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Conditions and diseases
The COVID ICU is abuzz with monitors beeping and doctors and nurses rushing from bed to bed to care for critically ill patients, most on ventilators. The machines – dialysis, vents, pumps – sound off their rhythmic repetitions; breaths are…
The COVID ICU is abuzz with monitors beeping and doctors and nurses rushing from bed to bed to care for critically ill patients, most on ventilators. The machines – dialysis, vents, pumps – sound off their rhythmic repetitions; breaths are pushed in and pulled out, and meds are dripped. Only the patients themselves are silent. We know this, and we hear this, but we are not there. It’s the height …
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The isolation of the COVID ICU: the need for patient advocates
Conditions and diseases
Late one evening, an ICU physician calls a family to say Dad’s breathing rate had slowed to such an extent that he did not believe Dad would survive the night without life support. This seasoned doctor added that he had…
Late one evening, an ICU physician calls a family to say Dad’s breathing rate had slowed to such an extent that he did not believe Dad would survive the night without life support. This seasoned doctor added that he had never seen patients come back from this condition on their own. Although Dad had do not resuscitate orders and his children had agreed with his wishes to forego extraordinary measures …
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Understanding critical care in the ICU: then and now
Conditions and diseases
Julian (his real name) has been extremely careful for many months, working from home, foregoing seeing friends, and avoiding stores. But his new puppy Rufus requires “socialization,” so by his own admission, he is being less careful as he/the dog…
Julian (his real name) has been extremely careful for many months, working from home, foregoing seeing friends, and avoiding stores. But his new puppy Rufus requires “socialization,” so by his own admission, he is being less careful as he/the dog interact with humans and other canines.
In a completely anecdotal and unscientific manner (and in definitive contrast to the methodology of my training), I have been polling friends, family members, and …
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Incremental risk amid COVID-19 re-openings: What do we value most?
Patient voices
“Time is generally the best doctor,” according to the Roman poet Ovid. But these days, in the middle of the pandemic, what doctor has time? Health care professionals already have 29-hour days. In many places, hospitals are at or near…
“Time is generally the best doctor,” according to the Roman poet Ovid. But these days, in the middle of the pandemic, what doctor has time?
Health care professionals already have 29-hour days. In many places, hospitals are at or near capacity because of Covid-19 cases. Some hospitals and staff are functioning in crisis mode; chaos reigns, particularly in areas where the surge came on suddenly. As a result, clinicians are stretched …
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Making time for patient advocacy is more important now than ever
Conditions and diseases
It's often said that pediatricians and veterinarians have the hardest jobs in medicine because their patients can't tell them where it hurts. But the same is often true for the health care professionals treating older patients who can't communicate well…
It’s often said that pediatricians and veterinarians have the hardest jobs in medicine because their patients can’t tell them where it hurts. But the same is often true for the health care professionals treating older patients who can’t communicate well or don’t fully understand what’s being explained to them.
So, whose job is it to advocate for these patients? The answer is that everyone on the medical team must play a …
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Who should advocate for older patients in the hospital?
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