The Podcast by KevinMD – Détails, épisodes et analyse

Pediatric anesthesiologist Irim Salik discusses her article, "The hidden danger in pediatric dental offices." Irim reveals a terrifying oversight in ambulatory pediatric dental care: children are suffering neurologic injuries or dying during routine sedation, and there is no national database to track these adverse events. She explains how the convenience of office-based procedures (versus hospitals) introduces massive risks, including the "single provider model" where the dentist also directs anesthesia. Irim breaks down how inadequate monitoring (like lacking EtCO2 monitors), oversedation, and the inability to manage a respiratory emergency can lead to catastrophe. Learn what every parent needs to know about pediatric dental anesthesia and the fight for stricter national safety standards.

Our presenting sponsor is Microsoft Dragon Copilot.

Microsoft Dragon Copilot, your AI assistant for clinical workflow, is transforming how clinicians work. Now you can streamline and customize documentation, surface information right at the point of care, and automate tasks with just a click.

Part of Microsoft Cloud for Healthcare, Dragon Copilot offers an extensible AI workspace and a single, integrated platform to help unlock new levels of efficiency. Plus, it's backed by a proven track record and decades of clinical expertise, and it's built on a foundation of trust.

It's time to ease your administrative burdens and stay focused on what matters most with Dragon Copilot, your AI assistant for clinical workflow.

VISIT SPONSOR → https://aka.ms/kevinmd

SUBSCRIBE TO THE PODCAST → https://www.kevinmd.com/podcast

RECOMMENDED BY KEVINMD → https://www.kevinmd.com/recommended

Dentist Lincoln Harris discusses his article, "How cloud-based simulation training is revolutionizing dentistry." Drawing on his background as a pilot, Lincoln exposes the critical training gap in modern dentistry, arguing that dentists (unlike pilots) are not prepared for real-world, high-stress scenarios. He explains why traditional dental school and "weekend courses" fail to build the necessary muscle memory for advanced procedures, leading to mixed results and poor patient outcomes, especially in rural areas. Lincoln details how cloud-based simulation technology is changing the game, allowing dentists to practice procedures repeatedly and build confidence without risking patient safety. Learn how this aviation-inspired approach to dental training is creating more competent dentists and improving patient care everywhere.

Our presenting sponsor is Microsoft Dragon Copilot.

Microsoft Dragon Copilot, your AI assistant for clinical workflow, is transforming how clinicians work. Now you can streamline and customize documentation, surface information right at the point of care, and automate tasks with just a click.

Part of Microsoft Cloud for Healthcare, Dragon Copilot offers an extensible AI workspace and a single, integrated platform to help unlock new levels of efficiency. Plus, it's backed by a proven track record and decades of clinical expertise, and it's built on a foundation of trust.

It's time to ease your administrative burdens and stay focused on what matters most with Dragon Copilot, your AI assistant for clinical workflow.

VISIT SPONSOR → https://aka.ms/kevinmd

SUBSCRIBE TO THE PODCAST → https://www.kevinmd.com/podcast

RECOMMENDED BY KEVINMD → https://www.kevinmd.com/recommended

Food allergy advocate Lianne Mandelbaum discusses her article "Why Hollywood's allergy jokes are dangerous." As the mother of a child with a life-threatening food allergy, Lianne shares her personal trauma and outrage over media portrayals that turn anaphylaxis into a punchline, citing a new film that misrepresents the condition and the use of epinephrine. She argues that these "jokes" are not harmless; they directly contribute to public misunderstanding, bullying, and a dangerous lack of seriousness from airlines, schools, and restaurants. This conversation explores how media misinformation increases the burden on allergy families and why treating a medical trauma as comedy puts lives at risk. Learn why accurate media depictions are not just about respect, but are a critical public health issue.

Our presenting sponsor is Microsoft Dragon Copilot.

Want to streamline your clinical documentation and take advantage of customizations that put you in control? What about the ability to surface information right at the point of care or automate tasks with just a click? Now, you can.

Microsoft Dragon Copilot, your AI assistant for clinical workflow, is transforming how clinicians work. Offering an extensible AI workspace and a single, integrated platform, Dragon Copilot can help you unlock new levels of efficiency. Plus, it's backed by a proven track record and decades of clinical expertise, and it's part of Microsoft Cloud for Healthcare, built on a foundation of trust.

Ease your administrative burdens and stay focused on what matters most with Dragon Copilot, your AI assistant for clinical workflow.

