Category: Critical Care

When medicine surrenders to the body

I still get chills thinking about the moment I decided to go to medical school. I was bored in my college physiology class, watching the minute hand on the round lecture hall clock. There were just a few minutes remaining in the class, and students wer…

Remembering my grandmother in the ICU

ICU psychosis is a common phenomenon in hospitals. Most of us as clinicians deal with it well. However, the ordeal changes when your loved one is struck with it. My grandmother, always admired for her storytelling skills, is now admitted with intestina…

Preserving humanity in the ICU [PODCAST]

Subscribe to The Podcast by KevinMD. Catch up on old episodes! “Five days before this story begins, where everything is upside down, and the end is the beginning. Me, standing in my PICU, slowly approaching that cradle, then removing the medicati…

Seemingly unimportant acts make a big difference

We were reminiscing recently at a brunch we set up. It had been many years since we had seen each other. Eventually, we went our separate ways. But we reconnected once again. Anna was one of our night shift nurses. She was bright and articulate. She ev…

How our sickest patients mirror the political divisions of our country

I was on service as the attending physician recently, and it struck me how closely our sickest patients in the intensive care setting mirror the political mires of our country. Usually, when I’m on service, it’s an all-consuming matter, wit…

A dead baby in my arms

Five days before this story begins, where everything is upside down, and the end is the beginning. Me, standing in my PICU, slowly approaching that cradle, then removing the medication, one by one, turning off the syringe pumps. Saying out loud the num…

Lesson learned: Pick your battles

It was a known fact — I was 4′ 11″ but I had a mouth on me to compensate. I was loud and noisy. Fellow nurses called me the “rebel without a cause.” But I had a cause. I knew I was David against Goliath. Almost everything became…

Looking across the glass door: a COVID-19 vigil

A small piece of lint is tickling my nose as I am desperately trying not to sneeze into the tight-fitting mask on my face. I know that I will not be able to adjust the mask as my gloves are sterile, and I am standing suspended over a patient’s bo…

They didn’t teach social media in medical school

Why should doctors become involved in social media?  I asked myself this same question a few years ago.  My answer was, “I don’t know.” I saw no redeeming reason to get involved with social media as a physician.  At the time, I just s…

Pause for a moment to feel your energy

When was the last time you paused for a moment to feel your energy? I mean, really get in touch with the energy you hold inside your being? Could it be as physicians, we have gotten so used to that stressful feeling or that drained feeling at the end o…