Tag Archives: suicide

Your patients’ stories will sustain you in your darkest hours (bonus ft. Dr. John Mrachek)

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Photo by lifecreations

On this bonus episode of The Short Coat, we hear from Dr. John Mrachek, an anesthesiologist of 17 years who reached out to us at Iowa because he’d long felt a wedge being driven between doctors and their patients. He said that wedge, made of mouse clicks, political meddling, insurance middlemen, patient satisfaction surveys, and annoying electronic health records–was disconnecting physicians from their purpose. And that missing sense of purpose, he fears, is leading them to burn out. It’s contributing to a frightening problem: physician suicide. Modern medicine, he says, is in peril.

Among the solutions, Dr. Mrachek feels, is to encourage physicians and students to take inventory of their most memorable patient stories. He argues that this will return to them that lost connection to their work. This talk, given to our first- and second-year medical students and the first he’d given on the topic, is the the beginning of his mission to spread that idea.


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Continue reading Your patients’ stories will sustain you in your darkest hours (bonus ft. Dr. John Mrachek)

Family Strife, Chuck’s Pro-Life, & the Ebola Bureaucracy Knife

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Our Short Coat Podcast keyfob giveaway is still happening!  Post the show somewhere on the internet where pre-med and med students hang out, and email a screenshot to theshortcoats@gmail.com, and we’ll send you one with our thanks!

Our own Claire Castaneda won first place in the Carver College of Medicine’s Carol A. Bowman Creative Writing Contest for Medical Students, and her piece caught Dave’s eyes and heart.  She talks with Aline Sandouk, Melissa Chan, and Tony Rosenberg about the dynamics of family strife and the pressure they can exert to follow one career path over another.  Meanwhile, Aline expresses her feelings on being left behind by her original classmates as she continues her MD/PhD studies.

And considering that most doctors still don’t (and mostly, can’t) know much about how medical marijuana should be prescribed, Dave subjects his co-hosts to a pop quiz.

This Week in Medical News

NYU Langone Medical School lost two of their community to suicide in one week, in the ongoing tragedy of physician and student suicide.  What Maryland doctors could face as the bar for juries to decide medical malpractice is lowered.  Is Iowa’s US Senator Chuck Grassley, chairman of the US Senate Judiciary Committee, trying to pressure Supreme Court judges to retire in order to one day secure a Roe v. Wade busting win for pro-life conservatives?  Ebola is back, just in time for the Trump administration to dissolve the office responsible for preparing for pandemics.

We Want to Hear From You

Med school interview season is coming!  Can we help you with your med school admissions question? Call us at 347-SHORTCT anytime, visit our Facebook group, or email theshortcoats@gmail.com.  Do all three!

Continue reading Family Strife, Chuck’s Pro-Life, & the Ebola Bureaucracy Knife

The Black Mask and Mental Health in Iowa

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Dave tries the latest YouTube beauty treatment. (spoiler: it doesn’t make him prettier)

Sometimes, Dave has ideas.  This time Dave’s idea was to get his long-suffering co-hosts to enjoy the YouTube beauty treatment known as The Black Mask.  Because, dermatology!  Which is better, the DIY treatment or the store-bought version?  Kaci McCleary, John Pienta, Adam Erwood, and Lisa Wehr will try to suss it out so you don’ t have to.  Also, we discuss Iowa’s shortcomings with respect to mental health–its recent closures of state mental health hospitals and the reduction of psych beds across the state–as well as Iowa’s recent moves counter to the trend–adding hospital beds and even residency programs!  Meanwhile, is the anesthetic ketamine poised to revolutionize emergency treatment for suicidal depression?  It’s been many years since we had a new class of drugs to treat depression, but as always there are risks and doubts to be considered.  On a related note, Dave attended a meeting of CCOM’s new chapter of the National Alliance on Mental Illness, and John reviews briefly the College’s new class “The Thriving Physician,” both meant as antidotes for medical education’s deleterious effects on mental health. Listeners, share your thoughts with us each week.  Call us at 347-SHORTCT any time, and see our Facebook page where we often broadcast our recording sessions live so you can join in on Fridays.

