By Dr. Jessica Nutik Zitter
In 2003 I was a young ICU attending at my first real job. I was excited to finally be putting all of the skills that I had learned in fellowship to good use. I couldn’t wait to save lives.
I was asked to insert a dialysis catheter into the neck of a patient with metastatic breast cancer. This woman was dying, and her kidneys had started to fail. The nephrologist wanted to clean her blood using dialysis, which is generally the next step in the protocol. I explained the risks to her husband and reassured him we could manage them. He signed the consent form, his hand shaking slightly, and went off to the waiting room. I swabbed the patient’s neck with betadine, covered her in drapes, and got ready to insert the needle (…) Read Full Article Here