In this third installment of his lecture series on nights in the ICU, Dr. Hassaballa discussed arrhythmias and abnormal laboratory studies at night. This is a public episode. If you would like to discuss this with other subscribers or get access to bonus episodes, visit healthcaremusings.substack.com (https://healthcaremusings.substack.com/?utm_medium=podcast&utm_campaign=CTA_1)
CMS is proposing another 3.34% cut in physician payments, on top of what has already been cut. The math is simply unsustainable. It is not about "greedy doctors." It is about the financial viability of medical practices. Dr. Hassaballa weighs in. Read the accompanying article at: https://healthcaremusings.substack.com/p/the-unsustainable-math-of-medicare This is a…
Dr. Hassaballa discusses hypoxic respiratory failure and oxygen delivery and why he doesn't care about pO2. Read more about oxygen delivery here: https://www.cambridge.org/core/books/abs/essential-equations-for-anaesthesia/oxygen-delivery/266FB17B43BD69713233B026B885DBCD Correction: The number is 1.34 mL oxygen per gram of hemoglobin. Dr. Hassaballa regrets the error. This is a public episode. If you would like to discuss…
Sometimes, "minimal vent settings" is not sufficient to truly test spontaneous breathing in a ventilated patient. In this episode, Dr. Hassaballa discusses why that is. This is a public episode. If you would like to discuss this with other subscribers or get access to bonus episodes, visit healthcaremusings.substack.com (https://healthcaremusings.substack.com/?utm_medium=podcast&utm_campaign=CTA_1)
Insurance company denials are terribly frustrating. There are a number of causes, and in this series, we will explore the types of denials and what we can do to mitigate them. Resources: "From the Appeals Desk": https://healthcaremusings.substack.com/t/from-the-appeals-desk Association for Healthcare Appeals and Denial Management (AHDAM): https://www.ahdam.org/ This is a public…
In this episode, Dr. Hassaballa goes over the different types of shock and how to recognize their hemodynamic profiles. Errata: I meant to say that LVEDV is estimated by LVEDP, which is estimated by Left atrial pressure, which is estimated by pulmonary capillary wedge pressure. Also, V = IR and…
This week is National Respiratory Care Week (https://www.aarc.org/resources/programs-projects/respiratory-care-week/) (October 23-29). As an ICU medical director who works every single day hand in hand with respiratory therapists, as well as having the honor of being the Medical Director of Respiratory Therapy at the Chicago Area Hospital which serves as my base,…
In this episode, Dr. Hassaballa reflects over two of the songs God used to save his life: "Weightless," by Natasha Bedingfield - https://youtu.be/AUxLeytLHVk?si=tYGTD8xv_JrNa2Zi "Owner of a Lonely Heart" by Yes - https://youtu.be/SVOuYquXuuc?si=HxThkSSgOaQFQC35 This is a public episode. If you would like to discuss this with other subscribers or get access…
As students start entering their rank order lists, Dr. Hassaballa shares advice he gives his students going into Residency. Link: https://www.nrmp.org/match-calendars/master-calendar/ This is a public episode. If you would like to discuss this with other subscribers or get access to bonus episodes, visit healthcaremusings.substack.com (https://healthcaremusings.substack.com/?utm_medium=podcast&utm_campaign=CTA_1)
In this episode of Healthcare Musings podcast, we discuss sepsis: its definition and principles of management. Relevant References: Sepsis 3 Definition: https://jamanetwork.com/journals/jama/fullarticle/2492881 Surviving Sepsis Campaign Guidelines: https://www.sccm.org/Clinical-Resources/Guidelines/Guidelines/Surviving-Sepsis-Guidelines-2021 This is a public episode. If you would like to discuss this with other subscribers or get access to bonus episodes, visit healthcaremusings.substack.com…
In this episode, Dr. Hassaballa talks about why he stopped drinking Diet Coke. And no...it has nothing do with cancer. Links: WHO Statement on aspartame: https://www.who.int/news/item/14-07-2023-aspartame-hazard-and-risk-assessment-results-released Microbiome and nonnutritive sweeteners: https://www.cell.com/cell/fulltext/S0092-8674(22)00919-9?_returnURL=https%3A%2F%2Flinkinghub.elsevier.com%2Fretrieve%2Fpii%2FS0092867422009199%3Fshowall%3Dtrue Nonnutritive sweeteners and weight gain: https://www.cmaj.ca/content/189/28/E929 Gut-brain axis: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5641835/ This is a public episode. If you would like to…
