Early physiotherapy ICU
@fisioprecoce
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Discussion on early mobilization and rehabilitation in the ICU. instagram: fisioprecoce
Porto Alegre, RS-Brasil
Joined April 2019
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Our next challenge is to carry out interactions between patients in the early mobilization process. Why not perform a group service within an ICU.
@Cristianofisio1
@Fontourat10
#everyBODYmoves
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We continue on Friday with more early mobilization activities. Yes we love volleyball in the ICU.
#everyBODYmoves
#Icuvolleyball
#Volleyball
#delirium
#rehabilitation
#rehablegends
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Today was virtual reality day. Take your patient to see the world.
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Being creative in the proposals of functional exercises during Early Mobilization, can be the great key to the success of rehabilitation. Reflection.
@Cristianofisio1
#delirium
#everyBODYmoves
#rehablegends
#rehabilitation
#Mobility
#icurehab
#physiotherapy
#earlymobility
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Repeat after me: MV patient can walk, MV patient can walk, MV patient can walk.
#delirium
#rehabilitation
#rehablegend
#everyBODYmoves
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The use of technology in daily care brings great benefits to patients, like this one: virtual reality (RV). With this, we optimize the service by joining active cycle + VNI + RV.
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Sedation pause protocols help maintain strength preserved, reduce delirium, reduce MV time, reduce hospital stay. We still see this not happening in many institutions, we use the ABCDEF bundle in the ICU, it adds the whole team and family and the results are fantastic
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Introducing activities of daily living in the rehabilitation of critically ill patients.
#earlymobility
#everyBODYmoves
#rehabilitation
#rehabicu
#delirium
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Ambulation has and should be routine in the ICU. Shall we put aside the old barriers?
#earlymobility
#everyBODYmoves
#rehab
#rehablegends
#walking
#walkingicu
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There is no mystery in the critical rehabilitation process, the focus must be based on multidisciplinary care and early mobilization outside the bed are essential factors for our patients.
@Cristianofisio1
#delirium
#preventdelirium
#RehabLegend
#ICURehab
#everyBODYmoves
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implementation of walking protocols in the ICU, have great functional gains for our patients. Walking with CVVH. What is your barrier to Mobilization?
@Cristianofisio1
#delirium
#everyBODYmoves
#rehabilitation
#rehablegend
#earlymobilization
#mobilization
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Use of immersive virtual reality to increase exercise time. Technology in favor of Rehabilitation.
@Cristianofisio1
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One of the equipment we most use in the ICU. It takes time and care. We do not use it just to put it in orthostasis, it is used to work the trunk leaving an angle between 30°-45°, it helps with the sensory, lungs, muscle strength.
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Patient with walking ability in CVVHDF.
#everyBODYmoves
#earlymobilization
.
@hedsaude
@Cristianofisio1
@Marquesprmf
@icurehab
@HopkinsAMP
@TantamKate
@DaytonKali
@asantana2002
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Insertion of playful activity in the rehabilitation of critical patients. Innovate and reinvent yourself.
#delirium
#rehablegend
#everyBODYmoves
#rehab
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Evolving ambulation according to the IMS scale. Friday with two physiotherapists and Monday with 1 physiotherapist
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Chronic critical patient after COVID with ICUAW. Using orthostatic board and functional activities with upper limbs.
@Cristianofisio1
#earlymobility
#everyBODYmoves
#delirium
#COVID19
#rehablegends
#rehabilitation
#icuday
#physiotherapist
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In this case we have 3 professionals, 2 Physiotherapists and 1 Nurse.Every day the team becomes more trained.
@fisioprecoce
@WesElyMD
@ElleMCB1
@Paul_Wischmeyer
@HeidiEngel4
@TantamKate
@icurehab
@brownam130
@nickmmark
@iceman_ex
@laxswamy
@iamyourgasman
@chungk1031
Thank you for your incredible example to the world. I have repeatedly seen that starting early mobility is similar to starting pronation for many teams in 2020. Initially, proning involved 8+ people and tedious time and effort. Now teams use 3 to prone quickly and efficiently.
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A little bit of our mobilization with a hospital crane. Ease for the team and for our patients. If it's hemodynamically well, there's no reason not to mobilize.
@HomeIcu
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Is it possible to ambulate on mechanical ventilation and continuous dialysis replacement? Watch the video.
