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3 episodes with covid icu
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3 episodes with covid icu
2 episodes with covid icu
2 episodes with covid icu
2 episodes with covid icu
2 episodes with covid icu
2 episodes with covid icu
189 Cumulus: Reimagining Digital Memorials and Legacy with Architect-Founder Alexander Josephson Host Marie Betcher, a registered nurse and former hospice nurse, interviews Alexander Josephson, creator of Cumulus, a Toronto/New York-based digital memorial platform designed as an immersive "memory cloud" where families can store and experience photos, videos, notes, and other legacy content in VR-accessible spaces, with mapping for gravesites or ash scatterings. Josephson shares how repeated family encounters with death—his grandparents' passing, his grandmother's Lewy body dementia, and his father's cancer, chemotherapy, and near-fatal COVID ICU stay—inspired him to build a trusted digital "place" for remembrance beyond gravestones or genealogy. He explains collaboration features, admin controls, next-of-kin account transfer, pricing tiers, and plans for a perpetuity trust, noting current users and rollout to funeral homes and cemeteries. He closes with: "Love, love hard." 00:00 Welcome and Disclaimer 00:42 Meet Alex and Cumulus 02:38 Why Digital Memorials Matter 04:36 Family Losses and Inspiration 07:48 Dad the Doctor and ICU Journey 10:15 Near Death Visions and MAID 13:17 How Cumulus Works 16:08 Legacy Beyond Family Trees 17:42 Plans Pricing and Growth 21:38 Grief Message and Meaning 22:47 Sci Fi Comparisons 24:23 Find Cumulus and Final Words 25:43 Podcast Closing https://www.cumulus.world/ If you want to help, you can donate to help support Hospice Explained at the Buy me a Coffee link https://www.buymeacoffee.com/Hospice Hospice Explained Affiliates & Contact Information Buying from these Affilite links will help support this Podcast. Maire introduces a partnership with Suzanne Mayer RN inventor of the cloud9caresystem.com, When patients remain in the same position for extended periods, they are at high risk of developing pressure injuries, commonly known as bedsores. One of the biggest challenges caregivers face is the tendency for pillows and repositioning inserts to easily dislodge during care.(Suzanne is a former guest on Episode #119) When you order with Cloud 9 care system, please tell them you heard about them from Hospice Explained.(Thank You) Marie's Contact Marie@HospiceExplained.com www.HospiceExplained.com Finding a Hospice Agency 1. You can use Medicare.gov to help find a hospice agency, 2. choose Find provider 3. Choose Hospice 4. then add your zip code This should be a list of Hospice Agencies local to you or your loved one.
Some wounds keep you scanning every exit in the room. Others bury themselves deeper, showing up as guilt, shame, distance at home, and the fear that the people you love would see you differently if they knew the whole story. Larry Brant brings clarity to that hidden battle through his path from Helmand Province to a COVID ICU to the Aspire Center, where he saw how PTSD and moral injury can wreck a person's sense of safety, faith, and connection. He explains why moral injury can feel like it fractures your soul, why so many veterans pull away from family and faith, and how healing starts when someone finally feels heard without judgment. This conversation offers listeners clear language for what they may be carrying, practical tools like the two-way prayer journal, a better understanding of why group support matters, and real next steps through resources such as Building Spiritual Strength, REAL, Hunt Therapy, and Larry's book Restoring the Broken. Here are the moments that hit hardest. Timestamps: 00:10:36 - The difference between PTSD and moral injury finally gets a name 00:20:47 - The two-way prayer journal that helps break self-blame 00:36:34 - Twenty years of silence before one hard conversation at home 00:48:47 - The flashback that proved war had followed him home 00:55:29 - The three-part support system that makes healing more likely Links & Resources Veteran Suicide & Crisis Line: Dial 988, then press 1 Website: https://www.restoring-the-broken.com Follow Larry Brant on Facebook: www.facebook.com/larry.brant.5?mibextid=wwXlfr&mibextid=wwXlfr Follow Larry Brant on Instagram: www.instagram.com/larrybrant Follow Larry Brant on LinkedIn: www.linkedin.com/in/larry-brant-09394544
What happens when a serial entrepreneur behind disruptive industries like energy drinks, online dating, and Ashley Madison faces a near-death experience during COVID?In this powerful episode, entrepreneur and relationship coach Tino Dietrich shares the unexpected journey that transformed his definition of success. From helping pioneer energy drink marketing alongside the rise of Red Bull to scaling international online dating brands, Tino experienced the highs and lows of entrepreneurship firsthand.But after a life-threatening battle with COVID landed him in the ICU, everything changed.This episode dives deep into the hidden cost of entrepreneurial success, why many high-performing men struggle at home despite winning in business, and how relationships ultimately shape long-term fulfillment and legacy.Tino explains why burnout, emotional disconnection, and family breakdowns are becoming silent epidemics among entrepreneurs—and what leaders can do to rebuild stronger foundations before it's too late.Whether you're a business owner, investor, executive, or someone striving for both financial success and meaningful relationships, this conversation offers practical insights and hard-earned perspective.
In this episode of The 10 Ninety Podcast, Mason sits down with Katy Lee, a St. George native and one of six siblings — five girls, one boy. That boy was her brother Brandon. Brandon was 46 when he died from COVID in 2021. He was sarcastic, hilarious, and hard to love in all the best ways. He watched Maids in a hospital bed, made smashed potatoes from TikTok recipes, and had a one-liner for everything. He also spent years battling addiction, almost died of an overdose the year before, and spent his last year feeling more like himself than he had in a long time. Katy talks about what it was actually like to watch someone die in a COVID ICU — making life-and-death decisions over the phone, sneaking into the hospital when it wasn't her day, feeding her brother food he couldn't cut himself. She talks about grief that didn't look like grief, the guilt that came with relief, and why she didn't cry for a long time and why that's okay. She also gets into trauma therapy, scheduling grief like an appointment, dark humor as a coping tool, and why talking about it — even four years later — still does something for her that nothing else does. This one wanders a little and earns every minute of it. "What we talk about, we can begin to control. What we don't talk about continues to control us."
Bill Clark is a former DEVGRU military working dog handler — one of the first brought into the program when it launched around 2002. He grew up in chaos. His father was a Vietnam-era Marine door gunner. His mother married five times. His stepfathers were abusive. He played Division I football, joined the Marines, switched to the Navy for a dog handler slot, and ended up spending 13 years at the command across 13 deployments. He ran over 350 operations and logged more than 200 bites. He survived late-stage colon cancer at 37 — linked to battlefield exposures — and now leads executive protection for Ethereum co-founder Charles Hoskinson, who is building what may become the largest stem cell treatment hub in America at his clinic in Gillette, Wyoming. Dr. Bob Harmon calls himself a cow doctor. He started as a large-animal veterinarian out of UC Davis, got pulled into doing clinical trials for pharma companies, and then one day watched stem cells beat like a heart in a petri dish — no electrical stimulation, just cells that had been told what to become. That moment changed the trajectory of his career. He built a veterinary stem cell company that has now treated over 25,000 patients across 60 species. He developed stem cell therapy for the Navy's dolphins and sea lions. And he became the first person in the history of biopharma to take only veterinary data to the FDA and get approval for a human clinical trial. His company, Personalized Stem Cells, is now treating humans under the Federal Right to Try Act and the newly signed Wyoming Stem Cell Freedom Act. We talk about the night Bill's dog Axe took a round through the skull and kept trying to get back in the fight. What it looks like to laze a door from 300 yards and send a dog into a compound full of armed fighters. How big pharma's animal and human divisions refuse to talk to each other. Why your own fat holds young stem cells at any age — even at 92. The difference between your own cells and donor cells. The ten COVID ICU patients who all walked out. How stem cells make their own morphine-like painkiller and could break the opioid addiction cycle. The TBI pilot study coming for veterans. And what it would take to get stem cells on the sideline of an NFL game or in a medic's backpack on the battlefield. https://www.personalizedstemcells.com/ Today's Sponsors: Black Rifle Coffee: https://www.blackriflecoffee.com David: David is offering our listeners a special deal: buy 4 cartons and get the 5th free when you go to https://www.davidprotein.com/CLEAREDHOT
Oliver speaks to Barra Fitzgibbon about life as the voice of Channel 4 and being the first Covid ICU survivor in UK.
“Medicine is not just about treating disease — it's about helping people discover health.” —Dr. Drew RoseIn this episode of the Real Health Podcast, Ron Hunninghake, MD, welcomes Drew Rose, DO, Riordan Clinic's new Clinical Medical Director. A Wichita native, Dr. Drew brings deep training in internal and osteopathic medicine, years of experience as a hospitalist, and a passion for integrative, patient-centered care. He shares his personal journey from early health challenges, to global rotations in Kenya, to the frontlines of COVID care, and why he chose to return home to Wichita and join Riordan Clinic.Highlights include:→ How Dr. Drew's own health experiences shaped his pursuit of medicine→ Why osteopathic principles align so closely with Riordan Clinic's mission→ Lessons from practicing global medicine in Chicago and rural Kenya→ What serving in the ICU during COVID taught him about the challenges of one-size-fits-all care→ How he hopes to serve patients and the Wichita community in his new roleAbout Drew Rose, DODrew Rose, DO, is Riordan Clinic's Clinical Medical Director. A Wichita native, he is board-certified in internal medicine with advanced training in osteopathic principles and practices. He brings years of experience as a hospitalist and in global health, along with a strong commitment to supporting patients in their health beyond disease management.Learn more about Dr. Drew or schedule a new patient appointment.Episode Links & ResourcesRegister for the Cancer Care Reimagined ConferenceLearn more about the GalaExplore the Riordan ClinicListen to more episodes of the Real Health PodcastEpisode Chapters00:00 Welcome + introducing Dr. Drew Rose01:34 Growing up in Wichita and early health experiences03:16 Discovering osteopathy and the four tenets of care06:22 Global medicine in Chicago and international rotations08:49 Lessons from Kenya and rural health perspectives10:44 Practicing as a hospitalist during COVID13:42 Why individualized, root-cause care matters16:02 Co-learning with patients at Riordan Clinic19:54 Coming home to Wichita and serving the community22:54 Looking ahead Dr. Drew's vision for patient careTopics we explore in this episode include:osteopathic medicine, integrative medicine, patient-centered care, Wichita healthcare, functional medicine, internal medicine, COVID ICU care, Kajiado Kenya health, phlebotomy, global medicine, Riordan Clinic providers, doctor-patient relationship, preventive health, co-learning in medicine
Story at-a-glance A targeted brain rehabilitation program combining digital exercises and coaching helped 80% of long COVID patients return to work, while none in the standard care group did Long COVID cognitive symptoms affect 9 million to 10 million Americans, with nearly one in seven unable to return to work three months after infection Early neurorehabilitation helped unconscious COVID ICU patients regain awareness; over half showed improvement after just eight days off sedation Proteolytic enzymes like lumbrokinase help break down lingering spike protein, reducing inflammation and supporting recovery from neurological symptoms Resources like the Front Line COVID-19 Critical Care Alliance's (FLCCC) I-RECOVER protocol provide comprehensive treatment plans for those experiencing persistent symptoms after COVID infection or injection
LEXINGTON, Ky. (March 5, 2025) — It's hard to believe it's been five years since the COVID-19 pandemic officially arrived in the Commonwealth – but on Friday, March 6, 2020, Gov. Andy Beshear confirmed the state's first COVID-19-positive patient and declared a state of emergency in Kentucky. And that first case was tested and diagnosed right here at the University of Kentucky Albert B. Chandler Hospital. That day began a grueling, years-long grind for medical professionals across the state, the country, and the world. Hospital systems struggled to keep up with surges of severely ill patients coming through their doors. Shortages of personal protective equipment, ventilators, ECMO machines, inpatient beds, and even health care providers themselves led to a type of global health crisis not seen in more than a century. In today's episode of Behind the Blue, you'll hear from eight longtime employees from the medical side of UK's campus, ranging from administrators to frontline health care providers to researchers. We asked them to reflect on those scary, early days of the pandemic, how it impacted their professional and personal lives, and some of the lessons learned from living through such a significant moment in history. Let's meet our guests for this oral history of the COVID-19 pandemic at UK and in the Commonwealth. Jenn Alonso has been at UK HealthCare for 13 years and has worked in the medicine intensive care unit (MICU) as a registered nurse since 2014. As a MICU nurse, she works alongside a team of physicians, nurses, therapists and other providers to take care of some of the most critically ill patients who come to UK HealthCare. Alonso was working in the MICU the day UK's first COVID-19 patient was admitted and was directly involved in frontline care for the sickest COVID-19 patients day in and day out. Kim Blanton, D.N.P., is the chief nursing officer for UK Albert B. Chandler Hospital. Blanton began her nursing career at UK in 1998 in the neuro-trauma ICU and worked her way up through several nursing positions, including rapid response nursing, working as a division charge nurse and managing the cardiovascular stepdown unit. After briefly leaving UK to help create and run an ICU at a local rural hospital, she returned in 2011 as a hospital operations administrator before becoming the UK HealthCare enterprise director for Infection Prevention and Control (IPAC) and Quality and Safety. Blanton was serving in her IPAC role when the COVID-19 pandemic began and was instrumental in UK's COVID-19 response: She helped bring home UK students from abroad, called COVID-19 patients to help them navigate their care and quarantine, developed plans and processes for patient surges and PPE needs, and much more. Kevin Hatton, M.D., Ph.D., is the chief medical officer for UK Albert B. Chandler Hospital. An anesthesiologist by training, he earned both his medical degree and doctorate of philosophydegree from UK. Including his time in residency, Dr. Hatton has worked at UK HealthCare for 21 years, serving in a variety of leadership roles in anesthesiology in critical care medicineprimarily for neurology and cardiovascular ICUs. When the pandemic began, he was serving as senior medical director for critical care services as well as was interim director for ECMO services. Initially, Hatton's role focused on training and preparing the anesthesia critical care team to help provide care for non-COVID ICU patients, as much of the medicine ICU staff's time was spent caring for COVID-positive inpatients. ECMO, the highest form of life support, is a machine that takes over function of a patient's damaged heart and/or lungs by removing a patient's blood, oxygenating it, and returning it into the body. Though ECMO is used on a daily basis at UK HealthCare, its use skyrocketed during the pandemic as patients whose lungs were severely damaged by the virus needed this highest form of life support. As interim director for ECMO services, Hatton and his team had to rapidly develop protocols and processes to use the limited number of ECMO machines to help the most patients possible. Ashley Montgomery-Yates, M.D., has been physician in the UK Division of Pulmonary, Critical Care and Sleep Medicine since 2013. As a critical care physician, she works primarily in the MICU setting taking care of the sickest patients – people on ventilators, with multi-organ failure, post-operative complications, and more. In 2013, she launched UK HealthCare's ICURecovery Clinic, which helps patients who have been in the ICU navigate the follow-up care and resources they need to recover. At the time, UK HealthCare's ICU Recovery Clinic was just one of three in the nation. Montgomery-Yates is currently the senior vice chair for the Department of Internal Medicine. When the pandemic began, she had recently become the interim chief medical officer for inpatient and emergency services. In this role and as an ICU physician, Montgomery-Yates and her colleagues were heavily involved in the day-to-day care of inpatients with COVID-19. She was part of the team that launched UK's successful Mass Vaccination Clinic out at Kroger Field, and her ICU teams also helped guide the creation of UK HealthCare's brand-new MICU, which opened January 2024. Meg Pyper is a division charge nurse with the UK Albert B. Chandler Hospital Emergency Department and has been with UK HealthCare Emergency Medicine since 2010. As a charge nurse, her role is like air traffic control for the ED — taking calls from EMS and local hospitals about incoming patients and transfers, determining what services that patient will need upon arrival, and notifying interdisciplinary team members to be prepared when those patients arrive. As a nurse, she was drawn to emergency medicine after seeing her favorite nurse mentors be “the calm in the chaos.” Pyper began in this role just weeks before the pandemic arrived in Kentucky, and she and her team were the first line of care COVID patients received when they arrived at UK Chandler Hospital. Lindsay Ragsdale, M.D., is the chief medical officer for Kentucky Children's Hospital and chief of the Division of Pediatric Palliative Care. Since arriving at UK in 2013, she has worked to build a robust program that helps seriously ill young patients and their families by caring for them holistically – looking at their physical, mental, emotional and spiritual well-being, and helping them navigate the experience of being severely ill. Ragsdale became the KCH CMO in 2021, right when the COVID-19 delta variant was beginning to affect children much more than previous variants had. She helped set up both the pediatric monoclonal antibody clinic that provided infusions to help protect high-risk pediatric patients, as well as the successful pediatric vaccine clinic, which provided COVID-19 vaccines for children in a playful, engaging environment. Rob Sprang is the director of Kentucky TeleCare, a role he's held at UK since 1996. UK first began using telehealth services in 1995. Since then, telehealth has grown by leaps and bounds, but its use skyrocketed during the pandemic. Earlier days of telehealth were usually done facility-to-facility — however, the vastly improved technology and public acceptance of telehealth, along with new, more relaxed regulatory laws around its use has allowed telehealth to explode in popularity. When the pandemic hit Kentucky, Sprang and his team — along with countless ambulatory providers and staff – worked 24/7 for more than a week to get UK HealthCare clinics set up to offer telehealth so that patients could still see their providers without needing to go into the hospital or clinic. Telehealth was a critical element in helping to protect both patients and providers from potential exposure to COVID-19. Vince Venditto, Ph.D., is an associate professor of pharmaceutical sciences in the UK College of Pharmacy with a background in chemistry, drug delivery, and vaccine development. In the early days of the pandemic, his work in blood analysis – looking for biomarkers for cardiovascular disease in up to 1,500 samples at a time – was adapted to do mass testing for COVID antibodies as a means of diagnosis. After PCR tests became the gold standard for diagnosing the disease, his work shifted again — this time to working with local pharmacies for surveillance of COVID out in Kentucky communities. Post-COVID, this project has evolved to include other infectious diseases and inflammatory conditions, and it focuses on increasing access to health care through Kentucky's network of pharmacies. It also has a new name: Pharmacy-based Recruitment Opportunities To Enhance Community Testing and Surveillance (PROTECTS). Venditto co-directs this project along with Brooke Hudspeth, Pharm.D., an associate professor of pharmacy practice and science. Venditto is also part of The Consortium for Understanding and Reducing Infectious Diseases in Kentucky (CURE-KY), which fosters multidisciplinary collaborations to address the burden of infectious diseases in the Commonwealth and beyond. This consortium was built on the heels of UK's COVID-19 Unified Research Experts (CURE) Alliance, which was quickly assembled in 2020 to support a full range of COVID-related research. -- Behind the Blue is available via a variety of podcast providers, including iTunes and Spotify. Become a subscriber to receive new episodes of “Behind the Blue” each week. UK's latest medical breakthroughs, research, artists and writers will be featured, along with the most important news impacting the university. Behind the Blue is a joint production of the University of Kentucky and UK HealthCare. Transcripts for this or other episodes of Behind the Blue can be downloaded from the show's blog page. To discover how the University of Kentucky is advancing our Commonwealth, click here.
