POPULARITY
6 episodes with Cath lab
4 episodes with Cath lab
3 episodes with Cath lab
2 episodes with Cath lab
6 episodes with Cath lab
2 episodes with Cath lab
2 episodes with Cath lab
2 episodes with Cath lab
2 episodes with Cath lab
Since it's Breast Cancer Awareness Month, we are sharing the harrowing story of a Registered Technologist and Cardiac Invasive Specialist who almost lost her life to Breast Cancer after years of exposure to radiation during limb and life-saving procedures in the Cath Lab. In part one of this two-part series, Sheehan L. Raab shared her passion for saving limbs and her journey to diagnosis of breast cancer. This is part two where Raab candidly walks us through her fight to save her own life and what she learned along the way about the real dangers of radiation exposure, gaps in healthcare, and a critical need for an improved healthcare system for people with life-threatening ailments. Even if you didn't listen to part one of this series, tune into this episode because it's a powerful story that will drive home the importance of advocating for yourself or having someone advocate for you at the hospital.
In today's episode of Cardiology Digest, we look at three recent research papers that can impact your clinical practice. They're from NEJM Evidence, the European Heart Journal, and The New England Journal of Medicine. STUDY #1: Today's journey begins with a study examining the interplay between influenza and myocardial infarctions. Could the flu shot be more than just a seasonal precaution? de Boer, AR, Riezebos-Brilman, A, van Hout, D, et al. 2024. Influenza infection and acute myocardial infarction. NEJM Evid. 7:EVIDoa2300361. (https://doi.org/10.1056/EVIDoa2300361) STUDY #2: Next, we wade into a cath lab debate over fasting protocols. Join us to explore research that flips traditional pre-procedure fasting requirements on their head. Are we on the brink of a new era? Ferreira, D, Hardy, J, Meere, W, et al. 2024. Fasting vs no fasting prior to catheterisation laboratory procedures: The SCOFF trial. Eur Heart J. Published online. (https://doi.org/10.1093/eurheartj/ehae573) STUDY #3: Finally, we dig into the complexities of anticoagulation in transcatheter aortic-valve replacement patients. This study sheds light on the choice between interrupting or continuing anticoagulation, and has implications for everyday practice. van Ginkel, DJ, Bor, WL, Aarts, HM, et al. 2024. Continuation versus interruption of oral anticoagulation during TAVI. N Engl J Med. Published online. (https://doi.org/10.1056/NEJMoa2407794) Tune in for a captivating discussion that promises to enrich your clinical acumen! Learn more with Medmastery's courses: Coronary Angiography Essentials (3 CME) Coronary Angiography Essentials Workshop (1 CME) ICD Essentials (4 CME) ICD Essentials Workshop (1 CME) Pacemaker Essentials (5 CME) Pacemaker Essentials Workshop (1 CME) Percutaneous Coronary Intervention Essentials (6 CME) Percutaneous Coronary Intervention Essentials Workshop (6 CME) Get a Basic or Pro account, or, get a Trial account. Show notes: Visit us at https://www.medmastery.com/podcasts/cardiology-podcast.
Improving Radiation Protection in the Cath Lab
AdventHealth Zephyrhills, a hospital in Florida, is using artificial intelligence (AI) technology to enhance cardiac procedures. The hospital's Cath Lab team is pioneering the use of AI program called CathWorks to accurately measure blockages in coronary arteries, providing visual representation and assisting doctors in determining the severity of the blockage. This reduces the need for invasive procedures and blood thinners, while improving patient safety and outcomes. However, doctors emphasize that AI should not be solely relied upon and that expertise and training are still essential. The use of AI in cardiac procedures is expected to revolutionize the field and improve patient care. --- Send in a voice message: https://podcasters.spotify.com/pod/show/tonyphoang/message
A listener defends colored boxes in guidelines; mysteries of non-culprit coronary lesions during PCI, and of AF ablation; and surrogate markers are the topics John Mandrola, MD, covers in this week's podcast. This podcast is intended for healthcare professionals only. To read a partial transcript or to comment, visit: https://www.medscape.com/twic I. Mystery of What to Do in the Cath Lab after Fixing the Culprit Lesion – The FULL REVASC Trial Complete Revascularization Not Superior to Culprit-Only PCI After MI https://www.medscape.com/viewarticle/complete-revascularization-not-superior-culprit-only-pci-2024a10007ik FULL REVASC Trial https://www.nejm.org/doi/full/10.1056/NEJMoa2314149 FIRE Trial https://www.nejm.org/doi/10.1056/NEJMoa2300468 COMPLETE Trial https://www.nejm.org/doi/full/10.1056/NEJMoa1907775 Cohen Tweet on FULL REVASC https://x.com/djc795/status/1781361606238085532 II. AF Ablation Mysteries New Expert Consensus on Ablation Strategies for AF https://www.medscape.com/viewarticle/new-expert-consensus-ablation-strategies-af-2024a1000851 Bern Study of Remapping https://doi.org/10.1016/j.jacep.2024.02.026 Natural History of SCAF https://doi.org/10.1016/j.jacc.2019.09.050 Liverpool Study: Thermal PV Isolation in Persistent AF https://doi.org/10.1016/j.hrthm.2024.04.061 III. Surrogate Markers JAMA: Surrugate Markers and Clinical Outcomes https://jamanetwork.com/journals/jama/fullarticle/2817850 BP Surrogate Meta-analysis https://doi.org/10.1016/S0140-6736(21)00590-0 JAMA: Nonfatal MI as Surrogate for Mortality https://jamanetwork.com/journals/jamainternalmedicine/fullarticle/2785560 You may also like: The Bob Harrington Show with the Stephen and Suzanne Weiss Dean of Weill Cornell Medicine, Robert A. Harrington, MD. https://www.medscape.com/author/bob-harrington Questions or feedback, please contact news@medscape.net
On this week's episode, we welcome Carlee to share her story. Carlee and her husband received a hypoplastic left heart syndrome diagnosis for thier son, James, during Carlee's pregnancy. James passed away at 6 weeks old after being in the CICU, and Carlee has since created the James Doss Memorial Foundation to honor his life while supporting other families who have lost children to congenital heart defects.In this episode you will hear:- Preparing for delivery with a devastating diagnosis- Delivery via cesarean section in a cath lab at the children's hospital - Making heartbreaking decisions as first-time parents- Creating the James Doss Memorial Foundation- Advice for those who are dealing with a CHD (or other) diagnosisIf you have a birth trauma story you would like to share with us, click this link and fill out the form. For more birth trauma content and a community full of love and support, head to my Instagram at @birthtrauma_mama.Learn more about the support and services I offer through The Birth Trauma Mama Therapy & Support Services.
ये बात तो हर कोई जानता है कि सेहत के लिए धूम्रपान नुकसानदायक है, हालांकि ये जानते हुए भी लोग सिगरेट बीड़ी पीते हैं और इसकी लत में आ जाते हैं. क्यों सिगरेट की लत लग जाती है ? क्यों स्मोकिंग छोड़ना है मुश्किल ? सिगरेट के अंदर मौजूद केमिकल आपके साथ क्या करते हैं, जानें आज नो स्मोकिंग डे पर में सिर्फ एबीपी लाइव पॉडकास्ट पर जहाँ हमारे साथ हैं Dr. Atul Mathur - Executive Director, Interventional Cardiology and Chief of Cath Lab, Fortis Escorts Heart Institute, Okhla Road, New Delhi
A Cath Lab Whistleblower came out just last week in an interview with Dr. Philip McMillan (see below) to admit that he has been pulling "white fibrous clots" out of LIVING PEOPLE for the past two years!And THANK YOU to our sponsors at Connecta Mobile!For TOTAL phone security and privacy check out Connecta!Visit www.Phone123.com/JoyCall us:941-246-2156 Support the showPlease support our AMAZING Sponsors: To shop for emergency medical and Ivermectin kits please go to https://www.twc.health/pages/shannonjoy-prepkitAnd make sure you use the SHANNONJOY promo code for an additional 10% off. https://qpgoatsoap.com/ USE PROMOCODE "JOY"Shell Shock CBD www.shellshockcbd.com Promo Code SHANNONJOY for 10% off
Register for my free weight loss summit: https://bit.ly/chefaj2024 PRE-ORDER MY NEW BOOK SWEET INDULGENCE!!! https://www.amazon.com/Chef-AJs-Sweet-Indulgence-Guilt-Free/dp/1570674248 or https://www.barnesandnoble.com/w/book/1144514092?ean=9781570674242 Save Your Receipt! We will be offering bonuses for pre-orders ASAP. GET MY FREE INSTANT POT COOKBOOK: https://www.chefaj.com/instant-pot-download ------------------------------------------------------------------------------------ MY LATEST BESTSELLING BOOK: https://www.amazon.com/dp/1570674086?tag=onamzchefajsh-20&linkCode=ssc&creativeASIN=1570674086&asc_item-id=amzn1.ideas.1GNPDCAG4A86S ----------------------------------------------------------------------------------- Disclaimer: This podcast does not provide medical advice. The content of this podcast is provided for informational or educational purposes only. It is not intended to be a substitute for informed medical advice or care. You should not use this information to diagnose or treat any health issue without consulting your doctor. Always seek medical advice before making any lifestyle changes. Welcome to Heart 2 Heart: Conversations to Heal a Broken Heart with Dr. Columbus Batiste. Dr. Columbus Batiste is a board-certified Interventional Cardiologist who has been an active lifestyle and whole food plant-based advocate for over a decade. His dedication to the science of lifestyle has led him to participate in multiple research studies and review articles which have confirmed the benefit of a plant-based diet. To bring the science to his patient's bedside, Dr. Batiste crafted a unique program in which he gave bi-monthly lectures and a monthly cooking class entitled: CATH lab. The CATH lab is a procedural room where Interventional Cardiologists bring patients to provide treatment to open vessels and stop heart attacks while they are occurring. Dr. Batiste re-purposed the Cath lab name into Cooking Alternative To Health (CATH) a series of cooking classes, that provided attendees information on how to maintain flavor and combine foods to restore blood flow and alleviate symptoms with the power of nutrition. Dr. Batiste has additionally explored the science regarding the relationship between mental health and relationships in heart disease. Dr. Batiste anticipates the release of his first book entitled SELFISH A Cure For A Stressed and Broken Heart in April 2024. In honor of Heart Awareness Month, Dr Batiste interviews Paul and Tamara Berry in this episode. Paul shares his story regarding heart disease allowing a glimpse into symptoms, the emotions, and the treatments. Please take time to WATCH, LIKE, & SHARE. Don't forget to pre-order your copy of SELFISH available April 2024 Dr. Batiste website www.DrBatiste.com Dr. Batiste on Instagram: https://www.instagram.com/healthyheartdoc/ Dr. Batiste on Facebook: https://www.facebook.com/HealthyHeartDoc Dr. Batiste on YouTube: https://www.youtube.com/@healthyheartdoc To pre-order your copy of SELFish and receive a free e-book click on the link: https://drbatiste.com/product/selfish/
This presentation was delivered by Panka Jain as part of the Critical Care Update Workshop at CODA22, which took place in Melbourne in September 2022. For more information about the CODA Project go to: https://codachange.org/
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Mitral Valve Repair and Replacement in the Cath Lab – The Future is Now Guest: Mayra Guerrero, M.D. Hosts: Sharonne N. Hayes, M.D. To describe transcatheter mitral intervention options available in contemporary practice including repair or replacement, the evaluation process and when to refer a patient. Topics Discussed: Types of percutaneous transcatheter interventions available for mitral stenosis and/or regurgitation Patients who should be considered for transcatheter mitral valve repair versus mitral valve replacement Recovery time for transcatheter repair or replacement Whether patients need to receive long term anticoagulation after TMVR How long does ht process of evaluation take for a patient to undergo TMVR? When to refer a patient for Transcatheter mitral repair or replacement Connect with Mayo Clinic's Cardiovascular Continuing Medical Education online at https://cveducation.mayo.edu or on Twitter @MayoClinicCV and @MayoCVservices. LinkedIn: Mayo Clinic Cardiovascular Services Cardiovascular Education App: The Mayo Clinic Cardiovascular CME App is an innovative educational platform that features cardiology-focused continuing medical education wherever and whenever you need it. Use this app to access other free content and browse upcoming courses. Download it for free in Apple or Google stores today! No CME credit offered for this episode. Podcast episode transcript found here.
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Speaker: Brian Schuler, MD System Director, Clinical Cardiac Electrophysiology WellSpan Health, York, PA Disclosures: Speaker and Consultant: Canon Medical, USA Speaker, Consultant, and Medical Advisory Board: Boston Scientific Objectives: •Demonstrate the utility of the CT-Angio Suite for EP/cath procedures. •Review data strongly suggesting CT-guided LAAO is the gold standard of PDL prevention. •Review data demonstrating CT-Angio Suite is a fee-for-service and value-based care champion.
Speaker: Glen Henry, MD; Medical Director, Cath Lab, Georgia Heart Institute Sanjay Lall, MD, MBA, FACC; Cardiologist; Georgia Heart Institute Speakers have no disclosures Objectives: • Discuss the burden and impact of hypertension. • Discuss the definition and diagnostic evaluation of hypertension. • Discuss the treatment of hypertension.
Hey, everyone! On this episode of NOON, I'm thrilled to introduce you to a friend of mine Brett, an accomplished professional with a diverse and impactful journey. Brett's path has taken him through various healthcare roles, from nursing in the ER to the Cath Lab, and even into teaching. Currently working as a flight nurse, he is dedicated to serving and helping his community in new ways. Join us for this engaging and insightful discussion as Brett unfolds his journey, offers valuable insights from his varied roles in medicine, and emphasizes the significance of preventative care. This is an episode you won't want to miss on NOON! Don't forget to like, follow, and turn on notifications so that you don't miss this or any other episode of Nine One One Nonsense! FB Page: https://m.facebook.com/groups/nineoneonenonsense/?ref=share Content Warning: This episode contains discussions about death, including graphic and potentially triggering details. Listener discretion is advised. The episode also covers sensitive topics and may not be suitable for all audiences. If you or someone you know is struggling with suicidal thoughts or mental health issues, please seek help immediately. You can contact the Suicide & Crisis Lifeline by dialing 988 from anywhere in the US. --- Support this podcast: https://podcasters.spotify.com/pod/show/samspursuit/support
On this month's EM Quick Hits podcast David Carr on differential diagnosis of normal unenhanced CT renal colic, Leeor Sommer on recognition and management of perichondritis and auricular abscess, Suzanne Schuh on IV magnesium sulphate for pediatric asthma, Jess McLaren on Occlusion MI ECG interpretation requiring cath lab activation and Justin Morgenstern on update on steroids for pneumonia... The post EM Quick Hits 50 Normal Unenhanced CT Renal Colic DDx, Perichondritis, Magnesium in Pediatric Asthma, Steroids for Pneumonia, OMI Cath Lab Activation appeared first on Emergency Medicine Cases.
