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Since none seem to have remarked this Post, I suppose that I can address it. As you said ‘Physicians are Clinicians who practice at bedside and takes care (of) patients.’ Well, I worked intimately close with dozens, more likely hundreds of ‘Covid Patients.’ In fact every single Patient who entered my Hospital's ER was automatically presumed to be Covid positive.

This was quite distressing to my Department as we always received the call to contend with these infectious Patients. The truth is that those bedside Physicians in our ICU never got within 10 feet of a bed for a year at least. They did their Rounding from outside of the rooms. They used the Nurses remote monitors to track vital signs and computer reports for ventilator settings.

The only time that Physicians entered those rooms were for Codes, Intubations, or procedures such as inserting A-Lines. There was no ‘bedside management’ happening. Certainly I do presume that this was the case in other large hospitals. I cannot know that, but it seems quite likely.

That was good times, Physicians ‘rounding’ from yards away from the Patients, shielded by protective doors and other barriers. I would attest to this in a Court while under oath. This stuff went on for more than a year. Meanwhile it was all ‘try this, try that.’ They were tweaking ventilator settings constantly as those young Interns and Residents were clearly mystified. Fine, let me get it. They had us donning and doffing constantly according to the protocol.

Hypertensive Patients were on ventilator settings which made absolutely no sense whatsoever. It is incredible that one such as myself could make such a difference in people's lives, but I did so. Me, some kid from the Projects was saving lives regularly, despite the best efforts of those ‘bedside professionals’ to guess their way into figuring shit out and placing them in jeopardy of expiration in hours or sooner.

Few will ever know of what I and my Associates were able to do. We do not get the spotlight. The TV Crews do not come to us and ask about how difficult things were. I have had ‘Doctors’ inquire of such banal things. ‘What is `BiPAP?’ I fixed so much shit during my time and almost none will ever know. It is OK, because I know. You Sir or Ma’am clearly do not.

I am not sure exactly what your point is. I rounded on each of my patients at bedside. Examined them carefully. I am curious what vent settings were in appropriate for a hypertense patient. My guess is you are either RRT or RN. I am blessed to work with excellent groups of both. It’s a crock of crap that a doctor would ask what BIPAP is. I call bullshit on that. If you would like to have a discussion on what you think poor vent settings are, what vent settings are you questioning. Yes there are bad docs who don’t know how to run a vent.

Please let’s have a conversation. I am curious what general credentials are (I won’t threaten to dox you or slander you as certain others here like to do). I’ll take you at your word. And enlighten me what you didn’t approve of. You might be correct. You might not be. Let’s explore this topic.