SUCCESS STORIES
62-year-old farmer history of Hypertension, Diabetes, Hyperlipidemia, Coronary Artery Disease w prior coronary stenting, Diastolic Heart Dysfunction preserved Ejection Fraction presented to a Texas Critical Access Hospital complaining of severe shortness of breath. In ED patient was found to be in respiratory distress, with an oxygen saturation of 83% and new onset Atrial Fibrillation w an irregular heart rate of 150. Patient was seen and examined by the Optimum Tele-intensivist who guided the team in stabilizing and treating the patient using non-invasive ventilation, diuresis and provided pharmacological rate heart rate controlling medication. Patient remains at the CAH managed by the Optimum Teleintensivist for the following 2 day and was discharged home as was managed by the intensivist daily for the following 2 days until discharge.
48-year-old mechanic, a long-time alcoholic presented with severe agitation and confusion which began several hours prior to presenting to a Central Idaho Critical Access Hospital. The ED physician’s clinical impression at the time of presentation was that the patient was suffering from Acute Alcohol Withdrawal Syndrome complicated by severe agitation that could not be controlled w Ativan. Patient was seen, virtually examined by the Optimum Tele-intensivist who treated and managed the patient over the following 2 days using a combination of sedative sand other interventions utilizing continuous hemodynamic and telemetric monitoring which resulted in complete resolution and recovery in 3 days. Patient was discharged home in stable condition.
56-year-old office manager with a history of h/o Hypertension, well managed Insulin Dependent Diabetes, Hypercholesterolemia, End-Stage-Renal-Disease requiring renal transplantation presented to an Eastern Nevada Critical Access Hospital w weakness, burning with urination, fever during the prior 2 days and was diagnosed with an acute urinary tract infection complicated by renal failure. In light of the concern for renal graft failure – efforts to transfer the patient to a tertiary care center were unsuccessful due to the lack of a destination bed availability. Patient was seen, virtually examined and managed by the Optimum Intensivist who treated the infection, stabilized and restored renal function after identifying the toxicity associated by one of the antirejection medications. Patient recovered and was discharged home in 3 days
45-year-old 4th grade teacher a lifetime non-smoker with a history of h/o COVID Pneumonia in the summer of 2020 requiring a 3-week hospitalization including 11 days of mechanical ventilatory. Patient presented to a Northern Louisiana Critical Access Hospital complaining of progressive shortness of breath and a non-productive cough over 3 weeks. She was found to have an oxygen saturation of 82% and was placed on high concentration supplemental oxygen support as well as antibiotics. Patient was seen, virtually examined and managed by the Optimum Tele-intensivist who diagnosed her a rare COVID related severe inflammatory disease of her lung and over the next 5 days treated her with a powerful anti-inflammatory regimen to the point of complete oxygen independent recovery. Patient was discharged home and returned to work.
23-year-old woman history of hypertension and 5 days post-partum after delivering a full-term baby boy. Patient presented to Ohio Critical Access Hospital with headache and blurry vision and was found to have a blood pressure in excess of 200. Patient underwent a CT scan of the head and upon returned to her room experienced a witnessed generalized seizure. Patient was seen and virtually examined by the Optimum Tele-intensivist who promptly diagnosed her with preeclampsia and Posterior Reversable Leukoencephalopathy Syndrome - an uncommon complication of her pregnancy and after managing her care over the next 2 days she was discharged home.