PHYSICIANS: Gambling Addiction Causes

By Dr. David Edward Marcinko MBA MEd

By Professor Eugene Schmuckler PhD MBA MEd CTS

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Physician gambling addiction is a growing concern that threatens both personal well-being and professional integrity. This essay explores its causes, consequences, and the urgent need for awareness and support.

Gambling addiction, or gambling disorder, is a recognized mental health condition characterized by an uncontrollable urge to gamble despite negative consequences. While it affects about 1% of the general population., its presence among physicians is particularly alarming due to the high stakes involved—both financially and ethically. Physicians are entrusted with lives, and addiction can impair judgment, compromise patient care, and lead to devastating personal and professional outcomes.

Several factors contribute to gambling addiction in physicians. The profession is inherently high-pressure, with long hours, emotional strain, and frequent exposure to trauma. These stressors can drive individuals to seek escape or excitement through gambling. Moreover, physicians often have access to substantial financial resources, making it easier to sustain gambling habits longer than others. The culture of perfectionism and stigma around mental health in medicine may also discourage seeking help, allowing addiction to fester in secrecy.

The consequences of gambling addiction for physicians are multifaceted. On a personal level, it can lead to financial ruin, strained relationships, and deteriorating mental health. Studies show that gambling activates the brain’s reward system similarly to drugs and alcohol, reinforcing compulsive behavior.

Professionally, addiction can result in medical errors, fraud, or even criminal activity—such as embezzling funds to cover gambling debts. These actions not only endanger patients but also erode public trust in the medical profession.

During the COVID-19 pandemic, gambling behavior intensified across many demographics, including healthcare workers. Increased isolation, stress, and access to online gambling platforms contributed to a surge in addiction cases. Physicians, already burdened by the pandemic’s demands, were particularly vulnerable. The rise of sports betting and fantasy leagues has further blurred the lines between entertainment and addiction, making it harder to recognize problematic behavior.

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Addressing physician gambling addiction requires a multifaceted approach. First, medical institutions must foster a culture that encourages mental health support without stigma. Confidential counseling services, peer support groups, and educational programs can help physicians recognize and address addiction early. Licensing boards and hospitals should implement policies that balance accountability with rehabilitation, ensuring that affected physicians receive treatment rather than punishment alone.

Additionally, research into gambling disorder must continue to evolve. Institutions like Yale Medicine are leading efforts to understand the neurological and genetic underpinnings of addiction, which could inform more effective treatments. Public awareness campaigns can also help destigmatize gambling addiction and promote responsible behavior.

In conclusion, physician gambling addiction is a hidden crisis with far-reaching implications. It stems from a complex interplay of stress, access, and stigma, and its consequences can be catastrophic.

By promoting awareness, support, and research, the medical community can better protect its members and the patients they serve.

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Understanding Workplace Violence: Types and Impact

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ELDER ABUSE: Financial Exploitation Protection

By Rick Kahler CFP

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One serious risk to financial wellbeing in retirement that is difficult to talk about is financial exploitation. Someone whose cognitive abilities are declining is vulnerable to harm from both financial predators and their own financial misjudgments. Protecting such clients is a crucial part of a financial advisor’s role.

A little-known but important law, the Senior Safe Act, was enacted in 2018. It encourages financial advisors and institutions to report suspected elder abuse by offering immunity from legal liability when reports are made in good faith and with reasonable care. To qualify for these protections, financial professionals must undergo annual training to recognize the signs of exploitation and know how to act on their suspicions.

In many ways, the Senior Safe Act mirrors the duty of therapists to report when clients are threats to themselves, such as when a client becomes suicidal. Just as a therapist must balance confidentiality with the moral and legal responsibility to protect their client from harm, a financial advisor must weigh privacy against the need to prevent financial exploitation. Both roles rely on professional judgment, training, and the courage to act when the stakes are high.

Financial advisors, accountants, and attorneys are often the first to notice troubling signs that someone is being taken advantage of financially. These might include sudden large withdrawals, changes to account ownership or beneficiaries, or a newly and overly involved friend or family member. Behavioral shifts like confusion, anxiousness, secretiveness, or uncharacteristic deference are also red flags. These patterns are unsettling and demand attention, even when stepping in is uncomfortable.

Reporting possible elder abuse isn’t always straightforward, especially if the suspected abuser is a family member. As an advisor, I worry about misunderstandings, potential conflicts with the family, and even the possibility of damaging a relationship with the client. None of this is easy, But when the signs of exploitation become clear, staying silent could mean allowing harm to continue. That’s a risk I can’t take.

