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Listener discretion is advised (language). References: Abdo WF, Heunks LM. Oxygen-induced hypercapnia in COPD: myths and facts. Crit Care. 2012 Oct 29;16(5):323. Bonilla Arcos D, Krishnan JA, et al. High-Dose Versus Low-Dose Systemic Steroids in the Treatment of Acute Exacerbations of Chronic Obstructive Pulmonary Disease: Systematic Review. Chronic Obstr Pulm Dis. 2016 Feb 17;3(2):580-588. Fawzy A, Wise RA. Pulse Oximetry Misclassifies Need for Long-Term Oxygen Therapy in Chronic Obstructive Pulmonary Disease. Ann Am Thorac Soc. 2023 Nov;20(11):1556-1557. Goldberg P, Reissmann H, Maltais F, Ranieri M, Gottfried SB. Efficacy of noninvasive CPAP in COPD with acute respiratory failure. Eur Respir J. 1995 Nov;8(11):1894-900. Jennifer T. Thibodeau, Mark H. Drazner. The Role of the Clinical Examination in Patients With Heart Failure,JACC: Heart Failure, Volume 6, Issue 7, 2018, Pages 543-551. Kartal M, Goksu E, Eray O, et al. The value of ETCO2 measurement for COPD patients in the emergency department. Eur J Emerg Med. 2011 Feb;18(1):9-12. Ni, H., Aye, S., Naing, C. Magnesium sulfate for acute exacerbations of chronic obstructive pulmonary disease. Cochrane Database Syst Rev. 2022 May 26; 2022(5):CD013506. Pertzov, B., Ronen, M., Rosengarten, D. et al. Use of capnography for prediction of obstruction severity in non-intubated COPD and asthma patients. Respir Res 22, 154 (2021). Pu X, Liu L, Feng B, Wang M, Dong L, Zhang Z, Fan Q, Li Y, Wang G. Efficacy and Safety of Different Doses of Systemic Corticosteroids in COPD Exacerbation. Respir Care. 2021 Feb;66(2):316-326. Tyagi D, Govindagoudar MB, et al. Correlation of PaCO2 and ETCO2 in COPD Patients with Exacerbation on Mechanical Ventilation. Indian J Crit Care Med. 2021 Mar;25(3):305-309. van Gestel AJ, Steier J. Autonomic dysfunction in patients with chronic obstructive pulmonary disease (COPD). J Thorac Dis. 2010 Dec;2(4):215-22. doi: 10.3978/j.issn.2072-1439.2010.02.04.5.
In this episode, host Dr. Amber Luong speaks with Dr. Xiaoyang Hua. They discuss the recently published Original Article: “Nasal virus infection induces asthma exacerbation through B-cell-dependent recruitment of inflammatory monocytes”. The full manuscript is available online in the International Forum of Allergy and Rhinology. Listen and subscribe for free to Scope It Out on Apple […]
As we step away for a holiday break, we're excited to revisit some of the most popular episodes of the FNP Certification Q & A Podcast. These listener favorites have informed, inspired, and empowered aspiring NPs on their journey to certification success. Enjoy some of our favorites. We'll catch you in 2025 with fresh questions from Dr. Fitzgerald!A 72-year-old woman with severe COPD, who uses an inhaled LAMA/ LAMA daily on a set schedule and SABA via MDI as needed for symptom relief, presents with a 4-day history of URI symptoms, starting with sore throat and clear nasal discharge, without fever. She denies N, V, or other GI upset. She now reports a 2-day history of increasing shortness of breath and production of clear to white sputum. SaO2= 97% and she is no acute distress. In considering the diagnosis of COPD exacerbation, which of the following best describes the role of imaging in the evaluation of COPD exacerbation?A. A chest x-ray should be ordered in COPD exacerbation in the patient with fever and/or low SaO2 to help rule out concomitant pneumonia.B. A chest x-ray should be ordered routinely in the evaluation of a person with COPD exacerbation.C. Given the frequency of COPD exacerbations that typically occur in a person with COPD, chest x-ray use should be limited due to radiation exposure risk.D. A thoracic ultrasound is the preferred imaging study to order in a COPD exacerbation.Visit fhea.com to learn more!
Acute exacerbations of chronic obstructive pulmonary disease (AECOPD) represent sudden and severe declines in airway function and respiratory symptoms in COPD patients. The clinical presentation of AECOPD is diverse, demanding a treatment approach tailored to disease severity—beginning with antibiotic therapy and, in critical cases, advancing to mechanical ventilation for respiratory support. Tune into our next podcast to learn more!
