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    Episode 117 - Dr. Glaucomflecken and Dr. Ryan Marino: Round Table Discussion

    enApril 20, 2021

    Podcast Summary

    • Finding Hidden Talent on LinkedInOver 70% of LinkedIn users aren't actively looking for jobs, making it a valuable resource for businesses to discover top talent that might not be found on other job sites.

      LinkedIn is a valuable resource for finding professionals who aren't actively looking for new jobs but might be open to the right opportunity. Sandra, a potential candidate, emphasized that she wasn't looking for a new job but was discovered on LinkedIn. This represents a significant portion of LinkedIn users, with over 70% not visiting other leading job sites. Therefore, businesses that don't use LinkedIn for hiring may miss out on top talent like Sandra. Meanwhile, in a different context, the experts on The House of Pod discussed the J&J vaccine pause due to rare cases of clotting. The panel, including doctors Ryan Marino and Will Flannery, agreed that the pause was the right move, emphasizing the importance of safety and the existing safeguards in place for vaccine development and distribution.

    • Pause in J&J vaccine rollout for safety investigationExperts agree benefits of J&J vaccine outweigh risks for most, but pause necessary for safety investigation. Regulatory bodies investigating reports of rare blood clots. Trust in expertise and testing process. Transparency and communication key to building trust and confidence.

      The pause in the Johnson & Johnson vaccine rollout due to reports of rare but serious blood clots is a necessary step to ensure public safety. The experts agree that the benefits of the vaccine far outweigh the risks for most people, but it's important to identify and address any potential side effects. The regulatory bodies are investigating these cases thoroughly, and the public should trust their expertise and the rigorous testing process for vaccines. The pause also serves as a reminder of the importance of transparency and open communication in building trust and confidence in the vaccine rollout. The experts emphasized that the vaccine is still safe for the vast majority of people and that the risk of developing blood clots is extremely low. The pause is not an indication of a broader safety issue with the vaccine, but rather a proactive measure to ensure the continued safety and efficacy of the vaccine for all.

    • Media coverage of vaccine pauses and misinformationEmphasizing personal experiences and the overwhelming number of people who have received and benefited from the vaccine could help persuade vaccine hesitant individuals, while accurate scientific reporting and effective communication from organizations like the FDA and CDC are crucial in addressing vaccine misinformation.

      The recent pause in the Johnson & Johnson vaccine and the subsequent media coverage may not have improved public perception of vaccine safety, as the focus has been on potential risks rather than the overwhelming evidence of its benefits. The speakers expressed concerns about the role of organizations like the FDA and CDC in addressing vaccine misinformation, as well as the need for more accurate scientific reporting in the news media. To effectively persuade vaccine hesitant individuals, it was suggested that emphasizing personal experiences and the overwhelming number of people who have received and benefited from the vaccine could be effective. With over 100 million people having received at least one dose, and millions more being vaccinated daily, the risks and side effects are relatively small compared to the goal of returning to normalcy.

    • COVID-19 Vaccine: Prioritizing Personal Safety and Community HealthReasonable individuals will get vaccinated, while opponents remain skeptical. Focus on personal safety and community health. New federal mandate on open medical records aims to increase transparency and empower patients, but specialists' complex notes may have limited impact.

      Despite the ongoing debate around COVID-19 vaccines, the reasonable people who want to get vaccinated will ultimately do so, while those opposed are unlikely to be swayed. The speaker expresses that it's essential to prioritize personal safety alongside community health. The recent federal mandate on open notes, allowing patients to access their medical records, is expected to increase transparency and empower patients to be better advocates for themselves. However, for specialists like ophthalmologists, the impact might be minimal due to the use of complex medical terminology and abbreviations in their notes.

    • Doctors' Notes: A New Era of TransparencyDoctors may change how they write notes due to patients' access, potentially improving communication and maintaining professionalism.

      The discussion revolved around the implications of patients having access to doctors' notes. Doctors have been writing notes primarily for other medical professionals to understand the patient's medical situation. However, with the new legal changes, patients can now access these notes. Some argue that this might lead to changes in the way doctors write, as they may avoid using certain labels or language that could be perceived negatively. Others believe that this transparency could improve communication between doctors and patients. Doctors expressed that they have always written notes assuming they could be accessed, but the difference now is that patients can read them in real-time. This could potentially affect how doctors describe patients' behaviors or conditions. The conversation also touched upon the fact that doctors use coded language in their notes and questioned whether all of it is necessary. Overall, the consensus was that the notes should remain professional and respectful, and the fear of being "outed" or criticized by patients should not be a terrifying prospect. The impact of this change might vary among different medical specialties.

    • Open notes in ophthalmology: Balancing benefits and concernsOpen notes can be beneficial but raise concerns in sensitive medical fields like ophthalmology. Direct patient access to after-visit summaries can lead to misunderstandings and anxiety, especially during critical situations. Boundaries and limitations may be necessary to ensure effective implementation.

