There seems to be some strange movement within the “liberal”medical community (good people!) promoting the notion that opposing viewpoints (ie. anti-booster, anti-toddler masking, ie @VPrasadMDMPH) should be censored. Raised as a lifelong “leftist” this is absolutely insane. 1/8
Take away the license of physicians you don’t agree with but who are in no way espousing hate, are you kidding me! What should be more concerning is the already present but not discussed “gag order” that already exists on physicians. 2/8
Dec 28, 2020 • 7 tweets • 3 min read
What do I tell patients with COVID that are well enough to be discharged from the ED? 👇 (a brief thread) 1/7
I given them this sheet and say... 2/7
I don’t believe ANYONE is saying COVID-19 IS high altitude sickness. But put a patient on HFNC, watch them, talk to them over a couple of days, what does COVID19 LOOK like? Our observations will lead to answers but we have to LOOK! liebertpub.com/doi/10.1089/ha…@DFarcy@srrezaie
We are watching people on HFNC for 3 days until their p/f ratio are less than 100 and we can give no more oxygen, then they are thanking us for caring for them in unbroken sentences, calling their families on their phones, and then we are placing them on a vent.
Apr 14, 2020 • 5 tweets • 2 min read
2HR CRASH COURSE on Basics of Mechanical Ventilation: For residents, housestaff, anyone needing to get caught up on basics of vent management during this COVID19 pandemic. Prob not for general public 🙂 Big subject to bang out in 2hrs. 1/5 - INTRO: vimeo.com/407400815
2/5: Normal Scalars (Waveforms): vimeo.com/407408958/5546…
Mar 31, 2020 • 6 tweets • 2 min read
1. Possible COVID+ initial vent strategy to fit hypoxemic failure: FiO2 100%, Peep LOW as possible to achieve SpO2>75%. Consider every increase in PEEP carefully, risk of lung injury. Ideally breathing on own -> CPAP, narcotics to slow RR +- moderate sedation.
2. Would awake intubation of COVID+ patient w/ Full PPE be possible?? Allow for continued breathing, no pressure support -> reduce lung injury. Goal is to increase oxygen, reduce pressure. If vent strategy can fit disease, possible early intubation not harmful. #oxygennotpressure