Welcome to the emDOCs.net podcast! Join us as we review our high-yield posts from our website emDOCs.net. Today on the emDOCs cast with Brit Long, MD (@long_brit), we cover asthma exacerbation management. For more on the ED evaluation, take a listen to Part 1. To continue to make this a worthwhile podcast for you to listen to, we appreciate any feedback and comments you may have for us. Please let us know!Subscribe to the podcast on one of the many platforms below:Apple iTunesSpotifyGoogle Play
Welcome to the emDOCs.net podcast! Join us as we review our high-yield posts from our website emDOCs.net. Today on the emDOCs cast with Brit Long, MD (@long_brit), we cover asthma exacerbation. To continue to make this a worthwhile podcast for you to listen to, we appreciate any feedback and comments you may have for us. Please let us know!Subscribe to the podcast on one of the many platforms below:Apple iTunesSpotifyGoogle Play
Send us a Text Message.Welcome to Headfirst: A Concussion Podcast. In this episode Dr. Mitchell joins us to share her insights into the latest developments in concussion rehabilitation, drawing from her extensive clinical and research background. We'll explore effective strategies for managing concussions, discuss advancements in rehabilitation techniques, and uncover what athletes and patients alike need to know about concussion recovery.Dr. Mitchell is a distinguished physiotherapist and the founder of Thrive Neurosports, specializing in performance and rehabilitation, particularly in concussion management.Dr. Mitchell brings a wealth of experience, having served as the lead team therapist for the Women's Para Hockey Team in Canada, the Ontario Sledge Team, and the Waterloo Rugby Football Club, among others. Her expertise extends beyond clinical practice; she has presented at numerous prestigious conferences, including the IOC World Conference on Injury and Illness Prevention in Sport and the 6th Consensus Meeting on Concussion in Sport. Recently, Dr. Mitchell also completed her PhD, further solidifying her commitment to advancing concussion research and treatment.- Introduction about Dr Katie Mitchell - Possible extrapolation of the research? (4:45)- What is a concussion (7:10)- Possible assessment process of a concussion and exercise selection (9:10)- Exacerbation of previous symptoms post-concussion and should we have a baseline eye examination (16:55)- Autonomic sensitivity post-concussion (23:37)- Common miss conceptions around concussion recovery (34:05)- Concussion protocols and recovery in Para Sports and Para-Athletes (37:00) - Where can people find you and sign up for your educational courses (46:51) Dr Katie Mitchell, https://thriveneurosport.ca/about-physiotherapist-athletic-therapist-concussion/Instagram: @thriveneurosportTwitter/X: @kmitchell_atpt Subscribe, review and share for new episodes which will drop fortnightlySocial media:Twitter: @first concussionFacebook: Headfirst: A concussion podcastInstagram: Headfirst_ Concussion Email: headfirstconcussion@gmail.com
In this episode, Farley, Darian, and Jennifer dive into the concept of FOMO (Fear of Missing Out) and its impact on individuals, particularly in the digital age. They discuss their experiences with FOMO and how it has evolved, from the pressure to keep up with social events to the influence of social media. They explore the psychological effects of FOMO, including anxiety and feelings of inadequacy, and how it affects various age groups, from kids to adults.The trio also touches on the role of peer pressure in exacerbating FOMO and the challenges parents face in addressing it. They offer practical tips for managing FOMO, such as setting limits on phone usage and prioritizing real-life connections over virtual experiences. Additionally, they discuss the positive aspects of FOMO, such as its ability to motivate individuals to seek new experiences.Overall, the episode encourages listeners to reflect on their relationship with FOMO and find a balance between staying connected and being present in the moment.Episode Highlights:(3:01) Exacerbation of FOMO in the technological age(8:22) Negative effects of FOMO on mental health(12:25) Peer pressure and societal expectations contributing to FOMO(19:15) Practical strategies for managing FOMO(25:10) Positive aspects of FOMO as a motivator(28:46) Finding balance and prioritizing real-life experiences(30:04) Outro
Katie Bye, PharmD provides insights on the management of COPD exacerbations. For more pharmacy content, follow Mayo Clinic Pharmacy Residency Programs @MayoPharmRes. You can also connect with the Mayo Clinic's School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.
Seeking Balance: Neuroplasticity, Brain Health and Wellbeing
Joey talks about the limitations of prescribed generic vestibular exercises. Learn to create your own neuroplasticity daily practices, to understand your body, your limits and capacity, and to keep your symptoms at a gentle intensity the whole way through using neuroplasticity. Exacerbation of symptoms can lead to flight, fight, freeze, fawn 'fear response' and this negates healing with neuroplasticity. Being kind, gentle and listening to our body is a productive and more comfortable way to rebuild new neural pathways for vestibular function. Learn more about Joey and the Rock Steady Program here: https://www.seekingbalance.com.au/rocksteady/
Fiche chapitre 23 MIR --- Send in a voice message: https://podcasters.spotify.com/pod/show/fanny4456/message
In this podcast, Dr. Nicole Roeder, a pulmonologist with Ridgeview Specialty Clinics, brings her knowledge and experience to discuss how to properly diagnose and manage asthma and chronic obstructive pulmonary disease (COPD) in patients exhibiting signs and symptoms of these chronic conditions. Enjoy the podcast. Objectives:Upon completion of this podcast, participants should be able to: Identify signs and symptoms of asthma and chronic obstructive pulmonary disease (COPD). Review methods for diagnosing asthma and COPD. Select treatment options for asthma and COPD. This activity has been planned and implemented in accordance with the accreditation criteria, standards and policies of the Minnesota Medical Association (MMA). Ridgeview is accredited by the Minnesota Medical Association (MMA) to provide continuing medical education for physicians. CME credit is only offered to Ridgeview Providers & Allied Health staff for this podcast activity. After listening to the podcast, complete and submit the online evaluation form. Upon successful completion of the evaluation, you