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cover of episode Glauc Talk: Family Medicine Has Entered the Chat

Glauc Talk: Family Medicine Has Entered the Chat

2025/4/29
logo of podcast Knock Knock, Hi! with the Glaucomfleckens

Knock Knock, Hi! with the Glaucomfleckens

AI Deep Dive Transcript
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Family Medicine
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Kristen Flannery
Topics
Kristen Flannery: Medicare最近决定不再报销GLP-1药物用于减肥和糖尿病治疗,这让我感到非常愤怒。这些药物对许多患者的健康状况有显著的改善作用,包括改善糖尿病、改善代谢健康,甚至改善糖尿病视网膜病变等。然而,这一决定却忽视了这些药物的积极影响,反而过度强调个人责任,例如,建议患者通过运动和饮食来控制体重和血糖。这不仅忽略了健康的多方面因素,也对那些即使通过健康的生活方式也无法有效控制病情的人造成了不公平。我认为这是一个错误的决定,它将影响许多患者获得负担得起的医疗保健的机会。 我认为,这其中也存在着一些政治因素的影响,例如,来自某些政治人物对个人责任的过度强调,以及对GLP-1药物的质疑。然而,我们不能忽视大量临床证据表明这些药物的有效性。我们需要关注的是如何改善医疗系统,让更多患者能够获得他们需要的医疗保健服务,而不是简单地将责任归咎于个人。 Family Medicine: 我是一名家庭医生,我每天都在努力工作,却常常感到过度劳累和不受重视。我的工作内容涵盖了从新生儿到老年人的各种医疗需求,这需要全面的医疗知识和技能。然而,其他专业的医生却常常不尊重我的工作,他们经常将病人转介给我,并要求我为白内障手术‘清理’病人。这不仅增加了我的工作负担,而且‘清理’病人本身就是一个不准确的、甚至可以说是被误用的术语。在医学上,并没有‘清理’病人的说法。 此外,繁重的文书工作和复杂的保险流程也让我感到不堪重负。我每天要花大量的时间处理各种表格和申请,这严重影响了我的工作效率和与病人的沟通时间。我认为,医疗系统应该简化这些流程,减少医生的行政负担,这样才能让医生有更多的时间和精力专注于病人护理。 尽管工作压力很大,但我仍然热爱我的工作。我为能够为我的社区做出贡献而感到自豪。我相信,家庭医学是医学中最崇高的领域之一,因为我们直接接触病人,为他们提供全面的医疗服务。我希望更多医学生能够选择家庭医学,为社区做出贡献。

Deep Dive

Shownotes Transcript

Okay, so I made one comment about Kristin’s coffee-making skills and instantly became the villain. And then she replaced me—with Family Medicine. Like, actually replaced me. For an entire segment.

This episode, we talk about the real heartbreak behind Medicare's decision not to cover GLP-1 medications for weight loss and diabetes, and the wider implications for access, affordability, and the ongoing “just exercise more” narrative that’s exhausting all of us. Spoiler: we’re not fans of weaponized personal responsibility.

Then Family Medicine makes his podcast debut, and wow—he has some things to get off his chest. Like being overworked, underappreciated, and constantly asked to “clear” patients for cataract surgery. (Which isn’t a thing. Please stop saying it’s a thing.)

We close things out with a conversation about burnout, respect, weighted blankets, and fermented Texaco antibiotics. You know, just a normal Tuesday.

Takeaways:

I mentioned Kristin’s coffee grounds and now I’m banned from caffeine commentary.

GLP-1 meds aren’t being covered by Medicare anymore, and it’s as infuriating as you’d expect.

Family Medicine is here. He’s tired. And he’s not “clearing” anyone for anything.

If you don’t think all doctors are burned out, you’re not paying attention.

We might’ve created a new mascot: Emotional Support Drape™.

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A friendly reminder from the G’s and Tarsus: If you want to learn more about Demodex Blepharitis, making an appointment with your eye doctor for an eyelid exam can help you know for sure. Visit ⁠http://www.EyelidCheck.com⁠) for more information. 

Today’s episode is brought to you by DAX Copilot from Microsoft. DAX Copilot is your AI assistant for automating clinical documentation and workflows helping you be more efficient and reduce the administrative burdens that cause us to feel overwhelmed and burnt out.

To learn more about how DAX Copilot can help improve healthcare experiences for both you and your patients visit aka.ms/knockknockhi).

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