#65 COVID Reflections- Disconnections and Connections: At the Bedside Segment

Core IM | Internal Medicine Podcast

Core IM Team

Mental Health, Education, Health & Fitness, Medicine

4.8 • 1K Ratings

🗓️ 29 April 2020

⏱️ 19 minutes

🔗️ Recording | iTunes | RSS

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Summary

Episode Outline * Disconnection/connection: Patients * Disconnection/connection: Family/friends * Disconnection: Security, Certainty * Connection: Other clinicians * Sharing fears, supporting each other) * Shared ethos in healthcare (one workforce, no division of specialty or hierarchy) * Conclusion: Post-traumatic growth / Peri-Traumatic Growth Thank you to everyone we interviewed, particularly to the voices you heard: Dr. Kimberly Manning (@gradydoctor) Dr. John Hwang (Hoofbeats segment) Dr. Steve Liu (Mind the Gap segment) Dr Katherine Arthur Dr. Maria Garcia-Jimenez Dr. Kelsey Luoma Hosts: Dr. Margot Hedlin (@MargotHedlin) - Introduction and Ending Dr. Tamar Schiff Dr. Michael Shen (also audio editing) Dr. Jafar Al-Mondhiry (@mondhiry) tags: COVID19, COVID-19, CoreIM, coronavirus, narrative medicine Find the best disability insurance for you: https://www.patternlife.com/disability-insurance?campid=497840 Advertising Inquiries: https://redcircle.com/brands Privacy & Opt-Out: https://redcircle.com/privacy

Transcript

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0:00.0	Her temperature was 107 and it kept on rising.
0:03.0	It was 6 p.m. and I had spent the whole day trying to keep this patient alive.
0:08.0	When her blood pressure dropped, our colleagues in anesthesia placed a central line for the pressers that we poured in.
0:13.4	When her heart rate shot up and our EKG looked concerning, the cardiology fellows looked at her
0:18.5	heart with an ultrasound and talked us through the next steps. Then her nurse was the one who noticed that the patient
0:24.2	felt warm to touch, took her temperature, notified us of her wildly erratic vitals, all
0:29.7	signs that she was descending into a cytokine storm. My interns, one of whom had joined our ranks from Obigine,
0:36.7	immediately helped rally a crew of people to cover her in cooling blankets, to hunt down an ice bath,
0:41.5	to push medications to bring her vital signs back to normal.
0:44.1	And eight sets of hands worked in a flurry packing her in bag after bag of ice,
0:48.8	all hands to turn her to guard her lines and tubes, and we watched with desperate eyes as her temperature
0:53.8	climbed and climbed and then finally peaked at 108.8 before it broke, and she defervest.
0:59.9	COVID has brought us sickness and fear and situations I never thought I could see.
1:08.0	But more remarkable, I think, than a temperature of 108 is the way this team of strangers came together.
1:15.0	We have nurses and PAs and doctors who have traveled from around the country to be here to come
1:19.8	to help a city that has been brought to its knees by this pandemic. I've handled
1:23.8	emergencies alongside people I've never met before. I've cried with nurses who
1:28.0	don't know what I look like without a mask. And this is all in a time of
1:32.0	profound isolation, a time when my patients can't have visitors, when I can't see my friends or family, a time when we all have to keep those we love at arm's length.
1:41.0	This is an impossible time, and there are so many conflicting sentiments, courage and
1:46.0	fear and excitement and sorrow, but what I keep coming back to is this one
1:50.4	strange paradox, the ways this pandemic has brought us together and how it pushes us apart.
	...

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