Podcasts about covid icu

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 Follo​w 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.

Do you believe in miracles? Joshua Silverberg, a Grammy-nominated producer and hit songwriter shares his powerful testimony of being healed in the COVID ICU after the doctors said he would not live. Listeners will experience significant breakthroughs as Joshua prays over the audience to receive the same victories, encounters, and healings that Jesus has done in his own life.

--On the Show: --Vladimir Putin's Russia invades Ukraine shortly after recognizing the "independence" of the Donetsk and Luhansk regions on the basis of pro-Russian separatists being there --Fox News quickly attempts to blame Joe Biden for Russia's invasion of Ukraine, an effort that is foiled by some of Fox News' own reporters --Former Democratic Presidential Candidate and former Democratic Congresswoman Tulsi Gabbard goes so overboard on Fox News with her pro-Russian propaganda that even Sean Hannity has to slow her down --Fox News propagandist Tucker Carlson sides with Vladimir Putin literally as Russia's invasion of Ukraine is starting --Fox News host Neil Cavuto calls out his own audience for their anti-vaccine sentiment after returning from the COVID ICU hospitalization to host his show --Donald Trump faces a "five year felony" according to Glenn Kirschner over his theft of classified documents --Former Democratic Presidential Candidate and former Democratic Congresswoman Tulsi Gabbard will speak at the radical right-wing Conservative Political Action Conference (CPAC) this weekend --Radical Republican Congresswoman Marjorie Taylor Greene insists that she is not crazy --The Eggman calls in to ask about the updated pronunciation of Kyiv, Ukraine's capital city --On the Bonus Show: Why Putin is so obsessed with Ukraine, 1st public option health plan in the US struggles to gain traction, IRS assigning more workers to deal with backlog of tax returns, much more...

Responding to your questions -- Leah talks  work, Covid family relations, homeschool mama days and the kids subsequent trauma, as well as the movie Captain Fantastic with one of her crushes -- Viggo Mortensen. #WereSpeaking#SpeakUp#SpeakOut#FindingFreedom#OneStoryataTime#BraveAssBeauties#WomenBeyondFaithYou can reach us at womenbeyondfaith@gmail.com, Instagram or Facebook. New graphic by Dara Paul. Thanks, girlfriend! Special thanks to my personal assistant and editor @emmacatherine09Support the show (https://www.patreon.com/user?u=8739294)

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.

