Name: Patrick
Pronouns: He/Him
Location: Chicago
Interests: house/techno, live music, sci-fi, politics, fitness
Occupation: Anesthesiologist/Intensivist
Pronouns: He/Him
Location: Chicago
Interests: house/techno, live music, sci-fi, politics, fitness
Occupation: Anesthesiologist/Intensivist
November 7, 2024 at 7:03 PM
Name: Patrick
Pronouns: He/Him
Location: Chicago
Interests: house/techno, live music, sci-fi, politics, fitness
Occupation: Anesthesiologist/Intensivist
Pronouns: He/Him
Location: Chicago
Interests: house/techno, live music, sci-fi, politics, fitness
Occupation: Anesthesiologist/Intensivist
I'm the cardiac intensivist treating it 🤣
April 25, 2026 at 11:31 PM
I'm the cardiac intensivist treating it 🤣
The intensivist.
We talked about modern Augustine too much and this happened sorry
#augustinetet #myoc
We talked about modern Augustine too much and this happened sorry
#augustinetet #myoc
April 8, 2026 at 5:24 PM
The intensivist.
We talked about modern Augustine too much and this happened sorry
#augustinetet #myoc
We talked about modern Augustine too much and this happened sorry
#augustinetet #myoc
Yesterday, I discharged 3 patients directly from the #ICU because the hospital so full it has not had any regular floor beds. As an intensivist, I hate doing dispo, so please clap.
June 11, 2025 at 7:17 PM
Yesterday, I discharged 3 patients directly from the #ICU because the hospital so full it has not had any regular floor beds. As an intensivist, I hate doing dispo, so please clap.
more isn’t always better.
my primary concern with telemedicine ICU consultation is diffusion of responsibility:
- primary attending may be falsely reassured by the involvement of an intensivist
- intensivist defers responsibility to the primary attending
#EMIMCC
my primary concern with telemedicine ICU consultation is diffusion of responsibility:
- primary attending may be falsely reassured by the involvement of an intensivist
- intensivist defers responsibility to the primary attending
#EMIMCC
Daily multidisciplinary rounds conducted by a board-certified intensivist through telemedicine did not reduce ICU length of stay in critically ill adult patients.
https://ja.ma/3ZpCQqn
https://ja.ma/3ZpCQqn
December 8, 2024 at 2:10 PM
more isn’t always better.
my primary concern with telemedicine ICU consultation is diffusion of responsibility:
- primary attending may be falsely reassured by the involvement of an intensivist
- intensivist defers responsibility to the primary attending
#EMIMCC
my primary concern with telemedicine ICU consultation is diffusion of responsibility:
- primary attending may be falsely reassured by the involvement of an intensivist
- intensivist defers responsibility to the primary attending
#EMIMCC
You can draw a straight line from my exposure to the CPR minigame in Final Fantasy VII (1997) to my career as an intensivist, probably
January 17, 2026 at 8:44 PM
You can draw a straight line from my exposure to the CPR minigame in Final Fantasy VII (1997) to my career as an intensivist, probably
Have been advocating for an equine vet/envelope machine operator -> intensivist pipeline ever since, obv
October 9, 2025 at 4:04 AM
Have been advocating for an equine vet/envelope machine operator -> intensivist pipeline ever since, obv
grim to see what even fancily-branded hospitals will skimp on; these sorts of pts are dangerous even with an on-site intensivist
Today I learned that one should ask a hospital where a loved one is being treated in an *ICU* if they will be monitored and treated by on-site care providers or through remote telehealth. This fatal dystopian story is about Yale New Haven Health.
lawandcrime.com/lawsuit/no-o...
lawandcrime.com/lawsuit/no-o...