On this episode guest host Michael Lawerre (MS, RRA, RPA, RT (VI)(SVIR)) comes on to share with us how his pathway through X-ray, CT, IR and Cath Lab have all aided in his pathway through the Radiologist Assistant (RA). Mr. Lowerre shares on tips for those considering the IR/Cath Lab route and what that role looks like for those wanting to pursue that avenue. We also go through some of our struggles and share on raising awareness on the profession. Episode Timeline: (0:37) Intro (1:41) Getting into the profession and progression of advanced modalities. (3:34) Training through the RA program, teaching, and applying yourself. (7:33) Value as a team and educating others in the IR, Cath Lab, and RA roles. (11:10) Learning, learning difficulties, and providing an answer as more than "I don't know". (16:34) Advice for those considering the IR, Cath Lab, and RA roles. (20:48) Asking for help and finding support in our roles. (23:05) Current job market for the RA and making your own opportunities. (25:44) RA hardships, being the voice along side the societies, and strengthen our bonds as radiology professinonals. (34:09) Advice on how to further advocate for the RA profession and receiving recognition for the value in these roles. (37:25) Being a "Plug and Play" professional and supporting future opportunities for the RA community. (39:17) Leading by example, earning respect, and advantages of diagnostic imaging procedures. (42:23) Closing Thank you Mr. Lowerre for coming on and sharing your perspective with us! Learning comes through conversation and we enjoyed the time we spent with you recording this episode. Let us know if you want to come on and share the open mic with us, email us at www.collaborationra.com!
Dr. Ryan Madder, Section Chief of Interventional Cardiology & Medical Director of the Cardiac Cath Lab at Spectrum Health Butterworth Hospital in Grand Rapids, MI joins the podcast to discuss his work in telerobotic surgery, how it could close gaps in access to care, the opportunities and risks of physicians adopting telerobotic surgery, and advice he has for surgeons who are on the fence about it.
Dr. Ryan Madder, Section Chief of Interventional Cardiology & Medical Director of the Cardiac Cath Lab at Spectrum Health Butterworth Hospital in Grand Rapids, MI joins the podcast to discuss his work in telerobotic surgery, how it could close gaps in access to care, the opportunities and risks of physicians adopting telerobotic surgery, and advice he has for surgeons who are on the fence about it.
Dr. Ryan Madder, Section Chief of Interventional Cardiology & Medical Director of the Cardiac Cath Lab at Spectrum Health Butterworth Hospital in Grand Rapids, MI joins the podcast to discuss his work in telerobotic surgery, how it could close gaps in access to care, the opportunities and risks of physicians adopting telerobotic surgery, and advice he has for surgeons who are on the fence about it.
Join Nico Salgado on the Small Axe Podcast as he sits down with real estate investor Savannah Arroyo to discuss her journey in the industry. Starting as a nurse, Savannah transitioned to real estate to provide resources for healthcare professionals. She shares her experiences in single-family homes and multifamily syndications, emphasizing the importance of education and networking. Savannah's investment markets include Atlanta and Oregon, and she reveals her strategies for raising capital through social media and referrals. Tune in to learn about her partnership with her husband, their investment approach, and the key factors that contribute to their success. Here's a breakdown of what to expect in this episode: From Nurse to Real Estate: Savannah's Journey Education and Networking: The Keys to Success Raising Capital and Building Trust: Strategies for Success Partnership Dynamics and Investment Strategy Navigating the Real Estate Market: Lessons and Insights And so much more! About Savannah Arroyo: Savannah started her nursing career in 2014 – working in a variety of clinical settings including: Oncology, Med/Surg/Tele, PreOp/PACU, Ortho, Cath Lab, Specials, GI Lab, Non-Invasive Cardiology. After receiving her master's degree in Nursing Leadership and Administration – Savannah spent much of her nursing career climbing the corporate ladder within the healthcare system, operating large departments and medical practices. Check Savannah Arroyo on... Website: https://networthnurse.co/ Website: https://investhealth.com/ LinkedIn: https://www.linkedin.com/in/savannah-arroyo/ Instagram: https://www.instagram.com/thenetworthnurse/?hl=en Facebook: https://www.facebook.com/profile.php?id=100063703982493 Twitter: https://twitter.com/networthnurse Connect with Nico Salgado! Website: www.smallaxecommunities.com Facebook: https://www.facebook.com/nicosalgado456, Podcast: https://podcasts.apple.com/us/podcast/small-axe-podcast/id1528971543 LinkedIn: https://www.linkedin.com/in/nicosalgado456/ Spotify: https://open.spotify.com/show/6edqbvXc6JCXuSg2lbSJeD YouTube: https://www.youtube.com/@nicosalgado1753 Amazon: https://www.amazon.com/-/es/dp/B08K4T9YTH
About Us: Business owners, Chamber directors, industry leaders, Main Street Directors, school and hospital leaders discuss what's happening in North MS with station owner, Melinda Marsalis. Interviews are recorded in Ripley, MS at Sun Bear Studio, broadcast every Tuesday at 11 am on The Shark 102.3 FM Radio and added here to help you stay informed. If you would like to be considered for an interview, you can call or email Melinda. The Shark 102.3 FM Radio Station and Sun Bear Studio, located in Ripley, MS, are owned by Chris and Melinda Marsalis. Chris and Melinda have a passion for community development and love all of the amazing things that are going on in North Mississippi. This Week: In this episode, Melinda talks with Jim Hobson, CEO of Magnolia Regional Health Center in Corinth, MS. Great things are happening at MRHC including a newly updated Cath Lab; a top-notch Cardio team including Dr. Nathan Smith, a Cardiovascular Thoracic Surgeon who utilizes robotic surgery techniques; and the addition of Dr. David Williams to the Women's Services Staff.www.jc.media662-837-1023theshark1023@gmail.com
On this episode of We Talk Health, Kyle McGuire comes in to talk about the new Cath Lab at Jackson Madison County General Hospital. Kyle talks about the new upgrades that come with the cath lab renovation, as well as talks about having a heart cath. What exactly is a heart cath? What will a patient go through when having one? All of these questions and more will be answered. Tune in to learn! Hosts: Will KwasigorhSocial Media Coordinator Kyle McGuire, BSN, RNDirector of Invasive Cardiology
Ninety years of jacaranda trees in Goodna celebrated with a new plaque, Transport and Main Roads service centre at Bundamba opens soon, Ipswich Hospital's new cardiac catheter lab now open, new council flood cameras go online, food organics garden organics latest and flood-affected residents reminded to register with the Resilient Homes Fund. Published: 31 October 2022. Music: www.purple-planet.com Image: Cr Paul Tully, Mayor Teresa Harding and Cr Nicole Jonic unveil the jacaranda trees plaque on Brisbane Terrace Goodna (supplied) Resilient Homes Fund: bit.ly/3PDPJHH Jacaranda trees: https://bit.ly/3zw6myR Telehealth: https://bit.ly/3fl0mC5 FOGO: https://bit.ly/3TSxwrH Council meeting agendas and minutes: bit.ly/2JlrVKY Council meetings on YouTube: www.youtube.com/c/IpswichCityCouncilTV Shape your Ipswich: www.shapeyouripswich.com.au/ Ipswich Civic Centre: www.ipswichciviccentre.com.au/ Discover Ipswich: www.discoveripswich.com.au/ Ipswich Art Gallery: www.ipswichartgallery.qld.gov.au/ Studio 188: www.studio188.com.au/ Nicholas Street Precinct: www.nicholasst.com.au/ Picture Ipswich: www.pictureipswich.com.au/
After suffering a stroke and dissecting three of the four arteries that supply blood flow to her brain, Pam Mace was diagnosed with Fibromuscular Dysplasia (FMD). There was no patient organization at the time, and Pam quickly learned there was a lack of knowledge and understanding of FMD. She applied her nursing knowledge and skills to raise awareness of FMD and to promote education. FMDSA was incorporated in 2003, and after volunteering with the organization for six years, she gave up her clinical nursing career to serve as the Executive Director of FMDSA. Pam successfully led the campaign to get FMD recognized as a rare disease, cause of stroke and aneurysms. Pam is personally responsible for bringing FMD experts around the world together and for helping to facilitate and support patient groups worldwide. In addition, Pam serves on the Steering and Publications Committees for the United States Registry for Fibromuscular Dysplasia. Pam has more than 20 years of experience working as a registered nurse, primarily in the emergency and trauma departments. She also has experience working in the Cath Lab, on a Critical Care Transport Team and in the Intensive and Coronary Care Units. Working with her advisory boards, Pam and her team transformed FMDSA from a "kitchen table" organization to the highly respected, global organization that it is today. They have built a network of volunteers, physicians, researchers, and rare disease resources worldwide. For the last 14 years, she has planned and coordinated the FMDSA annual meetings, which has included working with researchers to facilitate saliva collections, blood draws, and quality of life studies to further the research of FMD.
The failure of the HSE to restore Cath Lab facilities to Sligo University Hospital has been condemned as outrageous by Cllr Declan Bree, who now wants pressure applied to the Minister for Health. The mobile facility ceased last June, and there's still no sign of the temporary service being provided in Galway being changed
In Episode 54 of The Healthcare Leadership Experience Jim Cagliostro is joined by Rex Hartman, Travel Nurse specializing in ICU, IR, Cath Lab, and Vascular Access, to discuss the reality of life as a Travel Nurse and the impact of the nursing shortage. Episode Introduction The shortage of nurses in healthcare was exacerbated by Covid. In this episode, Jim Cagliostro, VIE's Clinical Operations Performance Improvement Expert, interviewed Rex Hartman, to explore the factors that fueled his decisions to become a Travel Nurse. The conversation was wide and varied, covering topics including the impact of an aging nursing population on healthcare, why nursing is no longer a priority for young people, and the benefits and risks to hospitals of hiring traveling staff. Show Topics Working in ICU through Covid-19 The decision to become a Travel Nurse The retiring Baby Boomer generation affects the nursing shortage Why young people are turning away from nursing as a career option How hospitals benefit from Travel Nurses The health systems providing their own in-house travel staff Potential risks of hiring traveling nurses Main Topics 06:24 Working in ICU through COVID-19 Rex shared the reality of working in ICU during a pandemic. ‘'When COVID-19 hit, about a month in in South Florida, when we started seeing cases, out of nowhere, my hospital administration came to me and said, "Oh, by the way, starting tomorrow, you're going back full-time to the ICU to take full assignments." That was just a little bit of a shock. It would be as if anyone working in a clinical area all of a sudden said, "You're going back to another clinical area without any forewarning or discussion." ……For about a month and a half, ICU was full. Everyone was freaking out a little bit. If we can all remember back those two years ago, the PPE shortage and all the other types of mask shortages where we started re-wearing PPE and everything like that, we clinically started to do things that we knew were no-nos and boo-boos, but a lot of things happened across the nation where infectious disease protocols that had been set up and established for over that decade that I've been in healthcare, well, now we're re-wearing and sanitizing our PPE because there's a shortage, and I can't help but wonder how much of that created other issues for our population.'' 07:45 The decision to become a Travel Nurse Rex said that variety and compensation were two key factors in his decision to become a Travel Nurse. ‘'And from that period of time, if you're working in full-time ICU or somewhere in the hospital, even if you're in ancillary services, you're in surgical services, departments are getting shut down. Workflow is being stopped. And then you hear the travelers coming in by the droves. You see them, and they're like, "Hey, where are you from?" Maybe you've never met... I had never really met or worked with travel nurses until they came to the ICU. And they started to tell me, "This is what I do. This is how I work. This is how I structure my entire life." And man, if that didn't sound, first of all, a whole lot more interesting, as far as the variety of labor you can get into, the different clinical areas you can travel to and different hospitals, different regions if you're into that, but also we can't underscore enough: there was crazy amounts of money being thrown around for travel nurses in 2020. And I'm not saying that I'm not a loyal person to my community, but if you want to pay me to do the same job about four or five times more, I'm hard-pressed to say no, especially if I know I'm not breaking any laws to get it.'' 11:39 The retiring Baby Boomer generation affects the nursing shortage Rex commented that the large numbers of nurses retiring will hit the healthcare sector hard in two ways. ‘'A couple of additional factors that you didn't mention is that we have an aged nurse population, and this isn't just in nursing. This actually spans, I think, almost every major industry in the nation right now. As the Baby Boomer generation retires, multiple people have not only noted, but shown, that the birth rate in most industrialized countries are declining. So there's an immediate discrepancy between the consumers of healthcare and the providers of healthcare, and that's going to be fully realized when most of the Baby Boomers reach that 75-85 age window. And a lot of them are still working right now, but they're in their last few years, and many of them preemptively retired due to COVID. So we had a huge retirement and we have a coming retirement of all of these Baby Boomer aged nurses who were the primary teachers of people like myself, experienced seasoned nurses. They were a career nurse. They were there 30 years, or plus, even, some might say. And that can't be overstated, that when you have such a high proportion of your employees in that age category, ready to move on, it's going to hit really hard. And not only that; they're immediately turning the coin and they're going to be consumer of healthcare. So they're retiring and immediately, within the next five, ten years, they're going to be needing some type of nursing or healthcare situation.'' 13:07 Why young people are turning away from nursing as a career option Rex said social media and other industries mean that talented people can make money easily without considering nursing. ‘'Beyond that, and this is just going back to 2016: when I entered nursing, the state of social media and opportunities for income, or let's say not even social media, but opportunities for, let's say, influencer-category income were little to none. That has actually changed. If you're a young person coming out of high school, looking at college or tech school or whatever across the panel, you actually stand a pretty good chance to find a way to earn money without going to nursing school or going to get any type of college degree, if you wanted to directly go into business. Or if you wanted to try to support yourself on YouTube by customizing trucks, to give an example, there's such a higher level of stratification in the last six to eight years of how people can earn money, and the problem is... I'll use it for an example. If I had the opportunity to work for Walmart now, what the hospital was paying for a PCA, I would have worked at Walmart, but the hospital was paying more. And I think this is one of the factors that comes into the shortage. The shortage that's coming up is because there are other industries that young people can get into that can outpace both growth and income than nursing income. It's good in a way, because you have a portion of people who won't chase the money, but then it's bad in a way, because it's hard to get new talent: people who might be really good nurses, but now they're somewhere else.'' 16:39 How hospitals benefit from Travel Nurses Rex commented that Travel Nurses bring significant experience to a position, but prices are beginning to fall. ‘' Where the traveler comes in, they've been there, they've done that, hopefully, and they will just pop right into the situation as an experienced person, and with very little updating, be able to function, maybe while you bring someone else, a new hire, up to speed for three months. A typical traveler contract is 13 weeks, which is three months in change. That's the ideal situation in which a hospital system uses a traveler. Where we're at now, people have left the industry, they're retiring, and healthcare needs are in general growing. So where we're at now, we have this limbo where there's thousands.... I think every major agency advertises that there's 18,000 to 21,000 open spots in the country. And while that doesn't sound like that many as far as a profession, remember there are very few people who are willing to travel as a nurse. We're grounded. We have families. Not everyone's willing like I am to pick up the family and hop over the country for three months. So because of that, you run into a price war. And with COVID, when there was federal money pouring in to assist with COVID emergency stuff, it wasn't that big of a deal for hospitals. But now that that's gone, the hospitals are eating the bill. So prices are coming down, which they have to, but now we're working into, how do I meet my continual short-staffing need with experienced people?'' 18:20 The health systems providing their own in-house travel staff Rex highlighted the healthcare organizations investing in their own agencies to provide traveling staff. ‘'There's HCA, which is also known as HealthTrust, and I know of a couple other examples, which I can't necessarily completely demonstrate this, but many people are buying agencies. By people, I mean hospital systems are buying agencies to staff themselves, and they are paying the people who are agency workers a higher wage, like a traveler would make. And they will even sometimes contract them at a higher rate than their normal staff, but not such a high rate as maybe an outside traveler would make. And they will use these staffing agencies to shore up their semi-long-term needs, if I can make that a term. So it's a tactic that people are employing, and there are many people who are travelers like myself, that hospitals, they no longer really heavily enforce that radius rule. If you're not familiar with that, it's rules that facilities set that you can't travel within a certain distance, but what they will say... They need the staff members, right? They will say, "Well, we'll give a local person a slightly lower rate than we would give an away person." So I don't know if that's discouraging enough to get people to come back to work full-time, but those are a couple tactics that hospitals are using to try to shore up their semi-long-term needs for experienced staffing.'' 25:28 Potential risks of hiring traveling nurses Rex highlighted potential risks hospitals face when working with Travel Nurses ‘'You asked me, have I seen anything that's a risk or liability? Absolutely, and most of it was actually during 2020 and 2021 when I was working in ICU more as a traveler versus procedural work. ... You have to judge them based on who they are, how they do what they do. But I, coming into the situation, have this very moral and personal burden to do my best for every person I possibly can. Not everyone's like that, and many people are potentially accidentally overdosing their patients or maybe not assessing them correctly. And then before the hospital system could ever catch wise, their two-to-four-week contract is already up. They've made their thousands and they're off to the wind. Does this introduce liability? Yes, it definitely does. And how do hospitals vet that? Well, there's legislation being kicked around in various states about capping pay for travelers, which I don't think is the right way. But I think, let's say for the compact licensed nurses, adopting educational standards or standards of practice beyond state lines might be the answer: that people have some type of overseeing standard of practice or authority. ‘' Connect with Jim Cagliostro on LinkedIn Check out VIE Healthcare Consulting You'll Also Hear: The effect of the staffing shortage that's grown since Covid. 92% of respondents to a survey carried out in September 2021 said the pandemic depleted nursing numbers, 66% are considering leaving altogether due to Covid-19. Rex's career experience, via Patient Care Associate to ICU during the pandemic, and his transition to a full-time Travel Nurse. ‘'I enjoy taking care of people so that's why I've stayed in healthcare.'' A change in family life: How working as a Travel Nurse gives Rex more flexibility and family time, ‘'I was working four days a week, 10-hour shifts, and then picking up another fifth day every single week and then picking up additional on-call time to make up for all the income.'' Why the nursing shortage isn't just about numbers, it's about finding the right type of people, and why continually raising salaries isn't a viable long-term solution to the shortage, ‘'….then everybody's healthcare price goes up coupled in with that.'' . The benefits and disadvantages of a career as a Travel Nurse, ‘'I'm perfectly okay accepting the fact that I'm not going to get X, Y, Z health benefits, retirement benefit from the employer, because I'm getting the money. And I'm trying to do what's responsible: pay off my debts, save up money, invest money for the future.'' What To Do Next: Subscribe to The Cost Advantage for Healthcare Leaders and receive a special report on 15 Effective Cost Savings Strategies. Learn more about the simple 3 step process to work with us. If you are interested in learning more, the quickest way to get your questions answered is to speak with one of our margin improvement experts. Schedule a call with our team here.