VISIT SPONSOR → https://aka.ms/kevinmd

SUBSCRIBE TO THE PODCAST → https://www.kevinmd.com/podcast

RECOMMENDED BY KEVINMD → https://www.kevinmd.com/recommended

Pediatrician and certified life and weight coach Karla Lester discusses her article, "An effective treatment using an effective care delivery model: Using telehealth to treat adolescents with obesity with GLP-1 medications." She shares her frustration with traditional in-person obesity programs that see high attrition and offer few effective treatments beyond surgery. Karla explains how she founded her own practice, Metabolic Telehealth, to implement the latest AAP guidelines by combining a new care delivery model with new medical treatments. The conversation explores her initial data, which shows how telehealth can reduce barriers like weight stigma and travel time, leading to better patient retention. It also highlights the effectiveness of GLP-1 medications, with 95 percent of her long-term patients seeing a BMI reduction. However, she also reveals a critical obstacle: over half of all insurance prior authorizations for these vital medications are denied, forcing many families to pay out of pocket. The core message is that while this telehealth model is effective, systemic change is needed to ensure all adolescents have access to this life-changing care.

Careers by KevinMD is your gateway to health care success. We connect you with real-time, exclusive resources like job boards, news updates, and salary insights, all tailored for health care professionals. With expertise in uniting top talent and leading employers across the nation's largest health care hiring network, we're your partner in shaping health care's future. Fulfill your health care journey at KevinMD.com/careers.

VISIT SPONSOR → https://kevinmd.com/careers

Discovering disability insurance? Pattern understands your concerns. Over 20,000 doctors trust us for straightforward, affordable coverage. We handle everything from quotes to paperwork. Say goodbye to insurance stress – visit Pattern today at KevinMD.com/pattern.

VISIT SPONSOR → https://kevinmd.com/pattern

SUBSCRIBE TO THE PODCAST → https://www.kevinmd.com/podcast

RECOMMENDED BY KEVINMD → https://www.kevinmd.com/recommended

In this episode, we sit down with attorney and author Michael J. Grace to discuss his book, The Mumbo Jumbo Fix: A Survival Guide for Effective Doctor-Patient-Nurse Communication. As a defense lawyer representing health care providers, Michael discovered that many of his clients didn't fully understand their legal obligations when it came to communicating with patients. This led him to start educating physicians and front office staff about effective communication and how it can prevent costly lawsuits. Michael's book addresses the issue of "siloed" communication education in health care, and provides an evidence-based guide for all three essential participants in the health care process: doctors, nurses, and patients. Tune in to hear more about Michael's journey and the insights he's gained as a trial lawyer and hospital administrator.

Michael J. Grace is an attorney.

He shares his story and discusses his book, The Mumbo Jumbo Fix: A Survival Guide for Effective Doctor-Patient-Nurse Communication.

The Podcast by KevinMD is brought to you by the Nuance Dragon Ambient eXperience.

With a growing physician shortage, increasing burnout, and declining patient satisfaction, a dramatic change is needed to make health care more efficient and effective and bring back the joy of practicing medicine. AI-driven ambient clinical intelligence promises to help by revolutionizing patient and provider experiences with clinical documentation that writes itself.

The Nuance Dragon Ambient eXperience, or DAX for short, is a voice-enabled, ambient clinical intelligence solution that automatically captures patient encounters securely and accurately at the point of care. Physicians who use DAX have reported a 50 percent decrease in documentation time and a 70 percent reduction in feelings of burnout, and 83 percent of patients say their physician is more personable and conversational.

Rediscover the joy of medicine with clinical documentation that writes itself, all within the EHR.

VISIT SPONSOR → https://nuance.com/daxinaction

SUBSCRIBE TO THE PODCAST → https://www.kevinmd.com/podcast

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FOLLOW ON INSTAGRAM → https://www.instagram.com/kevinphomd

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GET CME FOR THIS EPISODE → https://earnc.me/AFFadM

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We're joined by Aniyizhai Annamalai, an internal medicine-psychiatry physician. Dr. Annamalai's patients are mostly indigent, not employed due to disability, and have serious mental illnesses. Most of them qualify for Medicaid. In this episode, Dr. Annamalai shares her insights on Medicare Advantage plans and how they affect her patients. Despite the aggressive marketing, Medicare Advantage plans offer little benefit for poor and vulnerable patients. Dr. Annamalai shares real-life examples of her patients who were negatively impacted by the switch to a Medicare Advantage plan. Tune in to learn more about the Medicare Advantage debate and how it affects you.

