The Work of Breathing and the on Physical Exam

"I would walk into a room and kind of know in a second where they needed to go in the hospital if they needed non-invasive ventilation or mechanical ventilation," she says. " Paradoxical breathing is threatening, but I would also ask her if she's getting tired." She adds that patients usually know exactly what's going on and they often say, yes, I'm going to crap out here. 'It's not necessarily just the exam, it's the discussion with the patient'