Between Seasons 4 and 5, we're going to be throwing back to some exciting interviews from Season 1! What do the OR and the Cath Lab have in common? Should Perioperative Leadership have oversight of the Cath Lab? Do we train Cath Lab nurses and techs the same as OR staff? We'll tackle all of these questions and many more on today's episode of First Case, where we speak with Katie Roy, RN, MSN, CNOR, an experienced senior nurse leader of Perioperative Services and Cardiac and Interventional Vascular Labs in Arizona, California, and Hawaii. Hear how she uses her experience as an OR nurse to bring best practice to the Cath Lab and find out how following surgical standards is improving patient care in this setting. Love our show? You can subscribe on: Apple Podcasts - https://zcu.io/qnVu iHeart Radio - https://zcu.io/5qkg Spotify - https://zcu.io/JkqK Stitcher - https://zcu.io/j76G #FirstCase #Podcast #OperatingRoom #OR #CathLab #Education #BestPractice #Surgical
In this episode we sit down with Kate Kearney, MD an interventional cardiologist with a specialization in high risk coronary artery treatments. This specialization is a fellowship training pathway at UW Medicine Heart Institute called a CHIP fellowship, in which Dr. Kearney thrived in 2018 and now teaches. She is also focused on SCAD (Spontaneous Coronary Artery Dissection) as well as the diagnosis and treatment of women's coronary artery disease. 1:34 - Background3:15 - Choosing Intervention4:40 - Unique Make-up of Fellowship6:00 - Specialization within Interventional Cardiology9:10 - The draw to Chronic Total Occlusions10:45 - Impact of Work13:00 - Benefits of academic team culture - shout out Cath Lab team14:00 - Better every year16:10 - CHIP * Complex High-Risk Indicated PCI.17:35 - Collaboration between surgeons and interventionalists19:25 - Hybrid Coronary Interventions24:35 - Devices in Circulatory Support + Stenting30:10 - Coronary and other device evolution32:40 - STAR (Subintimal tracking and reentry)37:10 - The MONGO Story - To be discussed in a future episode37:30 - A growth mindset40:15 - SCAD (Spontaneous Coronary Artery Dissection) 45:32 - Women + Chest Pain52:28 - Teaching the Mindset54:50 - Past-Fellow Shout Out 58:50 - Work-Life Balance (Boundaries)Contact Dr. Kearney - kek35@uw.eduFellowship Program22:50 - Dr. Kirkpatrick Grand Rounds - Cardioethics of Heart Procurement after Cardiac Death
This week we review a recent work from Naples, Italy on the use of the GORE Cardioform ASD device to close large atrial septal defects in small children. Are there anatomical 'rules' to help predict who might be a candidate for transcatheter closure? What about this device makes it potentially safer for this indication? Should we be worried about wireframe fractures? We discuss this and other issues related to this topic with the first author of this week's work, interventional cardiologist, Professor Giuseppe Santoro of the University of Naples, Italy. DOI: 10.1111/jocs.16786
I remember starting nursing school with ZERO healthcare experience, and watching my classmates coast through the material, already having a solid base of knowledge. I felt totally behind and overwhelmed trying to catch up. I also felt this same overwhelm when I transitioned into the Cath Lab with ZERO cardiac experience. Back to square one. If that resonates with you in any way, then this episode is for you. We chat about how to adjust if you have no experience, why it could actually help you in the long run, and a few tips to help you overcome the challenge. Trust me, you've got this! Follow along and join the Nursing Co-op community on Instagram @ashley_nursingcoop and on Facebook in The Nursing Co-op Huddle! We would love to see you there! As always, message me with any feedback, comments, or questions on Instagram, or shoot me an email at thenursingcoop@gmail.com. Happy Nursing!
In this episode, we are joined by Dr. George Adams, Director, Cardiovascular and Peripheral Vascular Research, Rex Hospital; Associate Professor, Cardiology, UNC School of Medicine. Here, he discusses fiber and lint contamination in the Cath Lab, the related risks, the importance of minimizing cotton-based components and his hospitals adoption of the Swiper medical-grade foam wiper or Guide-Klip anchoring device.This podcast is sponsored by Cardinal Health.
Consultant Cardiologist at Sligo University Hospital, Dr Donal Murray, reacts to the news of a political commitment to improve cardiology services at the hospital, after the ending of the provision of Cath Lab facilities. He says it's a huge step forward for the hospital and its patients
Vince Hearns of Sligo has suffered four heart attacks in his lifetime, the first back in 1985. and he says the provision of Cath Lab services were vital in keeping him alive. He's been reacting to the ending of Cath Lab facilities at Sligo Hospital in a week's time
Junior Minister Mary Butler agreed with local TDs in the Dail last night that the imminent ending of Cath Lab facilities at Sligo University Hospital was devastating news. However, Deputies Marian Harkin and Martin Kenny said the response was disappointing and a permanent Cath Lab in Sligo is essential
Junior Health Minister, Frank Feighan, says the Minister for Health knows his views 'loud and clear' on the restoration of Cath Lab services at Sligo University Hospital. The facility is coming to an end in 9 days time with service users being advised to avail of the facility in Galway
In episode #95, we talked about how to prepare your patient for going to the Cath Lab, this week, we discuss the important questions you should be asking when they come back to you! We chat about precautions, what to watch for as they recover, closure devices, and discharge information. You will be receiving and recovering these patients like a CHAMP!Follow along and join the Nursing Co-op community on Instagram @ashley_nursingcoop and on Facebook in The Nursing Co-op Huddle! We would love to see you there! As always, message me with any feedback, comments, or questions on Instagram, or shoot me an email at thenursingcoop@gmail.com. Happy Nursing!
The Cath Lab service at Sligo University Hospital is to cease at the end of June, with those requiring the service being directed to Galway. The Saolta Group has confirmed the news this morning, TD Marc MacSharry has raised concerns over those suffering heart attacks now having to be transferred elsewhere
Bryan Goldstein, MD, FACC, FSCAI, director of the Cardiac Catheterization Laboratory ("Cath Lab") and Interventional Cardiology Service at UPMC Children's Hospital of Pittsburgh, discusses the intersection of research and precision medicine in interventional cardiology.
This is one for the books! This week we chat with Steph Kamataris, the owner of Shift Change RN!! This conversation was such a blast, and honestly, SO relatable. We discussed everything from building a business to occupational health nursing. There is something in this one for ANYONE. A little background: Steph Kamataris is a nurse entrepreneur who owns Shift Change RN, a business that helps nurses and nursing students succeed at the bedside. Steph started her healthcare journey in 2015 as a cardiac tech and began her nursing career in the Cardiac ICU. She transitioned to the Cath Lab and continues to work there alongside her occupational health job. She has a Master's degree in Public Health and is certified in critical care. Steph has appeared on multiple podcasts and has been invited to speak to numerous nursing groups.Connect with Steph!!Instagram: @shiftchange.rnwebsite: www.shiftchangern.comFollow along and join the Nursing Co-op community on Instagram @ashley_nursingcoop and on Facebook in The Nursing Co-op Huddle! We would love to see you there! As always, message me with any feedback, comments, or questions on Instagram, or shoot me an email at thenursingcoop@gmail.com. Happy Nursing!(side note, sorry for the change in sound quality, my microphone wasn't working! Still juicy though!)
Is your patient headed off the unit for a procedure? I don't know about you, but field trips were always so stressful! There is so much to consider and prepare for, orders to complete, and people to notify. I used to have a checklist just to try and remember it all. On today's episode, we chat about a few key things to remember if your patient has a procedure scheduled (especially if its to the Cath Lab)! I promise, if you do these things, it will make your patient's experience smoother, will help prevent unnecessary cancellations, and us procedural nurses will be SO grateful for you. This week we chat about how to PREPARE your patient before they go, and in the coming weeks, we will chat about what to consider when your patient comes back after they recover.Follow along and join the Nursing Co-op community on Instagram @ashley_nursingcoop and on Facebook in The Nursing Co-op Huddle! We would love to see you there! As always, message me with any feedback, comments, or questions on Instagram, or shoot me an email at thenursingcoop@gmail.com. Happy Nursing!
HFpEF Diagnosis and Treatment in the Cath Lab Guest: Barry A. Borlaug, M.D. Host: Malcolm R. Bell, M.D. Heart failure with preserved ejection fraction (HFpEF), formerly referred to as diastolic heart failure, is defined hemodynamically as an inability of the heart to pump blood adequately at normal filling pressures. But while some people have high filling pressures while at rest, others have high filling pressures during exercise. Diagnosis of HFpEF in the Cardiac Catheterization Laboratory involves both at-rest and exercise studies. Joining us today to discuss the diagnosis of HFpEF and patient selection for Cardiac Catheterization Laboratory testing is Barry A. Borlaug, M.D., a cardiologist at Mayo Clinic in Rochester, Minnesota. Specific topics discussed: HFpEF defined Diagnosis and patient selection for catheterization laboratory testing H2FpEF scoring system Catheterization laboratory at-rest and exercise studies, tests and measurements Key parameters for HFpEF diagnosis General study length Treatment recommendations Cardiac rehabilitation considerations Connect with Mayo Clinic's Cardiovascular Continuing Medical Education online at https://cveducation.mayo.edu or on Twitter @MayoClinicCV. NEW Cardiovascular Education App: The Mayo Clinic Cardiovascular CME App is an innovative educational platform that features cardiology-focused continuing medical education wherever and whenever you need it. Use this app to access other free content and browse upcoming courses. Download it for free in Apple or Google stores today! No CME credit offered for this episode. Podcast episode transcript found here.
Char Smith is a US Army Vet. She was a combat medic with two combat deployments to Bosnia for Peace Keeping Missions. She is a Registered Nurse with a BSN and has worked in both the ER and Cath Lab settings though the vast majority of her career has been in the Emergency Room arena.
"It's so important for every individual to take a few moments each day and go inward, to connect with your heart, to get to know yourself again, no matter what age you are. And to open your heart so that you can look at others not with judgment, not with criticism, not with some preconceived idea, but just as another soul who's on this path, learning and growing with you." ~Claire D'AndreaAh-ha MomentsNurses continue to be blessed with the ability to ebb and flow with life changes by pairing it with new Nursing roles, jobs and opportunitiesWhen you know you want and need to do something, your heart will beat faster, your soul will sing and your gut will speak... listen to the internal-knowing messages you receiveNurse Coaching training can change your life, and the way you interact with others, and yourselfTry not to ignore caring for yourself as a top priorityWomen's heart health comprises not only caring for the heart muscle, but also your mind-body-spirit connection too!Find a healthcare practitioner you respect and can relate to, for a symbiotic partnership leads to clearer plans of care for yourself and your familyThere are many women's heart health resources available to you (see the resources below to get started)Love yourself and love your heartLinks and ResourcesWomenHeart: the leading voice for the millions of American women living with or at risk of heart diseaseAmerican Heart AssociationPacific Pearl La JollaIntegrative Nurse Coach Academy Nurse Coach Programs Integrative Nurse Coach Academy I Integr Our mission is to provide nurses with a global community for learning, networking, and reconnecting
On this episode we continue our chat about life as a Cath Lab RN. This time around we are discussing what it is like being on-call, pros/cons of the environment, and procedures for STEMI's and strokes! Follow along and join the Nursing Co-op community on Instagram @ashley_nursingcoop and on Facebook in The Nursing Co-op Huddle! We would love to see you there! As always, message me with any feedback, comments, or questions on Instagram, or shoot me an email at thenursingcoop@gmail.com. Happy Nursing!
A frontline View from Italy
In this episode we chat about what nurse life looks like in the Cardiac Cath Lab! In part one, we discuss some background on the flow of the day in the lab, types of procedures, various roles in each procedure, and some of the differences between floor and procedural nursing. Follow along and join the Nursing Co-op community on Instagram @ashley_nursingcoop and on Facebook in The Nursing Co-op Huddle! We would love to see you there! As always, message me with any feedback, comments, or questions on Instagram, or shoot me an email at thenursingcoop@gmail.com. Happy Nursing!
