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Practical Guidance on Mental Health and Physician Burnout

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COVID-19 Could Lead to Dangerous Levels of Physician Burnout — How Can We Change the Culture of Medicine?

Working to the extreme is a hazard of the medical profession. In January 2020, 42% of physicians surveyed reported feeling exhausted and overwhelmed, otherwise known as burnout. And that was before COVID-19 sent a flood of new patients into medical offices and hospitals.

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How Physicians Can Prevent Physical and Emotional Burnout

“One of the first things we look for with burnout is exhaustion, and it can happen in both a physical and emotional way,” explains Dr. Marianna Strongin, a licensed clinical psychologist and founder of Strong in Therapy, her Manhattan-based private practice. Physical exhaustion is often a precursor to emotional exhaustion, but complicating burnout diagnosis and treatment in physicians is the fact that they’ve been trained to work through physical exhaustion and even to ignore it.

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The Message from Leading Voices in Cancer Care — Don’t Lose Yourself in Caring for Your Patients

Physician burnout is real. The mental and physical exhaustion that characterizes this condition affects up to half of doctors, and it can have both professional and personal implications. Even in times of great duress, like the COVID-19 pandemic, our instinct is to put patients first, and we may fail to recognize our own needs as a result.

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Practical Guidance on Getting Your Patients Back Into Life With COVID-19 Still in the Picture

We've been living with the pandemic for nearly a year, and COVID-19 fatigue is real. That's especially true for some cancer patients, who mark every passing milestone -- holidays, the birth of a baby, or an engagement -- with a sense of fear and frustration that time is slipping away from them.

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Drug Combo Improves Survival in Older Adults With AML

The standard treatment for acute myeloid leukemia (AML) is intensive induction chemotherapy, followed by consolidation chemotherapy, a stem cell transplant, or a combination of both treatments. Yet the bulk of this patient population, who are in their late 60s or beyond, either aren't appropriate candidates for chemotherapy, or don't respond well to it.

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Blood Cancer Patients Face More Severe Illness and Death from COVID-19

Having cancer increases the risk of severe illness from COVID-19. The immune system, already compromised by cancer and its therapies, can't respond as effectively as it could in a healthy patient. The risk of worse outcomes is particularly high for patients with blood cancers. "When they get COVID-19, they tend to get more severe illness and to die more frequently," Dr. Mikkael Sekeres, chief of the Division of Hematology at the University of Miami Sylvester Comprehensive Cancer Center, who was formerly with the Cleveland Clinic, tells SurvivorNet Connect.

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Oral Azacitidine May Increase Survival in Older Patients with AML

Maintenance therapy with the oral version of azacitidine (brand name: ONUREG) significantly improves disease-free survival in older adults with acute myeloid leukemia (AML) who have achieved complete remission on intensive chemotherapy, according to research published in the journal Blood. This is the first time a maintenance therapy has shown a survival advantage in older adults, who make up the vast majority of AML patients.

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Managing a Patient with AML Who Also Has COVID-19, According to Dr. Mikkael Sekeres

Prevention and treatment of COVID-19 is not markedly different for patients with cancers of the blood and bone marrow than it is for anyone else, according to the University of Miami's Dr. Mikkael Sekeres, who formally practiced at the Cleveland Clinic. “When I have a patient who has a hematologic malignancy who also has a COVID-19 infection, I take it seriously. . . just as I would anybody who has a COVID-19 infection,” he tells SurvivorNet Connect.

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