This shit will kill you - heading home.
Well, I’m on my way back from my “trip”. The most important thing I learned is that I will never belittle, ridicule, berate, or insult MICU doctors for the rest of my career. In the Covid era, their job is much harder than mine.
For my clinical colleagues, sometimes surgical intensivists say “our patients are the sickest in the hospital!” Until you take care of proned Covid patients, who need HD lines, on 18 of Levo with a MAPs of 50, 100% FiO2, PEEP 20, with a pCO2 of 70 and a pO2 of 40, with a chest x-ray that looks essentially opaque, you’re not taking care of the sickest patients in the hospital.
For my clinical colleagues, sometimes surgical intensivists say “our patients are the sickest in the hospital!” Until you take care of proned Covid patients, who need HD lines, on 18 of Levo with a MAPs of 50, 100% FiO2, PEEP 20, with a pCO2 of 70 and a pO2 of 40, with a chest x-ray that looks essentially opaque, you’re not taking care of the sickest patients in the hospital.
5 years ago