This episode features Wendy King, a cath lab nurse at Johnson & Johnson. She assists physicians and offers care to cardiac patients during the post-catheterization recovery period. We also hear how to become a cath lab nurse and their primary duties. The College of Nursing at Brigham Young University presents nursing careers and professional insight to undergraduate students. This is the forty-eighth show in The College Handoff series and was recorded in October 2021.
Dr. Bill Berryhill, Managing Partner of Heart of Texas Cath Lab and Heart of Texas Surgery Center, joined the podcast to talk about the hybrid ASC/cath lab model, payer trends and how independent centers can remain successful.
This week on the CodeCast podcast, Terry gets back to specialty coding with her cardiology coding tips for the Cath Lab and discusses what Medicare means by MUE's. Listen in to this week's episode. Subscribe and Listen You can subscribe to our podcasts via: Apple Podcasts – https://podcasts.apple.com/us/podcast/codecast-medical-billing-coding-insights/id1305926627 Google Podcasts – https://play.google.com/music/listen#/ps/Ia47t6quqphhsanlzpajk37yiga Spotify – https://open.spotify.com/show/1lA69Q7EnjSMuVr3sXVWlX Stitcher […] The post Cardiology Coding Tips appeared first on Terry Fletcher Consulting, Inc..
Independent Deputy for Waterford Matt Shanahan spoke to Alan Corcoran on the Morning Mix about his campaign to secure 24/7 Cath Lab services at Waterford University Hospital
Dr. Bill Berryhill, Managing Partner of Heart of Texas Cath Lab and Heart of Texas Surgery Center, joined the podcast to talk about the hybrid ASC/cath lab model, payer trends and how independent centers can remain successful.
Ron Waksman, Spencer B. King, III
Dr Brian Pinto is a Senior Interventional Cardiologist based in Mumbai. He is currently Chief of Cardiology and Director of the Cardiac Catheterisation Laboratory at Holy Family Hospital in Bandra. He is also attached to Breach Candy Hospital, MGM Hospital (Vashi), Saifee Hospital, and Balabhai Nanavati Hospital as Visiting Interventional Cardiologist. Also, he has his private clinic located at Santa Cruz (West) in suburban Mumbai. He is one of the pioneers of the Transradial Approach to Cardiac Interventions in India. He has performed more than 12,000 Coronary and Peripheral Interventions, with more than 8,000 Transradial procedures. He handles approximately 1,000 procedures in the Cath Lab on an annual basis, including Rotablation and Peripheral Cases. He also has experience in device closures of Patent Ductus Arteriosus (PDA) with Atrial Septal Defect (ASD), Rotational Atherectomy, Direct Stenting, and Fox-Hollow (Silver Hawk) Atherectomy Device for Peripheral Intervention. Dr. Pinto is the Proctor for Rotational Atherectomy and FFR. On the academic front, he has been a teacher for the DNB Cardiology course since 2007. He also lectured in Cardiology at KEM Hospital in 1987. Dr. Pinto has conducted, participated, and attended many conferences in the field of Cardiology, and also has several publications to his name. As a Faculty member, he has frequently performed live case demonstrations at events such as India Live, Malaysia Live, CSI, and TCT Washington and Asia-Pacific. Dr. Pinto continues to be involved in numerous clinical trials and cardiac registries, as he treats a large number of cardiac patients each year.
Elissa Babe is a Registered Nurse in the Cardiac Catheterization Lab and Cardiac Sciences Holding & Recovery. Elissa sees and treats patients with a variety of heart conditions including blockages and narrowing of heart blood vessels, scar tissue, and leaky valves, from babies to people in their 90s in her position as an RN in the Cath Lab. Elissa enjoys working in the Cath Lab because she feels she sees a unique perspective. Patients are able to see immediate results and many are able to walk out of her unit and go home the same day as their procedure. She is able to hear from her patients and listen to their stories. Many of the procedures they perform in the Cath Lab are more minimally invasive that other procedures, allowing patients to recover quicker. In the Cath Lab they perform angiograms to identify problems with the heart and angioplasties, for instance using catheters and stents to open blood vessels, to treat patients. Throughout her time working in the Cath Lab, imagery has continuously improved. They are able to clearly see arteries allowing for better diagnosis and treatment of patients. Last year funds raised through Heart Pledge Day were used to purchase new diagnostic equipment, including an echocardiogram machine. See omnystudio.com/listener for privacy information.
Dr. Megan Coylewright, interventional cardiologist, and Danielle Durfey, cath lab RN, sit down with me to talk about atrial fibrillation (AF) management including rate v. rhythm control, anticoagulants, the Watchman™ device, and give us a peak inside life in the cath lab.
This week TZ Medical Co-owners Trent Tribou ( VP of Sales and Marketing ) and John Lubisich ( President ) walk us through the life of an invention from scribbles on a napkin to being sold in labs all over the country. John and Trent have an ethical company that specializes in Cath Lab, Interventional Radiology and Electrophysiology products. Their company has 28 years of experience of creating devices and bringing them to market.
In this episode, Dave is joined by Tarlan Hedayati, MD, FACEP, to discuss STEMI equivalents: ECG patterns that need the Cath Lab. Dr.Hedayati is a practicing Emergency Physican in Cook County, Chicago. She is also the Associate Professor and Chair of Education for the Emergency Medicine Department. Also In This Episode What are STEMI equivalents? STEMI defined ECG families Case example: 63 female Wellen's waves Case example: 66 female STE aVR > V1, STD Diffuse Ask about DAPT Case example: 67 male Discordant ST-segments and T-waves Sgarbossa's criteria Sgarbossa-Smith modification Case example: Non obstructive CAD LBBB Case example: 43 male De Winter's waves OHCA with ROSC: Who goes to the Cath lab? Pattern Recognition: "HOW BAD" is the ECG Connect with Tarlan Hedayati: Twitter: @HedayatiMD https://twitter.com/HedayatiMD Subscribe to the video version of this podcast to have access to the visuals that accompany the audio as well as additional tools and resources to help improve your understanding. Subscribe now at CurrentECG.com And Stay Current!
On this episode, the patient was having a huge myocardial infarction but downplayed her symptoms as "just anxiety." But the primary RN followed her intuition, advocated for her patient, and saved her life!
Kim Newlin! Kim Newlin is currently practicing as a Cardiovascular Clinical Nurse Specialist and Adult Nurse Practitioner at Sutter Roseville Medical Center in Roseville, California. She first earned a BS in Exercise Physiology at University of California at Davis, then completed the RN and CNS program at the University of California, San Francisco, and the Gerontology/Adult Nurse Practitioner post-master's program through the University of Massachusetts at Boston. Kim is the Director of Cardiovascular Services, which includes oversight of the Cath Lab, Interventional Radiology, Cardiac and Pulmonary Rehab and the Heart Health Clinic. She continues to see patients in the Heart Health clinic which she established in 2011. Kim developed the first Care Transitions Program in the Sutter Sacramento region, both of which have significantly improved the patient experience during the transition home and reduced readmissions back to the hospital by focusing on improving medication reconciliation, creating a realistic transitional care plan and helping patients and families obtain the appropriate post acute care. She also mentors new and seasoned nurses and works on a variety of process improvement programs within the hospital and the region. Kim's Three Tips for Aging Thoughtfully: 1. Move every day. It doesn't need to be fancy. You don't need expensive clothes – you don't need to go to the gym. Just make it a priority. Fit it into your day however you have to. It doesn't need to be more than 30 minutes, and it's really never too late to start. So, if you don't do anything now – anything more than you're doing now is better. 2. Choose to be a mindful eater. From everything to when you're buying the food, to when you're making your meals and when you are putting it in your mouth. Realizing that food becomes a part of you and can make all the difference in your daily energy, your mood, your weight and really your health. 3. Find a daily stress relief that does not cost money or require you to travel. Kim mentions the book: Salt, Fat, Acid, Heat: Mastering the Element of Good Cooking Heart Healthy Links from Kim! There is not a lack of literature out there, so I recommend talking to a health care professional and doing some reading on trustworthy sites with good, easy to read information: (CDC, https://www.cdc.gov/nutrition/index.html and PCNA: https://pcna.net/clinical-resources/patient-handouts/heart-healthy-toolbox/ Two good articles with a lot of research are: https://www.onlinejacc.org/content/69/9/1172: Trending Cardiovascular Nutrition Controversies https://www.acc.org/latest-in-cardiology/ten-points-to-remember/2018/07/25/13/51/a-clinicians-guide-for-trending-cardiovascular-nutrition: Cardiovascular Nutrition: Current Controversies Physical Activity Guidelines: https://www.hhs.gov/fitness/be-active/physical-activity-guidelines-for-americans/index.html --- This episode is sponsored by · Anchor: The easiest way to make a podcast. https://anchor.fm/app Support this podcast: https://anchor.fm/agethoughtfully/support
Today I catch up with Cardiac Cath Lab nurse Marci Ross about how she has been holding up and what she has been up to. Turns out she has been making masks and also doing street medic work during the protest. So awesome! We go WAY BACK to nursing school and talk nursing care plans, to terrible scrubs and tough lessons. Thank God we all made it out alive. If you are currently in nursing school, THANK YOU! We need you and you can do it! Hang in there because it gets better! Thanks, Marci for taking me back! Hope you enjoy this episode! Nicole
Dean Ferrera MD, Interventional Cardiologist visits Resus Now to discuss which post arrest ROSC patients without a STEMI on the EKG should go to the cath lab. Please see below for evidence related articles related to the show.https://www.nejm.org/doi/full/10.1056/https://wikem.org/wiki/STEMI_equivalents
A case example of a large vessel obstruction of the brain and our current techniques available to treat it. How we make decisions on endovascular treatment and management points for emergency and intensive care colleagues. codachange.org/podcasts
Erik Muise is a Cath Lab RN with a background in ER. Erik sits down with us and talks about the day to day of being a Cath Lab RN, tips to getting the job, and the reasons he decided to switch specialties. Erik shared with us some of his personal stories, and some of his favorite adventures that help him avoid burnout. Dont forget to subscribe and write a review! Follow us and catch our latest Instagram: https://www.instagram.com/the_morning_rounds/ (https://www.instagram.com/the_morning_rounds/) Website: https://www.themorningrounds.com/ (https://www.themorningrounds.com/)
Wow. Absolutely wow. The guys get blown away going behind the scenes with Karen Walker, RN, Cardiac Cath Lab Director at San Jose Regional Medical Center.They discuss so. Much. Stuff. Cardiology, the history of cardiology, stents, ECMO, bypass, ablations, heart failure, quality control, LVADS, transplants and several other completely fascinating rabbit holes regarding the ol' ticker. They waited a bit to dip their toe in the cardiology waters and the wait was completely worth it! It is a great high-level overview, and also goes in-depth at just the right moments. Karen is an incredible guest, and the guys hope you enjoy hearing from her as much as they enjoyed spending time with her in the studio.Email the Off The Box guys @ offtheboxpodcast@gmail.com - they read every email sent to them and appreciate hearing from the fans of the show.Follow us on Instagram and Twitter - a picture is worth 1000 words.Special thanks to:Super Producer: Steve Cooper @ AudiosaurusGraphic Design and Executive Production: Audrey Cooper @ Dodge Design Studios
In this episode, we have the honor of having a talented physician and a community leader as our guest, Dr. Columbus Batiste, whose passion for translating his years of work in cardiology to meaningful outcomes in communities is remarkable. Dr. Batiste is a board-certified Interventional Cardiologist and Assistant Clinical Professor at the University of California Riverside School of Medicine. Since 2008, Dr. Batiste has served as Chief of Cardiology and is the founder of Integrative Cardiovascular Disease Program (based at Kaiser Permanente), where he advocates a lifestyle plan to prevent cardiac event for his patients, by helping them modify their lifstyle. Over the years, Dr. Batiste has been recognized for his work in the community by multiple organizations. His ability to bring attention to healthcare disparities in the African American communities and beyond has been cited in many national forums. He is a bright light that will bring change to healthcare, one person and one family at a time. Please visit his website to learn more about his non-profit organization called the Healthy Heart Nation, and about his project, Slave Food, a ground breaking project, where he provides information and insight regarding why much of the food consumed today is practically killing members of low-income communities, particularly communities of color. https://www.thehealthyheartdoc.org Slave Food: https://slavefood.org Follow Dr. Batiste on social Media: IG: @healthyheartdoc Facebook: Healthy Heart Doc Follow us on: Instagram: @teamsherzaimd Facebook: Team Sherzai Twitter: @teamsherzai YouTube: Team Sherzai
From TAVR to STEMI, everything in the cath lab is on the table today. In this episode, Nicole Kupchik, MN, RN, CCNS, interviews Dr. Ali Haider about current and emerging procedures in the cath lab. Nicole and Dr. Haider, an interventional cardiologist, discuss a range of practices representing the current state of the science in interventional cardiac care.
A case example of a large vessel obstruction of the brain and our current techniques available to treat it. How we make decisions on endovascular treatment and management points for emergency and intensive care colleagues.
Roxana Mehran brainstorms with Manesh Patel and Mayra Guerrero about how to deal with the unexpected.