When Tony and Leona first learned about the outbreak of a novel coronavirus in Wuhan, China, their family had just recovered from a flu-like illness with mysterious symptoms. As SARS-CoV-2 spread throughout the world, hospitals in New York City were pushed to the brink of capacity and desperately needed ICU nurses. In the midst of an unprecedented national lockdown and mass contagion of fear, Leona signed up to be a travel nurse. She worked in COVID-19 ICUs at hospitals in New York City, Florida, and California. By the end of her last contract, Leona started to question whether public health policies were causing more harm than good. She began to research the most pressing questions of the pandemic:What is the origin of SARS-CoV-2? Has it been spreading for longer than we've been told? Are hospital protocols and mechanical ventilators killing Covid patients? Is it ethical to deny hospital patients visitors? Are Covid deaths overcounted? Does community masking prevent transmission of an airborne virus? Did the lockdowns work or primarily cause harm? Is remdesivir safe and effective? Have people always ignored natural immunity? Are public health mandates a violation of our constitutional rights? Are public health leaders manipulating or omitting data? Can we trust the FDA and CDC?Using over 250 citations, Travel Nurse addresses these questions and more from the perspectives of a Covid ICU nurse and her husband, who tried to wade through the seas of censorship and misinformation to make the best decisions for their family during a global pandemic.Email: tonyandleonalive@gmail.comGet the book here: https://amzn.to/3TyIfc2This episode's sponserhttps://beautysociety.com/drjenQUIZZESSkin care Quiz- what are the best products for your skinhttps://beautysociety.com/skin-quiz/?u=drjenColor matching for timeless collection sticks and more!https://beautysociety.com/color-matching/?u=drjenI am obsessed with this lip plumper called Worth it! I have every color!https://beautysociety.com/productdetail/WORTH1?u=drjen
Welcome to "The Bible in Today's World", the show that compares today's world with the Word of God. In general and specifically, are we following the Bible in our daily walks? Is society demanding that we follow the Word of God in all that we do? Does our Almighty Father look upon us and frequently say, "Well done, good and faithful servant!" - or is He thinking of us as He thought/thinks of Sodom and Gomorrah? On today's show, we will explore "Your Favorite Bible Verse". We will also play Part 2 of my interview with DR. ROBERT RASCHKE. DR. ROBERT RASCHKE, a clinical professor of Internal Medicine and Biomedical Informatics at the University of Arizona College of Medicine – Phoenix, will join us to discuss his battle with COVID, while he was on the front lines in the Intensive care Unit. Plus, we will discuss his book, written under the name of "DR. ANTHONY ECKSHAR", "One Hundred Prayers: God's Answer to Prayer in a Covid ICU". FROM HIS WEBSITE: "On March 20, 2020, anticipating the struggle of a lifetime against Covid pneumonia in the Intensive Care Unit (ICU) where I worked, I resolved to say a prayer a day for a hundred days. Over the next two years, my partners and I witnessed the deaths of over 400 patients from Covid pneumonia despite the highest levels of life support we could provide. I survived the fear, exhaustion, dehumanization and anger I experienced along the way only through my commitment to prayer. In this book, I record 272 of these prayers and the story of what happened to our patients, their families and our ICU team. I learned that the only thing required to receive the gift of faith is to pray for it, and that even a regular person like me can call forth miracles in God's name." Exploring life since 1960, Anthony Eckshar MD has practiced Internal Medicine and Critical Care Medicine in the Phoenix Metropolitan area since 1986. He is a Clinical Professor of Medicine, and although predominantly a bedside provider, also an author of over sixty peer-reviewed research articles. He has taught well over a thousand resident physicians and 500 medical students during the course of his career, has received several teaching awards and was elected to the Gold Humanism Honor Society by the medical students at the University of Arizona. Anthony is happily married since 1984, with two adult children. Anthony Eckshar MD was raised in the Catholic faith (even served as an altar boy) and became a born-again Christian in 1993. He always had an abiding sense that God loved him – one of the greatest gifts a person can receive. Although his faith has waxed and waned over the years, it became increasingly and inexorably inter-twined with his patient care. Dr. Eckshar's prayer life blossomed under the strain of the Covid pandemic. In the spring of 2020, he started praying in ernest. At first, he prayed mostly for his own safety, but as the months went by, he began focusing on others, culminating in praying for every ICU patient every day. Many only pray during adversity, and Eckshar has come to believe that is why adversity is allowed. He believes we were created to share the love of Jesus, but in our stubbornness, we sometimes need to be forced to make a choice. When we chose the path of prayer, “in all things God works for the good of those that love him.” Eckshar sees his job as a holy vocation. Even when incredibly discouraging things are experienced in the ICU, love is stronger. To survive the job, and to provide the best medical care to his patients, Anthony Eckshar MD has learned to love them, in whatever way he can find. He believes Dr. Francis Peabody's words, from almost 100 years ago, still hold true: “The secret of the care of the patient, is in caring for the patient.” https://www.100prayers.org
Welcome to "The Bible in Today's World", the show that compares today's world with the Word of God. In general and specifically, are we following the Bible in our daily walks? Is society demanding that we follow the Word of God in all that we do? Does our Almighty Father look upon us and frequently say, "Well done, good and faithful servant!" - or is He thinking of us as He thought/thinks of Sodom and Gomorrah? On today's show, we will explore "Identifying Sin", Part 8". We will also play Part 1 of my interview with DR. ROBERT RASCHKE. DR. ROBERT RASCHKE, a clinical professor of Internal Medicine and Biomedical Informatics at the University of Arizona College of Medicine – Phoenix, will join us to discuss his battle with COVID, while he was on the front lines in the Intensive care Unit. Plus, we will discuss his book, written under the name of "DR. ANTHONY ECKSHAR", "One Hundred Prayers: God's Answer to Prayer in a Covid ICU". FROM HIS WEBSITE: "On March 20, 2020, anticipating the struggle of a lifetime against Covid pneumonia in the Intensive Care Unit (ICU) where I worked, I resolved to say a prayer a day for a hundred days. Over the next two years, my partners and I witnessed the deaths of over 400 patients from Covid pneumonia despite the highest levels of life support we could provide. I survived the fear, exhaustion, dehumanization and anger I experienced along the way only through my commitment to prayer. In this book, I record 272 of these prayers and the story of what happened to our patients, their families and our ICU team. I learned that the only thing required to receive the gift of faith is to pray for it, and that even a regular person like me can call forth miracles in God's name." Exploring life since 1960, Anthony Eckshar MD has practiced Internal Medicine and Critical Care Medicine in the Phoenix Metropolitan area since 1986. He is a Clinical Professor of Medicine, and although predominantly a bedside provider, also an author of over sixty peer-reviewed research articles. He has taught well over a thousand resident physicians and 500 medical students during the course of his career, has received several teaching awards and was elected to the Gold Humanism Honor Society by the medical students at the University of Arizona. Anthony is happily married since 1984, with two adult children. Anthony Eckshar MD was raised in the Catholic faith (even served as an altar boy) and became a born-again Christian in 1993. He always had an abiding sense that God loved him – one of the greatest gifts a person can receive. Although his faith has waxed and waned over the years, it became increasingly and inexorably inter-twined with his patient care. Dr. Eckshar's prayer life blossomed under the strain of the Covid pandemic. In the spring of 2020, he started praying in ernest. At first, he prayed mostly for his own safety, but as the months went by, he began focusing on others, culminating in praying for every ICU patient every day. Many only pray during adversity, and Eckshar has come to believe that is why adversity is allowed. He believes we were created to share the love of Jesus, but in our stubbornness, we sometimes need to be forced to make a choice. When we chose the path of prayer, “in all things God works for the good of those that love him.” Eckshar sees his job as a holy vocation. Even when incredibly discouraging things are experienced in the ICU, love is stronger. To survive the job, and to provide the best medical care to his patients, Anthony Eckshar MD has learned to love them, in whatever way he can find. He believes Dr. Francis Peabody's words, from almost 100 years ago, still hold true: “The secret of the care of the patient, is in caring for the patient.” https://www.100prayers.org
Myra Gamble is so chill and laid-back, it's hard to believe she's a Trauma ICU nurse. She's also done emergency room nursing, hospice, home health, cath lab, interventional radiology, and telemetry. And I imagine that such a wide range of experience has only made her a better ICU nurse. As I listened to her recount stories from the COVID ICU, I remembered the toll it took on so many healthcare professionals. I loved hearing how she organizes her day (she may have a touch of OCD), and how it's vital in a busy ICU to have appropriate ratios and break nurses.We talked about what it means to be part of a tribe and for Myra, the deep connections she has with her coworkers have certainly enriched her life. She's now enriching others' lives through her business, Travel with a Tribe, LLC. Myra helps travelers find joy in experiencing new places, cultures, people, and food, don't forget the food. She makes it so easy, all you have to do is show up and what could be more alluring to busy medical professionals than to have everything done for you? Maybe more PTO? Yeah, more PTO. Myra's philosophy is life is too short to not use your PTO so get off the couch, get on a plane, and see the world! In the five-minute snippet: Food, don't forget the food! For Myra's bio, visit my website (link below).Traveling with Myra IGTravelJoy websiteTravel with a Tribe FacebookMyra Gamble LinkedInEmailContact The Conversing Nurse podcastInstagram: https://www.instagram.com/theconversingnursepodcast/Website: https://theconversingnursepodcast.comGive me feedback! Leave me a review! https://theconversingnursepodcast.com/leave-me-a-reviewWould you like to be a guest on my podcast? Pitch me! https://theconversingnursepodcast.com/intake-formCheck out my guests' book recommendations! https://bookshop.org/shop/theconversingnursepodcast Email: theconversingnursepodcast@gmail.comThank you and I'll see you soon!
