Well, a crying child slowed me down, but better late than never. Excited to see @RanaAwdish @WesElyMD @hopealuko @BrendaPun

Rana: "Wanting the patients to be comforted and having almost nothing to do that except for the medications..." #COVID19 #chest2020
'are coma and deep sedation just markers of severe ARDS?'
@WesElyMD - absolutely NOT- they are independent!
#chest2020 #COVID19
Oooh. @hopealuko - we should be careful about what is 'severe' or 'mild' #COVID19 -- listen to patients! #CHEST2020
Data on #LongCovid #longhaulers presented by @hopealuko - cough, fatigue, shortness of breath most common persisting symptoms #chest2020
quick points from the patient-led UK symptom study
1 in 20 have protracted symptoms >8 weeks #COVID19 #LongCovid #CHEST2020
Great figure from @DrDaleNeedham and others presented by @hopealuko - what is happening in the survivor...and what is happening in the family? #CHEST2020 #COVID19
This is huge. Why is recovery different with #COVID19? there are systems issues in care delivery beyond the illness itself. @hopealuko #CHEST2020
Quick recap of ABCDEF bundle #CHEST2020
What should you be considering when you see a post-#COVID19 patient? med rec, as always, is critical-- but often relegated to bottom of the list. Key role for pharmacist assistance too.
@hopealuko highlights how covid can cause homelessness b/c of vulnerable family
#CHEST2020
Peer support can be so important for patients.
(and also for clinicians, right @JoShapiro3)
love the variety of models presented- accessibility issues can be overcome! #chest2020 #COVID19
Now @hopealuko is speaking right to my heart. Use qualitative methods to find new targets for quality improvement in the ICU 🔥🔥🔥 #CHEST2020
@hopealuko Now @RanaAwdish (it is pronounced WREN-ah, I was saying it wrong 😅) is up - author of In Shock, which is incredible so please close twitter and go get it if you have not read it yet! Excited to hear her speak on the "restoration of identity post-COVID" #chest2020
the 'depersonalization machine'

aka

the ICU bed. #CHEST2020 @RanaAwdish
'Meet the patient as a whole being where they are, speak to them as an equal' @RanaAwdish #CHEST2020
Reminding me of what a patient told me once as they recovered from the ICU. We can't ignore what we are doing to people, even if it is necessary, even if it is right. #CHEST2020
"learning to receive people's stories as they are told to us is critical for our work." @RanaAwdish #CHEST2020
Love this from @DrMeganHoseyPhD and others.

Clinicians HATE being treated like widgets.

...the same is true for patients. #CHEST2020
Wow. #COVID19 memorial in Detroit. #CHEST2020

• • •

Missing some Tweet in this thread? You can try to force a refresh
 

Keep Current with Lakshman Swamy

Lakshman Swamy Profile picture

Stay in touch and get notified when new unrolls are available from this author!

Read all threads

This Thread may be Removed Anytime!

PDF

Twitter may remove this content at anytime! Save it as PDF for later use!

Try unrolling a thread yourself!

how to unroll video
  1. Follow @ThreadReaderApp to mention us!

  2. From a Twitter thread mention us with a keyword "unroll"
@threadreaderapp unroll

Practice here first or read more on our help page!

More from @laxswamy

21 Oct
i mean, this is gonna be great. #CHEST2020 Image
These cases are great, and the vent sim is really top notch. here is a takeaway slide re: elevated peak pressures #CHEST2020 Image
Love this framework! #CHEST2020 Image
Read 7 tweets
21 Oct
And you thought we were done talking about burnout!

WINTER IS COMING #CHEST2020 @niven_alex @md_ritwick @susan_corbridge and Curtis Sessler! Image
#COVID19 'reminded me a lot of my prior deployments as a military physician' - @niven_alex

This feels more accurate than the usual military analogies - deployed _as a clinician_ #CHEST2020
Dr. Sessler highlighting this important framework: An Official Critical Care Societies Collaborative Statement-Burnout Syndrome in Critical Care Health-care Professionals: A Call for Action #CHEST2020

(I've cited it 😉, you should read it!)

pubmed.ncbi.nlm.nih.gov/27396776/
Read 20 tweets
21 Oct
Now hearing from @sameepsehgal9 on VTE in #COVID19

Wide variation in incidence of VTE in COVID-ICU patients. Meta-analysis in middle -- about 30% #CHEST2020
'at least in sick ICU patients, the incidence of thrombosis in #COVID19 is probably higher than other diseases like influenza' @sameepsehgal9 #chest2020
Who clots and who doesn't with #COVID19? @sameepsehgal9 synthesizes the literature. Not too surprising overall. #chest2020
Read 14 tweets
20 Oct
I'm now in "How to Identify Distressed Physician Colleagues and Stop Them From Dying by Suicide"

...will tweet any highlights. #CHEST2020
this is incredibly powerful. opening with a physician with a substance use disorder... this is intense

first highlight: he noticed the gross inequity evident to him in his work and it affected him

then, personal tragedy

then, opiates for pain #CHEST2020
now detailing how he lost his professional life, became actively suicidal... unbelievable

lost a colleague to suicide...

no one talks about this (except we do at #CHEST2020)
Read 21 tweets
18 Aug
THREAD PART 2: DIAGNOSES/ COMPLICATIONS! Patient interpretations of ICU jargon @Saramerwin1 & I are writing for @CritCareGame- feedback welcome!
🔑Must be concise to fit on the cards
🔑Pt-centered clarity more important than accuracy
🔑ICU focused
Please share & comment!
Acute Myelogenous Leukemia/AML
“Blood Cancer”
Rapid growth of blood cells that don’t work properly in the bone marrow, crowding out healthy cells.

Is that clear for patients,@vsanchorawala @Jmarksloan @VincentRK @MikkaelSekeres
Meningitis
“Brain Infection”
Inflammation of the meninges (lining around the brain), often caused by an infection.
@doctorORbust @AllisonRBond
Read 30 tweets
17 Aug
THREAD: Patient interpretations of ICU jargon that @Saramerwin1 & I are writing for @CritCareGame - would love your feedback!
🔑these have to be REALLY short to fit on the cards
🔑 pt-centered clarity is more important 💯 accuracy
🔑Setting: general ICU
Please share & comment!
Do Not Resuscitate
An order that prohibits CPR & restarting the heart when it stops beating. Often paired with Do Not Intubate (DNI), prohibiting the use of a breathing tube. Ordered after discussion with patient/family.
Sedation Vacation
For patients on the ventilator, we routinely stop sedatives (medications which keep the patient asleep) to allow patients to wake up and try to breathe on their own, getting them off of life support faster.
Read 47 tweets

Did Thread Reader help you today?

Support us! We are indie developers!


This site is made by just two indie developers on a laptop doing marketing, support and development! Read more about the story.

Become a Premium Member ($3/month or $30/year) and get exclusive features!

Become Premium

Too expensive? Make a small donation by buying us coffee ($5) or help with server cost ($10)

Donate via Paypal Become our Patreon

Thank you for your support!

Follow Us on Twitter!