April 21, 2026
Is Sepsis Even A Disease?: My Conversation With "The Thoughtful Intensivist"

Sepsis is the number one diagnosis treated in most intensive care units across the world, and it can be very deadly in short order. Yet, is sepsis even a disease?
"No," according to Dr. Rafael Olive Leite, aka, the "Thoughtful Intensivist" on Substack.
According to him, the whole "sepsis epistemology" is flawed, and this is why he continuously rails against the Surviving Sepsis Campaign.
I have been following his work for quite some time, and so I thought it was high time to have him on the show and explain himself.
Our conversation was eye-opening.
The Thoughtful Intensivist Substack: https://thethoughtfulintensivist.substack.com/





