“They needed the final story to let go of her body, yet retain her spirit. Looking back on it, that’s when I saw the greatest honor of all — the everyday honor of storytelling for our patients. Maybe that’s the only cure we have for death … trans…
Category: Critical Care
After 3 straight weeks in the NICU, a neonatologist’s take on the pandemic
We are tired, overwhelmed, very committed, missing our families, and carrying each patient with us as we try to deliver excellent care in a very disorienting time. We worry about the health of our families and friends and community as well as our own h…
Embrace the growth mindset while practicing the humbling business of modern medicine
As a newly minted neonatal-cardiac intensivist, I was all ready to take on the world. I mean, caring for the babies with congenital heart disease (CHD), congenital diaphragmatic hernias (CDH) and all other congenital anomalies and premature birth. I wa…
A new ICU reality that may not disappear soon
Barriers. Barriers of yellow tape and plastic mark our makeshift rooms. Red zippers define the “ENTER” and “EXIT.” In the middle is a window of still clearer plastic, partially obscured by taped ECGs. Barriers are put up to keep us safe, but they can d…
I am an ICU nurse. We are drowning.
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…
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…
