Podcasts about chest x

Welcome to the latest episode of Medmastery's Cardiology Digest, where In less than 15 minutes we'll get you up to date on breakthrough studies and advancements in cardiology that can impact your clinical practice! STUDY #1: Brace yourself for insights into a study that evaluated rapid uptitration of evidence-based therapies for heart failure. Join us as we dissect the feasibility, resource demands, and patient implications?  Biegus, J, Mebazaa, A, Davison, B, et al. 2024. Effects of rapid uptitration of neurohormonal blockade on effective, sustainable decongestion and outcomes in STRONG-HF. J Am Coll Cardiol. 4: 323–336.  (https://doi.org/10.1016/j.jacc.2024.04.055) STUDY #2: Next, we examine a recent paper that challenges hospital-centric treatment paradigms for acute pulmonary embolism. Discover how some low-risk patients could benefit from home treatment, and what conditions are essential to ensure their safety and effective care.  Luijten, D, Douillet, D, Luijken, K, et al. 2024. Safety of treating acute pulmonary embolism at home: An individual patient data meta-analysis. Eur Heart J. 32: 2933–2950. (https://doi.org/10.1093/eurheartj/ehae378) STUDY #3: Finally, we dive into a large cohort study looking at bariatric surgery in obese patients with obstructive sleep apnea, and see whether losing weight actually had a significant impact on cardiovascular outcomes. Aminian, A, Wang, L, Al Jabri, A, et al. 2024. Adverse cardiovascular outcomes in patients with obstructive sleep apnea and obesity: Metabolic surgery vs usual care. J Am Coll Cardiol. Published online. (https://doi.org/10.1016/j.jacc.2024.06.008) This episode promises to be packed with actionable insights on this thought-provoking cardiology research. Don't miss out—press play and enrich your practice today!  Learn more with Medmastery's courses: Chest X-ray Essentials (7 CME) Chest X-ray Essentials Workshop (1 CME) Get a Basic or Pro account, or, get a Trial account. Show notes: Visit us at  https://www.medmastery.com/podcasts/cardiology-podcast.

CardioNerds Dan Ambinder and Dr. Devesh Rai join cardiology fellows and National Lipid Association lipid scholars Dr. Oby Ibe from Temple University and Dr. Elizabeth Epstein from Scripps Clinic. They discuss a case involving a patient with elevated Lp(a). Dr. Jessica Pena provides expert commentary. Drs. Oby Ibe and Elizabeth Epstein drafted notes. CardioNerds Intern Christiana Dangas engineered episode audio. This episode is part of a case reports series developed in collaboration with the National Lipid Association and their Lipid Scholarship Program, with mentorship from Dr. Daniel Soffer and Dr. Eugenia Gianos. This is a 63-year-old man with hypertension, hyperlipidemia, and active tobacco smoking who presented with acute dyspnea. He was tachycardic but otherwise initially hemodynamically stable. The physical exam demonstrated warm extremities with no murmurs or peripheral edema. Chest X-ray revealed diffuse pulmonary edema, and the ECG showed sinus tachycardia with T-wave inversions in the inferior leads. A bedside echocardiogram revealed a flail anterior mitral valve leaflet. The patient was taken for cardiac catheterization that revealed nonobstructive mid-RCA atheroma with a distal RCA occlusion, which was felt to reflect embolic occlusion from recanalized plaque. PCI was not performed. Right heart catheterization then demonstrated a low cardiac index as well as elevated PCWP and PA pressures. An intra-aortic balloon pump was placed at that time. A TEE was performed soon after which showed the posteromedial papillary muscle was ruptured with flail segments of the anterior mitral leaflet as well as severe posteriorly directed mitral regurgitation. The patient ultimately underwent a successful tissue mitral valve replacement and CABG. US Cardiology Review is now the official journal of CardioNerds! Submit your manuscript here. CardioNerds Case Reports PageCardioNerds Episode PageCardioNerds AcademyCardionerds Healy Honor Roll CardioNerds Journal ClubSubscribe to The Heartbeat Newsletter!Check out CardioNerds SWAG!Become a CardioNerds Patron! Pearls - Little (a), Big Deal – National Lipid Association You are never too young to see a preventive cardiologist! The field of preventive cardiology is shifting focus towards the identification of early upstream risk and intervention before the development of clinical ASCVD (1,5). Patients who have a strong family history of cardiovascular disease, a personal history of CVD at an early age, multiple risk factors, or genetic disorders such as familial hypercholesterolemia especially benefit from early cardiovascular risk assessment and reduction. Female-specific risk factors to incorporate into a young woman's cardiovascular risk assessment include polycystic ovarian syndrome, hormone contraceptive use, early menarche (age 5 pregnancies), early menopause (age

CardioNerds co-founder Dan Ambinder joins Dr. Lefan He, Dr. Sina Salehi Omran, and Dr. Neil Gupta from the University of Rochester Cardiovascular Disease Fellowship Program for a day sailing on Lake Ontario. Expert commentary is provided by Dr. Jeffrey Bruckel, and CV Fellowship Program Director Dr. Burr Hall shares insights on the University of Rochester fellowship. The episode audio was edited by CardioNerds intern Dr. Atefeh Ghorbanzadeh. They discuss the following case involving a patient with papillary muscle rupture. This is a 63-year-old man with hypertension, hyperlipidemia, and active tobacco smoking who presented with acute dyspnea. He was tachycardic but otherwise initially hemodynamically stable. The physical exam demonstrated warm extremities with no murmurs or peripheral edema. Chest X-ray revealed diffuse pulmonary edema, and the ECG showed sinus tachycardia with T-wave inversions in the inferior leads. A bedside echocardiogram revealed a flail anterior mitral valve leaflet. The patient was taken for cardiac catheterization that revealed nonobstructive mid-RCA atheroma with a distal RCA occlusion, which was felt to reflect embolic occlusion from recanalized plaque. PCI was not performed. Right heart catheterization then demonstrated a low cardiac index as well as elevated PCWP and PA pressures. An intra-aortic balloon pump was placed at that time. A TEE was performed soon after which showed the posteromedial papillary muscle was ruptured with flail segments of the anterior mitral leaflet as well as severe posteriorly directed mitral regurgitation. The patient ultimately underwent a successful tissue mitral valve replacement and CABG. US Cardiology Review is now the official journal of CardioNerds! Submit your manuscript here. CardioNerds Case Reports PageCardioNerds Episode PageCardioNerds AcademyCardionerds Healy Honor Roll CardioNerds Journal ClubSubscribe to The Heartbeat Newsletter!Check out CardioNerds SWAG!Become a CardioNerds Patron! case Media Pearls - A Case of Papillary Muscle Rupture Most cases of papillary muscle rupture demonstrate only small areas of ischemia with preserved ventricular function, thus causing high shear force on the ischemic papillary muscle. The posteromedial papillary muscle has a single blood supply from the posterior descending artery, while the anterolateral papillary muscle has a dual blood supply from the LAD and the circumflex. Therefore, the posteromedial papillary muscle is more vulnerable to ischemia and, hence, rupture. A murmur may be absent in cases of papillary muscle rupture due to the rapid equalization of left atrial and left ventricular pressures caused by the acuteness of the severe MR. Papillary muscle rupture should always be on the differential for acute dyspnea when ACS is suspected. While mostly associated with STEMIs, mechanical complications of acute myocardial infarctions can also occur after NSTEMIs. Always auscultate patients carefully after a myocardial infarction! When evaluating patients with chest pain presenting with acute or rapidly progressive heart failure and a hypercontractile LVEF should raise suspicion for mechanical complications of MI. Once a papillary muscle rupture is diagnosed, cardiac surgery should be immediately contacted. Temporizing measures prior to surgery include positive pressure ventilation, IV nitroglycerin/nitroprusside, and temporary mechanical circulatory support. Notes - A Case of Papillary Muscle Rupture What is the clinical presentation of acute mitral regurgitation from papillary muscle rupture? Patients typically present 3-5 days after a transmural infarct. Roughly half of these patients present with pulmonary edema that may quickly progress to cardiogenic shock. Most cases are associated with STEMIs, but papillary muscle rupture is also possible with an NSTEMI.

Dr. Eric Topol discusses the promise of “opportunistic” AI, using medical scans for unintended diagnostic purposes. Also, a study in mice found that the brain tags new memories through a “sharp wave ripple” mechanism that then repeats during sleep.How AI Could Predict Heart Disease From Chest X-RaysResearch on medical uses for artificial intelligence in medicine is exploding, with scientists exploring methods like using the retina to predict disease onset. That's one example of a growing body of research on “opportunistic” AI, the practice of analyzing medical scans in unconventional ways and for unintended diagnostic purposes.Now, there's some evidence to suggest that AI can mine data from chest x-rays to assess the risk of cardiovascular disease and detect diabetes.Ira talks with Dr. Eric Topol, founder and director of the Scripps Research Translational Institute and professor of molecular medicine.Neurons ‘Tag' New Memories For Storage During SleepAll day long we're taking in information and forming memories. Some stick around, others quickly fade away. But how does your brain push those memories into long term storage? And how does our brain recognize which memories should be kept and which should be discarded?This topic has been debated for decades, and a recent study in mice may help scientists understand this process.Researchers found that during the day, as the mice formed memories, cells in the hippocampus fired in a formation called “sharp wave ripples.” These are markers that tell the brain to keep those memories for later. Then, while the mice slept, those same sharp wave ripples activated again, and locked in those memories.Ira talks with Dr. György Buzsáki, professor of neuroscience at the NYU Grossman School of Medicine, about the findings of the study, which was published in the journal Science.Transcripts for each segment will be available after the show airs on sciencefriday.com.  Subscribe to this podcast. Plus, to stay updated on all things science, sign up for Science Friday's newsletters.

Hours after last weeks episode was published I heard from Dr. Jay Fisher about a very similar (and unfortunate) case one of his APP's had in their ED. I decide to bring Jay to the show (again) to discuss the case so we can all learn from this experience.  Below is the link to the patient's Chest X rays. https://pemrules.com/pneumonia-patient/     Please consider contributing to PEM Rules at https://ko-fi.com/pemrules And check out www.pemrules.com    Copyright PEM Rules LLC DISCLAIMER By listening to this podcast, you agree not to use these resources as medical advice to treat any medical conditions in either yourself or others, including, but not limited to, patients that you are treating. Consult your own physician for any medical issues that you may be having. This entire disclaimer also applies to any guests or contributors to the podcast or website. Under no circumstances shall PEM Rules, the PEM Rules podcast or any guests or affiliated entities be responsible for damages arising from their use. This podcast should not be used in any legal capacity whatsoever, including, but not limited to, establishing “standard of care” in a legal sense or as a basis for expert witness testimony. No guarantee is given regarding the accuracy of any statements or opinions made on the website or in the podcast.    