In this episode of the Nurse Converse podcast, Nalina Mendez, BSN,RN discusses the world of travel nursing and how to find the best assignments and agencies. She is joined by guest Natalia Zapata, an experienced travel nurse of seven years. Natalia shares her insights and experiences, highlighting the diverse settings and cultural experiences she has encountered throughout her career. Whether you're considering travel nursing or simply curious about it, this episode is a valuable resource for all nurses.>>Read 5 Tips For New Travel NursesWin a $100 Amazon Gift Card! (2 Winners)In celebration of our new podcast launch, we're giving away TWO $100 Amazon gift cards to those who subscribe, rate and review the podcast by 2/29/24. To enter, leave Nurse Converse Podcast a 5-star rating, a review and subscribe on Apple Podcasts. Then complete this form. >>Complete the entry form to Enter to Win!Jump Ahead to Listen:[03:23] Travel nursing experiences.[03:54] Quitting nursing job and burnout.[08:01] Important factors to consider.[11:15] First travel nursing experience.[15:16] Safety concerns in COVID ICU.[19:45] Leaving behind your partner and family.[25:34] Furnished Finder for housing.[29:24] Safety and advocacy in nursing.Connect With Nalina on social media:Instagram: nalinamendezTikTok: nalinaann For more information, full transcript and videos visit Nurse.org/podcastJoin our newsletter at nurse.org/joinInstagram: @nurse_orgTikTok: @nurse.orgFacebook: @nurse.orgYouTube: Nurse.org
DR. ANTHONY ECKSHAR - will join us to discuss his hospital work during the COVID crisis, as well as his book, "One Hundred Prayers: God's answer to prayer in a Covid ICU". FROM HIS WEBSITE: "Jesus came to die for our sins. But Christmas reminds me that he had to be born first. While we were (and still are) all sinners, God loved us so much that sent his only Son down from heaven to be born and live among us, in order to save us. Jesus was born into chaos, swaddled in an animal's food trough. His family immediately had to flee to a distant land as the tyrannical governor of his homeland sought to kill him. That's how much God loves us, and how important it was to him to be born fully into the danger and insecurity of the human experience. Thank you God for sending your very heart and soul down into our squalor to lift us out. Your birth here 2000 years ago is one of the two greatest signs of hope in all history. May your name be glorified forever. Exploring life since 1960, Anthony Eckshar MD has practiced Internal Medicine and Critical Care Medicine in the Phoenix Metropolitan area since 1986. He is a Clinical Professor of Medicine, and although predominantly a bedside provider, also an author of over sixty peer-reviewed research articles. He has taught well over a thousand resident physicians and 500 medical students during the course of his career, has received several teaching awards and was elected to the Gold Humanism Honor Society by the medical students at the University of Arizona. Anthony is happily married since 1984, with two adult children." www.100prayers.org
DR. ANTHONY ECKSHAR - will join us to discuss his hospital work during the COVID crisis, as well as his book, "One Hundred Prayers: God's answer to prayer in a Covid ICU". FROM HIS WEBSITE: "Jesus came to die for our sins. But Christmas reminds me that he had to be born first. While we were (and still are) all sinners, God loved us so much that sent his only Son down from heaven to be born and live among us, in order to save us. Jesus was born into chaos, swaddled in an animal's food trough. His family immediately had to flee to a distant land as the tyrannical governor of his homeland sought to kill him. That's how much God loves us, and how important it was to him to be born fully into the danger and insecurity of the human experience. Thank you God for sending your very heart and soul down into our squalor to lift us out. Your birth here 2000 years ago is one of the two greatest signs of hope in all history. May your name be glorified forever. Exploring life since 1960, Anthony Eckshar MD has practiced Internal Medicine and Critical Care Medicine in the Phoenix Metropolitan area since 1986. He is a Clinical Professor of Medicine, and although predominantly a bedside provider, also an author of over sixty peer-reviewed research articles. He has taught well over a thousand resident physicians and 500 medical students during the course of his career, has received several teaching awards and was elected to the Gold Humanism Honor Society by the medical students at the University of Arizona. Anthony is happily married since 1984, with two adult children." www.100prayers.org
We sit down with Robert Raschke, a critical care physician and the author of One Hundred Prayers: God's Answer to Prayer in a COVID ICU. We explore the power of prayer in the midst of a health care crisis. Robert shares profound insights and experiences, revealing the role of prayer in providing hope, comfort, and strength to patients, families, and health care professionals during the COVID-19 pandemic. Discover how faith and spirituality intersect with critical care medicine, offering solace and inspiration in challenging times. Robert Raschke is a critical care physician. He discusses his book, One Hundred Prayers: God's answer to prayer in a COVID ICU. Careers by KevinMD is your gateway to health care success. We connect you with real-time, exclusive resources like job boards, news updates, and salary insights, all tailored for health care professionals. With expertise in uniting top talent and leading employers across the nation's largest health care hiring network, we're your partner in shaping health care's future. Fulfill your health care journey at KevinMD.com/careers. VISIT SPONSOR → https://kevinmd.com/careers Discovering disability insurance? Pattern understands your concerns. Over 20,000 doctors trust us for straightforward, affordable coverage. We handle everything from quotes to paperwork. Say goodbye to insurance stress – visit Pattern today at KevinMD.com/pattern. VISIT SPONSOR → https://kevinmd.com/pattern SUBSCRIBE TO THE PODCAST → https://www.kevinmd.com/podcast RECOMMENDED BY KEVINMD → https://www.kevinmd.com/recommended GET CME FOR THIS EPISODE → https://earnc.me/M4xSEa Powered by CMEfy.
In this episode, nursing school professor Brittany Roberts, MSN-Ed, RN, CCRN, joins the show to talk about how to survive nursing school. We discuss tips on how to succeed and reminisce about our experiences during school.-------------------------------------------------------------------EPISODE SPONSOR – AMERICAN MOBILEBecome a Travel Nurse at: https://www.americanmobile.com/-------------------------------------------------------------------TIMESTAMPS:(0:00) Introduction(2:30) Brittany's Experience as a Professor(7:43) Are Nursing Students Helping Each Other(11:46) How Has Nursing School Changed(19:52) Stories From Nursing School(28:15) First Code(35:01) Tips for Surviving Nursing School(48:10) How the NCLEX Has Changed-------------------------------------------------------------------ABOUT THE GUESTBrittany Roberts is currently a professor in a BSN program. After graduating from JMU with her BSN, she worked on a step-down unit for a few years before going into the ICU realm. She has worked in a coronary care unit, cardiac cath lab, and Cardiac Surgery ICU. During the pandemic, the CSICU doubled as a COVID-ICU as well. While working at the bedside, she discovered a love of teaching both new grad nurses and students. She pursued an MSN in Nursing Education from Duke University so she could further explore this passion for education and help usher in the next generation of nurses.-------------------------------------------------------------------FIND US ONYouTube – https://www.youtube.com/nursingunchartedInstagram – https://www.instagram.com/nursingunchartedApple Podcasts – https://podcasts.apple.com/us/podcast/nursing-uncharted/id1570694185Spotify – https://open.spotify.com/show/1btLYaMHoabT3icqGUgesBWebsite – https://www.americanmobile.com/podcast/nursing-uncharted-------------------------------------------------------------------SHOW CREDITSHost – Maggie ReichardProducer – Jonathan CaryAssistant Producer – Katie SchraubenAssistant Producer – Sam MacKayMusic – Aidan Dykes
Emily is a registered nurse who works at Barnes Jewish Hospital in St. Louis, Missouri on the Cardiothoracic ICU, and she worked Covid ICU during the pandemic. She also works from home as a legal nurse consultant, who assists attorneys in cases such as medical malpractice, personal injury, product liability, toxic tort, and social security. I came across Emily's profile on LinkedIn ,and was so curious to learn more about what she does for a living as a legal nurse consultant. We discuss how her role allows her to improve patient outcomes and provides her with a platform to be an advocate in her field. Learn more about Emily's work helping lawyers find their dream careers at her website, or on her LinkedIn profile.
In my interview with Nicole Cromwell, we didn't talk a lot about the specifics of nursing, though Nicole has a long history of practicing in some of the most high-intensity, high-stress areas, including oncology, intensive care, Covid ICU, and flight nursing. The cumulative stress of this took a toll on her in the form of burnout. After losing a young patient in the ICU, an artist, Nicole discovered art as a healing modality and the ultimate form of self-care. What she didn't expect was that people who experience her art, feel the same emotions as she does while creating it: peace, serenity, and a renewal of their spirits. There is a huge body of research that cite the benefits of creating art in any form: decreased stress and anxiety, increased endorphins, and easier access to emotions, just to name a few. Nicole wants nurses and all healthcare professionals to reap the benefits for themselves. In the five-minute snippet: This is my kind of girl's night out!Nicole Cromwell ArtJoin the wait list for the Brave Beginner's Course!Death by Suicide by Registered Nurses National Plan for Health Workforce Well-BeingContact The Conversing Nurse podcastInstagram: https://www.instagram.com/theconversingnursepodcast/Website: https://theconversingnursepodcast.comGive me feedback! Leave me a review! https://theconversingnursepodcast.com/leave-me-a-reviewWould you like to be a guest on my podcast? Pitch me! https://theconversingnursepodcast.com/intake-formCheck out my guests' book recommendations! https://bookshop.org/shop/theconversingnursepodcast Email: theconversingnursepodcast@gmail.comThank you and I'll see you soon!
Lynn Strickland - wife, mom and grandmother - held on to God's promises as she was in the hospital for 92 days during the Covid lockdown crisis. From intensive care to walking, breathing and living completely free of assistance, Lynn praises God. She continues to share her powerful story and the promises she received from God which helped her live through this critical time.
In this episode, guest Sara L. Merwin, co-author of The Informed Patient: A Complete Guide to a Hospital Stay, shares her experience helping a family navigate their loved one's hospital stay during the height of the COVID pandemic. With visitors not allowed in the ICU, Sara served as a remote advocate, helping the family communicate with the care team and providing guidance on getting the best outcomes for their loved one. She discusses the importance of patient advocacy and how having a helping hand can make a significant difference in navigating the complex hospital ecosystem, especially in the midst of a pandemic. Sara L. Merwin is the co-author of The Informed Patient: A Complete Guide to a Hospital Stay. She shares her story and discusses the KevinMD article, "The isolation of the COVID ICU: the need for patient advocates." The Podcast by KevinMD is brought to you by the Nuance Dragon Ambient eXperience. With a growing physician shortage, increasing burnout, and declining patient satisfaction, a dramatic change is needed to make health care more efficient and effective and bring back the joy of practicing medicine. AI-driven ambient clinical intelligence promises to help by revolutionizing patient and provider experiences with clinical documentation that writes itself. The Nuance Dragon Ambient eXperience, or DAX for short, is a voice-enabled, ambient clinical intelligence solution that automatically captures patient encounters securely and accurately at the point of care. Physicians who use DAX have reported a 50 percent decrease in documentation time and a 70 percent reduction in feelings of burnout, and 83 percent of patients say their physician is more personable and conversational. Rediscover the joy of medicine with clinical documentation that writes itself, all within the EHR. VISIT SPONSOR → https://nuance.com/daxinaction SUBSCRIBE TO THE PODCAST → https://www.kevinmd.com/podcast RECOMMENDED BY KEVINMD → https://www.kevinmd.com/recommended GET CME FOR THIS EPISODE → https://earnc.me/cEy0nT Powered by CMEfy.
He's big, he's beautiful, he's Dr B!!! This beloved, hilarious and uplifting informed birth advocate, chiropractor, podcaster, doula, father of four and all round epic legend has graced us with his presence and knowledge this episode. From memorable birth stories, to the intricacies of the birth world, his ICU Covid nightmare and Sarah's porno-like birth vocalizing, this episode will give you all the LOLs, the OMGs and ALL the feels. So gather up your preggo friends and focus on the next hour as this pioneer of the birth world drops some mighty fine pearls of wisdom to “chirossage” you through your pregnancy and birth! Resource Links: Listen to Dr. Berlin's Informed Pregnancy Podcast Listen to A Home Birth Story - Miss America on the Informed Pregnancy Podcast Watch Dr. Berlin's documentaries by starting your free trial at Informed Pregnancy+ Follow Dr. Berlin on IG: @doctorberlin Follow Sarah Wright Olsen: IG: @swrightolsen Follow Teresa Palmer: IG: @teresapalmer FB: https://www.facebook.com/teresamarypalmer/ DISCOUNT CODES: • Go to www.baeo.com and get 20% when using the code MOTHERDAZE20 • Go to www.lovewell.earth and get 20% when using the code MOTHERDAZE20 More about the show! • Watch this episode on YouTube here • Co-founders of @yourzenmama yourzenmama.com • Read and buy our book! "The Zen Mama Guide To Finding Your Rhythm In Pregnancy, Birth, and Beyond" Learn more about your ad choices. Visit podcastchoices.com/adchoices Learn more about your ad choices. Visit podcastchoices.com/adchoices
News flash! Vitamin D prevents Covid ICU and deaths! Of course, we all knew that as far back as early 2020.But now there's a new meta-study that actually shows that, yes, Vitamin D administration does prevent ICU admission and death. It cuts both in half.Click Here for Part 2
In this episode we welcome critical care nurse practitioner, Kali Dayton, DNP, AGACNP. Kali is a member of the Society of Critical Care Medicine and host of the ‘Walking Home From The ICU' podcast. Kali works closely with international ICU teams to help transform patient outcomes. They focus on early mobility and management of delirium in the ICU. She joins us to chat about her early days and experience in the ICU, sedation in patients and the effects of mobility of patients in the ICU, medications, how she helps with patient healing and more. Kali tells us about what inspired her to start her podcast and shares a story about her experience with an ICU survivor.SPONSORBETTERHELPBetterHelp is the largest online counseling platform worldwide. They change the way people get help with facing life's challenges by providing convenient, discreet, and affordable access to a licensed therapist. BetterHelp makes professional counseling available anytime, anywhere, through a computer, tablet or smartphone.Sign up today: http://betterhelp.com/solvinghealthcare and use discount code “solvinghealthcare"TRANSCRIPTKK: We are on the brink of a mental health crisis. This is why I am so appreciative of the folks over at BetterHelp everybody the largest online counseling platform worldwide to change the way people get help with facing life's challenges by providing convenient, discreet, and affordable access to licensed therapists. BetterHelp makes professional counseling available anytime, anywhere through a computer, tablet, or smartphone. Sign up today go to better health.com And use a promo code solving healthcare and get 10% off signup fees.SP: COVID has affected us all and with all the negativity surrounding it, it's often hard to find the positive. One of the blessings that has given us is the opportunity to build an avenue for creating change. Starting right here in our community discussing topics that affect us most such as racism and health care, maintaining a positive mindset, creating change the importance of advocacy, and the many lessons we have all learned from COVID. If you or your organization are interested in speaking engagements, send a message to kwadcast99@gmail.com or reach out on Facebook @kwadcast or online at drkwadwo.caKK: Welcome to ‘Solving Healthcare', I'm Kwadwo Kyeremanteng. I'm an ICU and palliative care physician here in Ottawa and the founder of resource optimization that one, we are on a mission to transform healthcare in Canada. We're going to talk with physicians, nurses, administrators, patients and their families because inefficiencies, overwork and overcrowding affects us all. I believe it's time for a better health care system that's more cost effective, dignified, and just for everyone involved. KK: Kwadcast nation super exciting episode I got flowing with you. We got Kali Dayton. She is a nurse practitioner that has taken ICU delirium, ICU mobility so seriously, she's got her own consulting firm. She also has her own podcast ‘Walking from the ICU'. Such a great phenomenon. So, we got her you'll hear this episode. It's a live cast that we did a couple of weeks ago. I'm just proud of her. Someone that's taken getting people healthier and out of the ICU and functional seriously, and we need more of that going on right now. We're only gonna see higher demands. So, without further ado, I'm gonna bring Kali on but first, check out our latest newsletter, kwadcast.substack.com It has everything Kwadcast, our episodes, or newsletter, guest blog appearances, guest vlog appearances, you're gonna love it. Kwadcast.substack.com Check it out. Without further ado, I want to introduce you to Kali Dayton. Welcome to the podcast.KD: Thank you so much for having me on. I've been following your podcast; I appreciate your mission. I see a lot of our objectives are in line.KK: Oh 100% 100%. So, Kali, can you walk us through your story? You're a nurse practitioner. That is, like I said, changing the outlook for critically ill patients. How did you get here?KD: Absolutely. I'm sure a lot of my listeners know my story very well. I started out as a brand-new nurse, many years ago, over a decade ago, in awake and walking ICU. That's just what I call it now. That's the term that I've coined to describe what they do there. In the interview in my naivete, I was just excited to be there. I had no idea what they were talking about when they asked, ‘Would you be willing to walk patients that are on ventilators?' and I was willing to do anything, right. I was just brand new graduate. I said yeah, of course absolutely teach me everything. I didn't understand the