will be e-mailed a certificate of completion within approximately 2 weeks. You may contact the accredited provider with questions regarding this program at Education@ridgeviewmedical.org. Click the link below, to complete the activity's evaluation. CME Evaluation (**If you are listening to the podcasts through iTunes on your laptop or desktop, it is not possible to link directly with the CME Evaluation for unclear reasons. We are trying to remedy this. You can, however, link to the survey through the Podcasts app on your Apple and other smart devices, as well as through Spotify, Stitcher and other podcast directory apps and on your computer browser at these websites. We apologize for the inconvenience.) DISCLOSURE ANNOUNCEMENT The information provided through this and all Ridgeview podcasts as well as any and all accompanying files, images, videos and documents is/are for CME/CE and other institutional learning and communication purposes only and is/are not meant to substitute for the independent medical judgment of a physician, healthcare provider or other healthcare personnel relative to diagnostic and treatment options of a specific patient's medical condition; and are property/rights of Ridgeview. Any re-reproduction of any of the materials presented would be infringement of copyright laws. It is Ridgeview's intent that any potential conflict should be identified openly so that the listeners may form their own judgments about the presentation with the full disclosure of the facts. It is not assumed any potential conflicts will have an adverse impact on these presentations. It remains for the audience to determine whether the speaker's outside interest may reflect a possible bias, either the exposition or the conclusions presented. Ridgeview's CME planning committee members and presenter(s) have disclosed they have no significant financial relationship with a pharmaceutical company and have disclosed that no conflict of interest exists with the presentation/educational event. Thank-you for listening to the podcast. SHOW NOTES: *See the attachment for additional information. PODCAST OVERVIEW COPD - Major contributor - tobacco use - Environmental exposures - Types (chronic bronchitis, emphysema, mixed) - Symptoms and exam - Exacerbation red flag - more frequent use of rescue inhaler use, more cough and wheeze - Tests (imaging - CXR, CT, pulmonary function testing, spirometry, BODE screening test, alpha antitrypsin) - Inpatient COPD management - Outpatient COPD management - Prevention (immunizations, vaccines, smoking cessation, daily maintenance medication/compliance) - Severe COPD considerations (lung transplant, endobronchial valves) - Pulmonary Rehab (9-week program, multidisciplinary team, baseline assessment, exercise/education sessions) - Pulmonary Function Testing (PFT) including spirometry, lung volume testing, lung diffusion capacity, and methachoine challenge testing ASTHMA- Prevalence - Work-up (CXR, PFTs, CT chest, Allergy testing, referral to pulmonary) - Theophylline (bronchodialiator, antiinflammatory) - Differential Dx - consider other conditions if not improvment (CHF, PE, pneumothorax, etc.) - Peak flow testing - Action plans (Green, Yellow, Red) - Treatment - for mild, moderate and severe cases Thanks to Dr. Nicole Roeder for her expert knowledge and contribution to this podcast. Please check out the additional show notes for more information/resources.
I thought I would talk through post-exertion symptom exacerbation #pese while it was happening. I know that it's very hard for somebody who hasn't experienced it to really understand what it's like. The problem is I feel so fatigue cognitively impaired that I'm not sure how clear I was. But maybe that all into itself is an explanation. Also talk about a young person I met casually diagnosed with long covid without any instruction on The perils of overdoing and how you can permanently disable yourself. I do currently have enough money to make it to the end of next week but I'm really struggling with that daily and weekly fight to survive. Having pushed myself to try to clean because I'm really scared about my tenancy being at risk and the death sentence that anyone attempting to be force me into a care home would represent, it's really emotionally crushing me. I'm still aimed at getting to thanksgiving, and hoping that help bouys my spirit but it will make the post exertion symptom exacerbation fall off a cliff. And I don't currently have the resources to get enough treatments to get it to restabilize. And that doesn't begin to address having enough money to have enough treatments to have enough energy to clean my apartment. And around and around I go on the Merry-Go-Round of never having enough supports either on my disease or PWD assistance in general RICHOCHET article https://ricochet.media/en/3991/Canada-MAID-policy-death-by-poverty Gfm https://gofund.me/cff39173 Email address, BUT not the one for the e-transfer cuz again I haven't been able to figure out how to set that up myself, but the way to reach me to give you the transfer info that liza set up when she set up the GoFundMe iammadelinepod@gmail.com --- Send in a voice message: https://podcasters.spotify.com/pod/show/i-am-madeline/message
This episode discusses the study published in 2020 in Brazil, called, Lipedema and the Evolution to Lymphedema With the Progression of Obesity.
A 72-year-old woman with severe COPD, who uses an inhaled LAMA/ LAMA daily on a set schedule and SABA via MDI as needed for symptom relief, presents with a 4-day history of URI symptoms, starting with sore throat and clear nasal discharge, without fever. She denies N, V, or other GI upset. She now reports a 2-day history of increasing shortness of breath and production of clear to white sputum. SaO2= 97% and she is no acute distress. In considering the diagnosis of COPD exacerbation, which of the following best describes the role of imaging in the evaluation of COPD exacerbation?A. A chest x-ray should be ordered in COPD exacerbation in the patient with fever and/or low SaO2 to help rule out concomitant pneumonia.B. A chest x-ray should be ordered routinely in the evaluation of a person with COPD exacerbation.C. Given the frequency of COPD exacerbations that typically occur in a person with COPD, chest x-ray use should be limited due to radiation exposure risk.D. A thoracic ultrasound is the preferred imaging study to order in a COPD exacerbation.---YouTube: https://www.youtube.com/watch?v=kNKRn-wvg4I&list=PLf0PFEPBXfq592b5zCthlxSNIEM-H-EtD&index=18Visit fhea.com to learn more!
