Creating a Family Culture Around Emotional Self-Regulation
Most of us know a family that speaks a foreign language at home. Children in these families can switch seamlessly between the language they speak with their parents and the one they speak with their peers, teachers, and other adults. This facility with multiple languages benefits children in numerous ways, including in being able to navigate a multicultural world.
When I’m working with parents whose children struggle with emotional self-regulation, I try to frame self-regulation as a type of language that takes time and effort to learn and master. As with a foreign language, the key to helping children strengthen their ...
Source: World of Psychology - February 12, 2019 Category: Psychiatry & Psychology Authors: Erina White, PhD, MPH, MSW Tags: Children and Teens Family Parenting Child Development emotion dysregulation Emotion Regulation Self Regulation Source Type: blogs
A change in a patient changed us all
It was another simmering-hot Texas day, and the AC was faltering in the family-practice clinic where I worked as a family nurse practitioner. Most of our clients were poor and spoke only Spanish. My nurse, Eliza, approached, wide-eyed.“There’s a new patient — a woman named Maraby. She seems really angry,” she murmured.“She’s the […]Find jobs at Careers by KevinMD.com. Search thousands of physician, PA, NP, and CRNA jobs now. Learn more. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - January 10, 2019 Category: General Medicine Authors: < span itemprop="author" > < a href="https://www.kevinmd.com/blog/post-author/lisa-burr" rel="tag" > Lisa Burr, RN < /a > < /span > Tags: Conditions Critical Care Infectious Disease Source Type: blogs
Managing Digital Health Regulatory Uncertainty
Uncertainty abounds when managing digital health regulatory uncertainty regarding the FDA and other international regulatory bodies. For this discussion we'll divide uncertainty into two categories, uncertainty due to a lack of knowledge about the potential regulations on the part of manufacturers and uncertainty about just what various regulatory agencies are doing - or going to do - about new and innovative products that meet the definition of a medical device.
What is a Medical Device?
Let's start with the first category; there is an astounding amount of misinformation and just plain wrong-headedness on the part of many...
Source: Medical Connectivity Consulting - October 24, 2018 Category: Information Technology Authors: Tim Gee Tags: Regulatory Bibliography Standards & Regulatory Source Type: blogs
A physician ’s strategy to conquer burnout
I just spent two days at the Florida Medical Association Annual Meeting. We were there to help educate the physicians on real asset investing. I met many interesting people and likely started some new and exciting relationships. Many of the physicians stopped to talk to us about real estate investing and the benefits of passive cash flow, but there was a troubling undertone that permeated many of the conversations. A startling number of these doctors admitted that they were “burned out” to some degree with the practice of medicine.
Often, I have had doctors confide in me that they are unhappy with medicine. One...
Source: Kevin, M.D. - Medical Weblog - September 16, 2018 Category: General Medicine Authors: < a href="https://www.kevinmd.com/blog/post-author/thomas-burns" rel="tag" > Thomas Burns, MD < /a > Tags: Finance Practice Management Source Type: blogs
Why this physician quit her job
So last week, I did the bravest thing I have done in a very long time — I quit my job. Yes, I put in my 60-day notice. This was my dream job post service in the U.S. Air Force. I had dreamed of working in this establishment for months before my service time was up. I could not have been happier when I joined their team, a group practice enjoying every specialty I could ask or hope for. Coming from a private solo practice with little or no subspecialty support, then joining the U.S. Air Force, serving four years, and getting a taste of a “giant” practice with all kinds of specialties at your disposal, my current emplo...
Source: Kevin, M.D. - Medical Weblog - August 31, 2018 Category: General Medicine Authors: < a href="https://www.kevinmd.com/blog/post-author/uchenna-umeh" rel="tag" > Uchenna Umeh, MD < /a > Tags: Physician Pediatrics Practice Management Source Type: blogs
A Physician Who Had Run Clinics Which Proselytized Patients is Now a Government Health Care Leader Positioned to Enforce Her Religious Beliefs on Patients and Citizens Who Do Not Hold Such Beliefs
DiscussionDr Foley is certainly entitled to her religious views. She is also entitled as a physician to avoid situations in which normal standards of care would push her to provide services to patients that conflict with her religious conviction. But she is not entitled as a physician to proselytize in the guise of medical practice.Furthermore, as a leader in a government health agency, she is not entitled to use that agency ' s power to enforce her personal religious beliefs on patients who do not hold such beliefs. Given her career, though, there is every reason to worry that she will do so. Furth...
