A front-line critical care doc talks about why preserving quality of life AFTER an ICU stay matters...a LOT.

Dr. Wes Ely's book, Every Deep-Drawn Breath, is available now. Check out the Critical Illness, Brain Dysfunction, and Survivorship (CIBS) Center here. Here's our other episodes with Dr. Ely.

Transcript, video and more: https://zdoggmd.com/wes-ely-3/

Topics & Timecodes:

0:00 Intro

7:06 Importance of family in ICU care, especially with cultural/language issues

13:08 Testimonial injustice, the A2F Bundle, and a billionaire in the ICU

17:17 COVID & nurse burnout

20:13 Caring nonjudgmentally for patients regardless of their vaccine choices

24:56 The ethics of fetal stem cell lines in vaccine development (and some surprising truth)

28:30 Therapeutics analysis: ivermectin, JAK inhibitors, baricitinib

38:50 Allowing ourselves to feel with our patients, the importance of respecting faith paths

46:31 ICU delirium may damage higher cognitive systems and leave emotion intact (elephant and rider/system 1 and system 2)

54:19 The harm of excessive sedation and delirium as a predictor of death

58:53 PASC, Post-Acute Sequelae of COVID (AKA Long COVID)

01:03:48 Managing delirium and early mobilization in the ICU

01:09:37 Self-forgiveness, shame in medicine, and closing thoughts

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