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Reza

๐Ÿ‘ค Speaker
392 total appearances

Appearances Over Time

Podcast Appearances

The Clinical Problem Solvers
Episode 458 โ€“ A Case & The Book โ€“ Rabih and Reza discuss with Dr. Daniel Kelmenson, a patient with severe hypoxemia

But what I would do is I would take off the BiPAP.

The Clinical Problem Solvers
Episode 458 โ€“ A Case & The Book โ€“ Rabih and Reza discuss with Dr. Daniel Kelmenson, a patient with severe hypoxemia

I would check in with the patient, see how they're doing.

The Clinical Problem Solvers
Episode 458 โ€“ A Case & The Book โ€“ Rabih and Reza discuss with Dr. Daniel Kelmenson, a patient with severe hypoxemia

And if they really are completely asymptomatic, the chances that they're gonna have something serious happen to them without proceeding through some symptoms is exceptionally low.

The Clinical Problem Solvers
Episode 458 โ€“ A Case & The Book โ€“ Rabih and Reza discuss with Dr. Daniel Kelmenson, a patient with severe hypoxemia

I try to bring out the temperature in the room.

The Clinical Problem Solvers
Episode 458 โ€“ A Case & The Book โ€“ Rabih and Reza discuss with Dr. Daniel Kelmenson, a patient with severe hypoxemia

It's 4 a.m.

The Clinical Problem Solvers
Episode 458 โ€“ A Case & The Book โ€“ Rabih and Reza discuss with Dr. Daniel Kelmenson, a patient with severe hypoxemia

You want them to have a nice, mellow, happy hospitalization.

The Clinical Problem Solvers
Episode 458 โ€“ A Case & The Book โ€“ Rabih and Reza discuss with Dr. Daniel Kelmenson, a patient with severe hypoxemia

And I would try to get an ABG and take it from there.

The Clinical Problem Solvers
Episode 458 โ€“ A Case & The Book โ€“ Rabih and Reza discuss with Dr. Daniel Kelmenson, a patient with severe hypoxemia

In the meantime, I'm running the quick checklist to see if there is anything that shows up on Profez's list of fake outs.

The Clinical Problem Solvers
Episode 458 โ€“ A Case & The Book โ€“ Rabih and Reza discuss with Dr. Daniel Kelmenson, a patient with severe hypoxemia

And that checklist involves scrutinizing two things, the hands for any clues there, including the pulses to see if there's a perfusion issue to the hand, the nail bed to see if there's a detection issue, the accuracy of the pulse ox itself, and then the medication list.

The Clinical Problem Solvers
Episode 458 โ€“ A Case & The Book โ€“ Rabih and Reza discuss with Dr. Daniel Kelmenson, a patient with severe hypoxemia

And I think the medication list is probably too much detail and too big a bridge to build now, but I think that's going to be an important aspect of this.

The Clinical Problem Solvers
Episode 458 โ€“ A Case & The Book โ€“ Rabih and Reza discuss with Dr. Daniel Kelmenson, a patient with severe hypoxemia

Yeah, I'm really, really struck by that disconnect, Dan.

The Clinical Problem Solvers
Episode 458 โ€“ A Case & The Book โ€“ Rabih and Reza discuss with Dr. Daniel Kelmenson, a patient with severe hypoxemia

I'm really curious where it goes.

The Clinical Problem Solvers
Episode 458 โ€“ A Case & The Book โ€“ Rabih and Reza discuss with Dr. Daniel Kelmenson, a patient with severe hypoxemia

I'm so glad to see you, Prof. Rez.

The Clinical Problem Solvers
Episode 458 โ€“ A Case & The Book โ€“ Rabih and Reza discuss with Dr. Daniel Kelmenson, a patient with severe hypoxemia

It's the least deserving apology of the history of time for that.

The Clinical Problem Solvers
Episode 458 โ€“ A Case & The Book โ€“ Rabih and Reza discuss with Dr. Daniel Kelmenson, a patient with severe hypoxemia

That was such crystal clear, very linear thinking, Professor.

The Clinical Problem Solvers
Episode 458 โ€“ A Case & The Book โ€“ Rabih and Reza discuss with Dr. Daniel Kelmenson, a patient with severe hypoxemia

I think your standards are probably too high for anybody, really.

The Clinical Problem Solvers
Episode 458 โ€“ A Case & The Book โ€“ Rabih and Reza discuss with Dr. Daniel Kelmenson, a patient with severe hypoxemia

That was awesome.

The Clinical Problem Solvers
Episode 458 โ€“ A Case & The Book โ€“ Rabih and Reza discuss with Dr. Daniel Kelmenson, a patient with severe hypoxemia

Yeah, I think my reflections, I'll just kind of layer onto yours.

The Clinical Problem Solvers
Episode 458 โ€“ A Case & The Book โ€“ Rabih and Reza discuss with Dr. Daniel Kelmenson, a patient with severe hypoxemia

My first reflection was it's so cool to hear an expert present a case.

The Clinical Problem Solvers
Episode 458 โ€“ A Case & The Book โ€“ Rabih and Reza discuss with Dr. Daniel Kelmenson, a patient with severe hypoxemia

You can tell the level of expertise to know when to pause and think.