Dental student died in ICU overseen by remote 'tele-health' physician: Lawsuit
A 26-year-old dental student in Connecticut died in an intensive care unit that was overseen by a remote "tele-health" doctor who pronounced him dead on a video screen, a lawsuit says.
lawandcrime.com
April 7, 2026 at 7:08 PM
grim to see what even fancily-branded hospitals will skimp on; these sorts of pts are dangerous even with an on-site intensivist
Looking for some anaesthesia/anesthesiology & critical care accounts. Start here.
go.bsky.app/4N4D7MW
go.bsky.app/4N4D7MW
November 12, 2024 at 5:55 AM
Imagine having 5 pressor shock intubated and your intensivist is doing cool math problems on X
May 29, 2026 at 12:45 AM
Imagine having 5 pressor shock intubated and your intensivist is doing cool math problems on X
┻┳|
┳┻|
┻┳| ＼○／
┳┻| / Can’t extubate
┻┳| ノ) in PACU on
┳┻| sunday afternoon
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┳┻| _
┻┳| •.•) Unsuspecting
┳┻|⊂ﾉ intensivist
┻┳|
┳┻|
┻┳| ＼○／
┳┻| / Can’t extubate
┻┳| ノ) in PACU on
┳┻| sunday afternoon
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┳┻| _
┻┳| •.•) Unsuspecting
┳┻|⊂ﾉ intensivist
┻┳|
┻┳|
┳┻|
┻┳| ＼○／
┳┻| / Another Sunday
┻┳| ノ) add-on surgery
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┳┻| _
┻┳| •.•) Unsuspecting
┳┻|⊂ﾉ anesthesiologist
┻┳|
┳┻|
┻┳| ＼○／
┳┻| / Another Sunday
┻┳| ノ) add-on surgery
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┻┳| •.•) Unsuspecting
┳┻|⊂ﾉ anesthesiologist
┻┳|
March 30, 2025 at 4:47 PM
┻┳|
┳┻|
┻┳| ＼○／
┳┻| / Can’t extubate
┻┳| ノ) in PACU on
┳┻| sunday afternoon
┻┳|
┳┻|
┻┳|
┳┻|
┻┳|
┳┻|
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┳┻|
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┳┻|
┻┳|
┳┻|
┻┳|
┳┻| _
┻┳| •.•) Unsuspecting
┳┻|⊂ﾉ intensivist
┻┳|
┳┻|
┻┳| ＼○／
┳┻| / Can’t extubate
┻┳| ノ) in PACU on
┳┻| sunday afternoon
┻┳|
┳┻|
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┳┻| _
┻┳| •.•) Unsuspecting
┳┻|⊂ﾉ intensivist
┻┳|
standing at the patient'a door waiting impatiently for the intensivist to finish placing a CVC so I can go make a cup of coffee
This is what I mean when I say that ultrasound is essential to the practice of emergency medicine www.404media.co/scientists-u...
Scientists Use Ultrasound to Make Cold Brew Coffee in 3 Minutes Instead of 24 Hours
They have also invented something they are calling "cold espresso."
www.404media.co
May 9, 2024 at 2:47 AM
standing at the patient'a door waiting impatiently for the intensivist to finish placing a CVC so I can go make a cup of coffee
This is unrelated but my astrology-of-doctors is that all doctors are a combination of some amount of physics, chemistry, and biology. As an intensivist I'm a physics with chemistry rising.
August 1, 2026 at 6:05 PM
This is unrelated but my astrology-of-doctors is that all doctors are a combination of some amount of physics, chemistry, and biology. As an intensivist I'm a physics with chemistry rising.
August 1, 2024 at 12:13 PM
From everyone’s favorite and respected Pediatric intensivist,…
December 25, 2025 at 3:18 PM
From everyone’s favorite and respected Pediatric intensivist,…
Not having a single physician level intensivist available on site is negligible. We need protection from that staffing ratio. PA’s, NP’s, & RN’s can provide a lot of quality care but if an ICU patient is decompensating then you need more than an MD on a screen guiding mid-levels through a response
April 6, 2026 at 1:23 AM
Not having a single physician level intensivist available on site is negligible. We need protection from that staffing ratio. PA’s, NP’s, & RN’s can provide a lot of quality care but if an ICU patient is decompensating then you need more than an MD on a screen guiding mid-levels through a response
When I’m the on call intensivist, I make it clear to my team that if we’re called to help with critically ill patients, having no available ICU beds is irrelevant
Critical Care is a People, not a Place
Critical Care is a People, not a Place
April 3, 2025 at 10:23 AM
When I’m the on call intensivist, I make it clear to my team that if we’re called to help with critically ill patients, having no available ICU beds is irrelevant
Critical Care is a People, not a Place
Critical Care is a People, not a Place
He could be intubated & sedated in the ICU after a cardiac/neuro event & they’d publish it was a planned “meeting” with his intensivist in preparation against antifa getting its wish.