John Ferrelli was named the new CEO of SageWest Health Care in Riverton and Lander in April 2019. The 30-year health care veteran replaced Alan Daugherty, who retired April 22nd. Ferrelli grew up in the Chicago area and went to school in Illinois. But, he joked on a County 10 Podcast, he's been living in Florida and California the last several years, so the autumn snow will take "some readjusting." In the interview, John told us about some new plans at the facility including the addition of a "Cath Lab" in the near future, the ability to get cardiac pacemaker implants at SageWest, and the recruitment of an endovascular surgeon as well as some physician recruitment this winter. Additionally, Ferrelli is aiming for more transparency from the top of SageWest to the citizens, Anything that we can use in order to hear what people are thinking, what concerns, or observations they have, I think is a great idea." During the podcast he invited the public to submit questions and feedback and a form has been created to do just that, which you can access by CLICKING HERE. John committed to returning to the County 10 Podcast to answer the questions submitted using all of this form. To catch our entire conversation with John, click the player below or find the County 10 Podcast via your favorite podcast app! Ferrelli's conversation begins at the 7:30 mark. http://media.blubrry.com/10cast/content.blubrry.com/10cast/County_10_Podcast_10-30_John_Ferelli.mp3
John Ferrelli was named the new CEO of SageWest Health Care in Riverton and Lander in April 2019. The 30-year health care veteran replaced Alan Daugherty, who retired April 22nd. Ferrelli grew up in the Chicago area and went to school in Illinois. But, he joked on a County 10 Podcast, he's been living in Florida and California the last several years, so the autumn snow will take "some readjusting." In the interview, John told us about some new plans at the facility including the addition of a "Cath Lab" in the near future, the ability to get cardiac pacemaker implants at SageWest, and the recruitment of an endovascular surgeon as well as some physician recruitment this winter. Additionally, Ferrelli is aiming for more transparency from the top of SageWest to the citizens, Anything that we can use in order to hear what people are thinking, what concerns, or observations they have, I think is a great idea." During the podcast he invited the public to submit questions and feedback and a form has been created to do just that, which you can access by CLICKING HERE. John committed to returning to the County 10 Podcast to answer the questions submitted using all of this form. To catch our entire conversation with John, click the player below or find the County 10 Podcast via your favorite podcast app! Ferrelli's conversation begins at the 7:30 mark. http://media.blubrry.com/10cast/content.blubrry.com/10cast/County_10_Podcast_10-30_John_Ferelli.mp3
John Ferrelli was named the new CEO of SageWest Health Care in Riverton and Lander in April 2019. The 30-year health care veteran replaced Alan Daugherty, who retired April 22nd. Ferrelli grew up in the Chicago area and went to school in Illinois. But, he joked on a County 10 Podcast, he's been living in Florida and California the last several years, so the autumn snow will take "some readjusting." In the interview, John told us about some new plans at the facility including the addition of a "Cath Lab" in the near future, the ability to get cardiac pacemaker implants at SageWest, and the recruitment of an endovascular surgeon as well as some physician recruitment this winter. Additionally, Ferrelli is aiming for more transparency from the top of SageWest to the citizens, Anything that we can use in order to hear what people are thinking, what concerns, or observations they have, I think is a great idea." During the podcast he invited the public to submit questions and feedback and a form has been created to do just that, which you can access by CLICKING HERE. John committed to returning to the County 10 Podcast to answer the questions submitted using all of this form. To catch our entire conversation with John, click the player below or find the County 10 Podcast via your favorite podcast app! Ferrelli's conversation begins at the 7:30 mark. http://media.blubrry.com/10cast/content.blubrry.com/10cast/County_10_Podcast_10-30_John_Ferelli.mp3
John Ferrelli was named the new CEO of SageWest Health Care in Riverton and Lander in April 2019. The 30-year health care veteran replaced Alan Daugherty, who retired April 22nd. Ferrelli grew up in the Chicago area and went to school in Illinois. But, he joked on a County 10 Podcast, he's been living in Florida and California the last several years, so the autumn snow will take "some readjusting." In the interview, John told us about some new plans at the facility including the addition of a "Cath Lab" in the near future, the ability to get cardiac pacemaker implants at SageWest, and the recruitment of an endovascular surgeon as well as some physician recruitment this winter. Additionally, Ferrelli is aiming for more transparency from the top of SageWest to the citizens, Anything that we can use in order to hear what people are thinking, what concerns, or observations they have, I think is a great idea." During the podcast he invited the public to submit questions and feedback and a form has been created to do just that, which you can access by CLICKING HERE. John committed to returning to the County 10 Podcast to answer the questions submitted using all of this form. To catch our entire conversation with John, click the player below or find the County 10 Podcast via your favorite podcast app! Ferrelli's conversation begins at the 7:30 mark. http://media.blubrry.com/10cast/content.blubrry.com/10cast/County_10_Podcast_10-30_John_Ferelli.mp3
Assaults on psychiatric nurses in Waterford; Climate change conference; An update on the Cath Lab at UHW and issues with Eir.
A healthy heart supports your overall health and wellness. Dr. Richard Jacoby, Medical Director of Cath Lab at Pioneers, discusses interventional cardiology.
This podcast discusses the approaches to coronary angiography after out of hospital cardiac arrest.
An introduction to Cath Lab Chat the podcast. I am your host Jeremy Miller. This podcast will cover issues that are important to all cath lab staff. From training and orientation in the cath lab to tips and tricks on becoming a traveler to deciding on wether or not you would like to be a rep someday. Most importantly we want to hear from you! Send us your comments and ideas to cathlabchat@gmail.com
Rachel Scheer is a fitness model, BS Nutrition and Dietetics, and Functional Medicine Nutritionist . She has several years of experience directing clients to better whole health, and has personal journey of having to find better gut health. She has long collaborated with physicians to allow her clients a more comprehensive picture of improving and maintaining health. Dr. Jay Yepuri, MD, is a board certified gastroenterologist, the CMO of Riduzone, and has served the gastroenterology community in many capacities including being a former president of the TSGE. Dr. Jay is an ardent patient advocate, and has long worked to improve health and patient outcomes by looking beyond the traditional establishment approach. Both of the guests in this episode have played a critical role in creating the DHAT Health box. (DHAT = Digestive Health Associates of Texas) A vehicle for consumers to get direct advice on home products and supplements that are fully vetted, approved, and shown to deliver health benefits, at a competitive cost delivered monthly.DHAT Boxhttps://dhatbox.comRachelhttps://rachelscheer.comInstagram: @rachelscheer and @rachelscheernutritionFacebook.com/rachelscheernutritionDr. Jay & Riduzonehttps://riduzone.com (DRJAY for 30% off)https://dfwgidoctor.comhttps://www.facebook.com/JayYepuriMD/Instagram @DFW_GI_DocAtrantilhttps://lovemytummy.com/spoonyhttps://gutcheckproject.comProgressive number line number two employee hey Jamie it's me Jimmy this is your daily peptalk I know it's been rough going ever since people found out about your a cappella group met harmony but you will bounce back I mean the guy always helping people find coverage options with the name your price tool it should be you given me the peptalk now get out there get that high note and take Matt harmony all the way to nationals this is sorry the insurance company and affiliate by state law and gentlemen welcome to the gut check project where we all take our egos in the door with your host Dr. Kent Brown MD I am Eric Rager 10 it is episode number nine we think that this is so exciting my lysing cats there's nine it's a great number so it's also number there's a Seinfeld I think it was that no no I know it was a fierce Buehler 19 kind every time I hear the date faded number nine this is so exciting though because were starting a little traction were being get on the message by people this is really fun and I cannot tell you how excited I am about today show today show it we actually have we actually have a real offer we've got viewers who have been watching us weekly and now we have something we can actually give back to them and then well know you're right I'm pretty fired up in fact today's episode is unlike any other we have an offer for everyone here to tell us about that often help us explain it is going to be Rachel Scheer certified sports nutritionist and fitness model as well as Dr. J Dr. J Perry and I he is a course a board-certified guesser neurologist and he happens to serve as the CMO of Rich's own which a lot of our listeners are probably heard us talk about absolutely so this is not so the reason I'm so excited about this just wouldn't be doing offer but more importantly our two guests are actually amazing people so Rachel has this fantastic story she's super smart she's a nutritionist and she's able to stay in incredible shape and she's got help our listeners hopefully look a little bit like her someday so we were just on mojo and I had to laugh that Brad Brad encouraged her that she is off to a good start which was pretty funny yeah and I just hope she can hold together before she got ahead and like like many people that are very passionate about their jobs she has a heroes journey that she's young tells about and choosing to explain how she ended up doing this and you're getting her degree at Baylor and overcoming some obstacles and all of the above which is awesome and so that's gonna be super excited talk to her about that she's a big advocate of I'm trying to my baby that's her and I got to know each other and that she can talk about proper way to eat properly to exercise and it might surprise you because a lot of people are probably being way too restrictive for there being two other trying to do this and that and she's you and explain how look like she does still pretty much what you want sure you get to know her story a bit better it's really cool because she has her own personal journey did that relates to a lot of people the May you may think that people they want to come on and talk about things like that that their story does relate to you that it at the case at all she would just recently spoke at the millionaire mastermind is over 500 people to pay a lot of money to be a mastermind group and they had her as a speaker discussing this and she's really open about that because when you look at somebody that is overcome some struggles you realize hey I can do this and there's people like that out there that have learned how to use nutrition which I consider the foundation of all health because if you have good nutrition you have a healthy.all health begins and ends in the chair and she also collaborates with lots of other gastroenterologist including yourself to help serve the people that you serve and it's it's a great unified front she's a great collaborator in that capacity absolutely and then somebody that I completely respect so that we have on that his name is Dr. J you. He is an influencer in the gastroenterology world definitely she was the former president of the Texas Society of gastrointestinal G.I. TSG whatever that stands for but anyways he was president of that he got a political science degree from Penn University super smart I worked with him for the last 17 years he's an influencer always doing the right thing always looking at things from both a political and a patient centric view how do we do the right thing politically and make sure that the patient gets the best of everything we need more people like him out there talking about laws making sure that patients get access to healthcare and he's also the chief medical officer of the product or trauma ridges on emergent get into that and that's super cool also if you haven't heard of it stay tuned because it is so neat we're going to cover so much ground to the front so excited I respect both our guests so much and Anna learned a ton every sewer guest we have had I've learned a lot and that's one of the reasons why we do the show edit without question more thing to add to Jay I like to say that I've doing anesthesia I've gotten to work with a lot of different positions all different kinds of capacities but the people that often times stick out are those that you can tell are altruistic and function as real patient advocates has deftly Dr. J he's been that way since the day that I don't and it's it's no wonder why it's put him into the position that he's in now the cool thing is is that either one of these guests could easily get deftly have either one of them on specifically to talk about what all of their interest are just by themselves but they join together because they actually want to talk about this offer that's coming up later absolutely Emmy is more likely will have each one of these guests back on to give them a full hour and have to say whatever on their mind but today we have such a big offer that we believe it to really important people should announce it with us sure without question real quick paying the bills don't forget that if you ever suffer from bloating go to love my tummy.com/spoony that's love my Tommy.com/spoony use the code spoony it's also printed on that landing page whenever you get there and does save some money on the world's only NSF certified for sport product for IBS symptoms and bloating and if you're wondering what NSF is well Rachel can explain yeah she might just bill a bit familiar with it without being in sports nutrition and death course to all of the people that are just clever wondering really good sign that one of the things that I have been told by I was message said that so whenever you talk about the landing page people did not realize how much money they can save when the putting that code spoony so not only do you go there and get it but you're gonna save a lot of money was pretty surly listening use that code use it as it saves money definitely all a lot of money that's right and just to follow after that train of thought there Oya this last week and received lots of email keep them coming I appreciate all of the comments we had last week of Chris being on episode number eight Christmas song course was the market expert for him but I'm still getting requests for information on how to connect with that James Carroll and of course how do I find Dr. Wade McKenna if you want to know anything about stem cells go back to that episode so much so that he was spotted on our episode by someone making a ducky series about stem cells and now Dr. Wade McInnes can be featured oh that's awesome that crazy man one thing I learned from that night I just said I respect him as a doctor that stood by his guns and realize that he developed this get a patent on something church and just to reiterate that a better thing came out anyway you better come and use you even though my names on this thing that is amazing to me that you shows pure patient advocacy so it's hard work for me is that it looked a lot easier my brain but yeah that's right I think that the just blown my mind with at the infancy of where stem cell is same thing with all these other topics that were really try to tackle here and show you will try and bring a little knowledge differently so if if you want to connect with the show to ask more questions about Dr. Wayne McKenna James Carroll Joy Beckerman Chrissy song anybody we had in the show Sean Brian's please go to gut check project.com and then you will find the connect tab of the top Stratus an email at any point in time and if you like to show all we ask that you do is subscribe and like it and share it with different absolutely were gaining some traction you see today that these Rachel has acute social media following go ahead and check out her Instagram page it's it Angel at Rachel Scheer nutrition register nutrition correct register.com they all pretty much leave the same place you can find right and that's our ACH yell SCh ER and of course like always will: include all links about our guests and the offer in the show notes you can always find us at YouTube channel gut check project and on iTunes search.check project so absolutely now to move into the little personal stuff like we normally do and you hit some KB MD corner news so that Ken is going on I got an interesting week I just came back from Newark New Jersey right where I was part of filming our national commercial for trying to nine are going to launch a national campaign on TV that's always fun to go there and see a totally different industry and realize what's happening and I guess the the take away it was good it went really well is really fun when I was doing my makeup I had to laugh because I was this the makeup artist had all her material out there and of course as a guest neurologist one thing I noticed Miller's tons of things was a tube of Preparation H grab that and I said you know I can help you with this issue like she is and how it I my casserole dishes like oh my gosh no use of her eyes I put another piece of the bag felt like saying if you preparation H layout picture hemorrhoids said that she's fine pretty hard to explain them away so I did that and the kids the usual thing would go to my daughter Carl in theater is their learning about wicked so now she wants you to New York watch with good and will probably maybe consider going in August when that superhot wants the U.S. Open also I don't know but I'm being coerced into going to watch wicked in New York and my son just came back from Florida where he played in IGF which is the next level XVIII and under kind of thing you heavily second round upbeat by the 70th right player in the world did it proudly played well and the guy that did it pulled him aside and kinda coach Leftwich which I think is the coolest eyes and said you're brewing up and comers is awesome work on this work on this hidden feedback he gave them feedback this is this is this what I did when you did this so yeah and that's so was worth the trip to Lucas he lost second-round beloved so what's wrong with your family the boys are basically just attacking the hoop this said this, we can they have a quick tournament they both played over the weekend they they play dad Monday and that's that seems to be the agenda they did go and see the latest not this is how little I know about superheroes I know that there is a big blockbuster superhero movie that just came out and told Sue spoiler alert this for me I wouldn't do it because I don't even know the name of it as they both my girl you know that that's when the running joke is that don't do any spoiler alerts everybody it's all over read it I don't know you don't have to do that I don't have your luck you do a starless vision arguing for now absolutely not and wife is doing great she's really busy this weekend with a bunch of the local activities she's heavily involved with that and then not getting run with you actually on a quick business trip at Arizona separate in the transit the week for me yeah we one quick shout out to a friend of mine and a colleague Dr. Stuart Ackerman he's a part reminder to check them out he's a specialist in the pancreas issues biliary US ERCP that kind of thing but he sent me a link to somebody that we both really like it's little Dickie yeah remember the wrapper little Dickie just came out with an earth video was really cool was he sent me a follow-up video on YouTube where he talks about how the way that we are producing our food is affecting the environment what I loved about it through some of the cows producing methane and of course that's right in our wheelhouse until yeah so you don't methane what if your bacteria grow merchant you're going to get very bloated and when that happens it can affect you know we always talk about our demographic and our avatar when we talk about marketing you really need to dial it in and I was messaged by half port Bjorn soon he plays the mountain from Game of thrones and Magis von Magnuson they have me that heavy letter from ESPN ESPN strongman yeah and they said you know we get bloated also and you're ignoring our demographic what yeah and so I spoke with you know I spoke with our team at the altar until I said were completely ignoring a group of people here and so were you got a new SKU for the mountain of game of thrones and Magnus Vaughn Magnuson fields take over the microsecond down I will go ahead and show you this is going to narrate what reductions doing okay so he stepping away and I get out of do this in golf voice or not you listening to I tend you can see the visual who he's opening up backhoe he's training down like you got an atlas down all my goodness there is a gigantic take green box marked just like the familiar Arbitron teal box while yeah so this is our newest view is trying to yield for strongmen it is a it is 40 kg look like a like a month on your back will I can tweet it I'm faking it right now all intentions even the later nature calls on that inflammatory response so I know this is not a strong man I know they did not actually message me this is actually a gift for episode number nine from our CEO Chuck Scott also super cool nice it looks it's an exact replica of the little one originally this guy right here at all times because I'll try until we can fix people we help with their bloating even strongmen but they don't have to take the big box was nice in the coal that was such a cool gesture and supernatant that's you know something that we get the word out for international commercial now yeah like that and I just got is the CEO KBS research the parent company of trying to also add nice work. There Chuck I do notice though can hear the bottom it says I 90 capsules just like the yeah like the regular size yes so in the also says to 75 mg just like the regular size are you there must be a lot of empty space in these capsules well knowing that we were initially making this for strongmen how you know each capsules about 2 inches long and filled with lead social to really weigh it down okay since no one can swallow so if you if you ordered the large volume here Voltron tales going to cost you a lot of shipping and you will not be will go through metal detector and lead poisoning social just just order the smile you have a bigger one here for you like I had to laugh Chuck Scott just messaged us and said oh my gosh you had me going I thought you were seriously well yeah that's what you I like that know that's that's awesome I think that is so cool and you don't mean that's what were trying to do as a company were trying to sponsor spoony radio care so the alternate what you brought up Morse code last weekend and bid chow down and there's water you chow down his restaurant on his lot really really cool shows and of course we got our we got a man Patrick chef Patrick is yet a show so gently awesome well once you hit up the corner and let us know what's on the other research page for this week so basic what we always like to try and do is talk about a little bit of science