This Is Why with Dr. Busti

This Is Why with Dr. Busti

By Anthony Busti, MD, PharmD, MSc, FNLA, FAHAScienceMedicineHealth & FitnessEducation
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This Is Why with Dr. Busti episodes

  • How to Easily Identify & Count Ribs on a Chest X-Ray

    In this lecture from This is Why, Dr. Busti will walk step-by-step through rib anatomy on a portable AP chest x ray, so you can quickly recognize posterior vs anterior ribs, assess inspiratory effort, and improve your overall chest x ray interpretation skills.

    You’ll learn how to:
    Spot posterior ribs and anterior ribs on a standard AP chest x ray
    Use rib counting to judge film quality and inspiration
    Apply rib levels as landmarks when describing lung findings
    Avoid common mistakes when reading portable chest x rays in the ER, ICU, and inpatient units

    If you’re looking for a clear, visual guide to how to read a chest x ray, chest x ray for beginners, and how to count ribs on a chest x ray, this session is for you.  The goal = make medical education easy and clinically relevant.

    👉 Access bonus materials and downloads from this episode at: https://www.thisiswhy.health/topics/chest-x-ray-how-to-identify-count-ribs

    👉 Get more with a free membership at https://www.thisiswhy.health/
    - Access free downloads from our videos 
    - Access deep dive content from Dr. Busti
    - Organize content via playlists & collections
    - Join live Q&A
    - Receive member newsletters
    - Coupons & discounts for exam prep resources

    👍 If this helped you, please like, subscribe, and share it with a classmate or colleague. That will help this new channel continue producing free, high-yield medical education content.

    #ChestXRay #CXRinterpretation #ribcounting #drbusti #medicaleducation

    Disclaimer:
    This content is for educational purposes only and is not medical advice. It does not replace individualized evaluation, diagnosis, or treatment. Always seek the advice of a qualified health provider with questions about a medical condition and never delay care because of educational content.

    14 min
  • What Does Micturate Mean? Medical Terms Made Easy & Relevant

    What does “micturate” actually mean, and why do textbooks, exam questions, and older charts still use it instead of just saying “urinate”? In this lecture on Medical Terminology from This is Why, Dr. Busti breaks down the meaning and definition of micturate, how it relates to micturition and urination, and shows you exactly how this term is used in real clinical practice so it finally sticks.

    In this video, you’ll learn: what micturate and micturition mean in plain language, how to connect “micturate = urinate” so you never freeze on an exam, how the term shows up in phrases like “burning on micturition” (classic for urinary tract infections) and “micturition reflex”, and how to recognize when to use more common language like “void” or “urinate” with patients and in charting.

    The goal = make medical education easy and clinically relevant.

    👉 Access bonus materials and downloads from this episode at: https://www.thisiswhy.health/topics/what-does-micturate-mean-medical-terminology

    👉 Get more with a free membership at https://www.thisiswhy.health/
    - Access free downloads from our videos 
    - Access deep dive content from Dr. Busti
    - Organize content via playlists & collections
    - Join live Q&A
    - Receive member newsletters
    - Coupons & discounts for exam prep resources

    👍 If this helped you, please like, subscribe, and share it with a classmate or colleague. That will help this new channel continue producing free, high-yield medical education content.

    #micturatemeaning #medicalterminology #urinationmedicalterm #medicaldictionary #drbusti

    Disclaimer:
    This content is for educational purposes only and is not medical advice. It does not replace individualized evaluation, diagnosis, or treatment. Always seek the advice of a qualified health provider with questions about a medical condition and never delay care because of educational content.

    6 min
  • Penicillin Allergy & Cephalosporin Cross-Reactivity

    In this lecture from This is Why, Dr. Busti will answer the question, "Are patients with a penicillin allergy really at high risk when we use cephalosporins?" Dr. Busti will also discuss some of the evidence on penicillin allergy & cephalosporin cross-reactivity and shows you how to safely use β-lactam antibiotics in clinical practice.

    In this episode, we’ll cover:
    - Why most penicillin allergy labels are incorrect
    - The true risk of cephalosporin cross-reactivity (and why it’s not what you think)
    - How R1 side chains drive cross-reactivity between β-lactam antibiotics
    - Practical, step-by-step approaches to antibiotic allergy risk stratification

    The goal = make medical education easy and clinically relevant.

