Organ system for circulating blood in animals
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7 episodes with cardiopulmonary
7 episodes with cardiopulmonary
4 episodes with cardiopulmonary
4 episodes with cardiopulmonary
4 episodes with cardiopulmonary
3 episodes with cardiopulmonary
2 episodes with cardiopulmonary
2 episodes with cardiopulmonary
2 episodes with cardiopulmonary
Health challenges, unfortunately, tend to come with age. Gardening is a popular retirement hobby but may require a new approach as we age. Adaptive Gardening means making small changes to accommodate a gardener's physical needs. This approach may help us continue to enjoy this hobby. However, realistically, adaptive gardening applies to gardeners at any age. Think about gardening smarter, not harder. Examples of some adaptations might include gardening in raised beds, containers, or soft-sided bags. Different gardening tools might also help in the care of plants and even reduce the chance of injury. For example, a balanced watering jug with a wide handle might lessen the tightness of the grip needed to carry it. Once you understand some adaptive considerations, you can get creative implementing gardening techniques. Three areas typically require some form of adaptation: Muscles and Joints, Cardiovascular and Cardiopulmonary issues,, Visual and Memory problems. Special tools can make a big difference to help with some of these issues. But the selection of plants can also help. For example, woody plants are easier to care for and don't require the same amount of work as annuals and perennials. Air Plants are a great option indoors. Life long marketer and gardener, Duane Pancoast, has helped tree, landscape, and lawn care businesses market their services. His passion for gardening started when he studied Landscape Architecture at the State University of New York College of Environmental Science and Forestry, As mobility restrictions began taking their toll on his own gardening abilities, he decided to share his experience with other senior gardeners, including how he 'adapted'. His blog and book "The Geriatric Gardener 2.0" provide a wealth of information that might be helpful to you too. He joins the Nature Calls: Conversations from the Hudson Valley podcast team to share his insights. Hosts: Tim Kennelty and Jean Thomas Guest: Duane Pancoast Photo by: Duane Pancoast Production Support: Linda Aydlett, Deven Connelly, Teresa Golden, Amy Meadow, Xandra Powers, Annie Scibienski, Robin Smith Resources
In this month's episode of The Atrium, host Dr. Alice Copperwheat speaks with Dr. Kim Thompson about cardiopulmonary bypass. They discuss cardiopulmonary bypass setup, the equipment—cannulas, reservoir container, pumps, heat exchangers, oxygenators, cardioplegia, adjuncts—preparation, priming, and heparinization. They also discuss cannulation, going on bypass, maintenance of bypass, coming off bypass, and complications. The Atrium is a monthly podcast presenting clinical and career-focused topics for residents and early career professionals across all cardiothoracic surgery subspecialties. Watch for next month's episode on internal mammary artery harvesting. Disclaimer The information and views presented on CTSNet.org represent the views of the authors and contributors of the material and not of CTSNet. Please review our full disclaimer page here.
Show Notes for Episode 41 of “The 2 View” – reversible cerebral vasoconstriction syndrome, cerebral venous thrombosis, cardiopulmonary resuscitation and emergency cardiovascular care science, prehospital tourniquets, blood pressure, and more. Segment 1 – Reversible cerebral vasoconstriction syndrome and cerebral venous thrombosis Ropper AH, Klein JP. Cerebral Venous Thrombosis. N Engl J Med. Published June 30, 2021. https://www.nejm.org/doi/full/10.1056/NEJMra2106545 Spadaro A, Scott KR, Koyfman A, Long B. Reversible cerebral vasoconstriction syndrome: A narrative review for emergency clinicians. Am J Emerg Med. ScienceDirect. Published December 2021. https://www.sciencedirect.com/science/article/abs/pii/S0735675721008093 Segment 2 – Cardiopulmonary resuscitation and emergency cardiovascular care science, Prehospital tourniquets, and more Greif R, Bray JE, Djärv T, et al. 2024 International Consensus on Cardiopulmonary Resuscitation and Emergency Cardiovascular Care Science with Treatment Recommendations: Summary from the Basic Life Support; Advanced Life Support; Pediatric Life Support; Neonatal Life Support; Education, Implementation, and Teams; And First Aid Task Forces. Circulation. AHA | ASA Journals. Published November 14, 2024. https://www.ahajournals.org/doi/10.1161/CIR.0000000000001288?utmcampaign=sciencenews24-25&utmsource=science-news&utmmedium=phd-link&utmcontent=phd-11-14-24 Roberts M, Sharma M. The Center for Medical Education. 36 - Marijuana, Sunburns, Pulse Oximetry, Lower UTI's. 2 View: Emergency Medicine PAs & NPs. Published May 31, 2024. https://2view.fireside.fm/36 Roberts M, Sharma M. The Center for Medical Education. The 2 View: Episode 2. 2 View: Emergency Medicine PAs & NPs. Published February 3, 2021. https://2view.fireside.fm/2 Smith AA, Ochoa JE, Wong S, et al. Prehospital tourniquet use in penetrating extremity trauma: Decreased blood transfusions and limb complications. J Trauma Acute Care Surg. NIH: National Library of Medicine: National Center for Biotechnology Information. PubMed. Published January 2019. https://pubmed.ncbi.nlm.nih.gov/30358768/ STB home page. Stop the Bleed. American College of Surgeons. https://www.stopthebleed.org/ Teixeira PGR, Brown CVR, Emigh B, et al. Civilian Prehospital Tourniquet Use Is Associated with Improved Survival in Patients with Peripheral Vascular Injury. J Am Coll Surg. NIH: National Library of Medicine: National Center for Biotechnology Information. PubMed. Published May 2018. https://pubmed.ncbi.nlm.nih.gov/29605726/ Segment 3 – Blood Pressure Bress AP, Anderson TS, Flack JM, et al. The Management of Elevated Blood Pressure in the Acute Care Setting: A Scientific Statement From the American Heart Association. Hypertension. NIH: National Library of Medicine: National Center for Biotechnology Information. PubMed. Published August 2024. https://pubmed.ncbi.nlm.nih.gov/38804130/ Liu H, Zhao D, Sabit A. Arm Position and Blood Pressure Readings: The ARMS Crossover Randomized Clinical Trial. Jamanetwork.com. JAMA Network. JAMA Internal Medicine. Published October 7, 2024. https://jamanetwork.com/journals/jamainternalmedicine/article-abstract/2824754 Recurring Sources Center for Medical Education. Ccme.org. http://ccme.org The Proceduralist. Theproceduralist.org. http://www.theproceduralist.org The Procedural Pause. Emergency Medicine News. Lww.com. https://journals.lww.com/em-news/blog/theproceduralpause/pages/default.aspx The Skeptics Guide to Emergency Medicine. Thesgem.com. http://www.thesgem.com Trivia Question: Send answers to 2viewcast@gmail.com Be sure to keep tuning in for more great prizes and fun trivia questions! Once you hear the question, please email us your guesses at 2viewcast@gmail.com and tell us who you want to give a shout-out to. Be sure to listen in and see what we have to share!
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Canada Immigration CEC Express Entry selection since 2015 for NOC 32103 Respiratory therapists, clinical perfusionists and cardiopulmonary technologists for Alberta Good day ladies and gentlemen, this is IRC news, and I am Joy Stephen, an authorized Canadian Immigration practitioner bringing out this data analysis on the number of applicants approved for Canadian Permanent Residence for multiple years Under the Express Entry CEC selection based on your NOC code. I am coming to you from the Polinsys studios in Cambridge, Ontario The number of individuals selected under the old 4 digit NOC code 3214 or the new Specific 5 digit NOC code 32103 Respiratory therapists, clinical perfusionists and cardiopulmonary technologists through the Federal Express Entry CEC for Canadian Residents in the express entry program is listed on your screen as a chart. These Permanent Residents were destined for the province of Alberta. The figures for each year from 2015 to 2023 are shown as a chart on your screen. Years without any selection for this category destinated for Alberta are shown as a blank. | 2015 | 2016 | 2017 | 2018 | 2019 | 2020 | 2021 | 2022 | 2023 | - | - | - | - | 5 | - | - | - | - If you have an interest in gaining assistance with Work Permits based on your country of Citizenship, or should you require guidance post-selection, we extend a warm invitation to connect with us via https://myar.me/c. We strongly recommend attending our complimentary Zoom resource meetings conducted every Thursday. We kindly request you to carefully review the available resources. Subsequently, should any queries arise, our team of Canadian Authorized Representatives is readily available to address your concerns during the weekly AR's Q&A session held on Fridays. You can find the details for both these meetings at https://myar.me/zoom. Our dedicated team is committed to providing you with professional assistance in navigating the immigration process. Additionally, IRCNews offers valuable insights on selecting a qualified representative to advocate o
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Canada Immigration CEC Express Entry selection since 2015 for NOC 32103 Respiratory therapists, clinical perfusionists and cardiopulmonary technologists for New Brunswick Good day ladies and gentlemen, this is IRC news, and I am Joy Stephen, an authorized Canadian Immigration practitioner bringing out this data analysis on the number of applicants approved for Canadian Permanent Residence for multiple years Under the Express Entry CEC selection based on your NOC code. I am coming to you from the Polinsys studios in Cambridge, Ontario The number of individuals selected under the old 4 digit NOC code 3214 or the new Specific 5 digit NOC code 32103 Respiratory therapists, clinical perfusionists and cardiopulmonary technologists through the Federal Express Entry CEC for Canadian Residents in the express entry program is listed on your screen as a chart. These Permanent Residents were destined for the province of New Brunswick. The figures for each year from 2015 to 2023 are shown as a chart on your screen. Years without any selection for this category destinated for New Brunswick are shown as a blank. | 2015 | 2016 | 2017 | 2018 | 2019 | 2020 | 2021 | 2022 | 2023 | - | - | - | 5 | - | 5 | 10 | - | 5 If you have an interest in gaining assistance with Work Permits based on your country of Citizenship, or should you require guidance post-selection, we extend a warm invitation to connect with us via https://myar.me/c. We strongly recommend attending our complimentary Zoom resource meetings conducted every Thursday. We kindly request you to carefully review the available resources. Subsequently, should any queries arise, our team of Canadian Authorized Representatives is readily available to address your concerns during the weekly AR's Q&A session held on Fridays. You can find the details for both these meetings at https://myar.me/zoom. Our dedicated team is committed to providing you with professional assistance in navigating the immigration process. Additionally, IRCNews offers valuable insights on selecting a qualified representative to advocate on your behalf with the Canadian Federal or P
Send us a Text Message.Cardiopulmonary physiological effects of diuretic therapy in preterm infants with chronic pulmonary hypertension.Zhu F, Ibarra Rios D, Joye S, Baczynski M, Rios D, Giesinger RE, McNamara PJ, Jain A.J Perinatol. 2023 Oct;43(10):1288-1294. doi: 10.1038/s41372-023-01742-0. Epub 2023 Aug 7.PMID: 37550529As always, feel free to send us questions, comments, or suggestions to our email: nicupodcast@gmail.com. You can also contact the show through Instagram or Twitter, @nicupodcast. Or contact Ben and Daphna directly via their Twitter profiles: @drnicu and @doctordaphnamd. The papers discussed in today's episode are listed and timestamped on the webpage linked below. Enjoy!