Continue reading The Black Mask and Mental Health in Iowa

Re-doin’ the Drops, a Clash of Wits, and Snapchat Surgery

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sauron photo
Uh, oh. Sauron’s been doin’ the drops again. Photo by Dustin Ginetz

We tried Roto Z eye drops in the past, and were unimpressed.  But thanks to Doug Russo, who secured the real deal–Roto Z Pro eye drops–Kaci McCleary and newbies Matt Wilson, Jenna Schade and Elizabeth Shirazi felt the burn.  Now that they’re suitably refreshed, Dave must do his part to help med students keep their wits about them by playing a game of MegaClash!  Listener and ortho resident Emily calls in to say hello and express concern that med students are forced to choose specialties based on shallow exposures.  We address a worrying sentiment Dave noticed popping up a lot this week: that “if you can see yourself doing anything else besides being a doctor, do that instead.”  But it’s cool, because the National Academy of Medicine has formed a coalition of organizations to address burnout and suicide in medicine and medical education.  And a UK surgeon offers his students a way to observe surgery without all the boring bits, leveraging Snapchat Spectacles.  Listeners, share your thoughts with us each week.  Call us at 347-SHORTCT any time, and see our Facebook page for a question to consider every Monday.

Continue reading Re-doin’ the Drops, a Clash of Wits, and Snapchat Surgery

Recess Rehash: The Ultimate Taboo: Medicine and Suicide

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Photo by JoePenna

[With Thanksgiving late week, we didn’t record a new episode.  Enjoy this rerun, instead!]

Just hours before a new crop of medical students are to be welcomed into the world of medicine, Kaci McCleary, John Pienta, Aline Sandouk, Mark Moubarek, and Lisa Wehr confront one of the most uncomfortable topics in medical education: resident and student suicide.  Among doctors, suicide rates are much higher than among the general population.  The long hours, high pressure (from both one’s internal monologue and from outside sources) to succeed, fear of public humiliation regarding one’s shortcomings, isolation, inadequate supervision, the stigma against mental illness, the career penalties faced by those who admit to unwellness, and more, all contribute to the problem.  Institutions also have a difficult time addressing incidents of physician suicide effectively, as they try to walk a tightrope strung between respect for the privacy of the deceased, the needs of colleague survivors to talk about it, the desire to avoid adverse publicity.  Meanwhile, the work does not stop. The only breaks are a moment of silence, a visit with a grief counselor, or an “open forum” to discuss one’s feelings.

Fortunately, the culture may be changing to allow for more discussion, prevention, transparency. Institutions like the University of Iowa and Harvard University are adding counseling capacity, student groups to support struggling peers, and a greater openness to acknowledging without shaming the fact of mental illness among physicians.

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The opinions expressed in this feed and podcast are not those of the University of Iowa or the Roy J. and Lucille A. Carver College of Medicine; nor do they reflect the views of anyone other than the people who expressed them.  If you have feedback on anything you hear on the show, positive or not, let us know.

The Ultimate Taboo: Medicine and Suicide

Share
sad photo
Photo by JoePenna

Just hours before a new crop of medical students are to be welcomed into the world of medicine, Kaci McCleary, John Pienta, Aline Sandouk, Mark Moubarek, and Lisa Wehr confront one of the most uncomfortable topics in medical education: resident and student suicide.  Among doctors, suicide rates are much higher than among the general population.  The long hours, high pressure (from both one’s internal monologue and from outside sources) to succeed, fear of public humiliation regarding one’s shortcomings, isolation, inadequate supervision, the stigma against mental illness, the career penalties faced by those who admit to unwellness, and more, all contribute to the problem.  Institutions also have a difficult time addressing incidents of physician suicide effectively, as they try to walk a tightrope strung between respect for the privacy of the deceased, the needs of colleague survivors to talk about it, the desire to avoid adverse publicity.  Meanwhile, the work does not stop. The only breaks are a moment of silence, a visit with a grief counselor, or an “open forum” to discuss one’s feelings.

Fortunately, the culture may be changing to allow for more discussion, prevention, transparency. Institutions like the University of Iowa and Harvard University are adding counseling capacity, student groups to support struggling peers, and a greater openness to acknowledging without shaming the fact of mental illness among physicians.

We need validation. Leave a review: iTunes

 

The opinions expressed in this feed and podcast are not those of the University of Iowa or the Roy J. and Lucille A. Carver College of Medicine; nor do they reflect the views of anyone other than the people who expressed them.  If you have feedback on anything you hear on the show, positive or not, let us know.

Peace Be With You, Russian Sex Geckos

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Original image: Gecko, by StudioTempura, Flickr

Nathan Miller and Aline Sandouk return to react and discuss the latest news and info from the world of medicine and medical education.  We say a little prayer for some Russian geckos sent into space for what should have been the time of their lives, but sadly wasn’t. Continue reading Peace Be With You, Russian Sex Geckos