It has been six years, almost to the day, since I saw my first Covid patient in the ICU. So much has changed since then. In this insightful interview, Dr. Joseph Marine, a Johns Hopkins Cardiologist and Professor of Medicine, reflects on the COVID-19 pandemic, discussing what was learned, what…
The hospital ED or ICU is the absolute worst place to have a goals of care conversation.
Primary Care is in trouble. The job is very hard, doesn’t pay as much as it should, and the numbers of PCPs is dwindling. How can we save the field? Dr. Bobby Scott has another novel idea to help reduce the burden on Primary Care Physicians. Our conversation is the…
There is a dire shortage of Primary Care Physicians, and it is projected to get even worse. We need Primary Care Physicians, and creating more Residency slots takes years to come to fruition. This week’s guest on the Healthcare Musings Podcast, Emergency Medicine physician Dr. Colleen Smith, has a novel…
There is a common perception that hospitals are nonstop, money making machine machines. Reality, however, it’s quite different. In this episode, I sit down with Mr. Ken Kaufman, a Managing Director at Kaufman Hall. He gives an eye-opening assessment of what It’s really like to run a hospital. About Ken…
There has been an uproar on the part of some over the new dietary guidelines published by the government (www.realfood.gov (http://www.realfood.gov) ). Is the uproad justified? I asked the perfect person: America's Cardiologist, Dr. Mohammed Alo (https://www.dralo.net/). We had a great conversation.
Telecritical care is part of the future of Critical Care Medicine in the United States and world. There are various models of implementing TeleICU programs, and one of them is a “hybrid” between on site and tele ICU. How can this work in the most effective manner? I asked the…
Acute hypoxic respiratory failure is diagnosed by one of these three criteria: • PaO2 less than 60 mm Hg • SpO2 less than 90% • PaO2/FiO2 ratio ＜ 300 That's it. Payers like to add all sorts of clinical criteria alongside this. This is totally wrong, and we should not…
Increasingly, insurance companies and third-party auditors are denying sepsis claims and DRGs based on the “Sepsis-3” article published almost 10 years ago. Specifically, they contend that if there is no SOFA score of 2 or greater there is no sepsis. Not so fast. The article never said that, and this…
I was honored to be a guest on the Becker’s Healthcare Podcast. During the episode, I discussed how AI is transforming clinical care; the irreplaceable human elements of medicine; and the leadership values that guide my work. I also shared insights on physician excellence, system level improvement, and what inspires…
Ever since the death of my daughter on June 7, 2009, I have written and reflected on many things that remind me of her, including many popular songs. It is one of the ways the Lord saved my life after her death. Today, on her birthday, I embark on a…
Can an AI Chatbot version of you make an end-of-life decision if you cannot make it on your own? This possibility was brought up to me on a previous episode with Eiman Abdelmoneim (https://www.healthcaremusings.com/using-ai-to-become-a-10x-doctor-my-conversation-with-eiman-abdelmoneim/) . I was so intrigued by the possibility that I sat down with Dr. Muhammad Aurangzeb…
Metabolic encephalopathy is a state of global cerebral dysfunction caused by systemic metabolic or toxic disturbances. Its presence raises the severity of illness of those patients afflicted with it, and it is a frequent denial target of payers. It is essential that clinicians document this condition in the record when…
There are two competing definitions of sepsis, called "Sepsis-2" and "Sepsis-3." They are vastly different, and it is causing enormous confusion with respect to diagnosing and coding for sepsis. I assembled a panel of experts to discuss the proper coding of sepsis. Does a UTI with fever and tachycardia really…
Scott Becker, Founder and Publisher of Becker's Healthcare (https://www.beckershospitalreview.com/) , has a unique perspective on the state of the healthcare system in the United States. So, I wanted to sit down with him and get his insights as well. He had amazing observations and thought-provoking suggestions regarding: • Healthcare Coverage…
The NY Times had an article detailing how people are turning to chatbots because they are frustrated with the medical system. As a physician and patient myself, I completely sympathize with both groups. We need to fix this problem. In this episode, Dr. Hassaballa 1. Summarizes the NY Time article…
Insurance payers have the money. Providers - hospitals and doctors - want the money. This seems to be an irreconcilable conflict. Is there a middle way? I asked the perfect person this question: Jeff Alter of Sound Physicians. His insights were invaluable. Jeff Alter on Linkedin: https://www.linkedin.com/in/jeffreydalter/ Sound Physicians: www.soundphysicians.com…
There is a growing battle between payers and providers, each using AI to get the most money. Are doctors and hospitals using these tools inappropriately? Articles: AI by Doctors: https://www.statnews.com/2025/08/20/ai-scribe-use-doctors-health-insurance-bills-may-rise/ AI by Insurers: https://www.statnews.com/2025/10/31/health-insurer-ai-fights-hospital-ai-coding-billing/
One of the most challenging aspects of our healthcare system is elder and sick care at home. Who can do it? How can you afford it? It can cause enormous stress. Neal Shah, CEO of CareYaya, knows this challenge firsthand, and he came up with a brilliant solution that will,…
How will Artificial Intelligence affect physicians? Will it take their jobs? Will it kill all of humanity? There are so many questions with respect to AI and healthcare, and so I had the perfect guest on to get answers to all of these important questions. Eiman Abdelmoneim on LinkedIn: https://www.linkedin.com/in/eimanabdelmoneim/
I sat down with three amazing women leaders in the Medical field - Dr. Chia-Shing Yang, Dr. Simran Matta, and April Burke PA - and had a wide-ranging conversation about the challenges facing women in medicine and leadership, and the opportunities they have as well. This is, by far, one…
I understand why so many Radiologists put this phrase in their reports. It can frequently make things worse, and this is one of the many bad things fear of a malpractice suit has wrought.
No matter which ICU in which I work, I am asked to keep the potassium levels more than 4. Is there any evidence for this?
I have railed against some traits and trends of new students and residents these days. My conversation with one of my teachers, Dr. Richard Abrams, taught me a valuable lesson and made me change my attitude.