I Write
Insights on respiratory medicine, healthcare innovation, and medical education
Medicine Needs Mind, Not Just Machines
Balancing clinical judgment with advanced imaging is vital. I explore the risks of over-testing and the art of diagnosis in modern practice.
Big Science Is Built on Small Questions
Medicine advances not in leaps, but in careful steps. A reflection on how small clinical insights—like hyperglycemia in COPD—shape safer, smarter patient management.
Too Much of a Good Thing Can be Bad
Why the tiny numbers on an oxygen flow meter matter more than you think—especially if you have COPD.
In Medicine, Who Treats You Can Matter as Much as What You Have.
Reflecting on my 2003 research that exposed specialty silos in COPD care, paving the way for standardized NIV protocols and ward-based management in the UK.
What We Don’t Know About Oxygen Can Kill.
Oxygen is a drug—too little or too much can kill.
Think Beyond Medicine – Exercise is also Treatment
How a simple oxygen cylinder helped my COPD patients finish rehab—and finish it stronger than they started.
You Don’t Need a White Coat to Save a Life
Why teaching CPR to every auntie, watchman and school-kid might save more lives than the fanciest ICU.
The 'Dil' Dilemma: Why Saving a Heart Starts Before it Stops
An analysis of survival rates following in-hospital cardiac arrest, the reality of resuscitation outcomes, and the critical need for better CPR training.
In Medicine, Waiting Can Be Riskier Than Looking.
How a simple telescope through the windpipe saved lives when HIV patients ran mystery fevers and x-rays came back blank.
The Art of Knowing Who Will Turn Around
From Liverpool to Varanasi: Timeless Lessons in Managing Acute Respiratory Failure
Strong Emergency Care Starts With One Truth: Recognise Early, Act Early.
How a 14-bed pilot in Liverpool cut COPD stays, boosted discharges and reshaped my vision for India’s emergency care.
Unmasking COPD Failure: 5 Clues to Save Lungs & Beds
From Liverpool to India—how we decoded who really needs that ventilator mask and why some sail through while others struggle.
United Kingdom Buried Asbestos. India Built Homes With It.
From historical data in the UK to the ongoing crisis in India: Analyzing asbestos exposure risks, research findings, and urgent public health advice.
Your Lungs Called — They Want a Better Action Plan.
Let’s unpack why asthma keeps bouncing back to hospitals in India and how simple, BTS-inspired habits can keep you breathing easy at home.
Truth Inhale, Denial Exhale: The Silent Smoker’s Gamble
My eye-opening study revealed how little patients know about lung cancer risks and why this knowledge gap could be costing lives.
Medicine Isn’t Guesswork When You Follow the Numbers.
Reflecting on my research from Liverpool: How simple blood gas patterns predict survival in severe COPD and why the "trend" matters more than the start.
“I Know It’s Killing Me, But…” – A Tale of Two Countries, One Deadly Habit.
India's smoking crisis is amplified by pollution. We reveal why current quit efforts fall short and propose a bold 6-step plan to empower millions to break free.
True research doesn’t chase perfection — it exposes imperfection
How a "failed" study on chest drains revealed a critical design flaw, changed manufacturing, and helped make the Seldinger technique the gold standard.
Act Fast for Lung Cancer: Speed, Not Symptoms, Saves Lives
My 2001 study found symptom count doesn’t change lung-cancer survival—only speed to diagnosis does. Here’s how to act fast, ditch stigma, and use new tech to stay ahead.
A Good Clinician Leaves No Scar, No Fear — Just Relief.
A decade-old UK audit still mirrors today’s global gaps in safe, guideline-directed chest-drain practice—time to choose smaller, Seldinger drains and put patient comfort first.
Revolutionizing Care: Home IV Therapy Study Saves Hospital Bed-Days
How a 2006 UK study transformed outpatient IV antibiotic therapy for bronchiectasis, saving 818 bed-days and paving the way for today's patient-centered, technology-enabled care.
Not Every Intervention Adds Value
Why staying up all night for home visits isn't always worth it—lessons from a 2010 COPD nurse-led service study.
The Unthinkable Question: Could Our Cure Cause More Harm?
A consultant’s study of LMWH dosing in suspected PE exposes hidden renal-toxic dosing and system-wide under-reporting of harm.
Education Is The Starter Motor, Not The Engine
How teaching hospital staff about quit-smoking services changed patient referrals – a 2011 study from the wards of Whiston Hospital.
Translating Evidence into Everyday Care
My 2011 study at Whiston Hospital showed azithromycin 250 mg daily tripled exacerbation-free time in non-CF bronchiectasis—changing how we now protect vulnerable lungs.
A Stitch In Time Doesn’t Just Save Nine — It Saves Lives.
Liverpool lung doctors uncover 4 simple bedside clues that predict who will need a ventilator hours before collapse—changing COPD care forever.
Accuracy Lives At The Intersection Of The Right Time And The Right Place.
Community spirometry is convenient, but can we trust the numbers? I dug into 405 real-world tests to find out.
QUIT SMOKING, The Bacteria Are Watching.
A Liverpool lung doctor’s simple study: why smokers with chest bugs keep bouncing back to hospital.
To Treat Well, You Must First Know The Ground You Stand On.
My 2014 study found Haemophilus influenzae to be fully resistant to clarithromycin, with a 66% readmission rate—clear evidence that this macrolide no longer works for HI infections. It’s time to rethink our default prescribing and choose drugs that actually deliver.
Your Body Is Shared Housing — Treat All Flatmates Well.
COPD & diabetes: a double whammy. Patients face nearly one extra hospital readmission annually. Discover why & practical strategies to keep them out of the wards.
The Evolution of Respiratory Care in Modern Medicine
Exploring how respiratory medicine has transformed over the past two decades, from basic oxygen therapy to advanced non-invasive ventilation techniques.
Digital Healthcare: Bridging the Gap in Rural India
How technology and telemedicine are revolutionizing healthcare access in underserved communities across India.
COVID-19: Lessons Learned from the Frontlines
Reflections on patient management, protocol development, and healthcare system resilience during the pandemic.
Obstructive Sleep Apnoea: A Silent Epidemic
Understanding the symptoms, risks, and treatment options for one of the most under-diagnosed respiratory conditions.
The Future of Medical Education in India
Imagining how India trains doctors: from exclusion-based exams to compassionate, tech-enabled, protocol-driven care.
Comprehensive COPD Management: Beyond Medication
A holistic approach to managing Chronic Obstructive Pulmonary Disease, including pulmonary rehabilitation and lifestyle modifications.
When That Little Finger Clip Lies: Why Pulse Oximetry Gets It Wrong in COPD Smokers
A deep dive into why pulse oximeters can give false readings in COPD patients who smoke, and what it means for clinical practice. Research from ERS 2012 Vienna.