Aniyizhai Annamalai is an internal medicine-psychiatry physician.

She shares her story and discusses her KevinMD article, "Medicare 'Advantage' for my indigent patients."

The Podcast by KevinMD is brought to you by the Nuance Dragon Ambient eXperience.

With a growing physician shortage, increasing burnout, and declining patient satisfaction, a dramatic change is needed to make health care more efficient and effective and bring back the joy of practicing medicine. AI-driven ambient clinical intelligence promises to help by revolutionizing patient and provider experiences with clinical documentation that writes itself.

The Nuance Dragon Ambient eXperience, or DAX for short, is a voice-enabled, ambient clinical intelligence solution that automatically captures patient encounters securely and accurately at the point of care. Physicians who use DAX have reported a 50 percent decrease in documentation time and a 70 percent reduction in feelings of burnout, and 83 percent of patients say their physician is more personable and conversational.

Rediscover the joy of medicine with clinical documentation that writes itself, all within the EHR.

VISIT SPONSOR → https://nuance.com/daxinaction

SUBSCRIBE TO THE PODCAST → https://www.kevinmd.com/podcast

RATE AND REVIEW → https://www.kevinmd.com/rate

FOLLOW ON INSTAGRAM → https://www.instagram.com/kevinphomd

FOLLOW ON TIKTOK → https://www.tiktok.com/@kevinphomd

GET CME FOR THIS EPISODE → https://earnc.me/KZda6A

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Our guest today is James Malone, an endocrinologist and health care executive with over 30 years of experience in the field of diabetes.

James has seen firsthand the challenges that many people with type 2 diabetes (T2D) face when it comes to daily insulin management. Despite advancements in diabetes care over the years, the process of managing T2D remains just as complex and manual as it was when he first started practicing medicine.

While the majority of people with diabetes live with T2D, most of the industry's innovation is focused on complicated systems for "power users" with type 1 diabetes (T1D). This leaves people with T2D struggling with the complex requirements of diabetes management with too few tools to help.

James will discuss the difficulties of managing T2D, the importance of self-management, and the disparities that exist between T1D and T2D patients. He will also share his thoughts on what health care professionals and diabetes innovators can do to provide better care for the underrepresented and more prevalent diabetes population.

So join us as we delve into the ongoing struggles faced by T2D patients and explore the steps to better care for this patient population.

James Malone is an endocrinologist and chief medical officer, Bigfoot Biomedical.

He shares his story and discusses his KevinMD article, "Lack of innovation is leading to disparities in diabetes care."

The Podcast by KevinMD is brought to you by the Nuance Dragon Ambient eXperience.

With a growing physician shortage, increasing burnout, and declining patient satisfaction, a dramatic change is needed to make health care more efficient and effective and bring back the joy of practicing medicine. AI-driven ambient clinical intelligence promises to help by revolutionizing patient and provider experiences with clinical documentation that writes itself.

The Nuance Dragon Ambient eXperience, or DAX for short, is a voice-enabled, ambient clinical intelligence solution that automatically captures patient encounters securely and accurately at the point of care. Physicians who use DAX have reported a 50 percent decrease in documentation time and a 70 percent reduction in feelings of burnout, and 83 percent of patients say their physician is more personable and conversational.

Rediscover the joy of medicine with clinical documentation that writes itself, all within the EHR.

VISIT SPONSOR → https://nuance.com/daxinaction

SUBSCRIBE TO THE PODCAST → https://www.kevinmd.com/podcast

RATE AND REVIEW → https://www.kevinmd.com/rate

FOLLOW ON INSTAGRAM → https://www.instagram.com/kevinphomd

FOLLOW ON TIKTOK → https://www.tiktok.com/@kevinphomd

GET CME FOR THIS EPISODE → https://earnc.me/8Ly8Mr

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In this episode, we're joined by Susan MacLellan-Tobert, a pediatric cardiologist, to discuss the issue of institutional betrayal in health care. The pandemic has put a strain on health care systems and workers, leading to a term called "institutional betrayal" to describe the feeling of betrayal from employers who fail to support and protect their workers. We'll explore what institutional betrayal is, the effects it has on employees, and the concept of institutional courage. This is an important conversation for anyone in the health care industry or anyone interested in understanding the impact of the current health care system on its workers.

Susan MacLellan-Tobert is a pediatric cardiologist and can be reached at Health Edge Coaching.

She shares her story and discusses her KevinMD article, "Institutional betrayal vs. courage."

