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Real answers for your real med school dilemmas. We've had some listener question stacking up like it's the ER waiting room at shift change—and now we're finally calling some names. This week, we're clearing the board and giving straight talk on everything from whether Rainey might regret her choice of DNP over med school, Worried Traveler's fears of surviving their first clinical rotations, and Zion's untested study habits. You'll hear why reputation beats job title, the art of asking questions without tanking the vibe, and some ideas on making the transition from an easier undergrad education to med school madness. M4s Hend Al-Kaylani, Maryam Ahmad, and Madeline Ungs confront the awkward task of making friends in med school and why it's okay if you're not instantly every resident/faculty favorite.
What separates a strong nurse anesthesia applicant from someone who simply looks impressive on paper? In this episode of Airway Exchange, Erin and Louisa sit down with Leah Gordon, DNP, APRN, CRNA, program director and assistant professor in the Nurse Anesthesiology Program at St. Mary's University of Minnesota and author of The Provider Mindset: A Complete Guide to Becoming a Competitive Nurse Anesthesiology Applicant. Together, they explore what educators are really looking for during the admissions process and why GPA, ICU experience, shadowing hours, and a polished interview only tell part of the story. Here's some of what you'll hear in this episode:
Not every co-parenting relationship can be fixed through better communication. What do you do when the other parent refuses to cooperate, no matter what you try? There's a name for the path forward: parallel parenting. Susan Guthrie welcomes divorce and recovery coach Dr. Courtney Evans, who has lived through high-conflict co-parenting herself and now helps others build the boundaries that get them out of it. This episode continues Divorce & Beyond's summer series, picking up where last week's conversation on uncooperative co-parents left off. Dr. Evans explains what parallel parenting is, when to use it, and how to create real peace for you and your children even when the conflict doesn't stop. Episode 6 of 8 in the Divorce & Beyond Summer Essentials Series. This summer, Divorce & Beyond brings back 8 the episodes listeners reach for most, the conversations with the clearest, most practical guidance for anyone thinking about, going through, or rebuilding after divorce. New Essentials air every other Monday all summer. Follow the show so you never miss one. What You'll Learn Parallel Parenting: a transformative approach that can help you manage high-conflict situations with greater ease and clarity “There is no one solution for how to divorce, co-parent or parallel parent or how to recover after. Every situation is unique.” The difference between counter-parent, co-parent, and parallel parent Why Courtney likes to refer to parallel parenting as peaceful parenting How and when to get started with parallel parenting or make the transition Episode 6 of 8 in the Divorce & Beyond Summer Essentials Series. This summer, Divorce & Beyond brings back 8 the episodes listeners reach for most, the conversations with the clearest, most practical guidance for anyone thinking about, going through, or rebuilding after divorce. New Essentials air every other Monday all summer. Follow the show so you never miss one. About this week's special guest: Dr. Courtney Evans Dr. Courtney is an experienced divorce and co-parenting coach who also holds a DNP. Her two-decade career in the healthcare field has lent to her deep understanding of mental health and the importance of self-care during challenging life transitions. In 2021, after a traumatic family court journey, she switched gears in her career, determined to turn her experience into a source of healing. She began coursework in Alternate Dispute Resolution strategies. In 2022, Courtney received her Divorce Coach and Recovery Coach certifications from the CDC® International Divorce Coach Certification Program and a specialization in Divorce Conflict from the Divorce Coach Academy®. Courtney is currently in school working on her MBA as well as continued work in co-parenting and high conflict dispute resolution specializations. She is also currently writing her first book, Uncaged: Redefining Forgiveness out January 13, 2025. Find More Information on Dr. Evans: Contact Dr. Courtney: TheDivorceCo@gmail.com Dr. Courtney's website: www.thedivorceco.org Dr. Courtney on Instagram: http://instagram.com/thedivorceco Dr. Courtney on Facebook: http://facebook.com/thedivorceco Resources mentioned in this episode: The Parallel Parenting Solution (book) If This Episode Helped You Follow Divorce & Beyond so you never miss an episode. Share it with someone who needs clear, reliable guidance right now. And if you have a moment, a five-star review makes a real difference in helping the show reach the people who need it most. Follow Divorce & Beyond Website: divorceandbeyondpod.com Instagram: instagram.com/divorceandbeyondpod About the Host: Susan Guthrie, Esq. Susan Guthrie is one of the nation's leading family law and mediation attorneys, with more than 35 years of experience helping people navigate divorce with clarity and strategy. She is the Immediate Past Chair of the American Bar Association Section of Dispute Resolution, a best-selling author, and a sought-after speaker and trainer. Susan recently appeared as the featured expert on The Oprah Podcast and has been cited in The Wall Street Journal, Forbes, Town & Country, The Washington Post, NewsNation, and NBC Chicago Today, among others. As the creator and host of Divorce & Beyond, ranked in the top 1% of all podcasts worldwide with more than 1.3 million downloads and an Apple Top 100 Self-Help designation, Susan brings together leading legal and mental health experts to help listeners move through divorce and into what comes next. Learn more at divorceandbeyondpod.com/about. Disclaimer: The commentary and opinions shared on this podcast are for informational and entertainment purposes only and do not constitute legal advice. Consult a licensed attorney in your state regarding your specific situation.
Diabetes Dialogue: Therapeutics, Technology, & Real-World Perspectives
Insulin-resistant patients with type 2 diabetes who require high-dose therapy have long lacked a rapid-acting option concentrated enough for compact insulin pumps. New pharmacokinetic data on an ultra-rapid U-500 insulin aspart, alongside additional phase 3 results for a combined once-weekly insulin icodec-semaglutide regimen, both aim to close persistent gaps in insulin delivery for this population. In this episode of Diabetes Dialogue, hosts Diana Isaacs, PharmD, and Natalie Bellini, DNP, reviewed two studies addressing unmet needs in insulin therapy for type 2 diabetes.The investigational agent AT278 is a highly concentrated insulin aspart formulated at 500 units/mL, distinct from existing U-500 regular human insulin, which behaves more like an intermediate-acting product. In a single-center, randomized, double-blind, crossover euglycemic clamp study spanning body mass index from 25 to 38 kg/m², AT278 produced significantly faster absorption and a greater glucose-lowering effect within the first hour versus both standard U-100 insulin aspart and U-500 regular human insulin. The ultra-rapid pharmacokinetic and pharmacodynamic profile held consistent across the BMI range studied.Current U-500 regular insulin requires dosing 30 minutes before meals while simultaneously serving as basal and prandial coverage, complicating use in automated insulin delivery systems and limiting compatibility with smaller-volume pumps. A concentrated, rapid-onset formulation could allow patients with high insulin requirements to use compact pumps and extended-wear infusion sets without the absorption problems tied to large-volume subcutaneous depots. Drawn from an early-phase study, the findings position AT278 as a potential first ultra-rapid option for prandial dosing in this population, though regulatory approval for pump use remains undefined.Separately, the phase 3 COMBINE 4 trial evaluated a fixed combination of once-weekly insulin icodec (Awiqli) and semaglutide, known as IcoSema, against once-daily insulin glargine U-100 in 485 adults with type 2 diabetes and baseline A1C above 8%. Over 40 weeks, IcoSema reduced A1C by 3.32 percentage points versus 2.44 points with glargine, a between-group difference of 0.88 percentage points, while producing a 0.79 kg weight reduction compared with a 3.81 kg gain with glargine. Time in range reached 79.8% with IcoSema versus 64.5% with glargine, consistent with the mechanistic rationale of pairing glucagon-like peptide-1 receptor agonism with basal insulin to limit postprandial excursions.These results build on earlier COMBINE 1 through 3 data, which showed IcoSema achieving noninferior or superior A1C reduction, superior weight outcomes, and lower hypoglycemia rates versus comparators. A single weekly injection combining basal insulin with a GLP-1 receptor agonist could reduce treatment burden and consolidate pharmacy copays, though semaglutide exposure remains capped by concurrent insulin titration, averaging 0.66 mg in COMBINE 4. Whether either agent reaches United States practice, including reported uncertainty around a domestic IcoSema launch, will determine their eventual role in managing insulin-resistant type 2 diabetes.
Sharon Pearce, DNP, CRNA, FAANA, FAAN has spent decades practicing, advocating, leading, mentoring, and telling the stories of nurse anesthesia. But behind the titles is a career shaped by formative mentors, difficult clinical days, unexpected opportunities, and a strong sense of responsibility to the profession. Nicolas and Kelsey have a great conversation with Sharon, not just a former AANA president and longtime voice in nurse anesthesia, but also a CRNA shaped by mentors, advocacy, hard clinical lessons, and a deep belief in giving back to the profession. She shares the stories behind her career, the people who helped build her confidence, what students can learn from difficult days, and why preserving the history of nurse anesthesia has become such an important part of her legacy. Here's some of what we discuss in this episode:
What is a nurse scientist, and what is the difference between one that is PhD-prepared versus DNP-prepared? Guest Dawn Aycock, PhD, RN, ANP-BC, FAHA, FPCNA, FAAN, shares about the importance of nurse engagement in research, and how to get involved, no matter your role or location.Related PCNA Resources:Presenting Your Work: Call for Abstracts: https://pcna.net/events-news/cardiovascular-nursing-symposium/call-for-abstracts/Empowering CV Nurses to Engage in Clinical Research (article): https://pcna.net/news/empowering-cardiovascular-nurses-to-engage-in-clinical-research/Clinical Research: Engaging with the Community (podcast): https://pcna.net/podcast/clinical-research-engaging-with-the-community/About Research and Evidence-Based Practice (article): https://pcna.net/health-topics/research-and-evidence-based-practice/See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.
In this episode, Mandy Richards, DNP, RN, APRN, ACNS-BC, NEA-BC, Chief Nursing Executive and President of Children's Health at Intermountain Health, joins the podcast to discuss the importance of learning through experience and preparing nurses for the realities of modern healthcare. She shares how her own leadership journey reinforced the need for stronger nursing preparation and highlights the programs she is leading to support nurses, strengthen the workforce, and improve patient care.