Episode Notes The host Margaret Killjoy can be found on twitter @magpiekilljoy or instagram at @margaretkilljoy. You can support this show and others on Patreon at patreon.com/strangersinatangledwilderness. Transcript Margaret Hello and welcome to Live Like the World is Dying, your podcast for what feels like the end times. I'm your host, Margaret Killjoy, and also welcome back to the show. It's been several months since I put out the last episode and you'll be shocked to know that's because a bunch of stuff happened in my life which is, you know, everything to do with everything that's going on in the world. Um, maybe most importantly I moved and I now live on-grid in Appalachia instead of off-grid and Appalachia, and I'm very happy for the transition. It's pretty cool to have enough electricity to make this show. And also have an oven that works. I really like having an oven. And I also got a puppy, and I got a puppy who is rescued, so I've not—I spent several months where instead of sleeping or getting anything done, I had a puppy. I still have the puppy but now I get to sleep because the puppy is like five months old. So that's where I've been. And, yeah, welcome back to the show. This week I'll be talking with Summer who is my friend who is an ICU nurse in a rural area in in rural Oregon, which is not the most lefty area, and we're going to be talking about pretty much the—the politics of vaccination and some of what they've dealt with during the pandemic. And I think you'll enjoy it. And this podcast is a proud member of the Channel Zero Network of Anarchist Podcasts, and here's a jingle from another show on the network. Duh da duh da da daaaaa. Jingle 1 The Final Straw is a weekly anarchist radio show. It's fucking awesome, and you're never gonna hear me say fucking awesome on our show because we're FCC regulated. Jingle 2 There's a black part of my heart that just flutters when you talk like that. Jingle 1 [Inaudible] talk than more yelling. Jingle 3 It's a weird sort of like nice thing, in a way, that also can get kind of frightening at times. Jingle 1 Thefinalstrawradio.noblogs.org Margaret Okay, so if you could introduce yourself with like your name, your pronouns, and then I guess a little bit about what it is that you do that is the reason I invited you to talk on the show today. Summer My name's Summer. I'm a nurse, I live in Rural Oregon. I use they/them pronouns and I've been working in an ICU and have experienced now working in a Covid ICU—full Covid ICU. And I come from a background of radical politics and we're here today to talk about some of that. Margaret Yeah I guess I wanted to have you on because I've seen some of your social media posts about the hate that you've gotten at the—at the ICU that you work at and I know there's a lot of conversation right now about what do we do about the unvaccinated people who end up in hospital, and you know, combined with the—there's a lot of like news stories about, you know, the ungratitude of the unvaccinated folks and things like that. And I guess I just wanted to talk to you to get more of a firsthand idea of what it's like working at an ICU during Covid in a pandemic. I already set the Covid part. Summer Sure, um, so to give a little context: like I said, I live in a rural area of Organ. It's predominantly conservative, a lot of libertarian bent, um, included in the state of Jefferson—if you're familiar with that as a concept. And we experienced a huge Covid surge in our ICUs August through October of this last fall—or summer into fall. Maybe even into November really. And so rural area with low vaccination rates. Like I said, a lot of libertarian politics. And during that surge we were experiencing some of the worst numbers in the country in terms of infection rates and it hit our hospital pretty hard. We serve, uh, like very wide rural area. We're, um, the highest level trauma center within hundreds of miles. And so we get people from a really wide region of the state and even from Northern California. And our ICU just got flooded with very, very sick Covid patients. It's a fifteen-bed ICU and as soon as that filled up, you know, it really impacted the entire hospital system. And it ended up that our ICU and our step down unit were both full of critically ill Covid patients during that time frame, and we ended up having the National Guard and FEMA nurses present at the hospital to just help it continue to function and help it serve the Covid patients and the rest of the patients in the hospital who needed care. So that's the larger context of what was going on. And then more specifically in my experience, you know, the politics around the pandemic not only impacted, like, who's getting vaccinated and who's not and the numbers and how they grew so rapidly, but really, they impact and trust in the medical system. And there's already a lot of reasons for a lot of different demographics and populations to have distrust in the medical system. But right now we're experiencing that kind of expanding into different demographics and different populations. And the things that I think you're referring to that I've experienced was, you know, there was a day during our surge where the national news actually came into our ICU to report on what was happening in this rural area. And, you know, at that time the vast majority of patients we were seeing were unvaccinated. And that very same day there was a protest outside the hospital against the state vaccine mandate that had not been enacted but was upcoming, that would require all health care workers to be vaccinated, um, barring a religious exemption. So we left a shift where the national news was present, high Intensity, we lost like 3 patients that day in our small ICU I think, um, to walk out of the hospital to hundreds of people across the street protesting the vaccine mandate. And then, you know, of course mixed in there are antivaxxers are—you know, generally antivaxxers— more far-right folks mixed in. It was a pretty tough day, a pretty emotional day for a lot of us walking out from some really intense cases in the ICU to a public that is completely undermining your lived reality, you know, just on the other side of these doors, right? And I think that that's, you know, that's a thing that's been seen at different areas across the country, that tension that's escalated between healthcare and the public. And I think there's so many things that we can say about that. But really, I—you know, this question of like vaxx versus antivaxx, um, it's something I've thought out about quite a lot, obviously. And I actually had a friend somewhat recently who, um—a mutual friend I believe—asked me whether I still have compassion for unvaccinated patients. You know, going off of his experience of having healthcare worker friends who are kind of just totally disillusioned around vaccination rates and taking care of these patients who didn't take what seems like the obvious step to take care of themselves. Margaret Yeah. Summer And the answer to that is like, yes, I definitely still do have compassion for these people, and um I can understand not—I can understand the frustration. I'm still frustrated, right. It's still easy to get really angry. But for me it's the same as any other patients that I treat, whether it's an OD, or a DUI, or people coming in with exacerbations of chronic illness. It's not really my job to judge why someone's in the hospital. It's not my job to moralize their suffering. And if you're in a Covid ICU, that is like a hellhole of suffering, let me tell you. These people are suffering in a major way and experiencing a huge trauma. Not just the patients, but families as well. Margaret Right. Summer I also, you know, have to contextualize it in this much larger situation where we have a government that is, like, face planting, a public healthcare system that is face planting on managing a global pandemic in our country, and this huge amount of misinformation that's out, both about, you know, a vaccine, but also about a virus and what that is, and about a pandemic and what that is, and what it takes to protect yourself from one another. And so I have a lot of compassion for people who, their world is just a different reality. It's a reality where the facts don't line up, right? Margaret Yeah. Summer And a lot of us experience that now, right? Like, what is reality? Sometimes you can't even have a conversation with someone about facts, about what's real and what's not, and I experience that a lot talking to family members in healthcare at this point. Margaret Yeah. I mean, it's interesting comparing it—kind of, like, subtly comparing it to harm reduction, right? I feel like that was actually one of the most, you know, that was like the way of putting it that really got to me, like, when you just set that just now is because I—yeah, I do think of the like, well obviously these people are making decisions that I don't, right? Um, and yet that's a decision we've made at least in terms of the opioid crisis to just not have any judgment towards, and it's kind of interesting. Also because when you talk about the suffering that people are facing, right? Like, it comes up every now and then that someone who is kind of terrible dies, right? Summer Right. Margaret And then, in some ways, especially if they have a lot of like political power or whatever, everyone talking shit on that person who's died. Whatever, I don't I don't care. But on some level there's a certain amount of, like, well can't ask accountability of the dead. You know, like, um, like say—so for example, someone dies doing something very like heroic and good that we all agree is a good thing, but they have a long history of doing bad things. There's kind of a like, well, but they can't do anything about that now, right? There's no way for us to ask for them to do anything about that. And so, maybe even the people who survive who aren't vaccinated who end up in the hospital—I mean I guess what we're kind of saying is, like, get vaccinated or face the consequences. And they were like, “consequences, please.” And then they face the consequences. So on some level— Summer Yeah. Margaret —like what more can you ask? They're suffering, you know. 10:20.19 Summer Yeah. But even in in my regards, some people don't really understand—many people don't really understand the consequences. Not only have many people not really seen what an ICU is, what a ventilator is, what someone's body looks like after weeks on a ventilator. Um, but in their version of reality, the truth that they've been presented, this whole thing isn't real for some of these people. And I'm not exaggerating. Like I have met—I have talked to family members at the bedside of their loved one who has an 80–90% chance of dying—because those were the rates we were seeing in our ICU during that surge—80–90% of our intubated patients were dying of Covid—who says, “I just didn't know. I just didn't think this was real. I didn't think this could happen.” Margaret Yeah. 11:14.96 Summer “If you were going to get a vaccine, which one would you get.” Like, those are conversations I've had with people, you know, and it's—that's what really for me is so heart-wrenching is, like, the dawning of knowledge upon these people in the worst way possible. Like, that shouldn't be the way people have to understand the truth is by watching their family member die because of what they've all believed. Um, and I mean, I've witnessed that regret from family members for sure, and I—this isn't to, you know, I'm not like a flawless person or something. I also get super fucking frustrated and I've had family members yell at me on the phone about Ivermectin, um, when I'm like, that's not—there's no evidence to support that as a treatment in severe Covid cases. Like that's, like, become this, like, this sentence I've repeated so many times. And it's—that's super challenging when you're working with a team around the clock that is like monitoring literally everything that this person's body is doing, from like every milliliter of urine they're producing, to all their blood work, to the pressure that's programmed into the ventilator to keep their lungs open, and then you walk out of the room and there's a family member on the phone yelling at you about how, well there's no evidence to support vaccination, and you're staring at their loved one unvaccinated on a ventilator. You know, it's like this this dissonance. Margaret Yeah. Summer Um, like I—it's like you're reaching across a span that's really great in those instances, you know, because you don't have a common understanding of what the world is right now. Margaret Right. It's funny because I kept waiting, you know, like hearing stories about that—obviously I don't experience them—but hearing those stories, I keep kind of waiting for it to, like, break through and for people to be like, oh okay, like, my cousin died and now all of my other cousins are getting vaccinated and I'm going to and, you know what, I'm going to actually tell my friends at the bar that we should get vaccinated, especially if we keep hanging out at a bar. And like, I kept like waiting for that to happen. And at this point I've completely given up on that ever happening because of— Summer Well it does—it does happen sometimes. And I'm not trying to be, like, a blasting ray of hope, because it doesn't happen a lot, too. You know, but I have seen—like I have cared for a patient who was on a ventilator for over 60 days and then you know, was brought—like he's, the patient's awake now and can talk and whatnot. And any team member, any—whether it's a physical therapist or a nurse or anyone who walks in the room, the patient immediately now asks, “do you have the vaccine.” And because of the experience that this person has had, they've completely changed their mind about vaccination, of course. And at our at our hospital you have to be vaccinated to work there at this point, so it's kind of a like moot question, but I do see people turn around in a really big way. But it's just so unfortunate that they have to have what to me looks like one of the worst experiences I could possibly imagine in order to come to terms with the reality that we're living under, you know? Margaret Yeah Summer And I get it, you know? I get the root of where people are coming from is distrust of the government, distrust of the media, distrust of healthcare. Like, uh, relatable? Like yeah, I get that. I also don't trust those things, you know? Maraget Right. Summer And, you know, depending on what background you come from, you have even more reason. not to distrust those things, especially healthcare. And so I can't, you know, stand on my moral high ground and pretend that I get it and I'm right and they're wrong and I'm smart and they're dumb, you know. Like that doesn't really get us anywhere when the actual reality that I'm faced with is a person in front of me who is deeply suffering, who we're going to try our best to take care of. Margaret Yeah. I, you know, I'm sure you get this daily and maybe it's annoying, but it's like, I can't imagine being able to do what you do, you know, and then, like, maintain enough, um—yeah, okay, like how do you maintain enough faith in humanity to go to work? Is that too blunt of a question? Summer You know, I go to work. I don't know if I maintain faith in humanity. Margaret Ah, okay. Summer But I keep going back somehow. And it's been Hard. It's been really fucking hard. And if anyone's listening and you are close to anyone who's working in healthcare, especially if they're working and an ICU, like, I can't emphasize enough just taking care of your friends, and even just asking, hey man, shit sounds rough. How are you doing? Like, that goes a long way, you know? And yeah, how do I keep doing it? Honestly it's like—and I guess this ties into some of the topics you kind of mentioned talking about today—um, it's the team that I work with that really does make a big difference. And, you know, going into nursing as like a queer person with this radical background, I felt really alienated from my co-workers. I kind of had this, like, mindset that I was like an alien walking into a foreign land and I didn't want anyone to know I was an alien, you know. And I still feel that like every day of my life everywhere I go but— Margaret This is unrelatable. I don't know what you're talking about. Summer Yeah, you have no idea what I mean. Um, but over time I've developed relationships with people who I probably would never have five years ago, and, um, the type of solidarity that I experienced in the workplace might not be like #radical or something, or #anarchy, but um, those bonds are really important and really powerful, and I know that my co-workers would show up for one another in so many big ways, you know, like, it's not called mutual aid there, but it sure as fuck is. The way that I've seen people show up for one another, especially in these crises. And, yeah, it's—that bleeds into so many other things about nursing and mental health and the crisis that's happening in nursing right now. Margaret I mean, we could talk about that. I'm curious about that. Summer Yeah, I think that you know some people are kind of—who aren't in healthcare are kind of aware of what's happening, but I think a large number of people aren't really aware of— Margaret Which is that everyone's rushing to join the field because you all are well-respectcted, well-paid, and taken care of? Loved by society? Summer Yeah—and yeah, not facing these like ruptures of, like, what is real on a daily basis. Margaret Yeah, that's right. Summer Yeah, exactly it's going great. Margaret It's utopian. Summer Become a nurse, everyone. Um, no, but there is a—there's a huge crisis happening right now in nursing and there already was this like nursing shortage, right? Like when I was in nursing school they would talk about the nursing shortage. And really what it was was, like, a lot of nurses were retiring at retirement age, and what I see as the biggest barrier wasn't that no one wanted to be a nurse, it's that—it's twofold. It's like we have an aging population with complex chronic health conditions, so more patients, right? And then we have people who want to be nurses, but we have educational institutions that are trying to make as money as much money as possible, and limiting the number of people who can access degrees in nursing. And we maybe don't have enough educators. Maybe, you know, probably a lot of stuff that I don't know about or not qualified to talk about. But and that was already the baseline when I entered the field of nursing, and then you lay on top of that this huge pandemic that is just totally changed everything, changed what nursing looks like. And like, side note, also a lot of healthcare workers have died of Covid. And it's not like an extreme number, but I think the number from the World Health Organization last October was between like 80- and 180,000. I believe that's worldwide. So—and I don't know what percentage of those are nurses—but like, you know, that does play a role, fear