About the episode: Cardiopulmonary resuscitation, or CPR, has been the gold standard for buying time in a medical emergency. But it's not very effective, especially for the majority of cardiac arrest cases. What is much more effective: employing advanced machinery like ECMO, extracorporeal membrane oxygenation, that can keep people alive for hours or even days and weeks while physicians address the medical emergency and the body heals. But can emergency medicine shift to get more patients on ECMO faster? Guest: Dr. Demetris Yannopoulous is a professor of medicine at the University of Minnesota Medical School where he is the director of resuscitation medicine. Host: Stephanie Desmon, MA, is a former journalist, author, and the director of public relations and communications for the Johns Hopkins Center for Communication Programs, the largest center at the Johns Hopkins Bloomberg School of Public Health. Show links and related content: The Race to Reinvent CPR—The New York Times ECPR Could Prevent Many More Cardiac Deaths—Scientific American Contact us: Have a question about something you heard? Want to suggest a topic or guest? Contact us via email or visit our website. Follow us: @PublicHealthPod on X @JohnsHopkinsSPH on Instagram @JohnsHopkinsSPH on Facebook @PublicHealthOnCall on YouTube Here's our RSS feed
Good day ladies and gentlemen, this is IRC news, and I am Joy Stephen, an authorized Canadian Immigration practitioner bringing out this data analysis on the number of applicants approved for Canadian Permanent Residence for multiple years Under the Federal Skilled Worker Immigration program based on your NOC code. I am coming to you from the Polinsys studios in Cambridge, OntarioThe number of 3124 (GROUP) Allied primary health practitioners or the new 32103 Respiratory therapists, clinical perfusionists and cardiopulmonary technologists accepted by Canada through the Federal Express Entry program is listed on your screen as a chart. The figures for each year from 2015 to 2023 are shown as a chart on your screen. Years without any selection for this category are shown as a blank.If you have an interest in gaining assistance with Work Permits based on your country of Citizenship, or should you require guidance post-selection, we extend a warm invitation to connect with us via https://myar.me/c.We strongly recommend attending our complimentary Zoom resource meetings conducted every Thursday. We kindly request you to carefully review the available resources. Subsequently, should any queries arise, our team of Canadian Authorized Representatives is readily available to address your concerns during the weekly AR's Q&A session held on Fridays. You can find the details for both these meetings at https://myar.me/zoom.Our dedicated team is committed to providing you with professional assistance in navigating the immigration process. Additionally, IRCNews offers valuable insights on selecting a qualified representative to advocate on your behalf with the Canadian Federal or Provincial governments, accessible at https://ircnews.ca/consultant
Join Bianca Grover, Fitness Specialist at the Summa Health Wellness Center and Danielle Greiner, Clinical Exercise Physiologist, to discuss Cardiopulmonary Health and Rehabilitation.
Dr. Mayuri Shah: Assistant Professor Dr. D.Y.Patil College of Physiotherapy, Cardiopulmonary department. Cardiovascular and Thoracic surgery ICU incharge In this episode we chat about the cardio health and how our body interacts with the heart and the systems associated with the heart. We speak about the ways to keep our Heart Health active and working. An awareness to stay hearty and healthy. #Letstalkabouthealth #LTAH #complicatedsimple #resultsthatgiveback #health #fitness #wellness #performance #physicaltherapy #PT --- Support this podcast: https://podcasters.spotify.com/pod/show/clinicallypressedco/support
Most of us think our hearts are fine. Even the day before a heart attack, people think they're OK!? Unfortunately, many people wait until they are experiencing a cardiac event before they look beyond blood tests cholesterol and the blood pressure reading at a doctor visit. Tune in to learn what tests you can do to take preventative measures in making sure your heart is operating in optimal condition. BTW, this is as much for athletes as it is for the reluctant exerciser!This week Jenn is joined by Chief Nursing Officer of Recovery Plus Health, Jenny Martin. Jenny breaks down many different aspects of heart health in this episode, from the difference between a heart attack and cardiac arrest, to VO2 max, to cardiorespiratory fitness, and more. She also discusses how a CPET test can provide you with a good outlook on your heart health, as well as give you information on how to best manage your fitness and exercise routine for your individual needs. Preventative care is a must when it comes to heart health, and this is one tool to help make your heart health a priority. Tune in to learn more about the CPET test, what it tells you, and where things can be missed when only doing lab tests. The Salad With a Side of Fries podcast is hosted by Jenn Trepeck, discussing wellness and weight loss for real life, clearing up the myths, misinformation, bad science & marketing surrounding our nutrition knowledge and the food industry. Let's dive into wellness and weight loss for real life, including drinking, eating out, and skipping the grocery store. IN THIS EPISODE: ● [6:03] How did Jenny end up in nursing and then shift into cardiopulmonary chronic care? ● [12:33] What is the difference between a cardiovascular event vs. a cholesterol challenge or blockage? ● [15:55] Many people look at athletes as the epitome of health, but then they have a cardiac event - what are we missing? ● [20:23] What is Cardiopulmonary and Cardiopulmonary Fitness?● [23:18] What is the difference between optimal and suboptimal? And why do we want to use these words? ● [26:56] What is Respiratory Exchange Ratio (RER) and why is it important?● [28:24] What is Peak VO2 or VO2 max?● [33:21] What is Heart Rate at Peak and at Anaerobic Threshold? ● [36:02] What is Cardiorespiratory Fitness (CRF)?● [37:58] What is an Inducible Threshold? ● [41:51] What is the CPET test?● [48:05] How do people take the information about their Zones into their personal fitness routine?KEY TAKEAWAYS: ● [29:46] Peak VO2 can be increased with the proper training, proper nutrition, proper hydration, and proper supplementation as your exercise or nutrition is optimized. Each time you can get the number up by one ml, you reduce your chance for all-cause mortality by 10%. ● [33:49] Optimal performance for your heart rate is to keep your peak heart rate in the 80-85% range, which shows that you're not heart rate dependent. We don't want to be heart rate dependent, instead you want to be stroke volume dependent, meaning the strongest part of your heart is pumping oxygen-rich blood to the rest of your body.● [36:59] Knowing your numbers gives you control over your situation. The best way to find out what you can do safely is to get the data, to know your numbers and know where you are so that you know where you want to go. If you don't know where you're starting, how do you know where you are headed? How do you know what your heart health goals should be? ● [46:20] Not everyone has the same heart rate zones, so the CPET test can help you uncover what your heart rate zones are so you can exercise and function at your optimal health number.QUOTES: [13:02] “You are not healthy the day before a heart attack.” - Jenn Trepeck“Hearts come in electrical and plumbing. When one of those goes wrong, that's when bad things happen. When we look at cholesterol levels, we're only looking at the plumbing." – Jenny Martin[14:47] “The original stress test, treadmill stress testing you get done in the cardiologist office, what they don't do is they don't do a ventilation, perfusion ratio. They don't look at the gasses, they don't look at the lung aspect of things, and so they actually don't identify non-obstructive heart disease at all. You could have a heart cath, you could go in and have a wire run up through your arteries, and they can say ‘there's nothing obstructive here, so everything is fine', and you can have a heart attack the next day.” - Jenny Martin[21:29] “Sleep apnea has a very high rate of coexistence and causation for heart failure, and that's very untalked about and it has everything to do with if we can't get oxygen the heart just stops.” - Jenny Martin"Optimal means that things are working at a level in which it supports other systems. So, optimizing health we want to have all the systems, heart and lungs, working with each other to support every other system in our body.” - Jenny Martin[47:11] “I know my zone 2, you know your zone 2, and they're not the same, but if we were to use the calculations that are just kind of out there for everybody to try to use, they would be very close, because it's not taking into consideration anything else. Our health history, our cardiac function, our pulmonary function, what our body needs, what our bodies need to be able to perform at the workload that we're asking them to, that's going to differ per person as well.” - Jenny MartinRESOURCES:Become A Member of Salad with a Side of FriesJenn's Free Menu PlanA Salad With a Side of FriesA Salad With A Side Of Fries MerchA Salad With a Side of Fries InstagramGUEST RESOURCESRecoveryPlus.Health WebsiteEmail: info@recoveryplus.health Phone number: 800-242-6221Jenny Marin's LinkedInJenny Martin's InstagramRecoveryPlus.Health's TikTokRecoveryPlus.Health's InstagramGUEST BIO:Jenny Martin MSN, APRN, FNP-C and Chief Nursing Officer of Recovery Plus Health has years of nursing experience specializing in cardiology, pulmonary, and chronic care management. She has conducted research on improving care and bridging gaps for patients post-cardiac events as well as patients who wish to prevent cardiovascular disease. Jenny has been instrumental in developing a multi-state remote population platform to improve access to care for patients needing cardiovascular rehabilitation and in developing a program with a focus on reducing hospital readmissions. She also recently opened a clinic in New York offering cardiopulmonary exercise tests for all individuals from cardiac patients to professional athletes.