October 9, 2025 at 1:18 AM
He could be intubated & sedated in the ICU after a cardiac/neuro event & they’d publish it was a planned “meeting” with his intensivist in preparation against antifa getting its wish.
The new intensivist is such a bro he totally belongs in the ortho world
August 10, 2024 at 3:51 PM
The new intensivist is such a bro he totally belongs in the ortho world
Optimist: the cup is half full
Pessimist: the cup is half empty
Intensivist: the cup is grossly edematous and intravascularly hypovolemic
Pessimist: the cup is half empty
Intensivist: the cup is grossly edematous and intravascularly hypovolemic
Optimist: The cup is half full.
Pessimist: The cup is half empty.
Law professor: No cups in the park
Pessimist: The cup is half empty.
Law professor: No cups in the park
Optimist: The cup is half full.
Pessimist: The cup is half empty.
Historian: The cup, 1789-1914
Pessimist: The cup is half empty.
Historian: The cup, 1789-1914
November 23, 2024 at 2:48 PM
Optimist: the cup is half full
Pessimist: the cup is half empty
Intensivist: the cup is grossly edematous and intravascularly hypovolemic
Pessimist: the cup is half empty
Intensivist: the cup is grossly edematous and intravascularly hypovolemic
An under-appreciated but very useful intensivist micro-skill is the automatic ability to note the time when significant events occur.
Jason Bourne would be great at this:
Jason Bourne would be great at this:
December 8, 2024 at 3:05 AM
An under-appreciated but very useful intensivist micro-skill is the automatic ability to note the time when significant events occur.
Jason Bourne would be great at this:
Jason Bourne would be great at this:
December 14, 2025 at 7:28 PM
Optimist: The cup is half full
Pessimist: The cup is half empty
Intensivist: We need VEXUS to determine how congested this cup really is.
#icusky #medsky
Pessimist: The cup is half empty
Intensivist: We need VEXUS to determine how congested this cup really is.
#icusky #medsky
Optimist: The cup is half full
Pessimist: the cup is half empty
The nephrologist: It's only half a cup? We can dialyze that off, no problem.
Pessimist: the cup is half empty
The nephrologist: It's only half a cup? We can dialyze that off, no problem.
Optimist: The cup is half full
Pessimist: The cup is half empty
@traumasoapboxes.bsky.social: The cup is completely empty and needs blood, not saline
Pessimist: The cup is half empty
@traumasoapboxes.bsky.social: The cup is completely empty and needs blood, not saline
November 23, 2024 at 8:42 PM
Very rare to see an intensivist in favor of starch these days. Most use albumin to thicken their stews
You know what is amazing?
Corn starch
That shizz thickens up my soupy-ass chili while preserving the pitch-perfect symphony of flavors
It’s the backbone of thicc soups everywhere
Kudos to corn starch
(If you come at me with some “your chili shouldn’t be soupy in the first place” BS, it’s on)
Corn starch
That shizz thickens up my soupy-ass chili while preserving the pitch-perfect symphony of flavors
It’s the backbone of thicc soups everywhere
Kudos to corn starch
(If you come at me with some “your chili shouldn’t be soupy in the first place” BS, it’s on)
December 2, 2024 at 10:06 PM
Very rare to see an intensivist in favor of starch these days. Most use albumin to thicken their stews
It’s true. I was the intensivist. I never would have thought of using ECMO until the orthopedic surgeon brought me the report he got from AI
September 15, 2026 at 3:22 PM
It’s true. I was the intensivist. I never would have thought of using ECMO until the orthopedic surgeon brought me the report he got from AI