Real Talk w/The 19th Surgeon General of the United States | Against Medical Advice 029

[@cherylcarlson3315]

Really appreciated the serious respectful tone to this program, have really wanted to hear from surgeons general way more. So loved his view of loneliness as pathology and agree that at least in nursing their is enhanced deep loneliness in last few years since 12 hr shifts and "working smarter". Want more with Dr Murthy.

[@cbritell]

As a "clinically retired" doc who still "treats" charts part-time andwho started in 1.0, survived 2.0 and dare to be optimistic about 3.0, I was encouraged and charmed by the wisdom and sincerity in this conversation.

[@BeutaynFlaym]

Love your work Dr. Murthy! Thanks for talking to Zdogg!

[@frankihauser4126]

I am a retired RN, after 40 years of hospital nursing. Humility is a quality, seriously missing in the medical profession and society, in general, as our current societal state of affairs clearly demonstrates. This man abounds in humility. I am encouraged by his attitude and so hopeful that he is representative of a new way of thinking, in the medical profession and government. Makes me wish I was still young enough to be relevant in health care. Welcome back, Sir, in 2021.

[@mathusula27i5c]

Tremendous interview. I wanted to point out one crucial aspect of your discussion - the "suck it up" mentality of medicine - as Dr. Murthy so aptly put it: doctors in training measure strength in the length of the workday rather than the size of your heart. I am a PharmD involved in oncology research, my wife is also a PharmD who chose to pursure her MD while she was on clinical rotations in pharmacy school. In her mind, it's just a different job - none better than the other. What I've noticed while watching her go through this process (now a pediatric intern) is there's a good deal of medical school which is work for the sake of work... rote memorization in an effort to not create a good, thinking clinician, but rather to create an air of difficulty; the purpose of which was seemingly to extend the workday and make you miserable. That process seems to be amplified in residency. She agrees wholeheartedly with this assessment; especially since she has the PharmD perspective and was able to understand what knowledge was clinically relevant and what was otherwise extraneous (I will also say that the further she gets into her residency, the more she see's extraneous, unnecessary ridiculousness that feels more like hazing to pledge a fraternity/sorority than an effort to create a good physician). Further, it's painfully obvious to her that perpetuating this guild-style education that medicine relies on (as it's designed right now) promotes anecdotal treatments over scientific treatments in many clinical situations. The stories of the horrible medication use (particularly ABX) are atrocious. What's worse, because she's an intern, she can't speak up for fear of overstepping the hierarchy! There's data to support these statements, too (see McGlynn, et al. The Quality of Health Care Delivered to Adults in the United States, N Engl J Med 2003;348:2635-45. for a good example). It seems that the whole process needs to be blown up and re-evaluated. I'm not saying that it's not supposed to be hard... no doubt making a good, empathetic physician would be difficult but, to paraphrase Dr. Sanjaya Kumar in his book "Demand Better! Revive Our Broken Healthcare System": the barge of information given in a medical education needs to not be rearranged or adjusted, but completely unpacked and rebuilt. What are your thoughts, ZDogg?

[@BoltCRNA]

He is a gentleman and a scholar.

[@DrMcGunner]

Why is Dr. Murthy not our president? Why aren't more doctors with his moral compass in our democratic congress or legislature?

[@KTravRuNEr]

Wow great discussion. I kind of want to be surgeon general. Sounds fun....for a short period of time.

[@therebel1375]

Zdogg moving up in the world talki with the surgeon general! Awesome video good discussion!

[@tfiegel3613]

Wow, fantastic, really enjoyed this program. What an impressive individual, Dr. Vivek Murthy, he makes you think on the kinder, smarter, alternative side of things & how each of us could play our part in the World 3.0.

[@lizreagan3971]

Great show, thanks. I really like the part about social media. I saw my son (21 yo now), withdraw from personal contact when we moved to another state when he was 16. (he's ok) And I'm a travel nurse for the last 2 years, (grave yard shift), I've been lonely, social media has been my tie to friends and family. When my best friend plays "words with friends" I feel more connected to her. So ..... there is the upside and down to the phone/social media thing.

[@maxinehardin9577]

Dang, this guy is SMART!!

[@rgcamsf]

Dr. Dumania, I have a song idea that your team could take to the goal line. It's Peter Tosh's "Legalize It" It could be ZDogged to "Immunize It"! Awesome interview with Dr. Murthy! Thank you.

[@juliamihajlovich]

AWESOME!

[@docequis9796]

These political physicians talk about openness and because most physicians want to have open discussions that sounds great. But administration (hospitals, healthcare systems, Boards, politicians) won't allow that... what did our government or surgeon general do to allow physicians to speak openly. The administrations over the last 10 years have only suppressed our discussions and given us reprimands and labeled anyone that disagrees as "disruptive " or "burned out"... ie, openly saying gun violence is an issue but then not allowing physicians to say that the sources of the violence are not the gun but the loss of family and values is not an open discussion easily had.

[@kristinsater5011]

Is it weird I can't stop looking at his head full of hair?

[@draconicfeline6177]

He has amazing hair.

[@gizdonk]

He’s only 39, probably dyed grey

[@whsdd123]

LPT: Use facebook messenger, don't use the actual facebook

[@allencrider]

I surprised he agreed to be interviewed by such a quack.

[@kem6474]

Both so EVIL

[@MoeMoneyrunstheWORLD]

Damn your interns are loyal Trump supporters....