Tudo sobre o cordão umbilical! O episódio de hoje traz dois artigos que revisam evidências em relação ao manejo do cordão umbilical em sala de parto. Esses artigos auxiliaram a fundamentar as recomendações que atualizaram o manual de Reanimação Neonatal."Short, medium, and long deferral of umbilical cord clamping compared with umbilical cord milking and immediate clamping at preterm birth: a systematic review and network meta-analysis with individual participant data"O clampeamento tardio do cordão umbilical em prematuros poderia trazer riscos ou benefícios? É o que os autores procuraram esclarecer. Acesso em: https://www.thelancet.com/journals/lancet/article/PIIS0140-6736(23)02469-8/fulltext"Umbilical Cord Milking Versus Delayed Cord Clamping in Infants 28 to 32 Weeks: A Randomized Trial"Nos prematuros menores, qual seria a melhor opção para o manejo do cordão? https://publications.aap.org/pediatrics/article-abstract/152/6/e2023063113/194720/Umbilical-Cord-Milking-Versus-Delayed-Cord?redirectedFrom=fulltext#"2023 American Heart Association and American Academy of Pediatrics Focused Update on Neonatal Resuscitation: An Update to the American Heart Association Guidelines for Cardiopulmonary"Traz as recomendações de atualização na reanimação neonatal, que os artigos anteriores ajudaram a embasar.https://publications.aap.org/pediatrics/article-abstract/doi/10.1542/peds.2023-065030/195481/2023-American-Heart-Association-and-American?redirectedFrom=PDFO último artigo traz o trabalho realizado pela equipe do PBSF: "Monitorização Remota de Crises Epilépticas Durante Hipotermia Terapêutica em Neonatos com Encefalopatia Hipóxico-Isquêmica" mostra de que forma a monitorização remota pode contribuir para aprimorar os cuidados com o cérebro dos recém-nascidos e serve de amostra para o que será discutido na Segunda Edição do NeoBrain Brasil, que acontece nos dias 08 e 09 de março em São Paulo. A Incubadora vai estar por lá, inaugurando uma parceria que vai aumentar o acesso ao conhecimento de qualidade em Neonatologia. Link para o artigo: https://jamanetwork.com/journals/jamanetworkopen/fullarticle/2811869Link para o site do evento:https://pbsf.com.br/neobrain-brasil-2024/Link para inscrições: https://app.jalanlive.com/neobrainbrasil2024/home Não esqueça: você pode ter acesso aos artigos do nosso Journal Club no nosso site: https://www.the-incubator.org/podcast-1 Se estiver gostando do nosso Podcast, por favor deixe sua avaliação no seu aplicativo favorito e compartilhe com seus colegas. O nosso objetivo é democratizar a informação. Se quiser entrar em contato, nos mandar sugestões, comentários, críticas e elogios, manda um e-mail pra gente: incubadora@the-incubator.org
Our guest for this podcast episode is Mark Carbone, the CEO of PN Medical. PN Medical is a leader in respiratory care and research. The company created “The Breather”, the world's first combined respiratory muscle training device to strengthen respiratory muscles to optimize blood flow, lung function and strengthen the cardiopulmonary system.
In this episode, Angela Branche, MD, discusses RSV vaccines in older adults, including: Current Advisory Committee on Immunization Practices recommendationsRisk factors associated with severe RSV disease, including RSV-related hospitalizationsApproach to stratifying risk factors (eg, age, comorbidities) in determining which adults may benefit from the RSV vaccine Ongoing research on RSV vaccines in younger adults (eg, aged 40s and 50s years) with chronic comorbidities Health disparities related to RSV vaccinesConsiderations for a risk-based approach, rather than age alone, to determine vaccine candidacy Faculty: Angela Branche, MDAssociate Professor of MedicineDivision of Infectious DiseasesDepartment of MedicineUniversity of RochesterRochester, New YorkLink to full program: https://bit.ly/3nb25xeLink to downloadable slides: https://bit.ly/3TsXym5
Cardiac surgery poses unique challenges with its risks for patients, its potential complications and the difficulty in capturing the details in thorough documentation. On this episode, we discuss those challenges and how to approach them effectively. Moderator: Tomas Villanueva, DO, MBA, FACPE, SFHM Senior Principal Clinical Operations and Quality Vizient Guest: Rachel Mack, MSN, RN, CCDS, CDIP, CCS, CRC Consulting Director Clinical Documentation Improvement Vizient Show Notes: [01:04] Uniqueness of cardiac surgery [01:30] Cardiopulmonary bypass and extracorporeal circulation [02:27] Postoperative issues [05:08] Cardiac surgeons and documentation [06:13] Intra-aortic balloon pumps and cardiogenic shock [07:50] Cardiogenic acute renal failure [08:31] Arrythmias and pacing [09:10] The end of the road in intervention [11:08] Document the reason for a patient's deterioration Resources: To contact Modern Practice: modernpracticepodcast@vizientinc.com Rachel's email: rachel.mack@vizientinc.com Subscribe Today! Apple Podcasts Amazon Podcasts Android Google Podcasts Spotify RSS Feed
In this episode, Angela Branche, MD; Pamela Rockwell, DO, FAAFP; and Richard Zimmerman, MD, MPH, FAAFP, discuss the clinical presentation of RSV in older adults and available diagnostic tests for RSV, including: Comparison of RSV clinical symptoms to influenza and COVID-19, including differentiating symptoms at infection onsetRSV disease progression RSV diagnostic approaches How RSV diagnosis of adults may differ from diagnosis of childrenClinical considerations for RSV testingHow to improve RSV awareness among patientsProgram Director:Pamela Rockwell, DO, FAAFPProfessorFamily MedicineUniversity of Michigan Medical SchoolAnn Arbor, MichiganFaculty:Angela Branche, MDAssociate Professor of MedicineDivision of Infectious DiseasesDepartment of MedicineUniversity of RochesterRochester, New YorkRichard Zimmerman, MD, MPH, FAAFPProfessorDepartment of Family Medicine and Clinical Epidemiology University of PittsburghPittsburgh, PennsylvaniaContent based on an online CME program supported by an independent educational grant from GlaxoSmithKline.Link to full program:https://bit.ly/49YBZ4rLink to downloadable slides: https://bit.ly/3GocjRe
In this episode, Rick Zimmerman, MD, MPH, FAAFP, discusses RSV vaccines in older adults, including: Breakthroughs in RSV vaccine developmentRSV vaccine snapshot in older adultsFDA-approved RSV vaccines for older adultsCDC evidence to recommendations framework for vaccinesRSV burden in older populationsBenefits and harms of RSV vaccinationRSV vaccine efficacy and safety in older adultsCDC Advisory Committee Immunization Practices recommendations for RSV vaccines in older adultsPopulations at high risk for severe RSV diseaseVaccination considerations based on the upcoming RSV seasonFaculty:Richard Zimmerman, MD, MPH, FAAFPProfessorDepartment of Family Medicine and Clinical Epidemiology University of PittsburghPittsburgh, PennsylvaniaContent based on an online CME program supported by an independent educational grant from GlaxoSmithKline.Link to full program: https://bit.ly/49YBZ4rLink to downloadable slides: https://bit.ly/3GocjRe
In this episode, Angela Branche, MD; Pamela Rockwell, DO, FAAFP; and Rick Zimmerman, MD, MPH, FAAFP, discuss the burden of RSV in older adults, including:RSV burden throughout lifeRSV seasonality in the United StatesComparative burden and incidence of RSV and influenza in adults aged 65 years or olderCardiopulmonary hospitalizations of long-term care facility residents with influenza and/or RSVRisk factors for severe RSV (eg, hospitalization, mortality) in older adultsRSV incidence by presence of underlying medical conditionsRSV awareness among healthcare professionals and patients Program Director:Pamela Rockwell, DO, FAAFPProfessorFamily MedicineUniversity of Michigan Medical SchoolAnn Arbor, MichiganFaculty:Angela Branche, MDAssociate Professor of MedicineDivision of Infectious DiseasesDepartment of MedicineUniversity of RochesterRochester, New YorkRichard Zimmerman, MD, MPH, FAAFPProfessorDepartment of Family Medicine and Clinical Epidemiology University of PittsburghPittsburgh, PennsylvaniaContent based on an online CME program supported by an independent educational grant from GlaxoSmithKline.Link to full program: https://bit.ly/49YBZ4rLink to downloadable slides: https://bit.ly/3GocjRe
Lecture series: The BBANYS Podcast Lecture series presents short lectures on core topics in blood banking, transfusion medicine or cellular therapy for both trainees and seasoned professionals. In this episode, Ashleigh LeBlanc, CCP, FPP from Golisano Childrens Pediatric Perfusion department, discusses current blood conservation techniques frequently used to minimize blood usage during cardiac surgery requiring cardiopulmonary bypass.