magnitude of that question until probably three to eight years later. Because when I started working there, no one made a big deal out of it, for decades and that ICU it's a medical surgical ICU, its high acuity, they've had a COVID ICU throughout the pandemic. They've maintained it this practice of allowing almost every patient to wake up, usually right after intubation, unless there's an actual indication for sedation. What's been intubated on mechanical ventilation is not an indication for sedation. So, unless they have an inability oxygen with movement, seizures and cranial hypertension, something like that, otherwise they are awake. They're reoriented and they're allowed to communicate, tell us what they need. We manage their pain according to what they tell us. They're usually mobilizing shortly after within hours after intubation, and throughout the day, and throughout their time on the ventilator. So that was completely normal. No one told me ‘Hey, Kali, this is the gold standard of care. This is the model for all early mobility protocols in the world' Everyone knows about this ICU. No one told me that. So, I spent a few years there thinking that that was normal critical care, medicine, knowing none the wiser. Then I became a travel nurse, and I went to other ICUs in the in the United States. My very first contract when I walked into the ICU, it just felt different. But I knew I expected things to feel different, right? It's a new environment. But everyone was in bed. Everyone looked like they were asleep. There were very few signs of life, and I got my patient assignment, and the patient was sedated and on the ventilator. I didn't know why they were sedated. I wanted to continue my routine, do a neuro exam, hopefully get the patient in the chair ready for physical therapy, because that was my routine, in the wake & walk ICU. A lot of times physical therapy comes out of that patient is in the chair waiting for the physical therapist, take them on a walk even on the ventilator. So, I asked my orientee nurse, ‘Hey, can I get this patient up and take him for a walk?' and she looked at me in horror and said, ‘No, they're on the ventilator. They're intubated' What didn't make sense to me, because I've cared for at least hundreds, maybe even 1000s of patients that were on the ventilator and were awake and walking. I had no idea what she was talking about. I said, ‘I know that they're intubated. But why are they sedated?' ‘Because they're intubated?' and I say, ‘Okay, but why are they sedated?' and we went in circles. That was the first time it ever crossed my mind that a patient would be automatically sedated, just because they were intubated. I quickly realized that that was the common perspective throughout the ICU, that I was the odd man out there. Here's the thing. Despite my years of experience, treating patients like that, I knew how to do it. I didn't know why we did it. No one had taught me what sedation actually does. No one taught me what it's actually like for patients, and how much it changes outcomes. So, in that environment, I didn't have the tools to support my approach and my practices and to advocate for my patients. I was still kind of a new nurse, and I was, you know, you just had to fit in in the ICU. There's so much peer pressure, there's the culture is such a huge part of it. I ended up just taking the ‘When in Rome' approach and I just went with what I was surrounded with, and I ended up following along sedating my patients. I didn't really obviously know the difference. I mean, I saw a difference in outcomes. I saw patients stay on the ventilator for far longer. I missed the human connection, I noticed that there were a lot of tracheostomies and nursing home and LTech discharges that I did not see the way can walk in ICU 93% of survivors from that high acuity medical surgical ICU that I came from, went straight home after the after the ICU.KK: That is nuts. That is nuts.KD: That's what I thought was normal. So, I was noticing things, but I couldn't really put my finger on it. I couldn't advocate and I just went with it. Right. I even laughed at some of the nursing jokes about yeah, I hope my patient sedated, and totally snowed today. Thinking that that was funny, and it wasn't till years later that I was in grad school. Of course, even in my acute care doctorate program, nothing was mentioned about sedation or mobility practices. It was just assumed even in our case studies, it was assumed that if a patient came in with pneumonia, they were going to be sedated if they were on a ventilator. I was on a plane ride, and I sat next to a survivor. When he heard that I was a nurse and ICU nurse, the color dropped from his face. He started telling me about his experience over four years before that moment when he was a patient. He told me what it was like to be on a ventilator. He just barely mentioned the ventilator. All he could fixate on was what it was like to be in the middle of a forest with his limbs nailed to the ground and trees were falling down on him and he couldn't run away. Demons were coming to the sky and lots of things that he still couldn't talk about, because he was so deeply traumatized. I was stranger on this plane and he's sobbing to me, telling me about what he experienced. Of course, I wanted to diagnose him and I said ‘it sounds like you had ICU delirium' but that meant nothing to him. I came to realize as I listened with real empathetic ears, that that wasn't just a nightmare. Those weren't hallucinations. Those were vivid and real. He was psychologically scarred as if he physically lived through those scenarios. I was really shaken. I really hoped that he was one in a million, because he was telling me that for year after discharge, it was really difficult to relearn how to sit, stand, walk, swallow, that was really hard. The hardest part was that for year after discharge, every time he closed his eyes, he would be lost back in that forest back in that scenario, and he could not sleep. So, the depression, anxiety, physical disability, I didn't ask about the cognitive function because I didn't enough know enough to know that he wouldn't be at high risk of having post ICU dementia. He said that he still had not returned to his career. His life was over. He said ‘I know I feel bad even telling you this, I should be grateful to the ICU to him for saving my life, but my life is over. The life I knew before the ICU is gone. I lost my life in the ICU. If I were ever to become sick, I would never cross a toe back into the ICU. He was a DNR/DNI in his 40s, with no other real comorbidities because he never wanted to live through that again. I think what he meant by that was ICU delirium. I had worked in the ICU about six years. We have never I never heard anyone talk about anything like that. So, I thought this must be a fluke, he must be one in a million. So, I went survivor groups. I thought I would have to post and ask survivors questions. No, the second I got into survivor group, I just scroll through and almost all their posts were about the trauma suffered under sedation and these medically induced comas, what it was like to not be able to balance their check book, read a book, read a clock, like they were barely able to text. These are people thinking ‘How long is this going to last? my brain is not the same'. So that is what got me into looking into the research. I was shocked to find decades of research, exposing the harm of our normal practices. Yet we continue to do those things and I was back in that awake and walk ICU. Seeing a completely different way and I've seen this contrast from what I experienced for years as a travel nurse. Then where I was currently at as a doctorate student, nurse, and then I started working as a nurse practitioner, in that same ICU. That's when I started this podcast ‘Walking home from the ICU' to show what they were doing in the ICU and now it's turned into ‘how do we revolutionize our normal practices in the ICU?'KK: I got so much here, first. I never even would have comprehended or would have thought that your initial experience, I didn't realize that your initial experience was people were able to ambulate and get out of bed and reduce the amount of sedation. KD: People are gonna say ‘Oh, well, that must have been, you know, long term mentors or not that high acuity' They were the first ICU to publish the study back in 2007, showing that it was safe and feasible to walk patients on ventilators and in that study, they had PF ratios less than 100.KK: What that means in nonmedical folk is that your lungs were extremely damaged and require a lot of supplemental oxygen to make sure your saturations are high enough that your oxygen levels are high enough. So, this is the sickest of the sick. From a breathing perspective, getting up and hustling and movement answered. So that is amazing. From a personal side, it must have been an absolute mind F that you couldn't, that you went from one extreme to the other. I'm doing tell you from my I've worked in several ICUs in my country, and the latter is the norm, people aren't getting up on a ventilator, you know, they're not getting, they're barely getting up into a chair on a ventilator. KD: They aren't even getting sedation vacations, they're snowed. KK: One of my main jobs in the ICU when I walk in is minimize the sedation and even often I've seen in practice, they're getting Dilaudid or opioid infusions for no real reason to be honest with you. They're not post op. They have no pain syndrome and we're given pain medication in infusion, which accumulates and what you're describing to amongst patients, my other job is in palliative care when they get toxic or delirium. Delirium from medication. Yeah, that can be traumatic, these memories, these images. That must have been an absolute frustrating experience to go from one version to the other.KD: I was just really confused. I mean, I was still I feel like I'm still new in my career and impressionable. No one taught me the why that's the unfortunate thing about a lot of our medical education is we're taught how we're taught task lists, but we're not taught the why that allow us to critically think and see a bigger picture. I feel like looking back I was really victim to that. I but I would still ask every ICU ‘So, shouldn't this patient get up? Can I get them up?' because it I knew that was beneficial. I wanted that and a lot of it for me was, I wanted to see my patients get better. When you're walking a patient moments later, you know that they're progressing, you get to connect with them, you get to know who your patients are, I had no idea who my patients were, they were just bodies in the bed. That's not why I got into medicine. So even just selfishly, I wanted them to be off sedation, had I known that by taking off sedation, we could decrease their seven-day mortality by 68%. Oh, I would have been all over that, but I didn't know. I did work in one ICU, where they had some level of ABCDEF bundle, which is a protocol to help guide teams to minimize sedation and get patients up. There's such a spectrum of compliance and different approaches to it. So, I was taught to do an awakening trial, which means you turned on sedation. The purpose really should be to get them off sedation, it should be sedation cessation, but I was taught. So, you know, at five o'clock in the morning, we must turn down sedation, it's super annoying, I know but just turn it down. Wait to see them thrash - that's how you know, when you see all their limbs move that they haven't had a stroke. When you can tell they can't tolerate the ventilator, then you turn the sedation back on and call it a failed trial, just chart it. I was confused. I didn't know what the objective was, I didn't know what we were doing. I didn't know why they were agitated. For her to say it's because I can't tolerate the ventilator. That was confusing to me because I'd seen so many patients tolerate the ventilator. I didn't understand delirium, and I hated awake new trials. They were laborious, they were stressful, they felt unsafe. It's hard to see patients between delirium, it's hard to see them be so uncomfortable, and you can see the terror in their eyes. But again, when in Rome, I just did what I was told, unfortunately. So, this is my journey now is almost my penance for the harm that I caused my patients during those years. KK: Well, Let's be honest, Kali, you can't be looking at it that way, man. We all remember sedation is the norm. What we're doing now is trying to advocate for change. I can't emphasize enough the change can be dramatic for people like it really comes down to function. If you in the ICU and you're paralyzed into intubated on sedation and analgesia, you're not moving, like you're not using your muscle. Then when you're trying to go back to what you want it to where you want it to be. I think a lot about our COVID patients. They were in the 40s/50s/60s, that are trying to get back to working, trying to get back to doing the activities that they love to do. When you think about this not only are you impacting their ability, like they're not getting to their functional level, but what's it doing for their family. Now you got a loved one that's got to take care of them, that might have to take off time off work too. It just is an absolute amplifier when people can't be functional.KD: For those that maybe don't work in the medical field, or even especially those that do, here's what we're not talking about the bedside, here's what we're not telling patients and families. When we go into surgery, they give us informed consent, they tell us here are the remote risk that things that could happen, right. What we don't do before intubation for patients and our families is tell them the actual risks of sedation. We don't understand ourselves that sedation is not sleep, it disrupts the brain activity so severely that they don't get real REM cycle. So, my perspective is that it's a form of torture, really, I mean, that's what we do, and war in the military, we deprive people of sleep, and that's what we're doing to our patients when we give medications that make it so they cannot get restorative sleep. Many of our study, sedatives are myotoxic, meaning that they're toxic to the muscles, so it causes more muscle breakdown. Then on top of that, if there's absolute disuse when you're stopped sleeping deeply sedated, you're not even contracting a muscle usually. So that disuse makes it so that our muscles break down more. That disruption of sleep often caught is one of the mechanisms that causes delirium, which is acute brain failure. It's an organ dysfunction. That can turn into long term post ICU, dementia, cognitive impairments. So, they cannot return to their normal lives can't take care of their families can't go back to their jobs because they can't. Cognitively their brains can't function the same way anymore. They have this post ICU PTSD because of those vivid scenarios that they live. I'm not going to call them hallucinations, because that's, that's not accurate. Those were real to them. We just don't see that big picture of sedation, and we just don't even question and I do that a lot in my life too. They're things that I'm just taught that I don't question, but we don't question whether or not sedation is necessary. Sometimes it is. When we understand how risky it is, then we can do a true risk versus benefit analysis for each patient to say, ‘they're intubated for this reason, does that necessitate sedation?' If not, let's get it off and see what they need. Let them communicate. Let's prevent delirium. Your platform is all about preventative medicine. In the ICU you come in with one acute critical illness and we sign them up for chronic conditions?KK: Absolutely, as you said, like it really is about what can we do to prevent this from becoming a chronic condition. Honestly, it's a culture change, from what I could see. What's sad about medicine, is that we have data to support how bad things are or how good things are. The amount of time we invest in create that change is limited. If you look at the data for sedation vacation, so that same principle of, turn off someone's sedation, periodically, that we know that has positive outcomes, like we know that, but you could go through an ICU, throughout any country in North America and the odds are that they're not getting it routinely. Why doesn't that happen? That's why I'm proud of Kali. Number one, being a champion of this, ICU care sucks, but a lot of us that will end up in there. So, we want to be able to optimize care, but also like just doing some about it. It's one thing to want to bring attention to it but also, being an activist. I think it helps. So, you've got the podcast, Kali, you've done some other work, how else have you been able to increase awareness? You could even get into like, what the podcast also has done for you or in the people around you?KD: So with a podcast, I started that right before COVID hit. I don't know if your god person but I, God told me to start a podcast in December 2019. I barely even listened to podcast didn't know how to start one, but I couldn't. I couldn't rest. I knew exactly that I had to start, I had to put out 32 somewhat episodes by the beginning of March of 2020. I didn't know why it had to be so fast and so furious, and survivors came out of nowhere. I interviewed my colleagues, researchers, it was just this miraculous setup that just came together, put out all these episodes, and then COVID hit. I thought ‘well now it's all gonna be all about COVID, and no one's gonna care about this'. God back handed me and said, ‘This is for COVID They're gonna be millions of people on ventilators, how is this not relevant to COVID'. So, I continue to throw out COVID Even though I recognize that the ICU community was not really in a place to revolutionize. The hard thing is that this could have been so beneficial to COVID we created more work for ourselves with the sedation practices, you talked about awakening and breathing trials. Once I just looked at only wake & breathing trial started sedation, turn it off once a day and then turn it back on. Decrease ventilator days, by 2.4 days, days in the ICU decreased by three days in that hospital decreased by 6.3 days, when we're in a staffing crisis, we need to have a process of care that's efficient actually gets patients out of the ICU. Instead, we created this bottleneck where patients are now stuck on the ventilator because they're too weak to breathe on their own. Even if their lungs are better. Now they need tracheostomies. They're stuck in a ventilator. We can't at least in the States, we couldn't get them to LTACH because LTACH's were too full of all the other COVID long term patients. So, then the ICU wasn't rehabilitating these patients, and so then they develop more hospital complications, and then they ended up needing more care. It's just we created so much more work for ourselves. It just was a hard time to really take on a new endeavor and totally change your practices. But during COVID, everyone ran back to the 90s. Not everyone but a lot of people ran back to the 90s. As far as using benzodiazepines, higher doses of sedation, deeper sedation longer times, there was so much fear. We did a lot of fear-based medicine. So, I just kept chugging along with my podcast, knowing that the community was going to need healing after