"Measurable residual disease is where I think the terminology fits best in that, it is intended to measure the amount of cancer cells that are present in the blood or bone marrow at the time the sample was collected. We can identify one cancer cell in a million. Where that can be really valuable is when we start to think about the duration of treatments and the response to some of our treatments," ONS member Caitilin Murphy, DNP, APRN, FNP-BC, AOCNP®, chief nurse practitioner at Dana-Farber Cancer Institute in Boston, MA, told Lenise Taylor, MN, RN, AOCNS®, TCTCN™, oncology clinical specialist at ONS, during a conversation about chronic lymphocytic leukemia (CLL) treatment considerations for oncology nurses. Music Credit: "Fireflies and Stardust" by Kevin MacLeod Licensed under Creative Commons by Attribution 3.0 Earn 0.75 contact hours of nursing continuing professional development (NCPD), including 45 minutes of pharmacotherapeutic content, by listening to the full recording and completing an evaluation at courses.ons.org by August 14, 2027. The planners and faculty for this episode have no relevant financial relationships with ineligible companies to disclose. ONS is accredited as a provider of nursing continuing professional development by the American Nurses Credentialing Center's Commission on Accreditation. Learning outcome: Learners will report an increase in knowledge related to treatment of chronic lymphocytic leukemia. Episode Notes Complete this evaluation for free NCPD. ONS Podcast™ episodes: Episode 422: An Overview of Chronic Lymphocytic Leukemia for Oncology Nurses Episode 256: Cancer Symptom Management Basics: Hematologic Complications Episode 196: Oncologic Emergencies 101: Bleeding and Thrombosis Episode 184: Oncologic Emergencies 101: Tumor Lysis Syndrome ONS Voice articles: Fixed-Duration Therapy for CLL May Lower Cardiovascular Risks and Costs Less Than Continuous Treatment Individuals With CLL Face Increased Risk for Skin Cancer Master Hypersensitivity Reactions With These Strategies for Prevention and Management Patients With CLL Report Worse QoL and Other Factors Clinical Journal of Oncology Nursing articles: Acalabrutinib: Nursing Considerations for Use in Patients With Chronic Lymphocytic Leukemia and Small Lymphocytic Lymphoma Pseudohyperkalemia in Chronic Lymphocytic Leukemia: An Often Overlooked Clinical Entity Richter Transformation Arising From Chronic Lymphocytic Leukemia Venetoclax: Management and Care for Patients With Relapsed or Refractory Chronic Lymphocytic Leukemia ONS book: Site-Specific Cancer Series: Leukemia (first edition) ONS symptom management resources: Fatigue Prevention of Bleeding Prevention of Infection: General Blood Cancer United: Chronic Lymphocytic Leukemia Treatment CLL Society: Patient Education Toolkit Lymphoma Research Foundation: Lymphoma Treatments Patient education sheets Acalabrutinib Ibrutinib Pirtobrutinib To discuss the information in this episode with other oncology nurses, visit the ONS Communities. To find resources for creating an ONS Podcast club in your chapter or nursing community, visit the ONS Podcast Library. To provide feedback or otherwise reach ONS about the podcast, email pubONSVoice@ons.org. Highlights From This Episode "Blood work is a really nice way to evaluate if there is progression of the disease. And we evaluate their blood counts, specifically that complete blood count with a differential. We anticipate an elevated white count, and we anticipate that the absolute lymphocyte count is going to be elevated. That's characteristic of the disease. But what evolves and happens is that those numbers can rapidly change and what we get concerned about is if that white count—and the percentage of the absolute lymphocyte count specifically—starts to increase and double quickly." TS 5:52 "There are some components that help clinicians decide if we expect these things, this cadence of change to happen more readily, or if we feel really comfortable that the biology of the variants contributing to the type of CLL that each patient may have, they may not have that progression as quickly or at all. And so that kind of helps us in that follow-up and cadence. Oftentimes, we're checking blood work every three or six months. Some patients are on an annual interval of visits depending on that active surveillance. I think the other piece is that we have a relatively low threshold when there is a change in symptoms to just recheck those blood tests. It's nice that we can have a pretty readily available blood test to be able to give us a lot of information for these patients." TS 9:45 "When we think about CLL therapy, the old tried and true [treatments] still work: so, rituximab and obinutuzumab. And then we kind of start to think about pathways and the way, the mechanisms of which these treatments are integrated. We think about different pathways of how we can induce cell death, but also what are the potential side effects? What are the potential interactions?" TS 19:35 "I think a lot of this is about really having a clear understanding of the patient's goals and really being able to understand and align. I think we have a lot more data to provide guidance for those patients that really are wanting to know: What is my chance of overall survival? If I do this, does this mean that I don't need to ever be on treatment again? If I do it this way, does it mean that I have to come into clinic every week, or does it mean that I have to come in every week but I'm done? I do one year of treatment, and I don't have to think about treatment for a really long time based on some of these components that we can take into consideration." TS 24:36 "When we think about the B-cell lymphoma 2 (BCL-2) inhibitors, with venetoclax, I think the biggest component we think about is tumor lysis syndrome. It's so effective that these cancer cells release all of those electrolytes, potassium, phosphorus; you can see a rise in the lactate dehydrogenase and uric acid because those cells are breaking down. And so subsequently, that leads us to the consideration of, is the patient's kidney function able to clear it? And so a lot of frequent lab monitoring, a lot of hydration, supportive care with medications like ursodiol or allopurinol to really improve the ability to clear that cellular waste product so that it doesn't cause an oncologic emergency." TS 34:11
In this episode, Mandy Richards, DNP, RN, APRN, ACNS-BC, NEA-BC, Chief Nursing Executive and President of Children's Health at Intermountain Health, joins the podcast to discuss the importance of learning through experience and preparing nurses for the realities of modern healthcare. She shares how her own leadership journey reinforced the need for stronger nursing preparation and highlights the programs she is leading to support nurses, strengthen the workforce, and improve patient care.
In Part 1 of this conversation, Dr. Pamela Cipriano shares her decades of experience treating Lyme disease and tick-borne illnesses after her son's life-changing diagnosis. We discuss why these infections are often overlooked, how they can mimic other chronic conditions, contribute to misdiagnoses, and the transition into a fascinating discussion on COVID and long COVID. We discussed; Lyme disease and tick-borne infections Symptoms and common misdiagnoses (including fibromyalgia) The REAL testing that needs to be done Bartonella and other co-infections Parasites and chronic illness (as discussed by Dr. Cipriano) Conventional and natural treatment approaches discussed COVID myths and long COVID Nutrition and immune health And lots more! This was such a GREAT conversation. We are sure you will enjoy. Don't miss Part 2, where Dr. Cipriano takes a deep dive into Epstein-Barr virus (EBV), chronic fatigue, autoimmunity, and practical strategies for supporting recovery. Dr. Pamela Cipriano, DNP, APRN, is a functional and integrative medicine practitioner specializing in complex chronic illness, Lyme disease and tick-borne infections, chronic inflammation, mold toxicity and other conditions that can contribute to persistent fatigue and multisystem symptoms. She is the founder of The Practice of Health and Wellness in Connecticut and trained under renowned Lyme specialist Dr. Richard Horowitz. You can find out more about Dr. Pamela's work here: YouTube @dr.pamelacipriano1329 Website https://www.thepracticeofhealthandwel... Instagram / practicehealthwellness Facebook / dr.pamela.cipriano If you enjoyed this episode, please consider subscribing for more conversations on hormones, metabolism, nutrition, thyroid health, longevity, and evidence-informed approaches to wellness.
My guests today are Abigail Lee and Johanna Bennett, two Doctor of Nursing Practice graduate students at the University of New England who focused their DNP project on perioperative use of IV methadone. Abigail Lee attended Southern Maine Community College and transferred to the University of Southern Maine to study nursing. She worked at Maine Medical Center in the Cardiothoracic Intensive Care Unit. She intends to head down to North Carolina to work as a CRNA. Johanna Bennett went to Saint Anselm College. She started her career in healthcare in the Medical/COVID ICU as a new graduate nurse and worked there for three years before starting CRNA school at the University of New England. Jo will be joining our team at Maine Medical Center to work as a CRNA. This episode is on the longer side, so here's your TL:DL, too-long; didn't listen summary of perioperative IV methadone – the opioid-spairing opioid. Standard short-acting pure mu-agonists—like fentanyl, hydromorphone, and morphine—often leave our patients trapped in a roller coaster of ‘peaks and valleys,’ leading to oversedation, unexpected pain spikes, and high total opioid consumption in the PACU. In this episode, we explore why methadone is uniquely positioned as the ‘opioid-sparing opioid.’ Beyond its strong -receptor agonism, methadone boasts NMDA receptor antagonism and serotonin/norepinephrine reuptake inhibition, targeting pain at multiple pathways to blunt central sensitization and wind-up phenomenon. Key Clinical Takeaways from the Literature: The Effective Dose: An ideal single dose on induction is 0.2 to 0.25 mg/kg ideal body weight (or roughly 10-20 mgIV). Underdosing (
Many nurse anesthesia students enter their programs with an interest in teaching, but that interest can fade without formal guidance or hands-on opportunities. The Minneapolis School of Anesthesia is addressing that gap through a student faculty mentorship track designed to prepare future educators before graduation. In this episode, Nickie and Louisa are joined by faculty members Dr. Travis Laffoon, DNP, CRNA, APRN, Megan Kakela, DNP, CRNA, APRN, Jordan Popp, DNP, CRNA, APRN, and Dr. Grace Bedu, DNP, CRNA, APRN to discuss how the program combines mentorship, clinical release time, exam development, simulation teaching, and exposure to the realities of academic life. Their experience offers a practical model for strengthening the nurse anesthesia faculty pipeline. Here's what you'll hear in this episode:
Ready to improve your working relationship with your patient techs? Join the co-hosts as they welcome nurse practitioner and former patient tech Abigail Buechner Baugh for an insightful story-filled conversation about how to communicate, build mutual respect, delegate effectively, and strengthen bedside teamwork with your patient techs for safer, smoother patient care. SPECIAL GUEST Abby Buechner, DNP, AGACNP-BC, APRN, is an Adult-Gerontology Acute Care Nurse Practitioner at ECU Health with a background in critical care nursing and cardiac intensive care. Passionate about mentorship and professional development, she helped create ECU Health's APP mentoring program and recently completed her Doctor of Nursing Practice degree at Yale University, focusing on healthcare leadership, systems, policy, and advocacy for both patients and bedside nurses. MEET OUR CO-HOSTS Kellye' McRae, MSN-Ed, RN is a dedicated Med-Surg Staff Nurse and Unit Based Educator based in South Georgia, with 12 years of invaluable nursing experience. She is passionate about mentoring new nurses, sharing her clinical wisdom to empower the next generation of nurses. Kellye' excels in bedside teaching, blending hands-on training with compassionate patient care to ensure both nurses and patients thrive. Her commitment to education and excellence makes her a cornerstone of her healthcare team. Marcela Salcedo, RN, BSN is a Floatpool nightshift nurse in the Chicagoland area, specializing in step-down and medical-surgical care. A member of AMSN and the Hektoen Nurses, she combines her passion for nursing with the healing power of the arts and humanities. As a mother of four, Marcela is reigniting her passion for nursing by embracing the chaos of caregiving, fostering personal growth, and building meaningful connections that inspire her work. Hayley Sweetser, MSN, APRN, AGCNS-BC, MEDSURG-BC, CPHQ, WTA-C is a Clinical Nurse Specialist in Newark, Delaware who provides support to patients and caregivers within the Acute Medicine Service Line at ChristianaCare. She is working towards reducing overall patient harm events within the service line through collaboration with bedside nurses, physicians, and other specialties. Hayley has a strong passion for medical-surgical nursing and has spent her whole nursing career in this specialty. She strives to advance medical-surgical nursing practice by encouraging alignment with evidence-based practice. Eric Torres, ADN, RN, CMSRN is a California native that has always dreamed of seeing the World, and when that didn't work out, he set his sights on nursing. Eric is beyond excited to be joining the AMSN podcast and having a chance to share his stories and experiences of being a bedside medical-surgical nurse. Sydney Wall, RN, BSN, CMSRN has been a med surg nurse for 5 years. After graduating from the University of Rhode Island in 2019, Sydney commissioned into the Navy and began her nursing career working on a cardiac/telemetry unit in Bethesda, Maryland. Currently she is stationed overseas, providing care for service members and their families. During her free time, she enjoys martial arts and traveling. Trish West, DNP, MSN, CMSRN, PCCN, CEN, NEA-BC, FAMSN is a passionate nurse leader whose career reflects both expertise and a heartfelt commitment to advancing patient care. Trish's credentials include being a Certified Medical Surgical Registered Nurse, Progressive and Emergency Nursing, Nursing Executive Advanced, and most recently, induction as a Fellow in the Academy of Medical Surgical Nursing. She enjoys spending time with her husband Mark and their five children. Her favorite motto, "Never underestimate the difference you can make," truly captures the spirit with which Trish approaches both professional and personal endeavors.
