Perfect nurse. Perfect manager. Perfect puppet.

--------------------------------------------------------------- Here are the stories you missed on KevinMD. Thank you for your continuing readership. --------------------------------------------------------------- Sponsors [The benefits of using cloud technology]( in health care are significant for hospitals, staff, and patients alike. Learn how cloud computing can ease burnout, improve patient care, and increase data security. [Read the eBook now](. [Does trial lawyer advertising pose a growing risk to public health?]( Evidence is mounting that misleading lawsuit advertising is harming patients. [Texting is used 5x more than phone calls](. So why are you still playing phone tag? Learn how texting is closing the communication gap between the [care team and your patients](. [Case study]( Clinical and IT leaders at Vail Health knew there had to be a better way to communicate and share real-time, actionable information across the organization. [See how they reduced average time to reach hospitalists by 50%]( with the help of an enterprise communication platform. [Conference planners!]( Find vetted, handpicked physician speakers that shine on stage. Physician Speaking by KevinMD: [Your audience deserves the best](. --------------------------------------------------------------- KevinMD Plus: Aug 15, 2019 [Perfect nurse. Perfect manager. Perfect puppet.]( Perfect nurse. Perfect manager. Perfect puppet. An ICU physician once told me: Nurse managers have a life cycle of a mosquito. Fast and furious And then gone. Deleted until the next one shows up. It was the perfect ICU. Twenty-five beds. Dynamic intensivists. Phenomenal. And they respected us nurses and collaborated with us. We had […] [As a patient, I never understood the heartbreakingly human toll our system takes on clinicians]( Let’s get right to it: This is an apology letter to frontline clinicians. And a call to action. I’m a patient advocate, and I’ve spent most of the last 20 years fighting for patient- and family-centered care in national laws and regulations, and in local practice. Prioritizing the needs of patients and families above all […] [The white coat serves as a daily reminder of the Hippocratic oath]( My classmate and I looked at each other with amusement and embarrassment as we learned that all medical students would now be required to launder their white coats at the hospital. After several complaints that medical student’s white coats did not appear as “white” as they should, the university decided to take matters into their […] [A call to arms: We are all part of the health care solution]( Sunlight is diminished by threatening clouds infiltrating the once azure blue sky, clouds that are framed in blackness indicating dangerous times ahead. Nature’s creatures are seeking refuge for they are wise to see the signs of impending danger. If only man was wise enough to take cover. It was heralded as the dawning of a […] [The limitations of artificial intelligence in cardiology]( Artificial intelligence (#AI) seems to be all the rage these days, as it should be, given its potential to revolutionize medicine in many ways. #AI is actually already an integral part of many of our lives on Google, Amazon, Facebook, and other sites. Siri and Alexa use #AI too, so we can’t easily escape it. […] [Stop nickel and diming doctors]( So, who doesn’t want a better health care system? We are barraged with stories in the medical literature and in the public press about the terrible state of our health care system, what poor outcomes we have, the inefficiencies in care, complaints about the electronic medical record, inflated costs, lives ruined by medical bankruptcy, and […] [Doctors: Step boldly into your calling]( We often associate our calling with our career. That’s what I did from the very moment I made that decision to become a doctor. That’s all I focused on. I studied for it. I invested time and money into it. Like many doctors, my identity was intimately woven in what it means to be a […] [How to help physicians end maintenance of certification nationwide]( Physicians who are board-certified by one of the American Board of Medical Specialties (ABMS) 24-member boards saw their lifetime certification change to time-limited certification in 1990. Several class-action federal lawsuits have been filed against several member boards of the American Board of Medical Specialties, including the American Board of Internal Medicine, American Board of Radiology, […] [Taking guns away from people in crisis: Does it work?]( In his response to mass shootings in El Paso, Texas, and Dayton, Ohio, President Donald Trump called for an expansion of state laws that temporarily prevent someone in crisis from buying or possessing a gun. A flurry of states have recently passed such laws — known as extreme risk protection orders — which allow a […] [Dear emergency department clinicians: a letter from administration]( Dear emergency department clinicians: We at the top of the administrative and regulatory chain understand that you deal with enormously complicated mental health and substance abuse patients all the time. Your resources are limited, and the demands placed upon you are growing. As such, we (the anointed and well-meaning) wish to offer you some guidelines […] [Becoming a doctor in India can be life-threatening]( Recently, my niece gingerly confided that she was going to study engineering rather than medicine. I was certain she’d become a doctor – so deep was her love for biology and her deference to our family tradition. But she calculated, as would anyone with common sense, that with an engineering degree and an MBA, she’d […] [The doctor trap: What it is and how to escape it]( There is a trap used to capture monkeys that uses a tree with a hollowed-out trunk. The opening is just large enough for the monkey to put its hand inside. While the monkey can easily pull its empty hand out at any time, inside the hole is a larger space containing delicious nuts that the […] [The last massage of his life]( Clutching my duffel bag under my rain jacket, I dash from my truck toward a house that was built by Frankie, the man I’m here to give the last massage of his life. I’ve been massaging people since I was five and have been a professional massage therapist for 40 years. I don’t make house […] [Replace doctors with robots now, please]( It’s a widely held belief that eventually all living human doctors will be replaced by robots. Some say as soon as 2035. I say, “Why wait? Replace me now!” If the idea of a robot diagnosing and treating — and examining — you and your loved ones seems objectionable, please reconsider. There are actually several […] [How to save money when moving for residency]( Here are some specific ways for medical trainees to save on their move. Timing is everything When is the exact timing of your move? Are you flexible? Think about your situation: you graduate medical school, pack up, and then move for residency. Right? Most moving companies are busiest (read: most expensive) between May and September […] [The questions surgeons need to ask their seniors before surgery]( The decision seemed straightforward. Bob McHenry’s heart was failing, and doctors recommended two high-risk surgeries to restore blood flow. Without the procedures, McHenry, 82, would die. The surgeon at a Boston teaching hospital ticked off the possible complications. Karen McHenry, the patient’s daughter, remembers feeling there was no choice but to say “go ahead.” It’s […] [While pharmacy benefit managers are watching cable, patients are streaming Netflix]( Pharmacy benefit managers (PBMs) including Express Scripts, CVS Health, and OptumRX are the subject of intense criticism by virtually everyone in medicine and politics. While the purpose of PBM’s group purchasing business model was intended to contribute to lower drug costs and premiums, many of their customers have not experienced these benefits. Instead, many patients […] --------------------------------------------------------------- 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](