of that probably plays a role, and then it's extreme burnout and trauma. Like, you know, I mentioned earlier that during these surges—and probably these numbers differ from hospital to hospital—80–90% of our patients who were put on ventilators for Covid were dying. And, you know, we're pretty used to dealing with people dying in the ICU. It's kind of, like, what we do is try to prevent people from dying. But inevitably people die. Um, but when you have 80–90% of the people that you're taking care of dying no matter what you do, no matter how hard you work, no matter what interventions you try, it is demoralizing to say the least. You know it's awful. Margaret Yeah. Summer It's truly awful. Um, and it's like an already high-stress job that then you add that on top of, you add the public discourse on top of that, you add the politics, you add the family's yelling at you about whatever treatment they heard about from Joe Rogan or, you know, whatever. It just creates this stress level that's, I think, unprecedented and really difficult to manage. Um, and there's that narrative of, like, the public not caring about nurses, or the public not understanding what they're going through, but even bigger is like policies that reflect a lack of care for human life in this country, which, you know, our job as nurses is to preserve human life. And then we're faced with the government, healthcare—or public health policies that don't value human life. So there's like that dissonance going on. Margaret You talking about the, like, the way the CDC keeps changing, like, what's being valued or whatever? Summer Yeah, I mean just all of it. The way that, um, both presidents who have been elected or serving—or whatever the fuck you call what they do during this pandemic. The way that it's been managed, the way the way capitalism manages this pandemic does not reflect a care for human life, right? It reflects the care for capital. And that just—when your job is to preserve human life and you see all these policies coming down that you're like, what the fuck, what the fuck, what the fuck? Like, this doesn't line up with what we're supposed to do. Like, this doesn't line up at all. And then you have, you know, places that lack appropriate PPE for nurses, like, these policies that don't reflect I care for healthcare workers. It is, like, the whole picture is a big labor crisis, because people of course are going to be like, the fuck am I doing here when I could do x, y, z thing, right? And, like— Margaret You should try podcasting. You don't have to leave the house. Summer I know, I'm thinking about it actually. Margaret Okay, cool. Summer And I am lucky in a lot of ways. Like, I live on the West Coast, I am unionized, my pay proportionally is a lot greater than some parts of the country, like some parts would rule south where nurses are getting paid garbage, right? And don't have a lot of the protections that I do. And, I mean, I can keep listing all these things. Like you mentioned the CDC, like, growing lack of trust in the CDC as an institution, as a healthcare worker, because they just say garbage that is not evidence-based. They tell you you're supposed to, like, work your job based on policies that have no evidence behind it. There's just—everything's starting to feel more and more arbitrary, right. Um, and it's gotten to a point where, like, I hear my coworkers in the break room talking about the different psych meds that they're trying. Or like, the different anti-anxiety pills that they're trying, and the different dosages that they're trying, just to manage, like, their job. Now, off course, that's not everyone. I'm not trying to be like overly-dramatic. But it's definitely a trend. And then the—you know, the other side of that is, like, you have people just leaving the field entirely. But you have a shit ton of people who are going to be travel nurses and, like—a travel nurse, for people who don't know, it's an RN who can pick up a contract. Hospitals around the country do this, and have done it since before the pandemic. You pick up a contract for a certain number of weeks for a certain pay. You work that contract, you move on. Um, people do this for short periods of time, for long periods of time, but during the pandemic it's been totally amplified, because you started having these crisis contracts, some of which were funded by the government, to send nurses to places that were really impacted by the pandemic and lacking staff. And you had these huge, huge incentives—like huge pay bonuses—for working in these extreme conditions. And at first you saw that, you know, in places like New York and whatnot with big surges. But now pretty much everywhere is hurting for nurses, and they will hire travel nurses for up to, you know, 4 or 5 times what staff nurses are making at that same institution. So you work under these conditions for long enough, your management tells you for long enough that they can't do—they can't give you PPE or they can't give you a retention bonus, or they just can't, they can't, they can't. Of course eventually people are going to be like, well fuck this place, I'm going to go make 4 times as much 2 hours away or next state over. And so it's turning into a situation where we have more and more travel nurses in hospitals, and less and less staff nurses. And like, that in itself doesn't sound that problematic until you think about, like, what's the difference between a nurse who's been at the same institution for 10 years and one who's been there for 3 days. It's like a commitment to that institution in a certain sense, right? At least a commitment to the community that they're serving in maybe some way, and knowledge of the way things work there because every hospital is going to be a little different. So it does, you know, in some senses pose a safety concern. Um, and in some cases people who are getting travel contracts are maybe not necessarily qualified to work in the positions that they're getting hired to. And I've seen that happen before. People are chasing the money, and I don't blame them right? So anyway, that's like a lot of talk. The whole crisis. But it really is becoming a crisis. At our hospital I see people who I don't think of as, like, labor organize-y or, like, radical by any means, who would describe themselves as moderate talking about this stuff in terms that are getting more and more pressured. And I see people who are talking about leaving who I would have never imagined would leave. And we have management telling us, we can't pay you more because we have to pay all these travel nurses. Well, if you paid us more we might stay and not become travel nurses, right? Margaret Can I just become a travel nurse and stay here? Actually, do people do that? Summer Yeah, um, no, they try to prevent you from doing that. Margaret Oh, okay. Summer But I have people that I work with who even took travel gigs north like 2 hours, and so they're still living where we live, they just drive 2 hours to work and make 4 times as much. Margaret Yeah, yeah. One of the things you were talking about earlier, you know, watching the nurses like trust the CDC and the government stuff less and less. And it ties into that thing that you were talking about earlier about how a lot of people have good reasons not to trust the government, and so that's like something that we can all—I think anyone who's thought through most things would have reason to distrust the government, right? Any analysis of history, almost regardless of your background, but obviously some backgrounds more than others. There's good reasons to not trust the government. Summer I can think of like 5 reasons not to trust. Margaret Like a little list? Summer Top 5 reasons not to trust them. Margaret Yeah, totally. No, this is good. You're going to be a good podcaster. Better than me. But the thing that works—that it comes down to for me—and it helps that I know people like you. I know medical professionals. You know, my joke for a long time is that the way to get health care in this country is to date a doctor and then stay friends with him. Um, because that's how I had my health care for a very long time, is that my ex is a doctor now. Um you date one boy, you pick the right one. Anyway. Um, and yeah. But the thing is this like—okay, so I don't trust the government. What I trust is people. And so, like, people are like, well why do you trust the government telling you what's good for your health? And I'm like, no, I trust my friends who are doctors. And it's not even like I trust doctors as a category at large, because I also understand why people are nervous around that. And it is this position of privilege where I am around people who have made those choices or have access to those choices to become medical professionals. But it's like, no, I trust you, like I trust you—it's just interesting to me. I don't know like how to—this is my solution. This is how we get, um, you know, all the nurses just go to the people and you'd be like, look hey, don't listen to the government, listen to me. I don't know. Summer A flawless plan. Margaret Maybe, everyone to listening, trust us! What could go wrong? Trust the voices and the headphones. Unlike Joe Rogan, don't trust Joe Rogan. Summer Yeah, don't trust that voice in your headphone. Yeah I really get it. Why not to trust institutions, why not to trust, uh, what feels like big government saying, now do this to your body. You know, it's the good thing to do. But, and before the vaccine came out, you know, I had my own, I'll be honest, I had my own hesitations about whether or not I would get it. But the moment that it was made accessible to me I was at work and I got an email that said, hey, you can make appointment. I picked up the phone immediately and made an appointment. I kind of surprised myself with how, like, my response to it. Like how ready I was to get the vaccine. It was pretty early on, it was last December, um, but part of what really changed it for me is kind of what you're talking about. Like not thinking about it as, like, the government made a vaccine or, you know, Pfizer made a vaccine, but thinking about the individual people who worked on producing that vaccine and, like, you know, we've all met science nerds, right? That's like, they're passionate about their nerd-dom around science and I was just imagining people like in these labs working their fucking tails off to produce something. And, you know, whether they do it for money, or glory, or fame, or out of, like, a care for people, who knows? But, I don't know, for some reason that comforted me, thinking about people like pouring their hearts and their minds into this project. But, I mean, that kind of like brings us back to talking about vaccines, right? Margaret Which vaccine did you get? Summer Um and I have Pfizer. Yeah. Does that mean—is this like a horoscope reading? Does that mean something about me? Margaret Yeah, probably. We need to come up with that. Summer My sun and moon are and Pfizer. Um I just—I've been thinking a lot about this like vaxxed versus unvaxxed thing. And especially in the Biden administration, and how so many liberals—probably more or less well-meaning liberals—thought that, like, Joe Biden was going to turn us around in terms of the pandemic. And what we've seen is, like, definitely not. We have not turned this thing around, you know? Like not even close. By no means have we turned it around. Margaret Well, I mean, you know, there's like a million people a day getting Covid. Oh yeah, nope. I see what you mean. Summer Yeah, yeah. And ultimately it's like, I just take issue with this really neoliberal response where this control of a global pandemic is being placed on the actions of the individual, right? Whether or not the individual makes the like “good” or “moral” choice to get vaccinated, and ultimately to me it feels like this fascist tendency. Like we've, like, identified an internal enemy which is the unvaccinated, right? And like those are the people responsible for all of this, for the economy failing for—like what does that narrative sound like, you know? And like this is all to say, like, yeah, I'm provaxx. I'm vaxxed. Like, I think it's a good Idea. You should probably get vaccinated. But I don't, you know, we're talking about like a global issue here and whether or not your neighbor's vaccinated, ultimately like there's bigger fucking questions of like why there's been such a failure in public health to manage this pandemic. There are countries where this isn't the reality, you know? Margaret Yeah. Summer Their numbers right now are like in the dozens, maybe the hundreds. Like, that could have been our reality if this had been managed differently on a policy level, and I'm not even like a fucking policy nerd, you know? I'm just like, wow y' all did bad. Like this has not worked out. And the hyper-focus on the, like, choice of the individual, just like it does with green capitalism, it pulls our attention away from these larger structural issues and institutional responses to the pandemic. Like, are we really—like, don't question Joe Biden, question your neighbor, you know. Don't be mad at like the CDC, be mad at like the guy out on the street. Like, it's just a really ineffectual way to manage this. And it also—like the narrative around, like, well if only they'd get vaccinated. It's just like writing off the deaths of these people as inevitable and as, like, not worth our care, or our time, or our thought. And I don't think—I mean, maybe I can think of some people who like “deserve” to die of Covid, but I don't think the vast majority of people who are dying deserve it by any means, you know. Margaret Right. Summer And um—and we're at a point too where like even vaccinated people are getting sick, so it becomes, like, this really big question, right? Margaret Yeah, and I guess—I guess it's like people are putting their faith—even if they're not putting their faith in government, they're putting their faith in like Fox News or whoever it is who's, you know, telling them not to get vaccinated. Summer Right, yeah. Margaret Instead of putting their faith in themselves and their own decision making. Yeah, no, that's interesting. You know, okay, so like one of the reasons that, like, you know, green capitalism—it's like the—well, if you'd only change your light bulbs to LEDs a little bit earlier, we wouldn't have climate change, everyone knows that. If you, Summer, hadn't changed—had changed your light bulbs, still hold you responsible for this. And, you know, and so it's like we all see how that's bullshit, and I can see how that that makes sense about this. But it is interesting because some of the—some of the ways it seems like that countries are handling it successfully do challenge some of my anti-authoritarianism on some level. Summer Yeah. Margaret And so it would be less about giving your neighbor the choice, and in some ways it is about like vaccine mandates. It's like, well, if you want to keep working at this thing that you do, you need a vaccine. And I actually don't have—like people ask me a fair amount as, like, a sort of public-facing anarchist or something, people be like, well what is the, you know, anti-authoritarian response about vaccines and stuff. And for me, it's like fairly easy. It's like, well, I don't want to get sick and I don't want to get other people sick, so obviously I take the thing that's available to me that can minimize my chances of that and, you know. But if you're talking about on a policy level, like what does that look like? What does that mean? Summer Yeah, I don't—honestly, I don't know. It's something I've thought about a lot too because I don't want to come across as, like, everyone should do what they want, because I obviously don't feel that way. Like, that's not limiting—that's what we're doing and it's not limiting suffering. It's not preventing people from dying. It's not preventing people who are medically fragile and don't deserve this from dying, you know? Not that—I don't want to come across that way at all and, like, have you have you read Climate Leviathan” Margaret I have not, but I once listened to a podcast where they discuss the basic concept. So I basically have read it. Summer Well, it just it creates this like interesting…w hat would you call it… like, this categorization of different ways that governments could respond to the ongoing climate crisis, right. And there's like climate Mao, which is kind of—resembles like the way a country like China might respond to the climate—or is responding to the climate crisis. And I've been thinking about that in terms of, like, the pandemic. Margaret So using, like, top-down authoritarian control. Summer Yeah, yeah. But like left-wing authoritarian, I guess. And in China the way that they're dealing with pandemic right now from some of the stories I've read is, like, people who have tried to travel there and you test positive and you are forcibly put into isolation, you know. Margaret Right. Summer You know, you're given treatment and you don't really have a choice. Is that good? Ugh, you know, doesn't make me feel good. And then you have a country like ours which is more of, like, neoliberal, that, you know, we're seeing what that response looks like. Like, freedom to the individual and then like what fuck happens then? It's a shit show in its own way, and all the policies are geared towards, you know, maximizing capital instead of valuing humans or human life. Margaret Right. Summer And then there would be like a right-wing authoritarian response, which I don't know what kind of example to give for that. But then there's the, like, what is the response that you're talking about? What do we come up with that's like an antiauthoritarian leftist response to a global pandemic, and I don't know, really. But I do know that, like, things that come to mind are like, we talk a lot about informed consent in medicine and I don't think that people have the right education and right information to make informed decisions around a lot of this. That's like a huge issue, right? Like, our education system, our public health system, our media and the way that—you know, back to what we were talking about earlier, the way that like there's this split in reality, the reality that people are experiencing. Like, people are not making informed choices about their health when they choose not to vaccinate—often. Sometimes they are, but often they aren't, right. Because they don't have access to all the information—or not being given all the information in unbiased manner. So that's one of the things I think about. And then, like, global vaccine equity is huge, right? Because we can't pretend this is just a national issue, like that's absurd, viruses do not, like, acknowledge borders. Like, why we treat this as if it's, like, in an enclosed space ,right, that is called the United States when, um, the border is, like—yeah, it has like very real and fucked up implications in the world. But it's also a concept, right? And like, we need to acknowledge this as a global problem, or else, you