Healthcare Musings

The Vindication of Dr. Hassabolus III

Once again, randomized control trial data show that aggressive fluid strategies in septic shock are not harmful. Dr. Hassabolus is vindicated, yet again. 
Many thanks to the PulmCCM Substack for its excellent analysis of the critical care literature: https://open.substack.com/pub/pulmccm/p/early-vasopressors-are-superior-to?r=2d9b5g&utm_medium=ios 

The Words We Use Actually Do Matter

The things we say have an impact. The words we use actually do matter. In this episode, Dr. Hassaballa discusses the impact of changing one word in a phrase can have on the people with whom we interact. It’s part of how habit becomes ritual. 

The True Meaning of The Word “Respect”

Traditionally, the word “respect” means “high regard.” When we delve into its Latin root, however, we get a much deeper understanding. For me, it has changed my behavior. 
This week’s episode is a reflection on last week’s amazing conversation with Marion Spears Karr. 
Episode Link: https://www.healthcaremusings.com/taking-gratitude-from-habit-to-ritual-my-conversation-with-marion-spears-karr/

Taking Gratitude From Habit to Ritual: My Conversation With Marion Spears Karr

As leaders, do we thank our teams sincerely? Or is it simply a habit without any purpose or meaning? 
My conversation with Marion Spears Karr, CEO of Inflow Executives and founder of the Authentic Gratitude Communication Framework (AGCF) Program, really brought home those questions to me as a leader. 
Marion Spears Karr on LinkedIn: https://www.linkedin.com/in/marionspearskarr

Weighed Down By Grief Over She Who Is “Weightless”

On June 7, 2009 my eldest daughter, Bayan, died from complications of lymphoma. Ever since that day, there have been songs that have helped me deal with the grief of her loss. I call them, “The Soundtrack of my Grief.” The song I reflect on here is “Weightless,” by Natasha Bedingfield. 
Song on Apple Music: https://music.apple.com/us/album/weightless-less-is-more-version/402882140?i=402882221 

AI, The Compass, The Hype, and The Parking Brake: My Conversation with Dr. Bobby Dubois

Will AI replace all Doctors? How good is the medical literature? What about the hype in Medicine today? I asked these and many more questions of Dr. Bobby Dubois, and our conversation was insightful and illuminating. 
Dr. Bobby's Podcast: https://drbobbylivelongandwell.com/ 
**Please note: There was a problem with the audio in the first third of the recording, which I tried to fix as best I could. Apologies for the glitch.**

Dr. H's Verbal Hassaboluses: We've Come Full Circle on Notes That Say Nothing

When I first started practicing, progress notes in the medical record said nothing because physicians did not write legibly. Now, we have multi-page progress notes that are legible and also say nothing. Why are we still here? 

Dr. H’s Verbal Hassaboluses: Residents and Fellows: PLEASE Stop Writing System-Based Notes Right Now

This is the first in a new series of soliloquies by Dr. Hassaballa called “Dr. H’s Verbal Hassaboluses.” And for the very first one, he advises Residents and Fellows to PLEASE stop writing system-based notes. 

The Tension Between The Academy and The Community: My Conversation With Dr. Scott Matson

While we all trained at the Academy, most of the care provided to patients occurs in the Community. And it seems that, more and more, the research output from the Academy is not clinically relevant to the Community. 
So, I wanted to discuss this with Dr. Scott Matson, an Academic Clinician-Scientist at the University of Kansas. Our conversation was very enlightening. 
Dr. Matson’s Substack: https://substack.com/@behindtheslides

My Covid Reflection: Six Years Ago Today

Six years ago, today, was the darkest day of the Covid 19 pandemic for me. And it was good for me that all my emotion came out at the time it did.