all of this. We were going to need a lot of rehabilitation within our own clinicians, but also within our practices. So now, teams are coming to me saying what we're doing now. We're still doing COVID care even these are not COVID patients, we're still we're back to deeply sedated patients. Where are we lost so many seasoned clinicians, new clinicians came in during COVID. They've been trained to deep deep, deeply sedate, they don't know how to move patients they're scared to. But one team said I look on my ICU It's not an ICU, these aren't ICU patients. These are LTACH patients. These are rehab patients that we're not rehabilitating. We're bottlenecked. We can't get these patient outpatients out, we can't get new patients, we're stuck. We're creating that kind of scenario. So now, I work as a consultant and I do training with the teams, I teach them the why the reality of delirium, giving them a picture of an awake & walking ICU using real case studies, pictures, videos, so that we have a vision of what could be I feel like the ABCDEF bundle when it was rolled out in the mid 2000's good change happened, a lot of things moved forward. I do feel like we didn't explain fully the why behind it. Until every ICU clinician hears the voice of survivors, they won't be afraid of sedation, they'll still be inclined. We started, we continued this start sedation automatically, then at some subjective point down the road, start to take it off, when they come out, agitated, turn it back on, we just didn't, we didn't give them this perspective of ‘Hey, most patients should be awakened walking. Here's how to treat delirium and here's how the team works together' we put a lot of it on nurses, which is not fair, feasible or sustainable. So, as I work with teams, I tried to really give them a foundation of why, and then how, how to treat patients without automatically sedating them. When the sedation necessary. How do we navigate appropriate and safe sedation practices? When do we use it? How do we mobilize patients, I go on site with teams and I do simulation training, we do real case studies and practice and the whole team practices together. Because it's a skill set, we think about pronation, when we started printing patients, everyone was terrified. And it took so many people and it took so long, you know watching every little line and now teams flip them like pancakes, right? It becomes a skill set. So, I tried to get them opportunity to practice that on a pretend patient. So, they can think through critically think through the scenario, think through delirium, thanks for ICU acquired weakness, then practice mobilizing patients with different levels of mobility.KK: My brain is going like, the whole time, it's like you need to come see our group.KD: Let's do it. I'll hope on a plane tomorrow – I can't actually. I'm going to Kentucky tomorrow, but let me know I'll be there!KK: We would absolutely love to have you. Just knowing where a lot of clinicians lack is hearing the voice of the people that have gone through it. Clearly, that's been a motivator for you in terms of why we need to pivot and provide less sedation to our patients and mobilize our patients and avoid them from having all these secondary complications as a result of being immobile. The means are there. KD: The data is strong; the data is really powerful. I mean, decreased mortality by 68%. Who doesn't want to do that, right? So, but almost even more powerful are the voices survivors, when you hear their voices in your head when you're sitting in a patient. It's haunting COVID, there were times when patients could not oxygenate the movement. I had to sedate them. I hated it. I just felt sick because I, I just didn't know what they were experiencing. I didn't know if they were in pain. I didn't know what was going on underneath that they were going to live with us the rest of our lives, it's because of the survivors that have interviewed on my podcast, they are the educators.KK: Yeah, I have so many ideas going through my head. I would love after when we jump off, links to the some of the episodes from the survivors that we can pass along to our group, to our show in general, but our group to give a sense of what it really is like to go through this. Yeah, our patients don't come I mean, every once in a while we get a patient come back and say how they're doing but they don't give us the they don't give us the negative side, they really focus on showing some gratitude. KD: Which is good, but if they came back, it's probably because they weren't too traumatized to come back. The ones that don't come back. I mean, why would you go back to the place that you are sexually assaulted?KK: Yeah, no, yeahKD: It's like to trigger and some people can't even go the same street as that hospital. On my website under the resources tab, the clinician podcast, at the bottom, the page is organized by topics. One of those topics is survivors of sedation and mobility, as well as survivors of an awake & walk ICU. So, you can hear their different perspectives and testimonies, it's organized by different topics. KK: You're an organized cat, I'm looking at it right now. I can tell you, you're very structured and organized just by the way your website is set up. It's on point.KD: It's curriculum. This is education, this is not just a hobby. I mean, this is we've got to make sure we get the right information to the right people.KK: You're so boss. You're gonna be running an organization one day, and ICU, I don't know. I see big things for you.KD: We'll see. I mean, I have a lot of optimism for the future of critical care, going to conferences, meeting with people at the bedside podcast listeners reaching out. It's not just me that cares about this. That's why I continue is that there are so many people that I call revolutionists, sometimes as the lone voice in their ICUs. But they're bringing big changes, they're making waves there so my motivation with podcasts is to provide the ammo, the quiver the arrows in their quiver, so that they can share that with their colleagues get more buy in, so that they don't have to reinvent the wheel. It's a lot to change a perspective and change a culture. It's hard.KK: Yeah, and maybe just seeking some advice, we had Dr. Wes Ely on the show and how to create some culture change around this issue. I want to hear your perspective. Kali, how do you think you do create that culture change? Because you bring this up to many staff, and they'll be like, ‘Oh, they're gonna extubate themselves? Oh, we're short staffed. This is not gonna be able to work.' What are your thoughts?KD: Yeah, this has been a lot of my journey is figuring out what are the barriers? and how do we address them? I think we're over the checklists. I think it is important to systemize and protocolized our practices. When we implement these kinds of changes, we this can't just be “Hey, Nurse, take off the sedation' that is not going to work. They have some valid fears at all I had ever seen. With a patient coming off sedation. After days, two weeks of sedation, I would have a lot of inhibitions. When I'm busy. I don't have time to wrangle that patient. I don't have time to make sure they don't self extubate. I have a Thank you for reading Solving Healthcare Media with Dr. Kwadwo Kyeremanteng. This post is public so feel free to share it.whole episode on unplanned extubations, but delirium increases the chances of unplanned extubations by 11 times. So, it's just changing the perspective understanding what is delirium? why should we be panicked about it? What causes it? We are practices are some of the biggest risk factors and culprits of delirium in the ICU, and to learn doubles that are in hours required for care. So, when we're short staffed, why would we create a delirium factory? When it doubles our workload? It doesn't make sense, but when that's all we know, we don't understand that there's a better way to do it. So, my approach when I go to help a team have culture change is to, again explain the ‘why' give a perspective of what could be, here's what patients can be like, when we don't sedate them. If they when they wake up after intubation, it's like coming out of a colonoscopy. Endotracheal tubes not comfortable. Here are some tools to help make it more comfortable. Here's how we can talk to them. Give them a pen and paper, I would get agitated and panicked. I couldn't communicate. Here's how you involve the family, here's the toolbox to help you succeed and have that patient be calm & compliant. And they will protect their tubes. I've had patients write ‘please be careful my tube' That's what I need to experience. So, when you find a couple of case that isn't so easy hits, easy wins. Allow your team to see a patient awake, communicative, calm in even more while on the ventilator, the perspective starts to shift. Then they start to ask, okay, that was easy. That was fun. That changed outcomes. They walked up the ICU. Who else can we do this on and it starts to have a domino effect. So suddenly, we expect him to just shut up and do it. That's, that's not going to cut it. I don't think that I think that's partially why the ABCDEF bundle rollout, years ago was not has kind of gone away, because we didn't provide the why. We also, again, I think starting sedation, and then taking off later, is a lot of work. We should only do that if it's absolutely necessary. Otherwise, I mean, I have an episode with a hospital in Denmark, they do the same thing and that allow patients to wake up right after intubation. They are so much easier, more compliant, because they don't have delirium, we have to understand that that agitation is usually rooted in delirium, we have to come to really be terrified of delirium.KK: I'm really enjoying this, I'm really liking this because it's even at that added perspective of saying, ‘Hey, your workload is going to be worse if people are delirious, so let's avoid going delirious in the first place' Let's just get a grip on this bad boy, out of the gate.KD: You're all about preventative and it's like, Let's prevent one of the biggest culprits of mortality. Delirium doubles the risk of dying in the hospital. So, people say we don't have time to mess with all sedation practices, like let's just sedate them and like, save their lives and figure it out later. No. By doing that, by increasing the risk of delirium, we could double their chances of dying. So, if we care about mortality, then we will care about our sedation practices. We also know that ICU acquired weakness is really laborious. When people imagine mobilizing patients on ventilators. What they're imagining is taking off sedation days to weeks later when they're delirious. They can barely lift a finger and now we're trying to mobilize these, you know, 200 plus pound adults to the side of the bed. That's dangerous, laborious, it takes so many people. If a patient walks into the ICU or into the hospital, hypoxic hypotensive, whatever. We have moments later, we haven't stabilized. Why can't they walk? Did we cut their legs off? Right? So, once we have oxygenated, perfused, what's the harm in sitting outside of the bed and seeing how they do when they're not delirious, they can tell us how they're feeling. We can provide more support on the ventilator; they can probably walk better than they did come in and hypoxic. Once they're stabilized hours later, or even 24 hours later. So that is so much easier when they maintain their ability to walk. So, in the COVID ICU, many patients were standby assists to the chair with a nurse while they were on a ventilator, because they're alone in the room, right? Physical therapy could go in and work with a patient, just scoot the ventilator wall to wall as they're stuck in their rooms, help them stand or sit, step on steps, they were alone in that room with these patients, because they were strong enough to do it, because we didn't allow them to be under myotoxic sedation and I would say rot in the bed. So, all of that plays into an ease of workload. Then obviously the get off the ventilator sooner, get out of the ICU sooner. It makes the workload easier. So, it's a little bit of an exchange and efforts in some ways. Yes, you must talk to a patient. Yes, you must assess them a little bit more. But also, could during COVID, I was hearing about swapping out propofol bottles every hour, picking up to go in and out to titrate vasopressors that we were getting just because of the sedative and hypotensive effects. All of that is effort but wasn't necessary and wasn't beneficial.KK: I'm telling you, you are changing the boogie. Yeah, changing the conversation and perspective. This is something that can dramatically impact patient care. If we could get the buy in, in the culture. Wow.KD: You know, people will say ‘Well, we don't have we're trying to save $25 million this year. We can't afford to pay our payer clinician some extra time for education or whatnot' The ABCDEF bundle, even in their spectrum of compliance, decreased healthcare costs by 24 to 30%. KK: Oh, yeah. KD: ICU acquired weakness increases healthcare costs by I want to say 30-40%. Delirium increases healthcare costs by 40%. ICU acquired weakness increases healthcare costs by 30.5%. So, by having a process of care that prevent those complications with decreased healthcare costs. So why wouldn't we, right? KK: 100%. We even we had a paper out last year showing the financial impacts of ICU delirium. We always think to have the opportunity cost, that money could be diverted into more staffing, more resources for physio, optimizing nutrition, all these things can be enhanced. If we, if we make it a priority. KD: I think it's one of our one of our strongest cards to play for staff, safe staffing ratios. To say staff is better, we'll get better care in this using this protocol. We will save you so much money so it's investing thousands to save millions or billions.KK: I love it. You're speaking my language. We are definitely going to have you back in some capacity. I don't know that for some reason. It's not just gonna be the show. I really want to get you talking to our group. Maybe regional rounds, or something. I don't know what it's gonna be. It's something that we need to hear more of talked about the patient experience, your own experience and the drive like what's pushing this. Knowing my people a lot of intensivists and an ICU nurses and allied health professionals, we want to achieve this, get our patients to a point where they are better. Really better, not just alive, but thriving. This starts here. I really do believe it starts here. So I just want to give number one, Kali some mad love on what you're doing and continue to hustle, it's paying off. Second. How do people get to know you a little bit more? and about the show and the consulting and so forth?KD: So, have a website www.daytonicuconsulting.com. There's more information about consulting services available, the podcast is on there, the podcast has transcriptions and citations organized by topics. KK: So organized folks. KD: 116 episodes, and I really didn't even know how much of a what's called a rabbit hole that this would become. There's so much to learn about the science behind what we're doing as well as the patient and clinician perspective. So, check that out, find the topics. If nothing else start at the beginning. I think the beginning lays a foundation, I was very intentional about how I organized it at the beginning to lay a foundation of ‘why' and ‘how' comes later. I'm on Instagram @daytonicuconsulting, Twitter, Tik Tok. Go ahead and set up a consultation with me send me an email and we can chat about your team, your barriers, even your family members what's going on? I'm obviously obsessed. So, I'm here for you! let me know.KK: So good. So good. Thank you so much for joining us. Those on the chat group or that are watching live. You want a piece of this episode just tap NL into the chatbox will give you a copy the video and the end the podcast when it's released. Awesome work. Congratulations.KD: Thanks for caring about this.KK: 100% KK: Kwadcast nation that's exactly what I'm talking about changing the boogie right here in ICU care. Follow us on Instagram, YouTube Tiktok Facebook @Kwadcast Leave any comments at kwadcast99@gmail.com, subscribe to our newsletter. Essentially, it's like a membership you want to know more about Kwadcast nation. Go to Kwadcast.substack.com Check it out. Leave that five-star rating and continue to allow us to change boogie in unison. Take care, peace. We love you.Solving Healthcare Media with Dr. Kwadwo Kyeremanteng is a reader-supported publication. To receive new posts and support my work, consider becoming a free or paid subscriber. Get full access to Solving Healthcare Media with Dr. Kwadwo Kyeremanteng at kwadcast.substack.com/subscribe
Episode 38. Summer in South CarolinaIn this episode, I will be talking with Summer in South Carolina. This is a powerful episode about not only COVID loss, but long COVID. Summer's husband, Robert, was in the COVID ICU for 81 days and then he was released to a rehab facility and came home in October 2020. And he was home for almost 18 months. But Robert, and Summer, struggled through his long COVID. They saw specialists and doctors who all told them to "wait and see" and so they did. Robert died on March 22, 2022 in their home of a massive heart attack brought on by complications of Long COVID. As Summer says, God gave her husband back to her only to lose him. She has become an advocate for Long Haulers and offers help and support to everyone struggling with Long Haul in the medical system. Summer advocates for Long Haul with Covid Survivors for Change. She is part of the Yellow Heart Memorial LongHaul advocacy and she is a powerful storyteller. Her husband told her to keep telling his story and she has. They have been features on Fox News, ABC news and many other news outlets. Many of those links are in the show notes below. Lastly, we do talk about detailed medical procedures and suicide is mentioned in this episode. Know that this may be triggering for some.Covid Survivors for Change Yellow Heart Memorial And here are links to just a few of the online news stories about Summer and her husband, Robert. https://www.foxcarolina.com/2022/03/25/upstate-frontline-worker-passes-away-after-after-massive-heart-attack/https://people.com/politics/covid-19-survivors-sign-letter-donald-trump-for-failed-leadership/https://www.cnn.com/2022/06/19/us/young-parents-covid-deaths/index.htmlFor context on this interview and the ever-changing pandemic, we recorded this episode on August 17, 2022.Support the showIf you've lost a loved one to COVID and would like to share your story on the show, please send me an email. My email address is forthosewelostpodcast@gmail.com. Or go to the website forthosewelostpodcast.com and click on contact button and you can reach me that way as well.This show won't ever have a paid members area or episodes you have to pay to listen to, but there are expenses with hosting a podcast. If you would like to help, please support the show.All episodes are written and produced by me and all music is used under the protection of fair use. Our social media accounts can be found at:Instagram Twitter FacebookYouTube (work in progress for the captions)Until next time!Long Road Ahead by Kevin MacLeod is licensed under a Creative Commons Attribution 4.0 license.
