Healthcare Musings Blog

Jan. 7, 2025

Long Term Oxygen: Is Only 15 Hours A Day Safe?

It has long been established that, for people have chronic hypoxic respiratory failure, supplemental oxygen is beneficial. I have known this for my entire career. And, for many patients, that oxygen needs to be delivered continuously - 24 hours per …

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Dec. 23, 2024

Social Media for Doctors = "Strategy = Success."

I recently sat down with Austan Lundeen, Digital Marketing Manager for Sound Physicians, and asked him for tips on developing a social media strategy. Austan is an award-winning Marketing expert, who has Marketing literally in his blood. His tips we…

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Dec. 4, 2024

Why We Should Vaccinate Against Measles

Vaccine skepticism is growing in our country, and with the new nominee for Secretary of Health and Human Services, Robert F. Kennedy, Jr., I fear this will only worsen with time. This is not because I believe we need to be vaccinated against every s…

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Nov. 27, 2024

Journal Club: IV vs IO Access in Out-of-Hospital Cardiac Arrest

Cardiac arrest is one of the most feared clinical situations both in and out of the hospital. When a patient suffers cardiac arrest, it is of the utmost importance to get access into the veins so that medications can be injected to try to help t…

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Nov. 20, 2024

Using the AHA "Coding Clinics" to Deny DRGs

Insurance companies frequently deny medical claims submitted by hospitals. One type of denial payers will use is the "DRG Denial." Here, the insurance company - frequently through a third party service - will go through a chart after the claim h…

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Nov. 13, 2024

Will We Finally Stop Replacing Potassium When It's Normal

Of all the things about which I am called as a critical care specialist, I think I am called/notified about serum potassium levels the absolute most. For some reason, if the serum potassium level is below 4.0, I am expected to do something about…

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Nov. 13, 2024

Know Your Sepsis

Sepsis is a life-threatening bodily reaction to an infection. It is the most common diagnosis we see in the ICU.   The definition of sepsis (previously known as septicemia) has gone through many iterations throughout the years. In…

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Nov. 13, 2024

Journal Club: Noninvasive Ventilation and Intubation

There are times when a patient cannot maintain an adequate oxygen or carbon dioxide level, and they need a mechanical ventilator. The procedure to place a patient on invasive mechanical ventilation is intubation, which means placing a plastic tu…

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Nov. 13, 2024

Journal Club: Pantoprazole vs Placebo

It is quite typical that we critical care physicians place patients who are on invasive mechanical ventilation on acid suppression to prevent stress ulcer bleeding. It is usual practice. This is because critically ill patients are at risk for bl…

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Nov. 13, 2024

The Battles I Wage in the ICU

As a Critical Care Medicine specialist, I have two main fights against critical illness. The first, and main fight, is to try and treat the critical illness that brings the patient to the ICU. This is why I am there in the ICU. This is why I bec…

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