know, we're going to keep getting these variants, we're going to keep getting more waves of Covid. So, yeah, I don't really have like a solid answer of, like, how do we deal with this in an antiauthoritarian way. But there's things we can do better, that's for sure. Margaret I had this like huge moment of, somewhere between disappointment and fear, like I think there was, like, a news story that broke about, like, Russia, like, hacked some of the people researching a vaccine and stole their research or whatever. And everyone's like, oh, damn you Russia. And I'm like, wait, what? It wasn't freely available? Like, you like to imagine that when there's a global pandemic all of the smart people who specifically study that get together and say, like, okay, what's the best plan? And then they all figure it out together and we can have our Star Trek moment where we realize we're all going to fucking die unless we do it, right? And something about, like, climate change and carbon emissions and stuff, I see how that like screws the economy—I'm completely in favor of this approach to climate change, mind you—but like I could see the argument for it's really more complex than that and it has all these implications. But I just like can't see a defense of intellectual property for vaccines and for medical care. You know, I just, I cannot fathom— especially, even from a self-interest point of view of like as you said, the, you know, vaccine does not respect borders. And so, like, I'm glad I have my like third shot—my booster shot—but it like kind of irritates me that there's, you know, plenty of people who've never had access to it at all, you know, elsewhere in the world. Summer Mhmm. Margaret I mean, I think that would be part of anti-authoritarianism, right? Is that you have this like, well obviously we don't respect these like borders or capitalism enough to say that, like, you all can, you know, hide the intellectual property of how we take care of ourselves. But it does get into interesting questions around, like, when you when you bring up informed consent, right. Because you're like, okay, well—I'm almost afraid to get into these kinds of—it's such a murky territory. But it's like, okay, if you have a community of people where they're like, oh, we all agree we're not vaccinated and it might fucking kill us and whatever, you know? But in some ways the consent—like, do I consent to allowing people who have not chose to be vaccinated get near me, you know? Like, what direction does the consent go? Like, I don't know the answer to that, but part of me thinks that the, you know, in the same way that we use informed consent with sex around STIs, right? And like, it's not to say that someone who has STIs like shouldn't have sex, it's just that you just need to have an informed, consensual sex. And like all sex, you know, because it's not like it's like a binary where some people have STIs and some people don't. I'm not trying to like, you know—people don't always know and then there's all these things that people have that—this is why it's so messy. And like, so, I'm not trying to be like, oh, if you want to hang out in Plague Village in Plague Town you can, right? I don't know, it gets—it's really complex and I just—like, I actually almost appreciate but mostly begrudge how much all of this challenges, I think not just like my ideological position, but like all the ideological positions that anyone who's actually thinking clearly comes into this with. If you came into the pandemic with a clear ideological position and it hasn't been challenged at all by the pandemic or climate change, I think you're lying to yourself. Summer Yeah, or you've just like—maybe if you're a capitalist you're still just like, yay capitalism, you know. Margaret I'm going to Mars, fuck all you! Summer Yeah, yeah, definitely. I mean there is a lot of nuance and I think it's made a lot of us pretty uncomfortable, right, to be like, should the government tell us not to leave our houses? Like maybe, is that a—maybe that's a good idea? That can't be a good idea. You know, like, it is really uncomfortable. Margaret Yeah. Summer And it's uncomfortable to be an anarchist or an anti-authoritarian and be like, well, the government should definitely just give me money to stay home. Because then it's like, oh, like—well, you know what—I don't have to explain it. But like, I think there is a lot of discomfort. There's a lot of weird ground here and like, it's—I think that, ultimately, it's just hard to imagine a widespread anti-authoritarian response to something when we live under capital and we live under this extreme—in this extreme situation, in extreme circumstances where we have very little control over something That's so widespread and overarching. Margaret I think that is the answer. Summer Yeah. That's not just you like no control, right? Like, we do have some control over our day-to-day lives, over what risks we're willing to accept, how we share information and resources and all that. Yeah, but some of it just feels very, oh yeah, so icky. Margaret Yeah I mean but it also gets to the level of, like, well, for example, something someone could do is stay being a nurse in the ICU. You know? I'm not trying to convince you to stay your job, you do whatever you want. But like, you know, I feel like that is a—you know, because so much of the response—or like, all the mutual aid organizations that popped up, you know, is like, in some ways that is our response. Because we don't control society, but we do control ourselves and we do control, you know, collectively control smaller organizations and things. Which might be too Pat of an answer. Summer I'm sure I'm sure there's like people more creative or smarter or something than I am who have a really great response to, like, what could that look like. But if—I know in my life for me right now it's just become—like my circle's gotten smaller in a lot of ways and I just try my best to take really good care of the people that are closest to me, you know. When my friends get sick with Covid I, like, bring them food, and I bring them care boxes and whatnot. And that seems kind of like mundane or simple. But for me, coming from my like ICU nursing position, that's kind of the best I can do. And help people understand what's going on, too, people who I'm close to who are like, wait, what the fuck does this—wait, what's happening with this thing? Like, not that I'm an authority, but I do have some room to speak from here. So. Margaret Well, is that no okay question to ask you? This will probably come out maybe a week from when we record it, so maybe everything will have changed. But like, what the fuck is happening right now? Is that something I can ask you> Summer Oh god. You mean with like Omicron, or? Margaret Yeah, and like, you know, there's a lot of discussion right now about, like, do we throw our hands up in the air and say, everyone's going to get it anyway? Summer Oh god. Margaret You know, both like in terms of, like, what kind of response is like appropriate—or even like what response like you take in your personal life, or like the people around you take in your personal lives that you respect, you know?—Whose choices around it you respect. Everyone listening do exactly what Summer is about to say and don't think for yourself. Summer Oh my god. Everyone who's listening, do not do as I say. But I think I have a couple of responses to that in terms of, like, what's going on right now with Omicron and, you know, we're seeing a ton of breakthrough infections. We probably all know people who are getting Covid right now. Do we just, yeah, throw our hands up in, like, let nihilism take over and let everyone get sick? No, that is a horrible strategy for managing a pandemic. That's a terrible— Margaret Oh, interesting. 49:57.48 Summer A terrible strategy and, you know, it does kind of bring me back to policy because so much of Biden's campaign or whatever, the dialogue around it has been about vaccination. And vaccination, yes, that's a tool. But that's not—I guess what I'm thinking of is there was like a statement that Biden made at some point that was like, we have such a great vaccine program and rollout and we're, rah rah, we're doing the best. It's just those damn unvaccinated people. And it's like, if we have this many unvaccinated people, is our vaccine campaign really that good? No, it's not. It's not good. It's not going well, you know, we could do better. Margaret We're doing great in the war except for the enemy that keeps winning. Summer Exactly. Yeah, it's like, what the hell? And I, you know, I think that like just throwing our hands up and saying, well everyone's going to get sick, it just fucking sucks because I think people are riding on this notion that, like, well, Omicron seems to confer less severe disease. Which, yeah, that's great, right? But if more people are getting infected—we're playing a statistics game, right? If more people are getting infected, then a smaller percentage can still be a bigger number of people who have severe disease, you know what I'm saying? And in like a place that's, like, where I live, where our resources aren't extensive in terms of like ICU medicine, our ICU is 15 beds. It only takes 15 people with severe Covid for us to be completely overwhelmed in a hospital that's already completely overwhelmed, in a hospital system that's overwhelmed, in a health care system that's overwhelmed. And so even if people—even in another situation where the people coming into the hospital don't have severe disease, they just have bad enough disease to come to the hospital, you're still dealing with a healthcare system that is, like, teetering—and I mean it, like really teetering. So everyone getting sick is not a great solution. I think that like, I can't tell anyone— Margaret But what if we do it all at once? Summer I can't tell anyone what to do, but in terms of what I do in my life is like, you know, I've all along assessed what risk feels appropriate for me and it's a harm reduction thing, right? It's like, we can't expect people to make the decisions that we would make for ourselves. We can give them the best information possible and the resources and hope for the best, you know, hope for the best outcomes. And I'm not going into indoor dining. I have friends that I see, a lot of them are nurses. I do a lot of outdoor activities so I'm able to see people outdoors a lot. I'm still having some dinners with friends, but I live—I also live in a rural area where, like, transmission isn't quite the same as it is in like big cities, right? So probably some people would take issue with some of the activities I participate in. But that's why I'm saying, like, not everyone should do what I do. But, I don't know, you just, you really need to think about the impact, right? Like, it's not not a big deal if you get sick, and I'm saying that with this assumption that whoever's hearing this has, like, a level of health and immune function that I do, and a lot of people don't, you know. Like I think we, like—“we” being, you know, maybe me—not trying to make assumptions about you—but a lot of us think, oh, this this isn't conferring severe disease, and we're not thinking about our friends, our community members who are really compromised at baseline, who are disabled at baseline, who are chronically ill at baseline, and who maybe aren't “useful” to capitalism at baseline. So it's easy to write off their illness and their deaths as insignificant. It's only affecting people who have chronic illness, you know, like we hear this narrative a lot. Like, 40% of Americans have chronic illnesses. 40%! Margaret Oh, that's a high number, yeah. Summer Yeah, and not all of those are gonna, you know, make it so you get severe Covid. But I've treated patients who their, you know, their chronic illness was hypertension. That's what they came in with, and they're intubated now, you know. And I'm not saying this to like fear-monger but just to, like, there isn't some “other” that is the chronically ill that is the immunocompromised, like, people all around us have these things that they're managing at baseline. So all of us getting sick: bad plan, was the summary of what I just said. Margaret Yeah, yeah. Well no, it's—I mean, it's interesting because it talks about the—when you're talking about, like, okay because people hear, okay, Omicron is less likely to cause severe illness. But as you pointed out, more people are still ending up, you know, we're still seeing a spike in severe illness like hospitalizations and death right now as a result of it. And it is—I think it's because, on an individual level, every individual is safer getting Omicron than Delta, potentially, right? Summer Yeah, potentially yeah. Margaret And so, any individual, especially probably those who kind of had in the back of their heads like, well, I'm healthy, I'll probably survive, you know, anyway, going on. Then hear this like reassurance. But yeah, we don't—we don't tend to think of ourselves at scale. We tend to think of ourselves as us, or at least I do way more than I would like to, you know? Summer Yeah. Margaret No, it's interesting. [Laughs] “Interesting.” What a wonderful word for what we're dealing with. Okay, well we're—we're kind of—we're coming up near an hour, but I guess I wanted to ask, do you have any final thoughts about Covid pandemic, you know, why people should go become nurses, or not become nurses, or anything to impart upon our listeners? Summer Um, I guess one thought that I have is, you know, I know a lot of us come from communities like DIY communities or communities that really value that ethic, and I also value that. But I just, like, want to remind people that, who are treating symptoms at home if they do get Covid or whatever they're treating at home, that if you're going to, you know, use herbal, or nontraditional, or traditional remedies to treat things like this, you just also have to have—you have to be judicious, you know. A lot of us have laughed a lot about people using Ivermectin or something like that. But I've treated a patient who was treating Covid at home with tonic water and homeopathic remedies, and I think it's easy to scoff at that, but like, one person's tonic water and homeopathic remedies is another person's, like, tinctures, right? Margaret Right. Summer Like these just are coming from different cultural backgrounds and situations. And that's not me writing off herbalism by any means, I just want to remind people that, like, in any situation, whether it's first aid, whether it's—we're talking about Covid. There's a point at which we can't DIY anymore, you know. And I just want to like throw that out there because, um, it's unfortunate, right, that we have to rely on institutions, but they're there for a reason. The ICU is there for a reason, and we can't DIY the ICU. So um, yeah, and just to have compassion for people who are trying those other remedies that seem absurd to you, because your remedies seem absurd to somebody else, you know. Margaret Yeah. Well, join us next week when we talk about how to set up a DIY ICU. No, no, no, that makes so much sense. And one of the things that I feel like I've learned a lot by talking to people for this show is kind of this, um, like, the institutions that run society are bad, but society is good—or like, the concept of having a society is good. Like DIY is great, but not everything should fall on you, or even the do it ourselves. Like, you know, we actually do need to learn to expand the “ourselves” in do it ourselves. And like, I don't know, I think one of the things that gave me the most hope that you said during all of this is talking about coming into the hospital system, you know, as a, like a queer weirdo, and then being like, oh, I'm not going to get along with anyone, and then like having these deep connections with people outside your usual bubble. I think that that's, like, so important and one of the things that gives me hope is that, you know, there's actually this like—these larger structures that are still just made of people that we can all work together and figure things out. Summer And, I mean, a lot of those people— I get why we should be skeptical of anyone in a lab coat or whatnot. But a lot of those people really do fucking care, and they really want to do their best even if they fuck up sometimes. So, I'm not trying to be like, woohoo, trust all nurses. But like, some of us are, you know, we're doing all right. Margaret Yeah. Okay, well do you have any either, like, personal or like any projects that you want to shout out to draw attention to while you have the moment? Summer I wish I did. I was for a while working on a project around here called Rogue Harm Reduction providing Narcan and STI testing for free, and Narcan training and whatnot. I haven't worked on that project in a while. I got pretty burned out at work, as you can imagine, so I took a step back. But that's a project I'll shout out to, you can look them up on social media. They're great people doing great stuff. Margaret So they do still exist and people can go support them? Summer Yeah. Margaret Awesome, well thank you so much. Thanks so much for listening. If you enjoyed this podcast, please tell people about it. It's the main way that people hear about it is word of mouth or, I guess mostly word of internet mouth at the moment. And, you know, you can feed all the algorithms that run the world that probably shouldn't by commenting, and posting about it to all the social medias, and doing all of those things—they have kind of a vastly disproportionate effect compared to what you might think. Every comment and every thumbs up and every subscription and all of that means that more people will run across this content. And if you want to support the show more directly, you can do so by supporting Strangers in a Tangled Wilderness, which is the publishing collective that publishes this show which I'm part of. And you can do that by going to patreon.com/strangersinatangledwilderness. I used to be supported by a personal Patreon, but owing to various things in my life, specifically that I have a nonprofit job now, I no longer am supported by that I'm supported by my nonprofit job. So instead the Patreon supports a bunch of different people who are making all kinds of awesome content and I'm very excited for people to check out Strangers in a Tangled Wilderness and all the stuff that we're going to be doing in 2022? Yes, that's the year it is. It's a new year. I'm still not very good at that. And I want to thank all the people who support the show, but in particular I want to thank Nicole and James and David and Justine [inaudible], Sean, Hugh, Dana, Chelsea, Eleanor, Mike, Starro, Cat J, The Compound, Shane, Christopher, Sam, Natalie, Willow, Kirk, Hoss the dog, and Nora for making this show possible. All right, that's it and I hope you all are doing as well as you can with everything that's going on, and take care of yourself and take care of each other. Find out more at https://live-like-the-world-is-dying.pinecast.co