Diabetes Dialogue: Therapeutics, Technology, & Real-World Perspectives
Once-weekly basal insulin therapy has moved from clinical trial data to pharmacy shelves, offering clinicians a new option for patients who struggle with the daily burden of insulin injections. The shift addresses a persistent adherence problem in basal insulin therapy, where missed or inconsistent daily dosing undermines glycemic control.In this episode of Diabetes Dialogue, hosts Diana Isaacs, PharmD, and Natalie Bellini, DNP, discuss the pharmacy launch of insulin icodec (Awiqli), the first once-weekly basal insulin now available in the United States.The approval rests on data from approximately 4200 participants across the phase 2 and phase 3 ONWARDS program. In insulin-naive participants enrolled in ONWARDS 1, 3, and 5, insulin icodec produced superior reductions in hemoglobin A1c compared with once-daily basal insulin. Among participants switching from daily basal therapy in ONWARDS 2, icodec showed noninferior glycemic control alongside improved treatment satisfaction scores.Insulin icodec has also been studied in type 1 diabetes but did not receive approval in this population after trials showed higher rates of hypoglycemia relative to daily basal insulin. Additional studies in type 1 diabetes are ongoing, leaving open the possibility of future expansion beyond the current type 2 indication.Dosing requires new clinical habits, since insulin icodec is formulated as U-700, a concentration allowing a full week's dose to be delivered in a comfortable injection volume. Adjustments occur in 10-unit increments rather than the single-unit changes used with daily basal insulins, though the weekly total still translates into modest day-to-day changes of roughly one to two units. Patients switching from daily basal insulin require a loading dose, calculated by multiplying the total daily dose by 10.5, to reach steady state faster than a standard weekly conversion would allow.Titration follows fasting glucose. Clinicians add 20 units when readings exceed 130 mg/dL, maintain the dose between 80 and 130 mg/dL, and subtract 20 units below 80 mg/dL. Because increases and decreases are dosed in 20-unit blocks, most cycles are reassessed over two to four weeks rather than week to week.The reduced injection frequency carries particular relevance for older adults, caregivers, and patients whose adherence to daily regimens has proven inconsistent. As pharmacy access expands, coverage and prior authorization requirements will shape how quickly insulin icodec moves into routine practice, but early trial and satisfaction data point toward a meaningful shift in basal insulin management.
Navigating Common Shoulder Injuries in Youth Athletes Evaluation and Credit: Evaluation and Credit: https://www.surveymonkey.com/r/medchat93 Target Audience This activity is targeted toward primary care physicians and advanced providers. Statement of Need This podcast will review the diagnosis and management of shoulder pain in youth athletes - which is a common musculoskeletal complaint. Items addressed will address common shoulder injuries and highlight key features in the diagnosis as well as red flags. Objectives Identify the most common shoulder injuries in youth and adolescent athletes and differentiate overuse injuries from acute traumatic injuries. Review the pathology, diagnosis and management of common shoulder pain and injuries in youth athletes, including the red flags. List factors that contribute to overuse injuries in youth athletes. Discuss strategies to reduce shoulder injury risk in youth athletes as well as outlining expectations for recovery and return to play. Moderator Monalisa Tailor, M.D. Internist Norton Community Medical Associates - Barret Louisville, KY Speaker Caleb Davis, M.D. Orthopedic Surgeon Norton Orthopedic Institute Louisville, KY Planners, Moderator and Speaker Disclosure The planners, moderator and speaker of this activity do not have any relevant financial relationships with ineligible companies to disclose. Commercial Support There was no commercial support for this activity. Physician Credits Accreditation Norton Healthcare is accredited by the Kentucky Medical Association to provide continuing medical education for physicians. Designation Norton Healthcare designates this enduring material for a maximum of .75 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Nursing Credits Norton Healthcare Institute for Education and Development is approved as a provider of nursing continuing professional development by the South Carolina Nurses Association, an accredited approver by the American Nurses Credentialing Center's Commission on Accreditation. This continuing professional development activity has been approved for 0.75 ANCC CE contact hours. In order for nursing participants to obtain credits, they must claim attendance by attesting to the number of hours in attendance. For more information related to nursing credits, contact Sally Sturgeon, DNP, RN, SANE-A, AFN-BC at (502) 446-5889 or sally.sturgeon@nortonhealthcare.org. Resources for Additional Study/References Childhood and Adolescent Sports-Related Overuse Injuries https://pubmed.ncbi.nlm.nih.gov/38215415/ Overuse Injuries, Overtraining, and Burnout in Young Athletes https://pubmed.ncbi.nlm.nih.gov/38247370/ Date of Original Release | Aug 2026; Information is current as of the time of recording. Course Termination Date | Aug 2029 Contact Information | Center for Continuing Medical Education; (502) 446-5955 or cme@nortonhealthcare.org Also listen to Norton Healthcare's podcast Stronger After Stroke. This podcast, produced by the Norton Neuroscience Institute, discusses difficult topics, answers frequently asked questions and provides survivor stories that provide hope. Norton Healthcare, a not for profit health care system, is a leader in serving adult and pediatric patients throughout Greater Louisville, Southern Indiana, the commonwealth of Kentucky and beyond. More information about Norton Healthcare is available at NortonHealthcare.com.
One of the biggest events in our profession is coming up in a few weeks, and the AANA Annual Congress in Boston will provide countless opportunities for RNs and future CRNAs. With educational sessions, networking opportunities, career resources, workshops, and special events happening throughout the week, having a plan can make a major difference. With so much going on throughout the week, we thought it would be a perfect time to bring on some people who make all of this happen. So today Levi sits down with Hallie Evans, DNP, CRNA - AANA Senior Director of Education and Professional Development, Julie Rossberger, AANA Manager of Member Engagement and Experience, and Becky Frese, AANA Professional Practice Specialist to highlight the programming created specifically for RNs and nurse anesthesia residents. Here's some of what we discuss in this episode:
I wish someone had told me this sooner: the respect we give new nurses and physicians shapes our future colleagues.
For many nurses, retirement marks not the end of a career, but the beginning of a new chapter of service. In this episode, former HPNA CEO Judy Lentz, PhD, RN, reflects on how retirement created an opportunity to reimagine her role in palliative care through volunteer leadership and the development of palliative care ministry within faith communities. Drawing on decades of experience in clinical practice, education, research, and organizational leadership, Judy explores how retired nurses and other healthcare professionals can continue to improve quality of life by supporting individuals and families living with serious illness. She also discusses the concept of the palliative care doula as one model for companioning individuals and families through serious illness, alongside practical examples of how congregations can become compassionate partners in care by providing spiritual, emotional, and social support that complements the work of interdisciplinary palliative care teams. The conversation also reflects on the evolution of hospice and palliative care, the enduring value of mentorship and leadership, and the fulfillment that comes from continuing to serve beyond a traditional career. Whether you're approaching retirement, considering volunteer opportunities, or looking for new ways to extend the reach of palliative care, this episode offers inspiration for finding purpose in the next season of professional life. Judy Lentz, PhD, RN Judy Lentz, PhD, RN, retired in 2012 as the CEO of the Hospice and Palliative Nurses Association, the National Board of Certification for Hospice and Palliative Nurses and the Hospice and Palliative Nurses Foundation. In her retirement, her interests were in serving those experiencing serious illnesses as a palliative care doula®. Over the past 14 years, Dr. Lentz has coordinated palliative care ministries in two Christian churches. Her research focused on the impact of spirituality in Christians experiencing serious illness. She is widely published, has presented at national conferences and has spoken to multiple groups locally. She has encouraged the initiation of palliative care ministries in three local and regional faith communities, continues to serve as coordinator in her faith community' ministry as well as serves independently on a national level as a volunteer palliative care doula®. Her website can be found at http://www.palliativecaredoula.com Brett Snodgrass, DNP, FNP-C, ACHPN®, FAANP Dr. Brett Snodgrass has been a registered nurse for 28 years and a Family Nurse Practitioner for 18 years, practicing in multiple settings, including family practice, urgent care, emergency departments, administration, chronic pain and palliative medicine. She is currently the Operations Director for Palliative Medicine at Baptist Health Systems in Memphis, TN. She is board certified with the American Academy of Nurse Practitioners. She is also a Fellow of the American Association of Nurse Practitioners and an Advanced Certified Hospice and Palliative Nurse. She completed a Doctorate of Nursing Practice at the University of Alabama – Huntsville. She is a nationally recognized nurse practitioner speaker and teacher. Brett is a chronic pain expert, working for more than 20 years with chronic pain and palliative patients in a variety of settings. She is honored to be the HPNA 2025 podcast host. She is married with two daughters, two son in laws, one grandson, and now an empty nest cat. She and her family are actively involved in their church and she is an avid reader.
In this episode, Holly McCormack, DNP, RN, President and Chief Executive Officer, Cottage Hospital, discusses expanding specialty and behavioral health services, securing critical grant funding, and strengthening rural healthcare through patient-centered growth, recruitment, and age-friendly care initiatives.
Resources: Reducing Ileostomy Postoperative Complications Due to Dehydration: A Quality Improvement Project – JWOCN May/June 2026 Redefining the High-Output Stoma and Its Bearing on Clinical Practice Results of an International Consensus Panel – JWOCN September/October 2025 High-output stoma management: an overview – BJS September 2025 About the Speakers: Tara Beuscher, DNP, RN, ANP-BC, CWOCN, CFCN, NPD-BC, WOCNF, is certified in Wound, Ostomy, and Continence care and is an Adult Nurse Practitioner. She has an ostomy and wound care clinic practice at the Duke Cancer Center in Durham, North Carolina, where she sees individuals with fecal and urinary diversions for any diagnosis as well as malignant wounds. Dr. Beuscher has worked in a variety of settings including acute, long term acute, home, ambulatory and community settings. Dr. Beuscher also teaches ostomy care to first year medical students and surgical residents. Duke is the first medical school in the country to incorporate ostomy care within the formal curriculum. This model curriculum was featured at the American College of Surgeons Surgical Simulation Summit in March 2026. Amanda Eltz, DNP, FNP-C, CWOCN, works as a nurse practitioner with the Duke Colorectal division. Prior to this, she served as a Wound, Ostomy, and Continence nurse for 8 years. Her career has mainly focused on the care of ostomy patients, running an outpatient ostomy clinic before moving into her APP role. Her DNP quality improvement project focused on dehydration in the ileostomy patient and was instrumental in improving patient postoperative outcomes in her current role. She has authored and co-authored wound and ostomy related manuscripts. Her favorite pastime is spending time with her granddaughters. Editing and post-production work for this episode was provided by The Podcast Consultant.
