everlovingPT

Nan Hannum-Physical Therapist living in the Medical & Cardiothoracic ICUs. Board Certified Cardiovascular and Pulmonary Clinical Specialist. Opinions are my own

[everlovingPT @EverLovingPT]

#acutecarePTs: has anyone ever seen someone using a nonrebreather mask and squeezing the reservoir bag like an ambubag?! This is a first for me. My instinct is to think, if the pt needs positive pressure they should be using heated high flow or CPAP. Am I missing something? #O2

[everlovingPT @EverLovingPT]

I think one of the most difficult things for me, as a PT, is seeing the functional potential of a person and balancing that with what they can realistically achieve based on the resources at my, and/or their, disposal. Feels very unfair at times. #acutecarePT #acutephysio

[RanaAwdishMD @RanaAwdish]

This is a visual representation of the authority gradient in medicine. Not calling out dangerous behavior out of deference to power differentials. This is who we were. This is NOT who we want to be. #MedTwitter

[O. Abreu Lanfranco @OAbreuLanfranco]

Henry Ford Doctor Receives First Convalescent Plasma Treatment | Henry Ford Health System - Detroit, MI https://t.co/pF6G4UUyXS

[indira brar @detroit_id_docs @detroitidocs]

Thank you for feeding us @StixnStonesInc @DelectFOODTRUCK @brasskitch @freep @HenryFordNews #HealthcareHeroes #COVID2019

[Henry Ford Health @HenryFordHealth]

💙💙

[RanaAwdishMD @RanaAwdish]

We’ve discharged our 1000th CoVid patient. 1000 people returned to their lives. Aggregates if small daily wins. I am going to sit with that for a moment and feel grateful. For everyone who made this possible. For hope. For #Detroit @HenryFordNews #COVIDー19

[Viren Kaul, MD @virenkaul]

Featuring experts in critical care, pulmonary medicine and infectious diseases: Drs. Kress, @KellyCawcuttMD and @DrJRMarcelin .. we will be discussing acute respiratory failure in #COVID19

Today (in 1 hour) 4PM Eastern
Make sure to register, it’s free!

H/T @accpchest

[Sapna Kudchadkar, MD, PhD @SapnaKmd]

If restaurants are asking where they can donate food for essential hospital workers please consider suggesting the #icurehab, #acutePT & #OT team and the environmental services teams.

They often work throughout the entire hospital & miss out on the unit-based meals. #COVID19

[Henry Ford Health @HenryFordHealth]

Dr. Rana Awdish began a different type of rounding during the #COVID19 pandemic – not on patients, but with teams of nurses and doctors on the frontlines – to offer her colleagues emotional support. https://t.co/nTAl3K139Q

[Allison Schulman MD, MPH @allie_schulman]

After a few crazy days @umichmedicine - some things I’ve learned:

We often hear human lives talked about in terms of #COVID19 statistics - we must remember that every thousand is made up of ones

We stand six feet apart but there is no doubt we are #InItTogether

#GoBlue 💙

[Rich Severin PT, DPT, PhD, CCS @ptreviewer]

Just to break things down about #breathing exercise and airway clearance because I’ve been asked this question about celebrity endorsed exercises now an innumerable amount of times.

In short, breathing and deep breaths are good for keep your airways clean and open.

(Thread)

[Melissa Wong @LISafterclass]

Student emailed me today that she is has symptoms of COVID-19 (no testing available), apologizing profusely for late assignment. Since this will start happening to many instructors, here's a script for an appropriate reply:

[everlovingPT @EverLovingPT]

@DrRajivsankar @mmamas1973 @DrMarthaGulati @hvanspall @CMichaelGibson @GiuseppeGalati_ @iamnickevans @ShelleyZieroth @CarysBarton @rajdoc2005 @KTamirisaMD Praying for a quick recovery!

[Bryan Kelly @DrBryanMSU]

@GovWhitmer My friend and mentor @RanaAwdish, Pulmonologist and Intensivist cares for the entire @HenryFordNews Hospital on a daily basis, rounding with a focus on protecting and healing all of the healers working to turn the tide on this horrible disease. https://t.co/JiXz8PKaD1

[Rich Severin PT, DPT, PhD, CCS @ptreviewer]

Prone positioning is not an airway clearance technique. It is used to correct ventilation to perfusion matching which is impaired in acute respiratory distress syndrome (ARDS).

Thread. #physiology #COVID2019 #cvpPT

[Victor Tseng @VectorSting]

Physiology of #COVID19 pneumonitis has the gist of shunt way out of proportion to lung injury. This suggests specific dysregulation of the pulmonary vascular compartment. Here is a hypothesis to explain why this might be the case, involving proteolysis of ACE2.

[Kali Dayton @DaytonKali]

Struggled with a patient's anxiety last night while he was proned but not paralyzed. We were tempted to play with deep sedation. My team was amazing trying to meet his needs and find out what he needed. The knew this patient was highly intelligent and would struggle with 1/

[Garth Nicholas @Garth_Nicholas1]

I am a medical oncologist, and a frequent part of my job is giving people bad news. Due to the pandemic I have been doing almost all of my clinic visits by phone or video the past three weeks, and I have some reflections on giving bad news remotely 1/9

[Kim Eagle @keaglemd]

"Resilience isn't flying thru without tears. You don't need resilience to get thru easy stuff. Resilience is being knocked down by something, struggling in the mud, and standing up again, even if limping and on 1 leg, but standing up to fight another day". Dr. AR Parikh, MGH doc.