Category: Critical Care

The hidden ventilators in America

Your town has more than enough ventilators if you know where to find them. Tens to hundreds of vents are sitting in almost every neighborhood in America, but are being utilized incorrectly.  Throughout the nation, there are facilities known as LTACs, w…

How do you grieve when you are still mourning?

Moving so quickly. Round and round. Head turning, trying to keep track. 1, 2, 3, 4, 5 … faster and faster Losing count. My head spins. A doctor, Indian, like me. A friend, my age. A mother, could be my own. No time to grieve. I kept a list of your name…

Ventilators are only part of the story: We need critical care trained practitioners

The media and policymakers have spent a lot of time focusing on the shortage of ventilators in the country. Elmhurst Hospital in Queens – one of the hardest-hit locations in the country, and where I work – received a donation of 40 desperat…

COVID-19: Nurses and the respiratory therapists are truly the brave

It is all about the nurses and the respiratory therapists.  I watch countless brave actions every day in the ICU.  These are people who, in “normal” times,  spend nights, weekends, and holidays caring for the sickest of the sick. They are modestly paid…

You’re just the anesthesiology resident

You always knew they didn’t care about you.  The administration, I mean.  But you knew that going into it.  It’s just four years that you have to endure until you can be respected, until you make the big bucks, until you’re treated like a human being. …

We’re buying masks and gowns with clinicians’ health. We need to stop.

I am the director of critical care for a hospital. Five days ago I tested positive for COVID-19. I can’t know for certain where exactly I contracted the virus. But when my hospital admitted its first COVID-positive patient, I stayed until 3 a.m. to set…

As an ICU nurse, I have never seen such an incredible death threat

Our 23 bed ICU has been converted to COVID-19 patients. All of them. I want to tell myself this is science fiction, but it’s not. It’s real. And we are scared. As I enter the unit to start my night shift, we have a huddle of the off-going and oncoming …

A physician’s first night at the MICU in New York City

Tonight will be my first night shift in the medical ICU (MICU) since COVID began ravaging New York City. I was on the hospital floors as an internal medicine resident during the early period of the COVID-19 pandemic. Since then, my clinic block was can…

We can’t build our way out of the ventilator shortage. But there is a solution.

“Hey buddy, can you spare some ventilators?” No, this is not an attempt at dark humor. This is the preamble of numerous calls that are going on across the nation right now. Whether the call is made to a ventilator manufacturer or to other medical cente…

The absolute fear and loneliness of COVID-19 patients in the ICU

I am sure this comes as a surprise to no one, but taking care of hospitalized COVID-19 patients outside of the intensive care unit (ICU) is really emotionally draining. The absolute fear and loneliness in their voices pierce into you. They keep asking …