The original episode is here: https://soundphysicians.com/podcast-episode/?podcast_id=8173&track_id=1678458171 Check out the "Crossing the Chasm" podcast here: Apple: https://podcasts.apple.com/us/podcast/crossing-the-chasm-with-dr-greg-johnson/id1676682379 Spotify: https://open.spotify.com/show/6uPp1Ridfcrwpa7qgjm3St?si=ABbuo0x_SIyK5lcnF06qcQ Sound Physicians: https://soundphysicians.com/podcast/crossing-the-chasm/ This is a public episode. If you would like to discuss this with other subscribers or get access to bonus episodes, visit healthcaremusings.substack.com (https://healthcaremusings.substack.com/?utm_medium=podcast&utm_campaign=CTA_1)
Dr. Hassaballa reflects on how it is too bad that food here in the United States is so much more processed than overseas. This is a public episode. If you would like to discuss this with other subscribers or get access to bonus episodes, visit healthcaremusings.substack.com (https://healthcaremusings.substack.com/?utm_medium=podcast&utm_campaign=CTA_1)
in this latest episode, Dr. Hassaballa discusses a crucial aspect of the NRMP. This is a public episode. If you would like to discuss this with other subscribers or get access to bonus episodes, visit healthcaremusings.substack.com (https://healthcaremusings.substack.com/?utm_medium=podcast&utm_campaign=CTA_1)
In this episode, Dr. Hassaballa discusses medical necessity denials: what they are and how to deal with them. Resources: Interqual: https://www.changehealthcare.com/clinical-decision-support/interqual MCG: https://www.mcg.com/client-resources/news-item/mcg-27th-edition-care-guidelines/ This is a public episode. If you would like to discuss this with other subscribers or get access to bonus episodes, visit healthcaremusings.substack.com (https://healthcaremusings.substack.com/?utm_medium=podcast&utm_campaign=CTA_1)
In this episode, Dr. Hassaballa discusses his feeling that the term "DNR," or "do not resuscitate, should be replaced with the term "AND," or "allow for natural death." Some institutions have adopted this change, and Dr. Hassaballa thinks this should be more widespread. This is a public episode. If you…
It would be a travesty and a shame to have your documentation belie the truly great clinician you are. So it's high to focus on the assessment and plan, so we can really show the world the wonderful work we're doing on a daily basis. This is a public episode.…
It is absolutely possible to thoroughly document your patient encounter AND get out on time and go home. It is NOT mutually exclusive. This is a public episode. If you would like to discuss this with other subscribers or get access to bonus episodes, visit healthcaremusings.substack.com (https://healthcaremusings.substack.com/?utm_medium=podcast&utm_campaign=CTA_1)
I had to tend to a sick fellow passenger recently while traveling on a plane. This incident taught me some valuable lessons. This is a public episode. If you would like to discuss this with other subscribers or get access to bonus episodes, visit healthcaremusings.substack.com (https://healthcaremusings.substack.com/?utm_medium=podcast&utm_campaign=CTA_1)
This lecture is about the basics of mechanical ventilation, given in the ICU on August 9, 2023. This is a public episode. If you would like to discuss this with other subscribers or get access to bonus episodes, visit healthcaremusings.substack.com (https://healthcaremusings.substack.com/?utm_medium=podcast&utm_campaign=CTA_1)
In this episode, Dr. Hassaballa reflects over a flight delay on one of his work trips. It reminded him that compromising passenger safety for customer convenience is a nonstarter in the Airline industry. The same should be true with Medicine. Article about medical errors: https://www.ncbi.nlm.nih.gov/books/NBK499956/ This is a public episode.…
The FDA approved the latest Covid booster, and the CDC recommends everyone get it. In this episode of the Healthcare Musings Podcast, Dr. Hassaballa shares his own thought process on whether to get the vaccine or not. This is a public episode. If you would like to discuss this with…
In honor of Sepsis Awareness Month, Dr. Hassaballa recounts a case of a patient who died from sepsis in the ICU more than a decade ago, a case that has stayed with him ever since. Resources: https://www.sccm.org/SurvivingSepsisCampaign/Home This is a public episode. If you would like to discuss this with…
Synchronized Intermittent Mandatory Ventilation, or SIMV, is an older ventilator setting that we do not use anymore. In this latest ICU Lecture, Dr. Hassaballa explains why it "only belongs in coffee." This is a public episode. If you would like to discuss this with other subscribers or get access to…