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

In this episode I speak with Haylee, an early career social worker who graduated from UNSW with a double degree in social work and criminology. Haylee has spent most of her career working with survivors of sexual assault for both NSW Health and a non-government organisation. In 2021 Haylee made the move to ward-based social work in a metropolitan hospital which has seen her working in the COVID ICU. Links to resources mentioned in this week's episode: The No More Project - https://nomore.org/ National Redress Scheme for people who have experienced institutional child sexual abuse - https://www.nationalredress.gov.au/ NSW Victims Services - https://www.victimsservices.justice.nsw.gov.au/ Grace Tame - https://en.wikipedia.org/wiki/Grace_Tame Author Jess Hill - https://www.jesshill.net/ Mates, Dates and Everything in Between podcast - https://open.spotify.com/show/4AZSWYF8EirBWfwoAXB07c?si=d13760a0477b4171 The Dulwich Centre (Narrative Therapy resources) - https://dulwichcentre.com.au/ Education Centre Against Violence - https://www.ecav.health.nsw.gov.au/ Survivors & Mates Support Network - https://www.samsn.org.au/ This episode's transcript can be viewed here: https://docs.google.com/document/d/1XZ8vObubfPtbSD6AqXa1hiaV143L5OLKL2fTsW9J5Ng/edit?usp=sharing --- Send in a voice message: https://podcasters.spotify.com/pod/show/socialworkspotlight/message

Episode 93: Updates From the Awake and Walking COVID ICU Why is the mortality rate for COVID ICU patients in the Awake and Walking ICU less than half of the other COVID ICUs in the same hospital system in the same community? How have sedation and mobility practices impacted rates of central lines, vasopressor use, paralysis, tracheostomies, and LTACH admissions? How has this ICU continued to keep COVID patients awake and mobile during this pandemic? Dr. Joel Pittman shares with us valuable updates from the Awake and Walking ICU. --- Support this podcast: https://anchor.fm/walkinghomefromtheicu/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

Anna Priyadarshini brings you the news from Maharashtra, Jammu and Kashmir, Telangana, Tripura, Bihar and the US. See acast.com/privacy for privacy and opt-out information.

This week Tina once again teams up with the dynamic duo Tom & Ben of the Just Some Podcast for Advanced Practitioners podcast. Together they tell the story of Heidi Butler, a California woman and former Covid intensive care unit nurse who was accused of approaching a co-worker to kill her husband. They close the show with an inspiring but bittersweet story of a Covid intensive unit nurse who helped a young father after losing his wife to Covid. Don't forget to go to https://goodnursebadnurse.com and get your tickets to the very first Nurses PodCon.... in-person or virtual tickets are available! Please support our show by supporting our sponsors! Thank you to the American Nurses Credentialing Center for sponsoring our podcast. If you are thinking about getting certified in your nursing specialty, please go to https://pages.nursingworld.org/gnbn for more information! 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 new sponsor Samuel Merritt University. If you're interested in getting more information on their MSN and DNP programs and scholarships visit them at https://smumsn.com and show them how much you appreciate them for sponsoring our podcast! Thank you to CBD Stat for continuing to sponsor our podcast! If you're interested in CBD, go to https://www.cbdstat.care/goodnursebadnurse and check them out! And of course our latest 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! Credits: https://gooddaysacramento.cbslocal.com/2020/09/22/tuolumne-county-husband-defends-wife-murder-for-hire/ https://fox40.com/news/local-news/neighbors-speak-out-after-toulumne-county-nurse-accused-of-murder-for-hire/ https://www.uniondemocrat.com/news/article_adf9e38c-e8bc-11eb-a558-37f2cfcfef81.html  

Show # 270 - Coffee with Rich | Mallory is the co-owner of Michigan Civil Defense and a Krav Maga Black Belt Show # 270 - Coffee with Rich | Mallory is the co-owner of Michigan Civil Defense and a Krav Maga Black Belt On today's Coffee with Rich, we will be joined by Mallory Brake. Mallory is the co-owner of Michigan Civil Defense, a community organization that focuses on transforming civilians into trained and engaged citizens. Michigan Civil Defense offers training in self-defense, emergency first aid, and community preparedness. Mallory is a Black Belt in Krav Maga and a Level 2 Certified Instructor. Krav Maga is a military self-defense and fighting system developed for the Israel Defense Forces (IDF) and Israeli security forces derived from a combination of techniques sourced from Boxing, Wrestling, Judo, Aikido, and Karate. Mallory is the first and only female Krav Maga Black Belt in Michigan. She has been training Krav Maga for 10 years and instructing for 6. Her pride and passion for teaching is empowering women to take responsibility for their own self-protection. Mallory is a certified USCCA firearms instructor. She was the Honor Guard at the American Warrior Society's Firearm Instructor Development Course 3-21. Mallory is a certified American Heart Association Instructor for Basic Life Support, CPR, First Aid, AED and a Stop the Bleed Instructor. Mallory has also been a Registered Nurse for 12 years. She is a bachelor's prepared RN from Bellarmine University in Louisville Kentucky, and she has a certification in Critical Care nursing. Mallory worked in the Intensive Care at Henry Ford Hospital, a level one trauma center, in downtown Detroit for the past twelve years. While there she also worked as a Unit Educator for the Medical ICU. Mallory's unit is run by Pulmonologists, and therefore was the COVID ICU during the current pandemic. During her limited down time, Mallory loves being with her family – who made her the woman she is today. She also trains, trains, and trains some more. Coffee with Rich Youtube Channel: https://www.youtube.com/user/rhodieusmc/videos American Warrior Show: https://americanwarriorshow.com/index.html SWAG: https://shop.americanwarriorsociety.com/ American Warrior Society please visit: https://americanwarriorsociety.com/  

A look inside a COVID-19 Intensive Care Unit at Novant Health Rowan Medical Center in Salisbury, North Carolina, as doctors and nurses manage another hectic workday.

710 ESPN's Andy Eide on Seattle Kraken's first home game tomorrow // Feliks Banel, All Over the Map - Danville // Margaret Brennan, Biden's concessions on Build Back Better so far, and Taiwan // Hanna Scott with the latest on City Hall Park in downtown Seattle // Dose of Kindness -- a Covid ICU nurse fundraises baby supplies for young pregnant woman // Gee Scott on millennials vs boomers in the real estate market // Nicole Jennings, Charity of the Month - Athletes for Kids // Laura Scott on bones or no bones day See omnystudio.com/listener for privacy information.

Infections spike despite widespread vaccination. We hear from our Health Correspondent Fergal Bowers, and a doctor in Waterford on that surge in cases in parts of the south east.

We welcome Erik, a nurse on a COVID ICU unit who discusses his perspective on what it's like to work in healthcare right now as well as what it's been like to be a new graduate nurse during a pandemic. We also talk about our coping strategies (or lack thereof) when a patient dies, or when Anya has experienced the death of a student.

