Everyone seems to be talking about intensive care units (ICUs) and COVID-19 patients. As someone who has been dealing with these things every day, I am qualified to share some rarely discussed aspects.
Firstly, ICU doctors look for patterns. We like putting patients into logical categories to help organize our assessments and plans. “This patient is a recurrent urinary tract infection patient, indwelling foley, so likely has a severely high level of antibiotic resistance.” “This is one of those pear-shaped chain smokers with unstable angina who likely has a 99% LAD lesion and hypertriglyceridemia.”
The numbers we see on the screen of a patient’s chart give us tremendous insight into what the expected pattern of behavior a disease process will take in the ICU. With COVID-19, it is like that clichéd scene in the movies where the scientist looks up from the microscope and says, “This doesn’t seem to behave like anything I’ve ever seen before.”
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