CME credits: 4.25 Valid until: 31-10-2024 Claim your CME credit at https://reachmd.com/programs/cme/video-demo-cardiopulmonary-exercise-testing-in-pulmonary-arterial-hypertension-part-2/16332/ This year's West Regional PH Summit occurred on September 9, 2023, in Los Angeles, CA. Over a dozen regional faculty presented key topics impacting clinical practice and PH patient outcomes. The following topics were discussed at the event: Important advancements and updates across the PH disease spectrum The latest ERS/ESC guidelines for diagnosing and treating PH Critical advancements in screening, diagnosis, and treatment of CTEPH/CTED, lung disease-associated PAH, and CTD-associated PAH Real-world examples and data related to all discussion topics
CME credits: 4.25 Valid until: 31-10-2024 Claim your CME credit at https://reachmd.com/programs/cme/video-demo-cardiopulmonary-exercise-testing-in-pulmonary-arterial-hypertension-part-1/16331/ This year's West Regional PH Summit occurred on September 9, 2023, in Los Angeles, CA. Over a dozen regional faculty presented key topics impacting clinical practice and PH patient outcomes. The following topics were discussed at the event: Important advancements and updates across the PH disease spectrum The latest ERS/ESC guidelines for diagnosing and treating PH Critical advancements in screening, diagnosis, and treatment of CTEPH/CTED, lung disease-associated PAH, and CTD-associated PAH Real-world examples and data related to all discussion topics
Charese presents a history of chronic obstructive pulmonary disease (COPD) performs a six-minute walk test. Which outcome, if observed during the test, would indicate an exacerbation or worsening of the patient's COPD? A. Increased stride length B. Decreased use of accessory muscles for breathing C. A decrease in SpO2 below 90% D. A decrease in respiratory rate LINKS MENTIONED: Did you get this question wrong?! If you were stuck between two answers and selected the wrong one, then you need to visit www.NPTEPASS.com, to learn about the #1 solution to STOP getting stuck. Are you looking for a bundle of Coach K's Top MSK Cheatsheets? Look no further: www.nptecheatsheets.com --- Support this podcast: https://podcasters.spotify.com/pod/show/thepthustle/support
View the Show Notes Page for This Episode Become a Member to Receive Exclusive Content Sign Up to Receive Peter's Weekly Newsletter In this “Ask Me Anything” (AMA) episode, Peter dives deep into the critical topic of metabolic disease. He first sheds light on how poor metabolic health drives up the risk of developing other chronic diseases such as cardiovascular disease, cancer, neurodegenerative disease, and overall mortality. He explores the array of metrics and tests used to assess metabolic health, underscoring his preferred methodologies utilized with patients. Finally, Peter provides an overview of the factors one can manipulate in order to improve metabolic health. If you're not a subscriber and are listening on a podcast player, you'll only be able to hear a preview of the AMA. If you're a subscriber, you can now listen to this full episode on your private RSS feed or our website at the AMA #51 show notes page. If you are not a subscriber, you can learn more about the subscriber benefits here. We discuss: Importance of metabolic health and a primer on metabolic disease [1:30]; How poor metabolic health increases one's risk for other chronic diseases [6:00]; How useful is body weight and BMI for estimating metabolic health? [9:45]; Overview of various tests and metrics used to understand metabolic health [12:15]; Traditional biomarkers and how Peter's point of view may differ from the guidelines [15:00]; Lactate: insights into metabolic health through fasting and resting lactate levels [17:00]; Zone 2 output: an important functional test of metabolic health [20:00]; Cardiopulmonary exercise testing (CPET) [25:45]; Visceral adipose tissue (VAT): what is VAT and how does it impact health? [27:00]; Oral glucose tolerance test (OGTT): how it works and why it is such an important metric for assessing metabolic health [32:15]; The utility of a continuous glucose monitor (CGM) [40:45]; Liver function and NAFLD [42:15]; Sleep as an intervention [46:00]; Exercise as an intervention [53:15]; Diet and nutrition [59:00]; How reducing stress can improve metabolic health [1:05:15]; and More. Connect With Peter on Twitter, Instagram, Facebook and YouTube
A patient with a recent upper respiratory infection 3 days ago is being evaluated by a physical therapist. The patient reports that the symptoms of the infection have been aggravated, and the patient now presents with pleuritic chest pain, productive cough, and a fever. Which of the following groups of signs is also MOST likely present? Find it all out in the podcast! Be prepared for the NPTE so that you can pass with flying colors! Check out www.ptfinalexam.com/podcast for more information and to stay up-to-date with our latest courses and projects.
On this rapid research review, we break down a recent publication titled: "Translational and Rotational Postural Aberrations Are Related to Pulmonary Functions and Skill-Related Physical Fitness Components in Collegiate Athletes" J Clin Med. 2023 Jul; 12(14): 4618.Published online 2023 Jul 11. doi: 10.3390/jcm12144618 Download the full text article here: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10380693/ We discuss: the study design and aim correlations related to posture and cardiopulmonary testing correlations related to posture and athletic performance testing clinical application for upper cervical chiropractors If you have articles you'd like us to review, send them to blairchiropodcast@gmail.com. Thanks for listening!
About our Guest: Bradley Fuhrman, MD completed his training in pediatrics followed by fellowships in cardiology and neonatology at the University of Minnesota where he went on to found the first PICU and serve as the Chief of critical care at that institution. He has also served as the associate director of the PICU at Children's Hospital of Pittsburgh, Division Chief of Critical Care at Children's Hospital Buffalo and Physician-in-Chief at El Paso Children's Hospital. His career in pediatric critical care exceeds 40 years. He has many peer-reviewed publications with a research career that is focused in cardiac and respiratory physiology. He is also the co-author of Fuhrman and Zimmerman's Pediatric Critical Care.Learning Objectives:By the end of listening to this 2-part series, learners should be able to discuss clinically relevant cardiopulmonary interactions and a fundamental clinical approach to optimizing cardiopulmonary mechanics in patients with:Spontaneous (negative pressure) respirations with severe work of breathing Septic shockMechanical (positive pressure) ventilationPulmonary hypertension with right ventricular systolic dysfunctionLeft ventricular systolic dysfunctionRight ventricular diastolic dysfunctionSingle ventricle Fontan circulationReferences:Bronicki RA, Penny DJ, Anas NG, Fuhrman B. Cardiopulmonary Interactions. Pediatr Crit Care Med. 2016 Aug;17(8 Suppl 1):S182-93. doi: 10.1097/PCC.0000000000000829. PMID: 27490598.Fuhrman and Zimmerman's Pediatric Critical Care 6th EditionHow to support PedsCrit:Please rate and review on Spotify and Apple Podcasts!Donations are appreciated @PedsCrit on Venmo , you can also support us by becoming a patron on Patreon. 100% of funds go to supporting the show.Please complete our Listener Feedback Survey (
About our Guest: Bradley Fuhrman, MD completed his training in pediatrics followed by fellowships in cardiology and neonatology at the University of Minnesota where he went on to found the first PICU and serve as the Chief of critical care at that institution. He has also served as the associate director of the PICU at Children's Hospital of Pittsburgh, Division Chief of Critical Care at Children's Hospital Buffalo and Physician-in-Chief at El Paso Children's Hospital. His career in pediatric critical care exceeds 40 years. He has many peer-reviewed publications with a research career that is focused in cardiac and respiratory physiology. He is also the co-author of Fuhrman and Zimmerman's Pediatric Critical Care.Learning Objectives:By the end of listening to this 2-part series, learners should be able to discuss clinically relevant cardiopulmonary interactions and a fundamental clinical approach to optimizing cardiopulmonary mechanics in patients with:Spontaneous (negative pressure) respirations with severe work of breathing Septic shockMechanical (positive pressure) ventilationPulmonary hypertension with right ventricular systolic dysfunctionLeft ventricular systolic dysfunctionRight ventricular diastolic dysfunctionSingle ventricle Fontan circulationReferences:Bronicki RA, Penny DJ, Anas NG, Fuhrman B. Cardiopulmonary Interactions. Pediatr Crit Care Med. 2016 Aug;17(8 Suppl 1):S182-93. doi: 10.1097/PCC.0000000000000829. PMID: 27490598.Fuhrman and Zimmerman's Pediatric Critical Care 6th EditionHow to support PedsCrit:Please rate and review on Spotify and Apple Podcasts!Donations are appreciated @PedsCrit on Venmo , you can also support us by becoming a patron on Patreon. 100% of funds go to supporting the show.Please complete our Listener Feedback Survey (
Cardiopulmonary resuscitation and Narrow-complex Tachyarrhythmia
A strong cardiopulmonary team is a critical piece of any hospital, including rural. From emergent to inpatient to outpatient care, they are part of it all. So, how do rural hospitals build that team and support its success long-term? On today's episode, hosts JJ and Rachel talk with Val Boyd, cardiopulmonary and sleep lab manager right here at Hillsdale Hospital about cardiopulmonary care in rural hospitals and longevity in a healthcare career. Follow Rural Health Rising on Twitter! https://twitter.com/ruralhealthpod/ https://twitter.com/hillsdaleCEOJJ/ https://twitter.com/ruralhealthrach/ Follow Hillsdale Hospital on social media! https://www.facebook.com/hillsdalehospital/ https://www.twitter.com/hillsdalehosp/ https://www.linkedin.com/company/hillsdale-community-health-center/ https://www.instagram.com/hillsdalehospital/ Audio Engineering & Original Music by Kenji Ulmer https://www.kenjiulmer.com/
Pulmonary arterial hypertension is a rare and progressive condition characterized by high blood pressure in the arteries of the lungs due to their narrowing or a blockage. This causes the heart to work harder to pump blood and leads to heart failure, the need for lung transplantation, and death. Aerami is developing an inhaled form of the targeted cancer therapy imatinib as a treatment for PAH. We spoke to Josh Ziel, chief operating officer and interim CEO of Aerami, about pulmonary arterial hypertension, the company's experimental therapy to treat the condition, and its efforts to build a pipeline of therapies that make use of its proprietary inhalation technology.
