Healthcare Musings

Shock and Hemodynamics

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 R = V/I. I regret the errrors. 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

Get the F*^& Out…

Clinician burnout is a crisis, and it is something that needs to be addressed by everyone in leadership in healthcare. In this episode, Dr. Hassaballa shares his advice about those who feel obligated to stay after their shift is done so they don't "dump" on their partners. Read more about burnout here: https://www.ama-assn.org/about/leadership/burnout-health-crisis-doctors-and-patients 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

The Ruthless Monster That is Sepsis

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 other subscribers or get access to bonus episodes, visit healthcaremusings.substack.com

To Jab or Not to Jab?

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 other subscribers or get access to bonus episodes, visit healthcaremusings.substack.com

Why I Stopped Drinking Diet Coke

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-releasedMicrobiome 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%3DtrueNonnutritive sweeteners and weight gain: https://www.cmaj.ca/content/189/28/E929Gut-brain axis: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5641835/ 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

From the Appeals Desk: Prior Authorization Denials

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-deskAssociation for Healthcare Appeals and Denial Management (AHDAM): https://www.ahdam.org/ 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

Extubation With T-Piece: When and Why

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

Just like the Airline Industry, Safety Has to be Nonnegotiable in Healthcare

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. If you would like to discuss this with other subscribers or get access to bonus episodes, visit healthcaremusings.substack.com

Lectures from the ICU: Hypoxic Respiratory Failure

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/266FB17B43BD69713233B026B885DBCDCorrection: 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 this with other subscribers or get access to bonus episodes, visit healthcaremusings.substack.com

Lecture from the ICU: Sepsis

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/2492881Surviving 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