Healthcare Musings

AI Has Eliminated Your Job As A Radiologist, Right?: My Conversation With Dr. Safwan Halabi

Not too long ago, some predicted that Artificial Intelligence will render Radiologists obsolete. So, I sat down with Dr. Safwan Halabi, Associate Professor of Radiology at Northwestern University and Vice-Chair of Imaging Informatics at Lurie's Children's Hospital, and asked him about the effect of AI on his field now and in the future. This conversation was one of my absolute favorites. 
Dr. Halabi on LinkedIn: https://www.linkedin.com/in/safwanhalabi/ 

The Freedom Fighters of Medicine

On July 1, new doctors start their residency. On July 4, our nation celebrates its independence. This is fitting because, truly, we in the medical field are fighting for the freedom of our patients. 

Is a Mean Arterial Pressure of 65 Harmful in Septic Shock?

Typically, we titrate Vascopressors to a mean arterial pressure of 65. Does this harm patient with septic shock? Dr. Hassabolus goes over the literature.

The Vindication Of Dr. Hassabolus

I am clearly in the aggressive fluid resuscitation camp for patients who present with septic shock or sepsis-induced hypotension. And I have been vindicated by the literature.
CLASSIC: https://www.nejm.org/doi/full/10.1056/NEJMoa2202707
CLOVERS: https://www.nejm.org/doi/full/10.1056/NEJMoa2212663
CHEST Review: https://journal.chestnet.org/article/S0012-3692(23)00637-2/fulltext 
ESICM Guidelines: https://pubmed.ncbi.nlm.nih.gov/40163133/

Do Doctors Gaslight Their Patients?: My Conversation with Dr. Chailee Moss

I was taken aback by the term, "Medical Gaslighting," used in this recent article. So, I sat down with the principal author and discussed the article and its larger implications beyond Gynecology. 
Article link: https://jamanetwork.com/journals/jamanetworkopen/fullarticle/2833711

Are All Plaintiff Attorneys Bad People?: My Conversation With Dr. Jeff Willis

A malpractice lawsuit can be very stressful for physicians - it sure was stressful for me. So, are all plaintiff attorneys bad people? What about those physicians who are expert witnesses for plaintiffs? I asked this and much more of Dr. Jeff Willis, an Emergency Medicine physician who left bedside practice to do medical legal consulting full time. It was an eye-opening conversation. 
Dr. Willis' Consulting Firm: https://ocmedlegal.com/
Expert Retainer: https://www.expertretainer.com/ 

How To Do The SEP-1 Bundle Right

Like it or not, compliance with the SEP-1 Bundle is here to stay, despite its questionable effect on outcomes. We can either rail against it or learn to how do it well. In this episode, to culminate Critical Care Awareness Month, Dr. Hassaballa shares tips on how to achieve good results with the SEP-1 bundle. 

The Man Behind PulmCCM: Great Minds in Medicine

PulmCCM is one of the best Substacks out there. So, I sat down with Dr. Matt Hoffman, Critical Care physician and creator of PulmCCM to discuss his journey and evidence-based medicine in general. 
 
Substack Link: www.pulmccm.org 
When Death Comes To The Intensivist: https://www.sensible-med.com/p/when-death-comes-to-the-intensivist 

Tips For A Good Night’s Sleep

In the last episode of the “Sleep in the ICU” series, Dr. Hassaballa goes through several easy tips to help get a good night’s sleep. 
American Academy of Sleep Medicine Tips: https://sleepeducation.org/healthy-sleep/healthy-sleep-habits/ 

I Was A Nurse For A Day: It Wasn’t Pretty

Dr. Hassaballa tells the story of when he filled in as a Tele-ICU Nurse. It wasn’t a pretty picture, and it highlights how important nurses truly are to the healthcare field. 
A very Happy Nurses Week to every nurse in the world! There is no “care” in healthcare without nurses.