Katharine Secunda

Pulmonary/Critical Care Doc. Lover of rescue dogs and Diet Coke. Passionate about serious illness communication and end of life care in the ICU.

[Katharine Secunda @KatySecunda]

@macwalterMD @NM_Lung @NorthwesternMed Thanks Mac, and all!

[Katharine Secunda @KatySecunda]

@thanh_neville We (at UPenn) had the same policies as you are describing, and they were lifted a few months ago. Limitations on visitors (# per day and # at bedside at a time) and masking requirements remain in place.

[Katharine Secunda @KatySecunda]

Great learning case for how to approach a malpositioned central line when vascular access options are limited and treatment requiring line is urgent.

[Nida Qadir, MD @NidaQadirMD]

Text exchange b/w me and my fellow a while back after a very challenging pheresis catheter placement in a patient w/ acute leukemia & WBC of 350K.

➡️ Where’s the tip?
➡️ Do you use the catheter?

Comment below - I’ll post the answer tomorrow! #MedEd #MedTwitter

[Katharine Secunda @KatySecunda]

@hraza222 @snakagawa_md Case-by-case but the times I've done it, it has allowed families to witness "everything being done" for their loved one and provided closure. Agree that a facilitator dedicated to supporting family during the code is needed to make benefit > harm.

[Katharine Secunda @KatySecunda]

@dog_rates @Trupanion The sweetest pittie girl

[Katharine Secunda @KatySecunda]

@eemoin Sorry to hear Emily! Hope you feel better soon!

[Katharine Secunda @KatySecunda]

@RogerKimMD @PennPulmonary Ah I see it now! Nice job!

[Katharine Secunda @KatySecunda]

@p_ganong @HarrisPolicy Congrats Peter!!

[Katharine Secunda @KatySecunda]

@JustinFiala @DrJeanJacques @vaughalle1 @NorthwesternMed How wonderful! Congrats!!!

[Elizabeth Viglianti @L_VigliantiMD]

How do we use the term “goals of care” and what do actually mean by it? Great work from @jackykruser and presented by Dr.Reif @uw_APCC #ATS2022 @atscommunity

[Katharine Secunda @KatySecunda]

@IdVilchez @emily_fri @DrToddLee @wfwrighID @BradSpellberg @DrEmilyMcD @mangarone23 Both young adults(20s) with profound shock and extensive purpura. It seemed like it helped (stalled progression of lesions, no new sites) but honestly hard to know if that would have been the natural course w/o protein C concentrate.

[Katharine Secunda @KatySecunda]

@CNemehMD I can see the utility but worry about bundled consents contributing to clinical momentum toward procedures, resulting in lack of “pause” to readdress goals of care, particularly in medical icu population with often changing clinical context.

[Katharine Secunda @KatySecunda]

@Jani__Gee Hahahah

[Katharine Secunda @KatySecunda]

@Anand_88_Patel @NU_IntMed @ChuziSarah @CanteyEric @AGoodwinMD @Landsberg_Soc What a crew!

[Katharine Secunda @KatySecunda]

@JulieWChilders @JAMA_current @JAMANetwork Thank you for this beautiful essay.

[Katharine Secunda @KatySecunda]

@ChuziSarah @JACCJournals Love this! And so many applications of this outcome measure to other preference-sensitive interventions/therapies!

[Katharine Secunda @KatySecunda]

@JustinFiala @NinjaFarmD Big loss for the NM team, best of luck in your next adventure!

[Katharine Secunda @KatySecunda]

@nursekelsey Diet Coke. At least six 12-packs at all times.