@Cristianofisio1
@Marquesprmf
@HopkinsAMP
@icurehab
@DrDaleNeedham
@NydahlPeter
@vitorhazevedo
#everyBODYmoves
#earlymobilization
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Evaluation, functional kinesiological diagnosis and exercise prescription are the key to the success of your care. Meet your patient's needs, work with series, repetitions or even exhaustion, don't forget eccentric, concentric and isometric contractions😉
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And this article published this week tells the story of physiotherapy with early mobilization. It is worth reading. Describes the past, present and future.
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Introducing daily activities in early mobilization protocols is extremely important in the rehabilitation of critically ill patients.
@Cristianofisio1
@HopkinsAMP
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A well-trained team stands to gain from the patients, we have a duty to seek their functionality. Congratulations to everyone who provided this.👏👏👏
Early rehabilitation in
#COVID19
patient with awake
#ECMO
support.
It's not only about improving gasometry.
#ECLS
also allows this work, essential for an earlier return to normal activities.
@FisioRespiVh
@vallhebron
@ELSOOrg
@EuroELSO
@FOAMecmo
@UCI_vhebron
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Patient with Guillain Barré, MRC 20, with weaning difficulty, we started PNF work on 4 supports.
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Setting up ambulation programs on mechanical ventilation is feasible and safe. Studies show that it reduces ICU and MV time.
@icurehab
@HopkinsAMP
@AcuteCareAPTA
@Cristianofisio1
@RecoveryICU
#earlymobilization
#physiotherapy
#everyBODYmoves
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Today we used virtual reality glasses to take a patient to Paris. This way we can get them out of the ICU.
#everyBODYmoves
#fisioprecoce
#HomeIcu
#delirium
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Today is not TBT day, but I remembered that day when we brought together 5 physical therapists to mobilize this patient. Oh!! But he doesn't have control of the neck, the trunk, we went to the neck, the trunk, the legs, that's our job, that's why we study so much.
#MOBILIZE
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Gameterapy can assist in the rehabilitation process of the critically ill, providing increased physical activity, benefits in the respiratory system, skeletal muscle and important outcomes such as functionality, we love using this tool.
@Cristianofisio1
#delirium
#everyBODYmoves
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We continue in rehabilitation using virtual reality
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Early mobilization in the patient with COVID 19. Orthostatic board to try to minimize the effects of immobilization.
#rehabilitation
#COVID
ー19
#physiotherapist
@covid_rehab
@Cristianofisio1
@HopkinsAMP
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Congratulations to the physiotherapists for the world day. Extremely important profession in the rehabilitation process.
@Cristianofisio1
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Walking is a functional skill that requires great complexity, but it is a skill that should always be encouraged. What is your barrier?
#rehablegend
#earlymobility
#delirium
#ICU
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Saturday is also a day of mobilization, rain or shine, it's what we like to do the most. Olympic Spirit entered the ICU. Today athletic march. 🥇🥈🥉🇧🇷
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A little bit of our routine. It's great teamwork.
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Patient after COVID, 15 days of sedation and mechanical ventilation, after a couple of rehabilitation starts his first ambulation. We observed a great need for assistance to walk.
@Cristianofisio1
@HomeIcu
@HopkinsAMP
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I love playing volleyball in the ICU, it is good for the patients and for us.
Ejercicio en la UCI, no todo tiene que ser aburrido 😜
...
Exercise in the ICU, not everything has to be boring 😜
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Patient in CVVHD amputation of MIE, prosthesis at home. He reported the desire to walk in the ICU, why not carry out this patient's will? Sunday is also a mobilization day.
@Cristianofisio1
#earlymobility
#everyBODYmoves
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The form of mobilization we love to do.
#delirium
#everyBODYmoves
#rehablegends
#rehabilitaci
ón
#rehab
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Today we had a special moment in our post-Covid ICU, renewal of 48 years of marriage, emotion was gigantic.
#ICU
#COVID19
#rehabilitation
#rehablegends
#humaniza
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We remain firm and strong in the post-COVID rehabilitation process. An aligned multidisciplinary team is essential for the success of rehabilitation. Another session on the orthostatic board.
@Cristianofisio1
#delirium
#COVID19PT
#rehablegends
#physiotherapy
#everyBODYmoves
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A great job done in conjunction with the multidisciplinary team, congratulations to all medical professionals, physiotherapists, nutritionists, nurses, psychologists and etc.
#nutrition
#icurehab
#everyBODYmoves
#picscovid
#COVID
ー19
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Day of walking in the ICU with renal replacement therapy. Thank you multidisciplinary team for providing this experience to the patient.