Which of the following classes of medications is MOST likely to directly reduce myocardial oxygen demand? Find it all out in the podcast! Be prepared for the NPTE so that you can pass with flying colors! Check out www.ptfinalexam.com/podcast for more information and to stay up-to-date with our latest courses and projects.
A patient with Parkinson's Disease is being treated in an outpatient clinic. Which of the following rating of perceived exertion (RPE) intensities would be MOST appropriate to increase functional capacity? Find it all out in the podcast. Be prepared for the NPTE so that you can pass with flying colors! Check out www.ptfinalexam.com/podcast for more information and to stay up-to-date with our latest courses and projects.
https://www.markarose.substack.com/I am Mark Rose activist, in 2009 I helped shaped what would become the Cannabis Industry in Colorado, by opening one of the first medical cannabis dispensaries, also testifying on behalf of patient rights at the State Capitol and working directly with State lawmakers. I have been interviewed in High Times, Rolling Stone, Denver Post, WSJ, & New York Times. I was involved with the distribution of Cannabis since I was a kid and continued that in a big way after I moved to Colorado, I realized the hypocrisy of cannabis laws and worked hard to change them. I am now in the process of starting a new company.I have gone through Ketamine therapy which has changed my life for the better. I have suffered from severe PTSD, and Bipolar since I was a child and traditional medicines never worked. While with just 6 shots of Ketamine, my symptoms were improved to a point of being almost gone. My first LSD experience was in 1972 and ever since I wanted others to be able to experience what I had. I have been through the opioid epidemic; after I fell 150 ft., and was one of the first patients given oxycontin and luckily survived that addiction so many do not, psychedelics helped me break those chains. Just like when I spoke about Cannabis at the State Capital in Colorado or in the press back in 2009 when we were fighting for our rights to use Cannabis- it's the same with Psychedelics: I speak from experience and my heart, people need to know it is safe and effective and I aim to make that happen. I was also involved in the movement to shut down Rocky Flats who made plutonium triggers for the nuclear weapons industry in Colorado in the early 80s.I have worked in Healthcare;Cardiopulmonary, EMT-I, registered polysomnography Technologist in the very early days of sleep medicine. I have also owned several businesses. I also was a delegate for Bernie Sanders in 2016. I grew up in the rust belt town of Toledo Ohio, I left in 1978 to join the United States Air Force's MedicalSquadron, I then came to Boulder Colorado, lived mostly in or near my beloved Nederland Colorado. I also spent some time in Bellingham, Washington & Yellowstone. I have been to Russia, Thailand, Malaysia, Germany, Holland, Tajikistan, and fished just over the border in Northern Afghanistan. Active every election because I feel it is my civic duty.Currently I am looking into starting a business that involves Iboga therapy. I am currently employed at JM Smuc I became disabled from a severe inflammatory reaction from the Moderna vaccine that damaged my AV node, but my health is improving everyday.
Contributor: Travis Barlock, MD Educational Pearls: Sudden Cardiac Arrest (SCA) is defined as when the heart suddenly stops beating. Immediate treatment for SCA includes Cardiopulmonary Resuscitation (CPR) and defibrillation. This event is commonly depicted in medical dramas as an intense moment but often with the patient surviving and making a full recovery (67-75%). This depiction has likely led the general population astray when it comes to the true survivability of SCA. When surveyed, the general population tends to believe that in excess of 50% of patients requiring CPR survive and return to daily life with no long-term consequences. What percent of patients actually survive cardiac arrest? SCA due to Ventricular Fibrillation (VF): 25-40% SCA due to Pulseless Electrical Activity (PEA): 11% SCA due to noncardiac causes (trauma ect.): 11% SCA when the initially observed rhythm is Asystole: Less than 5%, by some measures as low as 2%. References Diem SJ, Lantos JD, Tulsky JA. Cardiopulmonary resuscitation on television. Miracles and misinformation. N Engl J Med. 1996 Jun 13;334(24):1578-82. doi: 10.1056/NEJM199606133342406. PMID: 8628340. Bitter CC, Patel N, Hinyard L. Depiction of Resuscitation on Medical Dramas: Proposed Effect on Patient Expectations. Cureus. 2021 Apr 11;13(4):e14419. doi: 10.7759/cureus.14419. PMID: 33987068; PMCID: PMC8112599. Engdahl J, Bång A, Lindqvist J, Herlitz J. Can we define patients with no and those with some chance of survival when found in asystole out of hospital? Am J Cardiol. 2000 Sep 15;86(6):610-4. doi: 10.1016/s0002-9149(00)01037-7. PMID: 10980209. Cobb LA, Fahrenbruch CE, Walsh TR, Copass MK, Olsufka M, Breskin M, Hallstrom AP. Influence of cardiopulmonary resuscitation prior to defibrillation in patients with out-of-hospital ventricular fibrillation. JAMA. 1999 Apr 7;281(13):1182-8. doi: 10.1001/jama.281.13.1182. PMID: 10199427. Rea TD, Eisenberg MS, Becker LJ, Murray JA, Hearne T. Temporal trends in sudden cardiac arrest: a 25-year emergency medical services perspective. Circulation. 2003 Jun 10;107(22):2780-5. doi: 10.1161/01.CIR.0000070950.17208.2A. Epub 2003 May 19. PMID: 12756155. Panchal AR, Bartos JA, Cabañas JG, Donnino MW, Drennan IR, Hirsch KG, Kudenchuk PJ, Kurz MC, Lavonas EJ, Morley PT, O'Neil BJ, Peberdy MA, Rittenberger JC, Rodriguez AJ, Sawyer KN, Berg KM; Adult Basic and Advanced Life Support Writing Group. Part 3: Adult Basic and Advanced Life Support: 2020 American Heart Association Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care. Circulation. 2020 Oct 20;142(16_suppl_2):S366-S468. doi: 10.1161/CIR.0000000000000916. Epub 2020 Oct 21. PMID: 33081529. Summarized by Jeffrey Olson, MS1 | Edited by Meg Joyce & Jorge Chalit, OMS1
Listen to ASCO's Journal of Clinical Oncology essay, “Mrs. Hattie Jones” by Dr. Eric Klein, fellow at Stanford's Distinguished Careers Institute. The essay is followed by an interview with Klein and host Dr. Lidia Schapira. Klein shares the mystery of why Mrs. Hattie Jones might have died when she did. TRANSCRIPT Narrator: Mrs. Hattie Jones, by Eric Klein, MD (10.1200/JCO.22.02405) That Hattie Jones died was not unexpected, but why she died when she did has been a mystery for more than 40 years. It was late summer and she'd been hospitalized for several weeks when I met her, as it were. In the era before a palliative care subspecialty was established, patients with incurable cancer like Mrs Jones were admitted for inevitably long hospital stays characterized by slow declines in form and function, managed by trainees like me, the least experienced and least expert on the team. The chief resident on the service, burly and gruff, brought us into her private room early on the first day of my rotation on the colorectal surgery service. Mrs Jones appeared malnourished and frail, with one intravenous (IV) bottle hanging and concentrated urine collecting in a bag at the bedside. She did not, in fact could not, acknowledge our presence or answer our queries as to her well-being or needs because of an induced somnolence by the morphine running continuously in the IV. She breathed regularly but slowly and did not seem to be in distress. The goal in caring for her, we were told, was simply to keep her comfortable until she died. She was the first terminally ill patient I'd cared for, and her isolation and unresponsiveness filled me with sadness and unease. Alone on afternoon rounds later that day, I was surprised to find someone sitting beside her bed holding her hand. The visitor was a sturdy woman a few years younger than Mrs Jones, dressed neatly and respectfully as though she were in church. She looked at me and said, “I'm Hattie's sister, and I'm here to be with her when she dies.” Her demeanor conveyed a sense of duty both to her sister and herself, and her solemnity evoked a divine presence. I introduced myself and answered her many questions about her sister's condition. “Was she in pain?” It did not seem so, I replied. “Would she ever wake up?” I explained we could wake her up by turning down the morphine but that she would likely be in pain if we did. She considered that silently for a few moments and said she did not want that, although she longed to hear her sister's voice again. “Was she getting enough nutrition?” The IV also contained sugar water with enough calories for her condition, I explained. She said she missed her sister's smile. “How long is she going to live?” I admitted that even experienced physicians could not predict that. She was silent after that and after a few minutes I excused myself to tend to other patients. The days turned into weeks, then months, as the daylight hours grew shorter and the weather cooler and the fall slowly turned into winter without much change in Mrs Jones' condition. I'd greet her on rounds each morning, never eliciting a response, briefly examine her, write new IV orders, and move onto the day's work—rounding on patients being prepped for or recovering from surgery, then outpatient clinic, the operating room, and new patient admissions. Each afternoon Mrs Jones' sister was there by her side for several hours, watching her intently, holding her hand, and sighing sadly. Each day she reminded the team “I just want to be with her,” she said, “so she will not be alone when she passes.” Days on call for me were generally stressful and lonely, testing my medical knowledge and incompletely developed sense of empathy. As interns and newlyweds, my wife and I had call schedules that did not match—she every third night and me every fourth, such that we only had one evening a week together that first year when neither of us was exhausted. I missed our days in medical school when we shared classes, had dinner together every night, and walked afterward to the local Baskin- Robbins; now we work in different institutions, with different hours, and rarely had enough energy in the evenings and on weekends to truly be present for the other. I drew the short straw on my team in late December and was on call on Christmas Day. Because the operating room and clinics were closed, I made rounds later than usual and Mrs Jones' sister was already at her bedside when I entered her room. She told me she came early because she was hosting her large family for an early afternoon Christmas dinner, a