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By Marta Hill
For the last week, Massachusetts’s seven-day average of new COVID-19 daily case numbers has been below 1,000, marking a steep decrease from a few weeks ago, and one local critical care doctor is seeing the shift in the intensive care unit.
Dr. Lakshman Swamy, a critical care physician at the Cambridge Health Alliance and instructor at both UMass Chan Medical School and Harvard Medical School, took to Twitter Sunday to celebrate little victories from the weekend.
“This weekend, I had *ZERO* COVID in the ICU,” Swamy tweeted. “After Delta & omicron it was incredible to see people who just got better. To not feel like everything kept getting worse. To not feel like it was hopeless.”
He went on to list some “#CritCareWins,” including three back-to-back straightforward cases, a patient feeling comfortable enough they decided to get vaccinated, and simply the existence of antibiotics.
Swamy acknowledged that time in the ICU is not all sunshine — even amidst little victories there are tragedies and suffering. As of March 3, there were 345 COVID-19 patients hospitalized in Massachusetts.
“I don’t know how long this lull will last. I hope it is forever,” Swamy wrote. “But just as I try to soak up all the life I can when COVID is receding, I want to recognize all the joy, the wins. They’ve been few and far between. Here’s hoping for more #CritCareWins in the coming months.”
This weekend, I had *ZERO* COVID in the ICU. After Delta & omicron it was incredible to see people who just got better. To not feel like everything kept getting worse. To not feel like it was hopeless.
— Lakshman Swamy ([email protected]) (@laxswamy) March 7, 2022
So I want to share some recent #CritCareWins & I hope you share yours too…š§µ
Ok my first one… Three procedures, back to back, all straightforward, simple. Cvc, A-line, intubation. No issues. It just went well. Flawless teamwork. Not a #CritCareWins because it was so hard and we're so good… Because it was so easy and the patient did so well!
— Lakshman Swamy ([email protected]) (@laxswamy) March 7, 2022
In classic internal medicine fashion, we spent *forever* thinking and talking about a patient's fluid balance. The data we had were all over the place. No easy answer. We made a call, as a team… And the urine output jumped up & creatinine came down! #CritCareWins
— Lakshman Swamy ([email protected]) (@laxswamy) March 7, 2022
I'm not saying it was all āļø. There was tragedy. Some people suffered immensely. But that's part of the ICU… What makes covid different is that's ALL there is. A lot of misery. None of the lives saved just in time with great ICU care. Few 'good deaths' with comfort & dignity.
— Lakshman Swamy ([email protected]) (@laxswamy) March 7, 2022
…and of course in a few months you'll be using this hashtag to tweet about your @CritCareGame #CritCareWins too š
— Lakshman Swamy ([email protected]) (@laxswamy) March 7, 2022
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