Physicians are not burned out because medicine is hard.
Medicine has always been hard. That is not new.
We are burned out because the things making it harder have nothing to do with medicine.
Fix the system. Keep the physicians.
One day, medical school exams will be a distant memory, but the discipline you built while studying will stay with you forever.
To the student feeling the pressure, the world needs your knowledge. Trust your preparation. Trust your training. Future doctors aren’t made overnight, they’re built through consistency, discipline, and showing up even when it’s hard.
Save this for exam week. 💙✨
Please do NOT share photos of Dr. Mahnoor.
She is a victim of a horrific acid attack, not a spectacle for social media. Raise your voice against this barbaric crime. Demand justice. Demand better security for doctors. Speak up for women's safety.
But please respect Dr. Mahnoor's dignity, privacy, and the pain her family is enduring. Some images do not need to be shared to understand the magnitude of a tragedy.
#DrMahnoor #quetta #Pakistan
LA volume index as an independent predictor of mortality in #HFrEF – regardless of functional MR severity
Routine measurement of LA volume index may enhance risk stratification in these patients https://t.co/YXPKiH4xUn #JACCHF#vhdMR
Big progress vs cancer, folks.
The kind of event curves from randomized trials that we've not seen before for a couple of the most deadly cancers. Congrats to the oncology research community for getting these trial done. #ASCO26, @ASCO
Cardiac sarcoidosis: beyond steroids?
The REPAIR-CS trial is testing rilonacept (IL-1 blockade) added to standard therapy, with FDG-PET inflammation as the primary endpoint—marking a shift toward targeted, mechanism-based treatment.🫀
🔗 https://t.co/Mh3Pgtfhlq
Original Article: Daraxonrasib or Chemotherapy in Previously Treated Metastatic Pancreatic Cancer (phase 3 RASolute 302 trial) https://t.co/y4G27hfORg
#ASCO26 | @ASCO
Presented at #ASCO26:
In high-risk localized prostate cancer, ADT plus apalutamide led to a pathological complete response or minimal residual disease and 5-year metastasis-free survival in a greater percentage of patients than ADT plus placebo. Full phase 3 PROTEUS trial results: https://t.co/UxXUkYwd8Z
Editorial: A Watershed Moment in the Perioperative Treatment of Prostate Cancer https://t.co/XgeWL3lqy6
@ASCO
📊 JAMA Clinical Guidelines Synopsis: The 2025 guideline for #ACS management recommends dual antiplatelet therapy with aspirin and a P2Y12 inhibitor, high-intensity statins, invasive revascularization, and radial access for angiography.
https://t.co/OnEihazgow
Baseline #NTproBNP was independently associated with 2yr mortality or #heartfailure hospitalization after T-#TEER. Early postprocedural NT-proBNP trajectories provided incremental prognostic information and may identify patients at increased risk. https://t.co/RQ9cMkiMPw #JACCINT
Every Eid away from home carries a different kind of ache. You miss the noise, the laughter, the familiar chaos, and the comfort of being surrounded by family.
5th Eid ul Adha away from home, but the prayers, love, and memories still travel across oceans. 🤍
1/14
Why can't you use direct oral anticoagulants (DOACs) in patients with mechanical valves (MVs)?
DOACs have been one of the most important advances in my career. And yet, the presence of a MV is one of the few contraindications.
The reason highlights the unique nature of thrombus formation in those with a MV and provides insights into the evolution of human hemostasis.
85 to 90 percent of women physicians are eldest daughters.
That is not a coincidence. That is a pipeline.
Eldest daughters are trained, before age five, to over-function. They take on a parent's worry. They organize the family. They clean up without being asked. They do not ask for help, because they were rewarded their whole childhood for not needing any.
Then they walk into medicine.
A career that demands hyper-responsibility, hypervigilance, perfectionism, and silent sacrifice does not have to ask these women to give those things. They were giving them before they could read.
The system is not stumbling into a burnout problem. The system is recruiting from a pool of people whose entire childhood was a training program for it.
This is what pediatrician and certified coach Jessie Mahoney has been finding when she asks the room. In every group, in every retreat. Maybe one or two women are not eldest daughters. The rest have been carrying something since before they could spell their own name.
Most of those women blame themselves. "Why don't I have boundaries?" "Why do I over-function?" "Why can't I delegate?"
Because at five years old, your family rewarded you for over-functioning. Because every teacher praised you for it. Because the medical training system selected for it. Because every job since has reinforced it. The pattern is older than your medical degree by twenty years.
The other piece nobody names: by the time these women are in their fifties, they are carrying eldest-daughter responsibility for aging parents AND running a department as chief AND running a household. The role does not retire when the children do. It just compounds.
Jessie's reframe is the part worth bookmarking.
The "hero" framing is the trap. Eldest daughters were made the savior of the family before they could read. Then medicine made them the savior of the patient. Then the department made them the savior of the team. At every stage, they learned that if they did not do it, terrible things would happen and it would be their fault.
Awareness is the first move. Non-judgment is the second. Excellence is not doing everything yourself. Excellence is letting other people do their jobs.
You are allowed to gift some of it back. You can ask your siblings to carry the aging parent. You can let your medical assistant do the medical assistant's job. You can stop covering the gap that nobody actually asked you to cover.
Most eldest daughters in medicine have never asked for help. When they finally do, they discover people are willing to help. The asking was the whole obstacle.
Listen to the full conversation on The Podcast by KevinMD. Link in the replies.
What is the one task you have been carrying for your family or your team that no one ever actually asked you to carry?
#ThePodcastbyKevinMD
A great idea for whoever wants to build it - please make a dryer that automatically folds clothes while drying them, and make it cost-effective. We’re tired. I am tired.