long family tradition. Over the months of Mrs Jones' hospitalization, we'd developed a sense of each other, she trusting an inexperienced, young, and tired doctor trying to keep her sister comfortable, me seeing a devout woman dedicated to her sister's soul. She asked, “Is it safe for me to leave Hattie alone for a few hours this afternoon so I can have Christmas dinner with my family?” and added that it would be the first without her sister's presence in many years. I replied assuredly that it was, that her sister's condition had been stable for many months and that I thought she was going to live for a least a few more weeks. She looked at her sister, then at me, gathered her coat and scarf, kissed Hattie goodbye, and headed home. The rest of the day was relatively quiet for a day on call but typical for a holiday. There were a few patient phone calls, one or two patients to be seen in the emergency room, and no emergency surgeries. The hospital provided a free meal of turkey and sides to all the staff that were on call, and those of us in the cafeteria shared a sense of holiday cheer, albeit muted by being away from our own families. Despite the happy spirit there, I was lonely, missing my wife, and sad to have to postpone my own Christmas Day birthday celebration. While thinking about that I got what I thought was a routine call from the colorectal surgery nursing unit—perhaps about a patient needing a medication reorder, or a need to restart an IV, or to talk with a family about a hospitalized relative. Instead, the nurse on the phone summoned me to the unit to pronounce Mrs Jones dead. I paused for a long moment before asking, dreading the response: Was Mrs Jones' sister back from Christmas dinner? “No”, came the answer. My tears flowed copiously and quickly; my heart hit the floor. I sobbed loudly for a few minutes, unable to explain to my colleagues what had transpired. The walk from the cafeteria to the nursing unit seemed much longer than usual. I examined Mrs Jones for the final time and confirmed her lack of heartbeat and breathing. I watched as the nursing staff disconnected the IV, a lifeline that was no longer needed. I sat at the nursing station and filled out the death certificate. Name: Hattie Jones. Age: 63. Date and Time of Death: 1:23 pm, December 25, 1981. Cause of death: Cardiopulmonary arrest secondary to metastatic colon cancer. I put down my pen and summoned the courage needed for my last task—telephoning Mrs Jones' sister to share the news. I do not recall what I said, but I have a vivid memory of the reaction—she was initially silent and then I heard her cry, others in the background joining in when she repeated the news; I remain unsure to this day which one of us was more despondent. Over the course of my career, I've pondered many times over the timing of Mrs Jones' death. Perhaps she wanted her sister to be surrounded by family when hearing the news so that the burden of her sister's grief would be lessened by sharing. Perhaps it was meant to serve as a poignant reminder about the need for and power of celebrating time with family. Perhaps it was for me to experience a sense of helplessness to deepen my empathy for those who were incurable. Perhaps it was all these reasons or perhaps none of them. No matter the reason, after a career caring for thousands of patients, seeing many suffer and die along the way, I have never experienced a sadder moment. Why Mrs Hattie Jones died when she did is an enduring mystery, but her memory, the profundity of the bond between these two sisters, and the empathy I learned from them have lived on and helped me navigate the emotional ups and downs intrinsic to the practice of oncology. Dr. Lidia Schapira: Hello and welcome to JCO's Cancer Stories: The Art of Oncology, which features essays and personal reflections from authors exploring their experience in the field of oncology. I am your host, Dr. Lidia Schapira, associate editor for Art of Oncology and a professor of medicine at Stanford University. Today we are joined by Dr. Eric Klein, a fellow at Stanford's Distinguished Careers Institute and Emeritus Professor and Chair of the Glickman Urological and Kidney Institute at Cleveland Clinic. In this episode, we will be discussing his Art of Oncology article, ‘Mrs. Hattie Jones'. Our guest's disclosures will be linked in the transcript. Eric, welcome to our podcast and thank you for joining us. Dr. Eric Klein: Thanks for having me. It's great to be here. Dr. Lidia Schapira: Let me start by asking you a little bit about your process for writing narratives. When do you write, and what kind of scenario triggers your desire to write? Dr. Eric Klein: I haven't written anything creative like this since college, so I don't really have a process. But I can tell you the process I used for this particular piece. I had the real pleasure of being in John Evans' class. He's a faculty member at Stanford in the English department who taught memoir writing. And so the class was to teach us how to write memoirs, and it was filled with prompts, which was a wonderful way to respond, and it tapped into some creativity that I didn't know I had. So the prompt for this particular piece was to write about a secret or a mystery. And I thought about it for a day or two, and I thought, I have lots of secrets in my life, but I don't really want to share them with anyone. And I struggled with it. So I was having dinner with one of my classmates, Thanya, and just discussing this because she had taken the class, and she said, "Well, why don't you make it a mystery?" And it clicked immediately, as I have written, is that this mystery about why Mrs. Jones died when she did has stuck with me for more than 40 years. So that night, I was lying in bed trying to figure out how I was going to write this because I'm not a creative writer--tossing and turning. And about 1:30, I got out of bed, and I sat in our dark living room, and I tapped the story out on my iPhone, and I emailed it to myself, and I edited it the next day. And that was the process. Dr. Lidia Schapira: Your essay has this very factual title, including the Missus, ‘Mrs. Hattie Jones'. And then it starts with this statement, "She died.” We know this, but her death is not unexpected. But the timing was. And that mystery has stayed with you for 40 years. It's a very impactful opening. I thought that was very creative, actually, on your part. Beautifully done. Tell us a little bit about why you have pondered for 40 years about the timing of Mrs. Jones' death. Dr. Eric Klein: It was a very emotional event for me, in part because I was so young in my career. I had never taken care of terminally ill patients before. Nothing in medical school prepared me for that. There was no palliative medicine service at the time. And I think, as many social scientists have observed, is that things that happen to us when we're young, like our first love, always stick with us more firmly and more deeply than things that come later in life. So that's why it was so emotional for me, and I think that's why it stuck with me for so long. I didn't know how to deal with it at the time. Dr. Lidia Schapira: Did you ever have a conversation with Mrs. Hattie Jones? Dr. Eric Klein: Well, I tried. I certainly spoke with her sister a great deal, but Mrs. Jones was unresponsive, and that was by design. The morphine in the drip, and the IV drip was meant to keep her comfortable. I mean, we have learned a lot about palliative care in the intervening decades, so we don't do that anymore. But that was the standard of care then. Someone was in pain, and so you gave them enough narcotic medication to keep them out of pain, and whatever else happened downstream didn't matter. I'd say one of the other powerful things about this and sort of the key event of learning that her sister was not at her side when she died was that the whole goal of care was all focused on making that happen and facilitating things for her sister and keeping her up to date. And the nursing team was on board with that and so forth. I felt like it was a big team letdown that we let this woman down and we let her sister down. Dr. Lidia Schapira: Let's talk a little bit about you at that very tender phase of your development. You're a young intern, and you've let your patient and the team down. How did you deal with that? And how have you since processed how you dealt with that? Dr. Eric Klein: This was the saddest thing that's ever happened to me. It was the saddest thing at the time. And I think in reflecting upon my career, seeing many sad things, this still resonates with me as the saddest thing ever because of the deep personal disappointment that went along. I don't have clear recollection of how I dealt with it at the time. Probably I just was sad for a few days and moved on. I mean, being a surgical intern in 1981 was very busy. We didn't have a lot of the ancillary services that we have now. The surgical service was busy, and so we moved on day to day. This memory just popped up to me every now and then in quiet times and in discussions, in group discussions with colleagues about challenges that we faced in our career, and sometimes in talking to young people about careers in medicine and what you might experience and so forth. And so I guess I dealt with it intermittently through the years and ended up scratching my head. And finally, this was a cathartic experience for me to be in memoir writing, to be able to put this down on paper and, I hope, deal with it finally. Dr. Lidia Schapira: You make a very powerful case for storytelling as part of a practice of dealing with situations that are so emotionally complex. Forty years later, what advice would you give a young intern who is also facing a moment of extreme personal sadness and grief, and disappointment? Dr. Eric Klein: Yeah, my advice would be don't be stoic about it. That was certainly the expectation in the era that I trained. It was certainly the expectation for men. There weren't many women surgeons then, but that was certainly the expectation for men. People died—surgical mistakes happen—and we were just told it's part of the game. And I recall my chief of service telling me it puts hair on your chest. It sort of makes you a man, and so you just deal with it. So there are so many resources that are available now and a very, very different attitude about the personal part of being a physician and dealing with disappointment and other struggles and the learning curve and all of that. So I would say to youngsters, seek out help—seek out your colleagues who might have been through it. Seek out more senior people and