In this episode, Holly McCormack, DNP, RN, President and Chief Executive Officer, Cottage Hospital, discusses expanding specialty and behavioral health services, securing critical grant funding, and strengthening rural healthcare through patient-centered growth, recruitment, and age-friendly care initiatives.
In this episode, Sharon and Jeremy welcome President and CEO of Aurnova University Linda Caccamo, CRNA, DNP, MS, MBA, MHA, to discuss why advanced business education is becoming an increasingly valuable asset for healthcare professionals. With more than 30 years of clinical anesthesia experience, Linda understands what it takes to create academic programs that meet today's workforce needs and we'll explore all areas of that in this conversation. Here's some of what you'll hear in this episode:
In this episode, Timothy Layman, DNP, MBA-HC, MSN, RN, NE-BC, CENP, President and Chief Administrative Officer, St. Mary's Hospital, Hospital Sisters Health System, discusses the hospital's transformational modernization efforts, strategies for strengthening the healthcare workforce, and how AI, physician recruitment, and specialty service expansion are positioning the organization for long-term growth and better patient outcomes.
We're joined by Senator Samra Brouk. It's the latest in our series of conversations about New York's 2026-2027 budget. The senator discusses a number of budget items, including funding for childcare and maternal health. Then, we are joined by a local clinician and a local doula, who weigh in on the state of Black maternal health. Our guests: Sen. Samra Brouk, District 55 Phyllis Sharp, certified doula and owner of Royalty Birth Services Tracy Renee Webber, DNP, director of the Midwifery Division at the University of Rochester Medical Center ---Connections is supported by listeners like you. Head to our donation page to become a WXXI member today, support the show, and help us close the gap created by the rescission of federal funding.---Connections airs every weekday from noon-2 p.m. Join the conversation with questions or comments by phone at 1-844-295-TALK (8255) or 585-263-9994, email, Facebook or Twitter. Connections is also livestreamed on the WXXI News YouTube channel each day. You can watch live or access previous episodes here.---Do you have a story that needs to be shared? Pitch your story to Connections.
Ever struggled caring for bariatric patients? Join the co-hosts as they share their personal stories and offer practical, dignity-centered perspectives on caring for bariatric patients drawing upon the AMSN Core Curriculum. From navigating respectful care to approaching patient safety challenges, this is one conversation you won't want to miss. Learn more about the AMSN Core Curriculum at: https://amsn.org/Practice-Resources/Core-Curriculum-for-Medical-Surgical-Nursing 182 MEET OUR CO-HOSTS Kellye' McRae, MSN-Ed, RN is a dedicated Med-Surg Staff Nurse and Unit Based Educator based in South Georgia, with 12 years of invaluable nursing experience. She is passionate about mentoring new nurses, sharing her clinical wisdom to empower the next generation of nurses. Kellye' excels in bedside teaching, blending hands-on training with compassionate patient care to ensure both nurses and patients thrive. Her commitment to education and excellence makes her a cornerstone of her healthcare team. Marcela Salcedo, RN, BSN is a Floatpool nightshift nurse in the Chicagoland area, specializing in step-down and medical-surgical care. A member of AMSN and the Hektoen Nurses, she combines her passion for nursing with the healing power of the arts and humanities. As a mother of four, Marcela is reigniting her passion for nursing by embracing the chaos of caregiving, fostering personal growth, and building meaningful connections that inspire her work. Hayley Sweetser, MSN, APRN, AGCNS-BC, MEDSURG-BC, CPHQ, WTA-C is a Clinical Nurse Specialist in Newark, Delaware who provides support to patients and caregivers within the Acute Medicine Service Line at ChristianaCare. She is working towards reducing overall patient harm events within the service line through collaboration with bedside nurses, physicians, and other specialties. Hayley has a strong passion for medical-surgical nursing and has spent her whole nursing career in this specialty. She strives to advance medical-surgical nursing practice by encouraging alignment with evidence-based practice. Eric Torres, ADN, RN, CMSRN is a California native that has always dreamed of seeing the World, and when that didn't work out, he set his sights on nursing. Eric is beyond excited to be joining the AMSN podcast and having a chance to share his stories and experiences of being a bedside medical-surgical nurse. Sydney Wall, RN, BSN, CMSRN has been a med surg nurse for 5 years. After graduating from the University of Rhode Island in 2019, Sydney commissioned into the Navy and began her nursing career working on a cardiac/telemetry unit in Bethesda, Maryland. Currently she is stationed overseas, providing care for service members and their families. During her free time, she enjoys martial arts and traveling. Trish West, DNP, MSN, CMSRN, PCCN, CEN, NEA-BC, FAMSN is a passionate nurse leader whose career reflects both expertise and a heartfelt commitment to advancing patient care. Trish's credentials include being a Certified Medical Surgical Registered Nurse, Progressive and Emergency Nursing, Nursing Executive Advanced, and most recently, induction as a Fellow in the Academy of Medical Surgical Nursing. She enjoys spending time with her husband Mark and their five children. Her favorite motto, "Never underestimate the difference you can make," truly captures the spirit with which Trish approaches both professional and personal endeavors.
One of the hottest strategies heading into Sorare 27 comes from NepentheZ: buy every Limited card, build the deepest possible gallery, and focus almost exclusively on chasing Hot Streaks.On paper, it sounds simple. But is it actually a winning strategy?Today, Harry Trades and I are joined by Nep to break down whether this approach is viable, who it might work for, and the hidden costs that go far beyond the money required to buy the cards. We'll discuss lineup flexibility, collection bonuses, opportunity cost, liquidity, DNP risk, and whether an "everything" strategy is really better than specializing.We'll also look at where we agree—and disagree—with the idea, and whether either of us plans to approach Sorare 27 this way.Join us live and let us know:• Would you ever try to own every Limited card?• Are Hot Streaks the best way to play Sorare 27?• What strategy are you planning for the new season?Connect with Harry Trades:
Join the co-chairs of the Neonatal Morbidity and Mortality Task Force as they discuss the urgent need to improve neonatal outcomes nationwide. These key leaders from AWHONN and NANN will highlight their data-driven, evidence-based, and equity-centered recommendations as a call-to-action for greater collaboration. Meet our guests: Jill Beck, MSN, APRN, NNP-BC, C-NNIC, C-ELBW Read More Jill Beck is a neonatal nurse practitioner and podcast creator who believes the best neonatal care happens when clinicians, researchers, and families learn together. She serves as Creative Director and host of NANNcast, the official podcast of the National Association of Neonatal Nurses, a widely recognized platform highlighting innovation, research, and real-world experiences in neonatal care. Jill collaborates internationally through the International Neonatal Consortium to advance neonatal research education and promote nurse involvement in drug development. Her work centers on empowering nurses to engage in research, quality improvement, and evidence-based practice to improve outcomes for the most vulnerable patients. Cheryl Bellamy, DNP, APRN, CNM, CNS-C, C-EFM, FAWHONN Read More Dr. Cheryl Bellamy is a Perinatal Clinical Nurse Specialist at Henry Ford Hospital, in Detroit, Michigan, bringing nearly three decades of clinical expertise in labor and delivery, postpartum care, high-risk antepartum, normal newborn care, and women's health. She's a recognized leader in advancing maternal and newborn care through high-impact education and advocacy on a national and global scale. Dr. Bellamy's clinical work focuses on comprehensive care for diverse populations, including multidisciplinary care planning for high-risk pregnancies, maternal-infant education, addressing health disparities, and research on respectful care and labor support. She's a deeply active member of the Association of Women's Health, Obstetrics, and Neonatal Nurses (AWHONN), where she served as the 2024 National President, and is currently co-chair of the National Neonatal Morbidity and Mortality Taskforce. Cheryl enjoys spending time with her beloved family and friends, learning about different cultures, dancing, live music, giving back to her community, and traveling. Taryn M. Edwards, MSN, APRN, NNP-BC Read More Taryn Edwards is the current President of the National Association of Neonatal Nurses. She has more than 22 years of neonatal nursing experience and currently works as a Neonatal Nurse Practitioner. She has served in numerous leadership roles at both the local and national levels within NANN. Her professional interests include caring for the surgical neonate, promoting human milk and breastfeeding, improving quality of care, and understanding the environmental impacts on maternal and child health. Episode Resources NANN - AWHONN Neonatal Morbidity and Mortality Task Force Update NANN's Podcast - NANNcast AWHONN on Capitol Hill Legislation referred to in episode: HR 3942/S 2059: Keeping Obstetrics Local Act HR 3593/S 1874: Title VIII Nursing Workforce Reauthorization Act HR 1197/S 1562: PREEMIE Reauthorization Act HR 6394/S 1599: Midwives for MOMS Act of 2025 HR 2493 - Improving Care in Rural America Reauthorization Act of 2025 HR 4709 - Newborn Screening Saves Lives Reauthorization Act of 2025 AWHONN Neonatal and Newborn Care Resources The post From Data to Action: Collaborating to Address Neonatal Morbidity and Mortality appeared first on AWHONN.