This week Luke is taking us behind the scenes of being a Covid ICU nurse. He's answering your questions about working during the pandemic, his thoughts on the vaccine / mandate, advice for staying healthy.... and all that jazz. 

Dr. Marci Drees, Christiana Care's Epidemiologist, answers questions about the lack of solid numbers of COVID ICU patients who are unvaccinated, transmission of COVID by vaccinated people and the fact that vaccinated people can catch COVID and their symptoms are not as severe as unvaccinated people and will most likely not need to go to the hospital.

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

Radio Sweden speaks to Stockholm City about its moves to help those newly arrived from Afghanistan . Also, hear from volunteers helping the quota refugees adapt to their new surroundings and find out what it is like to be uprooted from life in Kabul. Plus, concerns over the high percentage of Covid ICU patients who are unvaccinated and the debate over whether employers can demand new hires take the vaccine. And, they stopped singing for over a year but now the tougher restrictions on choirs and orchestras have been lifted, much to their delight. Reporters - Dave Russell, Ulla Engberg, Linnea Magnusson. Produced and presented by Dave Russell

We have an exciting update on the future of the podcast! A couple of changes are coming that we're excited to share. With COVID rampant, we chat to nurse Maddie, who works at a major Sydney hospital. She gives us an insight into just how real the virus is, the impact it's having on patients + families, her thoughts on the vaccine and what the way forward is for the country. Also Kanye's 'Donda' is finally out! So we unpack the latest album from Ye, if it hits if it's shit, and all the hype in between. Socials: Trends & Tings Podcast Group ~ https://www.facebook.com/groups/605282423374555/ ~ Trends & Tings Instagram ~ https://www.instagram.com/trendsandtings/ ~ Trends & Tings Twitter ~ https://twitter.com/trendsandtings ~ Patreon ~  https://www.patreon.com/trendsandtings ~ Trends & Tings is hosted by Sydney lads, Gordon D'Mello (@gdm_ello) and Scott Singh (@scottysingstar). See omnystudio.com/listener for privacy information.

Orlando Sentinel Now afternoon update for Tuesday, Aug. 31, 2021. Daily COVID-19 infection counts, hospitalizations may have peaked in Orange County (:25) In the COVID ICU, an Osceola nurse warns inadequate staffing threatens patient safety. She blames the hospital's staffing policy. (4:22)

In our local news today: Arkansas runs out of COVID ICU beds; MHS is bringing back the Homecoming Parade and production; Senator Boozman critical of Afghanistan situation; Museum of Automobiles to host Ford Econoline Show; ARDOT is hosting an online public meeting for proposed Conway roundabout, plus we'll check sports.

ROFL. The cover was TOO MUCH for Soundcloud. If Want the uncensored cover Just text "FUCK" to 310 361 4717 and you will get the full cover within 24 hours. This album is dedicated to the people that used to love that tried to silence or harm me. The ones that would take their love away from me and bread crumb me when they needed something. the ones that told me I was too old , too fat , disposable and that something was wrong with me. But these fuckers can live in sunlight. One of the reasons this project took so long was because I let these vampires into my life, my heart and my bed. I was also in a brutal 9-month court battle with my ex-partner, and to make it worse I was not prepared to learn more of his lies as the courts unfolded his true colors. A complete con artist and psychopath. I'm talking Lifetime may be buying the rights soon. The most surprising part was learning he had a plan to kill me at the end but did not go through with it. Yet he got the drugs in me then raped me when I was groggy and filmed it for his collection. Which he used to bait guys on Scrif and Grinder. Imagine having someone inside you and holding you thinking you found your partner , to later on finding out that he wanted you gone band was filing you without your knowledge And who do you talk to about that ? If I heard someone talking about that I would think they were insane. So I kept it to myself. And I had to process this while I was working ain a Covid ICU putting people in body bags at the hospital. I Then I did something stupid. I sent my ex groceries. My thought at the time was I was hoping it could just stop his insanity. It took it to another level. I was not allowed to do that so he filed the complaint and I was put in the general population of the Baltimore State Prison. I was the only white guy in there. Just when I thought there was no way he could hurt me anymore then he did. It went to a whole new level. When I finally got out and was able to get home; I bought a bag of blow, a bottle of vodka, and a few razor blades and I sat in the bathtub. I was planning on taking my life. Until I saw my dogs all sitting in the doorway looking at me. I crawled out of the tub and layer on the floor with them. I cried all night. They never left my side. It was then that the universe forced me into a fire I did not want to go into. Nor one that I thought I had the strength to endure. Taking a true look at myself and asking why did I let this man do this to me. It would of been easier to play the victim. But I gave him the scissors multiple times , hoping I would get difficult results. I died that night , I do not mean physically, I mean spiritually. I have never been in so much pain , so alone or scared. I had given all of myself to someone who I just wanted to love me. Isn't that what we all want? And just like my father that rejected me for being who I am. When I looked in the mirror , I saw a broken 50 year old man but inside was that 4th grader just wanting to be held. To be told it's going to be ok and mostly that I was loved. For 50 fucking years that's al I ever wanted. And what a cliche it is but quoting the Wizard of Oz when the good witch tells Dorothy. “ you had the power all along “. Loving yourself , setting boundaries and staying far away from toxic people has to be the hardest lesson we face. Many choose to numb themselves with sugar , drugs , sex and /or alcohol instead of looking in that mirror. Fuck, I did for 50 years. Not anymore. This album, set or whatever you want to call it is my story. It is my walk through the fire and my rise from the ashes on the other side. Nobody will ever take away my confidence again. If this speaks to you. I'm waiting on the other side. The cool thing about when you get over here… you will be "UNFUCKWITHABLE

"Currently working in a COVID ICU in a tertiary center in Kathmandu, I have experienced how difficult it is for the health system to manage the patient load. A month ago, ICU beds were fully occupied, ventilator alarms would set off time and again, indicating low flow as the hospitals faced shortages of oxygen supplies, emergency rooms were over-occupied, and patients waited in queues to receive oxygen or just to be checked up by a doctor. At such a desperate time, telemedicine is a noble initiative. I thank my patients who taught me more than just mere medical knowledge and my dedicated fellow volunteer doctors who teamed up in this project to help the nation in these dire times." Astha Prasai is a physician in Nepal. She shares her story and discusses her KevinMD article, "Telemedicine in Nepal during COVID-19." (https://www.kevinmd.com/blog/2021/07/telemedicine-in-nepal-during-covid-19.html)

Rationing rapid PCR tests and being weighed down by your PPE – just another shift in the NSW outbreak.

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 Today's Episode of the Punch Out:US ICU's Filling Up, Outdoor Work Increasingly Deadly, Earthquake Devastation in Haiti.

Whitney Pérez-Wright (she/her) is cardiovascular/critical care RN who has served in COVID ICU and recently experienced the effects of the virus personally. She strives to employ the principles that she has learned from the ancient technology of yoga passed down to her by her teachers, to help her serve other people. She has a passion for helping the world come together and heal in every way. She currently resides in Colorado with her partner Sam along with her animal companions.In this episode Yoga is Vegan's Holly Skodis and Whitney Pérez-Wright discuss our duty as Yogis to practice what we preach, especially during COVID. Topics discussed:Spiritual bypassingMasksVaccinesFinding compassion for each otherHow to deal with COVID if you get itConnect with WhitneyPérez-WrightInstagram: @whitney__starkEmail: whitnery.koerper@gmail.com

Dr. Paloma Marin-Nevarez graduated from medical school during the pandemic. We follow the rookie doctor for her first months working at a hospital in Fresno, California, as she grapples with isolation, anti-mask rallies and an overwhelming number of deaths.  Don't miss out on the next big story. Get the Weekly Reveal newsletter today.

Dr. Paloma Marin-Nevarez graduated from medical school during the pandemic. We follow the rookie doctor for her first months working at a hospital in Fresno, California, as she grapples with isolation, anti-mask rallies and an overwhelming number of deaths.  Don't miss out on the next big story. Get the Weekly Reveal newsletter today.

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

The International Risk Podcast is a weekly podcast for senior executives, board members and risk advisors.  In these podcasts, we speak with risk management specialists from around the world.The International Risk Podcast – Reducing risk by increasing knowledgeFollow us on Facebook, Twitter, Instagram, and LinkedIn for all our great updates.Keith is Chair of Samaritans in the UK & Ireland and Chair of Mental Health At Work.  Keith's executive career was with Shell 1982-93 where he held a series of general manager roles in the UK, New Zealand, Sweden and Cyprus. He then joined the consulting firm McKinsey 1993-2006 where, as a partner, he served energy companies and government agencies on issues of strategy and operations. He moved to Deloitte 2006-17 as a partner and he served clients in Europe, North America, Africa and the Middle East, focusing on government in the fields of defence, tax, health and transport. Keith has led a series of charities and is committed to working to promote mentally-healthy workplaces. He was Chair at BuildAfrica 2010-15, the Mental Health Foundation 2014-20 and now Samaritans and Mental Health At Work. His wife is a NHS psychotherapist and his younger son is a NHS doctor who ran a COVID ICU through both waves.Keith is the author of A Question of Leadership – leading organizational change in times of crisis (Bloomsbury 2021) and he regularly publishes and speaks at conferences on leadership, major projects and mental health.  Buy Keith's book at A Question of Leadership: Leading Organizational Change in Times of Crisis: Keith Leslie: Bloomsbury BusinessKeith grew up in Kirkcaldy, Scotland and graduated with first class honours in law from the University of Edinburgh, where he was elected President of the Students Association. He then took an MBA summa cum laude at the Wharton School, University of Pennsylvania.Read the latest article on The International Risk Podcast about risk, healthy work places and mental health Creating mentally healthy workplaces – The International Risk PodcastFor 25 percent off and to send the profit to Samaritans from ‘A Question of Leadership - leading organisational change in times of crisis' by Keith Leslie (Bloomsbury 2021) use discount code LEADERSHIP2021 at www.bloomsbury.com/aquestionofleadershipThe Deloitte report is ‘Mental health and employers: refreshing the case for investment' on https://www2.deloitte.com/uk/en/pages/consulting/articles/mental-heaalth-and-employers-refreshing-the-case-for-investment.html Leadership, mental health, and risk management websites for more information and free-to-download publications: https://www.samaritans.org/how-we-can-help/workplace/ https://www.mentalhealth.org.uk/publications https://www.mhaw.uk.com/who-weve-helped/Thank you for listening to another International Risk Podcast.  Do you know someone who would like to listen to this episode?  Share it with them now.  We will see you again next week.