One of the tools I started using decades ago is the trusted contact disclosure form. This simple but powerful document allows clients to name someone my firm can contact if they notice unusual activity, such as a suspicious withdrawal or transfer. The trusted contact does not have control over the client’s account but serves as a resource to verify their well-being and ensure that their financial decisions align with their long-term goals. If you as a client have not signed such a form, it’s worth discussing with your advisor as a preventative step.

If you are concerned about the financial well-being of an elderly loved one, it’s crucial to alert not only their financial advisor but also other professionals like accountants, attorneys, or bankers. These professionals may have insights or access to information you don’t have, and by sharing your concerns, you provide a broader picture that can help them detect and address issues more effectively. Even if they are already monitoring for red flags, your input can provide valuable context to guide their next steps.

Difficult though it may be, stepping into uncomfortable territory is often essential to protecting vulnerable individuals. Whether it’s a financial advisor detecting exploitation or a therapist intervening in a mental health crisis, the goal is the same—to prevent harm while respecting the person’s autonomy.

The Senior Safe Act is a reminder that sometimes the most impactful safeguards work quietly behind the scenes. Taking simple steps like completing a trusted contact form or encouraging your loved one to work with a reputable, fiduciary advisor can make all the difference. Vigilance is an act of care that helps protect someone’s financial assets as well as their dignity and well-being.

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MEDICINE: Emergent Care

SOME PHYSICIAN WORK FOR FREE

By Staff Reporters

SPONSOR: http://www.MarcinkoAssociates.com

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What is an Emergency Medicine Physician?

An emergency medicine physician is a medical doctor who specializes in the diagnosis, treatment, and management of acute and life-threatening medical conditions that require immediate intervention. These physicians work in hospital emergency departments, urgent care centers, and other acute care settings, where they provide rapid assessment, stabilization, and treatment to patients of all ages with a wide range of medical emergencies.

Emergency medicine physicians are trained to handle diverse medical emergencies, including trauma, cardiac emergencies, respiratory distress, severe infections, neurological emergencies, and obstetric emergencies, among others. They play a vital role in the front line management of medical emergencies, ensuring that patients receive prompt and appropriate care to improve outcomes and save lives.

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Classic: Emergent Room or Emergency Department care is the provision of immediate medical service offering outpatient care for the treatment of acute and chronic illness and injury. It requires a broad and comprehensive fund of knowledge to provide such care. Excellence in care for patients with complex and or unusual conditions is founded on the close communication and collaboration between the urgent care medicine physician, the specialists and the primary physicians.

Modern: Urgent care does not replace your primary care physician. An urgent care center is a convenient option when someone’s regular physician is on vacation or unable to offer a timely appointment. Or, when illness strikes outside of regular office hours, urgent care offers an alternative to waiting for hours in a hospital Emergency Room.

Examples: Chest pain, bleeding that cannot be stopped and loss of consciousness; etc.

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SOME ER DOCTORS WORK FOR FREE

The new president of emergency medicine for the Alberta Medical Association says Emergency Room physicians already coping with long hours, staff shortages and jammed waiting rooms are also being obligated, in some cases, to work for free. Dr. Warren Thirsk says the government has yet to follow through on a promise to reimburse emergency room doctors for so-called “good faith” payments.

“There’s been lots of excuses, but the bottom line is no one has actually received a penny for those suspended good-faith payments,” Thirsk said in an interview. “On average, every emergency physician in this province is out thousands of dollars for free work.” Good-faith payments reimburse ER doctors when they see patients who don’t have identification and can’t prove an Alberta Health Care Insurance Plan billing number.

Thirsk said the United Conservative government stopped those payments when it ripped up the master agreement with the AMA in early 2020. He said it promised to bring back those payments when the two sides agreed to a new deal in September 2022. But to date that hasn’t happened, he said.

“I’m legally and morally bound to look after you [if] you’re unidentified [as a patient],” said Thirsk, an emergency room doctor at Edmonton’s Royal Alexandra Hospital.

“I’m going to look after you because it’s the right thing to do no matter what the problem is.”

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MUTISM Selective

By Staff Reporters

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Selective Mutism: Some people experience selective mutism, a condition where intense trauma or anxiety leaves them temporarily unable to speak. It’s a defense mechanism that shields them from emotional overwhelm. It is characterized by:

  • A person’s inability to speak in certain social settings, even though they are otherwise capable of speech.
  • Triggers for selective mutism can include specific situations, places, or people.
  • People with SM can speak comfortably and communicate well in other settings, such as at home with family.

For many, according to colleague Dan Ariely PhD, this silence is involuntary, reflecting how deeply emotions affect speech.

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US Trauma Mortality

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By http://www.MCOL.com

As the Cause of Death Under Age 45

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Ankle-Leg Trauma

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Conclusion

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