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A week ago I completed my third week of #COVID19 inpatient service over a five-week period. I have been reflecting on this experience and wanted to share a few clinical insights and a great deal of gratitude. I'll start with the gratitude! 1/9
1st- thank you to @JBPritzker & @LoriLightfoot for their polices to #FlattenTheCurve allowing hospitals to have beds/resources needed for patient care. Thanks also to early/ongoing efforts of local advocates for #stayathome policies! cc @futuredocs @LJoyZ_MD @ShikhaJainMD 2/9
2nd- thanks to all that helped acquire & distribute #PPE. One of my greatest fears was no/limited #PPE during my laters service wks. This fear has not been realized thx to incredible efforts by: government (@JBPritzker & @LoriLightfoot), @UChicagoMed, & local #PPENow leaders 3/9
3rd- thank you to @UChicagoMed for not only acquiring but organizing incredible #PPE system, so it is readily available those on #COVID19 units. Thanks to all of the monitors, including many @UChiPritzker students, there 24/7 to provide us with fresh scrubs, masks, etc. 4/9
4th- thank you to all the volunteers serving on our #COVID19 units. Our @medchiefs have worked over-time to set up and keep #COVID19 COVID services running. I've been very impressed with all residents who volunteered. 1st wk team pic (note: non soc dist for seconds only!) 5/9
5th- Thanks also to so many @UChicagoMed faculty including @UChicagoGIM and non-GIM who volunteered for extra service on new COIVD units. Many are also stepping into new leadership roles &/or taking on constant revising of clinic schedule/plans! @JOylerMD @foulkes_rita 6/9
Finally, grateful for clinical insights from my time on the COVID unit: Clinical insight #1. #COVID19 seems to affect nearly every organ system (resp, GI, renal, cardio, derm, msk, heme, neuro, etc). I am searching for organ systems not affected by COVID-19. (please provide!) 7/9
Clin insight #2. Each service week, my understanding of COVID patterns grew. There are clearly those w/ primarily URI/resp sx; also those with primary GI sx and/or renal injury, sometimes w/o URI sx. Wondering if presentation sx associated with severity of course/mortality. 8/9
Clin insight #3. I am eagerly awaiting results of high-quality controlled research studies of medications for COVID-19. (It is difficult not to get swayed when seeing anecdotal clinical results!) - Please share research study findings! 9/9
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