#rehab
#everyBODYmoves
#rehablegend
#rehabilitation
#WalkAway
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Today's
#TBT
day, I'm going to show this patient who was hospitalized for coronary artery bypass graft surgery and after the procedure progressed to Left Stroke. In the video, her first walk, her happiness is fantastic. The team did an excellent job.
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Most barriers to Early Mobilization can be overcome. CVVHD patient with the ability to walk. We emphasize the importance of implementing walking protocols in the ICU.
@Cristianofisio1
#mobilisation
#physiotherapy
#icurehab
#everyBODYmoves
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Early mobilization is multidisciplinary teamwork, each with its well-established function. An excellent article that you can use is:
Ten strategies to optmizime early mobilization and rehabilitation in intensive care.
GOOD WEEKEND ✌️✌️✌️
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It sends us a feeling of joy and pride to witness our post-covid polyneuropathic patients improving their functional capacities. We continue the fight.
#COVID19
#rehab
#everyBODYmoves
#rehablegend
#delirium
#icurehab
#rehabilitation
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Great work, the recovery of patients is not just medication, but family, humanization, pet and an engaged team
Episode 71:
How does being awake and walking on the ventilator save lives?
We ran through her case study on the
@icuscenarios
podcast, but now Megan gets to tell her side of the walking through and away from the ICU.
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Patient with vasopressor (nitroprusside) performing a beautiful functional activity. What is your barrier to mobilization?
#volei
#voleyba
#mobilization
#rehabicu
#everyBODYmoves
#VolleyballMatch
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What's the point?? Is the objective the pursuit of functionality, as a baby do we not crawl before walking? Sometimes we need to go back there at the beginning to get answers.
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Patient with contraindication to leave the bed, sedated, CRRT and MV. We have the momentary option of neuromuscular electrical stimulation.
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Our post covid patient after a few weeks of difficult weaning, many exercises to recover his ICU AW, many ups and downs during his process. We never threw in the towel and today we are grateful for his discharge from the ICU, walking with a light support of O2.
#COVIDrehab
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A patient with MIE amputation, we started gait training with a walker as soon as possible, always looking for functionality and thus reducing delirium.
@HomeIcu
#earlyphysiotherapyicu
#icu
#delirium
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Process of weaning and extubating the patient in the ICU is of paramount importance in the rehabilitation and improvement of the outcomes of the ICU. Dexheimer and collaborators retrospectively assessed the success of extubation sitting in the armchair.
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Orthostatic board in hyperlapse mode .... Early mobilization already.
#everyBODYmoves
#rehabilitation
#delirium
#rehabcovid
#ICURehab
#CriticalCare
#mobilization
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In the current scenario of Covid 19 we are faced with many patients who end up becoming critically ill patients with their particularities. Insertion of functional activities and walking in the MV can assist in your rehabilitation process.
#Covid_19
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Congratulations. Let's encourage the world.
# SAY NO TO IMMOBILISM
@HomeIcu
@icurehab
@HopkinsAMP
@TantamKate
Y ustedes ¿Ya caminaron?
Porque nuestro paciente con ventilación mecánica si.. 🏥🏃
#ICURehab
#CriticalCare
#A2Fbundle
#everyBODYmoves
#PutYourICUinMovement
@miguemtzcamacho
@RobJonesBaro
@andreamelo___
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Why not extubate to walk? Why cross out to do an adverse event? These are some questions that teams that have failed to break through their barriers. What are my answers, patient are weaning conditions from VMI, and walking in addition to maintaining the functionality of...
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Orthostatic board also serves to perform active exercises.
#COVID
#rehab
#delirium
#rehabilitation
#everyBODYmoves
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Walking aids .... We love it.
#walking
#delirium
#icu
#mobilization
#everyBODYmoves
#rehabilitation
#rehablegends
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The presence of the physiotherapist in the ICU is a performance:
1- decreases mechanical ventilation time;
2-decreases risk of ventilator-associated pneumonia;
3- decreases length of stay in the ICU and Hospital;
4-we seek functionality
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Plagiarizing a little Martin Luther King. "And I have a dream that one day all patients will be mobilized daily, that less sedation is used and that functionality is treated with the same concern that sepsis is treated".
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A patient suffering from tetanus arriving in a serious condition in the ICU, this video demonstrates some steps of Physiotherapy during his rehabilitation process. Congratulations to the multidisciplinary team.
