An excerpt from The Healing Connection: A Partnership for Your Health.
The blood spurt was alarming though because it therefore indicated that the pressure in the venous system had to be sky high in order to shoot a column of blood in such a continuous arc over my right shoulder.
So, I …
Pericardiocentesis saves a life
An excerpt from Box of Birds: What New Zealand taught me about life and the practice of medicine.
While dobutamine improves the strength of heart contractions and can thereby help raise blood pressure, it also has properties that dilate the arteries, which in this patient’s case dropped the blood pressure further. …
Love and medicine: the journey of a cardiologist’s life
There has always been a research bias against the case of one. A success story that isn’t part of a research pool is called “anecdotal.” The implication is that no doctor should base treatment on a story of one. Then we devised the term “evidence-based” to reinforce the notion that physician decisions should be based entirely on numbers in research studies. However, the physician’s prerogative has always been to read …
Personalized hypertension care in pregnancy: Beyond evidence-based thresholds
“What heart surgeon did Diana date?”
According to data from a popular search trend analysis website, this is one of the most highly searched phrases about heart surgery.
According to Cosmopolitan, Princess Diana dated cardiac surgeon Hasnat Khan for years and called him “Mr. Wonderful.” Mehera Bonner did a lovely job discussing this topic.
Nonetheless, it left me to ponder the following: Why do we want to know who the Princess of …
Princess Diana: Unraveling the enduring fascination of gossip and our innate curiosity
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We talk with Jordana Cohen, an internal medicine physician, about the importance of accurate blood pressure measurement. With the rise of telehealth and at-home monitoring, ensuring reliable readings is crucial. Jordana discusses concerns regarding device accuracy and …
Ensuring accurate blood pressure measurement [PODCAST]
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Join John R. Mehall, a cardiothoracic surgeon and physician executive. We explore the lasting impact of the global pandemic on hospitals in the United States, uncover the underlying financial crisis often overlooked by headlines, and discuss innovative …
Unmasking the truth about ECMO [PODCAST]
An excerpt from Why Not Better and Cheaper: Healthcare and Innovation by James B. Rebitzer and Robert S. Rebitzer with permission from Oxford University Press, © 2023 by Oxford University Press.
In a famous essay, Nobel prize-winning economist William Nordhaus studied the evolution of lighting. From medieval times until the …
The evolution of lighting vs. cholesterol treatments: a tale of innovation and value
Rick Taylor was swimming the race of his life. The Virginia half-Ironman (70.3 miles) was underway, and Rick swam the 1.2-mile course in the Carvin Cove Reservoir in 30 minutes and 43 seconds, coming out of the water first in his age group at a blistering pace of 1 minute and 35 seconds per 100 m (1.36/100 m). What was more incredible was that his heart rate through that effort …
Triathlete defies odds, qualifies for world championship after grueling half Ironman race
Over the past five years, the term “burnout” has become closely associated with the health care field. It has reached the point where more than 60 percent of surveyed physicians reported experiencing burnout in 2021, indicating that it has become an epidemic within our profession.
It’s important to understand that burnout is not a personal flaw or a psychological disorder; rather, it is a response to chronic stress in the workplace. …
Burnout and compassion fatigue: chronic workplace stress and emotional withdrawal
Although the global pandemic is officially over, it has left a permanent mark on the health care landscape, reshaping the dynamics of hospitals in the United States. While staffing crises often dominate the headlines, health care institutions face an underlying financial crisis that remains largely underreported.
In 2022, a startling 50% of all U.S. hospitals concluded the year with a negative margin. Due to factors like elective surgical …
3 myths about ECMO that are costing hospitals and patients
Blood pressure is an important upstream indicator of overall patient health, and high blood pressure can be a precursor to more serious medical conditions like cardiovascular disease, kidney disease, and stroke. Measuring blood pressure frequently is the best way to stay on top of any changes, but as telehealth and at-home monitoring gain in popularity, how can you be sure your patients are getting accurate measurements outside of a physician’s …
Whether one is resuscitating or being resuscitated, the call for help is a cry for help. However, constructive help may be hard to come by and thus harder to let go.
When one is resuscitating or being resuscitated, the scenario may often be that they are or have been driving under the influence of tunnel vision, thus being blindsided by situational incompetence induced by it. Just like the best-case scenario for …
Unveiling the secrets to effective resuscitation and overcoming obstacles
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Join us in this episode as we talk to Mike Campsey, an interventional cardiologist who shares his inspiring journey of resilience and recovery after suffering from a massive stroke. Hear his advice on what stroke victims and …
From stroke survivor to mental health advocate: one cardiologist’s journey to recovery [PODCAST]
I stood outside in my yard, which had been dormant during the winter season and was now awakening to the spring. Yard work was a familiar and enjoyable activity for me, one that I had been doing for years. But as I walked across the yard, I found myself out of breath and fatigued, to the point of needing to see if taking a nap would help. It did not. …
An excerpt from Future Care: Sensors, Artificial Intelligence, and the Reinvention of Medicine.
In the past I have used magnetic navigation using Stereotaxis equipment to perform procedures. I could sit out in the console room, more than twelve feet from the patient, and maneuver the catheters within the heart using joysticks. …
Navigating the ethics of AI in surgery: Balancing bias and accountability for safer procedures
Evidence-based medicine is a term that attendings like to pepper into their teaching rounds, and medical students like to conspicuously incorporate into their assessment and plan. There is so much clinical trial data out there that it is impossible to stay up to date on the most recent guidelines or the newest landmark trial that all of our time goes into scrutinizing the results. However, we rarely delve into the …
Evidence-based medicine and bias: the truth about common therapies and clinical trials
The first time I saw a preceptor use the American College of Cardiology’s atherosclerotic cardiovascular disease (mercifully, ASCVD) risk calculator, I was hooked. As a first-year medical student, data nerd, and aspiring primary care provider, I love a good diagnostic tool. Watching as he entered our patient’s pertinent medical history, I ran down the list of risk factors for cardiovascular disease we’d just learned in my …
Binary medicine harms our gender-expansive patients
January 2nd was a rough day for the sports world. People were captivated by the on-field “death” of a player. Players, coaches, fans, and staff were stunned by seeing cardiopulmonary resuscitation (CPR) in real-time, maybe even for the first time. Thankfully the NFL had excellently trained teams on the sidelines prepared for these emergencies. Chest compressions were started in seconds, and spontaneous circulation returned in less than ten minutes. Damar …
How the NFL could have boosted CPR awareness
I was waiting for my son at the ice rink in one of Chicago’s northern suburbs. Hundreds of people had gathered to watch the Illinois State Championship games. A parent, who knew I was an anesthesiologist, grabbed me by the elbow and said, “Hey, Doc, someone in the lobby is not feeling well.”
I went to the lobby, where I saw my firefighter friend performing chest compressions (CPR) on an older …
An anesthesiologist’s story: Going beyond the protocol to save a life
Nearly half of all Americans have high blood pressure, but hypertension disproportionately affects Black Americans, with 56 percent of this population affected. The disparity is especially stark for stage II hypertension, which affects 42.1 percent of Black Americans compared with 28.7 percent of white Americans. “In the United States, at any decade of life, blacks have a higher prevalence of hypertension than that of …
How do we reduce hypertension in Black Americans?
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