    👉 Access bonus materials and downloads from this episode at: https://www.thisiswhy.health/topics/penicillin-allergy-cephalosporin-cross-reactivity

    👉 Get more with a free membership at https://www.thisiswhy.health/
    - Access free downloads from our videos 
    - Access deep dive content from Dr. Busti
    - Organize content via playlists & collections
    - Join live Q&A
    - Receive member newsletters
    - Coupons & discounts for exam prep resources

    👍 If this helped you, please like, subscribe, and share it with a classmate or colleague. That will help this new channel continue producing free, high-yield medical education content.

    #penicillinallergy #cephalosporincrossreactivity #cephalosporinsinpenicillinallergy #betalactamallergy #drbusti

    Disclaimer:
    This content is for educational purposes only and is not medical advice. It does not replace individualized evaluation, diagnosis, or treatment. Always seek the advice of a qualified health provider with questions about a medical condition and never delay care because of educational content.

    15 min
  • Practice Question: Penicillin Allergy - Avoiding Cross-Reactivity

    Master penicillin allergy questions exactly the way they show up on your exams and in clinical practice. In this episode of This is Why, Dr. Busti will walk through a high-yield practice question on penicillin allergy and beta-lactam cross-reactivity, so you know which antibiotics are safe, which to avoid, and how to reason through the stem under exam pressure.

    You’ll learn how to:
    - Analyze a penicillin allergy history in an exam-style MCQ
    - Understand penicillin–cephalosporin cross-reactivity and when it actually matters
    - Apply beta-lactam cross-reactivity concepts (penicillins vs. cephalosporins) to patient care
    - Avoid common traps on exams

    The goal = make medical education easy and clinically relevant.

    👉 Access bonus materials and downloads from this episode at: https://www.thisiswhy.health/topics/practice-question-penicillin-allergy-cross-reactivity 

    👉 Get more with a free membership at https://www.thisiswhy.health/
    - Access free downloads from our videos 
    - Access deep dive content from Dr. Busti
    - Organize content via playlists & collections
    - Join live Q&A
    - Receive member newsletters
    - Coupons & discounts for exam prep resources

    👍 If this helped you, please like, subscribe, and share it with a classmate or colleague. That will help this new channel continue producing free, high-yield medical education content.

    #penicillinallergy #penicillinallergycrossreactivity #betalactamcrossreactivity #cephalosporinpenicillincrossreactivity #drbusti

    Disclaimer:
    This content is for educational purposes only and is not medical advice. It does not replace individualized evaluation, diagnosis, or treatment. Always seek the advice of a qualified health provider with questions about a medical condition and never delay care because of educational content.

    8 min
  • How to Check Patient Positioning on a Chest X-Ray

    Mastering chest X-ray positioning is the first step to safe and accurate chest X-ray interpretation. In this video, “How to Check Patient Positioning on a Chest X-Ray,” Dr. Busti walk through a simple, practical checklist so you can quickly decide if a CXR is good enough to interpret—or if positioning errors (rotation, poor inspiration, clipping) are misleading you.

    You’ll learn how to:
    Tell PA vs AP views and why it matters for heart size and mediastinum
    Spot patient rotation using the clavicles and spinous processes
    Assess inspiration on a chest X-ray (how many ribs is “good enough”?)
    Check centering and coverage so the lung apices and costophrenic angles aren’t cut off
    Avoid common mistakes that lead to false positives and missed pathology

    The goal = make medical education easy and clinically relevant.

    👉 Access bonus materials and downloads from this episode at: https://www.thisiswhy.health/topics/how-to-check-chest-x-ray-positioning

    👉 Get more with a free membership at https://www.thisiswhy.health/
    - Access free downloads from our videos 
    - Access deep dive content from Dr. Busti
    - Organize content via playlists & collections
    - Join live Q&A
    - Receive member newsletters
    - Coupons & discounts for exam prep resources

    👍 If this helped you, please like, subscribe, and share it with a classmate or colleague. That will help this new channel continue producing free, high-yield medical education content.

    🔔 Don’t forget to turn on notifications so you don’t miss upcoming lectures in pharmacology, medical rounds, and more!

