Recent Posts

August, 2015

  • 30 August

    Finished With ICU – How I Prepare For ICU Rounds

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    Tomorrow is my last day on the VAD and transplant ICU service and concludes my ICU requirements as a resident. I intentionally front-loaded my ICU rotations this year to rule in/out a critical care fellowship, and I’m happy to say that I’ll definitely be applying this winter. I’ve always been fascinated ...

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  • 29 August

    Listen To Nurses

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    Working in the ICU over the last two months has given me the opportunity to revisit an aspect I really love about critical care – the quality of nursing. ICU nurses have experience dealing with sepsis, shock, trauma, massive transfusion, vasoactive substances, mechanical ventilation, cardiopulmonary arrest, continuous renal replacement therapy, ...

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  • 23 August

    Last Week Of VAD/Transplant ICU

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    I’m beginning my last week on the cardiac transplant and VAD ICU rotation – one week from finishing all of my required ICU rotations as a resident! It’s shaping up to be my most draining week too with two calls plus weekend coverage and a census riddled with ECMO, Impellas, and ...

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  • 22 August

    A Patient’s Right To DNR/DNI

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    Whether it’s an outpatient clinic visit or a prolonged hospital stay in the intensive care unit (ICU), patients who have been deemed to have decision-making capacity have the right to refuse treatment. Four criteria are often assessed by a physician in determining capacity:

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  • 9 August

    Pre-Op Screen: What Is A Left Ventricular Assist Device (LVAD)?

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    Ventricular assist devices (VADs) can either support the right (RVAD) or left (LVAD) ventricles and were initially intended to be a bridge-to-transplant (BTT) in heart failure. Modern continuous flow VADs are also being used for destination therapy (DT) for those who are not candidates for cardiac transplantation or are too ill to wait for ...

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  • 8 August

    In House ICU Call

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    The intensive care unit (ICU) is where the hospital’s most critically ill patients receive care. When you’re the resident in charge of stabilizing crashing patients, rapidly escalating care, responding to emergent codes around the hospital, and working with the nurses to get through the night hour-by-hour, things can get stressful. ...

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  • 3 August

    First Day Of Transplant/LVAD ICU!

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    I’ll never get tired of new rotations making me feel like a chicken with its head cut off. After roughly 5 hours of EPIC EMR training (why must we keep doingggg thissss), my classmate and I proceeded to the ICU to meet up with our attending and fellows.

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  • 2 August

    Finished With MD Anderson ICU Rotation!

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    I’m officially finished with my MD Anderson ICU rotation and looking forward to my next rotation on the cardiac transplant and ventricular assist device ICU service at Texas Heart Institute. Working with critically ill cancer patients showed me the importance of prioritizing problems, many of which aren’t even medical in ...

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  • 2 August

    New Apartment

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    Although I loved my previous apartment at the Venue Museum District, my lifestyle didn’t justify renting such a large place. I decided to downsize to a smaller unit at within the same complex.

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