seek out non-physician support people who are generally available at most medical centers and medical schools to help people deal with this, talk about it, and come to terms with it sooner than 40 years. Dr. Lidia Schapira: I'm curious to know if you enjoy reading narratives written by other physicians that describe similar experiences of grief and loss. Dr. Eric Klein: I always have. So the Art of Oncology, A Piece of My Mind in JAMA, and I edit a journal called Urology, and we have a section on narrative medicine. And I think that enriches the experience for the entire medical community and helps keep us focused on our real goal, which is caring for patients. And I think that's increasingly hard in the reimbursement-driven productivity era that we live in now. And that's why I think it's important to do that. Dr. Lidia Schapira: How much have you shared about this creative, reflective side of yourself with your trainees over the years? Dr. Eric Klein: I hope it came through. I can't say that I know for sure that it did. I guess I was known during my career as a storyteller, and I would often share anecdotes usually related to more clinical which is facing this clinical problem and how do you deal with it surgically, how do you deal with it medically, that sort of thing. And maybe less about specific patients. So it's probably better to ask my trainees if I did a good job with that. Dr. Lidia Schapira: Let's go back to this idea that storytelling is very powerful to help us in communicating with each other and processing experiences. Do you use storytelling, or have you used storytelling with your patients in the clinic? Dr. Eric Klein: Yes, frequently. My career was mostly focused on prostate cancer, and so when I saw a new patient with prostate cancer, even if it was the most indolent kind, the very first question on their mind always is, "Am I going to die from my cancer?" And I would say I've seen lots of patients, and I'll tell you what the extremes are. I saw one patient with lymph node-positive cancer who's still alive 25 years after his initial treatment and living a normal life. And I saw one patient with really advanced cancer who died after 18 months. And I would say to them, "Your experience is going to be someplace in between those two stories." Or there might be a more specific situation of someone facing a particular treatment or surgery and they're concerned about that, and I would even hook them up with other patients who have been through it so that they could experience the story from the horse's mouth, so to speak. I think it's an important part of managing patients, I do. Dr. Lidia Schapira: So let's talk a little bit about the language and the plot in those stories. What kind of metaphors do you use, if any? Dr. Eric Klein: Well, I had one patient tell me that I spoiled his taste for oranges because when I described the prostate, I described it like an orange with a rind or a capsule on the outside, and the cancers in the fruit in the middle. So that was one that didn't resonate ultimately. Then I switched to lemons since no one seems to like lemons and so forth. I would say the stories generally had a good outcome. Patients want their physicians to be optimistic, and certainly, patients facing cancer want their physicians to be optimistic. And I'm sure I had a lot of other specific stories to tell about specific patient experiences that don't come to mind readily now. Dr. Lidia Schapira: What book have you read recently that you've enjoyed and would recommend to others? Dr. Eric Klein: I would say Evil Geniuses, which is not a medical story at all. It's a story about the conservative political movement and the Federalist Society, and big business that set an agenda back in the Reagan era to take all the negativity around capitalism and conservatism out and to relax restrictions on business. And to fill the Judiciary with conservative judges and so forth, and how they have succeeded over the course of those decades to where we are now. I have to say I don't read much fiction. I honestly, I don't find fiction does much for me. I read mostly nonfiction. Dr. Lidia Schapira: You come across as somebody who is very self-aware, and I assume it's taken a long time to be able to say things about your feelings and recognize the impact some of these patient experiences have had on you. And in the essay, you also mentioned that your wife is a physician and that you spent a lot of time together in medical school, but then the paths diverged. And I'm interested in knowing if these sorts of stories about patients came to your dinner table. Tell us a little bit about that. Dr. Eric Klein: Yeah, all the time. Actually, over the course of our careers, we would definitely share the highlights and the lowlights of our day and talk a lot about specific patients and the problems that they faced and what we learned from that. And I learned a lot from listening to my wife. She was a pediatric neurologist, so didn't deal much with cancer, but I learned a whole lot more about social determinants of health and how social circumstances really impact the patient's ability to cope with a serious diagnosis and recover from it and so forth. Because she dealt with children who came mostly from impoverished families and didn't have the same sort of family or social service support as the kind of patients that I saw, who were mostly Medicare or private insurance patients. Dr. Lidia Schapira: I must finish this interview by asking you why you think Mrs. Hattie Jones died when she did. Dr. Eric Klein: That's a great question. I think the most likely explanation, without really knowing her, but with knowing her sister and understanding the family dynamics, is that she really did not want her sister to hear the news when she was alone in the relatively impersonal environment of the hospital. Whether or not that's true, I don't know. But that's what I had chosen to believe, that she wanted her sister to hear the news when she was surrounded by her loved ones and her family. And I think that resonated nicely with the idea that I wrote about, which is being away from my family on Christmas Day and on my birthday and so forth, and being isolated and alone and how important family is to one's personal well-being and success. Dr. Lidia Schapira: I like your interpretation. I find it both wise and compassionate. And with that, I want to invite you to share with our readers why you decided to send this story out into the world. I understand the reason for writing it. What made you decide to share it and publish? Dr. Eric Klein: So let me start with a call out and a shout out to one of my other classmates, Julie, who convinced me to take memoir writing. My wife had taken it and had a good experience with it early in the DCI experience. And I was reluctant because I've only written clinical papers and scientific papers, and I just didn't sense that I had this creativity. So thank you, Julie, for convincing me. I shared it because of the reaction I got from my classmates. The dynamic in the class was to share it with a certain number of classmates, and then we were all asked to write a constructive critique of the stories that we've written so that we could get better in memoir writing. But the emotional reaction to this, to my non-physician classmates, was so powerful, and my own reaction to it in writing it. I just read over the proofs that came the other day, and I was crying again, even though I know the story well and have been over it many times, and I thought, "This is something that might resonate with other people. This might be a universal experience." And so it was more of a lark than anything else. But I just thought the world might get something useful out of this. Dr. Lidia Schapira: Well, it resonated with your editor. One of the tests that I usually use when I read the manuscript is whether or not I'm getting teary or whether I'm feeling anything, and it certainly evoked a lot of emotion. So. Thank you, Eric. Thank you for sending it to us. So until next time, thank you for listening to JCO's Cancer Stories: The Art of Oncology. Don't forget to give us a rating or review, and be sure to subscribe, so you never miss an episode. You can find all of ASCO's shows at asco.org/podcasts. The purpose of this podcast is to educate and to inform. This is not a substitute for professional medical care and is not intended for use in the diagnosis or treatment of individual conditions. Guests on this podcast express their own opinions, experience, and conclusions. Guest statements on the podcast do not express the opinions of ASCO. The mention of any product, service, organization, activity, or therapy should not be construed as an ASCO endorsement. Like, share and subscribe so you never miss an episode and leave a rating or review. Guest Bio Dr. Eric Klein is a fellow at Stanford's Distinguished Careers Institute and Emeritus Professor and Chair of the Glickman Urological and Kidney Institute at Cleveland Clinic.
This week we're dedicating the programme to a common medical emergency – one that can be deadly within minutes without the right help to hand. A cardiac arrest is when the heart suddenly stops pumping blood around the body. We'll hear from a doctor who battled for five hours to save a man 40,000ft up in the air; a student who's teaching people not to be afraid to help in an emergency and we'll hear a survivor's story of life after cardiac arrest. Globally, there are tens of thousands of cardiac arrests outside of hospital every year. Fewer than one in 10 survive and this number varies depending on where you live, as does the availability of life-saving defibrillators – our studio guest Dr Belinda Fenty tells us more. Cardiopulmonary resuscitation (CPR) in the first few minutes after the heart stops beating can be crucial. We have a live demo from a volunteer with UK charity St John Ambulance. Join us for an action-packed programme that might just help you save a life. Image: Dr Vishwaraj Vemala is thanked by the captain of the Air India flight after he saved a fellow passenger's life Presenter: Smitha Mundasad Producer: Gerry Holt
Listen to Mary's Bookclub, where Mary summarizes the products you can find at the MedLearn online bookstore!In this episode, Mary goes over the Respiratory Therapy All Access Pass, and why it is an important product for healthcare professionals.
Listen to Mary's Bookclub, where Mary summarizes the products you can find at the MedLearn online bookstore!In this episode, Mary goes over the Respiratory Therapy All Access Pass, and why it is an important product for healthcare professionals.