Welcome to the first-ever episode of Nursing Uncharted! In this inaugural show, our host, Maggie Reichard, BSN, RN, CNRN, introduces herself to our listeners and provides the heartfelt message surrounding its creation. Maggie is incredibly excited to discuss the Nursing Uncharted mission statement, her personal journey with nursing, words of encouragement to all the hard-working nurses out there, and more. Join us every other Tuesday to hear about important topics from our amazing guests and don't forget to subscribe!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) Introduction to the show and its goals for our listeners(2:17) Maggie's nursing journey(11:48) Words of encouragement for nurses everywhere(14:26) Where to subscribe and join the Nursing Uncharted communityAbout 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

With author Nurse T, Publisher Tim Sheard, and local reader/discussants from the frontlines of healthcare work. Order the book from Hard Ball Press: https://www.hardballpress.com/pandemi...​ Panelists include Sarah Lake, a retired nurse; Renee Vaughan, a worker in a long-term care facility; Najaha Musse, a resident physician and Mary Turner, president of the Minnesota Nurses Association and a COVID ICU nurse. “An exhilarating read that takes you right to the front lines of the pandemic and the heroes risking and putting their own lives in harm's way to save others! A story that will have you reaching out to the brave nurses and hospital workers and thanking them for what they do on a daily basis…Highly Recommended!” —Joe Dougherty, PhillyLabor.com “…a gut punch — a raw, hard look at the day-to-day lives of healthcare workers who almost everyone expects to be super-heroic as a matter of course.” —Labor Press “…a book written by a nurse in the center of the pandemic. Accompanied by beautiful drawings of hospital workers caring for patients…a narrative which helps us understand both COVID19 and the workers who faced it…[and] the deep solidarity health workers experience from each other.” —Marilyn Albert, Portside “It is important for all of us to know about the truth of what COVID-19 has brought to healthcare facilities and the impact it has had on healthcare workers. It is important to know this as citizens, but also as members of the labor movement and the working class….A Pandemic Nurse's Diary…is an essential tool in the struggle. …a very powerful read.” —APWU Union Mail “…a vivid and powerful personal account of how Covid-19 has impacted her co-workers and patients and how the local, state, and national health care ‘system' failed to provide the support and supplies they needed.” —Matt Witt, World Wide Work

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

I chatted with Sheryl Warfield, Critical Care Registered Nurse who spent the past year taking care of patients in the COVID ICU at one of the nation's top hospitals.In this episode we talk about falling in love with the ICU, how her job changed before and during the pandemic, the PTSD felt by nurses and other medical professionals, and her new chapter working at a hospital in San Francisco. Follow us!Sheryl: @sjwarfieldLMK How: @lmkhowpodcastLauren: @laurengutin

Nathan and Karen host Christy Chermak, Executive Director of Watermark Health, and COVID ICU nurse Rachel Butterfield to chat about all the changes we've undergone during COVID, and that in the midst of all those changes, Jesus stays the same.

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

In this episode, I'm joined by Amanda Readinger, a nurse who details her journey from bedside nurse to travel nurse. Beginning with a career in psych mental health, choosing to leave the bedside to find ways of paying off student debt, Amanda then decided to make travel nursing a full time job. We discuss all of the in's and out's of travel nursing including financing, health insurance, job security, and training. Amanda then left to go and travel to California to take a job working the COVID ICU's. The differences between report styles of COVID ICU patients and non-COVID ICU patients; the donning and doffing process; the teamwork of a COVID ICU unit; the mental exhaustion, stresses and challenges of working in two California major cities-Amanda details this journey of the red zone in Los Angeles. What a crisis team is and why not everyone would receive care if the pandemic grows out of proportion. Amanda graciously describes her feelings of what her experience was like and what burnout meant to her. Finally, Amanda discusses her next journey which is to be a Psychiatric Nurse Practitioner! Amanda graduated from Wilkes University in 2013 with a bachelors in psychology. After working a couple years as a mental health technician, she realized she had an interest in nursing. She attended DeSales University's accelerated BSN program and graduated in 2017. She went directly into ICU nursing and worked as a staff nurse for two years before going into travel nursing. She currently has been in PA, CA and CT while attending Walden University for her Masters to be a psychiatric nurse practitioner. When she isn't proning patients and there isn't a pandemic surrounding us, she enjoys Broadway shows, concerts, playing with her puppy and putting together LEGO sets with her fiancé, Stewart.

On Friday February 26 my sister Trina Stingley became a #Covid19 statistic to most people. She will never be just a number to me or my family. Trina was a mother of 3 the oldest of 5 siblings. She died alone because we weren't permitted to stay in the COVID ICU overnight. I will never see her again. I talk about everything leading up to her death. --- Send in a voice message: https://podcasters.spotify.com/pod/show/avoidearth/message

On Friday February 26 my sister Trina Stingley became a #Covid19 statistic to most people. She will never be just a number to me or my family. Trina was a mother of 3 the oldest of 5 siblings. She died alone because we weren't permitted to stay in the COVID ICU overnight. I will never see her again. I talk about everything leading up to her death. Diane Faith and I traveled over 1 thousand miles to Texas to be by her side. --- This episode is sponsored by · Anchor: The easiest way to make a podcast. https://anchor.fm/app --- Send in a voice message: https://anchor.fm/millennialboom/message Support this podcast: https://anchor.fm/millennialboom/support

Danielle sits down with the ever so brilliant Covid ICU nurse, Jess, to discuss what it is really like working in an ICU unit, the fear, the reality, and the hope. Jess breaks down the science behind all three covid vaccines and explains in-depth the safety and efficacy of the science behind it. We discuss which vaccine is safe for the expectant and breastfeeding mother, as well as what to expect after receiving the dose. Sit back grab, some coffee, as we learn from the best.

What is the cost of caring through Covid? We recently hit 500,000 lives lost to Covid, a number that is staggering. What does that mean for caregivers?  In this episode, we hear from Laura Wright as she talks about her experiences as a charge nurse in a Covid ICU. Laura is a Trauma ICU nurse at her roots. She's been in the field since 2004 and currently works as a charge nurse in a Med / Surg / Trauma ICU in a large teaching hospital in downtown Phoenix, Arizona. She is also a 200hr trained yoga teacher who is passionate about bringing a yoga lifestyle into the healthcare world to combat burnout and promote resilience. You can find her on http://zenrnyoga.com and on Instagram at https://www.instagram.com/zenrnyoga/

Ashley and I have a conversation about her Tweet thread that went viral and landed her on MSNBC to talk about the Covid ICU and a very special patient she connected with who didn't believe Covid-19 was all that serious. Ashley has also served our country in the military and I loved our conversation.

Jennifer Weiss, orthopaedic surgeon, shares her experience with Leah Weiss about Covid from the front lines, from the Covid ICU.  This episode is also a candid view of sister guilt and laughter as medicine.  

Christian shares his journey to becoming a Covid ICU nurse as well as the effects of the Pfizer BioNTech vaccine he got recently. Josephine, Christian's fiancé, have a unique experience compared to Christian. She got the virus from work and shares how she is coping up and recovering from it.   Vanilla Zest Podcast doesn't claim to be an expert on any field of topic it publishes but only aims to share the unique experiences of their guests to inform and (in a way) entertain its listeners. The conversations are candid and are personal opinions of the host and the guests.   https://www.who.int/ www.tga.gov.au www.australia.gov.au

Kelley Anaas worked as an intern when she was a nursing student which helped her land a job on a med/surg floor. After 6 years she decided she was ready for a change and moved into the ICU. She spent a lot of time training for that job, but it still didn't prepare for the Covid crisis that hit in March, 2020.Kelley takes us through her experiences as an ICU RN in a Covid unit and the transformation that took place during that time. On top of her regular nursing duties caring for extremely ill patients and their families, her and her colleagues took on extra roles such as stocking supplies, cleaning the rooms and becoming the telecommunication specialists between the patients in the hospital and their loved ones on the outside. Despite all of the added work, stress and exhaustion, Kelley and her team continued to show up to care for our loved ones.We will hear what nurses have gone through and the lasting effects that this time has had on both their mental and physical health. Kelley wants to encourage nurses to seek out help if they need it and to also give support to nurses and other teammates that might be struggling. A big thank you to all of our nurses and every person out there working in hospitals taking care of the patients through this difficult time.Learn more about supporting the Don't Eat Your Young Podcast with a membership — visit Don't Eat Your Young's membership page!  00:00 - Welcome to Don't Eat Your Young 00:24 - Kelley Anaas 01:23 - Kelley's Back Story 02:09 - Going Right Into ICU 07:00 - Working Through COVID 12:56 - The Toll the Pandemic Took 15:06 - How Is It Going Now? 17:00 - Staff Size 19:20 - Learning Opportunity for New Nurses 20:24 - ICU Orientation 21:57 - The Future of Nursing 24:11 - Advice for Nurses 26:27 - Wrapping Up

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.

On this episode, we discuss some tips and things to remember if you are a new nurse in the COVID ICU (or any COVID unit). We talk about flexing that "asking for help" muscle, swallowing a little pride, time management tips specific for COVID, and clinical expectations for these patients. Newer nurses are certainly being thrown into the deep end between shortened orientations, surged assignments, not enough staff, and disaster practices (let alone starting their careers amidst a global pandemic). So I hope this episode might help you get more of a handle on a few things and give you a heads up on what to expect. Remember that you are stronger than you give yourself credit for. And don't forget that we are all in this together! I would love to answer ANY questions you have about caring for COVID patients in or out of the ICU. Message me @ashley_nursingcoop or shoot me an email at thenursingcoop@gmail.com with any questions, feedback, or comments. Happy Nursing!

Cal and Cathy welcome Lee Harper-Chen and Alexis Paules, ICU nurses who work at the bedside with COVID patients. In this episode we hear what it's really like for front line health care workers, why just showing up is impressive, and how taking care of ourselves (by wearing masks and washing hands) is the best way to support nurses and other front line providers. About Our Guests: Lee Harper-Chen is an ICU nurse at a level one trauma center in the Washington, DC area. She started caring for COVID patients during the spring surge and suffered with COVID herself for three weeks over the summer, which she caught in an outbreak among nurses. In her free time she loves playing sports and cuddling with her two young boys and their dog. Alexis Paules accepted a job in the Neuro/trauma/Surgical ICU after college graduation, and has been working for about a year and a half now. Their ICU became a COVID ICU during the pandemic. During her first year of nursing she got married to her high school sweetheart and they just became homeowners in Maryland! Alexis loves to sing, cook, and spread the love to those around her.

What's Good Dimah Fam! Tune in to this episode where Carolyne revisits the TDP crew virtually and fills us in on life during the Covid pandemic, her husband who's a doctor in the ICU, her journey to become a therapist and so much more. WE LOVE YOU SO MUCH TDP FAM! Thanks for listening! 