"In oncology specifically, where care is complex, artificial intelligence (AI) can really synthesize large volumes of clinical information, flag risks such as treatment complications, and support adherence to evidence-based pathways. For nurses specifically, this enables them more time for direct patient care, clinical judgment, and care coordination, and really practice to the top of their license while reducing repetitive time and administrative tasks," Jenn Frith, DNP, RN, OCN®, NE-BC, associate vice president of clinical operations at Duke Cancer Institute in Durham, NC, told Jaime Weimer, MSN, RN, AGCNS-BS, AOCNS®, manager of oncology nursing practice at ONS. Weimer spoke with Frith and Emily Norboge, director of clinical and research informatics at Duke Cancer Institute, about how AI can help healthcare organizations improve the cancer experience. Music Credit: "Fireflies and Stardust" by Kevin MacLeod Licensed under Creative Commons by Attribution 3.0 Earn 0.5 contact hours of nursing continuing professional development (NCPD) by listening to the full recording and completing an evaluation at courses.ons.org by July 24, 2027. The planners and faculty for this episode have no relevant financial relationships with ineligible companies to disclose. ONS is accredited as a provider of nursing continuing professional development by the American Nurses Credentialing Center's Commission on Accreditation. Learning outcome: Learners will report an increase in knowledge related to the use of artificial intelligence in oncology nursing practice. Episode Notes Complete this evaluation for free NCPD. ONS Podcast™ episodes: Episode 284: How AI Is Influencing Cancer Care and Oncology Nursing Episode 281: Nursing's Role in AI in Health Care ONS Voice articles: Human Connection Creates the Power Behind AI in Nursing If You're Using AI in Health Care, Your Patients Want to Know Majority of Adults Use AI, But Most Distrust Accuracy of Health Information Nurses Are Key to Quality for AI Tools in Oncology Care One-Third of Hospitals Have Integrated Generative AI Into EHRs, With More to Follow Clinical Journal of Oncology Nursing articles: A Case for Caution: Patient Use of Artificial Intelligence Artificial Intelligence in Oncology Nursing: Preparing the Workforce for the Future Artificial Intelligence: Basics, Impact, and How Nurses Can Contribute Integrating Artificial Intelligence Into Cancer Care: Enhancing Nursing Practice and Bridging Disparities Oncology Nursing Forum article: Artificial Intelligence for Oncology Nursing Authors: Potential Utility and Concerns About Large Language Model Chatbots To discuss the information in this episode with other oncology nurses, visit the ONS Communities. To find resources for creating an ONS Podcast club in your chapter or nursing community, visit the ONS Podcast Library. To provide feedback or otherwise reach ONS about the podcast, email pubONSVoice@ons.org. Highlights From This Episode Norboge: "Our AI voice agent has a series of workflows that it can execute. ... If a patient needs help with medical paperwork, the agent will walk the patient through how to do that paperwork. If a patient has a question that they need sent to their provider, it can document that and then send a message to the provider. There's a series of workflows so it can route to scheduling. It can answer information about test results that is compliant with our policy around test results. The goal of that agent is that it will handle all of those administrative-type tasks that don't necessarily require a nurse to fill." TS 5:44 Norboge: "When [patients] call the nurse triage line, the nurse will have to say, 'I understand you want your test results. I can contact your provider and have them reach out to you about your results.' But that's kind of where it ends. What we worked out with the agent is if a patient calls and says, 'I really want my test results,' they will in a very nice, standard way, say something similar. You know, 'I'm not authorized to discuss your test results with you, but I'd be happy to send a message to your provider and ask them to call you.' But then the agent goes one step further and says, 'Are you experiencing anxiety about your test results? If so, I can transfer you to the nurse to discuss support for a potential referral to family medical therapy if you would like help managing that anxiety.' In a clear, helpful way, it can define and help a patient with their needs and not just have a standard of 'this is our policy and I can't share it with you.'" TS 11:14 Frith: "Really, transparency is the key. The patient should understand that AI is used more as an enhancement, but not to replace the human connection. That's not the goal. The nurses can explain that the tools will help ensure accuracy, timeliness, and safety while allowing more time for the direct interaction of the nurse. I think framing AI as an additional layer of support rather than a decision maker helps build trust. And I think maintaining strong communication and presence at the bedside just reinforces that care remains fundamentally human." TS 15:32 Frith: "I think AI in oncology is going to continue to advance in our predictive analytics, personal care planning, and probably real-time decision support. I think we'll see a greater integration into symptom management, some early detection of complications, and longitudinal care coordination across our settings. I think nurses will continue to increasingly use AI to anticipate patient needs and prioritize care. I think the role of the nurse won't diminish. Rather, it will become more elevated in allowing them to practice to scope of practice." TS 19:58 Frith: "AI represents a meaningful opportunity to strengthen oncology nursing practice by reducing burden and enhancing the clinical insight. It needs to be a very thoughtful implementation. We talked about having strong governance and continued investment in the nursing workforce. I want to reinforce that oncology care remains deeply human, and AI should only be viewed as a tool that enables the nurses to do what they do best, which I feel is deliver safe, compassionate, and high-quality specialized care to our most vulnerable patients." TS 27:31
If the healthcare sector were a country, it would be the fifth largest carbon emitter on the planet. Yet sustainability remains one of the most underdeveloped strategies in healthcare leadership. In this Insight from Episode 104: Practicing Green Health, Shanda Demorest, DNP, RN, PHN, formerly the Senior Director of Network Experience & Solutions at Practice Greenhealth, makes the case that embedding sustainability into healthcare operations and culture is not a separate agenda; it is a patient safety, health equity, and workforce issue all at once. She offers three clear strategies for healthcare leaders ready to act: identify the right channels of appeal to move leadership, engage communities as true partners rather than passive recipients, and mobilize nurses, who are uniquely positioned to lead this work from the inside out. If you know a healthcare professional whose work reflects grit, innovation, or extraordinary care—or if that story is your own—we encourage you to apply for the TIME Healthcare Champion of the Year, in partnership with Johnson & Johnson, a branded award. To listen to this Insight clip's full episode, visit the SEE YOU NOW Podcast Episode 104: Practicing Green Health on APPLE, SPOTIFY, YOUTUBE, or your favorite streaming platform. Learn more about SEE YOU NOW. Visit the ANA Innovation website for additional resources. https://www.nursingworld.org/practice-policy/innovation
In this episode, recorded live at ASCO Annual Meeting, host Shikha Jain, MD, joins presenters to honor the winners of Healio's 2026 Disruptive Innovators Awards in hematology and oncology. · VK Gadi, MD, PhD, presents the Heath Equity Award to Nosayaba Osazuwa-Peters, BDS, PhD, MPH, CHES. 2:13 · Hansa Bhargava, MD, presents the Lifetime Disruptor Award to Ann H. Partridge, MD, MPH. 4:33 · Hansa Bhargava, MD, presents the Healio NextGen Disruptor Award to Colton Frisco Jones, MD. 7:22 · Morgan Collier presents the Woman Disruptor of the Year Award to Erin N. Kobetz, PhD, MPH. 9:43 · Richard T. Lee, MD, from City of Hope, accepts the Clinical Innovation Award for the National Clinical Trials System. 11:55 · Ryne Wilson, DNP, RN, OCN, presents the Advanced Practice Trailblazer Award to Stacy J. Hines-Dowell, DNP, ACGN, FNP-BC, AGN-BC. 14:43 · Diana Gelston presents the Patient Voice Award to Crossroads4Hope and its CEO, Amy Sutton. 16:35 · Karine Tawagi, MD, presents the Social Media Influencer Award to Eric K. Singhi, MD. 19:26 · Justin McDonnell of Johnson & Johnson accepts the Healio Industry Breakthrough Award for Darzalex Faspro (daratumumab and hyaluronidase-fihj). 21:49 We'd love to hear from you! Send your comments/questions to Jain at oncologyoverdrive@healio.com. Follow Healio on X and LinkedIn: @HemOncToday and https://www.linkedin.com/company/hemonctoday/. Follow Jain on X: @ShikhaJainMD and on Instagram @shikhajainmd. To learn more about Healio Disruptive Innovators, visit Healio.com/Innovators. Jain reports no relevant financial disclosures.
Sepsis management has traditionally focused on timely antibiotic treatment, hemodynamic support, and source control, but emerging evidence suggests that outcomes may be shaped long before patients reach the ICU. In this episode of the Society of Critical Care Medicine (SCCM) Podcast, host Diane C. McLaughlin, DNP, AGACNP-BC, CCRN, FCCM, speaks with Sayed Abdulmotaleb Almoosawy, MBChB (Hons), about his article “The Association Between Socioeconomic Position and Mortality in Patients With Sepsis and Septic Shock—A Systematic Review and Meta-Analysis,” published in the April 2026 issue of Critical Care Medicine. Drawing on 13 observational studies that encompassed nearly 4 million patients, the analysis evaluates how factors such as insurance status, income, education, and neighborhood deprivation relate to short-term mortality outcomes. The findings reveal a consistent association between lower socioeconomic position and increased mortality, with lack of private insurance demonstrating the strongest signal—likely reflecting barriers to timely access to care and delayed presentation. This episode challenges clinicians and researchers alike to recognize the link between socioeconomic disadvantages and worse sepsis outcomes, highlighting the need to collect equity-relevant data and reduce gaps in care to improve survival for critically ill patients. Resources referenced in this episode: Almoosawy SA, Fernando SM, Rochwerg B, et al. The association between socioeconomic position and mortality in patients with sepsis and septic shock—a systematic review and meta-analysis. Crit Care Med. 2026;54(4):692-700. Prescott HC, Antonelli M, Alhazzani W, et al. Surviving Sepsis Campaign: International Guidelines for Management of Sepsis and Septic Shock 2026. Crit Care Med. 2026;54(4):725-812.
In the fast-paced world of healthcare, effective communication can be the difference between life and death. Yet, many healthcare professionals find themselves in environments where speaking up feels risky. In this post, we will explore the findings from the article "Silence Kills 2.0" and why it's crucial for healthcare professionals to engage in open dialogue. We'll also discuss actionable insights that can improve communication in your workplace.Article referenced: Joseph Grenny, Vicki Good, Ramón Lavandero, Elizabeth Scruth; Silence Kills 2.0: How Communication Failures Stifle Innovation and Harm Patients. Am J Crit Care 1 May 2026; 35 (3): 182–190. doi: https://doi.org/10.4037/ajcc2026203The experts at Clinical Concepts in Obstetrics pool their decades of experience caring for critically ill pregnant women to discuss the challenges encountered in caring for these vulnerable women.Dr Stephanie Martin is the Medical Director for Clinical Concepts in Obstetrics and a Maternal Fetal Medicine specialist with expertise in critical care obstetrics.Suzanne McMurtry Baird, DNP, RN is the Nursing Director for Clinical Concepts in Obstetrics with many years of experience caring for critically ill pregnant women.Julie Arafeh, RN, MS is the Simulation Director for Clinical Concepts in Obstetrics and a leading expert in simulation.Critical Care Obstetrics Academy: https://www.clinicalconceptsinob.com/Follow us:Patreon: patreon.com/CCOBYouTube: @CriticalCareOBPodcastInstagram: https://www.instagram.com/criticalcareob/Dr Martin's LinkedIn: http://linkedin.com/in/stephanie-martin-65b07112aCCOB LinkedIn: https://www.linkedin.com/company/clinical-concepts-in-obstetrics/Twitter/X: https://twitter.com/OBCriticalCareCCOB Facebook: ...
In this episode, Terry McDonnell, DNP, RN, ACNP-BC, Senior Vice President & Chief Nurse Executive, Duke University Health System, and Vice Dean for Clinical Affairs, Duke University School of Nursing, discusses why nurses must play a central role in the design and implementation of AI in healthcare.
In this episode, Terry McDonnell, DNP, RN, ACNP-BC, Senior Vice President & Chief Nurse Executive, Duke University Health System, and Vice Dean for Clinical Affairs, Duke University School of Nursing, discusses why nurses must play a central role in the design and implementation of AI in healthcare.
Hello and welcome back to show # 604 of the DNP. This week it's sounds from the parks. We were just there and recorded these cuts fresh. Hit the Disney Nerds Podcast Website, and I'll post all of the links for the video there. This was such a fun trip, and we will be back with the next show to talk all about it and all of the new things in the parks.
