About the site

The primary purpose of this site is to share the zentensivist perspective on the practice of medicine. In brief, a zentensivist is focused on providing minimally-invasive, maximally attentive critical care.

The site is divided into three main sections:

(1) The Art of Medicine: This section is dedicated to sharing perspectives on clinical reasoning in the intensive care unit. It also includes de-identified case studies to promote discussions of applying zentensivist principles at bedside.

(2) Dead Space: Eliminating the unnecessary from medical care, education, and research is a passion of mine. In pulmonary physiology, dead space is the part of inhaled air which does not participate in gas exchange.

(3) Education: Finally, this site serves as a repository for much of my online educational content, i.e. FOAMed (free and open access medical education).

If you’re interested in contributing a piece to any of the above sections, please submit a proposal at the email link on this page.

About me

I am a medical intensivist at the Cleveland Clinic in Cleveland, OH. My interests include circulatory shock as well as severe forms of respiratory failure, especially Acute Respiratory Distress Syndrome (ARDS). Additionally, I’m interested in ICU procedures, particularly point-of-care ultrasound (POCUS) and difficult vascular access.

I’m a passionate medical educator. In my current role, I serve as the associate program director for the Critical Care Medicine fellowship. I’m also a senior editor and regular content contributor at CriticalCareNow.com, focused on mechanical ventilation, respiratory care, and airway management. Other educational content can be found at the social media links on this page.

An aspiring clinician-scientist, I am enrolled in the M.S. in Clinical Research program at Case Western Reserve University. My research interests are focused on two main areas: (1) better identification of patients who will benefit from specific therapies in ARDS and shock, and (2) implementation (and de-implementation) of critical care practices. For completed projects, please see the google scholar link on this page.

Obviously, viewpoints presented here are mine, and nothing here is medical advice.

Current Roles

Staff Physician, Cleveland Clinic Respiratory Institute, Department of Critical Care Medicine

Assistant Professor of Medicine, CCLCM

Associate Program Director for Research, Critical Care Medicine Fellowship

Senior Editor, Airway and Mechanical Ventilation, criticalcarenow.com