In this year in review podcast, Dr. Kamangar and Chandler Johnson discuss the various pop culture articles that quoted Dr. Kamangar in 2023! They cover topics such as the yellow pillow offender, hydrating cleansers, choosing the right treatment for keratosis pilaris, identifying different skin rashes, DIY methods for removing skin tags - or what DIY methods NOT to use - , advancements in technology like 3D hair follicle printing, AI in dermatology, promoting skin health, melanoma in skin of color, autoimmune conditions, embarrassing questions, and the SF Derm centennial celebration from 2023 and the upcoming conference in 2024. Links to all of Dr. Kamangar's articles and mentions can be found below: How Gross is it to Sleep with a Yellowed Pillow? by Anna Rahmanan at HuffPost Avoid Tight Dry Skin with These Hydrating Cleansers, by Angelica Wilson at 21Ninety The 13 Best Keratosis Pilaris Treatments, According to Dermatologists, by Andi Breitowich at Women'sHealth 26 Pictures of Skin Rashes and How To Identify Them, According to Doctors, by Andi Breitowich at Women'sHealth 11 Reasons for Facial Swelling, Plus How To Treat & Prevent Puffiness, According to Doctors, by Women's Health Editors, Medically Reviewed by Laura Purdy, MD at Women'sHealth The 12 Best Makeup with SPF of 2023, Tested and Reviewed, by Jessie Quinn at People What You Need to Know About Treating Skin Tags, by T. Duncan, Medically Reviewed by Leslie Greenberg, MD at The Checkup DermGPT Looks to Improve Clinic Productivity for Dermatologists, by Greg Laub at MedPage Today Radiologists Outperform AI in Identifying Lung Diseases on Chest X-rays, by Christopher Curley, Fact Checked by Michelle T. Wyatt, MD at MedicalNewsToday Scientists 3D-print hair Follicles in Lab-grown Skin, at Practical Dermatology Even Kesha had a Hard Time Identifying Her Autoimmune Disease - Here are Ways to Help you Catch Yours, by Jasmine Williams at Brit+CO Black Men are 26% More Likely to Die from Melanoma, Study Shows, by Kaitlin Vogel, Fact Checked by Jill Seladi-Schulman, Ph.D. at MedicalnewsToday 13 Reasons Your Butt Might Be Itchy, According to Experts, by Andi Breitowich at Popsugar SFDerm Website DermGPT Website 

12/01//23 - Host Doug Stephan and Dr. Ken Kronhaus of Lake Cardiology (352-735-1400) cover a number of topics, Including; answers to questions about the current Flu Vaccine and how it can help prevent Long Covid, news that home air purifiers do not reduce airborne viruses, new hope for MS suffers from Stem Cell injections, the effects of pesticides on sperm count and AI is helping with reading high-risk non-smokers Chest X-rays.This show is part of the Spreaker Prime Network, if you are interested in advertising on this podcast, contact us at https://www.spreaker.com/show/3010085/advertisement

Looking for more information on this topic? Check out the Chest X-Ray brick. If you enjoyed this episode, we'd love for you to leave a review on Apple Podcasts.  It helps with our visibility, and the more med students (or future med students) listen to the podcast, the more we can provide to the future physicians of the world. Follow USMLE-Rx at: Facebook: www.facebook.com/usmlerx Blog: www.firstaidteam.com Twitter: https://twitter.com/firstaidteam Twitter: https://twitter.com/mesage_hub Instagram: https://www.instagram.com/firstaidteam/ YouTube: www.youtube.com/USMLERX Learn more about Rx Bricks by signing up for a free USMLE-Rx account: www.usmle-rx.com You will get 5 days of full access to our Rx360+ program, including over 800 Rx Bricks.  After the 5-day period, you will still be able to access over 150 free bricks, including the entire collections for General Microbiology and Cellular and Molecular Biology.

How to correctly put your family name on a holiday card.Make It Take It gift ideas.How Jodi screwed up her chest x-ray.

A bonus bite-sized episode to announce the arrival of Andrew's new chest x-ray signs online radiology course that comes with special italicised trademarked CME things. HALF PRICE this month (just $12) and free for All-Access Pass holders. Journey through more than 50 chest x-ray signs with 90 minutes of guided video teaching, mystery cases, annotated review cases and more. Chest X-ray Signs Course ► https://radiopaedia.org/courses/chest-x-ray-signs Become a supporter ► https://radiopaedia.org/supporters Get an All-Access Pass ► https://radiopaedia.org/courses/all-access-course-pass Andrew's Twitter ► https://twitter.com/drandrewdixon Frank's Twitter ► https://twitter.com/frankgaillard Ideas and Feedback ► podcast@radiopaedia.org   The Reading Room is a radiology podcast intended primarily for radiologists, radiology registrars and residents. 

Welcome to AI for Everyone

There are many ways to define age. There's the calendar. There's how old you…

There are many ways to define age. There's the calendar. There's how old you feel. And now, artificial intelligence can determine your true biological age by analyzing chest X-rays. So...

For most children with children with bronchiolitis, croup, asthma, or first-time wheezing chest X-Rays are not necessary. These X-Rays are often obtained due to the possibility of missing pneumonia. But, these radiographs are hard to interpret, increase length of stay and the cost of care, and expose children to excess radiation. This podcast episode is […]

In this episode, we are joined by Professor Hugh Montgomery, leading expert in intensive care medicine, and Dr Jessica Sullivan, Anaesthetic/ITU Registrar. Listen as they share their insights on a challenging clinical scenario: hypoxemia with a normal chest X-ray. What are the pitfalls and pearls of managing hypoxemia with a normal chest X-ray? How has COVID-19 changed our understanding of this phenomenon? Professor Montgomery practices as a consultant in intensive care at the Whittington hospital in North London. His interest has been in the use of environmental stressors in the exploration of human (patho)physiology – often using a genetic approach. He was the first to discover a 'gene for human fitness'. He has published over 450 articles. He also has a strong interest in environmental impacts on health, and in climate change in particular. Dr Jessica Sullivan's most recent position was as an Anesthetic/ITU Registrar at the Whittingtoin Hospital, where she worked alongside Prof Montgomery. She is on the organizing committee for the North Thames Anaesthetic Meeting (NTAM) conference. Medicine is not her only passion, she is a keen sportswoman and an ex competitive gymnast. She is currently undertaking training in acrobatics. Learn more here: Hugh Montgomery (physician) - Wikipedia AirCraft Circus Academy aerial circus & studio hire, Greenwich, London – AirCraft Circus Academy Performance & Circus Training in London

The Therapy Insights Resource Roadmap Show is a monthly talk show all about the new content we release every month- from therapy materials to eval tools to patient education handouts and more. Join us as we discuss how to use these resources and we discuss various approaches to clinical cases.00:00 - WelcomeWelcome to episode 05 of the Resource Roadmap Show!01:28 - Clinical Resource: IDDSI Level 7 (Regular Easy to Chew) The International Dysphagia Diet Initiative (IDDSI) level seven is for modified solids called “Regular Easy to Chew.” This material provides information for patients and their caregivers on this consistency's characteristics, why it may be recommended, ways to test it at home, and helpful recommendations for preparation.https://therapyinsights.com/clinical-resources/clinical-resource-iddsi-level-7-regular-easy-to-chew07:03 - Glossary of Terminology in Chest X-Rays Reports for the SLPThis resource provides labels of structures on chest x-rays and a glossary of terminology used in reports important for the SLP.https://therapyinsights.com/clinical-resources/glossary-of-terminology-in-chest-x-rays-reports-for-the-slp13:50 - The Role of Speech Therapy with Head and Neck CancerThis resource is designed for patients who have received a diagnosis of head and neck cancer and may not be aware of how a speech-language pathologist can help them on their journey.https://therapyinsights.com/clinical-resources/the-role-of-speech-therapy-with-head-and-neck-cancer23:18 - Dysphagia, voice problems, and pain in head and neck cancer patients (2021)https://therapyinsights.com/article-snapshots/dysphagia-voice-problems-and-pain-in-head-and-neck-cancer-patients-202127:13 - Videofluoroscopic Swallow Study (VFSS) Presentation Checklist and NotesThis resource provides an SLP with a checklist of areas to consider and make a note of before and during a videofluoroscopic swallow study (VFSS).https://therapyinsights.com/clinical-resources/videofluoroscopic-swallow-study-vfss-presentation-checklist-and-notes35:13 - Treatment of Wernicke's AphasiaThis resource provides guidance for treating receptive language impairment, a cornerstone impairment for a person with Wernicke's aphasia.https://therapyinsights.com/clinical-resources/treatment-of-wernickes-aphasia47:48 - Auditory training changes temporal lobe connectivity in ‘Wernicke's aphasia': a randomised trial (2017)https://therapyinsights.com/article-snapshots/auditory-training-changes-temporal-lobe-connectivity-in-wernickes-aphasia-a-randomised-trial-201752:32 - Case StudyTegan is an SLP who works in a large facility that offers inpatient rehabilitation as well as long-term care. She started the job a few weeks ago and notices a lack of oral care throughout the facility, which is particularly alarming for the patients on her caseload who are at risk for respiratory compromise when eating and drinking. Tegan documents the need for oral care as well as instructions, but does not see follow through. She attempts to build relationships with the nurses, but learns that there is not currently a precedent for amicable relationships between SLPs and nurses in the facility, with a growing divide between the two teams. When they approach their colleagues about the issue, their SLP colleagues respond with frustration towards the nursing staff, stating that they never listen or follow through.53:44 - Oral Care and Aspiration PneumoniaHandout to provide to staff, patients, and family to help communicate the importance of oral care to prevent aspiration pneumonia.https://therapyinsights.com/clinical-resources/oral-care-and-aspiration-pneumonia/56:08 - Oral Care Staff Cue CardsThese four cue cards are designed to remind staff to follow aspiration precautions. Card #1: Complete oral care before serving a meal. #2: Complete oral care after meals. #3: Put dentures in before a meal. #4: Assist with oral care before bed.https://therapyinsights.com/clinical-resources/oral-care-staff-cue-cards/01:02:24 - Oral Care and Overall HealthOral care continues to be one of the most powerful preventative cares in rehabilitation and long-term care settings. This handout describes the latest research showing the effect that oral care can have on overall health, including brain function, heart longevity, and diabetes management.https://therapyinsights.com/clinical-resources/oral-care-and-overall-health/

Welcome to PICU Doc On Call, A Podcast Dedicated to Current and Aspiring Intensivists.I'm Pradip Kamat coming to you from Children's Healthcare of Atlanta/Emory University School of Medicine and I'm Rahul Damania from Cleveland Clinic Children's Hospital. We are two Pediatric ICU physicians passionate about all things MED-ED in the PICU. PICU Doc on Call focuses on interesting PICU cases & management in the acute care pediatric setting so let's get into our episode.In today's episode, we're bringing together some of the best content from our previous podcasts to present a comprehensive clinical case. We're also excited to share with you some of the most highly cited articles from the past year, presented in a practical, case-based format. This episode will offer you valuable insights into the latest research findings while also highlighting the real-world application of this knowledge in a clinical setting.We'll start by presenting an interesting case of a toddler who was transferred to the PICU due to increasing respiratory distress:A 2-year-old male was brought to the emergency department with a chief complaint of increased work of breathing and URI symptoms, including a cough and runny nose. The child had no significant past medical history, was not taking any medications, and had no known allergies. The child was up-to-date on immunizations, and there were no significant sick contacts.The family brought the child to the emergency department after noticing a significant increase in work of breathing, including the use of accessory muscles, nasal flaring, and chest retractions. The initial physical exam revealed tachypnea and decreased breath sounds on the right side. The child's vital signs were concerning for respiratory distress, with a heart rate of 170 beats per minute, respiratory rate of 50 breaths per minute, and oxygen saturation of 85% on room air. Chest X-ray revealed right lower lobe pneumonia.The child was started on supplemental oxygen, and broad-spectrum antibiotics, and trialed with albuterol. Despite initial treatment, the child's respiratory distress worsened, and the decision was made to transfer the child to the PICU and place the patient on HFNC 1.5 L/kg. Upon admission to the PICU, the child's vital signs were still concerning, he was afebrile, with a heart rate of 180 beats per minute, respiratory rate of 60 breaths per minute, and oxygen saturation of 85% on 1.5L/kg HFNC at 75% FiO2. Given the persistent respiratory distress, the decision was made to intubate the child in the PICU for acute hypoxemic respiratory failure. Shortly after intubation, a central line is placed in the R internal jugular vein.To summarize key elements from this case:2-year-old with a prodrome of URI symptomsIs otherwise previously healthy with no significant medical history or allergiesDeveloped respiratory distress and diagnosed with pneumoniaTransferred to PICU, intubated for respiratory failureLet's fast forward in the case and talk about a scenario that frequently arises in the PICU. It's hospital day 2, and the patient's RSV swab is positive, and we're seeing some improvement on the X-ray....