Whether or not one agrees with the science that unequivocally confirms that our planet is becoming warmer and more polluted, we are all seeing the negative impacts of humans on our planet, whether worsening storms, flooding and rising seas, warming of seas, extension of deserts, loss of biodiversity, plastic pollution, and more. Dr. Susan Hassmiller, PhD, RN, and Dr. Katie Huffling, DNP, CNM, RN, know that nurses and other health care workers are key to both reducing the human impact on our fragile planet and to ensuring that we are able to respond to help individuals and communities to be prepared for disasters and public health emergencies and to build resilience in our communities. They have edited a new book on how nurses and others can take action to protect health in a changing climate. It's titled, Taking Action: Top 10 Priorities for Nurses to Protect Health in a Changing Climate but it's relevant to all of us. Dr. Katie Huffling is a registered nurse, certified nurse midwife, and Executive Director of the Alliance of Nurses for Healthy Environments. Dr. Susan Hassmiller is Senior Advisor for Nursing Emerita at the RWJF and Co-CEO of Sulu Coaching and Consulting. HealthCetera producer and host Diana Mason, PhD, RN, talked with Huffling and Hassmiller about their new book and its implications for everyone. This interview first aired on HealthCetera in the Catskills on WIOX Radio on June 17, 2026. The post Taking Action: Top 10 Priorities for Nurses to Protect Health in a Changing Climate appeared first on HealthCetera.
Item analysis can sound intimidating, especially for educators who were trained as clinicians first and teachers second. But when used well, it can become one of the most valuable tools for improving assessments, clarifying instruction, and supporting student success. In this episode of Airway Exchange, hosts Erin and Louisa welcome in Valerie Diaz, DNP, CRNA, PMHNP-BC, APRN, CNE, CHSE, FAANA, CAPT (Ret), USN and Pedro Hernandez, DNP, CRNA, APRN to break down the importance of item analysis, a topic they presented at AANA's EDGE event earlier this year. Just as CRNAs constantly refine their clinical practice, educators should continually evaluate, reflect, and improve the tools they use to assess learning. Better assessments lead to better education. Better education ultimately leads to better patient care. Here's some of what you'll hear in this episode:
Looking for proven ways to end bullying in your unit? Join the co-hosts as they welcome expert Renee Thompson for a candid, practice-focused conversation on bullying in the nursing workforce. Renee will also be presenting the keynote presentation at the 2026 AMSN Convention in September. To learn more about the 2026 AMSN Convention OR to register, visit: https://amsn.org/Events/AMSN-Convention SPECIAL GUEST Dr. Renee Thompson, DNP, RN, FAONL, FAAN, CSP is CEO & Founder of the Healthy Workforce Institute®. She is a sought-after speaker, bestselling author, consultant, and leading authority on creating healthy workforces by eliminating bullying and incivility. With over 30 years of experience as a clinical nurse, nurse educator, quality manager, and nurse executive, Dr. Thompson spends the majority of her time working with healthcare leaders who want to cultivate a healthy workforce. Renee is the CEO and Founder of the Healthy Workforce Institute and has been repeatedly published, interviewed, and awarded for her work to eradicate disruptive behaviors in healthcare. In 2020, Renee was invited by the Joint Commission to become a member of their Workplace Violence Technical Advisory Panel, has been published in numerous nursing journals, and is a frequent invited guest on radio, podcasts, webinars, and online social media platforms. In 2016, Renee received the Nursing Excellence award as a nurse entrepreneur, honoring her work to eliminate workplace bullying. She received the first Outstanding Nursing Alumni for Excellence in Leadership Award and Distinguished Alumni recognition from her alma mater, and was a finalist in the Healthcare Heroes Awards as a Healthcare Provider. Her blog has won numerous awards as a Top Nursing Blog "must-read" by the online nursing community, and her anti-bullying videos are viewed by healthcare organizations around the world. Renee is one of only 30 nurses in the world who have achieved the prestigious Certified Speaking Professional designation. In 2018, she was recognized as one of LinkedIn's Top Ten Voices in Healthcare for her contribution to their global online healthcare community and in 2022 was identified as one of the top 5 Nurse Influencers on LinkedIn. Also in 2022, Renee was inducted as a Fellow of the American Academy of Nursing for her work to eradicate disruptive behaviors in healthcare and in 2024 received the Safe Spaces award from the Florida Nurses Association. In March 2026, Renee will be inducted as a Fellow of the American Organization for Nursing Leadership for her sustained contributions to the specialty of nursing leadership, commitment to service and influence in shaping health care by addressing disruptive behaviors. Renee has a Master's degree in Nursing Education and a Doctorate of Nursing Practice from the University of Pittsburgh. MEET OUR CO-HOSTS Kellye' McRae, MSN-Ed, RN is a dedicated Med-Surg Staff Nurse and Unit Based Educator based in South Georgia, with 12 years of invaluable nursing experience. She is passionate about mentoring new nurses, sharing her clinical wisdom to empower the next generation of nurses. Kellye' excels in bedside teaching, blending hands-on training with compassionate patient care to ensure both nurses and patients thrive. Her commitment to education and excellence makes her a cornerstone of her healthcare team. Marcela Salcedo, RN, BSN is a Floatpool nightshift nurse in the Chicagoland area, specializing in step-down and medical-surgical care. A member of AMSN and the Hektoen Nurses, she combines her passion for nursing with the healing power of the arts and humanities. As a mother of four, Marcela is reigniting her passion for nursing by embracing the chaos of caregiving, fostering personal growth, and building meaningful connections that inspire her work. Hayley Sweetser, MSN, APRN, AGCNS-BC, MEDSURG-BC, CPHQ, WTA-C is a Clinical Nurse Specialist in Newark, Delaware who provides support to patients and caregivers within the Acute Medicine Service Line at ChristianaCare. She is working towards reducing overall patient harm events within the service line through collaboration with bedside nurses, physicians, and other specialties. Hayley has a strong passion for medical-surgical nursing and has spent her whole nursing career in this specialty. She strives to advance medical-surgical nursing practice by encouraging alignment with evidence-based practice. Eric Torres, ADN, RN, CMSRN is a California native that has always dreamed of seeing the World, and when that didn't work out, he set his sights on nursing. Eric is beyond excited to be joining the AMSN podcast and having a chance to share his stories and experiences of being a bedside medical-surgical nurse. Sydney Wall, RN, BSN, CMSRN has been a med surg nurse for 5 years. After graduating from the University of Rhode Island in 2019, Sydney commissioned into the Navy and began her nursing career working on a cardiac/telemetry unit in Bethesda, Maryland. Currently she is stationed overseas, providing care for service members and their families. During her free time, she enjoys martial arts and traveling. Trish West, DNP, MSN, CMSRN, PCCN, CEN, NEA-BC, FAMSN is a passionate nurse leader whose career reflects both expertise and a heartfelt commitment to advancing patient care. Trish's credentials include being a Certified Medical Surgical Registered Nurse, Progressive and Emergency Nursing, Nursing Executive Advanced, and most recently, induction as a Fellow in the Academy of Medical Surgical Nursing. She enjoys spending time with her husband Mark and their five children. Her favorite motto, "Never underestimate the difference you can make," truly captures the spirit with which Trish approaches both professional and personal endeavors.
Are you burning out in private practice without realizing it? In this episode of The Practice of Therapy Podcast, Gordon talks with Kristin Oja, DNP, founder of STAT Wellness, about optimizing stress resilience and preventing burnout. Kristin shares a functional medicine perspective on why burnout is not always caused by work alone. Often, it is the buildup of stressors outside of work, including sleep, caffeine, exercise, relationships, technology, self-talk, and lack of recovery. Kristin explains the idea of the "stress bucket" and how even good things, like exercise, intermittent fasting, sauna, cold plunge, and high achievement, can become stressors when there is not enough recovery. Gordon and Kristin also talk about why therapists and private practice owners need to pay attention to their inner voice, create healthier boundaries with phones and email, and build small resets into the day between clients. If you are a therapist, counselor, or private practice owner feeling exhausted, disconnected, or stretched too thin, this conversation will help you think differently about burnout and what it really takes to recover. Resources Mentioned In This Episode Subscribe to YouTube Read the show notes here Watch on YouTube Use the promo code "GORDON" to get 2 months of Therapy Notes free Consulting with Gordon The PsychCraft Network Follow us on Instagram Meet Kristin Oja Kristin obtained her Doctor of Nursing Practice, Masters of Science in Nursing with a Family Nurse Practitioner focus, and is a Registered Nurse. She is also an entrepreneur, functional and lifestyle medicine guru, personal trainer, group fitness instructor, and lover of everything health and wellness! Passionate about taking a Personalized Medicine approach, Kristin focuses on uncovering the root cause of chronic illness and disease. Taking into account her patients lifestyle, diet, genetics, environment, and stress, each treatment plan is unique and individualized. Kristin has been serving and caring for patients for over 10 years. She strives every day to provide high quality care by doing everything with compassion, integrity, and above all a serving heart. Kristin founded STAT Wellness, which stands for Strength To Achieve Total Wellness, to help transform medicine. Statistically, as a society, we are getting sicker and sicker. At STAT Wellness, we want to partner with you to help you not only look your best but to feel your best by combining the best practices of medicine + movement. Website Instagram Little By Podcast on Instagram
There are two ways to provide vitamins, minerals, and amino acids to your horse: through factories or nature. In this episode, I discuss how horses obtain these nutrients naturally and where natural sources fall short. I also explore the production of these nutrients in laboratories and factories. I spend some time looking at where using man-made materials is required due to the environments in which horses live. For example, horses grazing large fields of fresh green grass undoubtedly have different needs than those raised in a dry lot. You will be surprised how adaptive horses can be up to a point. What may be more surprising is how few companies make the ingredients we discuss. Of concern are the many hands in the supply chain, in the production of the final product, and how often they sell the same ingredient under different brand names. 0:01 - Why horses may need supplements. 01:49 - Water: ground versus distilled. 02:17 - Minerals: macro and micro. Common deficiencies. Chelation. Why horses rarely get mineral deficiencies. Thumps (Synchronous Diaphragmatic Flutter), Electrolytes, Rickets, Magnesium deficiency and its associated behavior changes. 09:02 - Protein and amino acid deficiency: Natural versus synthetic amino acids, Signs of an amino acid deficiency, Genetic modification of microorganisms. 13:29 - About 80% of all amino acids and vitamins are made in China—discussion of the supply chain from raw materials to production facilities. 17:15 - The first of two problems: Man-made vitamins and amino acids are either made from chemicals or from genetically modified microorganisms, and the long supply chain from raw materials to the final product in your barn has too many points of non-verifiable steps and materials. 18:32- The second of two problems: How can the deficit or the results of supplementation be verified in the horse? 21:37 - Testing the diet that the horse is eating and comparing that to the signs of deficiencies. 23:21 - The fallacy that placing supplements in the food, other than macronutrients, will fix an underlying energy problem (mitochondria). 25:17 - The chemical in gunpowder that caused increased mitochondrial function and subsequent loss of body fat despite over-eating. It was called DNP (dinitrophenol), which acts as a mitochondrial uncoupler: It disrupts the proton gradient in cells, causing the body to "waste" energy as heat (thermogenesis) instead of storing it as ATP. This ramps up metabolic rate (sometimes by 30–50% or more), leading to rapid fat and carbohydrate breakdown and significant weight loss—even without dieting. (Wikipedia) Banned in 1938 by the FDA. 26:45 - Without the ability to test horses for a deficiency, feed companies just throw in amino acids, vitamins, and minerals to cover any possibilities without any proof they are needed. 29:30 - Vitamin C in humans and horses. 31:06 - Vitamins A, D, E, and K in horses. 33:51 - The B Vitamins. 34:35 - Summary of how and where raw materials are made, and the long supply chain to the final product sold to horse owners. Look at the horse for a deficiency. Look at the diet for deficiencies. Protein deficiency is the most common one seen, with the most problems in horses due to the lack of protein. Remove ingredients that inflame the gut. ******************************* #horses #veterinary #horseteeth #horsecare #equinedentistry Join us at The Horses Advocate Community page: https://community.thehorsesadvocate.com/yt Dentistry: https://theequinepractice.com/ Horsemanship Dentistry School: https://www.horsemanshipdentistryschool.com/c/information/ Facebook: https://www.facebook.com/TheHorsesAdvocate Instagram: https://www.instagram.com/horsesadvocate/ Geoff Tucker is a veterinarian and horseman who has worked with horses since 1973. He earned his Doctor of Veterinary Medicine from Cornell University in 1984. Over the years, Geoff went from mucking stalls as a farmhand to starting his own equine practice. This journey helped him learn how to blend medical care with good horsemanship. Geoff believes in doing what is best for the horse and also in working with the horse. While at Cornell, he started the Cornell Student Horseman's Association, which organized talks with local experts, a knowledge competition called the Intercollegiate Horse Bowl, and Foal Watch at the Equine Research Park to help with live foal deliveries. Wanting to educate horse owners even more, Geoff also launched the first "I Love New York Horse Symposium," which drew 500 people from across the northeast. Geoff also worked at the Equine Isolation Lab alongside respected colleagues, including Dr. Coggins, whose name is on the well-known test. He worked both part-time and full-time at Cornell's Equine Research Park. On graduation day in 1984, while his classmates celebrated, Geoff drove his fully stocked vet truck to his first call—a sick foal. This marked the beginning of The Finger Lakes Equine Practice, which still operates today. Geoff sold the practice in 1996, worked for a short time at another clinic near Albany, NY, and then started The Equine Practice, focusing on equine dentistry. He continues this work from his base in South Florida. Geoff worked on his first horse's teeth in 1983, when his mentor showed him how to place his hand inside a horse's mouth without medication and rasp off the offending sharp points. He was hooked from the start and made dentistry a key part of his practice. Since then, he has examined the mouths of over 84,000 horses across the United States - yes, he's been counting.
