Last night in the ICU of a #NYC hospital, I cared for 20 patients who were all on breathing machines due to #COVID19. Some REALLY young (20s), without comorbidities. Everyone is extremely sick. But sicker patients keep flooding in…
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Some of our sickest patients with
#COVID19 really need dialysis, but we don’t have enough machines. We are actively rationing care - something I thought I would never see in our healthcare system...Show this thread -
It is heartbreaking to have end-of-life discussions w/ family members. No part of me was prepared to convey that a family member can’t say goodbye. That their love one would have to be alone during their final moments. I cannot imagine how they feel...how painful it is...
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Hospital staff are exhausted & honestly - scared. Our healthcare system is in survival mode...
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But I have never been prouder to be a physician in
#NewYorkCity. My incredible colleagues - everyone - is rising to the occasion. We are doing our best. We will get through this together.Show this thread
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That is total BS. Just stop
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France has found that survival rates dramatically increase when patients are intubated already as soon as EMT’s pick them up, long before they arrive at the hospital. The have trained EMT’s to do so and are also sending out MD’s with the EMT’s.
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Can’t imagine how mentally exhausting your job has become. Americans owe you and your colleagues a debt we cannot repay. Hang in there and my prayer is that you and your families stay healthy

Thanks. Twitter will use this to make your timeline better. UndoUndo
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Who’s bringing them into the hospital? Why isn’t the ambulance intubating if that’s what they need? Why aren’t they being diverted to other hospitals with less ER activity?
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The point is that A LOT of people are needing to be intubated. All the hospitals have that much activity.
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