Source: Health Care Renewal - July 15, 2018 Category: Health Management Tags: core values deception DHHS Donald Trump mission-hostile management Source Type: blogs
The EBM Wars: When Evidence has a Price – The ECMO Trials (Part 2)
By ANISH KOKA
The year was 1965, the place was Boston Children’s and a surgery resident named Robert Bartlett took his turn at the bedside of a just born baby unable to breathe. This particular baby couldn’t breathe because of a hole in the diaphragm that had allowed the intestines to travel up into the thoracic cage, and prevent normal development of the lungs. In 1965, Robert Bartlett was engaged in the cutting edge treatment of the time – squeeze a bag that forced oxygenated air into tiny lungs and hope there was enough functioning lung tissue to participate in gas exchange to allow the body...
Source: The Health Care Blog - June 17, 2018 Category: Consumer Health News Authors: anish_koka Tags: Uncategorized Source Type: blogs
Physicians Are Disappearing from the Front Line of Healthcare
A recent, longish article in theNew York Times discussed the"disappearing doctor" from the front line of healthcare by which is meant walk-in retail clinics in drug stores and urgent care centers (see:The Disappearing Doctor: How Mega-Mergers Are Changing the Business of Medical Care). People are flocking to these facilities because they are readily accessible, user-friendly, and efficient. Patients with the most serious injuries and diseases are triaged to hospital ERs so the patient mix at these walk-in centers is more homogeneous. Below is an excerpt from the article:...[The] reason big players like CVS ...
Source: Lab Soft News - May 30, 2018 Category: Laboratory Medicine Authors: Bruce Friedman Tags: Healthcare Business Healthcare Delivery Healthcare Information Technology Healthcare Innovations Hospital Financial Medical Consumerism Public Health Source Type: blogs
What to do if you want to be a cruise ship doctor
In 2013 I began searching for ways I could change my career to reduce my workload, but not give up medicine altogether. During that time I took a cruise and looked at various jobs I could do on a cruise ship. One of the jobs I was qualified for, I thought, was to be a Cruise Ship Doctor.
After talking with the ship’s doctor to find out what it was like to be the doctor on a ship, I realized that I would enjoy that life. When I arrived back home I sent in an application to a cruise line. I was promptly informed that general surgeons were not qualified to be a ship’s doctor. They only accept physicians who practice emerg...
Source: Kevin, M.D. - Medical Weblog - May 25, 2018 Category: General Medicine Authors: < a href="https://www.kevinmd.com/blog/post-author/cory-fawcett" rel="tag" > Cory Fawcett, MD < /a > Tags: Physician Practice Management Primary Care Source Type: blogs
Here we go again. A naturopathic licensure bill stealthily passes the Michigan Senate
Naturopathic licensure is like The Terminator. It never, ever gives up. This time around, it's back in Michigan. Worse, a bill licensing naturopaths has just passed the Michigan Senate and is moving on to the House of Representatives. Can it be stopped?
The post Here we go again. A naturopathic licensure bill stealthily passes the Michigan Senate appeared first on RESPECTFUL INSOLENCE. (Source: Respectful Insolence)
Source: Respectful Insolence - May 23, 2018 Category: Surgery Authors: Orac Tags: Homeopathy Naturopathy Politics Quackery American Association of Naturopathic Physicians featured Michigan Academy of Family Practice Michigan Association of Naturopathic Physicians Rick Jones The Terminator Source Type: blogs
Children Who Stutter Speak Out to Build Awareness, Confidence
This past March, seven children who stutter spoke to a crowd that included their parents and 50 graduate students in an effort to deepen others’ understanding of how stuttering affects their lives. They facilitated this “Increasing Stuttering Awareness” event with me and Northwestern University graduate students studying speech, language and learning. The event was held at the Northwestern University Center for Audiology, Speech, Language and Learning (NUCASLL).
