. It was one of the reasons I had to finally leave my true love: ICU nursing. After 33 years as an ICU nurse, I knew it was time to go. I used to feel like I had a purpose. I [...] [Discover the reality of living with hidradenitis suppurativa [PODCAST]]( In this episode, we speak with Christopher Sayed, a dermatologist who has dedicated his career to studying and treating hidradenitis suppurativa (HS). HS is a condition that causes painful boils in areas like the underarms, groin, and around the breasts, and it can be [...] [The future of health care is virtual: a nurse’s perspective]( This time, it’s my family. My work takes me all over the U.S., consulting on the implementation of virtual care to get the most appropriate level of care to the patients who need it. I work with teams to develop better workflows and to get more experienced eyes on patients. It’s the kind of care [...] [Feeling valued by my boss: How a simple tumbler made my day]( I arrived at my desk after a holiday hiatus with renewed energy to tackle the day. It sat there, unassuming, on my desk with a note. My heart was giddy, knowing my tea pastime would level up. Opening the letter, I realized it was from my boss. My boss had given me a tumbler, and [...] [The hidden link between soft skills and patient safety]( The skill Patient safety, patient experience, workforce health, and cost-effectiveness are critical outcomes with an important common root. They’re all impacted by our ability to communicate effectively and respectfully. Additional terms to describe these skills include people, interaction, interprofessional, relationship, and social skills. They can even be used to describe behaviors inherent in many properties [...] [Primary care colonialism: the impact of profit-driven health care on communities]( An excerpt from On Medicine as Colonialism. For about seventeen years, from 1991 until 2008, I lived in little Scituate, Rhode Island, where I practiced family medicine, and for about eleven of those seventeen years, I practiced out of the basement of my house. It was an older style of primary care, a style that [...] [Improving cancer care through integrated care [PODCAST]]( In this episode, we will be discussing the role of health system specialty pharmacies in improving patient outcomes. Our guest, Chelsey Lindner, is a clinical pharmacist who will share her insights on the unique combination of expertise and resources that these pharmacies offer to [...] [Why every physician needs disability insurance]( This article is sponsored by Pattern. We simplify disability and life insurance for busy doctors so they feel confident they have the right policy and that their income is protected. As a physician, your career is one of the most important investments you will make in your life. Not only have you spent thousands of [...] [How receiving medical practice coaching can multiply your income]( Not only does medical practice coaching teach you how to open your mind to who you really are, but it also allows you to bypass the dreaded $20,000 to $50,000 MBA business education that your medical school refused to teach you about. When you recognize that many highly educated professional athletes hire personal coaches throughout [...] [The art of the physical exam: the importance of returning to the basics]( “Make thorough inspection.” – Sir William Osler, MD. The art of the physical exam is precisely that: an art that must be practiced often, for years on end, and the one that a physician may become a great achiever or skilled but never the master. When I trained in internal medicine over a decade ago, [...] [Insurance company vs. doctor: How the defense and settlement provisions in malpractice contracts favor carriers]( In a medical malpractice lawsuit, your defense is completely in the hands of the malpractice carrier, and, make no mistake of it, its interests come first. However, the medical malpractice insurance contract is more instrumental in the defense of a doctor than insurance companies realize. There are clauses in the contract that, at first glance, [...] [Life, death, and the balance in between: a cardiac anesthesiologist’s story [PODCAST]]( David Alfery is a cardiac anesthesiologist who shares his experiences in the operating room and intensive care unit. In this discussion, he reflects on the lessons he learned about life, death, and the balance in between through his encounters with patients. He offers a [...] [Women should be allowed to exercise autonomy with regard to their bodies and their medical care]( When I walked into the ultrasound room, I immediately noticed the patient’s red-rimmed eyes and cloud of mussed-up brown hair. My eyes tracked the defeated curve of her back and its stark contrast to the sterile environment of the obstetrics and gynecology exam room, with its muted grey and blue tones. A forty-year-old woman, she [...] [3 shocking health care statistics for 2023]( As the New Year begins, a trio of health care statistics cast an intense and unflattering light on a nation in crisis. These figures, all of them unimaginable just a generation ago, set the stage for a financial reckoning in 2023 and beyond. Shocking stat #1: the number of Americans on Medicaid Without looking it [...] [Pediatric mental health is a growing epidemic. Here’s how Illinois is leading the way to solve that.]( One of my friends in middle school was known for her uncanny ability to brighten up any space she walked into. But when we hit high school, she had become more withdrawn and dejected, and her self-esteem plummeted. She was clearly struggling, but at the time, I didn’t know what the signs of depression were [...] [Canada has a universal health care system. But does it really?]( Maybe one day, our universal health care system represented the values of Canadians, but certainly not anymore. American friends, you may know us for our drinking age and “free health care.” Still, unfortunately, our health care system no longer embodies the principles of equality, respect, politeness, safety, and peace that we hold dear. You may [...] [Navigating the emotional impact of a medical malpractice lawsuit [PODCAST]]( In this episode, we explore the emotional impact of medical malpractice lawsuits on physicians and how they can navigate the process. Attorney Christine Zharova shares her insights on how these lawsuits can affect relationships with colleagues, staff, family, friends, and the self. She emphasizes [...] [The DNA of entrepreneurs: How your genes could determine your business success]( Creating something new, taking calculated risks, and effectively allocating resources are all aspects of entrepreneurship. Both environmental and genetic variables play a role in this intricate process. This article will examine how a person’s propensity to become an entrepreneur is influenced by genetic and environmental factors that drive entrepreneurship. Personality qualities and risk tolerance are [...] [Why every doctor should have a side gig]( Why is it that physicians are seeking alternative avenues to boost their income? It may seem counterintuitive for busy clinical doctors to pursue a side gig, why? In a post-pandemic era, physicians are plagued by colossal debt and increasing rates of burnout. More than 100,000 physicians have left the profession since the start of the [...] [Why taking risks is worth it: a doctor’s journey from uncertainty to opportunity]( There were no smartphones when I was a medical resident in the late 80s in Puerto Rico. During my last year, while waiting for a lecturer to arrive, I grabbed a medical journal from the conference room table to kill some time. I flipped through the pages, skimming the titles of the articles and looking [...] [Teen substance use rebounds after pandemic]( Among high school seniors using marijuana, the pandemic forced the largest one-year decline in use over the past 48 years. Marijuana use fell from 35.2 percent in 2020 to 30.5 percent during 2021. In 2022, it remained pretty much unchanged at 30.7 percent. Alcohol drinking among high school seniors fell from 55.3 percent of seniors [...] [Missed signs: a doctor’s reflection on depression [PODCAST]]( In this episode, interventional physiatrist Francisco M. Torres shares a poignant story about missing the signs of depression in a patient. He reflects on the challenges of limited time with patients in modern health care and the importance of truly listening to patients and [...] --------------------------------------------------------------- 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](