Matt chats radiology physics with medical imaging physicist Dr Zoe Brady. We find out about her job, CT generations, CXR through glass, mobile CT, mobile MRI, upcoming technology and radiation safety. Frank talks rockets, Elon and SpaceX!  Chest X-ray through glass ► https://pubmed.ncbi.nlm.nih.gov/32662037 Radiopaedia 2023 Virtual Conference ► https://radiopaedia.org/courses/radiopaedia-2023-virtual-conference Become a supporter ► https://radiopaedia.org/supporters Get an All-Access Pass ► https://radiopaedia.org/courses/all-access-course-pass Andrew's Twitter ► https://twitter.com/drandrewdixon Frank's Twitter ► https://twitter.com/frankgaillard Ideas and Feedback ► podcast@radiopaedia.org   The Reading Room is a radiology podcast intended primarily for radiologists, radiology registrars and residents. 

2.22 Tuberculosis Pulmonary system review for the USMLE Step 1 Exam Tuberculosis is caused by Mycobacterium tuberculosis bacteria and mainly affects the lungs. It is more common in developing countries, with India, Indonesia, China, Nigeria, Pakistan, and South Africa having the most TB deaths worldwide. TB is spread through inhaling infected aerosolized droplets, making crowded places hotspots for TB spread. Primary TB infection occurs when a person inhales infected droplets and the bacteria become dormant in a granuloma. Secondary TB infection occurs when the bacteria disseminate to surrounding tissues, affecting various parts of the body. Symptoms of active TB include night sweats, weight loss, fever, and cough (sometimes with blood). TB can present with various symptoms, making it known as the "great imitator." Diagnosis methods include chest X-rays, sputum acid-fast staining, and real-time nucleic acid amplification. Chest X-rays showing cavitary lesions and positive acid-fast staining are indicative of TB. Treatment involves a 4-drug combination of rifampin, isoniazid, pyrazinamide, and ethambutol (RIPE) for an extended period of time (2-4 months) to get rid of the infection.

Impact: one CXR to determine 10-yr CVD risk

Brandon and Bryan share their approaches to the chest x-ray in the ICU. Plus: Bryan's an FCCM! Here's the Radiology Masterclass.

In this episode of the FlightCrit Podcast Hunter introduces the fundamental concepts of interpreting a chest x-ray, an essential skill for all critical care and transport providers to master.This episode relies heavily on the visuals to support the concepts presented, so we recommend watching the video of this presentation over at academy.flightcrit.com where you can join for free and then watch the video in its entirety.