@Cristianofisio1
@HopkinsAMP
#earlymobility
#rehabilitation
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World Physiotherapy day very happy to be part of this story
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Still not able to get out of bed? Use technologies to help your patients. That. is among the 10 mobilization strategies.
Rehabilitación en ECMO, en los últimos pasos para salir del soporte 🙏
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The barriers of early mobilization are often imposed by ourselves. Mobilize your patient now.
#bravelikezei
’s mom
@BrieRN_BeKind
found our 6th patient on
#SoMe
,
@KeenStephanie
. She too is a walking
#ecmo
legend. See her remarkable story of recovery from trimethoprim sulfamethoxazole
#ARDS
at
@gkeen02
@mickalamae
@CarsonDodd
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Higher frequency of physiotherapy visits
and longer individual visits are significantly associated with better mobility status at hospital discharge and with greater likelihood of discharge home.
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We should start the exercises as soon as possible, this factor will be paramount for their future.
In-bed cycling with a femoro-femoral VV-ECMO patient. Fighting against acquired weakness. Everything is possible with team effort and participation.
@UCI_vhebron
@FisioRespiVh
@vallhebron
@EuroELSO
@ECMOHUVH
#ECMO
#physiotherapy
@ColFiCat
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Walking with continuous dialysis is viable and safe.
#earlymobilization
#ICU
@icurehab
@NydahlPeter
@vitorhazevedo
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Implementation of the ICU mobilization culture increased the walking in the ICU from 9% to 19%.
@Cristianofisio1
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The patient was hospitalized for emergency surgery, undergoing laparotomy. He arrived at the ICU at 01:30 AM, sedated Mida 10, Fenta 15, Nora 20, this morning we started with electrostimulation <12 hours in the ICU.
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Functional Scales in the ICU can predict the chance of discharge home Score of 16 or more on the FSS or a score of 8 or more on the ICU Mobility Scale can predict discharge home. Have you mobilized your patient today?
@Cristianofisio1
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Every day more and more passionate about this rehabilitation method. If you don't use Virtual Reality, you don't know what you're missing.
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Physiotherapy for critically ill patients enables us to conduct a wide range of procedures with a focus on functional rehabilitation. We observed 2 patients with hemodialysis devices, but with different approaches seeking only the same objective.
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Family in the rehabilitation process is one of the great keys to success, early mobilization with the help and interaction of the family, we can observe clinically that it improves the patient's adherence to the recovery process. ICU open its doors to family.
@Cristianofisio1
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We cannot be afraid to mobilize a patient with COVID-19.
#ICUrehab
still works!! Non-COVID on high vent settings for awhile bad ARDS planned tracheotomy. RT and I thought with intensive mobility awake for a couple days we could extubated no trach. And it worked again! No trach and on HFLO2. 🙏🏼
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Associating technology with critical patient rehabilitation. Use of assisted walking devices.
@Cristianofisio1
@Marquesprmf
#everyBODYmoves
#icurehab
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this is life. No matter your age, the most important thing is to want
Bob is 87 and has Parkinson’s. His doctor told him to exercise.
He called and showed up and has been coming three times a week
Bob deserves unlimited retweets for his efforts 👊
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Question: Have you walked around today with your patient????
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1difficult year for us,itwas a relentless pursuit ofrehabilitation,it was a year in which we made great friendships and exchanged knowledge with theworld.We appreciate thepartnership with
@HomeIcu
,
@santisaavedra08
@HopkinsAMP
@icurehab
a merry christmas and a prosperous new year
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Today was the day to put the patient on the orthostatic stretcher. It is well described in the literature that the orthostatic position improves the DIAPHRAGM contraction.
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Importance of mobilizing patients with COVID out of bed 19.
@Cristianofisio1
#Mobility
#icu
#rehabilitation
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Integration of the family in the critical patient's rehabilitation process provides an increase in patients' motivation to perform functional activities. We are very happy for this achievement.
@Cristianofisio1
#delirium
#rehablegend
#everyBODYmoves
#Goodbyeweakness
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Have you mobilized your patient today? Orthostatic board can be an excellent tool during the mobilization of the critical patient.
@Cristianofisio1
@Fontourat10
#everyBODYmoves
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Fantastic!! They gave me a good idea, I'll try to do it here at the hospital. thanks
An intubated COVID-19 patient in the ICU playing the violin for his doctors and nurses.
It’s a beautiful, gut-wrenching, and never should have happened, but we now live in a world defined by the tiniest of bright spots in the expansive darkness.
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