I am an ICU nurse. I love what I do; It’s not just a career: It’s who I am. No other job could offer me the intimate opportunity to support and guide a total stranger through the worst (and occasionally best) days of their life. Nowhere els…
Category: Critical Care
How the words, “I can’t breathe,” affect this pulmonary physician
As I held the shaky, sweaty hand of my 52-year-old African American patient, lying in her ICU bed, trembling with fear, tears rolling down her eyes, she gathered enough strength to utter “I can’t breathe.” Her words felt like a punch in my gut, eliciti…
Parenting as an ICU physician
COVID-19 has upended the medical community. Nowhere more so than in the intensive care unit. Life as an intensivist with two young children and a working spouse is never dull. I liken it to tight-rope walking with a pole for balance. I wake up every mo…
Is there a right way to break bad news?
An excerpt from It’s All In The Delivery: Improving Healthcare Starting With A Single Conversation. On that night when the desperate call came to pick up the critically ill baby with MAS, I felt very fortunate that Dr. Cunningham was my supervisor. Whe…
A young doctor struggles against the emotional devastation of losing a patient
We worked tirelessly attempting to resuscitate this mother of five for almost an hour. Her husband was called, and he notified us that he would be there shortly. In the end, our heroic measures were simply not enough. It is fearful to imagine being tol…
Medical care is being rationed, but not be in the way you think
As the pandemic loomed, there was widespread concern about running out of crucial medical resources, such as mechanical ventilators. We watched as the crisis escalated in Italy and elsewhere, where hospitals seemed overwhelmed. We prepared for the surg…
Please don’t call me a hero. This is what nurses have always done.
Before becoming a certified registered nurse anesthetist (CRNA), I was a surgical intensive care unit (SICU) nurse for decades. During that time, I often saw patients during their greatest time of need – trauma victims, transplant recipients, patients …
A neurosurgeon on call with coronavirus
Last weekend, my partner witnessed some of the pandemic’s collateral damage in an upsurge of violent deaths via car wrecks and shootings. A patient of mine, chief of the local SWAT team, had predicted as much: he gave people two weeks at home before th…
A physician’s personal experience with sepsis and ventilator support
The coronavirus pandemic has turned the world, and all of its citizens, around, never to be the same again. As an ICU and ventilator survivor, I focus on the drama of the patient’s room, and the reality of what is truly a tragic experience. Nineteen-ni…
The immense kindness and humanity surfacing from the pandemic
It’s been a whirlwind of emotions during the last few weeks. I started in the hospital when our cases were starting to creep up. The fear. The anguish. The uncertainty. The anger. The sadness. The crazy dreams. The donning. The doffing. The decontamina…
