I often teach the a few core principles of what makes ICU decision making different from treating what appears to be similar problems on the med-surg floors. Here are a few principles I emphasize, in no particular order...🧵
Doctors in public:
Stranger: “What do you do for a living?”
Me: I work down town.
“Where?”
At the hospital.
“What do you do there?”
I work in the operating room.
“Doing what?”
I take care of people.
“Are you a doctor or a nurse?”
Fine. Yes. I’m a doctor.
#MedTwitter
"I want to speak to the senior doctor."
"That's me."
"No, like... the supervisor."
"Yup, that's me."
"No, no the... big doctor. The boss. He's usually older."
"Oh, is he?"
Here’s one assumption I live by: no matter how tempting, always assume that anyone above you in the social class has twice the burdens you have even if it doesn’t look like it. The higher people grow, the more they devote into hiding their burdens. Success carries its coat.