Garrie Farrow has been fighting sarcoidosis for 15 years, and maybe longer.  It has spread from her lungs to other parts of her body including her ears.  Yet she is still working - and still fighting.  In fact she spends a great deal of time helping other Sarcoidosis patients as well.  In Episode 62 of the Sarc Fighter podcast, Garrie shares the story of how sarcoidosis started out in her lungs, how doctors may have mishandled the early diagnosis and how sarc has had a tragic impact on her family. Show notes Learn about the clinical trial from Novartis: https://bit.ly/3o9LXKk Juliet's fundraising page: https://www.justgiving.com/fundraising/julietcoffer2 Remember these hashtags for April!  #WhatIsSarcoidosis #MakeItVisible  Universal Barriers Podcast:  https://www.stopsarcoidosis.org/sarc-fighter-podcast/ More on Universal Barriers https://www.stopsarcoidosis.org/events/universal-barriers-in-dealing-with-a-chronic-disease-a-sarcoidosis-perspective/ Ignore No More https://www.stopsarcoidosis.org/ignore-no-more-foundation-for-sarcoidosis-research-launches-african-american-women-sarcoidosis-campaign/ Sarcoidosis Awareness Film: https://www.purpledocumentary.com/ Nourish by Lindsey: https://www.nourishbylindsey.com/ Dr. Jinny Tavee's book, The Last Day of Suffering: https://www.amazon.com/Last-Day-Suffering-Health-Happiness/dp/0615542751 Read about the patient trial with aTyr 1923 https://investors.atyrpharma.com/news-releases/news-release-details/atyr-pharma-announces-positive-data-phase-1b2a-clinical-trial Also -- Note that investors also believe in the promise of aTyr 1923: https://investors.atyrpharma.com/news-releases/news-release-details/atyr-pharma-announces-closing-863-million-public-offering Yale University and sarcoidosis skin treatment | Dr. William Damsky: https://news.yale.edu/2018/12/26/yale-experts-treat-severe-disfiguring-sarcoidosis-novel-therapy Stanford University Clinical trial | Dr. Mathew Baker: https://med.stanford.edu/sarcoidosis/clinical-trial.html MORE FROM JOHN Cycling with Sarcoidosis http://carlinthecyclist.com/category/cycling-with-sarcoidosis/ Watch the Prednisone Town Hall on YouTube https://youtu.be/dNwbcBIyQhE More on aTyr Pharma: https://www.atyrpharma.com/ Do you like the official song for the Sarc Fighter podcast?  It's also an FSR fundraiser! If you would like to donate in honor of Mark Steier and the song, Zombie, Here is a link to his KISS account.  (Kick In to Stop Sarcoidosis)  100-percent of the money goes to the Foundation.  https://stopsarcoidosis.rallybound.org/MarkSteier The Foundation for Sarcoidosis Research https://www.stopsarcoidosis.org/ Donate to my KISS (Kick In to Stop Sarcoidosis) fund for FSR  https://stopsarcoidosis.rallybound.org/JohnCarlinVsSarcoidosis?fbclid=IwAR1g2ap1i1NCp6bQOYEFwOELdNEeclFmmLLcQQOQX_Awub1oe9bcEjK9P1E My story on Television https://www.stopsarcoidosis.org/news-anchor-sarcoidosis/ email me  carlinagency@gmail.com The following is a web-generated transcript of my interview with Garrie.  Please excuse any spelling or punctuation errors.  jc Welcome back to the Sarc Fighter podcast. And joining me now is Gary Farrow, uh who plays many roles within the foundation for Sarcodosis Research as a volunteer and is coming up on 16 years as a Sarc survivor. Garrie, welcome to the podcast. Garrie Farrow: Thank you. Thank you. So much for having me today. John Carlin: So you said it's 15 years plus almost 16 years. And you knew the anniversary date, didn't you? Garrie Farrow: It's actually uh August. I started getting my appointments in April. So for me, April is the anniversary. But I didn't get the official diagnosis until August 16 years ago. John Carlin: 16 years. That's a long time. And I want to hear about when did you first know something was wrong? Garrie Farrow: Honestly, I knew something was wrong 20 years ago. Um uh I have a thing that I love, cute shoes and purses, and I have these fantastic boots that I love to wear. They were the greatest thing ever. And my feet and ankle started to swell. And um I used to play basketball in high school, so I'm used to ankle Springs. I know what my feet and ankles will do, but this was not normal. So probably uh about four or four and a half years in total going to different primary care doctors. And I am um a taller, larger woman. And so I've always been told, well, you need to lose weight. Like, I exercise every day. I'm not losing any more weight. But they're saying the reason my feet and ankles were swelling was because of the weight. So I went and lost more weight. Still couldn't wear the shoes, moved to uh a different city, found a uh new primary care position. Actually, my second one here in Tallahassee was the one who went, this is not normal. You are uh about 30, 31 at the point. This is not normal. Let's send you for a chest Xray. And that's how my journey officially started. John Carlin: Wow. Chest X. You ankles hurt. So the first thing they do is send you for a chest X ray, which wouldn't seem intuitive, but I guess the doctor must have been thinking pulmonary sarcoidosis. Garrie Farrow: Then she kind of mentioned she goes, It could be your lungs, it could be your heart. She goes for your feet and ankles be swelling. There's something vascular going on, and we don't know why. She goes, I'm listening to just using. I'm listening to your lungs. It sounded fine. You're exercising, um you're uh not complaining. You have any shortness of breath. So let's figure out what's happening with you. John Carlin: Okay? Was that conclusive or was that just the next clue? Garrie Farrow: The chest X ray was the next clue. They um realized at that point because you could see my lymph nodes on X ray and the lungs looked suspicious. And at that point, I was sent for a media style oscopy. Basically, biopsy ended up with a brand uh new scarf. And that's where they definitely confirmed that, yes, this was circadosis because after the chest X ray, they said this could be leukemia or Sarcodosis. The way I remember it was, I heard leukemia and possibly sarkidosis. And the leukemia scared me because I hadn't uh heard of soccer doses before in any major detail other than burning Mac. John Carlin: Right. So after they figured out it's sarcoidosis with the lymph node biopsy then. Did they start with the normal prednisone routine? Garrie Farrow: No. I um was seeing a pulmonologist local to my city, and I was told stage one, that four stages. And since I was at stage one, I had no other symptoms happening. There was no reason for me to go on any medications. And that if I ever started coughing or becoming short of breath while exercising, to basically come back. And I had one appointment a year later, just everything's still the same. But at no point was medication even talked about. I did go back to my um primary and asked, okay, now I've been diagnosed with Psychnosis. What does that mean? And she told me she didn't know. She goes, I could tell you this much of what I remember from medical school. I can't answer any of your questions. Go back to the surgeon and went back to him. And it was, yeah, you have stage one, but that's good because four is horrible. You're at one, so there's nothing to do. My um current pulmonologist, who specializes in Sarcodosis, uh she said, no, stage one is no better uh than stage four. You had symptoms, you just weren't coughing. She goes, Your lungs did not look good. There should have been some treatment started then, but that took um another shoot. I think it probably was probably about another three to four years before I started any official treatment. John Carlin: That just amazes me. And I'm curious about the um stage one, stage two, stage three, stage four, which is the terminology that we're used to hearing for cancer patients. And I've heard other patients that I've interviewed on the podcast talk about it a little bit. No one has ever uh used that term with me. Can you describe the difference between stage one and stage four? Other than that, it's worse. Garrie Farrow: Yeah. What I was told originally was that, yes, my lungs um were cloudy, but they were not completely infiltrated. And you could see my lymph nodes on Xray. Stage four is pretty much you're on oxygen. The lungs are completely Gray uh and looks like um ground glass completely covers the entire lungs. At stage four is how it was described um to me initially, that each stage, your lungs get a little cloudier, a little bit more ground glass until it gets to the point where you're not able to breathe. What I've been told uh recently and confirmed with more research is that, yes, the um stages do impact how the lungs appear, but you could be on oxygen at stage two. You could be um walking around not fine, but without oxygen uh at stage four, it's just showing what the impact on your loans looks like when you're just trying to look at the X ray or the MRI or CT. Go um ahead and actually, stage one, I believe, only includes the link notes and um any of the others only impact just what the ones look like. John Carlin: So you and I are both on a number of committees with the foundation for Sarcodosis Research. And uh what I'm hearing and maybe, you know, maybe you don't. But what I'm hearing is this stage one through 4 may be just reserved for pulmonary patients because everything you've described is lung involvement. Whereas with cancer, my understanding is when you have stage four cancer, let's say it starts in your kidneys or whatever, it then has spread to other parts of your body and it's metastasized. So when we talk about stage four with sarcoidosis, we're not talking about it spreading to other parts of your body, even though that can happen. But that's not what the stages describe exactly. Garrie Farrow: Which I find interesting because it would make more sense that they actually classified it that way as they do in cancer, because technically, thankfully, due to one medication, my lungs are clear. My lymph nodes have shrunk in size from being really big to not being outfit. But I had other um organs being impacted by sarcotosis. So to me, following the cancer way of being, I'm probably more of a stage three just because I uh have multiple organs impacted by sarcosis. But currently it's only for lungs. John Carlin: Got it. All right. And is it still currently after almost 16 years, is it still just in your lungs or has it spread? Garrie Farrow: It's spread. And it actually took about ten years um to spread. John Carlin: Um. Garrie Farrow: I noticed some skin issues, went to my local dermatologist. And first I was told Eczema, then I was told Psoriasis, then I was told I had both went to sarcosis. Um dermatologist. No, this is sarcoid. That's what this is. And so, yeah, the past five years. So past five years, skin, eyes, bones. And now um I lost hearing in the left ear. Um and that's on immune suppressors. Um. John Carlin: You said after about four years, a doctor said, oh, no, you need treatment. Garrie Farrow: Yes. John Carlin: What treatment did they come at you with first? And how has that progressed? Garrie Farrow: The lovely steroids. The lovely steroids. I was on 60 milligrams for um about a year and a half. A little under. And um that, of course, weight gain, prediabetic, hypertension, um you name it. The moon face. All of it was taken off of that because of the impact. But at that point, there still was not a lot of discussion about new medications. And it was pretty much okay, your lapse look good. We're just going to kind of watch you. Then the eyes started, well, the skin. So then it was steroid injections directly into the skin and steroid creams, which thankfully um no over whole body and past. Then when the eyes and the bones kicked off, that's when I was put on methotrexate. No steroids at that point, thankfully. But then when the um bones kicked off, that's when they said, okay, I started low dose steroids and about five milligrams for three years. That pushed me over the edge with the diabetes. And let's see, um at that point, I think it was year two is when I went back, because by that point, I'm taking metformin and even though they said five um milligrams of steroids you shouldn't be gaining weight. I probably took uh 60 mg. I gained £80. Finally, after not being on steroids for a while, I had lost about 40 started the low um dose and they said you should be fine. Five milligrams is not going to impact you. I probably ended up gaining back 30. And so after year two, I said, okay, look, I need to switch because steroids and I are not working out. You're telling me I need to lose weight? I'm doing the things I need to do and yet my weight is not going in the right direction. It's still keeping up. So that's when I was taking off the steroids and put on the flutter mine, I think I believe I'm saying that correctly, but yeah, and I had to take off methotrexate and switch to uh Humera, which didn't work because of the bones. And I'm now doing rimicate infusions um or Influx map infusions with the Lip global cage. John Carlin: Is that working so far? Garrie Farrow: Actually uh going June to get repeat X rays of my fingers. Uh they showed no further damage is what it was last year. So we're hoping it remains the same now. John Carlin: We've kind of just jumped right to I want to hear more about your eyes and your bones. Sure. When you have sarcoidosis uh in your bones, what does that look or feel like? How do you know it's there? What is the deal? Garrie Farrow: I know it's kind of hard to see on uh camera, but the fingertips of these three fingers are actually about now only about two times the size of the fingers on this hand. And uh what started off as just a finger swelling then turned into I would go to pick up a pen or I'd go to pick up my purse or anything and um I could literally feel something crunching in my fingertips. And I was just like weird um because every once in a while your fingers might pop or you crack something. But I went, no, that is literally in the fingertips. I went to my local PCP and he told me it was finger clubbing due to socketosis and lack of oxygen. My sister actually has or has finger clubbing. She was diagnosed after I did because I pushed her. And so I've seen what finger um clubbing looks like and all her fingers were impacted. John Carlin: I've never heard that word before. Finger clubbing. Fingers look like little clubs. Garrie Farrow: Yes. I don't know if you can kind of tell on camera. You see how this one's more rounded than the other? John Carlin: Yeah. Garrie Farrow: It becomes very bulbous is the other word that they like to use. And your nail bed actually changes shape where instead of being just if you look at your hands, just regular nail bed, they actually expand because since the tip of your finger is getting bulbous, your nail bed has to go with it. And it actually started splitting because my nail bed couldn't keep up with the growth of the finger. So it was splitting. And as I initially pushed um back because I told him that every time I come to see you or see my specialist, my oxygen gets recorded at 98%. 99%. I'm not wheezing that I'm uh aware of, and nobody's told me otherwise. And I've had breathing tests. And if that was the case, all of these should be bulbusy and look funny. It is literally. These three went to see my Pomodologist, and I was on methotrexate. And so they were really concerned about any of the other side effects that method track state could have. And she goes, okay, is there anything else going wrong with you? Because your loans look great. I don't normally see patients like you because phenomenologist. So I'm not used to seeing healthy loans anymore. Anything else going on? And I went, look. Uh and she goes, that is not normal. And I haven't seen that with methotrexate patients. Let's send you for a hand Xray, which then worked into a whole body bone scan. And I now have a Rheumatologist because they realize that uh on Xray, my um fingertips, all of them, actually. But these three are the worst. My body has attached the bones um to the point to where it is broken down and my body is reabsorbing the bone. So the reason they're swelling is because um there's fluid, and that's what causes the swelling. And I actually have four toes involved as well. But all of them, you can tell all of them have been attacked. It's just these three were hit the worst because I dropped a box on them while moving. John Carlin: Sorry, is it painful? Not dropping the box, but I'm just walking around every day with your toes. And does it hurt? Garrie Farrow: Yes, it depends upon what I've done that day. Um some days are worse than others. I am a trainer, so I constantly um typing. And I love playing video games. So playing video games, typing certain things. Um there are days where I don't want to use my fingers. It's not worth it. Or I have become very adept at using my thumb and my ring finger on the right hand because um it's not sensitive to touch per se, because doing this does not hurt. But actually going to grab something unless I can um figure out a way to grab it down here. Think of the worst bruise um that you've ever had. You'll get that you hit it just right, and it doesn't really hurt until you get it in the right place. That's what it feels like. John Carlin: Okay, let's talk about your eye. Garrie Farrow: Yes. John Carlin: What were your symptoms initially? Garrie Farrow: Just a lot of redness. Tallahassee knowns for pollen. Uh and so I just put it off that it's the pollen. Um it is the green season, and it's uh a lot of redness. And then the conjunctive not conjunctivitis, but outside of your eyes were constantly inflamed, like, felt like I had dirt in them. And again, pollen. I just pushed that off. It wasn't until I have glasses that actually with a tent. I just lost the name of it that you go outside. The sunlight and your lenses. John Carlin: Yeah, they get darker. Yeah. Garrie Farrow: I walked outside. Even with that on, literally stopped in my tracks, uh shut my eyes, and was like, oh, my God, the Sun's too bright. My eyes literally hurt. The only way I could um describe it is like a shooting pain through my eye. And I stood there just going, oh, my. Okay, this isn't normal. John Carlin: When was that? How long ago was that? Garrie Farrow: That was probably about uh six years ago. Yeah, about six years ago. Um and again, I went to my local Icare uh provider, and it was like, yeah, this is arthritis. And was um prescribed steroid drops. Then it continued, and I was diagnosed with Uvitis and ended up getting referred to an ophthalmologist uh because I kept going to my optometrist because, of course, my glasses. And they were like, yeah, this is a Sarcodosis issue, not just, you know, you have recurring eye infection. And so that's how the eyes joined up. John Carlin: Wow. Is that controlled? Garrie Farrow: Currently, yes. Thankfully, with the eyedrops, uh uh I think I was on the eyedrops for about a year, and I go back in right now, thankfully, because the last test, uh my last exam came back fine. I'm set to not have to see them for a year, but when my eyes are unhappy, I probably see the ophthalmologist about every three months. And drops and tests I do because of the last one, has a beginning of a glaucoma in one eye because of the recurrent flares in my eyes. So we're kind of watching that. John Carlin: You said the magic word flare, which is what a lot of Sarcodosis patients fear. Garrie Farrow: Yes. John Carlin: You get everything under control, and then all of a sudden you wake up one day and things aren't right, and the Sarcodosis has become active wherever it is in somebody's body. When you just use the word flare, are you talking about flare, as in bright light hitting your eye or a flare up of the Sarcodosis in your eye? Garrie Farrow: Flare of the sarcidosis in my eye. Uh for me, the paint, it feels like a flare of a light in my eye, but my body has um flared itself. There's something in my immune system that has gone into overdrive and done its attack like it usually likes to do. John Carlin: You mentioned Humera, and that didn't work. You said, because of the bones, I think, is what you said. What is the connection between Humera and bones? Garrie Farrow: Actually, none. The only reason I was put on humor was an experiment because um the methotrexate obviously worked perfect for the lungs. But because my bones were starting to go, she was like, okay, we can't put you back on steroids, obviously. So what can we do? And at that point, um Humera. Uh it wasn't officially approved for off label use, but it was showing some impact on the immune system with patients that had Crohn's disease um and really severe, I believe IBS, um and I apologize if I'm incorrect on that one, but it was definitely used in Chrome's. She said, okay, let's try something, because obviously your body is still in overdrive. Let's find a different method to shut off uh your immune system. Humera was picked because there uh was another medication, and I'm blanking on it right now that again, it was another off label cancer medication, but there were so many other side effects, and one of them because of uh where my weight and my diabetes were. Uh she was really hesitant to use that one. So that's why Humor was used. And it was just a test to see. Would it help with my fingers? Because at this point, my options were limited. John Carlin: And uh you ran it, what, for six months? Garrie Farrow: I've been on actually a year because they said it's six months just to figure out if things are going left or right. And the first six months was to make sure my loans did not reengage, for lack of a better word, be changed in how they were going. The bones, after um six months at least, didn't show further damage. They were like this, and I'm never going to regrow the bone, but at least it didn't look like it had uh gotten worse. The reason I had to switch from Humera to the influx of Infusions is the bones remained where they were, but then I lost um the hearing in the left ear, and they're like, okay, so obviously something is not quite right again. So Humor kind of stable things, um or at least shut up my immune system enough, but not enough. So that's why I'm on infusions. John Carlin: Let's talk about your ear. What happened there. Garrie Farrow: Again? My wife and I woke up one Sunday morning with a sinus infection. I'm sorry. Through all of this with the whole eye things, I've had problems with my sinuses um um for quite a while, but it was after the eyes I ended up Sarcodosis caused me to have polyps um inside my nose and in the back of my throat had the polyps removed. They're like, yes, this is definitely sarcoidosis, but you're already on all these other medications. That's um what we would have prescribed for you. So call us back if something changes. I woke up one Sunday with a very bad sinus infection. Um the usual signs and symptoms. And that's um when I woke up that Sunday morning and my boyfriend asked me something, but he was on this side of me and I did not um hear him at all. And he thought I was mad at him. So it was later on the day, um throughout the day, he was like, okay, what did I do to make her mad at me that she wouldn't respond to me? And it wasn't until later on that day that he um asked, I said, I didn't hear you. And so he went over to that site and said something I'm like, I literally can't hear you. I had the same day appointment Monday. And they were like, oh, that's um your sinus infection. Once your sinus is clear, here's an antibiotic. Your hearing will return three weeks later. Found out um my ear hairs are fine. I have no tumor pressing on the nerve. Further research. It's just one of the uh symptoms that you get. Single sided hearing loss caused by sarcosis. John Carlin: That is just amazing to me. Garrie Farrow: Yeah. John Carlin: So you're walking around your job is you are a trainer. What kind of training do you do? Garrie Farrow: Software. Technically, the official Titles application is Trainer. Well, the full name is Electronic Health Record System. I focus more on the practice management side, but when we do major upgrades and releases, both of us end up training the doctors, the nurses uh and receptionists on how to use our system and what changes come into being. John Carlin: You have the sarcoidosis all over your body. How does that impact your ability to just live your life day to day? Garrie Farrow: It has an impact. And of course, the medication side effects play a greater role in how far I do things. The pain, like I said, it's preventing um me from I used to knit as well. I don't do that anymore because my fingers get in the way. And then eventually after time, it really hurts too. Nit I saved my typing for work so I don't play online um video games as much as I used to. Just because I need to be able to type at work. Just anything, to be honest with you, um gripping a jar to try and open it. So I bought a jar opener hearing AIDS so that I can hear on the left side. Um because the other part I realized with me not hearing, I was starting to lose how well I was enunciating words. Uh i won't call it slowing my words, but I was losing just um how well I was speaking. I parse um out my time, to be honest with you, if I know I'm going to take a trip, I don't do much before the trip and I'm definitely not doing a lot after it because I'm just that tired. And when I say trip, my doctors are in Gainesville, which is about a two and a half hour drive from where I am. And going to see a doctor is a trip. Because if I do it in a day, uh when I come back, I'm not going out to eat. I'm not doing what I usually do. John Carlin: You're not talking about going to Paris? Garrie Farrow: Yeah, I wish. I really wish. No, I'm just going to see my doctor. My father lives two and a half hours in the other uh direction. So even just that most people it's just a day trip. No, just a day trip is a lot of energy. John Carlin: The fatigue is real. Then. Do you take a lot of naps? Do you need the naps? Do you need extra sleep at night? Garrie Farrow: Yes. Problem is, you get to that point where you're so tired. Even though you lay down, you can't fall asleep certain days. I'm like that I've laid down. I would uh love to go to sleep, and I'm just that tired of where I can't. But yeah, naps are real. Naps are required. John Carlin: Wow. Um sorry. Something's going on with Zoom on. My end used to be if there's just two people, you could talk as long as you wanted. And it's now telling me that I've got that 40 minutes time limit that you used to only get when there were more than two people. And I'm afraid it's going to time out on me. I've still got a lot more things I want to ask you. Speaker UNK: Sure. John Carlin: Let's end this meeting and go back um and click that same link again and see if it'll let us start another one. Speaker UNK: Absolutely. John Carlin: And if it doesn't, I'll go in and I'll get another link and send um it to you. Just watch your email. Speaker UNK: Okay. John Carlin: All right. So I'm going to end it and then let's click the link and see if we can rejoin. Speaker UNK: Okay. Perfect. Garrie Farrow: Okay. John Carlin: All um right. Garrett, you're doing a lot of work with the foundation for Sarcoidosis Research, as we mentioned just a moment ago. And one of them is you're on the Women of Color committee. For people who aren't up to speed on that, what is that? Committee's responsibility? Garrie Farrow: Sarcasm actually impacts the African American women. I was going to African American community, and it does. Uh but women are more impacted by the disease that if there's going to be a higher hospitalization rate, higher mortality rate, it impacts African American women about up to 13 times more often than African uh American men, even though they are impacted by the disease. Unfortunately, my sister died um from her circuit is three years ago. That's um what made me um join FSR. John Carlin: We buried the lead. I'm so sorry. Garrie Farrow: That's um okay. No, actually, it's not that I don't talk about it, but it's really uh the reason I joined FSR and why I applied in the first place, because um of her experience, um the difference between her experience and mine. When I saw the Women of Color committee come up, that really made me go, okay, I need to be a part of this because of her experience and mine and just in general uh and talking with different African American people and some of our residents and going um to see a physician, I don't want to say it's lack of exposure um to certain diseases and a lot of us are more prone to I'm always tired. I don't feel well. I don't have time to go to the doctor. So he's just going to tell me or she's just going to tell me what I already know. So I'm just not going to go. And I wanted to be a part of that committee to help get more word out there that this is not a disease, that you can just be like, oh, it'll be fine. I'm tired. I'll be tired tomorrow. I'll be tired next week. Let's just wait it out. Um and it's this disease. You cannot just wait. The longer you wait, the more damage that's done. And you can't recover from that damage. Once it's damaged, it is damaged. So that's what made me decide to join up. John Carlin: What was your sister's name? Garrie Farrow: Sharon. Sharon. John Carlin: And she had pulmonary sarcoidosis. Garrie Farrow: Pulmonary and skin. She never went in and got diagnosed for skin, but the spots on her face, um like you have the exact same thing. Go see a dermatologist. Don't have time, don't feel good. From the city that we were from. Um and her doctor uh only used prednisone. Steroids was their fallback. Even when with my methodrest state, when I realized what it was doing for uh me, I was on the road from Gainesville back home, calling her. Go see your doctor, get methotrexy. I promise you, it impacted her lungs away. I'm not sure if it was just due to time. She was a year and a half older than I was, so I'm not sure if it's just due to age, just due to um if Sarcodosis had been passing or a whole lot longer. Um so, yeah, by the time they caught it, by the time with steroids, her lungs couldn't take it literally. At the end, they said that we could um not use any more medication to get any of the fluid off of her lungs. Her lungs are filling up faster than we can get it off of her. And that's what actually killed her. John Carlin: Oh, that must have been so sad. Garrie Farrow: It was devastating on the family, because that's not what's supposed to happen. As my father said, you're not supposed to bury your children. So it was hard. John Carlin: So you stepped up and reached out to the foundation for Sarcodosis Research, even though you had been dealing with Sark yourself for a good long time at that point, yes. And so now you are a fellow advocate, and our role as advocates is to help other Sarcidosis patients. Garrie Farrow: Yes. John Carlin: You're on the Women of Color committee. You're on the patient advisory committee with me. And are uh you a Navigator as well? Garrie Farrow: I've um applied to be a Navigator. The application is uh closed in a couple of weeks, I believe. John Carlin: Okay, so what does it feel like these days when your job is outreach and counseling other people with Sarcoidosis, and what do you say to them? Garrie Farrow: It's a weird sensation, to be honest, because um it's not where I saw my life going. Even though I'm a trainer, I'm an introvert. And training for me is easy because I'm talking about the software. It's not talking about me in working with FSR, doing the advocacy. Um it's a different place for me to be because I'm talking about yes, I'm talking about the disease, but I'm talking about my experience with it. So it's pushing me outside myself in ways that I'm not usually used to, even though I do speak publicly for a living. So it's a different place. But I have to um admit that I do like it because getting the word out about psychedosis helps. Unfortunately, my coworker, I think she's okay with it because um I was so vocal about it at work. She was running into some health issues and was diagnosed with pulmonary psychnosis end of last year. Yeah. And it was just like, oh, okay. I'm sad that you're part of my club, but I'm glad you got diagnosed. Right. Because otherwise she was having some interesting things that kept coming and um went and had a biopsy. John Carlin: So many people say they don't know anybody else that has sarcidosis. You had a sister and now you got a coworker. Garrie Farrow: Yes. John Carlin: It's amazing. So your coworker is doing okay? Garrie Farrow: Yes. She's currently on methotrexate, and I think the last time they did uh the CT scan, things were looking good and they were going to keep her on the same dose. But she's in the first six months. I believe so, yeah. She's got that the milestones to hit before you can really say things are going well. John Carlin: Is she also an African American woman? Garrie Farrow: No. John Carlin: Okay. So it uh just keeps on coming then. But I'm sure that she was curious because she had you as a resource. Garrie Farrow: Yes. And it was one of those kind of different um conversations because it's not like she works in my Department, but she's not like a close coworker. So it was one of these we had to kind of talk to you for a second. And she goes, yeah, I'm going in. And I don't know quite what to do or what to expect. So I put on the FSR hat. So the first thing you need to do is go out to the FSR website, go to stocksoccervices.org, have your husband go out there as well, because your life is going to change, even though you haven't been feeling well and it's already been changing. If any medications are involved, then please don't do steroids. Do some, see what you can do. Your life is going to change and how it impacts you and your family. And she's got grandchildren. Um and you need to do this research now and don't think it can only stay within the loans. You need to think whole uh body. Don't just discount. Well, I'm older. This must be arthritis pain. It's like maybe it is, maybe it isn't. John Carlin: Uh are you doing support groups or anything like that? Garrie Farrow: I'm not. I thought about it, and my introvert little Gremlin was like. John Carlin: Um. Garrie Farrow: Uh I thought about it and looked and um I think this is the introvert part. There's nothing local to me. And so I was just like, okay, I never um done the next step. John Carlin: I was down the road a little bit with starting. We were going to have an event and maybe have a support group grow out of that here in my region in Roanoke, Virginia. And then the pandemic hit and everything got canceled. And that was also about the time I started the podcast for me. I kind of feel like the podcast is my support group because people are listening to you right now, and they're hearing what you're saying. They're hearing what you're going through. And at least if they're looking for answers, they're hearing some of what is normal if there is such a thing with Sarca Dosis. So they may have similar symptoms or similar issues with the prednisone or with the methytrexate or with the ramicade you've mentioned all these things are things that I've been on as uh well. Initially. I'm just curious because you um said for a long time you didn't reach out to FSR and you wrote an op Ed for your local paper, and you said you didn't really research Sarquidosis at first. Was it because you just didn't want to know? Or you just kind of trusted your doctors to know what needed to be known and you were going to take your medication and go on with your life, go back to that time and think what was going on with you then? Garrie Farrow: I trusted my doctor in that stage one. And again, my problem was I was so focused in on leukemia. That was my fear. And I had come home, and I found one dot Gov website that mentioned sarcoidosis and lung involvement. I was like, okay, but leukemia was huge. So once I got that diagnosis of sarcoidosis, I was so relieved that it wasn't leukemia that uh I didn't push further on myself or the doctor. Because, of course, now hindsight being 2020, even stage one, I um should have said, Excuse me, are we sure I don't need to do something else? Anything else. I didn't even think about getting um a second opinion. And even the only thing I will say, thankfully, when I went back to um my primary and she told me she didn't know anything about Psychro dosage and couldn't answer any of my questions and go see the surgeon, I ended up switching to an internist who knew about Sarcodosis. Uh but even then again, I put that trust in the physicians, um didn't educate myself on it until things started changing. John Carlin: Yeah. And then all of a sudden, you jump in. I hear the same thing from people that and it can be kind of scary. I've been on some of the online threads where people just say such terrible, awful things about what's going on with Sarcodosis, but they're not saying it in a reasonable, thoughtful way, which isn't their job to do that. But I just didn't want to see it, and I didn't want to know. Terrible disease, terrible medication, blah, blah, blah, blah, blah. And then it would just stop. There wasn't any further explanation because people were just typing responses to one another, almost like reading a Facebook thread on a controversial issue, and people were just going after each other. Garrie Farrow: And nobody's talking about that. Okay, yes, sarcoidosis is not a fun disease, but there are ways to function that yes, your life has changed, but this is not this is not the end of it. There's other things that you can do. Nobody likes to put that on the thread. That's not as interesting when you're looking at posts, right? John Carlin: Yeah. People just have to be so sensational with their posts, but they're probably on that thread because they're either bored or mad or both. And so you're seeing the worst of I just stopped looking, honestly. But I found that I probably should have looked further faster. And I'm hearing you say the same thing. Garrie Farrow: Absolutely. And I'll admit because I was surprised that I didn't know how long um FSR had been around. That when I started searching for sarcoidosis. Originally, I only got the Gov um sites, Medline, WebMD, and I just lost the name of the other one that has a symptom um checker on it that no doctor loves. And uh I did not start finding out about FSR until I probably was starting to search. Every week I would go out and just um Sarcodosis, pulmonary Sarcodosis. Let me see what I can find, because this is ridiculous, that I know it's rare. And at that time, I think it was 200,000 in the US were being affected. But there has to be more. There has to be more that this um can't be just this couple of sites. And luck was on my side and FSR popped up because I was starting to get to that point to where I think I've been doing that for about a couple of months. Uh i was starting to get frustrated because the information was always the same short little info or like you said, the posts that were just depressing me, making feel like, okay, I'm not going to die tomorrow, but I'm going to pass soon. I don't want to hear this anymore, uh but I found that it's our site. John Carlin: Right. Is there anything else you want to add to this conversation? I appreciate you kind of bearing your soul here with our listeners. Garrie Farrow: Honestly, if one person okay, not one. But if um more people would, if you're ever finding yourself going, okay, this is discounting your own symptoms and you're thinking, well, it must just be allergies, oh, I'm just tired. And I'm always tired. Sarcoidosis doesn't just impact the lungs. The um heart can be impacted. Your eyes, the skin, bones, you name it. It can um impact the body. And even with I don't have time, I don't have the energy. Just go to that one appointment and talk to your physician, um even if you're not the one having the symptoms. Everybody talks to their friends, everybody talks to their family. And you always hear that common issue with that family member, with that friend, talk to them, get them to go. Because even if it's not Sarcodosis, it could be anything and everything else they need to go in and be seen. And it's not to say that don't trust your doctors, um but if they tell you, okay, we think you have this or we have confirmed this diagnosis. Do your research go out there? The internet is huge. Yes. You're going to run into some information that's when you do more research just because you found one answer, you found one source you don't stick with just that one source. You look at everything as much as you can and get that knowledge for yourself so you know what you're going to have to live with and that helps better prepare you for your next office visit. John Carlin: Find a doctor that is a specialist in sarcoidosis. Yes, there are lots of doctors who may have one or two Sarcoidosis patients. That's not the same thing. Garrie Farrow: No, not even close to it. As you are well aware, Sarcidosis is so varied that there's a commonality amongst all of us. But how sarcadosis impacts you is different than how it impacts me and yes, it is a disease of granuloma but how your body takes that granuloma you really need someone who has a breadth of knowledge not just like you said, one or two Z is not enough knowledge for this disease, right? John Carlin: thank you for joining me on the Sarfighter podcast. Garrie Farrow: Thank you thank you for having me. I love listening to you. I've watched your podcast before so this is fantastic. This was fun. John Carlin: Great. Thanks. Garrie Farrow: Thanks. Bye.