Overview of Gestational Diabetes Evaluation and Credit: Evaluation and Credit: https://www.surveymonkey.com/r/medchat92 Target AudienceThis activity is targeted toward primary care physicians and advanced providers. Statement of Need This podcast explores the evolving landscape of perinatal diabetes care. Diabetes poses significant risks during pregnancy, delivery, and the postpartum period. Yet, many patients enter pregnancy without adequate metabolic control, and systemic barriers often prevent optimal care coordination. The clinical complexities of managing diabetes across the perinatal timeline, including preconception counseling, glycemic targets during pregnancy, delivery planning, and postpartum follow-up will be discussed. Objectives 1. Define current clinical guidelines for the screening and diagnosis of gestational diabetes. 2. Discuss the role of preconception counseling, including optimization of metabolic control and medication management in patients with or at risk for diabetes during pregnancy. 3. Describe evidence-based pharmacologic management, including the use of insulin, for diabetes during and after pregnancy. 4. Recognize the short- and long-term maternal and fetal risks associated with gestational diabetes. ModeratorKris E. Barnsfather, M.D. Obstetrician and Gynecologist Women's Care Physicians of Louisville Norton Women's Care Louisville, KY SpeakerKristine Y. Lain, M.D. Maternal and Fetal Medicine Specialist Norton Children's Maternal – Fetal Medicine Louisville, KY Planners, Moderator and Speaker Disclosure The planners, moderator and speaker of this activity do not have any relevant financial relationships with ineligible companies to disclose. Commercial Support There was no commercial support for this activity. Physician CreditsAccreditation Norton Healthcare is accredited by the Kentucky Medical Association to provide continuing medical education for physicians. Designation Norton Healthcare designates this enduring material for a maximum of .75 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Nursing Credits Norton Healthcare Institute for Education and Development is approved as a provider of nursing continuing professional development by the South Carolina Nurses Association, an accredited approver by the American Nurses Credentialing Center's Commission on Accreditation. This continuing professional development activity has been approved for 0.75 ANCC CE contact hours. In order for nursing participants to obtain credits, they must claim attendance by attesting to the number of hours in attendance. For more information related to nursing credits, contact Sally Sturgeon, DNP, RN, SANE-A, AFN-BC at (502) 446-5889 or sally.sturgeon@nortonhealthcare.org. Resources for Additional Study/References American Diabetes Association https://www.diabetes.org Navigating Diabetes in Pregnancy: Critical Approaches to Mitigate Risks and Improve Outcomes for Mother and Child https://pubmed.ncbi.nlm.nih.gov/40137145/ Management of Diabetes in Pregnancy: Standards of Care in Diabetes—2025 https://pubmed.ncbi.nlm.nih.gov/39651985/ Date of Original Release | July 2026; Information is current as of the time of recording. Course Termination Date | July 2029 Contact Information | Center for Continuing Medical Education; (502) 446-5955 or cme@nortonhealthcare.org Also listen to Norton Healthcare's podcast Stronger After Stroke. This podcast, produced by the Norton Neuroscience Institute, discusses difficult topics, answers frequently asked questions and provides survivor stories that provide hope. Norton Healthcare, a not for profit health care system, is a leader in serving adult and pediatric patients throughout Greater Louisville, Southern Indiana, the commonwealth of Kentucky and beyond. More information about Norton Healthcare is available at NortonHealthcare.com.
Are you tired of being told your low libido, brain fog, or painful sex are "just a part of aging," or being handed an antidepressant every time you bring up your hormonal symptoms? In this episode, we sit down with Dr. Stephanie Zwonitzer, DNP, APRN, and founder of the Revive Institute of Sexual Health. Dr. Stephanie shares her transition from traditional urology to pioneering an integrated approach to women's hormone therapy and sexual wellness. She is on a mission to help women reject "normal" standards of care, overcome clinical dismissal, and reclaim optimal health, pleasure, and connection. In this episode, you will learn: How the drop in progesterone, testosterone, and estrogen drives anxiety, low libido, and body changes. Why bioidentical hormones are safe, protective against dementia, and unfairly stigmatized by outdated studies. The physical drivers behind painful intimacy and how local estrogen, DHEA, and pelvic floor therapy can help. Why standard blood panels miss the mark and how to advocate for your health. Connect with Dr. Stephanie: Website: www.ReviveISH.com Podcast: Between the Sheets with Dr. Z https://reviveish.com/between-the-sheets-podcast For more on Dr. Erin: Join The Hope Circle Community: https://hormonehealingproject.drerinellis.com/communities/groups/the-hope-circle/home?invite=69120d498b7e3f60397656b8 Work with Dr. Erin here: https://p.bttr.to/3E88ps4 Buy Dr. Erin's Supplements here: https://drerinellis.com/shop Get the Period Productivity Planner here: https://www.amazon.com/dp/B0BBYBRT5Q?ref_=pe_3052080_397514860 Download the FREE Menstrual Cycle Nutrition Guide here: https://detox.drerinellis.com/ Watch The Free Video "7 Hormones Affecting Your Weight Loss Goals" here: https://weightloss.drerinellis.com/ Let's Be Friends: Follow Dr. Erin on Instagram: https://www.instagram.com/dr.erinellis/ Follow Dr. Erin on Facebook: https://www.facebook.com/drerinellisnmd Follow Dr. Erin on TikTok: https://www.tiktok.com/@dr.erinellis?lang=en Join the Free Hope Circle Community: https://hormonehealingproject.drerinellis.com/communities/groups/the-hope-circle/home?invite=69120d498b7e3f60397656b8 Bookmark Dr. Erin's Website: www.drerinellis.com Subscribe to Hope Natural Health on YouTube: https://www.youtube.com/channel/UChHYVmNEu5tKu91EATHhEiA Follow Hope Natural Health on FB: https://www.facebook.com/hopenaturalhealth Sign up for Newsletters here: https://booking.hopenaturalhealth.com/widget/form/VUubL7MNYELduwQL8ssI
playing god? presents… "A World Without Nurses"—it's a future no one wants to imagine, but doing so brings into sharp focus just how essential nurses are today. Prepare to be transported into this dystopian scenario through innovative storytelling and immersive sound design, ultimately serving as a call to action.Want to help make an impact? Explore our listening session facilitation guide: nursing.jhu.edu/faculty-research/research/centers/r3/a-world-without-nurses/"A World Without Nurses" is an original production by the iDeas Lab at the Johns Hopkins Berman Institute of Bioethics, made in association with Maryland's R3: Resilient Nurses Initiative. Written and Produced by Simon Adler. This production features:Sterling A. Wilmer, BSN, RN, BADiane Couchman, MBA, BSN, RNSharon A. Adamski, MSN, RN, CMSRNTamara Hill, DNP, RN, CPNP-ACRachel Robinson, BSN, RN, CCM, DNP-STyler Silvey, BS, ADN, RNLauren Geiling, BS, ADN, RNCaitlin McGeehan, BSN, RN, CHPN, CCRNDanielle McCamey, DNP, RN, ACNP-BC, FCCP, FADLN, FAANThis production is supported by the Nurse Support Program II grant administered by the Maryland Higher Education Commission and funded through the Health Services Cost Review Commission.We'd love to hear about your listening experience! It'd be very helpful to us. To do so, please visit this form: nursingjhu.qualtrics.com/jfe/form/SV_295dYZbajgm08T4For any further inquiries, please contact R3inquires@jh.edu
In this episode, Dr. Stephanie Martin, Julie Arafeh, and Suzanne McMurtry Baird share their recent healthcare experiences, insights into emergency department chaos, and the importance of system improvements. They also introduce their fun segment of two truths and a lie, and discuss the challenges faced by healthcare professionals and patients alike. This episode features a detailed discussion on crisis management, leadership, and healthcare communication, illustrated through real-life scenarios and expert insights. It emphasizes the importance of calm, strategic thinking, and compassionate care in high-pressure situations.The experts at Clinical Concepts in Obstetrics pool their decades of experience caring for critically ill pregnant women to discuss the challenges encountered in caring for these vulnerable women.Dr Stephanie Martin is the Medical Director for Clinical Concepts in Obstetrics and a Maternal Fetal Medicine specialist with expertise in critical care obstetrics.Suzanne McMurtry Baird, DNP, RN is the Nursing Director for Clinical Concepts in Obstetrics with many years of experience caring for critically ill pregnant women.Julie Arafeh, RN, MS is the Simulation Director for Clinical Concepts in Obstetrics and a leading expert in simulation.Critical Care Obstetrics Academy: https://www.clinicalconceptsinob.com/Follow us:Patreon: patreon.com/CCOBYouTube: @CriticalCareOBPodcastInstagram: https://www.instagram.com/criticalcareob/Dr Martin's LinkedIn: http://linkedin.com/in/stephanie-martin-65b07112aCCOB LinkedIn: https://www.linkedin.com/company/clinical-concepts-in-obstetrics/Twitter/X: https://twitter.com/OBCriticalCareCCOB Facebook: ...