      While open notes may seem like a beneficial initiative, it raises concerns for certain medical specialties and situations. The speaker, an ophthalmologist, shares their experience of being unaware of open notes until they received comments on a TikTok video. They explain that in their field, discussions can be narrow and sensitive, and giving after-visit summaries directly to patients is common. However, they acknowledge the potential challenges of open notes, particularly during weekends and late hours when patients may be accessing their results without clinical interpretation or guidance. The speaker also shares an extreme example of a family member accessing a patient's record during surgery, causing unnecessary alarm. While the speaker enjoys reading well-written medical notes, they express concerns about the potential for misinterpretation and anxiety for patients, especially in critical situations. Ultimately, they suggest that boundaries and limitations may be necessary to ensure the effective implementation of open notes.

    • Potential Benefits and Challenges of Open Medical NotesOpen medical notes may improve patient ownership and communication, but could lead to more jargon and less personalized communication, potentially increasing stress for physicians and health misinformation for patients. The timing of this change is also a concern amidst COVID-19 challenges.

      While the implementation of open medical notes has potential benefits, such as giving patients more ownership of their health, it may also lead to more medical jargon and less personalized communication between doctors and patients. This could result in increased stress for physicians and potential health misinformation for patients. The speaker also expressed concern about the timing of this change, as the medical community is already dealing with the challenges of COVID-19 and its impact on healthcare. Additionally, both speakers are vaccinated against COVID-19 but continue to follow safety precautions such as wearing masks and avoiding large groups.

    • Personal experiences of resuming activities and the importance of vaccinesIndividuals are gradually resuming activities with precautions, prioritizing safety, and expressing confidence in vaccines to resume indoor dining with vaccinated individuals.

      While some individuals, like the speaker, have been able to resume certain activities, such as dining outdoors or meeting vaccinated loved ones, they are still taking precautions like wearing masks and maintaining social distancing. The biggest change for the speaker has been the ability to safely spend time with their vaccinated mother. The consensus among the group is that indoor dining is not yet an option for them, and they are looking forward to warmer weather and increased vaccinations before resuming that activity. The group also emphasized the importance of vaccines and expressed confidence in dining indoors with vaccinated individuals. They acknowledged the ongoing debate about the safety of vaccinated individuals transmitting the virus, but emphasized that the focus should be on protecting those who are not yet vaccinated. The CDC's recent data showing that less than 1% of fully vaccinated individuals contracted COVID further supports this confidence. Overall, the group is prioritizing their own safety and the safety of others, while also expressing frustration with those who disregard safety protocols.

    • The Debate over Using 'Provider' to Describe Healthcare ProfessionalsThe use of the term 'provider' for healthcare professionals sparks debate, with some arguing it blurs lines and reduces relationships to transactions, while others see it as a neutral label. Ultimately, it's a matter of perspective, but recognizing all healthcare professionals' roles in patient care is crucial.

      There is an ongoing debate within the medical community regarding the use of the term "provider" to describe healthcare professionals. Some physicians object to being referred to as providers, arguing that it blurs the lines between different types of healthcare workers and reduces the patient-doctor relationship to a business transaction. Others argue that using the term provider does not change the nature of the relationship, as all healthcare professionals ultimately provide care and services to patients. The debate is not new and reoccurs every few months on social media platforms. While some find the argument unimportant, others believe it is worth considering as language shapes perceptions and can impact the way patients view their healthcare experiences. Ultimately, the term provider is a label, and individuals can choose to identify with it or not, but it is important to recognize that all healthcare professionals play a role in providing care and support to patients.

    • The semantics debate among healthcare professionals is a distractionInstead of debating semantics, healthcare professionals should focus on providing the best care for their patients and finding joy in their work.

      The debate over whether to be called a "provider" or a "doctor" in the medical field is a needless distraction that only serves to promote infighting among healthcare professionals. This comparison to more serious issues, such as the Holocaust, is an extreme and unwarranted perspective. Instead of focusing on semantics, healthcare professionals should prioritize providing the best possible care for their patients. The discussion also touched upon the importance of having a sense of humor and finding joy in one's work, whether it be through social media platforms like Twitter and TikTok or through unique organization methods like color-coding books. Ultimately, the goal should be to improve patient care and make a positive impact in the world, rather than getting bogged down in trivial debates.

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    Disclaimer: All information discussed or provided by Jonathan Baktari, M.D. (“Dr. Baktari”) and/or his affiliates/guests are for educational purposes only. The information discussed and provided is not a substitute for professional medical advice, diagnosis, or treatment.  Always seek the advice of your physician or other qualified health provider with any questions you may have regarding a medical concern or condition. Never disregard professional medical advice or delay in seeking it because of any information discussed or provided by Dr. Baktari or his affiliates/guests!  If you think you may have a medical emergency, call 911 immediately.  All information concerning hospitals, physicians, insurers, and other healthcare-related companies is based on Dr. Baktari’s observations of the healthcare industry as a whole and do not reflect on any specific hospital, physician, insurer, or other healthcare-related company.