What was it like as a travel COVID ICU nurse to jump into an “Awake and Walking COVID ICU”? How does true mastery of the ABCDEF bundle impact RN workload, burnout, safety, and career fulfillment? Travel RN, Laurelai, shares with us her experiences and insights. Www.DaytonICUConsulting.com --- Support this podcast: https://anchor.fm/restoringlife/support
Beckah Swan's first-hand account of working as a critical care Covid ICU nurse during the height of the COVID crisis will give you a stark and dramatic portrait of the challenges and dangers nurses faced during this time. You will also get some invaluable information about causes of the medical errors that occurred. After working in an LNC firm and gaining valuable training in that role, Beckah returned to the critical care environment in Nov 2020 and worked as a critical nurse until April 2022. She vividly describes the experience of wearing heavy and restrictive protective gear, a condition that made it difficult to achieve patient-nurse rapport. As a traveling nurse, Beckah worked in many hospitals, all of them plagued by the lack of sufficiently trained critical-care nurses. For example, she describes situations where she had as many as four critically ill patients who should have benefited from a one-to-one treatment relationship. Neonatal and other nurses trained in specialties other than critical care were assigned to assist her, but they couldn't perform many necessary medical functions. The shortages of both personnel and equipment led to many situations where medical errors occurred. On an even more sobering note, Beckah adds that many nurses who worked under those conditions may be filing their own suits against the hospitals that failed to support and protect them in these dangerous conditions. Don't miss this compelling podcast. Join me in this episode of Legal Nurse Podcast to learn about Covid ICU and the LNC - Beckah Swan How did COVID impact the ICU environment? What is it like to practice nursing in constant crisis mode? How does the perpetual crisis mode impact patient safety? What are some specific medical errors that could occur in this environment? Why will some cases be difficult to prosecute? Listen to our podcasts or watch them using our app, Expert.edu, available at legalnursebusiness.com/expertedu. https://youtu.be/FuG4XxoInmQ How to Heat a Fiery Brand for Your LNC Business: Tips to Be Noticeable As a legal nurse consultant, you face a lot of competition. How can you convince an attorney to choose you over the many other LNCs seeking clients? The answer is branding: giving people a reason to choose you because they feel you offer something they can't get anywhere else. In How to Heat a Fiery Brand for Your LNC Business: Tips to Be Noticeable, by Pat Iyer, you'll discover how to define and express your unique identity, the special gift you offer your client that no other LNC can. It may be ● exceptional customer care, ● attention to detail, or ● going above and beyond what the client requests. Learn what your gift is and use it to position yourself in the LNC world. Then you will attract attorneys for whom price is not an issue because your branding makes it clear that hiring your services will yield rewards beyond price. That's what branding is: giving people a reason to choose you because they feel you offer something they can't get anywhere else. You can Still get the Recordings for our 6th Virtual Conference! LNC Success is a Livecast Virtual Conference 3-day event designed for legal nurse consultants just like you! Pat Iyer and Barbara Levin put together THE first Legal Nurse Consulting Virtual Conference in July 2020. They are back with their 6th all-new conference based on what attendees said they'd find most valuable. This new implementation and networking event is designed for LNCs at any stage in their career. Build your expertise, attract higher-paying attorney clients, and take your business to the next level. After the LNC Success Virtual Conference, you will leave with clarity, confidence, and an effective step-by-step action plan that you can immediately implement in your business. Your Presenter of Covid ICU and the LNC - Beckah Swan
We all have very important men in our lives. Today's guest, Ken Hobbs - author, speaker, and coach - shares the importance of being a Man of Honor and how to encourage the man in your life. Ken shares his story about the influence of a man in his life and what value it had in his own life as well as some of the joys of writing with other men in the Amazon #1 Best Seller United Men of Honor: Overcoming Adversity Through Faith, published by World Publishing and Productions. ***** Kimberly Hobbs Welcome to Empowering Lives With Purpose. And I'm your host, Kimberly Hobbs. I'm the founder of Women World Leaders. And ladies, we are so happy that you joined with us today. And today we're going to talk about United men of honor overcoming adversity through faith. And it's my pleasure to introduce our guest today, Ken Hobbs. And Ken is my husband. Ken Hobbs Well, I, I'm excited to be able to do this, I've been looking from the background, and now it's kind of neat to do this ladies. Kimberly Hobbs Well, we're happy to have you and, and ladies, we all have men in our lives, whether it be our husbands, fathers, sons, nephews, friends, we all have men that we love very much. And we are happy to announce that women, world leaders and world publishing, work together with United men of honor, and put out this amazing book, United men of honor overcoming adversity through faith. And throughout this book is tools for men, to help them be those men of honor that God has called them to be. And we believe that this book will be an inspiration, a hope, help and healing to many, many men, it already has proven so this book has gone to number one best seller, and actually four Times best seller. And we're going to talk a little bit today about the content of this book, so that it might inspire you to get the book for your man in your life that you really want to reach in touch with a helpful message. So I would like to talk to you a little bit today about Ken Hobbs. And before we get into his story and why he he chose to write about United mandhana, overcoming adversity through faith, I want to share a little bit about him. Not only is he my husband, he is a Christ follower, a wonderful man that has dedicated his life to impacting others in paratroop parachurch ministries, missions, and his business as well, which is a marketplace ministry. He's the founder of United men of honor leading coaching and motivating men to become men have God in their homes and in their businesses and communities. He's part of a leadership team, which is Band of Brothers. He strongly passionate about bootcamps and believes they are needed in this world so that men don't have to fight their struggles alone. Ken is also a Senior Vice President and financial coach to multiple brokerages, and he operates he owns and operates them in South Florida, but they're far reaching across the country. So he's married to me, and has wonderful children. And he works in reaches around the world in multiple multiple ministries. So we are very happy and honored to have you today. I love and I want to open up by sharing a little bit about the book. And there was a paragraph I wanted to share with you ladies about the book before Ken shares about his particular story within the book. As the enemy does his best to take out men off of their mission, the war He instigates rages on in men's lives around the world, where have all the mighty men gone? This world needs more men to step up, step out and be men of honor. Isn't that the truth. They need to be warriors for their faith, their family, their community and their country. And they need to be strong for the week leading them with courage to be overcomers. And this book has been written to proclaim the stories of God, his overwhelming provision and his care and share his word with you and with the world. So we're all a work in progress trying to accomplish great and mighty things in our lifetime. And this book can definitely be an inspiration to many who are just trying to find their way in life. Because these stories that all these men that have come together to write are transparent, and they all focus on how God got them through adversities through faith. So Babe, you talk about in your chapter, the influence of a man and why why did you choose to write on the influence of a Man, and why is it so important to be an influence in this world? Ken Hobbs Well, I think one of the things that I talked about is, is that men, you know, that having men are influenced by other men, just like women are influenced by other women. That's why women world leaders, and that's why we have united men of honor and man, two brothers, because men, you know, made a difference. You could be your father, your grandfather, a coach, all everybody has been influenced, you know, by somebody else. And I was fortunate, and I wrote my chapter, the influence of a man is that there is a positive and there's negative influences that we've known that we've seen generationally, some of you know that somebody has had bad fathering, or that you know, was had a bad coach or a bad leader. And you know, that that turned out to be goes goes on, because that happens, you know, one of the things that the influence of a man can also have a huge power effect. And what I saw is in my life is where my dad wasn't there, I had two grandfather's that were pillars for me. And so it can be passed on for generations, it can happen, and it can make a deal. One of the things I opened up my chapter with, and it talks about, it says, you know, your dictionary.com says, influence can be defined as the ability to affect the character, development, or behavior of someone or something. And it requires developing strong emotional connection with each, excuse me, with yourself, and others, those who master the art of influence are often skilled at tapping into emotions that drive people's actions. And, you know, that's one of the things that I'm that I hope that I have been able to do as far as with my ministries, because you know, we're here not to push not to pull not to, you know, not to force people. But we're here to, you know, all of us have influence. And one of the reasons I wrote this chapter is to talk about how different people can influence you, and can teach you and how you can make a difference. You know, just like what you've done with, you know, women, world leaders, the influences that you've had on your books and sharing those things. It really makes an impact in today. Kimberly Hobbs Amen, amen. And you talk about in there, the different ways that men can influence their, their followers, you know, like, how they can pour into lives. And I think that's so important. You know, us women, were supposed to teach the younger women and it talks about that, and in God's word, so how do you feel that men can pour into other men to be an influence in their life? Ken Hobbs Well, one of the things is, I'll take the takeaways for me, you know that, you know, one of the scriptures that my dad and we use in Vanda brothers, you know, when my dad taught me, and we use a band of brothers is First Corinthians 1613 through 14, it says, Be watchful, stand firm in the faith, act like men, be strong, let all you do be in love. And so there's almost a contradiction there. In today's society, if a man is strong, and he is that testosterone guy, they say that testosterone, if he's strong, is toxic in today's thing, but then the Scripture says, Be strong. But then it says, In all things, too, in love. And that was one of the things I was actually modeled, I can say that with my, with my four influences in my life, I was modeled that my father taught me what the definition of forgiveness was, which probably was the single most important thing that happened to me, is to learn that because I could then understand, not how God forgives us. But then also I could be able to relate to other people. And I could go and separate. And so what my dad, and my grandfather taught me, is that true forgiveness is when you can remember the hurt or the incident, and not feel the pain, or the emotions. And that's what God does for us. He remembers everything's written down. But you know what, it doesn't matter because it's not counted against us anymore. So I use the analogy. It's sort of like pleading, no contest, you're guilty as charged, but you're not adjudication is withheld. It's covered. And that's what we do when we forgive. That's why people ask for mercy. Mercy is unmerited grace is unmarried. That means you didn't do anything to deserve it. You're actually you're guilty. You have nothing but we give you mercy because we choose to love you. And I think that's what being strong and that was so important. What I learned from the men that I had in my in my book, and then if you read the rest of the chapters, there are some very, very strong influences that went on through that, how they were able to navigate their walk. So we have pastors that that are pastors today. But when they started out that some of them had addiction problems, some of them had insecurity problems. And in fact, the co founder of our banner brothers with us in Florida, you know, he actually was second grade a teacher, he tested it in test well, so the teachers had called his parents in and said, Well, he's got a problem. He's got a learning deficiency, you better gear him towards sports, because he has a learning deficiency. And really, all he did is he added attention to some deficiency, he was actually so smart. And he now has master's degrees and has all that, but his parents believed what that teacher said, and that and he believed that for so many years, and that's why he wants to go out for sports and stuff. But then he found out now today, his master's degrees, he leads organizations, he's got 100, brokerages in his financial coaching business, all because that lie what other people say isn't necessarily true. And that's what these stories can do. It can expand you what you've been told the agreements that you've been, that you've made, that other people or the world is telling you, insecurities, all those things are not that important that God can overcome adversities through your faith. Kimberly Hobbs Amen. Amen. While the influence of a man is so very important in lives, right? And how, how do we become that man of honor, and you know, who you have prayerfully spoke to many men, that you feel that God put on your heart to be a part of this book. And these men didn't just come into this book, by chance, each one of them have an incredible, powerful story that will truly inspire, I mean, people will read it and say, Wow, if this person can be transparent, and share this, and get through this, with God's help, there's hope for me. And that was the purpose that you wanted those people that God's strategically placed into this book, to write. And so can you share a little bit about stories and how influencing these stories out how important it is, I know, when you go to Band of Brothers, you share stories, because they have impact on people. And they teach people and all through this book, there's teaching, but we'll get into that in a minute. But talk about all the different people that God called to write in this book, and influence others. Ken Hobbs Well, you know, one of the things that you know, the scripture that we use, and I know you've used it many times, and it's been the pillar of why you use testimonies, why you've been able to be so successful with women, world leaders and, and be able to rally women around because they, you know, Revelations 1211. And I actually have it in the book here. And I think I don't want to open the answer the question, first of all, by reading that Scripture, the passion translation says that the best says, They conquered him, that means the enemy completely through the blood of the Lamb, and the word of their testimony. And he may triumph, because they did not love and cling to their own lives, even when faced with death. See, what happens is, is that because of our insecurities, because of our pride, we don't share our stories. We don't tell those, those intimate things. And it's one of the things that it's so appealing to choose such an amazing, amazing servant leader, and that you share your story and how you started the copulation books by sharing your story and tears to triumphant and how you serve the story of the turtle faith of the university. We've had with some people in our family and all those things that have gone through as it and that's what we did, and we unified it and Banner brothers 10 years ago started with this where we have responders that deal with each of the four pillars, you know, the adventure to live, the, the princess to, to love, right, the the children to Father, you know, and how important it is because what we're playing for is that according to Barna stats that we quote, a lot of times that they say that when a man comes to the Lord first 93% of the time, the rest of the family will follow. When the woman comes first, it's 37% of the time the rest of the family will follow. And when the child comes first, it's 17% of the time. So if we one of the reasons why we are so aggressive, you know why we are so pushing for this, we're men because men are hard to get to men have caught up into their own things. And this world is trying to isolate men, where we're talking about their strength in a band of brothers. If we unite we can truly be united men together. And so we want to teach people how to do that so that they can father because you understand this generation has been not fathered not parented, mothered is not been coached, it's not been mentored. And that's one of the things that the millennials and the generation X's Z's are having as they've been left to technology, and the media, so much more influence than on an actual parent or coach or a leader of them to be able to do it. That's why I believe these two in these two ministries that we run are so important in this book, the different stories and the last thing I'll talk about, we have a gentleman here that wrote, called did differently abled, and he wrote the story about his son, and what he went through that his son was born not not a normal birth, it had some issues and became differently abled. And how he turned that into a ministry and save souls today, by doing triathlons with carrying him and pushing him by going across, he just went across the from the Bahamas to Fort Lauderdale, on a on a boat, in pulling a paddling, paddleboard paddling his son behind them. And that story was just so amazing, because some of the ladies can understand that, that feel what their child, you know, is going through that we have another gentleman who was a Jewish American brought up there and had real father wounds and never knew what forgiveness was. And he writes his forgiving forward story, and how that work and how he was able to get restoration, we have a father and son team that are in the book, and we are so excited about them. And you know what happened and their stories, how they were able to relate to each other, but also a for the kingdom, you know, and to, they all had their own processes they had to go through, but they were so genuine to share it how a person that owned a construction company that felt the Lord calling him to donate the construction, so you need to and not for profit. And now to do that he writes his story in there. And then the last I can, there's so many there's over 20 stories that I want to leave anybody out, just giving you some highlights you really need to read it is that, you know, we had a gentleman that was in COVID ICU, that went through that whole COVID process with his family, and then nobody at that, that was in that COVID ICU with him, walked out of there except for him. That's the mighty man of God, you know, we're able to do and then are closed with the chapter of agenda on basically a job story, a doctor who lost everything, he still has a trachea and lost his family lost, you know, his health and couldn't walk with thought he was going to be told he was going to suppose to die many, many times, and how God is now using him to tell his testimony and tell his thing. And then his life is still process. But he's walking through it and telling the testimony as it is. Kimberly Hobbs It's amazing, truly amazing, the men that have come forward to be transparent with the world. And ladies, you could read this book for yourselves and be influenced and moved by what you read. And then I'm sure you're going to want to pass it to those men in your life that you love so much. Because when they can sit down and really read the stories of another man and they can identify with these because these men talk openly about things that they have had to deal with in their life. You know, but God and God helped them through so it gives hope, help healing to others that may be looking in and glimpsing in at these stories, I'm telling you, it's a powerful book, it's already gone to a four times bestseller. So it has sweep the categories and categories as number one bestseller. And again, that's God because He knows these messages need to get out to the world. So the