On this episode I talk about a new paper we recently published on the safety and efficacy of pulmonary rehabilitation for individuals hospitalized with an acute exacerbation of COPD. The paper can be found here. I also mention the Cochrane Review by Milo Puhan. That paper can be found here. I welcome your feedback about the show or ideas for future episodes. You can contact me via the comments section here on the LungFIT website. If you listen to the LungFIT podcast on iTunes, please take a moment to review the show. Click here to be directed.
In this episode, Angela Branche, MD, and Helen Y. Chu, MD, MPH, discuss the clinical presentation of respiratory syncytial virus (RSV) in adults and the importance of early detection, including: Clinical symptoms and presentation Complications, including exacerbations of cardiopulmonary diseasesUse of medical resources compared with other respiratory virusesDiagnostic approaches and challengesTreatment and management of RSV diseaseClinical impact of RSV awarenessFaculty: Angela Branche, MDAssociate Professor of MedicineDivision of Infectious DiseasesDepartment of MedicineUniversity of RochesterRochester, New YorkHelen Y. Chu, MD, MPHAssociate Professor of MedicineDivision of Allergy & Infectious DiseasesUniversity of Washington School of MedicineSeattle, WashingtonLink to full program: bit.ly/3nb25xeLink to downloadable slides:bit.ly/3TsXym5
Walking into an examination room and seeing a patient hunched over with labored breathing, audible wheezing, and an oxygen tank can be intimidating for any nurse practitioner.And if you're a nurse practitioner in primary care, it is essential to understand the management of COPD exacerbations to provide the best care you can to patients.COPD exacerbation can look scary, but the management is fairly straightforward. So is the choice of whether or not to prescribe antibiotics (and which ones!)This week, we're sharing a case study about the management of COPD exacerbation in primary care. We'll cover:How to know who should go to the ERWhen to give antibiotics (and which one, for how long)The general management you should be doing in primary care as a PCP for someone with COPDPLUS! You can also download the COPD Management Cheat Sheet that you can keep at your desk to help you in your clinical practice! Read the full blog post here._______________________________© 2022 Real World NP. For educational and informational purposes only, see realworldnp.com/disclaimer for full details. Hosted on Acast. See acast.com/privacy for more information.
This episode considers PEM/PESE why is it so difficult to understand, manage and avoid? I discuss what PEM/PESE is and how is triggered and what that means to daily life. I have spoken with many people who find they struggle to manage PEM as they can't understand what it is and what it does to the body. I have struggled with this myself as it seems to be able to occur with no reason. PEM is triggered from exceeding the energy envelope which can be due to physical, emotional or mental use of energy. I find this makes it a taskmaster, working out what your personal triggers are, the delay in symptom exacerbation can make it confusing to work out at what point PEM was triggered. I discuss journalling, to identify triggers and using pacing, monitoring symptoms, exacerbation of symptoms can be identified using this method and could be a tool to help avoid PEM. You can download my 4Ps planner from my link tree, the link is below. I hope you find this episode useful, as always please take care. Today's links: https://emerge.org.auhttps://www.jospt.org - Lessons from myalgic encephalomyelitis/chronic fatigue syndrome for Long Covid: Postexertional symptom exacerbation is an abnormal response to exercise/activityhttps://covidcharity.orghttps://longcovid.physioMy Links:https://linktr.ee/joulesthttps://twitter.com/julieTa58407536https://www.facebook.com/livingwithlongcovid/https://www.instasgram.com/julietaylor9545
Visit pointofcaremedicine.com to see the templates, pearls, literature, and other resources discussed in this episode. Our mission is to create accessible and easy-to-use digital resources that help healthcare professionals tackle common clinical presentations at the point of care, without getting bogged down by unnecessary details or trivia.
What is an acute exacerbation? Are there different types of exacerbation related to Idiopathic Pulmonary Fibrosis? Dr. Nathaniel Marchetti of Temple Lung Center joins host Kevin Crockett to discuss acute exacerbation and more! Brought to you by the Wescoe Foundation for Pulmonary Fibrosis and the Pennsylvania IPF Support Network!! Find the 'PULMONARY FIBROSIS' podcast on Google, Spotify, Apple podcasts - wherever you get your podcasts - or at PAIPFSupportNetwork.org!!See omnystudio.com/listener for privacy information.
In this episode, we review the high-yield topic of COPD Exacerbation from the Pediatrics section. Follow Medbullets on social media: Facebook: www.facebook.com/medbullets Instagram: www.instagram.com/medbulletsofficial Twitter: www.twitter.com/medbullets
Hello! Please allow me to introduce you to Ally and Emily who created the PMDD Collective, two therapists who specialize in working with PMDD. Between them, they have over two decades of experience working in mental health. Noticing the lack of professionals who recognize, understand and work with PMDD, they knew they had found their calling — creating a way for everyone impacted by PMDD to get the right support. Emily and Ally knew that two people couldn't do it all and sought out like-minded professionals who also believe in the importance of supporting people impacted by PMDD. As a collective, their values include flexibility, accessibility and inclusivity. We love working with other professionals and supporting the growing community of PMDD-informed services To learn more about PMDD, please reach out to them on their website https://www.thepmddcollective.com Share with someone who needs to be inspired and empowered. Don't forget to like, comment, and subscribe. Best Health, Mo Akins
The President checks out of the $20m Air-bnb he's been staying at (free of charge) to head back to DC to sign the "Inflation Exacerbation Act." Joe is reminded of another 'pass-it-before-you-read-it' bill that lead to the Supreme Court deciding that we could be taxed for NOT doing something... Did you hear that cello?See omnystudio.com/listener for privacy information.
