Truthfully, I’m feeling more bitter than sweet entering this new year, especially when I compare it to how much hope I had entering 2021. I rounded out my last two weeks of the year on the general medicine wards, taking care of both COVID and non-COVID patients. My experiences:
-Escalating care for COVID patients but ALSO:
-Taking care of an unstable post arrest patient for 1.5 hours on the floor because there were no immediate ICU beds
-Self doing Q1H checks on patients not stable enough for the floor because there were no immediate ICU/SDU beds
-Unable to discharge patients swiftly with anything beyond a “home with no services” dispo because everything from STR to psych to delivery of equipment is back logged (seeing a theme here?)
-Extreme medication shortages, including blood. Only getting a HALF unit at a time…
even if your Hemoglobin is 5 (normal ~13, transfuse at 7) and you’re actively still bleeding.
-Between people transferring out of the MICU and waiting to come up from an overflowing ED, a constant scramble for beds
-“I didn’t come in right away because I was scared of getting
COVID in the hospital.”
-People getting COVID in the hospital because Omicron is so damn elusive
-Patients again alone bc visitors are unfortunately too risky
-Extremely resilient co-residents, nurses, attendings etc..
who are still showing up and giving their all despite inaction by the government in enforcing common sense precautions.

I KNOW this pandemic will end some day but until then universally every patient seeking medical care,COVID or not,is affected by surging hospitals.
How bad will be bad enough?The mental toll of seeing crisis after crisis in the hospital and stepping out and seeing maskless people in my apartment, grocery shopping, or congregating without vaccine proof is exhausting.
Do something @GovNedLamont!

So much influences vaccine accessibility/hesitancy, immune compromised patients are vaccinated but still falling critically ill, and so many children are still not eligible to be vaxxed. We need more, like #maskmandates
Also very thankful to be a part of a residency program that somehow even makes the worst of times feel okay ❤️ Literally would not survive without these people, interns to leadership.

#PrioritizeLives #Reeling #Burnout #MaskUp #GetVaccinatedNow

• • •

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

Keep Current with Raksha Madhavan

Raksha Madhavan 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!


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!

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

Or Donate anonymously using crypto!


0xfe58350B80634f60Fa6Dc149a72b4DFbc17D341E copy


3ATGMxNzCUFzxpMCHL5sWSt4DVtS8UqXpi copy

Thank you for your support!

Follow Us on Twitter!