This is a blog about how lack of common sense leads to common nonsense in medical practice. The result is often Status Iatrogenicus, or a vicious cycle of complications, burdensome care, wasted resources, and missed opportunities. This blog aims a critical eye at various aspects of medical practice that just plain don't make sense - because the cure for common nonsense is uncommon sense.
The following embedded videos are parts 1-4 of a 5 part talk I've been giving and refining on Applied Respiratory Physiology for about 10 years now. (It is split into 5 parts because of youtube size limitations and for digestible 10-15 minute segments.) The principles herein derive from many sources, but special credit must go to Nunn's Textbook of Applied Respiratory Physiology and The University of Chicago critical care text edited by Hall, Schmidt, and Wood. For the majority of the ideas and applied principles herein, I have never seen them discussed in any lecture in 20 years of attending pulmonary conferences, didactics, etc. My interest in applied physiology and Nunn's textbook indeed originated because of my frustration with the esoterica of the basic and advanced physiology that I was taught from medical school through fellowship - I determined that much or most of it was not applicable at the bedside. This lecture series, I hope, will be far more clinically applicable, intuitively appealing, memorable, and useful than what has been traditionally taught. Real life examples highlighting the extremes of human respiratory performance should, I hope, make this a memorable lecture seeries. I welcome comments and criticisms below. Enjoy!