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PODCAST

Healthcare Musings

Hesham A. Hassaballa, MD, FCCP

This is the official podcast of Hesham A. Hassaballa, MD, a NY Times-featured Pulmonary and Critical Care physician with decades of experience in the field of Medicine and Critical Care. Healthcare Musings discusses important issues in Critical Care, Healthcare, and Medicine, and Dr. Hassaballa also interviews Great Minds in Medicine.

health & fitness medicine

All Episodes

6:41

“Ladies and Gentlemen, Is There a Doctor on the Plane?”

Healthcare Musings ·

2023/12/08

Someone was ill on my flight back home from a work trip, and I recount the experience…and gratitude for being able to help. 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

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45:49

Dr. Hassaballa is a Guest on "Crossing the Chasm"...

Healthcare Musings ·

2023/11/30

The original episode is here: https://soundphysicians.com/podcast-episode/?podcast_id=8173&track_id=1678458171Check out the "Crossing the Chasm" podcast here: Apple: https://podcasts.apple.com/us/podcast/crossing-the-chasm-with-dr-greg-johnson/id1676682379Spotify: https://open.spotify.com/show/6uPp1Ridfcrwpa7qgjm3St?si=ABbuo0x_SIyK5lcnF06qcQSound Physicians: https://soundphysicians.com/podcast/crossing-the-chasm/ This is a public episode. If you would like to discuss this with other subscribers or

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5:58

Get the F@&^ Out - Part 2

Healthcare Musings ·

2023/11/21

It is absolutely possible to thoroughly document your patient encounter AND get out on time and go home. It is NOT mutually exclusive. 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

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8:30

Take the Time to Document Well

Healthcare Musings ·

2023/11/14

It would be a travesty and a shame to have your documentation belie the truly great clinician you are. So it's high to focus on the assessment and plan, so we can really show the world the wonderful work we're doing on a daily basis. 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

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24:05

ICU Lecture Series: Acid Base Disorders

Healthcare Musings ·

2023/11/08

In this latest lecture, Dr. Hassaballa goes over acid base disorders and how to recognize them, as well as mixed acid-base disorders and chronic compensation. 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

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4:19

Celebrating Respiratory Therapists

Healthcare Musings ·

2023/10/25

This week is National Respiratory Care Week (October 23-29). As an ICU medical director who works every single day hand in hand with respiratory therapists, as well as having the honor of being the Medical Director of Respiratory Therapy at the Chicago Area Hospital which serves as my base, I wanted to take some time out to really highlight the absolute importance of respiratory therapists and their role in the care of a critically ill patient.We cannot do our jobs properly without respiratory

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7:04

We Should Abandon the Term "DNR"

Healthcare Musings ·

2023/10/23

In this episode, Dr. Hassaballa discusses his feeling that the term "DNR," or "do not resuscitate, should be replaced with the term "AND," or "allow for natural death." Some institutions have adopted this change, and Dr. Hassaballa thinks this should be more widespread. 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

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11:21

From the Appeals Desk: Medical Necessity Denials

Healthcare Musings ·

2023/10/09

In this episode, Dr. Hassaballa discusses medical necessity denials: what they are and how to deal with them. Resources: Interqual: https://www.changehealthcare.com/clinical-decision-support/interqualMCG: https://www.mcg.com/client-resources/news-item/mcg-27th-edition-care-guidelines/ 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

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22:51

Shock and Hemodynamics

Healthcare Musings ·

2023/10/05

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

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7:26

Get the F*^& Out…

Healthcare Musings ·

2023/09/26

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,

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4:10

The Ruthless Monster That is Sepsis

Healthcare Musings ·

2023/09/22

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

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5:48

To Jab or Not to Jab?

Healthcare Musings ·

2023/09/16

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

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5:17

Why I Stopped Drinking Diet Coke

Healthcare Musings ·

2023/09/11

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:

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4:42

From the Appeals Desk: Prior Authorization Denials

Healthcare Musings ·

2023/09/08

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

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8:09

Extubation With T-Piece: When and Why

Healthcare Musings ·

2023/09/05

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

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5:28

Just like the Airline Industry, Safety Has to be...

Healthcare Musings ·

2023/08/28

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

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17:46

Lectures from the ICU: Hypoxic Respiratory Failure

Healthcare Musings ·

2023/08/21

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

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16:22

Lecture from the ICU: Sepsis

Healthcare Musings ·

2023/08/14

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

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15:44

Lecture Series: Mechanical Ventilation

Healthcare Musings ·

2023/08/10

This lecture is about the basics of mechanical ventilation, given in the ICU on August 9, 2023. 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

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9:18

The Unsustainable Math of Medicare Physician Payment...

Healthcare Musings ·

2023/07/31

CMS is proposing another 3.34% cut in physician payments, on top of what has already been cut. The math is simply unsustainable. It is not about "greedy doctors." It is about the financial viability of medical practices. Dr. Hassaballa weighs in.Read the accompanying article at: https://healthcaremusings.substack.com/p/the-unsustainable-math-of-medicare This is a public episode. If you would like to discuss this with other subscribers or get access to bonus episodes, visit

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