I Paid $9 for a Drug My Pharmacy Said Cost $90. Here’s What’s Actually Going On.
An ER doctor explains why GoodRx can be cheaper than insurance, how Pharmacy Benefit Managers (PBMs) set drug prices, and 3 steps to cut your prescription costs at the counter.
The Paper That Made Me Rename Normal Saline
In the SALT-ED trial of 13,347 noncritically ill adults receiving IV fluids in the emergency department, balanced crystalloids (mainly lactated Ringer's) reduced major adverse kidney events at 30 days compared with normal saline (4.7% vs 5.6%; adjusted OR 0.82, 95% CI 0.70–0.95, P=0.01). There was no difference in hospital-free days. The proposed mechanism is the supraphysiologic chloride load in saline, which causes hyperchloremic metabolic acidosis.
The Boring Longevity Playbook: Why I Stopped Trusting Supplement Stacks
An emergency physician's evidence-based playbook for longevity — the 5 Tier 1 pillars that actually work, plus a free 16-week roadmap.
The Biggest Sleep Mistake Shift Workers Make (And It's Not Caffeine)
An ER physician's evidence-based sleep playbook for night-shift workers. Four circadian behaviours plus three environmental levers you can apply tonight.
Your Cholesterol Is Not a TikTok. Here’s What the Evidence Actually Says About Blood Testing.
This episode of Overheard in the Emergency Room goes deeper — including a full walkthrough of the USPSTF and ADA prevention frameworks, a detailed breakdown of the 2026 AHA/ACC dyslipidemia guideline, and evidence-based mythbusting on the large-fluffy-LDL claim and supplement-linked lab panels.