"I went to Dr. Nissam after having a persistent cough for 8 months and my GP referred me to him after their efforts hadn't had any effect. He felt the glands around my neck, looked in my mouth and nose, felt my jaw. Then said I should have a blood test for allergies, a NiOx test and a sleep study in case of Apnea. I didn't know what Apnea would have to do with a cough but I was open to whatever would fix the problem so I happily went along with it all. Went and did all the tests, read all the reports as they came in. Then I had a follow-up visit with him where he read the results of the tests to me and said, "Okay, are we good?" Um... No? I could read the results of each test, but what is the diagnosis? How do we cure the cough? Is it asthma? "Maybe." The blood test showed no allergies. "Well, maybe not." Should I be taking Singular? "Do you want to?" I wasn't asking to take medicine, I was asking if I SHOULD take the medicine and how to get rid of he cough. I left his office with nothing but a vague, "keep using this steroid inhaler and see if sometimes you can wean yourself down to once a day and come back for a check-up next year." My cough still persists... So frustrating. I've asked my GP for a referral to someone else."
Addiction, Psychiatry, Pain Medicine, Home Health, Emergency Medicine
250 Bon Air Road, Greenbrae, CA 94904
What is Critical Care?
Critical care, or intensive care medicine, is the delivery of medical care to patients whose illness or injury is so seriously life threatening that they would likely die without intervention. It usually takes place in ICUs or trauma centers. It is referred to as critical care in North America, while it is called intensive care or intensive therapy in the rest of the world. Specialists in this field are sometimes referred to as intensivists.
Critical care may encompass a broad variety of medical specialties in the efforts to save a patient's life. Critical care specialists must have a good knowledge of anesthesiology, surgery, internal medicine, pediatrics, and other specialties. Besides their medical knowledge, intensivists must know a great deal about end-of-life issues, including ethics, advanced directives, and family counseling and bereavement.
Critical care is a relatively modern specialty, which developed along with ICUs beginning in the 1950's. It looks different from regular medicine, and it can be recognized by the presence of more nurses, more monitoring, more invasive monitors and procedures, and the presence of life-sustaining therapies such as mechanical ventilators and vasopressors.
Specialists in critical care frequently have to make urgent and complex decisions. They use their knowledge and skill to provide intensive care to the most fragile patients and do their best to save lives.