Interpreting The Cardiopulmonary Exercise Test

Interpreting The Cardiopulmonary Exercise Test

No test in pulmonary medicine is fraught with more confusion and mystery than the cardiopulmonary exercise test, or CPET. This is a test that reports a large number of physiologic measurements during exercise when the patient is asked to exercise to his or her maximum effort. On the one hand, there is a wealth of […]

Endoscopy Unit Efficiently

Endoscopy Unit Efficiently

One thing we can all agree on is that identifying cancers by screening at an early, treatable stage saves lives. I’m going to make the argument that the most expensive cancer screening test is the colonoscopy if your endoscopy unit is not run efficiently. Other cancer screening tests are quick to perform and don’t require […]

The Dialysis Blues

End-stage renal disease has been driving me crazy recently. When no one else will dialyze you, the hospital has to. There’s this thing called EMTALA law that requires us to treat you if you show up in our emergency department. Let me tell you about a few of our more exasperating patients that could fill […]