About this episode Today Dr. Raj continues his Cardio review for the boards and we move into different imaging techniques for cardiovascular disease, starting with chest x-rays. Sign up to www.beyondthepearls.net to view the full presentation and follow along! About Dr. Raj Dr Raj is a quadruple board certified physician and associate professor at the University of Southern California. He was a co-host on the TNT series Chasing the Cure with Ann Curry, a regular on the TV Show The Doctors for the past 7 seasons and has a weekly medical segment on ABC news Los Angeles. More from Dr. Raj www.BeyondThePearls.net The Dr. Raj Podcast Dr. Raj on Twitter Dr. Raj on Instagram Want more board review content? Crush Step 1 Step 2 Secrets Physiology by Physeo Step 1 Success Stories The InsideTheBoards Study Smarter Podcast The InsideTheBoards Podcast Study on the go for free! Download the Audio QBank by InsideTheBoards for free on iOS or Android. If you want to upgrade, you can save money on a premium subscription by customizing your plan until your test date on our website! Produced by Ars Longa Media To learn more about us and this podcast, visit arslonga.media. You can leave feedback or suggestions at arslonga.media/contact or by emailing info@arslonga.media. Produced by: Christopher Breitigan Executive Producer: Patrick C. Beeman, MD Legal Stuff InsideTheBoards is not affiliated with the NBME, USMLE, COMLEX, or any professional licensing body. InsideTheBoards and its partners fully adhere to the policies on irregular conduct outlined by the aforementioned credentialing bodies. The information presented in this podcast is intended for educational purposes only and should not be construed as professional or medical advice. Learn more about your ad choices. Visit megaphone.fm/adchoices