The children led presentations on important aspects of stuttering and concluded with a Q&A session. The idea for the event came from one of th...
Source: American Speech-Language-Hearing Association (ASHA) Press Releases - May 11, 2018 Category: Speech-Language Pathology Authors: Meaghan Moriarty Tags: Academia & Research Health Care News Private Practice Slider Speech-Language Pathology Fluency Disorders Speech Disorders stuttering Source Type: blogs
The drip, drip, drip of hate in the U.S.
This article contains racial slurs essential to the story.
A few days ago at my breakfast table, over coffee and my usual peanut butter protein shake, I read Doug Brunk’s article in Family Practice News about gun violence. The article reminded me that on the same day in history (April 16th, 2007) that the Virginia Tech shooter killed 32 people and injured 23 others, 231 other gun casualties occurred elsewhere in the United States. 83 of these were fatal. Jeffrey Swanson, PhD and professor of psychiatry and behavioral sciences at Duke, called this “the daily drip drip drip of gun violence in our country.” I think of t...
Source: Kevin, M.D. - Medical Weblog - May 4, 2018 Category: General Medicine Authors: < a href="https://www.kevinmd.com/blog/post-author/rebecca-thaxton" rel="tag" > Rebecca Thaxton, MD < /a > Tags: Physician Public Health & Policy Source Type: blogs
The trust patients show you is an honor
It had been a hectic day in the urgent-care clinic of my large family practice, and I was starting to worry about the time: My last two patients had put me thirty minutes behind.
I felt relieved when I saw the note for the next patient: “Seventy-four-year-old female with UTI.”
A urinary tract infection! This should be quick and uncomplicated.
I walked into the room to find a well-dressed older woman seated on the exam table. I had just enough time to wonder fleetingly, Why do some patients decide to wait on the exam table while others stay seated in the chair nearby? Then I turned my full attention to the woman...
Source: Kevin, M.D. - Medical Weblog - April 25, 2018 Category: General Medicine Authors: < a href="https://www.kevinmd.com/blog/post-author/mitch-kaminski" rel="tag" > Mitch Kaminski, MD < /a > Tags: Physician Geriatrics Hospital-Based Medicine Source Type: blogs
A physician thanks those who made her who she is today
To the intern on the trauma surgery service when I was a medical student: Thanks for occasionally wearing leather pants to work. Thanks for smiling and having a sense of humor despite having to round on thirty patients. Thanks for teaching us medical students while running a significant sleep deficit.
To the internal medicine resident who wanted to become a cardiologist: Thank you for indulging me and telling me how you dealt with the stress of medical training: You became still and tried to hear your heartbeat. When everything else seemed out of control, you focused on the steady rhythm emanating from your chest. That’s...
Source: Kevin, M.D. - Medical Weblog - April 11, 2018 Category: General Medicine Authors: < a href="https://www.kevinmd.com/blog/post-author/maria-yang" rel="tag" > Maria Yang, MD < /a > Tags: Physician Primary Care Psychiatry Source Type: blogs
One-session instruction in pacing doesn ’ t work
In this study, the “tailored” group underwent seven days of monitoring using an accelerometer, the results were downloaded, analysed and an individualised pacing plan developed by the therapists. The plan was intended to highlight times when the person had high or low levels of activity (as compared with their own average, and averages drawn from previous studies of people with the same diagnosis), and to point out associations between these activity levels and self reported symptoms. Participants were then provided with ideas for changing their activity levels to optimise their ability to sustain activity and ...
Source: HealthSkills Weblog - February 25, 2018 Category: Anesthesiology Authors: adiemusfree Tags: 'Pacing' or Quota Chronic pain Clinical reasoning Coping Skills Coping strategies Occupational therapy Pain conditions Research function Motivation pain management self management Therapeutic approaches values Source Type: blogs