The Podcast by KevinMD is brought to you by the Nuance Dragon Ambient eXperience.

With so many demands on their time, physicians today report record levels of burnout. Burnout is caused by many factors, one of which is clinical documentation. Studies indicate physicians spend two hours documenting care for every hour spent with patients.

At Nuance, we are committed to helping physicians do what you love – care for patients – and spend less time on clinical documentation. The Nuance Dragon Ambient eXperience, or DAX for short, is an AI-powered, ambient clinical intelligence solution that automatically captures patient encounters securely and accurately at the point of care. Physicians who use DAX have reported a 50 percent decrease in documentation time and a 70 percent reduction in feelings of burnout, and 83 percent of patients say their physician is more personable and conversational.

Rediscover the joy of medicine with clinical documentation that writes itself, all within the EHR.

VISIT SPONSOR → https://nuance.com/daxinaction

SUBSCRIBE TO THE PODCAST → https://www.kevinmd.com/podcast

RATE AND REVIEW → https://www.kevinmd.com/rate

FOLLOW ON INSTAGRAM → https://www.instagram.com/kevinphomd

FOLLOW ON TIKTOK → https://www.tiktok.com/@kevinphomd

GET CME FOR THIS EPISODE → https://earnc.me/FcNvlr

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In this special sponsored episode, we explore the importance of identifying Alzheimer's disease early. Our guests will be neurologist Andrew E. Budson and Alzheimer's caregivers Jess Rappé and Ellie Freedman. They will share their expertise and personal experiences as we delve into the challenges of diagnosing Alzheimer's, its impact on patients, families, and society, and the benefits of early detection. We'll also discuss practical steps that primary care clinicians can take to facilitate earlier diagnoses, including increasing understanding of early signs and symptoms, conducting regular assessments, using objective tools, and communicating effectively with patients and families. Don't miss this informative and inspiring episode, brought to you by the Academy for Continued Healthcare Learning, with a special thanks to the National Alliance on Mental Illness (NAMI) Chicago.

Find out more at https://www.diagnose-alz.org

This article is sponsored by the Academy for Continued Healthcare Learning, an independently owned and operated full-service medical education company that has been developing certified health care education for nearly twenty years.

With a special thanks to the National Alliance on Mental Illness (NAMI) Chicago, the accompanying CME activity designed for clinicians in primary care is supported by educational grants from Lilly and Genentech, a member of the Roche Group.

VISIT SPONSOR → https://www.diagnose-alz.org

SUBSCRIBE TO THE PODCAST → https://www.kevinmd.com/podcast

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In this episode, we're joined by Peter T. Hetzler, a plastic and reconstructive surgeon, to discuss the importance of the hand in human identity and expression. In the U.S. private sector, hand injuries were the second most common workplace injury in 2019. They often significantly impact a person's livelihood and ability to express themselves. We'll explore the connections between hand injuries and mental health, the role of hand gestures in communication, and how treating hand injuries must involve a focus on mental illness and coping strategies. This is a conversation you won't want to miss if you're interested in understanding the significance of our hands in our daily lives.

Peter T. Hetzler is a plastic and reconstructive surgeon.

He shares his story and discusses his KevinMD article, "The impact of hand surgery on human identity and expression."

The Podcast by KevinMD is brought to you by the Nuance Dragon Ambient eXperience.

With so many demands on their time, physicians today report record levels of burnout. Burnout is caused by many factors, one of which is clinical documentation. Studies indicate physicians spend two hours documenting care for every hour spent with patients.

At Nuance, we are committed to helping physicians do what you love – care for patients – and spend less time on clinical documentation. The Nuance Dragon Ambient eXperience, or DAX for short, is an AI-powered, ambient clinical intelligence solution that automatically captures patient encounters securely and accurately at the point of care. Physicians who use DAX have reported a 50 percent decrease in documentation time and a 70 percent reduction in feelings of burnout, and 83 percent of patients say their physician is more personable and conversational.

Rediscover the joy of medicine with clinical documentation that writes itself, all within the EHR.

VISIT SPONSOR → https://nuance.com/daxinaction

SUBSCRIBE TO THE PODCAST → https://www.kevinmd.com/podcast

RATE AND REVIEW → https://www.kevinmd.com/rate

FOLLOW ON INSTAGRAM → https://www.instagram.com/kevinphomd

FOLLOW ON TIKTOK → https://www.tiktok.com/@kevinphomd

GET CME FOR THIS EPISODE → https://earnc.me/M9mTe4

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