All throughout my shift, the crackling of the overhead paging system would terrorize me. The instant I began to feel at ease, the signal of alarm would disrupt the promise of a peaceful, quiet night and was replaced by the echoing of these dreaded words: “Rapid Response Team!” or “CAC!” Without delay, my body reacted the only way it knew how. The symphony was inaugurated by a brief gasp of astonishment, followed by the pounding of my exploding heart … Continue reading “And the silence came – Sofia Arango Mendoza”
The Last Breath – Naomi Friedman
The last moments of breath before the ventilator breathes for him are precious This could be the last goodbye, the last facetime, the last I love you Right before he wants to call his family It could be the last time he speaks with them He hangs up and looks at us anxiously “I don’t want to die” he says We tell him we are here for him and we will take care of him The ET tube is supposed … Continue reading “The Last Breath – Naomi Friedman”
The Cry of the Widow – Naomi Friedman
Most of you don’t know what I’m talking about but some of you do. You hear that cry, that shriek, that uncontrollable sobbing from the widow. The patient is actively dying. We are doing compressions. We are giving medications. There is still no pulse. Compressions have stopped. The patient is dead. It is up to us to call the family. We have to do it for the family and for ourselves It is up to us and no one else … Continue reading “The Cry of the Widow – Naomi Friedman”
The good fight – Francisco Machiavello Roman
As I saw another patient lose his battle A man aged like my father Whose life ended too soon, and too abruptly I also saw my spirit break As I walked out of his room And despair invaded me The world turned silent While the voices in my head grew louder
What can we learn from the Pandemic – Melissa Berges Morales
What can I say that hasn’t already been said about COVID-19? Perhaps not much. I’ve never experienced an event that has captured the world’s attention and imagination as intensely as this. Across medical literature to opinion editorials, from family and friends to my own thoughts early in the morning and late at night, COVID was everywhere. And now I come to this; what have we learned thus far? What is the underlying theme that I now attach to this period … Continue reading “What can we learn from the Pandemic – Melissa Berges Morales”
In the Pit of My Stomach – Andrea Arango
As a physician sometimes I have wondered if I’d truly made a difference in someone’s life. Has any one decision that I’ve made been the turning point to heal another? Or worse, has something I’ve done or failed to do lead to their demise? It’s surreal how a doctor holds the control for what appears to be even the smallest choices of a patient’s hospitalization: out of bed at will versus strict bed rest, normal saline versus lactated ringer’s, regular … Continue reading “In the Pit of My Stomach – Andrea Arango”
Approach to Hyponatremia – Dr Anis
Dr. Anis, from the Nephrology department walk us through the physiology of water balance and the diagnostic approach to hyponatremia. Educational Tidbits: General Approach to Hyponatremia Check serum osms Elevated serum osm: likely hyperglycemia or other osmotic agent Normal serum osm: psuedohyponatremia (hyperproteinemia or hyperlipidemia) Low urine osm: confirmed hypo-osmolar hyponatremia, proceed to b….2 Check urine osms Urine osms < 100: non ADH dependent Excess fluid intake (psychogenic polydipsia) Decreased solute intake (beer potomania and tea and toast) Urine … Continue reading “Approach to Hyponatremia – Dr Anis”
10-2017
I would like to nominate Lilian Bizzocchi as resident of the month. She has been doing an absolutely fantastic job on the floors. She is incredibly dedicated to her patients and has gone above and beyond to make sure each patient gets the best care possible. “Impossible” does not appear to be a part of her vocabulary. She will jump any hurdles and go to any length to get the patients the studies that they need. We have a particularly difficult/complicated who is being … Continue reading “10-2017”
09-2017
I will like to nominate Priyanka Mathias for her outstanding job as an smr in September. In addition to several follow-ups that I assigned to her, where she did a phenomenal job, she made two life saving decisions on young patients this month, and went out of her way to get diagnostic/imaging studies done for these patients to expedite triage. One patient in particular was a young guy with massive pneumonedistinum, where she convinced ED and radiology teams to get esophagogram done … Continue reading “09-2017”
Extension
Extension Q: How to Dial in JMC ? A: From outside – Dial 718-918-Extension (Ex: for extension 6910, Dial# 718-918-6910) From Inside – Dial 3-Extension (Ex: for extension 6910, Dial# 3-6910) Rare cases: Some extensions are preceded by 4. For NCB dial 5 then extension **see http://www.nbhn.net/phonebook/ menu on left for more numbers and faxes. Floors: 3B/Onc: 6910 4A: 5693/5694 | 4B MICU: 7160 5A: 7018 | 5B CCU: 7150 | 5D: 5256 6A: 6926 Dialysis: 6931 Consult Services: Renal: 4282; 5722 Onc fellows room: 5663 Psych ER: 4850, 4989, 4089 Psychiatric consult: 6790; Stat Consult: 917-577-8129 … Continue reading “Extension”