Carolyn Harding with three medical workers on the front-lines of the covid-19 crisis. We have all been impacted by this deadly pandemic virus, yet these folks are on the front lines, tending, treating, nursing, comforting our most vulnerable in their deepest need. They facing life and death head-on daily. They are Heroes. One of our guests is a traveling nurse, one is an ER medical technician, one an Urgent care MD. Two of our guests choose to remain anonymous. Traveling Nurse is a registered nurse based in Central Ohio. She has worked as a travel nurse in a variety of specialties in the hospital setting for the past 5 years. In January 2020 she started [an] 8 week contract, then covid hit- she's been extending and extending and extending to this day. She's been assigned to three different facilities over the course of the Covid pandemic, and has most recently been assigned to a Covid ICU unit in a facility that is under surge due to the Covid crisis. ER Tech is an Emergency Department Technician in a small, independent, not-for-profit hospital in SE Ohio with less than 300 beds. As a technician, she takes vitals, assist nurses by drawing blood, running errands to lab cleaning, stocking, performing EKG's, transporting, and do compressions on patients. . Brad Cotton is an MD, ER physician for 40 years. He started off as a paramedic in Cleveland, studied Nursing at Kent State and then Medical School at OSU. He's active in Ohio SPAN (single payer action network). GrassRoot Ohio, Conversations with everyday people working on important issues, here in Columbus and all around Ohio. Every Friday 5:00pm, EST on 94.1FM & streaming worldwide @ WGRN.org, Sundays at 2:00pm EST on 92.7/98.3 FM and streams @ WCRSFM.org, and Sundays at 4:00pm EST, at 107.1 FM, Wheeling/Moundsville WV on WEJP-LP FM. Contact Us if you would like GrassRoot Ohio on your local station. Check us out and Like us on Face Book: https://www.facebook.com/GrassRootOhio/ Check us out on Instagram: https://www.instagram.com/grassroot_ohio/ If you miss the Friday broadcast, you can find it here: All shows/podcasts archived at SoundCloud! https://soundcloud.com/user-42674753 GrassRoot Ohio is now on Apple Podcast: https://podcasts.apple.com/.../grassroot-ohio/id1522559085 This GrassRoot Ohio interview can also be found on YouTube: https://www.youtube.com/channel/UCAX2t1Z7_qae803BzDF4PtQ/ Intro and Exit music for GrassRoot Ohio is "Resilient" by Rising Appalachia: https://youtu.be/tx17RvPMaQ8 There's a time to listen and learn, a time to organize and strategize, And a time to Stand Up/ Fight Back!

Our first podcast from California. We have a casual discussion about Leona's new ICU assignment and the politics of covid. At the end, we talk about the 2020 election and what we learned. *We apologize as we recorded most this podcast from the inboard microphone of my laptop instead of our external microphone* Thank you for listening! Georgia video from State Farm Arena https://www.youtube.com/watch?v=keANzinHWUA&t=14s Compendium of Voter Fraud https://www.realclearinvestigations.com/articles/2020/12/07/a_running_compendium_of_fraud_charges_in_election_2020_126261.html Votes discovered after election in Georgia https://apnews.com/article/2nd-georgia-county-find-uncounted-votes-018eac6ac24733d63d356ee76f485530 Under subpoena, the DMV finally provided a list of green card holders and non citizens who had obtained driver's licenses. When we compared this detailed information against the county voter records in Nevada, we discovered that 6,260 non citizens were registered to vote and 3,987 non-citizens HAD VOTED. https://nevadagop.org/illegal-voters/ Tony and Leona

On this episode, we talk through a full patient case (2 patients) in the COVID ICU on a busy night. Unlike our last "night in the life," this was the type of night where there was no time to get organized, review charts, or plan the day as we normally like to. This was a "put out fires and keep your head above water" type of shift that would not have been possible without an incredible team and a lot of asking for help. These are skills that all of us new nurses need to perfect and practice in our careers. There's a major difference between managing your time during a "stable" shift, and managing your time during a crazy shift. That is what we break down on today's episode.  ***My instagram handle has changed as I combined my personal and podcast pages. Our community is now @ashley_nursingcoop *** I would love to answer ANY questions you have about time management during crazy shifts, handling emergency situations, and prioritization. Message me @ashley_nursingcoop or shoot me an email at thenursingcoop@gmail.com with any questions, feedback, or comments. Happy Nursing!

In this episode we chat with an Intensive Care Unit (ICU) nurse to learn about her experiences dealing with this pandemic up close and personal. She did not hold back on her thoughts and experiences. A few technical medical terms were used so check out the accompanying glossary for this episode on our website here.

Join us as we talk with Eva Stephens and Andrew Mitchell, two 2018 Nursing graduates, who are currently working in a COVID ICU unit in Alabama and ER in Texas. We are excited to have Alecia Spurlin, a senior Nursing student at LeTourneau University, join us as a co-host. #LetourneauBuilt LeTourneau University is home to an incredible Nursing program, with a 100% NCLEX pass rate three years in a row! Find out more at www.letu.edu/nursing View the video of this conversation on our LETU Alumni Facebook page here: https://www.facebook.com/watch/LETUAlumni/329356581547873/

Jason Odhner and Laura Ankeny: Nursing as a Work of Mercy and Justice  Season 1. Episode 8 of Messy Jesus Business, hosted by Sister Julia Walsh LISTEN HERE: IN THIS EPISODE: In episode eight, Sister Julia speaks with two nurses who are serving during the coronavirus pandemic. Jason Odhner is nursing on a COVID ICU and thinks about the medical system through the lens of the marginalized and oppressed. Laura Ankeny was diagnosed as a presumed case of COVID at the start of the pandemic. She works in a hospital in Minnesota.  In the interviews you'll hear their personal stories and how they connect Scripture to the ministry of nursing. Jason outlines why he believes the four major problems with the health care system are commodification, decontextualization, compartmentalization and a lack of imagination. Both nurses describe the reality of COVID19 and how the ordinary (non-medical) person can offer care and support during this pandemic.   ABOUT THE GUESTS: Jason A Odhner is a Registered Nurse, a Radical Quaker, and health-justice activist from Phoenix, Arizona. He is co-founder and president of Phoenix Allies for Community Health: a volunteer-driven nonprofit community whose flagship project is a free clinic serving about a thousand undocumented families in the Phoenix area. He's also a co-founder of the Phoenix Urban Health Collective, a street-medic collective that has helped train protest-medics in more than 15 cities. Jason is currently working in a COVID ICU. He is joyfully married to the amazing and beautiful Elizabeth Clara, and is the proud father of five month old Baby Levi. Laura Ankeny grew up on a farm in Northwest Iowa and was formed in the Catholic faith through her childhood. She attended Loras College in Dubuque, Iowa, and then graduated from the University of Iowa's college of nursing. Now she works as a nurse in a hospital in Minneapolis, and lives in St. Paul, Minnesota with her cats. She is an affiliate of the Franciscan Sisters of Perpetual Adoration, a loving Christian, a proud godmother to her niece, and an aunt to her nephews.  At the date of release of this interview (July 31, 2020) the World Health Organization reports 17,106,007 coronavirus cases and 668,910 deaths in 216 countries or territories worldwide. According to the CDC, there have been 4,405,932 cases in the United States and 150,283 deaths.  Jason and Julia also discussed No More Deaths. You can learn more about No More Deaths who offers humanitarian relief on the USA / Mexico border at NoMoreDeaths.org The Scripture passages referred to in episode are Mark 2:1-12 (the healing of the paralytic) and Matthew 25: 35-40 (the works of mercy and the parable of the final judgement). MESSY JESUS BUSINESS is produced, hosted and edited by Sister Julia Walsh. Email us at messyjesusbusiness@gmail.com BE SOCIAL:  Facebook.com/MessyJesusBusiness Twitter.com/messyjesusbiz Instagram.com/messyjesusbusiness SUPPORT US: patreon.com/messyjesusbusiness

Drive in with The Morning Ritual weekday mornings on KNST AM790 Jennifer works at a Tucson hospital and said her hospital set up an emergency area just to collect money from the federal government. She also said Banner's COVID ICU is full and her hospital offered to take some patients because they have room but Banner refused because they don't want to lose the money.

We welcome the inspirational Dr. Joel Meyer, an adult intensivist and co-founder of LifeLines. Joel joins us to cover:Communication in the ICU & virtual visiting during COVID-19LifeLines: the inspiration and development for a novel virtual visiting platormThe Post ICU syndrome and recoveryIntroduction- Joel tells us a bit about himself and his experience of COVID-19 (04:07)- Something positive to come out of the pandemic (06:10)Virtual Visiting & Lifelines- "The whole structure of visiting has been turned on its head" (08:35)- How lifelines was developed (12:00)- Applications of Lifelines beyond the ICU (18:10)Post ICU syndrome- An overview of the syndrome (23:40)- Physical manifestations (26:30)- Post ICU syndrome and COVID-19 (28:30)- Complications to look out for when patients are stepped down from the ICU (31:30)- Psychological effects of a prolonged COVID ICU admission (37:15)- Optimisation of the post ICU care (40:30)Important LinksCritical care recovery: managing and supporting ICU recoveryICM guidance on recovery from COVID-19LifeLinesBTS guidance on follow up

French, English Greek highlights of the news regarding the covid crisis. Apple is under criticism by the aithorities as the new surveillance app to track citizens goes in hibernation when not used. --- Send in a voice message: https://anchor.fm/fornico/message

The Boys are back this week with a very special episode. In the midst of the coronavirus outbreak, they found out one of their listeners, Meg, is a doctor in the COVID ICU at NY Presbyterian / Weill Cornell and listens to the podcast on her commute to the hospital. So they made this episode specifically as a thank you to Meg and all medical professionals working tirelessly on the front lines during the pandemic. It's a fun, special episode and The Boys get a little help from some other amazing voices. Featuring Sarah Jessica Parker. If you'd like give to donate to any of the organizations mentioned in the episode, check them out at https://linktr.ee/thebradshawboys and please support your local businesses, organizations, and neighbors if you are able. Stay safe everyone! This episode features: Sarah Jessica Parker Cynthia Nixon Kristin Davis Kim Cattrall Ben Weber David Eigenberg Willie Garson Mario Cantone Michael Patrick King   Instagram: @TheBradshawBoys Twitter: @TheBradshawBoys Call us and leave a message: 917 410 1428 or record a voice note and email us - thebradshawboysnyc@gmail.com Cory Cavin (@corycavin) Jon Sieber (@jonsieber) Kevin James Doyle (@kevinjamesdoyle) Voiceover by: Katie Sieber (@katiejeanne18) Produced by: Jeremy Balon (@remybalon) at Seltzer Kings Studios (@seltzerkings) Learn more about your ad choices. Visit megaphone.fm/adchoices