Healthcare Musings Blog

Feb. 5, 2025

Most Oncologists Don't Refer to Palliative Care. What???

I have lost count of the number of times I have had patients with advanced cancer who get critically ill with any number of illnesses: infections, blood clots, collapse of lungs, among others. And more often than not, it falls to me, as the critical…

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Feb. 3, 2025

What If An "Unresponsive" Patient Is Actually "In There"?

In August 2024, an article was published in the New England Journal of Medicine entitled, “Cognitive Motor Dissociation in Disorders of Consciousness.” It showed that 25% of patients who were deemed “unresponsive” actuall…

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Jan. 21, 2025

Is Rapid Correction of Hyponatremia Dangerous?

I had a patient who presented to my emergency department after suffering a seizure. The workup showed that his sodium level was dangerously low, and that was the most likely cause. How did this happen?   He rode his motorcycle, helmet on,…

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Jan. 10, 2025

Small-bore vs Large-bore Chest Tubes in Hemothorax

Hemothorax is a collection of blood in the thoracic cavity. Many times, this occurs in the setting of chest trauma, either penetrating (i.e., gun shot wounds) or blunt (i.e., a car accident). When a significant collection of blood occurs in the …

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Jan. 7, 2025

Faith in the ICU: Doctors Should Not Shy Away

Critical illness is the scariest moment in someone’s life. All of the sudden, frequently without warning, a person can go from normal to fighting for their very survival. Combating this type of illness is the honor of a lifetime for me, and it…

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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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