art
INK+OXYGEN #2: Showing Up
A Christmas morning at the kitchen table—drawing with my kids, thinking about breathing rhythms in the ICU, and learning why showing up matters more than being productive.
ink
INK+OXYGEN #1: Adler
After my first gallery exhibition in 2023, I quietly stopped drawing. Not because it went badly—but because it went well, and I lost the courage to be…
gratitude
🦃 5 Years of Planners & the Slow Discovery of Gratitude: A Thanksgiving Letter
…Then came a very special moment: the Glue Stick Moment.
COPD
🧬 Dupilumab: Biologics in COPD
The First Real Paradigm Shift in COPD Care —
bicarbonate
Pickwickian Legacy: Obesity Hypoventilation Syndrome (Past to Present)
In its pages, the rotund and perpetually sleepy character Joe the Fat Boy embodies what 20th-century clinicians first described as the “Pickwickian syndrome”: profound obesity, excessive daytime somnolence, and elevated CO2 (earlier known to be polycythemia).
criticalcare
“Quad-Strength” Levophed: What It Really Means — And When It Matters
“Levophed leave ‘em 💀?” “Fingers, nose, pen*s, toes”
CO2
Have you ever wondered: WHY do we reach for Sodium Bicarbonate in the ICU?
A History, A Physiology, A Philosophy My apologies to this growing readership. After taking the summer of 2025 off from blogging, I’m back. I appreciate your patience 😀. Let’s try a new take today— I’ll attempt to weave history, physiology, evidence, controversy, and philosophy into a practical piece.
EvidenceBasedMedicine
Have you ever wondered: WHY a MAP of 65 mmHg?
The 65 mmHg MAP target in critical care medicine has deep historical roots—from Hippocrates’ humors to Poiseuille’s equations.
MedicalStudent
Match Day 2025: Finding Meaning Beyond the Algorithm
#MatchDay is here, Med Students!!
cough
Article of the Week: Vocal Cord Dysfunction
In VCD, the inspiratory limb often appears flattened or coved due to paradoxical vocal fold closure during inspiration. This pattern is a key diagnostic clue that differentiates VCD from asthma, where the expiratory limb is predominantly affected.
cough
The Lingering Cough
Have you ever wondered why coughs outlast colds? Studies shows that post-infectious cough persists in approximately 25% of patients with upper respiratory infections, sometimes for up to two months after the initial illness has resolved.
ILD
ILD Differentials
ILD Q and A