Just Listen --- Support this podcast: https://anchor.fm/raw-secks/support

What is a popped lung?  It is called called a pneumothorax and a collapse of a lung – like a popped balloon. Is a serious and potentially life threatened problem because the lung is not working causing lack of oxygen.  It can even progress to a tension pneumothorax which is a restriction on the heart preventing it from beating normally. Chris's Chest X-ray  Chris came to the emergency department with chest pain on August 2020, in the midst of a pandemic. He was taken straight to the COVID section of the emergency department as medical staff dressed in helmets, masks and gowns treated him for possible COVID.  His chest x-ray told a different story.  His diagnosis was pneumothorax from marijuana use. Anxiety and isolation during the pandemic increased his marijuana use by smoking with a bong and by vaping. The right side of the X-ray picture is Chris's normal left lung. It has white hazy marking throughout the properly inflated lung going from top to bottom of the rib cage. Think of the lung as a balloon that is inflated. The left side of the X-ray represents Chris's right collapsed lung.  The balloon has popped. The dark, blacker area is air with no lung. The white hazy part of the lung close to the midline and away from the outer rib cage is the collapsed, deflated balloon. The collapsed lung takes up only a small section of the total chest area and does not expand throughout the entire field as it should. It not uncommon to suffer pulmonary barotrauma associated with deep inhalation and holding the breath while using marijuana. It happens with vaping, inhaling a joint or bong. Chris was treated with a chest tube that reinflated his lung. He has not smoked since this happened to him. Chris is an intelligent high functioning young man who read about harms of smoking during a pulmonary pandemic but also read about possible immune benefit of marijuana. He admits to having an addiction and reading sources that supported his habit. Thank you Chris for bravery in sharing your story. You will be educating others about the reality of marijuana use. Learn more about pulmonary issues with cannabis in the IASIC library,  the International Academy on Science and Impact of Cannabis.

On this Episode i sat down and talked to ED staff specialist Dr Todd Steggles about how to interpret Normal and Abnormal Chest X-rays. Todd talked us through his approach to reading CXR's and gave some helpful tips for all listeners. On the episode we discussed abnormal X-ray findings within four main pathologies, pneumonia, pulmonary odema, pleural effusions and a pneumothorax. Todd also opened up about life as an ED consultant , communication issues and just how he personally copes with the stressors of such a high impact job. Todd also spoke about the importance of a debrief and learning from everyone, not just your superiors. This episode worth a listen for all.    Links Watch the full video here on how to interpret CXR with Dr Todd Steggles  click this to watch video   All Chest X-RAYS images were taken from radiopedia,  2021. All CXR's are unidentified in a purpose to protect patient safety.  1. Pneumonia  https://radiopaedia.org/articles/pneumonia  2. Pulmonary odema https://radiopaedia.org/articles/pulmonary-oedema  3. pleural effusion https://radiopaedia.org/articles/pleural-effusion  4. Pneumothorax https://radiopaedia.org/articles/pneumothorax    Other helpful links     

Construction Defects that Cause Illness or Disease https://zalma.com/blog Sick building syndrome (SBS) covers a whole range of health problems that are related to toxin exposure in a building. There are serious questions raised by physicians and mold experts about the existence of a true relationship between the mold and bacterial infections that have been reported to be the cause of SBS. SBS is used to describe situations in which building occupants experience acute health and discomfort effects that appear to be linked to time spent in a building, but no specific illness or cause can be identified. The complaints may be localized in a particular room or zone, or may be widespread throughout the building. In contrast, the term “Building Related Illness” (BRI) is used when symptoms of diagnosable illness are identified and can be attributed directly to airborne building contaminants. A study concluded that Stachybotrys chartarum produces the mycotoxin Satratoxin H, which is implicated in very high cytotoxicity and several environmental allergic reactions. The various papers concerning the toxicity of contact with mold spores has met with serious concerns that people can really be sickened by exposure to mold spores. Legionnaires' Disease acquired its name in 1976 when an outbreak of what was believed to be pneumonia occurred among persons attending a convention of the American Legion in Philadelphia. Later, the bacterium causing the illness was named Legionella. Patients with Legionnaires' Disease usually have fever, chills, and a cough, which may be dry or may produce sputum. Some patients also have muscle aches, headaches, tiredness, loss of appetite, and, occasionally, diarrhea. Laboratory tests may show that these patients' kidneys are not functioning properly. Chest X-rays often lead to a diagnosis of pneumonia. It is difficult to distinguish Legionnaires' Disease from other types of pneumonia by symptoms alone; other tests are required for diagnosis. Legionellosis is an infection caused by the bacterium Legionella pneumophila. The disease has two distinct forms: Legionnaires' Disease, the more severe form of infection that includes, as a result of the infection, the development of pneumonia, and Pontiac fever, a milder illness. --- Support this podcast: https://anchor.fm/barry-zalma/support

Patients often come in with reports of pulmonary nodules (solid tissue in the lungs). These are first seen usually in a chest X-ray or a CACS (coronary artery calcium score). The patients are worried, afraid of cancer. What indicates cancer? Size, shape, fluid, calcification pattern, the rest of the lung, and other criteria.  This patient, like the vast majority, was advised to wait for months to repeat the CT. That's a challenge for the patient. But it's actually a good sign. Being asked to come in for further work-up is more challenging.For more information, contact us at 859-721-1414 or myhealth@prevmedheartrisk.com. Also, check out the following resources: PrevMed's blogPrevMed's websitePrevMed's YouTube channelPrevMed's Facebook page

Acute respiratory distress syndrome (ARDS) is the most severe form of lung injury and happens to be prevalent as of late due to Covid-19. In this podcast episode we’ll talk about the pathophysiology of ARDS and then dive into the key need-to-know information using the Straight A Nursing LATTE method.  If you find this podcast helpful, we’d love for you to take the time to subscribe, rate and review! I read every single one of your comments and appreciate your feedback and support more than you know.  Looking for more of Nurse Mo in between episodes? Follow me on Instagram @straightanurse  Links mentioned in episode: Chest X-ray showing ARDS: https://en.wikipedia.org/wiki/Acute_respiratory_distress_syndrome#/media/File:ARDSSevere.png End-tidal CO2: https://www.straightanursingstudent.com/capnography-etco2/ Brief tutorial on the P/F ratio: https://www.straightanursingstudent.com/whats-a-pf-ratio-and-why-should-you-care/)  What is ECMO?  https://www.straightanursingstudent.com/ecmo/)  Prone positioning: https://www.straightanursingstudent.com/prone-positioning/ Ventilator weaning: https://www.straightanursingstudent.com/ventilator-weaning/ For show notes and references, please visit the Straight A Nursing website: https://www.straightanursingstudent.com/acute-respiratory-distress-syndrome/

In this episode we talk to Dr Garth Funston, a Clinical Research Fellow, from the Primary Care Unit, Department of Public Health and Primary Care at the University of Cambridge. The paper is: Time from presentation to pre-diagnostic chest X-ray in patients with symptomatic lung cancer: a cohort study using electronic patient records from English primary care. Read the paper: https://doi.org/10.3399/bjgp20X714077 (https://doi.org/10.3399/bjgp20X714077) England's national cancer referral guidelines recommend that patients attending general practice with unexplained symptoms possibly caused by lung cancer, such as persistent cough, shortness of breath, and weight loss, have a chest X-ray promptly (within 14 days) to aid timely diagnosis. Only 35% of patients with lung cancer in this study had a chest X-ray within the recommended 14 days; and time between attending general practice with symptoms and having an X-ray was longer among people who smoke, females, and older patients. This research highlights a potential source of delayed lung cancer diagnosis and could inform initiatives aiming to achieve earlier diagnosis and improve outcomes.