other thing that this book supplies, which is a fantastic is the teaching the teaching with within the book in between each chapter, there are different teachings, you know, face to the subtitle is overcoming adversity through faith. Well, it takes faith to overcome insecurities. It takes faith to overcome temptation. It takes faith to overcome addictions. Each of these are spelled out and how to deal with these things that men face continuously that they're bombarded with. So, um, my love, can you talk about some of these teachings that you have decided to put in between the chapters that are powerful? Ken Hobbs Well, you know, one of the things was is, this was my first time writing I've spoken in front of 1000s and I have been in public speaking now almost 30 years. And but writing is a different challenge that I have never done because when you transfer what you think and what you say, and you put it down into writing, it changes everything because it actually becomes more real. First off is they always talk about that but the second thing is is that it really made you deal with things that When you're just speaking about it and sharing about it, you don't always deal or think or go back to those times that you had. And so writing about that, in order to write that, you know, you had to actually go back to those times and analyze where it was. So one of the things I dealt with is I kind of felt or dealt with an abandonment issue that I was my parents got divorced when I was very young, and they fought over me for custody and for you know, everything and, and I actually was, when they both got remarried, it was a huge, huge transition. I know probably, you're really you know, your followers are probably have some of the same situations and dealing with that. So I went from the father over child, to the abandoned child, I felt like in you know, one of the things so I talked about how I dealt with abandonment and what Scriptures helped me through but more importantly, is having one of the toughest times of my life, you know, that I've felt more abandoned than I ever felt when I was eight years old, turned out to be the greatest memory that I childhood memory I had when my grandfather pop scene went and got a Winnebago and we went across country and, and went to the Mount Rushmore and Tetons and all the different areas across the country and, and just had an amazing, amazing time. And now with, with my, my aunt, and we just had an amazing time, it turned into a great, great memory, my best childhood memory, I could say, one of my best, and that here is but that was when I was dealing with the biggest issues of abandonment. So God allows people to come into your life. And that's where a man can go and be there for another man. And that's one of the things we talked about. Insecurities is a big thing for a man. I mean, especially in this technology world, we got Facebook, Instagram, we've got all kinds of social media, everything is broadcast out there everything is you're on video camera, everywhere you go everywhere you drive, you're on video, you understand life is is a showcase. And so what ends up happening is is how do you deal with those insecurities? How do you deal with it? How do you man up in this world, right? We talk about how do you navigate yourself and when though even society doesn't even want you to be a man, you know, where a man of God or a Christian man is looked at as Mr. Rogers, whereas God wants you to be David or be Braveheart or be Gladiator. He wants you to fight for what's right, fight for your princess, fight for your children fight for your community, and how do you fight, he fight by putting on the armor, the spiritual armor, you know, the helmet of salvation, we carry around the military coin, that the end of our band of brothers when in fact, we had a band of brothers bootcamp with a record breaking over 450 guys that were there we went through the whole, you know, four day workshop on how to don't call the Wild at Heart, how to deal with all the adversities that you're dealing with, and really breaks down everything that coaching and teaching has never really done in churches and other groups. And we've actually have a coin that when you go through the the bootcamp, they give you this coin and it has on there, put it on Ephesians six, Put on the whole armor of God talking about is is when you feel stressed, you feel depressed. You feel, you know, unworthy, you feel unappreciated men, really I hear more and more that men feel unappreciated today than they ever did because of just the way society you know works and the way society is going right now and and that really is a problem. So they care for this court that you've got to make sure an armor up. We call it fit to fight. We got to look to the other guys and say are you fit to fight? Did you put on your helmet this morning? Did you wash your brain? Did you got your righteousness on your breastplate so everybody can see it that what God has done for you? How big is your sword? Like Oh, guys like the compare how big their fish are? You know, and they always had their fish stories? Well, we want to talk about how big is your sword? And that's how much you know of the Word of God. And then also how big is your shield? How big is your faith? I think that could be the greatest security that a man can give their family, their community that they could do is their faith is so big, that the shield becomes a force field around their families, their communities, their churches. So those are some of the highlights of some that changing, but you got to read the book to get more. Kimberly Hobbs Yes, absolutely. The teaching is fabulous. And there's so much helpful in there. And we just know that it is just it's going to rock the reader and they are going to just be so moved by what they read and what is poured into them. And I just want to share one more thing at the close of this book. And you had written that God has a plan for your future but so does the enemy and that is so true. His intentions are not good. The devil's plan cannot succeed if you're walking and talking with God living in obedience honoring him and standing firm in His Word that your sword and you speak in Teach of that all throughout this book through the men stories through the teaching. So despite what is happening around you, your enemy, the devil will be defeated. But he's going to try to wreak havoc on you until he is. So ask God for strength and endurance to continue in what you must do, don't give up or give in. Remember, if you start getting consumed by present battles in your life, and feel like you're going nowhere, God has your back. And one of the ways is through a book like this, because you will get so much learning so much teaching so much and for in SPIRATION, that God is preparing you for what's next. So don't lose heart. So as we close in the next minute or two, can you please just speak into the listener right now, which is mainly women right now. And talk to them about how this book can even make a difference in their life? Ken Hobbs Well, first off is is that all of you one of the things i i love about this, because I read, you know, all the women were leaders books, okay, just so you know, there it is. I have a signed copy from, from the publishers and the authors. So I make sure and do that. But I read the women's stories, and I do their I actually read the women's devotionals that are put out every day, because it gives me a better insight into the women in my life. Obviously, my my love, you know, but I also into my mom, my stepmother, the other women that I'm interacting with that it really, really helps you. So I would first recommend that if you have men in your life, and you would like to have a better relationship, understanding them, so that you can though and maybe have a little bit more influence or, or direction if they needed that this book would be a great read for you. So if you understand what other men have gone through, and how they overcome it, the you can then go and encourage and guide and and do that. The second thing is is that you can actually use this book and have it around and have it well. And try to encourage your man your father, your your husband, your son, your steps on your uncle's any man that you have in your life, or any man in need. There is a story in here that everybody needs to hear. Okay, and it all comes back to the Lord. We're talking to Jesus in His Word is what we direction everything is in the end, I want you to understand that we don't want to get churchy. But we are going to direction where our, our faith and our strength comes through. And, and that happens. And the second thing, the third thing I thought was really cool. And this was something that Kimberly did for me the day that was actually launched that it's a really neat thing, if you order the Kindle version, is that you can actually have Alexa read the Kindle version. So Kimberly went in the head at when I came home that day, and she said Alexa, play United men of honor overcoming adversity through faith or to read it. And it actually read everything that it just went through. And it was so almost brought me to tears hearing it done. Well that's maybe something you could do while you're getting your dishes. While you're doing other things that are going on that you could be listening to it, but guess what other people are listening to. And that happens a lot. And then for your unsaved man that you might have or your unsaved person, you know, obviously pray, okay, but utilize, try to encourage the book. And if they're not open to that, that's okay, too. But you model what some of the things you're going to learn how to deal with the man in your life by this book and be able to utilize it and go forward. Kimberly Hobbs Thank you. Thank you great word. And so yes, it is not just for the men, it is for everybody. So in there is something that we can all take away from this. I mean, I can't even tell you the flooding of ladies that have already read this that have been coming back with tears. Everybody's saying tears powerful, like they can't even get through this book without crying through all the chapters because these men like I said, I can't say it enough. They are transparent. And they wrote from their heart and they revealed a lot of junk. And there's like four pastures in this book as well. And you know what's so amazing is that they had to go through something we all have a past right? To get to where they are now and how God brought them there is truly remarkable. So when you hear these kinds of stories, ladies to it will rock your world. So as I close, God is awakening warriors to step up and be heard as they live with valiant and courageous faith. With the stories and teachings United men of honor overcoming adversity through faith will help you armor up, become fit to fight and move forward with what it takes to be an honorable leader and kindness as we close out right now. There are going to be those that want to reach out to you and get more information about Band of Brothers or can you give out a way they can reach you in the last 30 seconds? Ken Hobbs Got it. No problem that first off is is that my bio is in the front of the book. And I do list all our websites that are there that you can access their band of brothers fl.com www dot band or brothers fl.com is for the bootcamps. United men of honor United men of honor.com is another way, my direct email and I'll have any problem with that if somebody wants to contact me direct 10 Hobbs number two@yahoo.com Ken Hobbs, number two Yahoo, we would love to be able to pray. We're also on social media have your man or if you want to follow us on Facebook group, we have a group called United Men of Honor, we all just like you ladies have one. And we also have an Instagram and a telegram chat. I do want to close with one quick scripture one, I really encourage you ladies that if you are pursuing your man's and your man's heart, see that's what you need to do. Don't pursue your man or their actions pursue their heart that the last scripture was his revelations 319 through 21. All those I love I unmask and trained. So repent and be Eagle eager to pursue what is right. Behold, I am standing at the door knocking, if your heart is open to hear my voice, and you hear the door and you open the door within I will come in to you and will feast with you. And to the one who conquers I will give you the privilege of sitting with me at the throne. That's what the stakes were paying for. stand at the door don't give up. Kimberly Hobbs Beautiful, wonderful word. Yes. And I just have one more scripture to add to because God says Call on me when you're in trouble, and I will rescue you and you will give me glory. And that's exactly what this book is about is all the men that God has rescued from all the garbage that has been in their life. And now they are glorifying him sharing their stories, that Psalm 50 Verse five, if you'd like to know. So God will work everything together in his time. So don't give up. Ladies, this is such a helpful tool, United men of honor overcoming adversity through faith, which is available on Amazon, and also many other different avenues. It's available at Barnes and Nobles. But we have a favor to ask if you are going to order this book for Christmas birthdays, whatever God puts on your heart, would you please order through World publishing and productions.com Because all proceeds of this book go to support the ministries and we are very grateful that God has provided that opportunity. So again, we asked you to go to World publishing and productions.com to the shop and you can order United men of honor overcoming adversity through faith. God bless you all, we are so thankful that you joined in today and pray that you will enjoy the book and please reach out please give us messages of how it impacted you because we placed those on social media we placed them in our world publishing and productions. Lines and we and also on Amazon, please write reviews on Amazon. It's so so important when other people looking to see if maybe they should get this book, they read those and we God can use you in an impactful way to pour into the person saying should I read this book or not? So those would be helpful. So we have to close and again I thank you my love for being on today Ken Hobbs. He is one special man and I am thankful that God brought him into my life and I get to serve the Lord with him. So thank you for being on today babe. Ken Hobbs Oh, love being here. I love being Mr. Women World Leaders, too. Kimberly Hobbs Amen So from his heart to yours, ladies, we are women world leaders all content is copyrighted by women world leaders and cannot be used without expressed written consent, but reached out to us. We want to hear from you. God bless you all have a beautiful and wonderful day.
Vidcast: https://youtu.be/vbnUSpg07wc Complete CoVid vaccination plus a booster reduces the chance that a pregnant woman will develop a moderate to severe Omicron infection 3.5-fold. This study by the UK's National Perinatal Epidemiology Unit reviewed the cases of 3699 women admitted to 94 British hospitals with test positive Omicron. Even more striking was the fact that 76.7% of symptomatic women admitted to the ICU for respiratory care including ventilator therapy were unvaccinated. In contrast, NONE of the CoVid ICU patients had received 3 doses of the vaccine. If you're pregnant or planning to be, better get vaccinated and keep your booster status up to date. That means, if its more than 5 months since your last booster or if you are immunosuppressed, diabetic, or fighting disease such as cancer, immediately get your Omicron booster. https://bmjmedicine.bmj.com/content/bmjmed/1/1/e000190.full.pdf #CoVid #pregnancy #vaccination #hospitalization #icu
Carnivore diet: Prior: I was very skeptical. I debated people on the carnivore diet on Twitter espousing the benefits of Mediterranean / plant-based diets. Start: August 9, 2021 Benefits first 3 months: 30lb fat loss and 10lb of lean mass gain, digestive irritability reduced, energy levels and mood improved. Benefits after 3 months: I realized that for the first time in 2 decades I was no longer depressed. I have a gym routine again after 2 decades of lack of motivation. I've been sharing my story on YouTube. Regenarianism: I call myself a Regenarian. Regenarians make three foundational commitments. 1. We support farming practices that protect our home, planet earth, and the farmers that provide us with food. 2. We recognize that humans have the right to access ways of eating that are consistent with our species, Homo sapien, and 3. With the acknowledgment that life requires a balance of right and wrong actions, we support farmers and hunters who do the most right by treating livestock and prey according to the highest ethical standards possible. My pinned tweet speaks to the way of the Reganarians. https://twitter.com/Regenarian/status... Nursing credentials: BSN Bachelors in the Science of Nursing CCRN Critical Care Registered Nurse certified through AACN.org ATCN Advanced Trauma Care for Nurses certified through TraumaNurses.org Recipient of the Daisy Award for Extraordinary Nurses. https://www.daisyfoundation.org/daisy... COVID ICU from day to through the worst of the 2021 waves that hit Arizona. Social accounts: TikTok.com/@regenarian Twitter.com/regenarian Youtube.com/NurseEric Instagram.com/regenarian_ 00:00 Introduction 05:02 Metabolic syndrome 10:19 Explaining carnivore diet to others 12:41 How do you know the carnivore diet is working for you? 15:45 How do you define health? 18:51 Heart attacks and diabetes 29:41 Young, fit people dropping dead from COVID 31:05 Talking to patients about diet and lifestyle 33:11 Regenarianism 35:07 Chicken and duck eggs 38:53 Mental health 41:25 Resistance training 45:11 Plant-based diet, ayur veda 48:10 Hypercarnivore definition Join the Community: https://carnivore.diet/join/ Book a Carnivore Coach: https://carnivore.diet/book-a-coach/ Carnivore Shirts: https://merch.carnivore.diet Subscribe to our Newsletter: https://carnivore.diet/subscribe/ . #revero #shawnbaker #Carnivorediet #MeatHeals #HealthCreation #humanfood #AnimalBased #ZeroCarb #DietCoach #FatAdapted #Carnivore #sugarfree
A conversation with COVID ICU, PCU, and Med/Surg Nurses about their experiences during the pandemic. We discuss some of our memories from this challenging season, the lessons we have learned, and how it has changed us as nurses.
**Trigger Warning: This episode contains mention of suicide. Discretion is advised. ** On this week's episode of Good Nurse Bad Nurse, Tina is joined by social media influencer and nursing advocate, Nurse Erica! Together they discuss a disturbing medication error during the height of the COVID-19 pandemic. Make sure you stick around to the end of the bad nurse segment for an update on this on-going story! Tina and Nurse Erica also bring awareness to the mental health struggles of healthcare workers, and highlight one organization's efforts to bridge the gap in mental health. For our Nashville listeners, don't forget to make your voice heard in the upcoming DA election! Every vote counts! Election Day is May 3rd. Show RaDonda your support and join and our Facebook group: Nurses March for RaDonda Vaught! Sources: https://www.myersforda.com/ https://tennesseelookout.com/2022/03/31/knoxville-hospital-uses-covid-as-liability-shield-for-suit-over-fatal-medical-mistake/ https://www.npr.org/sections/health-shots/2022/03/31/1088672446/a-nurses-death-raises-the-alarm-about-the-professions-mental-health-crisis Got FOMO? Fear not! Don't miss an episode of Good Nurse Bad Nurse! Subscribe on your favorite podcast platform! Please support our podcast by becoming a patron, just visit https://goodnursebadnurse.com/ to learn more! Feeling disconnected? Check out our socials and follow us on Facebook and Instagram. Facebook: Good Nurse Bad Nurse Podcast Instagram: @goodnursebadnurse Check out our sponsors below! Thank you to our new sponsor HCA Healthcare! If you're a newly graduating nurse, please visit them at https://careers.hcahealthcare.com/pages/hca-healthcare-careers-for-new-graduate-nurses to learn about their nurse residency program! Thank you to Trusted Health for sponsoring this episode. Please go to https://www.trustedhealth.com/gnbn and fill out a profile to help support our podcast and see what opportunities are out there for you! Thank you to our sponsor Samuel Merritt University! If you're interested in getting more information on their MSN and DNP programs and scholarships visit them at fnp.samuelmerritt.edu and show them how much you appreciate them for sponsoring our podcast! Thank you to our sponsor CBD Stat! If you use CBD oils, please try CBD Stat and get 30% off high-quality CBD available at http://www.cbdstat.care/goodnursebadnurse And finally, thank you to our sponsor Eko! Please visit them at https://ekohealth.com and use promo code GNBN for $20 off your purchase of the new Littmann Cardiology IV stethoscope with Eko technology!
On this episode of WriteLane, we take you into the heart of a Covid ICU unit. Lane shares the challenges of reporting from a hospital in a pandemic and how she had to adapt her own reporting process to get the story. See acast.com/privacy for privacy and opt-out information.