This a rambling episode, which means lots of laughs, but little direction! It was recorded on 4/20, which means we were sober like usual. Blitz bought non-alcoholic beer for minors, and turns his back on Star Wars and the Jedi. Polar Bear hates Batman. And Oliver Queen. Panda Bear hates evangelical billboards. And we add just a pinch of "phobia" to the podcast, just like the way your grandma used to make it! If you give a 5-star review, we will read it on the show! Bonus episodes and fun merchandise are on Patreon! Link to that and more right below! https://www.patreon.com/user?u=39633749&fan_landing=true https://anchor.fm/bearattack https://www.instagram.com/bearattackpodcast/ https://www.facebook.com/BearAttackShow/ https://www.youtube.com/channel/UCaxamKsXT-4EfSIFm8b26cg BearAttackPodcast@gmail.com --- This episode is sponsored by · Anchor: The easiest way to make a podcast. https://anchor.fm/app Support this podcast: https://anchor.fm/bearattack/support
We often link happiness to external things without realising happiness is physical and very strongly impacted by our hormones which affects our moods and contributes to depression and anxiety. Learn about how this impacts both men and women and the way it can also have consequences on relationships, family and work.1:26 - Happiness as a result of your hormones2:44 - Women's Hormones & Happiness3:34- Moods & Women's Monthly Cycles4:04 - PMDD12:06 - Impact on Work & Children14:13 - Men Understanding Women's Hormones17:30 - Male Hormonal Imbalances18:33 - Balancing Your Hormones - Women26:34 - Stress as a Hormone Disruptor27:54 - Diet, Sleep, Exercise & Hormones31:14 - Balancing Your Hormones - MenVisit our site and complete our free online assessment to get started with our approach.Sign up for our newsletter hereJoin our Facebook Community hereShop Happy Hormones hereShop Happy Calm hereRelated Articles -Why do Men Get Moody?The Female Reproductive SystemHormonal Imbalance - An EpidemicBalancing your Hormones with HormonesPMDD or Exacerbation of a Mood DisorderTips to Improve Sleep & HormonesIntuitive Wellbeing
When auto accidents happen, insurance companies are looking to minimize how much they pay you or not pay you at all—and they will succeed if you go to them as an unrepresented claimant. There are times when you don't need a lawyer. For example, if you get into a minor parking lot fender bender, and it's someone else's fault, no one is injured, and all you're trying to do is get your car fixed, then you don't need a lawyer. In that case, liability is admitted, no one is injured, and no genuine issue of contention. Learn more in this episode of the David vs. Goliath podcast with elite civil trial lawyers Matt Dolman and his partner, Stan Gipe. They discuss the need to hire a personal injury lawyer, avoid common mistakes that could hurt your claims before it's too late, and more. In this episode: [00:34] Matt Dolman introduces the topic of the day: the need for hiring a personal injury lawyer [00:49] When do I NOT need to hire a personal injury lawyer? Stan Gipe explains [02:53] Open-and-shut case? Not so fast. When you need to hire a lawyer after an accident before it's too late [04:19] Why it is a struggle to find a doctor after an auto accident [05:07] The type of doctor you need after an auto accident [07:02] Exacerbation of a preexisting condition and the eggshell plaintiff rule [09:29] Your insurance company does not like to pay you. How to make sure you don't give them a reason not to [11:52] The dilemma of a pro se plaintiff or unrepresented claimant [13:45] Mistakes unrepresented claimants make [15:02] Understanding the no-fault or PIP coverage [16:39] What does it cost you to hire a top personal injury lawyer? $0 (zero dollars). Stan talks about why that is so
The Biden Administration wants the crisis at the Southern Border to remain a crisis. They do not want to fix the problem and their policies prove that.
In part 1 of this 2-part series on post-exertion symptom exacerbation, Dr Todd Davenport explained what post-exertion symptom exacerbation is, what it feels like, and how to test and monitor it. In part 2, we dive into pacing - the less is more approach to managing post-exertion symptom exacerbation that will challenge you to think differently about how you prescribe exercise and what the goals of therapy are for people who are living with post-exertion symptom exacerbation. Long COVID physio: https://longcovid.physio/ World Physio COVID-19 briefing papers (including briefing paper #9 on safe rehabilitation approaches for people living with long covid): https://world.physio/covid-19-information-hub/covid-19-briefing-papers WorkWell Foundation: https://workwellfoundation.org/resources/
As junior doctors we encounter patients with acute exacerbation of COPD in ward on a daily basis. Dr Omid Khan, specialty registrar of Acute Medicine, will guide us the management plan of acute exacerbation of COPD from admission to discharge. This podcast will not only help us to manage the patients more confidently, but also prepare us for MRCP examination.
Why not do both? --- Support this podcast: https://anchor.fm/broke-till-friday/support
Listen in with our 4th year medical students J. Herblum and D. Robertson!