This week I discuss stress, our immune system, gut health and self sabotage, and share how a combination of the above landed me at urgent care getting a COVID test and chest x-ray last week (both were negative)! It's a jam packed short episode. Tune in and enjoy! Thank you for tuning in to Rejuvenated Women: Impeccable Health for High Performing Women where we provide you with the tools, information and inspiration you need to transform from overwhelmed, overworked and overweight to vibrant energetic and on fire! If you enjoyed the show, please head over to iTunes to SUBSCRIBE and leave us a review. Each month I’ll select one lucky reviewer to receive a special “impeccable health sample kit” from me. Also, I don’t want to be working with you on your health only once or twice a week. I want to be in this conversation and in the trenches with you every single day. I invite you to join me in my private Facebook Group for high performing women ready to transform their health and lives called the Tribe of Rejuvenated Women. There you’ll have access to free trainings, a community of like minded women from around the world and even more information, inspiration and motivation to transform your health and become vibrant, energetic and on fire. Be sure to check out our website, follow us on Facebook and Linked In and Instagram.

This episode covers common infiltrates found on chest x-ray!

This episode covers chest x-ray masses!

Welcome to the CLL Podcast Series where we talk with leading companies and startups disrupting the world with AI and ML. This is the first Episode of the Qure.ai Podcast Series. This week, we take a closer look at health tech startup Qure.ai, which went from using AI to make diagnostic imaging easier and more affordable to focusing on coronavirus testing globally. Qure.ai develops deep learning solutions that automatically read and interpret medical images like X-rays, CT scans, and MRIs. The company's product is an AI-based radiology diagnostic aid. The flagship applications focus on chest X-ray abnormality detection and brain CT analysis for emergency care. The Mumbai-based healthcare startup recently raised $16 million in funding, led by Sequoia India and supported by MassMutual Ventures in Southeast Asia. For the audience, the same investor also invested in technology backed companies such as Byju’s, Zomato, Gojek, CRED, and many more...Now, as the world battles a pandemic, Qure.ai is readying to do its bit to help curb the further spread of coronavirus. Qure.ai is also the winner of the AI Game changer award at the 6th NASSCOM Big Data & Analytics Summit 2018. Today we have with us one of the founding members of Qure.ai, Rohit Ghosh. Today’s Podcast will walk you through how Qure.ai is tapping deep tech. We’ll hear from Rohit the why, what, and how behind what a tech startup is building. We also get an overview of how Qure.ai disrupted the Healthcare products and dealt with the initial setbacks whilst launching their first flagship product qXR, Along with the first-hand experience from Rohit about the recent funding secured. And to top it all off we will touch upon many ups and downs qure.ai faced on the journey of being recognized as the most accurate algorithm for detecting Tuberculosis on Chest X-rays. Let’s dive deep into the Origins of Qure.ai --- This episode is sponsored by · Anchor: The easiest way to make a podcast. https://anchor.fm/app

A 50-year-old, previously healthy man presents to the ED with 2 days of worsening dyspnea. He had fever, cough, and fatigue during the week before presentation. He appears acutely ill. The body temperature is 39.5°C, heart rate 110 beats per minute, respiratory rate 24 breaths per minute, and blood pressure 130/60 mm Hg. The oxygen saturation is 87% while the patient is breathing ambient air. The white-cell count is 7300 per microliter with lymphopenia. Chest X-ray shows patchy bilateral opacities in the lung parenchyma. An RT–PCR assay detects the presence of SARS-CoV-2 RNA in a nasopharyngeal swab. How would you evaluate and manage this case? Full-text recordings of Clinical Practice articles can be found at NEJM.org.

What is going on with everybody on YouTube! Welcome back to my channel and for those of you who are new around here, my name is Michael a.k.a Dr. Chile and I are a fifth-year interventional radiology resident physician. On today's video, I wanted to discuss the coronavirus and koban 19 x-ray findings and I was planning on making this video, anyways but then I saw this video that CNN posted about their one of their main correspondents, Chris Cuomo who is also the brother of Andrew Cuomo the governor of New York, so it's been very public over the last few days that Chris Cuomo has been diagnosed as positive for koban 19 and he's kind of been giving an update throughout his course and disease progression. In this particular video, I saw a few days ago they discussed Chris Cuomo's chest x-ray findings and I feel like I could do a better job and explaining it than they do. So we're going to go through this video and use it as a way to kind of discuss the chest x-rayfindings of koban 19 or the novel coronavirus infection and go from there, so let's go ahead get into it.So like I said before, Chris Cuomo is a CNN news correspondent which I see him all the time. On this channel, he is the brother of the New York State Governor Andrew Cuomo, which I actually didn't put two and two together for a while, but that's a different story. Last week he tested positive for koban 19 and they've been in viewing him almost daily. About the course of his disease and he does a pretty good job ofopening up about it, so I'm gonna start the video and I'll stop it intermittently when I feel like I need to interrupt. I feel better than I deserved and I now know that I can't just take it from this thing that with the fever spikes you, just want to curl up in a ball and stay there for the next six-seven hours and you can get a bundle up your clothes. You've got it and you know start drowning yourself influence, you got to take your time off and you got to get out if you don't want it to get into your lungs. You gotta force yourself to breathe, you got to get up off your ass, you got to walk around and it hurts you don't want to do it. Everything in your body is telling you, not to do it and it's lying to you. So I really like what he's doing here and he's staying positive, he's staying active and he's mobilizing which is fantastic. You don't want to just lay in bed and let this disease take a hold of you and if you can help it and it's lying to you and I know that and the more I do, the more I push myself to do, the better I'm gay, so I'm gonna take faith in that for now, and  I know I'm not through it but that's good.Let's talk about the collective, though for a second. So he's actually onto something with this because, when patients will lay flat in the hospital bed on, ventilators the actual back or posterior of the lungs do not aerate as well, because they aren't expanding and because that is the dependent portion of the thorax. So, as you've seen in many cases with this virus, we actually prone the patients and allow the posterior or back of the chest to expand which allows those Airways to kind of open up and if you don't allow those Airways to open up, that lung becomes collapsed or a delight attack and can cause that infection, just to kind of sit there and not resolve.So I'm going to fast forward this part because they're just talking about data and whatnot. So, I think let's fast-forward to the part where you start talking about his chest x-ray. Now, in terms of all we're we don't want to go through he'll have coronavirus in most of the cases and your big fear is that it's gonna get your lungs, that's what it wants. It wants your lungs this thing, so this virus does love the small Airways or your lungs and this weekend, I had the fever start to go down a little bit and I started to feel it come into my chest, so I went to get a chest x-ray and I want you guys to see this just so you can see what we're looking for. Now, so first and foremost this is just a normal frontal radiograph as we call it. It's not labeled pa or a peek probably a PA radiographed given the way it looks, but let's see what they say about it. Obviously you understand this, what we're looking for in the lungs are big white areas and what are the terms that people will hear, what are they looking for and what do you see in this mighty expansive, chest and trunk.So first and foremost, Sanjay Gupta is the neurosurgery physician. Right there, he is the chief medical correspondent for CNN and he's all over this channel and you've probably seen him everywhere, he is neurosurgery trained and it has been out of practice I think for a little bit now,and I'm willing to bet he hasn't actually looked at a chest x-ray in a very long time, because neurosurgeons don't really look at chest x-rays that much. That's not in their specialty, so we'll see what he has to say about the chest x-ray. One of the things that you'll hear is infiltrated so if you are a longtime subscriber to my channel, I did a video on where I read a normal chest x-ray versus their really complicated ICU x-ray and I said I don't use the term infiltrate and still to this day I get questions about why I don't use that term and this is a perfect example, so I don't use the term infiltrate because it implies infection. When you say there is an infiltrate on a chest x-ray, it is basically saying that there's an infection there. Well, that's how people interpret it and the problem is that many things on chest x-ray. It looked like an infection, that heartinfection so if I were to call something an infiltrate implying, it's an infection and it was an infection that would be a misdiagnosis. So in short, anything that pacifies the lung fields on chest x-ray and does not always have to be an infection.Other things can also pacify the lung fields on chest x-rays such as malignancy or cancer, also fluid can also do the same thing, hemorrhage protonation smith Tyrael, etc. So just remember that the term infiltrate is not used by me or anybody. I trained with because not everything ona chest x-ray doesn't infiltrate or infection. Do you have an infiltrate in your chest and in your lungs? and that's basically a collection ofinflammatory fluid. I would look for those areas where you know the black areas are the air in your lungs, I would look for some of those black hairs and essentially be filled with white spots and I just won't make it clear for the audience, I'm not diagnosing here from afar. In the middle of the chest x-ray, there you can see you have a little bit of infiltrates and you could see the same, so again this is really difficult to see because I'm looking at a picture of an x-ray on a news broadcast and I'm also watching on YouTube, so it's not exactly ideal for diagnosing. However, I don't see any infiltrate on this x-ray and this is a lateral projection here. This is the sternum, up here in the back and as you can see here the spinous processes in the vertebrae, here this is the side view of the heart or the lateral view, so again this x-ray is taken from the lateral projection, which means it is the beam and drawing this way, that's why you can see all the ribs like. This right here I think whathe's seen is the overlapping ribs and normal pulmonary interstitial vasculature that is causing this infiltrative appearance, but this is pretty clear from what I can see. This is the side view and now you'll see in the story, the film there is your spine. You see those sort of Domino looking bones.Also smaller might, I might add breath and I don't know what he means by small bones. These look like normal vertebrae to me and actually look pretty good for a big guy like you in the middle of the spine there and then in front of that aside is the x-ray of your lungs and so I think what he's saying is in front of the spine is the x-ray of the lungs, but what most people don't realize is that the lungs actually go out well past or well posterior or behind the spine here. As you can see right here, this is the back of the lung and here on both sides and this is the spine column, right here you can see there's a good distance between the spine and the lung, so if you're looking at it from the side the lungs kind of expand posterior to the spine and it looks pretty good maybe a little bit of fluid buildup there. I don't see any fluid buildup, if there were to be fluid buildup, there would be some blunting of the costophrenic angles here. You can't really see all of them, so maybe there is like stant amount of fluid there, but I would never call that pneumonia which is what they're trying to diagnose. Pneumonia is not just diagnosed by a chest x-ray but it's one of the tools that doctors used to diagnose and again, you just make it clear not diagnosing Cris via television here butthat you know looks pretty good and I looked at that more closely on my computer today. Look I have different pulmonary people they take very close readings because it's either really pneumonia or it really isn't and they expect me to have to infiltrate because I have the virus and I have to tell you it is scary to have your lungs go up there and see this stuff be, like what is that, what is like that smoke in there and they tell you that's the virus, so this is exactly why I wanted to do this video in the first place because chest x-rays are not really good at diagnosing COVID 19 or novel coronavirus and this is the perfect example for that because Chris Cuomo has been diagnosed and contaminated of the virus. However, his chest x-ray is pretty normal and the reason for that is because often in many other disease processes, as well as COVID 19 and will actually lag on chest x-ray and what I mean by that is it actually takes a while for the virus to accumulate within the lungs and actually show itself on chest x-ray. So as you can see here, you can test positive for the virusbut have a normal chest x-ray which is why chest x-rays are not really that valuable. In the beginning stages of the virus, they can, however, be useful in tracking the disease progression so it looks like Chris Cuomo is doing well so far and  I wish him the best. 

