Category: Critical Care

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 …

Grieving the end of life experience from an ICU nurse

The image of patients dying in the intensive care unit is changing. Over the phone, family members cry on the other end as I tell them that we are not allowing visitors due to “the coronavirus” at this time. They tell me, “but I help make his decisions…

He couldn’t let his wife go peacefully. Even after death.

No break for 12 hours. We beg to go to the bathroom just for a nano-second. You know, in between not skipping a beat to hang life-saving IV drips, assisting with central line insertions and arterial lines and intubations of the sickest. We pretty much …

The right support system makes all the difference for physicians

In the neonatal ICU, a baby dies from necrotizing enterocolitis or NEC.  It’s not the first, nor the last time I’ll experience death during my medical career. Doctors, nurses, respiratory therapists, surgeons, and the rest of the team spent the days pr…

When a wife won’t let her husband die

We were told to wear masks before entering this patient’s ICU room. Entering his room, you could smell his rotting flesh. He was 92 years old. His skin would slough off if you dared to bathe him. His decubitus ulcers were raging with infection. As long…