    #chestxraypositioning #chestxrayinterpretation #cxr #chestxrayquality #radiologyeducation

    Disclaimer:
    This content is for educational purposes only and is not medical advice. It does not replace individualized evaluation, diagnosis, or treatment. Always seek the advice of a qualified health provider with questions about a medical condition and never delay care because of educational content.

    18 min
  • AP vs PA Chest X-Ray: How to Tell the Difference

    In this lecture from This is Why, Dr. Busti will teach you how to quickly and confidently tell AP vs PA chest X-ray (CXR) views apart so you don’t get misled by magnified hearts or a widened mediastinum. In this video, we break down chest X-ray projection step by step and show you how to spot whether a film is AP or PA view just by looking at the image itself—skills you can use on your next shift or exam.

    This teaching video is designed to help clinicians who want practical, bedside chest X-ray interpretation skills. We’ll connect the physics of X ray projection (AP vs PA) with real-world decisions, like when you can and cannot trust the heart size on a portable chest X-ray.

    You’ll learn how to:
    What AP and PA mean in chest X-ray views and why projection matters
    How to recognize AP chest X-ray vs PA chest X-ray using simple visual clues
    Why the heart often looks “enlarged” on AP portable CXR
    How scapula position, patient posture, and inspiration help you identify the view
    Common pitfalls in how to read chest X ray and avoid overcalling cardiomegaly

    If you’re looking for chest X-ray basics, how to interpret chest X ray, or a concise refresher on frontal chest X ray positioning, this video will help build your foundation in radiology chest X ray and medical imaging education. The goal = make medical education easy and clinically relevant.

    👉 Access bonus materials and downloads from this episode at: https://www.thisiswhy.health/topics/chest-xrays-ap-vs-pa-view-cxr

    👉 Get more with a free membership at https://www.thisiswhy.health/
    - Access free downloads from our videos 
    - Access deep dive content from Dr. Busti
    - Organize content via playlists & collections
    - Join live Q&A
    - Receive member newsletters
    - Coupons & discounts for exam prep resources

    👍 If this helped you, please like, subscribe, and share it with a classmate or colleague. That will help this new channel continue producing free, high-yield medical education content.

    🔔 Don’t forget to turn on notifications so you don’t miss upcoming lectures in pharmacology, medical rounds, and more!

    #apvspachestxray #APvsPA #chestxrayinterpretation #howtoreadchestxray #drbusti

    Disclaimer:
    This content is for educational purposes only and is not medical advice. It does not replace individualized evaluation, diagnosis, or treatment. Always seek the advice of a qualified health provider with questions about a medical condition and never delay care because of educational content.

    15 min
  • How to Tell If Chest X-Ray Inspiration Is Adequate (Portable CXR Tips)

    In this lecture from This is Why, Dr. Busti will walk step-by-step through the proper steps to determine if the inspiration is good enough to allow the chest x-ray (CXR) to be appropriate to interpret and avoid missing an abnormality.  This lecture will improve your overall chest x-ray interpretation skills.

    You’ll learn how to:
    Identify the posterior ribs and anterior ribs on a standard AP chest x ray
    Use rib counting to judge film quality and inspiration

    If you’re looking for a clear, visual guide to how to read a chest x ray, chest x-ray for beginners, and how to adequate inspiration for a portable AP chest x ray, this session is for you.  The goal = make medical education easy and clinically relevant.

    👉 Access bonus materials and downloads from this episode at: https://www.thisiswhy.health/topics/chest-x-ray-how-to-identify-good-adequate-inspiration

    👉 Get more with a free membership at https://www.thisiswhy.health/
    - Access free downloads from our videos 
    - Access deep dive content from Dr. Busti
    - Organize content via playlists & collections
    - Join live Q&A
    - Receive member newsletters
    - Coupons & discounts for exam prep resources

    Chapter Table of Contents
    *** ADD HERE ****

    👍 If this helped you, please like, subscribe, and share it with a classmate or colleague. That will help this new channel continue producing free, high-yield medical education content.

    🔔 Don’t forget to turn on notifications so you don’t miss upcoming lectures in pharmacology, medical rounds, and more!