here, try get that this really quick and it's gonna seem like a lot but I will come full circle and explain it at the variant and the reason I'm doing this is because our guest Dr. J Perry happens to be an expert on one of these things right on okay and what's silent here that by so I'm a big fan of the PhD name Michelle Ross meeting she wrote a book called vitamin weed and I think it's one of the more comprehensive molecular books that I have read and she covers a lot of ground here one of the things that we always have is the end of cannabinoid system we all have it just as important as the gastrointestinal system all those everywhere in the body if you think about what it really does is it links the neurologic system and the immune system so it really ties those two together so it's extremely important for a lot of different things the purpose of this is actually like a traffic cop and control the amount of nerve and about nerve activity going back and forth so just try to make sure that everything works well which is why work so well in anxiety and autoimmune diseases so the end of cannabinoid system helps deal with physical and emotional stress so now what is a cannabinoid basically you can take a cannabinoid final cannabinoid you can synthetically make one drug not a fan of those sure and your body makes him what were to talk about are the cannabinoids that your body makes okay so it's it gets into a little bit deep stuff but the most prominent thing that I want you to keep in mind is that there's two and or cannabinoids that everyone always talks about Ananda mind into a Jew when record our mothers because those are the ones ever talks about and they deserve their own hour each what I want to talk about our the atypical ones and then this actually explains why a full-spectrum Fido cannabinoid like the KB MD brand right here powered by Alexa no actually works a lot of different ways and that's one of the reasons why I believe that the full spectrum will always outperform a synthetic cannabinoid or drug cannabinoid buds naturally powered by numbing it's basically a doorway that nature intended it to happen so course is usually better yeah so even if you know quite a bit about CBD so if we get our people out there like I know all about it yeah and about to Aegean and Ananda might listen up because this is a little different so I want to talk about four different Endo cannabinoids one of him is called PEA P like a grantee that she stands for and Palma told EO then Nola mean originally discovered an egg yolk ticket of this is that it has been shown to have a potent anti-inflammatory activity and has a role in preventing neuropathic and chronic pain while one of the problems is that alcohol decreases PTA okay so keep that in mind because a lot of people trying your luck you will develop alcoholism or opiate abuse because of chronic pain a full spectrum vital cannabinoid has PEA in it so it acts in synergy with the other main one to AG and Amana mind born entourage effect when you help those out and it inhibits an enzyme that breaks it down called F88H so the enzyme FAA age breaks down your endogenous under cannabinoids So that's one I hope this works on inflammation and chronic pain then there's a supercool one called OE a and only old less than Nola mean OEA let's unfamiliar does sound familiar it's in this bottle and holding my hand from ridges on exactly what they have and here's the key ingredient's riches on one of the sponsors of mojo and spoony chief medical officer Dr. J Perry coming on the show today want to let him talk about why they put a concentrate of OEA in a bottle want to tell you is that your body makes some OEA and it's been shown to do some pretty cool things this is produced naturally in the small intestine from fatty acids and the major target is another cannabinoid receptor called P part alpha easy for you to say I know that's a proliferator activated receptor alpha now that is something that I would be doing quite a bit writing on because people are alphas or NP pile for people or gamma our associate with inflammatory processes in ulcerative colitis also the proctitis wow so I'm in a working to be publishing some really geeky cool stuff but I just want to throw this out there really quick that OEA has been shown to be good for brain health and believe it or not it's actually been shown to increase memories in rodents and it doesn't pretty cool things for weight loss but I believe that the doctor your Perry later because that's where most of the science is been done but they have shown that this molecule actually helps the brain and memory it is so wild I mean basically were talking about natural compounds available to us to make us feel better and stopping inflammation in it wild bit how many times over the last decade now have you encountered this this this crossroads of stop inflammation help your neurotic neurologic system help the way that you think helped ladies sleep I mean there's a lot of other connectivity there it just keeps going back to all health begins and ends got exactly in his illegal had explained Dr. Pursley go ahead and explain about how rigid zone gets converted in the got into this potent molecule that works in his own, different science but I did not know it actually helped with memory in the brain as well so it decreases the inflammatory response that awesome number three something lumpy will heard of DH eat a dry and dull Xhosa hex being all teeth and no new beauty mean hard that's likely make acronyms for all these no real word it's really hard to Google now this is made from the fatty acid DHA which is fish oil omega-3 DHEA has been shown to reduce inflammatory gene expression there's that word again inflammatory your body will naturally produce the hormone DHA in the adrenal gland in turn DHEA helps produce other hormones like testosterone and estrogen Rachel's really get into that some adrenal fatigue some adrenal lagging this is the kind of thing that nutritionist work on and then the last one here is not an ADA Nora can O'Donnell dopamine it's not really clear how it's made but it is made in the brain in the hippocampus region it relieves pain increases sleepiness and decreases body temperature while relaxing your muscles okay so will all those neck all those acronyms those I brought this up is because when I give CBD FIFO final cannabinoid to my patients I get all different kinds responses now it makes sense you could be deficient in one of these so the short review was necessary because patients may tell me that they sleep better with her nerve pain is better now I can say oh if you have insomnia maybe your not all levels are low or that needs be increased or if your memory is bad maybe you need more OTA oh your sex drive is down how about increasing that DHEA in other words this is why a full spectrum high-quality CBD can be so effective it's filled with all these are the benefits that nobody ever talks about how they are talks about but you know ever but a lot of different people have made these connections if you want to be healthier if you want to sleep better if you want to feel they all go together you simply have to eat better so that you can sleep better to sleep better she can think better yet the sleep better so you can repair your body it's it's amazing we've only got every half-hour or so Dragon Go! I know but everyone to you now because we have our two guests on and limits I want you to watch this live trust me on this it is good to be a cool shoulder to cover a lot of stuff and it's the offer that's most important that he has said Rachel Scheer is coming on with Dr. JJ Perry to basically deliver some great news that is happening here has been announced anywhere else and trust me you don't want to miss it subscribe and share gut check project iTunes and YouTube seamen got an old car you can donate it whether it's running or not to the United breast cancer foundation and save a life they'll even come and pick it up for free the United breast cancer foundation has saved hundreds of women's lives through their free or low-cost breast screening exams but now they need your help the United breast cancer foundation wants to save more lives through early detection by offering women free or low-cost breast screening exams in donating your old car SUV or truck whether it's running or not helps pay for them plus you get a charitable tax deduction help the United breast cancer foundation save lives by donating your old car SUV or truck call now for free pickup 800-245-0823 800-245-0823 800-245-0823 call right now that number again is 800-245-0823 it looks like you're losing I am I losing weight I am losing my lost about 10 pounds how are you doing it funny name but I've done it with review zone RAD use zone.com and the stuff works it's unique it and all that the molecule Bissonnette found in that I can tell you is it it's it makes you feel full and keep your mind off of wanting to overeat and also boost your metabolism if you're done and more guy try it today it's gonna work for you like his work for Brad and countless other people read you zone.com are IDUs zone.com FastTrack student loans can get your student loans out of the vault stop any wage garnishments stop collection calls and stop seizure of your tax refund give yourself a break to stop the stress and get your student loan payments down to as little as $25 a month based on what you can afford to pay 800-709-4395 800-709-4395 800-709-4395 800-709-4395 five so here we are back where set up where you have Rachel cheer Rachel give us a little wave over here Dr. January's on his way to show Patrick over there messing with our sign so that's that should be resolved shortly and Dr. Jacob Perry is entering the room welcome Dr. Jay running a little behind his usual not a problem so Hayward while getting started here on this the second half hour being spent on what is on the second half hour want to welcome have your Mike oh I got him holding exam. This one takes it so we believe we are we on episode 99 episode 90 so were going to fix a couple things and elect the real host Dr. Kent Brown handle the set up and I'll be back in a moment so for the record is the first time we've attempted to guess at the same time and we are working the kinks out with one of the mice it isn't working but we have the two most important people in the room here Rachel why don't you go ahead and tell us who you are my name is Rachel Sharon and functional testing test here in the Dallas-Fort Worth area is not our idea by building and can accomplish it is that how you met Dr. Jerry Perry on the on the fitness model circuit precedent lot I try try to keep that on little bit second second CV if you so knowing what no one wants to see that the ups Michael Dr. J very quick bio here what's going on with you where you come from who are you for our listeners who might well so native of Louisville Kentucky missing home this weekend because the Kentucky Derby try to make it up as often as I can but been down here in Texas 18 years and haven't found a reason to leave yet so been fortunate to be your partner in our in our larger group practice for many years now and and enjoying working with you in a lot of different different different ways we have so far so absolutely so Rachel we went on mojo earlier for little bit we covered a lot of ground in just a very short period of time but I think one of the cool things is that you just recently gave a lecture at the millionaire mastermind club correct mastermind million-dollar mastermind tells about that and why were you chosen to do this that's a huge honor by writing something down at the heart grow closer and basically he brought on different influential people Oliver United States entrepreneurs have created their own business and any talking about sale of business strategies that they brought me on as a nutritionist very different type of form that my business name brand and being able to share my story nutrition is very important as we now for overall health think about it from a business standpoint I can again have your point is why nutrition is essential to building a business from an entrepreneur print right why how did you become so passionate about this and getting the word out about nutrition now nutrition is something that always been important to me and I suffered from mental illness speaking or lapping in very unhealthy environments my mom was very absent for most my child had an very unhealthy growing up they prompted me to want to get into nutrition and extending into Shanghai Weightlifting along the lines on background that growing up base nutrition and always doing the right thing for family and along with my right to allot and different health issues related to later on sale I really have to make a lot of different changes in my diet to really think out but worked slowly back up and do you think that your you said you were not making healthy choices because you were trying to become stage ready you are starting to get a whole fitness modeling tell me about the add big mythic between felid and health that we live in a world where everything is the last thing on building muscle and makes me look healthy from outside you can lose weight eating teepees the defendant don't print any packet to be healthy now and I think a lot of them might have me think carbohydrate is carbohydrate and fat really is not the case any nutrition Avenue the carbohydrate is a need to stand on bath a big misconception concurrent with my American Standard something one of the cool things is that you become very best about it I think his attrition is turning into a business as awesome as gastroenterologist J I did not get that much training nutrition during my fellowship did you well it's a great point you bring up Canon and listening to Rachel talk kind of got those wheels turning in my brain and to echoed the point you just made it's important we get no training in that regard I mean that traditional pathways all based on pharmacology and medications and treatments and interventions and procedures that we do but these kinda more basic fundamental building blocks mean it's cliché but you are what you eat breakfast by cringing when she hears me say that but I think it it it really resonates and rings true in the current era it's been it's not something that we patient always talk to us about it but is something we have to defer to someone like Rachel who is an expert because we don't have that training unfortunately you know it's not something that you and I talked about were when I sit there and I actually tell my patients point blank some of the best knowledgeable people are fitness people bodybuilders an extreme sports like triathletes because they have to take it to the level where they are so dialed in and I learned a lot I learned a lot from my other colleagues have done that there are people out there I got a chiropractor friend of mine that we brought up before his name is Dr. Ron try to bend us in the Plano area delete triathlete is the first guy that's talking about nutrition and whole foods and things like that and so what you did is you jumped into this started getting into the body changing type of mind came from a background of it sound like a very difficult childhood and you want to control your life and then you did something and you paid a bit of a price that we deal with patients all the time the commensal tongue what happened after that cell I Carolina stress dietary strength physical strength training very hard on a lot of mental stress this volunteer instructor is one mean initiators and Ellen and over the course of training really hard and really trying to down I did not hear gastrointestinal issues in the process where basically I remember I couldn't eat anything anymore without being severely distended a lot of chronic bloating brain side and I mean I was miserable and even now from the outside and looked healthy I like definitely not healthy Ceylon really prompted my change in nutrition and going more into that function functional medicine and nutrition that is what is the most common patient the senior officer I mean you can as you know we see the full variety of digestive and liver issues but I would say is not a day that goes by that a patient doesn't come in with some of the issues that that that that Rachel is described that we don't have a blood test for necessarily that we don't have a an x-ray to do that we don't have a procedure that we can do to assess but it's it's all part of being thoughtful careful listening taking a good history as we call it and and part of that now as as Rachel brought to light is understanding what our patients are eating with the putting in their bodies that can help contribute to the symptoms this is a new developing burgeoning area of inquiry research and in clinical endeavor into exciting meeting to see what's coming out this I think it's kind of a it's funny because even somebody like myself who considers myself more functional casserole just I do podcasts all outgoing people shows and I'm unfortunately I want to try everything to see if there's something that's there so that I can offer to my patients so I will try reading first and then do it and we have a mutual friend Kevin Wilson who is actually my primary care Dr. and I had to laugh because I got blood work done and he called me up and is like to what is going on like everything I'm doing everything is accordingly much this supplement the summer I can try to figure out where I overshot it and my bloodwork got really screwed up liver test one my cholesterol got all messed up I went okay can't do everything all at once and what I did the real big mistake that I did as I played partial Kito I did dirty Q Roseland Chito you know what I want to sort of cheated what I wanted not the exact worst thing that you could do so even when you're living it you don't realize that you're doing some of these things so like you're living in your eating bad so how did you end up correcting all of that well I went from a lot of different doctors to doctor that blew my mind right now I ever talked about he never went back to when I was putting into my body endoscopy colonoscopy CT scan and MRI and everything analysis got stopped at the label of irritable bowel thing on which to diagnosis at all like a stinking nice next contend that any biofuel into depression throughout this process depressed and I was offered laxity is not offering that many if I think I mean how getting diagnostic at one point I had misdiagnoses and always miss is getting medication and medication anyone really went on to write that will cause what is causing this in the first place I went to see you and I think you are one of the first doctors actually saw something that a lot of doctors hypermobility going on here can't cannot let one and she is going to the Mayo Clinic and found that actually had a genetic defect. Thanks Thomas Ingram is about to sail could have been added by weightlifting and again it still came back to and once I really looked at my limiting a lot of different taste in that standard American diet really started to make progress in fevers don't think you really feel better overall J you and I've had discussions about this your thought leader in the industry I'm in your recognize on a national stage and both of us wish we weren't so busy I mean if you were were really too busy and there's something going on here where people are getting sicker it really is an epidemic I mean I think you know we see these folks every day and and again where we continue to struggle with a lack of I guess where all creatures of habit we want to be able to offer the test want to be able to offer the treatment we want to be able to offer a cure that these are complex issues and in the very individualized I think the one thing that both of us have realized over time is one of a person one patient is any different from another patient and and it's not some boilerplate it's not in a page 32 the textbook it's can be very individual approach patient by patient but you're right I mean these patients are filling our offices were happy to help him but we have many more resources and we mean we need needs things up and go back to be able to offer patients think that every time the I did a patient where I struggle we figure something out I become better I learn and I know I've met all of your partners I got my partners and just about everybody I know in our group digestive health Associates of Texas D hat is a very conscientious group this is a smart group like I think we've collected some of the best gastroenterologists in the country in one area and everybody wants people to get better so unfortunately when a patient comes in and we don't you do: EGD when you start thinking outside the box when you start thinking about the functional aspect of it so when you said you are functional nutritionist can you expand on that little bit of function on looking hot now find people going into the doctor and I think I have Andy throw the mind filling in anything really interesting because not just interesting testing that will cause would be there diet their lifestyle that I can exercise and really trying to deal with my nutrition practice I'm looking at real cot why do we have this problem in the first place inlet committee to restore function and it comes back to the lifestyle I die like an exercise in meaning initiators as chronic in today's world I think when I talk to people one of the things I discuss his death rolled as I believe there's three pillars of health one of them is gut health absolutely all hope begins and ends in the gut to use the we are chronically fatigued society and three rain you know I discussed on that article the beginning there about these different final cannabinoids and help the brain help me when you address a patient that has something like this and what is your what is your methodology to try to figure out how you can help this person and I think you're the approach you outlined these three pillars is is is key I think this this concept of sleep hygiene is something that's been under recognized and underappreciated for a long period of time and these are not mutually exclusive pillars right any date they feed into one another that the lack of sleep increases cortisol levels you eat as a result you feed the beast when those cortisol levels are up such a self fulfilling prophecy so I think the those three really do feedback on one another not be too exclusive in any way but I agreement I think again it goes back to this individual approach the patient in and try to understand exactly what that root causes as rituals ELOQUENTLY put on to help that patient yeah I think it's so cool that you chose functional medicine is really cool is that you chose a very Hartfield to maintain as somebody who's always worked out and I'm digging on pushing 50 now and I am trying to work out harder to do it all this other stuff tell me about the lifestyle of somebody that actually gets ready to go on stage well completely different in mind the least of my problems for me in the work that is kind engraved in my routine now I love working out nutrition and I love you now feeling my body appropriately and that the whole mindset of having to get up on stage in preparation in the training of food and take a bath link takes it to a whole never not a level running out for general person if he could just focus on healthy foods and eliminating process and artificial fluid that can really make a huge deal in their health that for someone who is a an Olympic athlete or something like a bodybuilder are trying to get to a certain level things have to be a little bit more now than when it comes to their carbohydrates and fat and protein intake and definitely takes a lot more concentration in a lot more work to really fascinating because I just got in the mail about Glenn Greenfield second revision of his beyond training have you usually with Ruben Greenfield is yet