Episode 7 - MAOi & Meperidine: The Protocols of the Elders of Libby Zion

🎶 u may tire of me 🎶 // 🎶 as our december sun is setting 🎶 // 🎶 ‘cause i'm not who i used 2 be 🎶

summer break is over and M&M is back! welcome babies!!!!!!!!!!!!!!!!!!!!!!

Sigmund leads today on the unfortunate death of Libby Zion - a famous case that most docs and many people in healthcare have at least heard of - and how it eventually led to changes in physician residency training. work responsibilities limited to 24 consecutive hours (with caveats¹), 80hrs/week (with caveats²), and a mandatory 10 hours rest period in between clinical duties, among other things; while this is progress from the more horrific exploits of residency prior to these changes - 120 hour weeks, q3day 36hr in-house call - we have to ask: how far have we really come? many residents still routinely lie about their duty hours. mental health continues to deteriorate for residents and even beyond residency; attending doctors face ever-escalating production pressures (employers increasing the relative rate of surplus value), documentation burden merely for billing purposes, and cost-saving mechanisms stemming from the 1980s neoliberal political turn and the managed care regime. the questions we all need to start asking are: how do we get closer to making a lasting, positive transformation in how young doctors train? and how will that set us up for a future of meaningful labor - and importantly - on our own terms?

music:

intro - created by fidel cashtho

closing track - my sweet lord by george harrison

1. with 6-hour extension for “patient continuity”and education

2. averaged over 4 weeks