Forums moderator DeAnn Runge shares how she’s navigating the current world situation and how resuming operations in the next phase poses new challenges and concerns. SMA News Today’s multimedia associate, Price Wooldridge, discusses how lung ultrasound is a reliable option to chest X-rays for monitoring children. Are you interested in learning more about spinal muscular atrophy? If so, please visit https://smanewstoday.com/

126. Fracgp - Kfp - Investigations - Chest X Ray by Dr Thomas Perkins

Welcome to the next episode of The Reveal where we take you inside the mind of a test-taker to deconstruct and connect the dots of a board-style question so you can become a better student, transform how you learn, and excel not only on high-stakes exams, but also in your general medical knowledge. Let's get read more... The post Can You Interpret This Chest X-Ray & Correctly Manage the Condition? appeared first on RoshReview.com.

Episode 5 is an interview with Dr Robert Conville (@robconville) who shares his experiences of working in Australia with a BDS degree from the UK. This episode’s protrusive dental pearl is about how to get perfect moisture control for those difficult class V restorations. This episode covers: Visas and the recent change in codes Sponsorship AHPRA Finding an Employer How to look for a job Do you need a Chest X ray? Entrance exams? How do the dental care system and health funds work out there? What is the remuneration and earning like as a Dentist in Australia? Applying for permanent residency Experiences in Australia Work, Travel and Living in Australia Dentistry.co.uk article written by Rob

The Chest X ray. The most ubiquitous of all radiographic studies. There is a TON to them and more than I am able to cover in one sitting. In this episode we talk about a search pattern adapted from Ben Felson's Chest book. All The Many Lungs Lines Abdomen, Thorax, Mediastinum, Lung (unilateral) Lung (again, compared to the other lung) and Lines (invasive devices) We talk about the radiographic anatomy and putting eyeballs on all parts of the film We touch on the difference between a PA and an AP chest xray and why they look different. The lateral chest x ray and specific pathologies (ie bacterial pneumonia, atelectasis) will be covered later Wellness recommendation: Generation V podcast. (I have no affiliation) https://veganfitness.com/GenerationV Resources: (I have no affiliation) Felson's Chest https://www.amazon.com/Felsons-Principles-Roentgenology-CD-ROM-Goodman/dp/1416029230 Radiology Assistant http://www.radiologyassistant.nl/en/p497b2a265d96d/chest-x-ray-basic-interpretation.html **Disclaimer** I strongly emphasize this podcast is not medical advice, it is for information, entertainment and educational purposes only. It should not be used to diagnose or treat any medical condition, nor should it be seen as official policy at any institution. You should always do your own research and let me know when I am wrong. I am not responsible for any mistakes or consequences that result of actions that a listener of this podcast undertakes. **Disclaimer** This podcast does not represent the views or opinions of the department of defense, the US Air Force or any Residency Program. The views and opinions expressed are solely those of the speakers. Feedback at ccrpodcaster@gmail.com

In this episode, we'll briefly cover the process of chest xray interpretation. Episode Written by Dr. Brad Schwartz.Recording, Editing/Mixing, and Publishing by Peter Biggane.Software: Audacity (https://www.audacityteam.org/download/)Mic: Yeti Blackout

I want to get better at reading chest films! So I asked the lovely Cynthia Griffin to put together some videos to help me out. She did, and it’s friggin fantastic! Enjoy!

Another installment in our "machine learning might not be a silver bullet for solving medical problems" series. This week, we have a high-profile blog post that has been making the rounds for the last few weeks, in which a neural network trained to visually recognize various diseases in chest x-rays is called into question by a radiologist with machine learning expertise. As it seemingly always does, it comes down to the dataset that's used for training--medical records assume a lot of context that may or may not be available to the algorithm, so it's tough to make something that actually helps (in this case) predict disease that wasn't already diagnosed.

Dr Harry Pick joins the podcast to talk about Chest X-Ray interpretation. A blog with more information can be found at www.takeaurally.com. There you'll also find our other podcasts, more information, videos, Take Visually and our #FYEO and #OHMNHS blogs. You can also find Take Aurally on Facebook and Twitter. NUH DREEAM can be found on Facebook and Twitter.

Dr Jamie Thomas (@mcdreeamie) talks through chest x-ray interpretation. You can find Take Aurally on both Facebook and Twitter.

A-B-C-D-E-F-G Two Types of X-Rays Anterior-Posterior (“AP”) Classic “portable” xray The beam shoots from in front of the patient (anterior) TO The plate sitting behind the patient (posterior) Posterior-Anterior (“PA”) Requires trip to radiology Results in a better picture The beam shoots from behind the patient (posterior) TO The plate sitting in front of the […]

We order lots of imaging in emergency medicine, and during your clerkship, you may be expected to interpret any of these images for yourself. Obviously, you may not be able to perfectly interpret everything, and that’s OK. However, you absolutely HAVE to know how to interpret a chest X-ray. It is very high yield for […]

This video provides learners with an approach to the pediatric chest x-ray. By the end of this episode, you should be able to describe the expected radiographic findings of common pediatric conditions including cardiomegaly, pneumothorax, pleural effusion, pneumonia, asthma, cystic fibrosis, and non-accidental injuries. This episode was developed by Colin Siu in collaboration with Dr. Melissa Chan. Colin is a third year medical student at the University of Alberta and Dr. Chan is a pediatric emergency physician and Clinical Lecturer at the University of Alberta and Stollery Children’s Hospital in Edmonton, Alberta, Canada PedsCases podcasts and videos are designed to give medical students an overview of key topics in pediatrics. The audio versions are accessible on iTunes. You can find more great pediatric content at www.pedscases.com.   Related Content: Case: Respiratory distress in a 4 year old male Case: Breathing Difficulty in a 12 year old boy Case: Shortness of breath in a 10 year old boy Case: Fever and cough in a 22 month old Case: Foreign body aspiration in an infant

This is an audio version of our video. This podcast provides learners with an approach to the pediatric chest x-ray. By the end of this episode, you should be able to describe the expected radiographic findings of common pediatric conditions including cardiomegaly, pneumothorax, pleural effusion, pneumonia, asthma, cystic fibrosis, and non-accidental injuries. This episode was developed by Colin Siu in collaboration with Dr. Melissa Chan. Colin is a third year medical student at the University of Alberta and Dr. Chan is a pediatric emergency physician and Clinical Lecturer at the University of Alberta and Stollery Children’s Hospital in Edmonton, Alberta, Canada PedsCases podcasts and videos are designed to give medical students an overview of key topics in pediatrics. The audio versions are accessible on iTunes. You can find more great pediatric content at www.pedscases.com.   Related Content: Case: Respiratory distress in a 4 year old male Case: Breathing Difficulty in a 12 year old boy Case: Shortness of breath in a 10 year old boy Case: Fever and cough in a 22 month old Case: Foreign body aspiration in an infant

Hosts: Vincent Racaniello, Dickson Despommier, and Daniel Griffin The TWiPyzoites solve the case of the Uncommon Parasite, and discuss the role of eosinophils in promoting the growth of Trichinella in skeletal muscle.   Links for this episode: Eosinophils and IL-4 support nematode growth (PLoS Path) Balantidiasis (CDC) Letters read on TWiP 102  Case study for TWiP 102 This week's case involves a 24 yo housewife, from a village outside of Calcutta. Comes into a tertiary care hosp, 6 months coughing up blood, fever, no weight loss. Drinks rainwater, milks her cow. Dogs everywhere, no livestock except cows. Eats meat, well cooked. No extramarital encounters. Husband well. 4 children. Cistern for drinking water is covered.  No health issues. Reports salty, clear mucus. No blood in stool, no changes in stool. Exam: looks healthy, lungs clear. Lab tests: White count of 9000, 12% eosinophils (elevated). So she has eosinophilia. Chest X-ray and CT: lesion on left side in xray. CT: shows 4 cm cavity, with air pocket on left side, mid-lung. HIV negative. Dusty soil, birds. Send your diagnosis to twip@microbe.tv Send your questions and comments to twip@microbe.tv

Introductions Karla - K-Rae on Ravelry and Karlacrafts on Instagram, Twitter and Pinterest Emily -  EmGemKnits - Instagram, and Ravelry . EmKnits on Twitter and Periscope EmGem on Pinterest Shouts outs Manicsoprano introduced herself. What's knitting now Emily Stranger Cardigan by michiyo in Araucania Nature Wool Solids in a light denimish colour Stovetop by TinCan Knits in Aslan Trends Royal Alpaca colour way Chartreuse Reyna by Noora Laivola in Crystal Palace Yarns Sausalito Vanilla Socks with afterthought heel (ala Yarn Harlot blog post) in CaterpillarGreen’s Concrete and Tulips Dish cloth in Hemp for Knitting Karla- Socks -Nicole C Mendez Self Striping Sock Yarn. - Fish Lips Kiss Heel ( Kate Atherly’s book Custom Socks with a Fish Lips Kiss Heel or Hat Top Thumb Joint Heel Hby Lara Neel (Fork in the Road socks) ) Sweater - Daelyn Pullover by Isabelle Kraemer in Knit Picks Wool of the Andes in Icicle Heather. FO’s - Emily Dish cloth. One sock. Karla Slippers - Mush Boots by Lise-Ann Michel in 2-ply Fundy Fog Cottage Craft 100% Wool. Aside - Yarn is an amazing value for a 100% all canadian wool. Design features Emily- Nada Karla - Nada Spinning Karla - 200 grams of New zealand Merino Wool from Sharon at Homespun Haven Stash Enhancement Emily-  Winter Vogue Knitting. Madeline tosh sock in birtch red yarn for mom’s socks Karla - Tea Swap with Sticks + Twine Podcast. Thank you Porthardy1! Best laid plans Emily - Finish something Karla - Pick back up Ghost Dance by Beth Whipkey - in handspun batt from Caliope’s fibers & Snake toy Talky Talk Emily - Submitted scholarship. Can’t find Sock book Karla - Classes are going well -master knitter scholarship submitted & awarded! -knitting retreat in February with Amy Singer still spaces left Sarah’s Year of Knitting Clean wholesomeknitting.com Karen Clements - so generous! Make things club Adventures in Mommyhood Feeling better!! + Chest X-ray.   Independence! (a little)   Karla- Starting to mimic sounds, showing understanding of association of objects. Still loves crows. Draw on all the things.   Inquiring minds Tell us about you! Join us on Ravelry or our Facebook page

Importance of getting annual chest X-ray & abdominal ultra sounds for middle-aged dogs and semi-annual routine screenings for senior dogs

Adventures of a Pus Whisperer.