so bad I did his part just been is a former bodybuilder than triathlete and then now he's just a big proponent of his brand is your wrinkled tile KIO and supercool guy but in his book his intro the first chapter is the description of a 50-year-old guy whose tried to maintain his try to be a triathlete and in the process became skinny fat increased distress started having injuries and also the stuff and it just shows that in this desire to maintain health sometimes we miss the big picture they can can hear me oh yeah hey it's Eric I'm all I got here in the garage I was really lonely I run out of did it really wasn't a problem not of had to go outside so you help them Parks and Kari took a wonder I kept trying to I know it's a mystery just to add about talking on then Ben is actually going to come up to demonstrate his audience he actually saw Ben and his helper Angel Keeley's going to come to North Texas so that we can do a colonoscopy on someone who has gone through the quota quotes getting fat and that being basically he him working in nutrition just like Rachel does and then of course Dr. J Perry working in gastroenterology I think that something is really cool by the two people sitting across the table from you is that these are collaborators and they collaborate and they want to do something for their audiences much like what Ben wants to do so why don't we can talk a little bit about what it is that we want to do for the people and then we can really cannot get into that for the next whole hour the absolutely so one of things we talk about here we've got a brilliant guest urologist and a brilliant nutritionist Dr. Jaeger Perry spent a lot of his free time advocating for patients on a political level is a political science degree from Penn University what you choose that by the way science yeah well in a previous life I thought I was good to be a lawyer and and even become a lobbyist spent some time working on Capitol Hill between and after college and I realize overtime that wasn't for me but what I liked about twice I was it it's a field that makes you have to take a lot of information understand it digested no pun intended and and then be able to make arguments from it and it's very much like medicine you got it learn a lot be able to process it be able to assimilate it in bring it back out and order entered into care patients I mean I've from my standpoint's admittedly when you start medicine you work really hard to get them and then you become very selfish as you try to start your practice or try to feed your family good becomes you know this is my this is my dig so I've always watched you from the very beginning always be involved on the political stage always trying spread the message always trying to you been running the ACG practice management thing that I've been part of a couple times the project management group so what what we need is people with a voice that have a stage the to do something like this and then Rachel you got the functional nutrition background so one of the reasons our big offer is that we as a group digestive health Associates realized that our community in the Dallas-Fort Worth Metroplex could use a little assistance could use some knowledge could possibly use some of that it help just in case you're not eating perfect not able to go to whole foods and get the the wild salmon to get your omega-3 used to protect your brain to know all these other things and that's were to get into in the next half hour I don't want to spoil that too much I think it's a really cool thing Eric you want to comment on that no I do think it's a really cool thing there's a lot of challenges that people endure whenever they are going to select supplements and just doing anesthesia both with Dr. Perry Amber Dr. Brown I have personally seen people come through and they'll have a litany of things and then as both of y'all have seen those people leave the clinic whenever y'all done the examination will save habits that they have just isn't going to work for them or I don't know that I can trust the brands if you're spending all this money on so when I saw the two of y'all and the rest of the D had a group begin to work together to say we're going to tackle this issue where we can actually leave the walls of the clinic use some help from a nutritionist just like Rachel and began to find the correct type of supplements that would benefit people and lastly save money it takes the guesswork out of trying to be a good patient and trying to find health something it's really pretty awesome I think one of the cool things is that you're able to follow your patient home we can give some information if somebody follows you an answer which by the way how did you get 260,000 Instagram follows pretty happy what we up to Eric eight or something like that just got number nine Monica Crowley had no idea they were actually growling to be something that made I started it when I got an outstanding tensioning Titanic started posting track and recipes and think that I find to be motivational for myself in a way to hold myself accountable and I really wanted always to help you but I found his passion from the beginning fell over mechanically derailed and banned from each success has nothing to deal about it on fire as I have or about how much money a status value I can bring to others and how many lives that I contact change that's really been important for me having as my foundation I think has allowed me to really grow my following and really create that trust now so I think very much like taking an oath that were going to treat people well you know social media is got to the point where now you're held to a certain obligation. You also have a responsibility to do things correctly people look up and down a lot of information even on social media for example there was the cochair recently in the Dallas-Fort Worth area has led getting out different diet plans and putting herself as a coach and scamming people out of money set itself up to the consumer to do their research and are looking for coaches online and looking to people for advice on sale social media have a huge influence in people do not have to honor that I think you and I were talking about the Netflix special fire were I believe that they are trying to prosecute some of the influencers you write there later using their using their influence for four not good and I think the D had obviously is taking the can the complete opposite approaches they want to guide people that are already turning to them for advice and visa returning patient so obviously you want to be satisfied so I think that your online reputation speaks for itself you have an incredible social media presence on online reputation patients are saying go see Dr. your per it's the same thing you're getting as physicians you are being spoken about in patients trust you and there to tell their mother's sister friend husband wife to go see you and you and obligation to do that also to know sometimes get tough cases well and it's this notes the community right so you is you and Rachel both touched on it's this idea that were being held accountable there's a lot of ways in which were held accountable but I think is that we started to realize you are pioneering the scan but this idea that our patients are starting to look online and an understanding that the doctors that they're seeing the professionals at their seen counselors there seem this is not well understood or well fleshed out sick seven years ago but clearly over the last five years as its gain momentum when we realize this is how our patients are finding us now and it's it's in a word of it's the 21st century word-of-mouth if you will and and and you know I think unfortunately there still a lot of fraud out there but what what hopefully social media online reputation patients being proactive in reviewing doctors and in other providers is the idea that they're going to help people find the right provider for them that's going to help get them where they need to get total in I think that you probably if you put yourself out there so what I do admire about you Rachel is that number one to get up on stage with a little close which is able to do I would have to if I did some sort of stage competition it would be like jumpsuit things are this is why got a bikini And starting again it's a bit better for everybody well you know what I mean I was following you for a long time on Instagram in your bikini competition I been the last follower I have another as long as I could and I appreciate I'm looking right now where is there were some convocations they asked that it was taken down to I think that's one of the requirements of bikini modeling is landscaping and I will leave it at that have nothing to add to that no but I think that's so one of the things that Jay and I have to deal with which sometimes is a very good thing is the negative review and I sometimes it's valid sometimes not very often it'll tell me that if they warned me of something tried to call couldn't get through it's things were always working on in the business aspect that's one person there's probably 20 people and we really do acknowledge that and the person helps me out with that to-Keith Kaiser who a look at these and says okay you're seeing a trend here we need to sit down with the office manager and possibly talk that may be XYZ is broken so we I use these reviews as a way to grow as well not just say okay yeah this is kind of doing well do you ever get any negative things on your Instagram with 259,000 people out there to over 250,000 people and you're gonna get people always have something to say and think it's taking anything else on and course I like to listing any type of feedback that I can take in and prove myself and they also just cannot stay out of that negativity and just focusing on the people who I can actually benefit any and most important to me okay so one of the things review of weird people with income embouchure but my kids don't have phones and I'm 14-year-old a 12-year-old and the reason is because I discovered a YouTube video early on which discussed how there the equivalent of getting lights is a little dopamine release very similar to other things that you can become addicted to and ultimately when you are depleted in dopamine dear Sir or basically when you release dopamine your serotonin goes down so your happiness is serotonin your pleasures dopamine and the phones really can do that because it consumes you and so I let my children decide right now they have chosen to say you know what were just going to cut up avoided that right now which I'm happy about it's I don't know how much longer I can do they all can I hate to cut you off only got about one minute left before have to take our four minute break and I do want to let everyone know that Rachel Scheer and Dr. J Perry will be joining us and then for the next hour but before anybody has to they have to check out and they want to learn more kindling hold that that box of just so people can get a preview organ we talk about the next hour that is the D hatbox and if you want information without any cost to you to be sent to you as soon as it's available go to D hat box.com it's DH ATB OS X.com and then you will be some of the first in the country to be given the opportunity to check out anything more avidly likely to quit so this is we just got to know you guys over this first half-hour now going to get into some super fun stuff like ridges own love this product Jason to get into that about the signs of that were to talk about the box and about different supplements that Rachel likes to use to look this great instantiate so combat for the next half hour or to get into the science part of the refund this is the only 24 hour take anywhere platforms dedicated to food and fun clear spoony is this our Townhall.com, as word Atty. Gen. bar a no-show this morning before the House Judiciary Committee wanted to ask more questions about the molar report are skipping the hearing in a dispute with Democrats over plans to allow committee lawyers to take part of the questioning Georgia Republican Doug Collins reason Belmar is not here today is because the Democrats decided that in morning here today we didn't choose not that Mr. Barcomb he chose Chairman Jerry Nadler we will we cannot permit him anybody ministration to dictate the manner in which we function Nadler adjourning the hearing following the committee will get the answers it needs to conduct oversight capital Hill correspondent Molly Hines German that were threatening to hold borrower in contempt of Congress yesterday the Atty. Gen. spent six hours before the Senate Judiciary Committee one senator raising some serious last test about the origins of the Russia collusion investigator Lindsey Graham says one thing's for sure about the FBI probe into Hillary Clinton's use of a private email server we know that the person in charge of investigating hated traps guys grandma says a blanket over that hatred led to Hillary Clinton being exonerated despite the evidence and that counterintelligence investigation the trap campaigns worn it featured a heading that investigation bowing and text messages to stop trauma from being elected by new report Sen. Michael Bennet of Colorado the latest Democrat to announce he's running for president strategy and plan to announce sooner but pause after being diagnosed with prostate cancer I was cleared with a clean bill of health that gave me a chance to think about whether I really wanted to run or not better tell CBS's morning he decided he does want to Bonnie seeking the party's presidential nomination for 2020 Wall Street the Dow up 15 points the S&P better by five and the NASDAQ composite index 26 points higher more of these stories@townhall.com now you can fly anywhere in the world and paid discount prices on your airline tickets flight today to learn this harassment to read or anywhere else you want to go and pay a lot less guarantee quality international travel department right now low-cost airlines 800-452-1075 800-452-1075 that's 800-452-1075 Dr. Kim Brown here a host of ship project with my cohost Eric Rieger Eric Regency and mojo guys over there and overhears Mooney talk about 20 over bloating I've seen in my practice that I'm trying to is a whole lot more than just a floating product yes it does a whole lot more than just exploding because polyphenols that you find keen on trying to get your exactly right the polyphenols are those molecules we find in the Mediterranean diet it makes vegetables and fruit very colorful polyphenols do these polyphenols can actually stop and nation help you have more energy thinking have you antiaging and polyphenols are great athletes sounds like a hellhole more people than just loading tell me how it is taking out front if you want to go so 2002 capsules three times a day face you aren't bloated and just want to polyphenol intake everyday to three chances are they will go to love my tummies.com/never forgotten apparel is more than just a premium women's and men's clothing line it's a movement to remind us to where American-made and serve those who serve us our heroes never forgotten apparel gives 20% of their total sales to nonprofits that support homeless veterans and off-duty firefighters and 50% to individual veterans and firefighters in need nationwide checkout never forgotten apparel.com use promo code Matt and ATT and get 15% off your purchase oh Mike we are back I was having separation anxiety comes that Levi got stuck at their lady is no way you can count on without you know Senate small it was to properly throw me off I Have a look over there trapped in a glass cage of a move should I want to bring so sorry I hate the fact that now that I'm back there we got more serious that's that's the sad part and knows no laughter all all all the fun stuff is over now hate just a real quick reset we are gotcha project we are on the spinning networks we.com course host several shows you mentioned earlier trays chow down chef Patrick who works is our producer also as a show on their but did you know Dr. J you. If you met him he is considering starting a nether health based show on screen or is that about his former career as a bikini model that's exactly what just happened you know I think that's exactly where came to a failed attempt at bikini modeling and and lack of landscaping that's where that came from I can imagine with the title going to be but as long as main scape works in there it's going to be thinking of you will be it will be a nice hit the panic up of the bills for this next to lowered be sure to check out love my Tommy.com/spooning as lobotomy.com/vignettes where you will find your offer just for listening to spoony and the gut check project to save money on trying to heal and what we hear Dr. J were good people go to learn a little bit more about ridge them so the ease place to go to his riches zone.com are IDU CO and E.com it'll give you it will give folks a good overview of what Richie's own is the science behind it of which there is quite a bit and and how it works and how we like how we how we think people should use it really get the best benefit from perfect and Rachel Scheer make make no bones about it she's got what an incredible following so Rachel what is your favorite way for people to connect with you as well I can connect with me like it's pretty simple lights at Rachel RA HDL and my last name Scheer each EEI canopy where the majority of my social network is to be found my website which is again just 9% nice Rachel Scheer.com Rachel Sherry.com well let's not KISS alright so let's not lose our momentum on what were talking about because when I get here before I had the microphone working again is that we talk a lot about synergy collaboration and it always comes with the right person in mind which is to benefit the patient before you joined us earlier J I can remember that you always know your colleagues that our patient centric or patient advocates and I think that's a key reason on why you were chosen to be the CML why you've never turned away from research and why your patients I've seen firsthand don't just want to be trusting their health decisions with you they like coming to see so knowing they were putting the patient first what it rejected take what did it what it is they were doing is a collaborative to put something together like the hatbox okay so we try to get into a little bit and lost all but the reality is were doing something which is actually incredible very innovative were to be the first large single specialty group to put together health in a box we want to put health in your hands and nothing of your slogan here so the hat is arranging a program where we can put the holes were many Americans lack because of nutrition we can help them out Rachel and I were just talking about this Rachel like for instance when you see somebody what are some of the common supplements that you like to have your clients on that I think there are four essential supplement everyone should be on the first to be a high-quality monk like to say that we can get all of the nutritional needs from the food that were eating back just Arabian American band standardized and fast is not really reality standing on a high quality multivitamin to prevent any type of nutritional deficiencies on this icon would be a good probiotic game going back to got to be the foundation for how promoting a good healthy got my car bran on the third one would be a vitamin D some most the population is deficient in vitamin D and vitamin D became to get fromsale especially here in Texas and because it's hotter now that I'm very much and just in general and a lot of micronutrients testing in the majority of my clients come back with a deficiency in vitamin D then the fourth amendment be in omega-3 fish oil saddle again going back to standard American diet we get a lot more on Bacchus Texas which are pro-inflammatory and instantly need to counter act by adding in more on the three check enemy anti-inflammatory said that for that I think everyone ought to be and it's going to be a good multivitamin probiotic vitamin D and omega-3 fish oil so hearing that list Dr. Brown or Dr. Perry what were some of the pitfalls that the patient to come into both of your practices what what is it that someone comes in with a Rachel hit the nail on the head will get to it in moment but whenever she said hi quality probiotic there is tons of bacteria sources out there that some you may say is beneficial you say that you said it what you think when someone is watching some random probiotic and any notes expensive it's a great questionnaire and the issue is so can I see this every day in the office is some will come in and and it's this it's a typical scene they'll be sitting there and then on the exam table to put out the bottles of snuff caretaking and one by one the go when you think about this what you think about this what you think about this and most the time and and can may have the same shirts I have to say I don't know because these things have not been vetted wheat we don't know and I don't know enough about them to recommend one or another and I will generally say that you know in general I think this is probably safe to use I don't know of any downside but I can't 100% recommend or give a stamp of approval to something because it's not something I've vetted that I know enough about that did to him to be able to give it that enthusiastic or at least thumbs up and that's tough because again you know skin spoke to in the first half we try to establish his rapport with our patients and establish trust in and get that sense if you be a resource for them we can be experts on everything which again is why folks like Rachel are so integral and essential to this process but at the end of the day it's nice to be able to have a way to have a structured way to have a a a supplements and other and other things we can recommend to our folks and that's where I think the box comes so yeah I think that's you know there's a study that came outward look at DNA analysis and that showed almost 79% of the of what is in the bottles not on the label 79% of the products that are on big box shelf so we know that there is a lot of possibly maybe not complete a quality it's being sold out there because it's kind of unregulated and then in your industry when we look at weight loss product sexual enhancement products and I can't know what the other one is almost 40% of those categories had dangerous pharmaceuticals and so in your industry so and I had some patients that are showing up with the liver failure and when you start looking and what what what's going on here is to look at the list you like what what is that ends up being a pro hormone the problem is metabolism the liver and it's creating anyways so it's not only you may be wasting your money but there is a slight possibility that you could actually be harming your body so that's why we came together as a group to say look working to try and that these were you trying find things in a certificate of analysis third-party testing let's see what's there there is some science with that I'm trying to get our group Dr. Harry Sorrel to do this almost every show I call him out because I want to do functional research I want DRI which is digestive research Institute our research division of D hat to look at some of these things would you know really I think it's we can help people out so when somebody holds us out they could say because is no money in doing the research it's not that people don't want it it's just who to pay for that's
With clinical procedures becoming less and less invasive, patients that once spent weeks in hospital now experience faster recovery times and shorter stays. Atul Gupta MD, Interventional Radiologist, and Chief Medical Officer for Philips Image Guided Therapy discusses what this transformation means for hospitals and what the cath lab of the future might look like.