"What I appreciate about our patients with chronic lymphocytic leukemia (CLL) or small lymphocytic leukemia is the consideration that they receive a cancer diagnosis, and the best thing for them to do is actually nothing. There is a large population of patients that we don't recommend any type of treatment. We recommend that they establish care with an oncologist and that they have a relationship with those care teams," ONS member Caitilin Murphy, DNP, APRN, FNP-BC, AOCNP®, chief nurse practitioner at Dana-Farber Cancer Institute in Boston, MA, told Lenise Taylor, MN, RN, AOCNS®, TCTCN™, oncology clinical specialist at ONS, during a conversation about an overview of CLL for oncology nurses. Music Credit: "Fireflies and Stardust" by Kevin MacLeod Licensed under Creative Commons by Attribution 3.0 Earn 0.75 contact hours of nursing continuing professional development (NCPD) by listening to the full recording and completing an evaluation at courses.ons.org by July 3, 2027. The planners and faculty for this episode have no relevant financial relationships with ineligible companies to disclose. ONS is accredited as a provider of nursing continuing professional development by the American Nurses Credentialing Center's Commission on Accreditation. Learning outcome: Learners will report increased knowledge of the diagnosis and management of chronic lymphocytic leukemia. Episode Notes Complete this evaluation for free NCPD. ONS Podcast™ episodes: Episode 339: A Lesson on Labs: How to Monitor and Educate Patients With Cancer Episode 256: Cancer Symptom Management Basics: Hematologic Complications ONS Voice articles: Compensation Funds Curb Financial Burden for Certain Exposure-Related Cancers Infection Prevention for Oncology Nurses Nurse-Led Bone Marrow Biopsy Clinics Truncate Time for Testing, Treatment Patient Stress Linked to More Advanced Leukemia Patients With CLL Report Worse QoL and Other Factors Clinical Journal of Oncology Nursing articles: Care Coordination: Overcoming Barriers to Improve Outcomes for Patients With Hematologic Malignancies in Rural Settings Pseudohyperkalemia in Chronic Lymphocytic Leukemia: An Often Overlooked Clinical Entity Richter Transformation Arising From Chronic Lymphocytic Leukemia ONS book: Site-Specific Cancer Series: Leukemia (first edition) Hematology, Cellular Therapy and Stem Cell Transplantation Learning Library ONS Biomarker Database ONS clinical practice resource: Genomics Taxonomy Blood Cancer United: Chronic Lymphocytic Leukemia: In Detail CLL Society: Patient Education Toolkit Lymphoma Research Foundation: Lymphoma and CLL Publications National Comprehensive Cancer Network To discuss the information in this episode with other oncology nurses, visit the ONS Communities. To find resources for creating an ONS Podcast club in your chapter or nursing community, visit the ONS Podcast Library. To provide feedback or otherwise reach ONS about the podcast, email pubONSVoice@ons.org. Highlights From This Episode "Some of the common risk factors are environmental exposures, occupational exposures, and chemical exposures. For example, in certain farming communities where there are pesticides, that can definitely contribute to the risk of developing CLL. There's some consideration for high levels of radon exposure or exposure to Agent Orange. So our veterans, both from the Vietnam War but also more recently in Iraq. There's definitely a consideration that those types of exposures increase the risk of developing CLL." TS 3:01 "Generally, the average age of diagnosis for CLL is in the seventh decade of life. But over 90% of people are diagnosed at age 50 and above. So, this tends to be a diagnosis in the six or seventh decade of life. It's extremely rare in children, although it has been observed, and it's twice as likely to develop in men than it is compared to women. And then individuals who are White are more frequently affected by CLL than other racial or ethnic groups, followed by people of color. And that includes Black, Hispanic, and Native American individuals, but it's rarer in Asian populations." TS 9:33 "There's a lot of adjustment and coping with a new diagnosis. When we think about the diagnostic approach, we get a lot of information that's incredibly valuable and helps us really to pivot and guide patients as to where they need to go and how we can best support them. We've had well-established studies that look to say, 'If we were to treat patients earlier or have different thresholds for consideration for treatment, do patients do better?' ... I think it's really great that we can actually guide patients in a much more precise way, that you don't need any type of therapy at this point, and it may change and evolve in the future." TS 20:29 "I have some patients that are doers and they want to do something, so this active surveillance or watch and wait really paralyzes their coping. And so they want to do something. Oftentimes, that's really when I pull in some integrative strategies and say exercise is always going to be beneficial. The more active you are, the more physically fit you are. If you really want to do something, make sure that you stay hydrated, that you eat well, and you're engaged in a physical activity that you enjoy and can be consistent with." TS 32:37 "I think another piece that we don't often discuss is around the immunoglobulins and the immune system, but CLL has a pretty significant impact on immune dysfunction. And so patients with CLL, even if they are not on any type of active treatment, their immune system doesn't necessarily function fully. And so they're more likely to develop some upper respiratory infections or more easily develop the flu or coronavirus. ... Often times, we think a lot about supporting patients to get vaccines and to have early evaluation if those symptoms develop because you're more likely to develop upper respiratory infections. I think there's a component around immune dysfunction that I think is really valuable for people to understand that it's not contingent upon the treatment. It's contingent upon the disease and mechanistically, how the B cells are dysfunctional and don't provide that immunity that otherwise would be in a healthy B cell." TS 42:54
In this episode of Airway Exchange, Erin and Greg sit down with Yasmine Campbell, DNP, CRNA, APRN, CNE, CHSE, FAANA, a clinical associate professor at Florida International University and member of the AANA Education Committee. The episode discusses strategies for writing better exams, the growing role of AI, and creating meaningful professional development opportunities for CRNA faculty. Here's some of what you'll hear in this episode:
The FTC just notched its second win against the biggest roll-up in anesthesia history. Welsh Carson settled first. Now USAP. So who actually won, and who pays next? Joe Rodriguez sits down with Randy Moore and Gary Keeling for the kind of conversation that usually happens at the bar after the conference, not on the record. No "where did you go to school" warm-ups. Just three operators reading the headlines everyone else is misreading. Gary drops the frame that defines the episode: this is two Goliaths at war. Private equity built 70 percent market share with borrowed money. Insurers answered with the No Surprises Act and rate cuts. Now IDR is swinging back, hospitals are eating the shortfall through subsidies, and the FTC just stepped into the ring. Anesthesia providers are standing in the middle of all of it. Then the gloves come off on the anesthesiologist assistant fight. Sixty bills in thirty years. Gary says there's enough work for everybody and braces for the hate mail. Randy makes the case that should worry every workforce planner in the country: this shortage isn't a cycle anymore, it's structural, and it's not normalizing for five to seven years. Joe closes with the contrarian bet he's making with his own money. If you book the cases, staff the rooms, or sign the subsidy checks, this episode is your briefing. Takeaways The FTC win is a settlement, not a verdict. USAP admitted no fault and the terms are still being executed. The real signal is that the roll-up playbook now carries regulatory risk that didn't exist a decade ago. The Goliath framework: insurers wanted fragmented anesthesia markets they could play against each other. PE consolidated to fight back. The NSA flipped leverage to insurers, IDR is flipping it back, and hospitals absorb every swing through subsidies. PE's debt structure is the tell. Buy with borrowed money, load the debt onto the asset, run admin on a skeleton crew, jettison through bankruptcy when it breaks. Margin expectations beyond 6 to 15 percent in a service business are the warning sign. AA legislation has a 30-year losing record. Roughly 60 attempts, 47 straight failures from 2010 to 2019, and only 5 of 40 passed in 2025 during a historic shortage. If it was going to break through, that was the year. Randy's call: the workforce shortage is structural, not cyclical. Every CRNA program is expanding cohorts and demand still outruns supply. No meaningful normalization for five to seven years. The pipeline counterweight: 147 nurse anesthesia programs with 17 more coming. Joe's on the record preparing for demand growth to slow. Cycles always turn. Gary's operator test: the 2 percent of groups with excess staff aren't lucky, they built culture and systems. Everyone else is churning providers and renting locums at whatever price locums name. Want more Dr. Joe Rodriguez? Tik Tok: @jrodcrna21 Instagram: @jrod.crna & @abouttherestpod YouTube: @AboutTheRest Thanks for my co-hosts: Randall Mooore, DNP, MBA CRNA are Executive VP of Strategy and Chief Anesthetist Officer, former AANA CEO. Gary's is VP of Anesthesia Services, Revenue Cycle Management To Learn More about Human Content Visit: http://www.human-content.com To Learn More about About The Rest Visit: www.abouttherest.com Got a Question? hello@abouttherest.com Part of the Human Content Podcast Network Learn more about your ad choices. Visit megaphone.fm/adchoices
Joe Rodriguez sits down with Randy Moore and Tracy Young, to work through the week's hardest stories. Let the spicy takes flow! Reimbursement: UnitedHealthcare stops paying for physical status. Oklahoma and Louisiana fight back with legislation. Tracy makes the case that anesthesia has been commoditized, and that hospital subsidies taught payers they never have to pay full price. Private equity: California and Oregon pass laws to curb PE in medicine. Tracy argues we legislate against bad actors instead of punishing them. Randy defends consolidation, then explains why the Oregon deal was a playbook of what not to do. And the line nobody else will say: hospitals don't fire anesthesia groups that are doing a good job. Workforce: AA bills fail in Iowa and Minnesota. Joe argues the entire AA strategy asks the wrong question. Tracy disagrees with both hosts and predicts a sorted market: CRNA-centric facilities on one side, MD and AA medical-direction models on the other, driven by math, not preference. Plus: why anesthesia companies obsessed with growth keep losing contracts, and why CRNA residents work full-time hours unpaid while physician residents draw a salary. Takeaways: Hospital subsidies are functioning as a defacto safety net for the entire industry. They are the mechanism that lets payers keep cutting. Every subsidy dollar confirms someone else will cover the gap. Differentiation in anesthesia is no longer simply price. It is recruiting and retention, full stop. Culture is the product. Hospitals don't replace groups that are performing. If a contract gets shopped, there was a problem, whatever the press release says. Growth without product is a failure of leadership. The large groups losing contracts did it to themselves. The workforce will sort itself in the next decade. The average anesthesiologist is 55. CRNA graduation just crossed 3,000 for the first time. Profit motive is not a disease. Imbalance is. Everyone you've ever hired has a profit motive, including you. Want more Dr. Joe Rodriguez? Tik Tok: @jrodcrna21 Instagram: @jrod.crna & @abouttherestpod YouTube: @AboutTheRest Thanks for my co-hosts: Randall Mooore, DNP, MBA CRNA are Executive VP of Strategy and Chief Anesthetist Officer, former AANA CEO. Tracy Young: Incoming President of the American Association of Nurse Anesthesiology To Learn More about Human Content Visit: http://www.human-content.com To Learn More about About The Rest Visit: www.abouttherest.com Got a Question? hello@abouttherest.com Part of the Human Content Podcast Network Learn more about your ad choices. Visit megaphone.fm/adchoices