EPISODE SUMMARY Join scientist and mindset & high-performance coach Claudia Garbutt and CEO, inventor, technologist & cardiopulmonary health advocate Mark Carbone as they talk about the impact of the Covid pandemic and the power and potential of breathwork. In this episode we talk about: - How the pandemic has impacted the way we breathe - Non-drug approaches to combat the negative effects of long Covid - Simple breathing patterns for improving focus, relaxation, and sleep EPISODE NOTES Mark Carbone is passionate about the future of Digital Health and working towards breakthrough solutions to further the medical industry in Metabolomics, Pulmonary Therapy, and Speech Pathology. He's an inventor, business builder, technologist, and a blessed husband and father. He is the CEO of PN Medical, makers of intelligent medical devices for the pulmonary and speech fields. He serves as lead inventor overseeing the creation of their new device and software, Breather 2. He's also chief visionary, recruiter, deal maker, and leader of the company. He received his BA from UCF and MBA from Rollins College. Mark is also a Lifework Leadership alum, founder of the Rollins Business Journal, Dream Builder, medical device inventor, was VP of the Rollins MBA Alumni Board, soccer player, and nominated as Most Influential Businessman by the Orlando Business Journal. Links: https://www.pnmedical.com https://www.linkedin.com/in/markacarbone/ https://twitter.com/markacarbone ------------------ Music credit: Vittoro by Blue Dot Sessions (www.sessions.blue) ----------------- If you enjoyed this episode, learned something new, had an epiphany moment - or were reminded about a simple truth that you had forgotten, please let me know by rating & reviewing this show on https://linktr.ee/wiredforsuccess. Oh, and make sure you subscribe to the podcast so you don't miss out on any of the amazing future episodes! If you don't listen on iTunes, you can find all the episodes here. HELPFUL RESOURCES If you're interested in learning more about science-based tools, techniques, and strategies to make 2023 your best year yet, join the Global Virtual Summit on Habit Change & High-Performance Habits that I'll be co-hosting from January 23-26 to learn all the! During the 4 days, you'll learn all you need to know about creating better habits from renowned neuroscientists, behavioral scientists, psychologists, successful entrepreneurs, and high-performance experts from all around the world. Our expert speakers will share their latest research data, insights, and actionable tips that set you up for sustainable success. If you have struggled with developing healthy habits before or you're simply interested in the latest cutting-edge technologies and expert advice – this is an event you don't want to miss! Get your ticket here: https://wiredforsuccess.thrivecart.com/summit-high-performance-habits/ ---------------------- Disclaimer: Podcast Episodes might contain sponsored content.
The American Heart Association's (AHA) cardiopulmonary resuscitation guidelines recommend against the routine administration of IV calcium during pediatric cardiopulmonary arrest because of its association with worse outcomes. However, IV calcium is routinely used in children with heart disease who have cardiopulmonary arrest. Maureen A. Madden, DNP, RN, CPNP-AC, CCRN, FCCM, is joined by Gurpreet S. Dhillon, MD, to discuss the article, Calcium Administration During Cardiopulmonary Resuscitation for In-Hospital Cardiac Arrest in Children With Heart Disease is Associated With Worse Survival - A Report From the American Heart Association's Get With the Guidelines-Resuscitation (GWTG-R) Registry, published in the November issue of Pediatric Critical Care Medicine (Dhillon G, et al. Pediatr Crit Care Med. 2022;23:860-871). Dr. Dhillon is a pediatric cardiac intensivist at Lucile Packard Children's Hospital at Stanford in Palo Alto, California.
The McCullough Report with Dr. Peter McCullough – Josh Yoder of US Freedom flyers describes a recent in-flight disaster where a 36-year-old pilot, without any known medical problems, has a cardiac arrest shortly after takeoff. You can imagine the panic that occurred in the cockpit and in the following minutes. You must listen to this segment to find out...
The McCullough Report with Dr. Peter McCullough – Josh Yoder of US Freedom flyers describes a recent in-flight disaster where a 36-year-old pilot, without any known medical problems, has a cardiac arrest shortly after takeoff. You can imagine the panic that occurred in the cockpit and in the following minutes. You must listen to this segment to find out...
The cardiac OR can be a daunting place for any medical student or resident who finds themself on a cardiac surgery rotation. Have no fear, this Cardiac Surgery Crash Course is a short series focused on high-yield topics to help introduce students and residents to cardiac surgery prior to or during a cardiac surgery rotation. In this episode join Dr. Nick Teman and our education fellow Dr. Jessica Millar as they break down the principles of cardiopulmonary bypass. If you have any suggestions or requests for this series, please feel free to reach out to us by email: Jessica Millar: millarje@med.umich.edu Helpful Images: Cannula Insertion for Cardiopulmonary Bypass https://www.uptodate.com/contents/image?imageKey=CARD%2F97188 Cardiopulmonary Bypass Machine https://www.ebme.co.uk/images/arts/cpb/cardiopulmonary-bypass-machine-2.jpg Please visit https://behindtheknife.org to access other high-yield surgical education podcasts, videos and more. If you liked this episode, check out our recent episodes here: https://behindtheknife.org/listen/
We tend to treat what we see: range of motion, scar tissue, lymphedema, etc. But there's some side effects of cancer treatment that are invisible. So they often go untreated.Cardiopulmonary toxicities are some of the most sinister long-term side effects of cancer treatment. In fact, breast cancer survivors are more likely to die of heart disease than from their breast cancer.In my interview with Dr. Julie Skrzat, PT, & Scott Capozza, PT, we discuss the overlooked, important aspects of patients in treatment & the long term effects that continue after treatment, the "Silent Sequelae."They're presenting their long-awaited APTA-CSM session at San Diego 2023, & you DEFINITELY don't want to miss this preview interview!Listen now!The Wealthy Coach Podcast Hey Coaches, Practitioners & Healers! Go from 0 clients to a 6-Figure Online Biz!Listen on: Apple Podcasts SpotifyGrab your free Ultimate Oncology Specialist Study Guide!Preparing for the ABPTS Oncology Specialist Certification Exam is one of the best ways to become an expert OncoPT.My new Ultimate Oncology Specialist Study Guide will help you start your exam prep on the right foot, so you can prepare for success & treat your patients like an expert.Grab your FREE study guide now! Register for the Pediatric Lymphedema pre-conference workshop at CSM 2023!Children with lymphedema often wait months to years for treatment because most therapists don't treat pediatric lymphedema. We're changing this, with our pre-conference workshop at APTA-CSM 2023!When you register for CSM, make sure you select the pre-conference workshop Pediatric Lymphedema: Treating Lymphedema to Improve Mobility. See you in San Diego!
Interview with Matthew S. Durstenfeld, MD, MAS, and Priscilla Y. Hsue, MD, authors of Use of Cardiopulmonary Exercise Testing to Evaluate Long COVID-19 Symptoms in Adults: A Systematic Review and Meta-analysis. Hosted by Angel N. Desai, MD, MPH. Related Content: Use of Cardiopulmonary Exercise Testing to Evaluate Long COVID-19 Symptoms in Adults
CardioNerds (Daniel Ambinder) and ACHD series co-chair Dr. Dan Clark discuss advanced heart failure therapies including mechanical circulatory support (MCS) and heart transplantation (HT) in patients with adult congenital heart disease (ACHD) with Dr. Rafael Alonso-Gonzalez, cardiologist and director of Adult Congenital Heart Disease program at the University of Toronto and ACHD fellow Dr. Andy Pistner (University of Washington). They cover epidemiology of heart failure in ACHD, outcomes after HT, unique challenges of HT in this population, impact of allocation policies on access to transplantation, and regionalization of advanced heart failure care. They also discuss a practical approach to advanced heart failure therapy evaluation in ACHD. Audio editing by CardioNerds Academy Intern, student doctor Adriana Mares. The CardioNerds Adult Congenital Heart Disease (ACHD) series provides a comprehensive curriculum to dive deep into the labyrinthine world of congenital heart disease with the aim of empowering every CardioNerd to help improve the lives of people living with congenital heart disease. This series is multi-institutional collaborative project made possible by contributions of stellar fellow leads and expert faculty from several programs, led by series co-chairs, Dr. Josh Saef, Dr. Agnes Koczo, and Dr. Dan Clark. The CardioNerds Adult Congenital Heart Disease Series is developed in collaboration with the Adult Congenital Heart Association, The CHiP Network, and Heart University. See more Disclosures: None Pearls • Notes • References • Guest Profiles • Production Team CardioNerds Adult Congenital Heart Disease PageCardioNerds Episode PageCardioNerds AcademyCardionerds Healy Honor Roll CardioNerds Journal ClubSubscribe to The Heartbeat Newsletter!Check out CardioNerds SWAG!Become a CardioNerds Patron! Pearls - Advanced Heart Failure Therapies (MCS/HT) Among ACHD Patients Heart failure is a major comorbidity and the leading cause of death in adults with congenital heart disease.Identification of advanced heart failure in ACHD is challenging. ACHD patients do not always self-identify exercise limitations or exertional dyspnea. Cardiopulmonary exercise testing is a useful tool in evaluating these patients.Patients with ACHD awaiting heart transplantation are less likely than non-ACHD patients to receive a heart transplant, and ACHD patients have an increased risk of death or delisting while awaiting heart transplantation.Evaluation of transplant candidacy and potential need for multi-organ transplantation in complex congenital heart disease (i.e., Fontan palliation) requires a multidisciplinary approach.Regionalization of care improves outcomes for ACHD patients with advanced heart failure. High volume transplant centers have better early survival for ACHD patients after heart transplant, and the highest volume ACHD transplant centers in each UNOS region have better early survival. Show notes - Advanced Heart Failure Therapies (MCS/HT) Among ACHD Patients 1. How many ACHD patients have heart failure? Patients with ACHD are a large and heterogeneous group. The signs and symptoms of heart failure vary widely depending on the underlying congenital heart disease. Patients with D-transposition of the great arteries repaired with an arterial switch operation have low rates of heart failure (~3%)1 compared to those patients Fontan palliation for single ventricle physiology (40%)2. Heart failure is the leading cause of death in patients with ACHD3,4. 2. How many patients with ACHD end up receiving a heart transplant or mechanical circulatory support? Heart transplantation for congenital heart disease in adults has been increasing in frequency since the late 1980s. Between 2010 and 2012, this accounted for 4% of all adult heart transplants in the United States5. This represents a small fraction compared to the number of adults who die due to complications of heart failure ...
Emily Baker, MS, CCC-SLP is on episode 202 of Swallow Your Pride to give you the details of dysphagia risk in your cardiopulmonary patients. The post 202- Dysphagia Risk in the Cardiopulmonary Patient with Emily Baker, MS, CCC-SLP appeared first on Swallow Your Pride Podcast.
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