Today I interview Al Sarria, ICU nurse and the guy behind https://www.instagram.com/theicumurse/ (The ICU Murse.) We chat about his career trajectory and how he got into ICU nursing. Turns out, he finished his ICU orientation in 2019 in a CVICU only to have to switch to the COVID ICU in 2020, in Arizona no less. Talk about going from a population of everyone lives to everyone dies. And Al - I'm so sorry. No one should have to see that amount of death. So, we talk about how he is doing, his mental health (hooray for lexapro and therapy!) and his plans to become a Psychiatric Nurse practitioner. Al reveals how The ICU Murse account got started and how sharing the truth about Covid made him go https://www.instagram.com/p/CB-S9X9hMXv/ (viral). Al often speaks our truth on social media and for that, I am so grateful. He is also making talking about mental health a priority on his platform. Al and Christiian Letsinger (aka https://www.instagram.com/redbeardrn/ (Redbeard RN)) have a new podcast in the works call 'https://www.instagram.com/youcantmakethisshiftup/ (You can't make this shi(f)t up!)' It's not out yet, but sounds entertaining! Thank you so much for coming on the show and for speaking your truth. Thank you for all you do for the nursing community, Al! Stay Safe and Stay Sane, Nicole
You can see it in someone's eyes when they've witnessed outrageous misfortune, and there is a dark side to working in the health care field that is rarely spoken about. This episode features Son Lam @mrdot and Kiana Garcia @kianagrams, two members of the amazing army of Frontline Workers who worked in the COVID ICU through each wave of the pandemic. Like many other health care workers, they witnessed things some of us couldn't even imagine. The stories of Death may be dark, but for those who are fortunate enough to be living, they help us learn more about the value of Life. Much respect to the Frontline Workers who have faced Death so much that they learned to embrace it. “We weren't preserving Life anymore. We were managing Death,” was what Son Lam told me the night that I met him. The conversation that we had that night led to what I call Episode 026 of The Broken Instruments Podcast. The Broken Instruments Podcast is streaming on YOUTUBE and ALL AUDIO PLATFORMS. (Search: “Broken Instruments” and look for the Crown, the Sword, the Book, and the Heart) Follow/Support/Subscribe to The Broken Instruments: Instagram: http://instagram.com/brokeninstruments Apple Podcasts: https://podcasts.apple.com/us/podcast/the-broken-instruments/id1546954284 Spotify: http://open.spotify.com/show/2ozoNreypMeoxpdiCemn7W?si=XLEjxFneTyu77Vf-hzh7Aw Anchor: https://anchor.fm/brokeninstruments/ ABOUT Jordan V Carreon A Father and Husband working towards building a strong and virtuous Family. Professionally, I am Registered Nurse and Nurse Educator who specializes in the field of Mental Health. Since 2012, I discovered a vocation in helping others develop strengths in healthy communication to support functional relationships. Through my nursing career, my podcast, my business, and my Family, I look to help restore Strength in Families and Virtue in Vocations. Jordan V Carreon YouTube: https://youtube.com/channel/UCT8b3w6zPAx17-Pvagxkl3w Website: https://solo.to/thedynamicfather --- Support this podcast: https://anchor.fm/brokeninstruments/support
In this episode, I have a discussion with Kelsey Fassold. She is a COVID ICU RN that has been taking care of critically ill COVID patients since the pandemic started 2 years ago. We discuss her experiences, provider wellness, the culture of poor self-care in providers, PTSD in providers, and The Provider Wellness Symposium which is a national conference that aims to teach strategies of self-care in the healthcare provider population. Check back often for more episodes pertaining to health and wellness for healthcare providers and caregivers. Please send your questions to providerwellnesspodcast@gmail.comWebsite: providerwellnesspodcast.com Please go to providersymposium.com to learn more about The Provider Wellness Symposium.Thanks for listening and please subscribe and share this episode.
Nurse practitioner Patricia Fogelman, DNP shares her experience working in a COVID ICU. She sheds light on how burnout, moral distress, and compassion fatigue are unfolding in different departments, and how difficult it has been for residents and nurses who are just starting their careers. This episode is hosted by Andrew Esch, MD, MBA. The views and opinions expressed on this podcast do not necessarily reflect the official policy or position of CAPC.
Amy is a critical care nurse and charge nurse in a SICU in New Orleans. As the initial pandemic response started in 2020, she was identified within her organization because of her leadership, commitment, and expertise to lead and manage the COVID ICU. Amy shares her story about her journey to nursing, her work in the ICU and her experience leading a team during the initial COVID response. Amy and I talked about many things and we got to share a few laughs. One of my favorite things she shared was her opportunity to participate in a Dear World story when Dear world & AACN collaborated to share stories from the front line of the pandemic. Check out Dearworld.com for their story sharing work and the American Association of Critical Care Nurses project at HearUsOut.com --- This episode is sponsored by · Anchor: The easiest way to make a podcast. https://anchor.fm/app Support this podcast: https://anchor.fm/narrativenurse/support
Episode 10. Marilyn in ArizonaIn this episode I talk to Marilyn in Phoenix, Arizona. Marilyn is a science teacher and her husband works in science research. She talks about knowing how bad COVID was going to be and the choices her family made at the beginning of the pandemic to keep everyone safe. And they did such a good job. Despite all their efforts, Marilyn's family got COVID. Marilyn lost her mother to COVID in March of 2021 after a long hospital stay. This episode really got me and even now as I write this I am struck by the time and love Marilyn gave to her mother. Her mom spent quite a long time in the hospital on a ventilator and Marilyn took the time to read to her and talk to her via Facetime even though her mom could not talk back. One thing, among many, that stands out in this interview is that Marilyn pushed for her mother to be retested for COVID after she'd spent weeks in the COVID ICU and when that test came back negative, her mother was moved and her family was able to visit her in person in the hospital. I learn so much from every guest on the show and Marilyn was no different. For context on this interview and the ever-changing pandemic, we recorded this episode on September 24, 2021.Marilyn mentions COVID Connections. You can find information on those support groups here: https://covidsurvivorsforchange.org/survivor-resources/She also mentioned the Marked by COVID network. You can find out more about them here: https://www.markedbycovid.com/ Marilyn wrote a beautiful tribute to her mom and sent it to me. Because tomorrow is Thanksgiving and Marilyn's mom was devoted to her family, I wanted to share what she wrote here: What is there to say about losing the singular most important person in your life?I'll start off by sharing the note I would give to the ICU nurses and staff:Dear Nurses and ICU staff, All nurses and the one's caring for my mother Maria in room number 219. She's a sweet lady that loves to spend time with her grandkids. She always would start conversations with anyone and everyone and always tried to leave that person feeling seen, cared for, and happy. My mom is that type of person. We would like nothing more in this world to keep Maria in this world as she truly is someone who makes it a better place and helps others. Thank you for all that you do. I am well aware of the circumstances you each are working in everyday as I have family members who are in the medical field nationwide. Our nation wouldn't be surviving this pandemic without each and every one of you and the effort you put forth each day. You all are true real life heroes. I hope you can enjoy this small token of appreciation I have for each and every one of you. COVID friendly air hug and hand to the heart in immense gratitude,Maria Alcoba (room 219), her daughter Marilyn Raming, and the rest of our family and friends.It was important that the nurses and people caring for my mother knew the type of person she was and how much she meant to us. It makes it more humanizing and not just another person in the ICU. I would always make a point to share a story about my mother to the nurses caring for my mother. My brother, father, and I did everything we could to oversee my mothers care. We never thought we could've contracted COVID since we were all so careful and so close to receiving our vaccines. We all got COVID around mid-January. Around that time my mother would our children, Harrison and Logan, since I was teaching virtually. I saw my mother feel more fatigued as the days progressed, Wren decided to get tested since we werSupport the show (https://www.buymeacoffee.com/forthosewelost)
On this weeks episode, Fleming shares her online dating woes and Fowler's back in the COVID ICU and dealing with fat-phobic patients. Travis Scott's Astroworld concert ended tragically and some professional athletes are in the hot seat this week. We also discuss Shelah Marie's African-American only retreat and as it prompts our conversation on cultural appreciation vs appropriation. We also share our views on the latest in tv shows and movies along with the most current social media news and current events. In the Rehab Corner, we discuss the attack on PTAs and COTAs as CMS cuts reimbursement rates by 15% and Fowler needs your help with professionally telling people to back off and stay in their lane. Don't forget to follow us on all social media platforms including IG, Twitter and YouTube @thefaceoffpod. On FB, follow us @thisisthefaceoffpodcast Please Like, Comment, Share, Download and Subscribe! For sponsor information, please email us @thefaceoffpod@gmail.com
Each week, we will be bringing you incredible tips, strategies and interviews with phenomenal medical students and residents. You can listen online (below), download it to listen later, on your smartphone: all for free.Now find us on Instagram!In this week's episode, we are blessed with the presence of a frontline Covid ICU nurse turned medical student. Carter Glenn brings to the forefront a unique perspective stemming from his experiences as a nurse and the moments that prompted him to switch to a career in medicine. He elegantly showcases an innate ability to introspect and draw unique values from his experiences in a manner that makes it a learning experience for all listeners. In This Week's Podcast, We'll ExploreHow to arrive at ‘why medicine' as a nurseWorking as an ICU nurse during the Covid 19 pandemicThe power of mindsetImportance of familiarizing oneself with the day to day functionalities of a healthcare settingDefining one's future career from lessons of the pastCircumventing the perils of working full time as a studentSelecting college based on earning a spot as a college athletePearls of wisdom on succeeding in school and defying the oddsBooks Mentioned in the PodcastComplications: A Surgeon's Notes on an Imperfect ScienceThe Checklist Manifesto: How to Get Things Right
Earlier this week, 30 patients filled Oregon Health & Science University's COVID ICU, and all of them were unvaccinated. OPB's Amelia Templeton toured the ICU yesterday, and tells us what she saw and heard.
On this episode, we had the incredible opportunity to speak with a 20-year Navy veteran who became a travel nurse! Our special guest, Boyce McClellan, CCRN, reflected on his transition from perm ICU nursing to travel nursing, sharing his experience starting out during the early stages of COVID, his time on assignment in Austin, TX, the most important things to ask for in a travel nursing contract, and more. (0:00) An introduction to Boyce and his nursing background (12:20) Starting a travel nursing career during the pandemic (15:26) Dealing with uncertainty in the COVID ICU(27:21) The travel nursing experience in Austin, TX(30:42) A lightning round of nursing questions with Boyce(36:32) The most important things to ask for in a travel nursing contract (41:12) Strategies for finding housing as a travel nurse 46:14(47:16) Boyce's next assignment About Boyce McClellan, CCRNBoyce McClellan is currently an ICU Travel nurse. He has been a critical care nurse for six and a half years. With experience in just about every adult ICU setting, Boyce has spent the last year, like many people, working primarily in and around COVID. After spending 5 years as a staff nurse, he transitioned to travel nursing right before the pandemic shut down the country in 2020. In addition to Nursing, Boyce is a 22-year veteran of the US Navy and a father to an 18-year-old daughter. When Boyce is not at work, you will find him riding his mountain bike or seeking calm waters under his paddleboard. To see where Boyce is off to next on his travel nursing adventures, follow him on Instagram!About the ShowProducer – Jonathan Cary Assistant Producer – Katie SchraubenShow Notes – Sam MacKay Music & Editing – Aidan Dykes Powered by American Mobile
In the first official interview on Nursing Uncharted, we were incredibly excited to welcome Sam Reddington BSN, RN, CCRN, as our special guest. Sam and Maggie reflected on their own real nursing experiences, discussing what life looks like as a nursing preceptor, stories from the pandemic, fighting burnout, understanding mortality, and more.Our SponsorThis show is made possible by American Mobile. If you're interested in a travel nursing career, visit: https://www.americanmobile.com/ to learn more about the nationwide opportunities they have to offer!We Discuss(0:00) An introduction to our very first interviewee, Sam Reddington BSN, RN, CCRN(1:33) How was Sam's last shift?(8:37) Life as a nursing preceptor during COVID(14:32) The weight of a nurse's role(24:02) Stories from nursing during COVID(30:42) Finding moments of hope during COVID(43:35) Discussing mortality in uncertain timesAbout Samantha Reddington BSN, RN, CCRNSamantha (Sam) graduated from Radford University's nursing program in 2014 and has been a critical care nurse for the past 7 years. For the past year, Sam has predominately been working in the COVID ICU.She currently lives in Virginia with her fiancé and dog Sylvester—they are *finally* getting married in June after having to postpone the wedding twice because of COVID. To follow Sam on her nursing journey, make sure to follow her on her Instagram!About the ShowProducer – Jonathan Cary Assistant Producer – Katie SchraubenShow Notes – Sam MacKay Music & Editing – Aidan Dykes Powered by American Mobile
Maggie shares her story about becoming a new mom weeks before the pandemic began. The first year of motherhood is already isolating; add in a global pandemic, a husband who works in a COVID ICU, and a fully remote job, Maggie is a true superhero. What we covered: Becoming a mom right before the pandemic (February 2020). The heartache of limiting visitors and family meetings with your first baby. Leaning on virtual support and community to discuss new motherhood and challenges. Being forced to quarantine away from her husband for a month. Focusing on the positive and looking forward. Finding community online. “Don't let the fear overwhelm you.” BeauGen Mom Community - Private Facebook Group Maggie's Breastfeeding Journey Maggie's Bio Before becoming a new mom at the outset of the pandemic, Maggie has worked in digital marketing for over 10 years. She's honed her writing skills serving both B2B and B2C companies, large and small organizations, and nonprofits. In her role with BeauGen, she has added YouTube videos, and now Podcasts to her skills. In her free time, Maggie enjoys designing new knitting patterns, cycling, hiking, and skiing with her family. Learn more about BeauGen by visiting our website
Change Maker's Mind-La Mente de los Creadores de Cambio with Cristina Pujol
Our guest today, Dr Rozy Khan is a very powerful woman, who works as a a critical care medicine physician currently serving in COVID ICUs. In this episode she shares her mindset to overcome her struggles trying to get into medical school, (she only had 8% probability of entering) and how she's helping others do the same. We also talked about her experience working at covid ICUs, in one of the hardest times that we know, having 100 patients die in one month, and only 2 survive, and how to cope as a human being with those hard experiences. She shares her coping tools and experience.To Contact Dr. Rozy Khan: Web: thefemaledoc.com Instagram: instagram.com/thefemaledoc Facebook: facebook.com/thefemaledoc LinkedIn: linkedin.com/RoozehraKhanTo contact Cristina Pujol: Email: info@tuytumente.com Web: TuyTuMente.com Instagram: instagram.com/CristinaPujol7 Instagram of "Tú y Tu Mente": instagram.com/tu_ytumente Facebook: facebook.com/tuytumente LinkedIn: linkedin.com/cpujoljensenMusic: Gonzalo Grau - Frutero Moderno
Buckle up because this one is a wild ride. From Amy taking up bar dancing and Sarah defined as Cookie Monster, we talk all things in the weird world of living in a pandemic. We have a clandestine look inside a hospital with our guest Lori, a Nurse Practitioner, working in a Covid ICU. Grab your popcorn as we attempt to unlock the All American resistance to masking up. Hold on Warriors...we're gonna make it.
Johns Hopkins Hospital paused elective surgeries (surgeries that are scheduled ahead of time) in March. Like some of his other colleagues, Dr. Rick Redett volunteered to be redeployed to the COVID ICU. Redett talks to Stephanie Desmon about exhausting shifts, the challenges of shifting from surgery to supportive care, and how things may be different as surgeries resume.
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