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I am Dr. Todd Brandt. I am a urologist. 

These are words I couldn't have imagined myself saying as I was growing up thinking about medicine as a career. 

And I have been asked many, many times why I went into urology as a medical specialty. In this podcast I attempt to explain how I got here. Why did I choose urology as a specialty? Why do I like it? Why, if you are someone with a urinary tract, should you care? Get it? Why Urology.

This podcast is a personal experiment in medical audio content. I make the obvious disclaimer that this is not medical advice. You should be going to your own physician for that.

These episodes are meant to educate, entertain, inspire or inform you in some way with urology as the launching point for each episode. Each episode is varied in format and length as I have experimented with content. 

Listen, follow, share, rate, review, know what to do.

If you have kidney stones, or prostate cancer, or another urologic health concern this podcast may help you.

If you have a loved one with any urologic health concern this podcast may help you. 

If you are someone who has asked, "How does my bladder do it's thing?", this podcast may help you.

If you make urine, or even if you don't, this podcast may help you.

Thank you for listening to this podcast. I do appreciated any feedback I get so please reach out to me at the link provided on this website. 

Be well,

Dr. Todd Brandt

Nov 25, 2018

Doctors are burned out.

William Osler warned us of this is his Speech Aequanimitas that I highlighted a couple of episodes back. In a speech given in 1889 to the graduation medical students at the University of Pennsylvania:

“…I would warn you against the trials of the day soon to come to some of you—the day of large and successful practice. Engrossed late and soon in professional cares, getting and spending, you may so lay waste your powers that you may find, too late, with hearts given away, that there is no place in your habit-stricken souls for those gentler influences which make life worth living.”

Here are some stats from the physician’s foundation 2018 survey of american physicians. These stats are from 8,774 physician responses. 80% of physicians are at full capacity or are overextended. 78% sometimes, often or always experience feelings of burnout. 55% describe their morale as somewhat or very negative. 46% plan to change career paths. 49% would not recommend medicine as a career to their children 23% of physician time is spent on non-clinical paperwork. Physicians indicate electronic health records (EHR) are their greatest source of professional dissatisfaction.

Why should we as patients care if our physicians are burning out? Physicians who are burned out make more mistakes, are less productive, have worse patient outcomes and patient satisfaction scores, leave medicine in favor of other jobs or retirement, become depressed, may do harm to themselves and generally aren’t any fun to be around.