Join Dr. Casey Patrick and Brad Ward as they discuss a county wide initiative to expedite ROSC patients to definitive care in the cardiac cath lab. They will be discussing the literature and science on why these patients have better outcomes when they are quickly taken to the cath lab. They will also be addressing how MCHD has partnered with our hospitals to implement our new ROSC Cath Lab Activation. References AHA Updates http://circ.ahajournals.org/content/132/18_suppl_2/S465 Tanveer Rab, Karl B. Kern, Jacqueline E. Tamis-Holland, Timothy D. Henry, Michael McDaniel, Neal W. Dickert, Joaquin E. Cigarroa, Matthew Keadey, Stephen Ramee, Cardiac Arrest: A Treatment Algorithm for Emergent Invasive Cardiac Procedures in the Resuscitated Comatose Patient, Journal of the American College of Cardiology, Volume 66, Issue 1, 2015, Pages 62-73, ISSN 0735-1097, https://doi.org/10.1016/j.jacc.2015.05.009.
Markus dela Cruz, RN Mark is an ED Nurse extraordinaire who turned into a Cath Lab RN. He is also found working in PACU units and still works some ED shifts. Mark also considers himself a foodie and likes exploring Queens, NY. Mark works at a Level 1 Trauma Center that is also a STEMI receiving center in Queens, NY. Fun fact: When I first started working, there were rumors that Mark can get an IV line with a full set of labs on sick patients with NO tourniquet! To this day, I believe this may be more truth than fiction. Disclaimer: This is how Mark and I manage our STEMI patients going to the Cardiac Cath lab for PCI. These are suggestions. Follow your institution’s policies. "The minute that fellow or that doctor opens up that vessel - you see the color returning, pt's vital signs are stabilizing, and the pain is completely gone. I'm having goosebumps telling you this. " - Markus dela Cruz, RN Need to listen to Part 1? Listen to Part 1 of my discussion with Markus dela Cruz, RN where we went over all the nitty gritty details on how to send your STEMI patient to the Cath lab STAT! PCI Post Cardiac Arrest Who is eligible? Patient Viability How long patient was down for? Safe for patient? PCI will be adding more stress to the heart Involve Family for shared decision making Considerations Send your patient ASAP! Send your patient with a secured airway Cath Lab MDs are unable to assist with a code or intubation - they are scrubbed in. May only have 2 nurses running the code. Pt most likely in cardiogenic shock If Pt codes during transfer and/or at the Cath lab - Door to balloon time of
Markus dela Cruz, RN Mark is an ED Nurse extraordinaire who turned into a Cath Lab RN. He is also found working in PACU units and still works some ED shifts. Mark also considers himself a foodie and likes exploring Queens, NY. Mark works at a Level 1 Trauma Center that is also a STEMI receiving center in Queens, NY. Fun fact: When I first started working, there were rumors that Mark can get an IV line with a full set of labs on sick patients with NO tourniquet! To this day, I believe this may be more truth than fiction. Disclaimer: This is how Mark and I manage our STEMI patients going to the Cardiac Cath lab for PCI. These are suggestions. Follow your institution's policies. Your Patient's Going to the Cath Lab! How can we ensure the fastest and smoothest transition from the moment your patient is identified as a STEMI and accepted to the Cardiac Cath lab? PCI (Percutaneous Coronary Intervention) is the treatment of choice for a repercussion of a patient having an active MI. It is a life-saving procedure. You may be a receiving facility getting transfers. If your facility does not have a Cath lab, you will transfer to a facility that does. 3 Sites of Entry: Right Radial Artery and Bilaterally Femoral This is a CMS reportable event and the door to balloon time is within 90 minutes. Preferably, you get your patient into the Cath lab WELL before the 90 minute mark because your Cath lab team have a lot to do. Prepping Your Patient Get your patient butt naked! Seriously, no underwear! (A running theme!) IV Medlocks Minimum 2 IV medlocks. 3 is super! Avoid Right Wrist and Right Hand. Left arm preferred Vitals also include: Weight All medications given in the Cath lab are weight-based. Height intra-aortic balloon pump is sized by height EKGs (just leave the leads on! You'll be repeating these!) Defibrillator Monitoring (use radiolucent pads) Telemonitoring & transport monitoring (esp. your cardiogenic shock pts) Not all facilities have fancy defibrillator monitors that also have BP and Pulse Ox. If you do, obviously use it! History Ask the patient and/or EMS what meds were given (esp. aspirin dose) Consent Can we trust the Cath fellow with the original? If we have time, I usually make copies and tape it to the top of the stretcher and get it scanned in the ED Chart. Secure all property and jewelry with family member or security - label and seal the property bags. Keep left chest wall and right wrist clear of all jewelry. Document in chart where property went. Medications All Patients with STEMI Aspirin 325mg PO If EMS gave 2 baby aspirins (81mg each), give another 2 for a full dose of 325mg Heparin Bolus IV Most facilities are weight-based, but some still give the standard 5000 units IV Heparin IV Myth-Buster! Always administer bolus dose heparin by IV. Never subcutaneous! IV Heparin helps prevent the existing clot to not get larger and prevents new clots aPTT in anticoagulated therapeutic range is the goal! Don't wait for an aPTT/INR result before administering Heparin IV. Pts need to be anticoagulated because PCI attracts clot formation. Cath labs have fancy machines that measure aPTT and INR in real time and can adjust heparin as needed. ACT (Activated Clotting Time) Machine Worse case, heparin's antidote (protamine sulfate) is readily available in the Cath lab. If PCI w/Stents Loading doses of clopidogrel (Plavix) and ticagrelor (Brilinta) Additional Medications Heparin Drip When did you start it? What's the current dosage/rate? If the pt received thrombolytics and you are a receiving hospital, pt should most likely be on a heparin drip to prevent further clots. Speak with Cath fellow/cardiology/EM MD. NSTEMI patients boarding in your ED may be on a heparin drip. Check aPTT every 6 hours and adjust drip as needed for anticoagulated therapeutic levels - goal...
Most people are familiar with the ICU in hospitals, however they may not be aware of all of the services offered at an ICU. They may also not be aware of what patients and their families can expect when a loved one has to be admitted to the ICU. Here to speak with us today about what to expect in the ICU and PCU is Sharon Ormsby. She is the Director of the ICU, PCU and Cath Lab at Palmdale Regional Medical Center.
In this episode, Nicole Kupchik, MN, RN, interviews Dr. Atman Shah, Clinical Director of the Section of Cardiology at the University of Chicago Medicine (UCM). Dr. Shah shares how his organization is utilizing mechanical CPR and ECMO to support patients during cardiac arrest, with the intention to preserve the myocardium while PCI is being performed. He also discusses what factors guide his team in making critical decisions when delivering lifesaving care.
I’m at the SCAI conference in New Orleans Louisiana this week. It’s the Society for Cardiovascular and Angiography Interventions. Basically, it’s a conference with a heavy focus on unclogging arteries. Why is this important? Cardiovascular disease is the #1 killer in the United States. Peripheral Artery Disease, which targets the peripherals, mainly the legs, impacts more than 50% of people over the age of 60. It used to be that invasive surgical procedures such as bypasses or even amputation were the go-to solutions. But advances in technology are such that now interventional cardiologists, with only a small hole in the body, not larger than a pencil eraser, can reach into the arteries with small devices to unclog blocked arteries and keep the blood flowing. At the forefront of cutting edge technology for cardiology is Dr. Ehtisham Mahmud, Chief of Cardiovascular Medicine for UC San Diego Health System. He is co-director of the SCAI Conference and always has the pulse on what’s new and what’s next. He’s one of the most sought after doctors in this space for new medical technology studies around the world, including the latest laser technology by Ra Medical Systems which uses photomolecular ablation much like is used in LASIK surgery for your eyes, to unclog arteries, and also he’s one of the first to be using robotics in his interventions. His colleague, who plays a critical role in key studies on new technologies at the University joins the second half of the show to share his insights as well. Dr. Mitul Patel is an Associate Clinical Professor of Medicine, Interventional Cardiology, Division of Cardiovascular Medicine, for the UC San Diego Health System. Listen to the show to hear Dr. Mahmud and Dr. Pitel talk about how doctors may be turning into gamers as a joystick is replacing their hands in the operating room, or as Interventional Cardiologists call it, the ‘Cath Lab’. Nearly 800 robotic procedures have been performed across the country. Dr. Mahmud shares late breaking news on the findings of the latest study, which spanned the country. He also discusses how a $3.1 million dollar grant is helping his team to discover new ways to heal tissue damage, caused by oxygen starvation because of lack of blood flow, using regenerative medicine. Plus, if you’re an entrepreneur who wants to innovate in the healthcare space, the doctors share what’s most important to them. Finally, you don’t want to miss their potentially life-saving advice for patients. Dr. Pitel shares the critical questions you should ask your doctor to ensure you are getting the most advanced care available, including new technology and techniques.
Dr. Arnold Seto and Dr. C. Michael Gibson Discuss
Dr. Giulio Guagliumi. OCT for Decision Making in the Cath Lab. Recorded 2014-10-20.
Acute MI When There is No Cath Lab
Jim Hall (British Cardiovascular Society vice president for training) talks to Tim Stephens (lead nurse for patient safety, Barts and the London) and Chris Sadler (consultant anaesthetist, director of the Medical Simulation Centre, Barts and the London) about how to make the Cath Lab safer through simulation, and the technical and non-technical aspects this involves.See also:Webcasts from all the sessions at the British Cardiovascular Society Conference 2012 http://bit.ly/ZMGmUE
Dr. Habib Samady. Invasive Assessment in the Cath Lab to Assess Atherosclerosis and Guide Revascularization. Recorded 2011-03-11.
Four presenters of new medical technologies are today's featured guests. Benjamin Rhymer (a Registered Cardiovascular Invasive Specialist with the Cath Lab) describes how surgeries are performed inside the human heart without opening the chest using manipulation devices mounted on the end of long flexible catheters; he also discusses intravascular ultrasound cameras, and fluoroscopy. Laura Goldberg and Michelle Mekscer (of the Pathology Department at Aiken Regional Medical Centers Laboratory) describe how removed tissues are being examined microscopically in real time by specialists hundreds of miles away by sending live images from the microscope in the operating room to the specialist through the Internet. Doctor Chad Leverett (Associate Professor of Chemistry at USCA who is also a nanotechnology scientist working with the USC Nano Center in Columbia SC) describes his and the university's work in nanotechnology: including nanosensors, nanostructures and nanotechnology in medicine. He also explains the uses and technology of an infrared optical spectrometer which provides an instantaneous readout on a laptop computer of a sample's complete chemical and molecular composition. Hosted by Stephen Euin Cobb, this is the November 10, 2010 episode of The Future And You. [Running time: 32 minutes] These interviews were taped from the exhibition floor of the 2010 Business, Innovation and Technology Expo which was held on the campus of the University of South Carolina on July 17 2010.
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