We are excited to bring you another episode in our Pulm PEEPs Top Consults series! Kristina Montemayor and David Furfaro, are joined by Sandy Zaeh to discuss the assessment and management of a patient with a severe asthma exacerbation. We'll … Continue reading →
In the sixth episode of season two, we are joined by our courageous group of guests made up of those living with various pulmonary fibrosis conditions, their care partners and specialized doctors. In this episode, we explore the different and unpredictable ways pulmonary fibrosis can progress and the various approaches our guests have taken to confront the condition head-on. While the unpredictability can make planning for the future a challenge, we'll hear how it has taught our guests resilience and has given them an opportunity to truly live life in the moment.
The "What is Money?" Show ✓ Claim Podcast Notes Key Takeaways For the first time in history, a debtor nation controlled the world's reserve currency.On August 15, 1971, Richard Nixon “rug-pulled” the world by taking the dollar off of the gold standard. “Fiat incentivizes theft and rent-seeking” – Breedlove. History reveals the incentives for “helping” less prosperous countries were profit-related. Bitcoin provides a solution to monetary policy AND is the only way for humans to establish true sovereignty. Read the full notes @ podcastnotes.orgAlex Gladstein joins me for a deep-dive into the petrodollar system and its many hidden costs.Be sure to check out NYDIG, one of the most important companies in Bitcoin: https://nydig.com/GUESTAlex's twitter: https://twitter.com/gladsteinHuman Rights Foundation: https://hrf.org/PODCASTPodcast Website: https://whatismoneypodcast.com/Apple Podcast: https://podcasts.apple.com/us/podcast/the-what-is-money-show/id1541404400Spotify: https://open.spotify.com/show/25LPvm8EewBGyfQQ1abIsE?si=wgVuY16XR0io4NLNo0A11A&nd=1RSS Feed: https://feeds.simplecast.com/MLdpYXYITranscript:OUTLINE00:00:00 “What is Money?” Intro00:00:08 The Dollars' Pursuit to Peg Itself to Energy00:06:14 Gold: The Base-Layer of Human Action Historically00:10:29 The Cost of War and the Suppression of the Gold Price00:24:47 Gresham's Law00:34:17 Golds' Shortcomings00:39:24 The Dollar in Search of a New Anchor & The Rise of OPEC00:48:14 Cementing the Power of the Dollar Abroad00:52:32 The Dark-Side of Imperialism & The T-Bill Standard01:01:28 Exacerbation of Wealth Disparity01:04:35 Fueling War01:10:21 Oil-Denominated Currency War01:16:54 Follow the Money!01:18:30 NYDIG01:19:37 Flawed Incentives and Rent-Seeking Behavior01:29:10 Raw Material Surplus and Inflating Food Prices by Design?01:34:34 Peace Theory and Satoshi's Appreciation for Gold01:42:20 Bitcoin: The Most Expensive Property to Violate01:47:22 Bitcoin Price Manipulation and Suppression?01:52:40 Theirs' Law: Bitcoin Driving out the Bad Money02:00:07 Bullish on America, the Navajo, El Salvador, and NigeriaSOCIALBreedlove Twitter: https://twitter.com/Breedlove22WiM? Twitter: https://twitter.com/WhatisMoneyShowLinkedIn: https://www.linkedin.com/in/breedlove22/Instagram: https://www.instagram.com/breedlove_22/TikTok: https://www.tiktok.com/@breedlove22?lang=enAll My Current Work: https://linktr.ee/breedlove22WRITTEN WORKMedium: https://breedlove22.medium.com/Substack: https://breedlove22.substack.com/WAYS TO CONTRIBUTEBitcoin: 3D1gfxKZKMtfWaD1bkwiR6JsDzu6e9bZQ7Sats via Strike: https://strike.me/breedlove22Sats via Tippin.me: https://tippin.me/@Breedlove22Dollars via Paypal: https://www.paypal.com/paypalme/RBreedloveDollars via Venmo: https://venmo.com/code?user_id=1784359925317632528The "What is Money?" Show Patreon Page: https://www.patreon.com/user?u=32843101&fan_landing=trueRECOMMENDED BUSINESSESWorldclass Bitcoin Financial Services: https://nydig.com/Join Me At Bitcoin 2022 (10% off if paying with fiat, or discount code BREEDLOVE for Bitcoin): https://www.tixr.com/groups/bitcoinconference/events/bitcoin-2022-26217Put your Bitcoin to work. Earn up to 6% interest back on Bitcoin with Tantra: https://bit.ly/3CFcOmgAutomatic Recurring Bitcoin Buying: https://www.swanbitcoin.com/breedlove/Buy Bitcoin in a Tax-Advantaged Account: https://www.daim.io/robert-breedlove/Home Delivered Organic Grass-Fed Beef (Spend $159+ for 4 lbs. free): https://truorganicbeef.com/discount/BREEDLOVE22
Alex Gladstein joins me for a deep-dive into the petrodollar system and its many hidden costs.Be sure to check out NYDIG, one of the most important companies in Bitcoin: https://nydig.com/GUESTAlex's twitter: https://twitter.com/gladsteinHuman Rights Foundation: https://hrf.org/PODCASTPodcast Website: https://whatismoneypodcast.com/Apple Podcast: https://podcasts.apple.com/us/podcast/the-what-is-money-show/id1541404400Spotify: https://open.spotify.com/show/25LPvm8EewBGyfQQ1abIsE?si=wgVuY16XR0io4NLNo0A11A&nd=1RSS Feed: https://feeds.simplecast.com/MLdpYXYITranscript:OUTLINE00:00:00 “What is Money?” Intro00:00:08 The Dollars' Pursuit to Peg Itself to Energy00:06:14 Gold: The Base-Layer of Human Action Historically00:10:29 The Cost of War and the Suppression of the Gold Price00:24:47 Gresham's Law00:34:17 Golds' Shortcomings00:39:24 The Dollar in Search of a New Anchor & The Rise of OPEC00:48:14 Cementing the Power of the Dollar Abroad00:52:32 The Dark-Side of Imperialism & The T-Bill Standard01:01:28 Exacerbation of Wealth Disparity01:04:35 Fueling War01:10:21 Oil-Denominated Currency War01:16:54 Follow the