Category: Critical Care

The isolation of the COVID ICU: the need for patient advocates

The COVID ICU is abuzz with monitors beeping and doctors and nurses rushing from bed to bed to care for critically ill patients, most on ventilators. The machines – dialysis, vents, pumps – sound off their rhythmic repetitions; breaths are pushed in an…

ICU nurse of 33 years speaks out on the harsh reality of corporate hospitals

I wasn’t supposed to hear this, but I did. It sealed the deal for me. It was one of the reasons I had to finally leave my true love: ICU nursing. After 33 years as an ICU nurse, I knew it was time to go. I used to feel like I had a purpose. I
Rea…

Breaking the silence: a doctor’s plea for clarity in end-of-life care

Six years ago, I met a man who was 93 years old. I sat down to listen to him, something we physicians don’t do as often as we should in the long-term care setting. “I want you to treat me like I’m 73,” he said, “What do yo…

The Christmas miracle and the music box

She was 82 years old — sweet, frail, and maybe four feet eight inches tall. She had many beloved children, grandchildren, and even a few great-grandchildren They all grew up knowing that family was their core — their base, their home where love resided…

A doctor’s grief

Last evening I crumbled in the arms of my patient and wept. This was unknown territory to me, an unexpected role reversal. For three weeks after my Mom’s death, I maintained a stoic distance as patients offered their condolences, as they asked ab…

Physician burnout: a lack of resilience or a lack of control?

When I quit my clinic job after four waves of the COVID-19 pandemic as an intensivist, I decided not to work in direct patient care for a while. I expected harsh criticism from my colleagues. Surprisingly, that never happened. The feedback was unexpect…

Working in medicine isn’t an all-or-nothing situation

I have recently undergone (yet another) transition and am now back to living at home with my family full time instead of in an apartment half of the time. So wonderful most of the time … I think. It is amazing and a very big wake-up call that I missed …

Residency almost killed me — literally

One morning, I was sitting in resident lecture. This time was supposedly protected, but we realized fairly quickly that the work still had to be done, and “I had lecture” never really worked out well as an explanation. By this time in the w…

Coping mechanisms for medical professionals

I am a pulmonary-critical care medicine physician. I had a medical issue in 2020 and was on limited call responsibilities. When I came back, it was in the throes of the first wave of COVID. It goes without saying that the last three years or so have be…

Hippocrates is crying

My sister didn’t want to die from breast cancer. In the six years since her diagnosis of stage 4 breast cancer, she fought valiantly to stay healthy and to continue to live. A superb oncologist put her cancer into complete remission, which lasted for s…