{"id":46852,"date":"2020-03-12T21:41:14","date_gmt":"2020-03-12T20:41:14","guid":{"rendered":"https:\/\/blogs.bmj.com\/bmj\/?p=46852"},"modified":"2020-03-23T19:52:57","modified_gmt":"2020-03-23T18:52:57","slug":"matt-morgan-a-letter-from-icu","status":"publish","type":"post","link":"https:\/\/blogs.bmj.com\/bmj\/2020\/03\/12\/matt-morgan-a-letter-from-icu\/","title":{"rendered":"Matt Morgan: A letter from ICU"},"content":{"rendered":"<p class=\"standfirst\"><span style=\"font-weight: 400\">It must be so hard listening to endless news reports that end with \u201cdon\u2019t worry, this illness mainly affects the elderly, frail, vulnerable, or those with serious underlying health conditions.\u201d What if that is you?<\/span><\/p>\n<p><!--more--><\/p>\n<p><span style=\"font-weight: 400\">To those who are elderly, frail, vulnerable, or with serious underlying health conditions,<\/span><\/p>\n<p><span style=\"font-weight: 400\">We have not forgotten about you.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400\">It must be so hard listening to endless news reports that end with \u201cdon\u2019t worry, this illness mainly affects the elderly, frail, vulnerable, or those with serious underlying health conditions.\u201d What if that is you?<\/span><\/p>\n<p><span style=\"font-weight: 400\">Our passion as an intensive care community is fixing problems that can be fixed. Yet we often meet patients like you who have problems that cannot simply be fixed. As this virus continues to impact on the world, we will meet many more of you. Although we have fancy machines, powerful drugs, and talented staff, none of these things cure every disease. All they do is give us time &#8211; time to work out what is wrong, time to hopefully treat it, and time for people to get better. But sometimes we already know what is wrong, we already know that there is no effective treatment. And so sometimes the machines offer little, intensive care offers no fix. But hope is not lost. We have not forgotten about you.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400\">As difficult as this is, we will be honest. We will continue to use all of the treatments that may work and may get you back to being you again. We will use oxygen, fluid into your veins, antibiotics, all of the things that may work. But we won\u2019t use the things that won\u2019t work. We won\u2019t use machines that can cause harm. We won\u2019t press on your chest should your heart stop beating. Because these things won\u2019t work. They won\u2019t get you back to being you.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400\">And If these things are still not enough, we will sit with you and with your family. We will be honest, we will hold your hand, we will be there. We will change our focus from cure but most importantly we will continue to care. We have not forgotten about you.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400\">Signed,<\/span><\/p>\n<p><span style=\"font-weight: 400\">The Intensive Care Unit<\/span><\/p>\n<p><i><span style=\"font-weight: 400\"><strong>Matt Morgan<\/strong>, honorary senior research fellow at Cardiff University, consultant in intensive care medicine, research and development lead in critical care at University Hospital of Wales, and an editor of BMJ OnExamination.\u00a0<\/span><\/i><\/p>\n<p><i><span style=\"font-weight: 400\">Twitter: <a href=\"https:\/\/twitter.com\/dr_mattmorgan\">@dr_mattmorgan<\/a><\/span><\/i><\/p>\n<p><i><span style=\"font-weight: 400\">\u00a0<\/span><\/i><i><span style=\"font-weight: 400\"><strong>Competing interests<\/strong>: none declared<\/span><\/i><\/p>\n","protected":false},"excerpt":{"rendered":"<p>It must be so hard listening to endless news reports that end with \u201cdon\u2019t worry, this illness mainly affects the elderly, frail, vulnerable, or those with serious underlying health conditions.\u201d [&#8230;]<\/p>\n<p><a class=\"btn btn-secondary understrap-read-more-link\" href=\"https:\/\/blogs.bmj.com\/bmj\/2020\/03\/12\/matt-morgan-a-letter-from-icu\/\">More&#8230;<\/a><\/p>\n","protected":false},"author":1,"featured_media":41188,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[18885],"tags":[],"class_list":["post-46852","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-matt-morgan"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.4 - 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