Money!01:18:30 NYDIG01:19:37 Flawed Incentives and Rent-Seeking Behavior01:29:10 Raw Material Surplus and Inflating Food Prices by Design?01:34:34 Peace Theory and Satoshi's Appreciation for Gold01:42:20 Bitcoin: The Most Expensive Property to Violate01:47:22 Bitcoin Price Manipulation and Suppression?01:52:40 Theirs' Law: Bitcoin Driving out the Bad Money02:00:07 Bullish on America, the Navajo, El Salvador, and NigeriaSOCIALBreedlove Twitter: https://twitter.com/Breedlove22WiM? Twitter: https://twitter.com/WhatisMoneyShowLinkedIn: https://www.linkedin.com/in/breedlove22/Instagram: https://www.instagram.com/breedlove_22/TikTok: https://www.tiktok.com/@breedlove22?lang=enAll My Current Work: https://linktr.ee/breedlove22WRITTEN WORKMedium: https://breedlove22.medium.com/Substack: https://breedlove22.substack.com/WAYS TO CONTRIBUTEBitcoin: 3D1gfxKZKMtfWaD1bkwiR6JsDzu6e9bZQ7Sats via Strike: https://strike.me/breedlove22Sats via Tippin.me: https://tippin.me/@Breedlove22Dollars via Paypal: https://www.paypal.com/paypalme/RBreedloveDollars via Venmo: https://venmo.com/code?user_id=1784359925317632528The "What is Money?" Show Patreon Page: https://www.patreon.com/user?u=32843101&fan_landing=trueRECOMMENDED BUSINESSESWorldclass Bitcoin Financial Services: https://nydig.com/Join Me At Bitcoin 2022 (10% off if paying with fiat, or discount code BREEDLOVE for Bitcoin): https://www.tixr.com/groups/bitcoinconference/events/bitcoin-2022-26217Put your Bitcoin to work. Earn up to 6% interest back on Bitcoin with Tantra: https://bit.ly/3CFcOmgAutomatic Recurring Bitcoin Buying: https://www.swanbitcoin.com/breedlove/Buy Bitcoin in a Tax-Advantaged Account: https://www.daim.io/robert-breedlove/Home Delivered Organic Grass-Fed Beef (Spend $159+ for 4 lbs. free): https://truorganicbeef.com/discount/BREEDLOVE22
Please Leave a Review! On this episode of A Tale of Two Hygienists Michelle talks to returning guest Tyler Kuhk, NP about COPD. Did you know that November is COPD awareness month? This could be a great lead in for you to talk to your patients about COPD and a reminder for your team to look for the signs of COPD which Tyler outlines in this episode! Special thank you to Paradise Dental Technologies for sponsoring the CE portion of this podcast so that we can provide you with FREE CE! Take the CE Course HERE. Be sure to view your state guidelines to ensure this CE is applicable in your State. You can view all episodes with Free CE here. Interview Starts: 11:34.377 Episode Highlights Who is That Sassy NP Basics of COPD Patient Conversations Inhaled Therapy Xylitol Based Exacerbation or Flare Covid-19 Patients Quotes “They estimate that there are roughly 13 million that are diagnosed but there are likely another 13 million that are undiagnosed.” “COPD is an umbrella term.” “COPD is the third leading cause of death.” “Once you hit your mid 20's you start to lose lung function.” “The goal in COPD is to open the airways.” “Bedside nurses are running around with our heads cut off, we want to do well, but we need the tools.” “Your airways are an organ besides your skin that is exposed to the outside environment 24 hours a day.” “It's not fun not being able to breathe.” Links Thatsassynp on TikTok and Instagram Dying from Dirty Teeth thatsassynp@gmail.com 2021 GOLD COPT Pocket Guide A Tale of Two Hygienists Podcast A Tale of Two Hygienists homepage AToTH on Facebook AToTH on Instagram AToTH on LinkedIn
Joining the Busy Leader's Podcast is Dr. Stephen Beeson who is an author, physician, speaker and founder of Practicing Excellence. He and his company have helped hundreds of medical groups and hospitals across the country develop their clinicians in ways that transform the experience for those receiving and providing care.Throughout this podcast, Dr. Beeson shares how they help clinicians, teams and leaders build new skills that help them experience more of those restorative moments of patient connectivity, team collaboration and leadership effectiveness. These are the moments that help people sore, and they can happen throughout an organization. Learn how creating a sense of belonging may be the greatest burnout counter method there is and how providing people the skills to allow “team” to manifest, so much so that people wake up Monday morning excited to go to work and hang out with their tribe. This podcast will give you a greater understanding that we have dominion over the things that drive the human experience and how adjusting one's is mindset and leadership approach are elements. About Dr. Stephen Beeson stephen@practicingexcellence.com Dr. Stephen Beeson is a nationally recognized author, physician, and speaker. A board-certified family medicine physician, Dr. Beeson practiced with the Sharp Rees-Stealy Medical Group in San Diego County for 18 years. During his tenure with the medical group, Dr. Beeson was selected by Sharp HealthCare leadership to serve as the Physician Director for the Experience,” an organizational commitment tooperationalize service excellence. Dr. Beeson's patients ranked him in the 99th percentile nationwide, and the San Diego County Medical Society voted Dr. Beeson as one of San Diego's best physicians for eight consecutive years. During this time, the medical group improved their patient satisfaction from the bottom to the top decile, won three AMGA Acclaim Honoree awards for clinical performance, and with Sharp Healthcare was the recipient