Discover and read the best of Twitter Threads about #ER

Most recents (7)

The #ER I once knew so well has now been converted into closed glass doors with people behind them gasping for air. I notice a change in my coworkers. I recognize their facial expressions with those I’ve seen on the field when working in #Ebola or in #war zones. More below:
It’s fear, it’s exhaustion, it’s grief. Most of the people working in this #pandemic never signed up for this. They were not trained for it, not professionally and even less mentally.
American #healthcareproviders are not used to making choices due to scarcity, and now, as our #PPE supply dwindles and ventilators are becoming scarce for our patients, we are forced to make decisions that will either end the life of a patient or our own. #covid19
Read 3 tweets
This is a MUST SEE video on the #Coronavirus in Italy. The #ICU intensivist explains the epidemic and treatment- Report From The Front Lines @JAMA_current - YouTube #Covid_19 #COVIDー19 #COVID
This is a good summary but somewhat inconsistent to what we have been hearing on #twitter about #italy. The question about triaging those sick and above 60 yo was NOT answered directly. He said the goal was for everyone to get an ICU bed but was that successful? 1/
There are many pictures of hazmat suits which is somewhat different and more aggressive than the reports we have been hearing about #coronavirus in Lombardy 2/
Read 19 tweets
#COVID19 #CoronaVirus

🇮🇹#Italia Superspreader #Cluster THREAD 1/7🏨

Drew a #dataviz diagram based on available data* about the #Lombardy cluster, which as of EOD 2/22/20 had 54 cases, including 2 in #Milano, & still an unknown Patient 0.

*plz excuse any possible errors
2/7 This cluster has developed quite rapidly in the town of #Lodi, near #Milan, in the #Lombardy region of #Italy.

The story has shifted several times on Patient 0, but somehow Patient 1 - a 38 y/o male in Lodi - contracted the #COVID19 virus.

When Patient 1 had symptoms...
3/7 ...he went to the #ER at the local Codogno #hospital multiple X, but was sent home with only #antibiotics (which don't work on #COVID19italia)

He then infected his pregnant wife & friends.

Of the 1st group of ~6, all were in serious condition.…
Read 11 tweets
"She will need emergency surgery. Her popliteal artery is severed & needs a vein graft.",said the attending #ER surgeon.

I understood.

"I would like to see my #daughter.", I said holding together the brokenness I felt.I then remembered the need to call the #prison #Chaplain
"Mom, don't look.", my daughter said as the #ER team worked to put her together as much as possible.

I went to her to whisper in her ear, "We should pray now. They will be taking you into surgery to stop the bleeding. #Pray and repeat after me."
I held my #daughter & prayed as I heard my oldest daughter yelling from the other #ER room."I'm sorry!.", she yelled.She was driving that night.

The #nurse stopped me midway to my older daughter's room as the ER team continued to work on my other daughter.She could see...
Read 7 tweets
It’s amazing how different outcomes are when a #patient is treated humanely and listened to. My daughter just got off phone w me. She was in tears describing the care she was receiving. Tears of thankfulness. She said that she felt listened to by the physicians 1/
have been caring for her. They have also answered her questions and not dismissed her concerns. Months ago I told @SanfordHealth that I feared they were not adequately caring for my daughter and were dismissing her to implicit biases as well as blatant judgements. I was 2/
assured by patient relations that was not case. Obviously it was the case as the physician at the hospital she is currently in are dumbfounded this was not caught much earlier. How you treat patients matter. It’s critical as physicians you are not making judgements 3/
Read 6 tweets
1/ It’s been a week.

It’s well into Friday evening & I just got off the phone with a patient who had urgent radiology results. This was after spending > 40 min on the phone w another patient discussing the same this afternoon.

(18 more to come; stick with me.)
2/ I only got 2 items on today’s long “to do” list done — but that’s on me. I was finally able to sit down for a couple hours uninterrupted and dig deep into a few patient cases from the week.

(And I “don’t work” on Fridays.)
3/ As I hung up the phone, I reflected on how #directprimarycare has enabled me to get to the heart of medicine & the doctor-patient relationship.

During that call, my patient’s spouse broke down and — through sobs — simply said: “Thanks for being so kind.”
Read 19 tweets
I loved #ER when it first came in but I missed the first few seasons- and several episodes every year.

So illuminating watching it, knowing what I know now.
I’m on season 1, Episode 13. It’s interesting how (John) Carter (med student) is smart but bumblefuck-y.
Versus Susan a resident (I think?) who is competent but was just made responsible for someone else’s mistake.
Read 10 tweets

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