    #ChestXRay #CXRinterpretation #chestxrayinspiration #drbusti #medicaleducation

    Disclaimer:
    This content is for educational purposes only and is not medical advice. It does not replace individualized evaluation, diagnosis, or treatment. Always seek the advice of a qualified health provider with questions about a medical condition and never delay care because of educational content.

    11 min
  • SSRI Antidepressants: Pharmacology Made Easy & Clinically Relevant

    In this This Is Why pharmacology review, Dr. Busti walks through the Selective Serotonin Reuptake Inhibitors (SSRIs)—how they became first-line for major depressive disorder and a wide range of anxiety-related disorders, and where their real-world pitfalls live.

    We compare the core agents—citalopram, escitalopram, fluoxetine, fluvoxamine, paroxetine, and sertraline—covering indications, mechanism, and clinical nuances that matter at the bedside. You’ll learn how dose, half-life, metabolism, and side-effect patterns influence patient-specific choices, and what to monitor for safety and success.

    This episode includes practical guidance on:

    • Managing sexual dysfunction, QT risk, and SIADH
    • Recognizing CYP2D6 interactions
    • Understanding fluoxetine’s long half-life
    • Applying MAOI washout rules to avoid serotonin syndrome
    • Starting low and titrating slow for anxiety

    If you want to go beyond memorization and understand the why behind the what, this episode connects the science, safety, and strategy of SSRI use.

    🔹 Download study tables, mechanisms, and comparison charts for this video at https://www.thisiswhy.health/topics/pharmacology-review-ssri-antidepressants

    Disclaimer:
    This content is for educational purposes only and is not intended to provide medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding a medical condition. Never disregard professional medical advice or delay in seeking it because of something you have heard in this content.


    35 min
  • Chest X-Rays: How to Read Like a Pro - A Step-by-Step Guide

    This session teaches a reproducible, step-by-step approach to chest X-ray (CXR) interpretation using two complementary mnemonics: RIPE (Rotation, Inspiration, Penetration/Projection, Exposure/Artifacts) to verify image quality, and A-B-C-D-E-F-G-H-I to read findings in a consistent order. Viewers learn to spot essential landmarks (trachea, aortic knob, hila, lobes/fissures, diaphragms, costophrenic angles), recognize when AP vs PA matters (e.g., cardiothoracic ratio), and avoid common pitfalls that lead to misses. A live, real-time read ties the method together so the approach can be used on rounds, in clinic, or at the bedside.

    What you’ll learn

    • Quality first: use RIPE to confirm a film is worth interpreting
    • A structured read with A-B-C-D-E-F-G-H-I
    • How projection changes appearance (AP vs PA vs lateral)
    • Reliable checks for effusions, pneumothorax, edema, and device/artifact confounders
    • How to synthesize a clear impression clinicians can act on

    Show notes and downloads: https://www.thisiswhy.health/topics/chest-xray-how-to-read-step-by-step-guide

    Get more (free) at ThisIsWhy.health
    Access the video, free downloads (mnemonic tables), organize content via playlists & collections, join live Q&A, receive member newsletters, and unlock partner discounts—resources built to help clinicians move from what to why and improve real-world decisions.

    Disclaimer:
    This content is for educational purposes only and is not medical advice. It does not replace individualized evaluation, diagnosis, or treatment. Always seek the advice of a qualified health provider with questions about a medical condition and never delay care because of educational content.

    41 min
  • Predicting Your NCLEX-RN Success: Why Some Pass & Some Don't

    In this episode of This Is Why, Dr. Busti breaks down the evidence-based predictors of NCLEX-RN success for first-time test takers. See what the 10-year pass-rate trend really shows, which factors (GPA, standardized exit exams, program environment, life experience) matter most, and—most importantly—what you can do now to raise your odds on test day.

    Build confidence in your exam readiness and clinical mastery with free resources at https://thisiswhy.health

    Disclaimer:
    This content is for educational purposes only and is not intended to provide medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding a medical condition. Never disregard professional medical advice or delay in seeking it because of something you have heard in this content.


    9 min

About This Is Why with Dr. Busti

From the publisher's feed

This Is Why exists to help medical professionals understand the why behind the decisions they make every day in patient care. Our approach is about integrating evidence, clinical relevance and…