Susan Wilcox, MD

Emergency Medicine-Critical Care physician with interests in mechanical ventilation, pulmonary hypertension, and critical care transport.

[Susan Wilcox, MD @MiscSusan]

Ok, I have to say something, especially as I keep getting pulled into in these posts. COVID-19 causes ARDS. I keep hearing the refrain that it is not ARDS because “the compliance is normal.”

[Susan Wilcox, MD @MiscSusan]

This has to be satire, right?

[Susan Wilcox, MD @MiscSusan]

@DougMann7 Can you please provide a link to this German protocol? I was pretty well-versed in the global COVID protocols, and I never saw anything this drastic. Also, what compliance value are you reporting as normal? I'd love the citation.

[Susan Wilcox, MD @MiscSusan]

Ok, I have to say something, especially as I keep getting pulled into in these posts. COVID-19 causes ARDS. I keep hearing the refrain that it is not ARDS because “the compliance is normal.”

[Susan Wilcox, MD @MiscSusan]

@kareem_carr Plus - the fact that she was attacked for giving the answer that was written and answered by a man only further proves that it’s the packaging, and not the content, that people objected to.
That was the point of the post. Not that she was the first to come up with the answer.

[Susan Wilcox, MD @MiscSusan]

@kareem_carr That’s exactly the point. Why would these non-experts feel comfortable lambasting her? Because of who she was, not because of what she knew. (Plus, I never saw anything about her claiming to be the 1st. She just answered the question. So the fact she wasn’t 1st is irrelevant.)

[Jeremy Keeshin @jkeesh]

In 1945, six women pulled off a computing miracle.

They programmed the world’s first computer—with no manuals, no training.

Then, a SINGLE assumption erased them from tech history for decades.

The story of how ONE photo nearly deleted computing’s female founders: 🧵

[Susan Wilcox, MD @MiscSusan]

@EM_RESUS @IM_Crit_ Yeah, I like how it highlights the “pseudonormalization” of the ABG, or normalization with spectacular patient effort, as with in this terrific teaching case above👆🏻

[Susan Wilcox, MD @MiscSusan]

@SalaryDr @KunalBSukhija I’m curious- in your program, how are residents being given more responsibility than APPs? This may warrant further discussion with someone, as residents should be supervised and have a focus on education.

[Susan Wilcox, MD @MiscSusan]

@SalaryDr When I started as an intern in 2004, we made $45,000 in Boston. That was still really tight and difficult to live. I just calculated that to be ~76,000 in 2025, so that is a baseline number - just inflation. Since it was so tight then, I don’t think your 100,000 is off.

[Dr. Rick Pescatore @Rick_Pescatore]

The more certain someone is, the less they’ve seen. Wisdom doesn’t deal in absolutes—it holds contradiction, nuance, and the humility to be wrong.

[Matt Siuba @msiuba]

PAC use in medical ICUs is a dying art form. Don’t always need them, but you still should be able to work with them in select situations.

Even if you’re experienced, get all you can out of the data! It’s not about any 1 #. And context is everything.

[Susan Wilcox, MD @MiscSusan]

@AmiBhattMD Amazing thread Dr. Bhatt! Thank you for sharing.

[Susan Wilcox, MD @MiscSusan]

@IM_Crit_ Thank you so much. Few things frustrate me more. These “max” doses are usually arbitrary institutional policies and not based on any evidence. Drives me insane - especially when patients are allowed to be profoundly hypotensive because they are “maxed” to some arbitrary limit.

[IMCrit @IM_Crit_]

From SCCM Congress 2025:

[Neil Stone @DrNeilStone]

Still reading this myth that ventilators killed people with severe Covid.

It's like going outside on a rainy day and blaming umbrellas for the rainfall

[Surya Ganguli @SuryaGanguli]

*Every single* cure for a disease ultimately flowed from basic exploratory research. Stopping basic research is like stopping the mountain rains and expecting rivers of cures to still flow. Examples:
1) studying saliva of Gila monster -> GLP1's
2) studying funghi -> first statins
3) mRNA biology -> gene therapy for spinal atrophy
4) studying bacterial genetics -> CRISPR gene therapies
5) studies of nuclear magnetic resonance -> MRI scans
this list can go on and on. Not only in biology but all aspects of technology.... e.g.
6) curvature of spacetime -> GPS
7) quantum mechanics -> semiconductors
8) electromagnetism -> fiber optics -> internet
...

[Susan Wilcox, MD @MiscSusan]

@NotoriousS1Q3T3 Obviously. We studied them extensively in numerous contexts. Immunology, infectious disease, internal medicine, pediatrics, public heath… they are one of the most important advances in medicine, so they come up over and over again in medical school in all different ways!

[Susan Wilcox, MD @MiscSusan]

@VipsMDMEd Inhaled epoprostenol for ARDS or other severe hypoxemia.

[Susan Wilcox, MD @MiscSusan]

@RepGregMurphy @GmOrr9000 What’s your definition of full time? Full time clinical? Research? Teaching? Admin? Given that it varies wildly from specialty to specialty, academic to private, by locale, with other factors… this post is nonsense for a whole host of reasons. (Also, I paid for my own tuition)