- Profile of Daniela Lamas, a critical-care physician | Harvard Magazine
- The Egyptian Journal of Critical Care Medicine
- About the Author
- Intensive Care: A Doctor's Journal
The journal is proud to have an international multi-professional editorial board in the broad field of critical care that will assist in publishing promising research and breakthrough reports that lead to better patients care in life threatening conditions, and bring the reader a quick access to the latest diagnostic and therapeutic approaches in monitoring and management of critically ill patients.
Profile of Daniela Lamas, a critical-care physician | Harvard Magazine
ISSN: View Articles. Your Research Data Share your research data. This free service is available to anyone who has published and whose publication is in Scopus. Overall, this book sparks interesting questions about critical and end-of-life care - when does it make sense to stop care? As everyone knows, the population of older adults is growing every day. Not that older people are not worth important care, but Murray was deeply uncomfortable that many of his patients on which extreme measures were taken were actually made worse off and that more pain was caused in trying to sustain life.
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This is a common worry among doctors in this field and most seem to err on the side less care rather than more for their own lives. An interesting tidbit was around the modern ventilator, a common treatment for Murray's patients. During the polio outbreak, which paralyzed the muscles used to breath, iron lungs were in short supply.
To cope with the shortage, a special unit was created in Denmark to work on new breathing assistance techniques. They began with inserting rubber tubes down patients' throats into their lungs, but the oxygen had be pushed in manually, with an oxygen bag. So medical students would work 4 shifts of 6 hours taking turns squeezing oxygen bags. Patients usually need months of breathing assistance!
The Egyptian Journal of Critical Care Medicine
In , a mechanized ventilator was created and quickly became a normal part of the hospital scene. Overall, 3. Feb 20, Gina rated it really liked it. The book started with a 76 year old dementia patient, and I thought that was why I needed to read it. Overall she was the exception, and the majority of the ICU cases involved problems stemming from chronic drug, tobacco, and alcohol use.
About the Author
I found it interesting and easy to follow. Obviously there are bodily fluids and painful things, and a lot of death, but it is not written in a gory way; should be manageable for all but the most squeamish. It is also interspersed with medical history and the dy The book started with a 76 year old dementia patient, and I thought that was why I needed to read it. It is also interspersed with medical history and the dynamics of the medical team, and even the effects of long hours on his cat.
In the epilogue Murray grapples with some of the tough choices involved in deciding when to use intensive care, one of which is the cost. I am not sure that much has changed since the publication, but I at least hope that more people are filling out advance directives, especially as they age. Just reading more about intubation should inspire that.
Oct 02, Heather rated it it was ok. Feb 25, Alex Geiger rated it it was amazing. What I really liked about this book is the detailed descriptions of the patients and their medical situations. The write up from the dr for the chart and then his thoughts and experiences beyond the chart.
It was very familiar after watching both my father and father in law battle their last days in the ICU on opposite sides of the country. I believe there are many great points made about the struggles still facing society, patients, doctors, governments and insurance companies regarding ICU and What I really liked about this book is the detailed descriptions of the patients and their medical situations. I believe there are many great points made about the struggles still facing society, patients, doctors, governments and insurance companies regarding ICU and end of life care.
Even though the information is 15 years old it is still very relevant and very familiar. I also enjoyed the historical descriptions of medical care and particular strategies. A good read. A fast read.
An enjoyable and interesting read. Feb 16, Lee marked it as to-read. Mazie Lynn rated it really liked it Dec 31, Nilu rated it it was amazing Aug 02, Jacqui Gorin rated it it was amazing Jan 08, Forgotaboutdre rated it liked it May 20, Elizabeth A Moore rated it really liked it Jan 20, Julie rated it liked it Oct 14, Andrew Mainhart rated it really liked it Feb 01, Madelyn rated it liked it Feb 18, Sally rated it really liked it Dec 31, Emily rated it really liked it Aug 01, Genre: Journal.
For each of the 28 days, Murray presents the patients he sees, both new and ongoing, along with commentary on the care of each patient and on broader issues raised by their cases. In the course of the month, we encounter sixty patients, fifteen of whom die in the ICU.
The patients are apparently quite typical for the hospital: cases are dominated by HIV, pneumonia, tuberculosis, and drug abuse, or all four.
Intensive Care: A Doctor's Journal
The ICU is not a very safe place: there are twelve cases of iatrogenic pulmonary edema, and several of hospital-acquired infections. Murray candidly presents both the triumphs and the limitations of contemporary intensive care while giving us vivid glimpses into the lives of both patients and staff.
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In his epilogue, Murray asks some tough questions about the value of intensive care units, and discusses palliative care, patients' rights to the withholding and withdrawing of life-sustaining therapy, and even physician-assisted suicide, as "more humane"--and economically responsible--alternatives to intensive care in cases of advanced terminal illness He describes the ICU as a "battleground" where people who are "clinging to life" can "fight for it"