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We sit down with pulmonary and critical care physicians Tonya Jagneaux and Hollis O’Neal to explore the complex challenges emergency departments face when diagnosing and treating sepsis. With overcrowded EDs, rising patient volumes, …
During my time as a medical student shadowing in the intensive care unit, I met Ms. Stacey, hospitalized with a severe intestinal infection. As I entered her room, I saw her frail form lying amidst a web of tubes and monitors. Her prolonged hospital stay had visibly drained her, leaving her dependent on the vigilant care of both the medical staff and a quiet, devoted man sitting beside her bed—her …
My first ICU rotation of intern year was filled with great darkness. It was dark outside as I walked from my car into the hospital each morning before sunrise, and it was again dark when I walked to my car at the end of the day. Less than one hour into my first day in the ICU, a patient’s weak and ineffectual heart stopped beating, and CPR was swiftly initiated. …
In the ICU, there was an experienced nurse. She was full of information and knew the policies and procedures inside and out. She was proficient in her role as an ICU nurse.
But she was flawed. Something was wrong.
Each day, she came to work wearing a gold bracelet, which she made sure everyone knew was valued at $15,000. She wore two-carat diamond rings. She would arrive, showing off her fancy pocketbook …
A physician in the pediatric intensive care unit (PICU) requires vast medical knowledge along with emotional resilience. I always thought I had a strong sense of compassion for my patients and their families until I had my own baby 1.5 years ago. It completely shifted my perspective. I started to understand parental grief and fear on a personal level, which reshaped my approach to work.
Before having a baby, I was …
Recently, I had the privilege of being shadowed by a medical student who is interested in becoming a pediatric critical care medicine physician like I am. On the day she came to observe me, we were navigating a busy and heartbreaking time in the pediatric intensive care unit (PICU). I was curious how the experience would affect her and her decision, but I figured it was as good of a …
This piece is inspired by my recent patient encounter. Within the past week, I received a call from the ER to admit a 29-year-old African-American female whom, for the sake of this essay, I will call Keisha. Keisha presented with severe lower abdominal pain and was found to be in hypertensive crisis. Her systolic blood pressure consistently was in the upper 200s. It turned out that the young lady suffered …
Springtime. Blooming trees. Green grass. Cool winds. Sunny skies. COVID.
That is where my mind wanders every year since 2020, when the season turns. I flash back to the drive between the hospital and my home. Every evening after fighting a losing battle at an academic institution hell-bent on ignoring and downplaying the horror that was about to breach our borders. I was a fighter then — maybe more in that …
As I stepped into the hospital waiting room, the anxious eyes of family members greeted me, their worry palpable as they awaited news about their ailing patriarch. Quickly, I introduced myself and delved into the heart of the matter.
“I wanted to talk to you about your father’s condition. It’s not easy news, but I need to be honest with you. Despite our efforts, your father’s brain suffered irreparable damage during …
I’ve created cartoons using DALL-E, each with its own humorous caption. They’re all original ideas from me, but I used the AI to visualize them. Although they mostly touch on topics related to pulmonary and ICU medicine, I think they could catch the interest of a wide medical audience. Given the pulmonary theme, I decided to call the series Take a Breath.
“I could have saved him,” the intensivist murmured, reflecting on a recent patient’s death. His silhouette was framed against the fading evening light that spilled into the ICU. His words, heavy with regret and resignation, floated over the hum of life-sustaining machines, recounting the tale of Caleb Stratford.
When Caleb Stratford (not real name), 61, was rushed to the hospital last June, the shock trauma team at the University of Maryland …
A small, cliquish bevy of nurses was working their way through orientation in the NICU straight out of nursing school. They were happy and thrilled to be accepted into this specialized nursing unit: the NICU.
Practicing good hygiene, washing hands up to the elbows with soap each time one entered a baby’s cubicle, and gowning and gloving was a standard and mandatory protocol before touching the babies.
These were preemies in the …
A solid mass silently grew on my kidney. An unwelcome addition. Asymptomatic. Discovered haphazardly during a CT scan of my lungs … And it revealed itself.
At first, I was devastated. Will cancer ever leave me alone? It has already visited me twice before. First, breast cancer, also asymptomatic, detected during my very first mammogram at the age of 42, and then a troublesome mole that tested positive for melanoma.
I seemed …
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Join Bruce L. Davidson, a pulmonary and critical care physician. We delve into the transformation of health care work conditions, from 8-hour shifts to 12-hour shifts, and how this impacts both health care professionals and patient care. …
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Join guest Harvey Max Chochinov, a psychiatrist, as he delves into the profound concept of “intensive caring” in palliative care. Inspired by Dame Cicely Saunders’ powerful quote, “You matter because you are you,” Harvey discusses how this …
Dame Cicely Saunders, the founder of the modern hospice movement and palliative care, famously said, “You matter because you are you, and you matter to the last moment of your life.” This quote has become the central philosophical tenet of palliative care. It implores us to remind patients, who may be feeling helpless, hopeless, or worthless, that they matter. There is abundant evidence that patients approaching death are susceptible to …
Most humans, especially doctors, are completely disconnected from their bodies. This conditioning starts in childhood, escalates through teenage years, and peaks in residency where we are trained to completely detach from our body. Our emotions are held in our body. But in order to survive the chronic stress and trauma of medical training, we stop feeling.
It’s our coping mechanism.
It’s survival.
Yet this is so counterintuitive to our soul’s calling because most …
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Join Humeira Badsha, a rheumatologist, as she shares her recent, unexpected journey through grief, offering profound insights into the emotional challenges faced by medical professionals. From a tearful moment of vulnerability with a patient to the traumatic …
Imagine you are in a bad car accident. You are in and out of consciousness. There are lights and sirens and the smell of gasoline. Everything hurts more than you can bear. Hands pull you from the car and place you on a hard backboard with a rigid cervical collar around your neck. You bump down the road in the back of an ambulance as you start feeling like you …
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