of the Malcolm Baldrige Award.Dr. Beeson's first book, “Practicing Excellence A Physician's Manual to Exceptional Health Care,” became a national bestseller that articulates a prescriptive “how-to” approach to improve physician performance to drive organizational success. In 2009, he released his second book, “Engaging Physicians: A Manual to Physician Partnership.” This critically acclaimed book takes system leaders on a staged journey to physician enrollment in organizational change efforts.Most recently, Dr. Beeson founded Practicing Excellence, which builds skills to drive outcomes in well-being, patient experience, and leadership effectiveness. Built for busy clinicians, their micro-learning approach delivers short, evidence-derived, video-based coaching to clinicians, leaders, and teams through a mobile app. They partner with some of the nations' largest health systems and medical groups to deliver coordinated skill-building programs that provide measurable results. Learn more at www.practicingexcellence.com. Resources: www.thegratitudegroup.com/Gratitude Symposium talk by Dr. Stephen Beeson - Finding Gratitude When Life is HardThe frontline care teams have been through one of the most challenging times in healthcare ever. Exacerbation of burnout, thoughts of retiring early, anxiety, depression, and PTSD have come into our beautiful healing profession.In this session, we spend a few moments on the personal impact of what healt
CPLF 2021 – A10 : Exacerbation des pathologies respiratoires chroniques : et si c'était infectieux ?
Editor's Summary by Anne Cappola, MD, Associate Editor of JAMA, the Journal of the American Medical Association, for the October 5, 2021 issue.
The GenerEhlist - CCFP Exam & Canadian Primary Care Medicine
Objective One: In a patient with a diagnosed chronic disease who presents with acute symptoms, diagnose: acute complications of the chronic disease acute exacerbations of the disease Objective Two: Regularly reassess adherence (compliance) to the treatment plan (including medications) Objective Three: In patients with chronic disease a) Actively inquire about pain. b) Treat appropriately by: titrating medication to the patient's pain, taking into account other treatments and conditions, considering non-pharmacologic treatment and adjuvant therapies Objective Four: Patients with chronic disease, actively inquire about: the psychological impact of diagnosis and treatment, functional impairment, underlying depression or risk of suicide or underlying substance abuse. Objective Five: Given a non-compliant patient, explore the reasons why, with a view to improving future adherence to the treatment plan.
This content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding a medical condition.
Asset and capital allocations often exacerbate systemic racism across the financial services in some surprising ways. Innovators in the fields of asset management, banking, impact investing and pensions suggest there are also many ways to disrupt the cycle. Shifting the flow of capital could help reduce or eliminate institutional barriers and racial discrimination.
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COVID19 is exacerbating multiple pre-existing disparities in the U.S. that have been there for a long time. Join us in learning about one of these comorbidities in our healthcare system from Dr. Mohit Gupta and Dr. Ricardo Correa as they share their personal stories as international medical graduates (IMGs) and their advocacy work on behalf of others in their shoes.
Respirology Fellow Dr. Alina Blazer takes us through the management of Acute Asthma Exacerbations! This is not your COPD patient, and clinical manifestations and treatment is different for patients with asthma exacerbations. Also, we talk about long-term management and emerging therapies for asthma exacerbation prevention in the future. As always, extra resources and infographic available at www.theinternatwork.com
The post QOD 004: Adult patient CHF exacerbation (Pharm and parenteral therapies) appeared first on NURSING.com.
Like bad reactions to Mueller's testimony, everyone's got a hot take on impeachment, including Cory. Check that out, as well as the way Diplomat Trump has handled the A$AP Rocky case in Sweden, which is like when your mom calls your principal to try to get you out of trouble… And Trump unknowingly stood next to a mock Presidential Seal because there are heroes everywhere.
COPD has huge economic and human burdens in the US. In fact, in 2010, two studies estimated that COPD exacted a direct and indirect cost of somewhere between $36 and $50 billion dollars in the US. With respect to the ED – in 2011, there were more than 1.7 million ED visits for COPD-related problems, with nearly 1/5th requiring hospitalization. This episode of EB Medicine's EMplify podcast is hosted by Jeff Nusbaum, MD, and Nachi Gupta, MD. This month's corresponding full-length journal issue of Emergency Medicine Practice was authored by a strong team from the University of Maryland: Drs. Van Holden, Donald Slack, Michael McCurdy, and Nirav Shah. It was peer reviewed by Dr. Gabriel Wardi of the University of California San Diego and Dr. Geralda Xavier of Kings County Hospital in New York City. Links and Resouces: http://www.ebmedicine.net/topics.php?paction=showTopic&topic_id=557 - Diagnosis and Management of Acute Exacerbation of Chronic Obstructive Pulmonary Disease