Podcasts about icus

What does verticalization therapy look like at the bedside?What does it take to get the entire ICU team engaged in optimizing verticalization beds?Jessica Cafferty, OTR/L and Jennifer Babb, PT, DPT join us to share case studies and insights into verticalization therapy in their ICUs! Get CE for listening to this episode and more! SapienCE Reflecting Learning | Unleash Your Inner Sagewww.DaytonICUConsulting.com

A frightening diagnosis can steal the air from a room. Nicole's story gives it back. From the shock of hearing “breast cancer” to the rhythm of surgery, sixteen chemo infusions and now the daily focus of radiation, she lets us into the real work of getting through it: making plans, asking for help and finding bright spots inside the hard days. As a mother of two and a community leader, she talks candidly about fear, the weight of uncertainty and the simple rituals that brought her peace.Those bright spots include a calm, golden-furred constant: April Sweetie, a therapy dog who turns infusion rooms into gentler spaces. With handler Larry, April visits cancer centers, ICUs and children's hospitals, offering a few minutes of ease to patients and the clinicians who care for them. We explore how therapy animals reduce anxiety and boost morale for healthcare teams who often need support as much as the people they treat. April's own journey from a breeding farm to hospital hallways mirrors the transformation that happens when care becomes truly human.For more content from Centra Health check us out on the following channels.YouTubeFacebookInstagramTwitter

Co-hosts Ryan Piansky, a graduate student and patient advocate living with eosinophilic esophagitis (EoE) and eosinophilic asthma, and Holly Knotowicz, a speech-language pathologist living with EoE who serves on APFED's Health Sciences Advisory Council, interview Dr. Andrew Lee, Vice President, Clinical Research at Uniquity Bio, about Thymic Stromal Lymphopoietin (TSLP) and eosinophilic esophagitis (EOE). Disclaimer: The information provided in this podcast is designed to support, not replace, the relationship between listeners and their healthcare providers. Opinions, information, and recommendations shared in this podcast are not a substitute for medical advice. Decisions related to medical care should be made with your healthcare provider. Opinions and views of guests and co-hosts are their own.   Key Takeaways: [:49] Co-host Ryan Piansky introduces the episode, brought to you thanks to the support of Education Partners Bristol Myers Squibb, GSK, Sanofi, Regeneron, and Takeda. Ryan introduces co-host Holly Knotowicz.   [1:13] Holly introduces today's topic, Thymic Stromal Lymphopoietin (TSLP) and eosinophilic esophagitis (EOE), and today's guest, Dr. Andrew Lee, Vice President, Clinical Research at Uniquity Bio.   [1:36] Dr. Lee has nearly 20 years of experience in the clinical development of new vaccines, biologics, and drugs. Holly welcomes Dr. Lee.   [1:52] Dr. Lee trained in internal medicine and infectious diseases.   [1:58] Dr. Lee has been fascinated by the immune system and how it can protect people against infections, what happens when immunity is damaged, as in HIV and AIDS, and how to apply that knowledge to boost immunity with vaccines to prevent infections.   [2:16] Dr. Lee led the clinical development for a pediatric combination vaccine for infants and toddlers. It is approved in the U.S. and the EU.   [2:29] Dr. Lee led the Phase 3 Program for a monoclonal antibody to prevent RSV, a serious infection in infants. That antibody was approved in June 2025 for use in the U.S.   [2:44] In his current company, Dr. Lee leads research into approaches to counteract an overactive immune system. They're looking at anti-inflammatory approaches to diseases like asthma, EoE, and COPD.   [2:58] Dr. Lee directs the ongoing Phase 2 studies that they are running in those areas.   [3:28] Dr. Lee sees drug development as a chance to apply cutting-edge research to benefit people. He trained at Bellevue Hospital in New York City in the 1990s.   [3:40] When Dr. Lee started as an intern, there were dedicated ICU wards for AIDS patients because many of the sickest patients were dying of AIDS and its complications.    [3:52] Before the end of Dr. Lee's residency, they shut down those wards because the patients were on anti-retroviral medications and were doing so well that they were treated as outpatients. They didn't need dedicated ICUs for AIDS patients anymore.   [4:09] For Dr. Lee, that was a powerful example of how pharmaceutical research and drug regimen can impact patients' lives for the better by following the science. That's what drove Dr. Lee to go in the direction of research.   [4:48] Dr. Lee explains Thymic Stromal Lymphopoietin (TSLP). TSLP serves as an alarm signal for Type 2 or TH2 inflammation, a branch of the immune responses responsible for allergic responses and also immunity against parasites.   [5:17] When the cells that line the GI tract and the cells that line the airways in our lungs receive an insult or an injury, they get a danger signal, then they make TSLP.   [5:28] This signal activates other immune cells, like eosinophils and dendritic cells, which make other inflammatory signals or cytokines like IL-4, IL-13, and IL-5.   [5:47] That cascade leads to inflammation, which is designed to protect the body in response to the danger signal, but in some diseases, when there's continued exposure to allergens or irritants, that inflammation goes from being protective to being harmful.   [6:15] That continued inflammation, over the years, can lead to things like the thickened esophagus with EoE, or lungs that are less pliant and less able to expand, in respiratory diseases.   [6:48] Dr. Lee says he thinks of TSLP as being a master switch for this branch of immune responses. If you turn on TSLP, that turns on a lot of steps that lead to generating an allergic type of response.   [7:06] It's also the same type of immune response that can fight off parasite infections. It's the first step in a cascade of other steps generating that type of immune response.   [7:30] Dr. Lee says people have natural genetic variation in the genes that incur TSLP.   [7:38] Observational studies have found that some people with genetic variations that lead to higher levels of TSLP in their bodies had an increased risk for allergic inflammatory diseases like EoE, atopic dermatitis, and asthma.   [8:13] Studies like the one just mentioned point to TSLP being important for increased risk of developing atopic types of diseases like EoE and others. There's been some work done in the laboratory that shows that TSLP is important for activating eosinophils.    [8:38] There's accumulating evidence that TSLP activation leads to eosinophil activation, other immune cells, or white blood cells getting activated.   [9:07] Like a cascade, those cells turn on T-cells and B-cells, which are like vector cells. They lead to direct responses to fight off infections, in case that's the signal that leads to the turning on TSLP.   [9:48] Ryan refers to a paper published in the American Journal of Gastroenterology exploring the role of TSLP in an experimental mouse model of eosinophilic esophagitis. Ryan asks what the researchers were aiming to find.   [10:00] Dr. Lee says the researchers were looking at the genetic studies we talked about, the observational studies that are beginning to link more TSLP with more risk for EoE and those types of diseases.   [10:12] The other type of evidence that's accumulating is from in vitro (in glass) experiments or test tube experiments, where you take a couple of cells that you think are relevant to what's going on.   [10:28] For example, you could get some esophageal cells and a couple of immune cells, and put TSLP into the mix, and you see that TSLP leads to activation of those immune cells and that leads to some effects on the esophageal cells.   [10:42] Those are nice studies, but they're very simplified compared to what you can do in the body. These researchers were interested in extending those initial observations from other studies, but working in the more realistic situation of a mouse model.   [11:00] You have the whole body of the mouse being involved. You can explore what TSLP is doing and model a disease that closely mimics what's happening with EoE in humans.   [12:23] They recreated the situation of what seems to be happening in EoE in people. We haven't identified it specifically, but there's some sort of food allergen in patients with EoE that the immune system is set off by.   [12:55] What researchers are observing in this paper is that in these mice that were treated with oxazolone, there is inflammation in the esophagus, an increase in TSLP levels, and eosinophils going into the esophageal tissues.   [13:15] Dr. Lee says, that's one of the main ways we diagnose EoE; we take a biopsy of the esophagus and count how many eosinophils there are. Researchers saw similar findings. The eosinophil count in the esophageal tissues went way up in these mice.    [13:34] Researchers also saw other findings in these mice that are very similar to EoE in humans, such as the esophageal cells lining the esophagus proliferating. They even saw that new blood vessels were being created in that tissue that's getting inflamed.   [14:00] Dr. Lee thinks it's a very nice paper because it shows that correlation: Increase TSLP and you see these eosinophils going to the esophagus, and these changes that are very reminiscent of what we see in people with EoE.   [14:51] In this paper, the mice made the TSLP, and researchers were able to measure the TSLP in the esophageal tissue. The researchers didn't introduce TSLP into the mice. The mice made the TSLP in response to being repeatedly exposed to oxazolone.   [15:20] That's key to the importance of the laboratory work. The fact that the TSLP is made by the mice is important. It makes it a very realistic model for what we're seeing in people.   [15:41] In science, we like to see correlation. The researchers showed a nice correlation.   [15:46] When TSLP went up in these mice, and the mice were making more TSLP on their own, at the same time, they saw all these changes in the esophagus that look a lot like what EoE looks like in people.    [16:01] They saw the eosinophils coming into the esophagus. They saw the inflammation go up in the esophagus. What Dr. Lee liked about this paper is that they continued the story.   [16:15] The researchers took something that decreases TSLP levels, an antibody that binds to and blocks TSLP, and when they did that, they saw the TSLP levels come down to half the peak level.   [16:35] Then they saw improvement in the inflammation in the esophagus. They saw that the amount of eosinophils decreased, and the multiplication of the esophageal cells went down. The number of new blood vessels went down after the TSLP was reduced.   [16:53] Dr. Lee says, you see correlation. The second part is evidence for causation. When you take TSLP away, things get better. That gives us a lot of confidence that this is a real finding. It's not just observational. There is causation evidence here.   [18:26] Ryan asks if cutting TSLP also help reduce other immune response cells. Dr. Lee says TSLP is the master regulator for this Type 2 inflammation. It definitely touches and influences other cells besides eosinophils.   [18:44] TSLP affects dendritic cells, which are an important type of immune cell, like a coordinating cell that instructs other cells within the immune system what to do. In this paper, they looked at a lot of other effects of TSLP on the tissues of the body.   [19:10] Dr. Lee says, There's a lot of research on TSLP, and one of the reasons we're excited about the promise of TSLP is that it's so far upstream; so much of the beginning, that it's affecting other cells.   [19:29] Its effects could be quite broad. If we're able to successfully block TSLP, we could block a lot of different effects.   [19:40] One treatment for EoE is dupilumab, which blocks IL-4 and IL-13 specifically, and that works well, but TSLP has the potential to have an even greater effect than blocking IL-4 and IL-13, since it is one step before turning on IL-4 and IL-13.    [20:14] That's one of the reasons researchers are excited about the promise of blocking TSLP. There are studies ongoing of TSLP blockers in people with EoE.   [20:34] Ryan asks if there are negative repercussions from blocking TSLP. Dr. Lee says in this study and in people, we are not completely blocking TSLP by any means. There will still be residual TSLP activated, even with very potent drugs.   [21:01] In the study, they block TSLP about 50%‒60%. TSLP is involved in immunity against parasites. In studies with people, they make sure not to include anybody who has an active parasitic infection. A person under treatment should not be in a study.   [21:27] Dr. Lee says we haven't seen any problems with parasitic infections becoming more severe, but that is a theoretical possibility, so for that reason, in studies with TSLP blockers, we generally exclude patients with known parasitic infections.   [22:17] What excited Dr. Lee in this paper was that they showed that when you block TSLP in the mice, then you get real effects in their tissues. Eosinophils went away. The thickening of the basal layers in the esophagus got much better.   [22:38] That kind of real effect reflected in the tissue is super exciting to see. That gives us more confidence that this could work in people, since we're seeing it in a realistic whole-body model in the mice.   [23:12] Dr. Lee says there are ongoing clinical studies on TSLP blockers for EoE. His company is studying an antibody that blocks TSLP in eczema, COPD, and EoE. One of the exciting things about immunology is that it affects many different parts of the body.   [23:42] EoE is associated with other immune-type disorders. There's a high percentage of patients with EoE who have other diseases. EoE coexists with asthma, atopic dermatitis, and chronic rhinitis.   [24:09] It's exciting that if you figure out something that's promising for one disease that TSLP affects, it could have very broad-ranging implications for a variety of diseases.   [24:22] Ryan shares his experience of his doctor talking to him about a TSLP blocker, tezepelumab, as a potential option when it's out of clinical trials. It would target something a little higher up the chain and help with some of his remaining symptoms.   [24:59] Ryan is excited to hear that this research is so encouraging and how it could potentially help treat EoE, asthma, and other conditions, all at once.   [25:16] Dr. Lee says that being in these later-stage studies is super exciting. If these late-stage trials are successful, the next step is to apply for regulatory approval with the various agencies around the world.   [26:40] Dr. Lee shares one takeaway for listeners to remember. Think of TSLP as an alarm that turns on inflammation. He compares TSLP to turning on an alarm during a robbery. There are multiple steps designed to protect the bank and the money.   [27:20] To extend that analogy, with TSLP, once you turn it on, all these other steps are going to happen. Inflammation is designed to protect the body. It's a protective response. If there's an infection, it can clear the infection.   [27:38] If the infection persists, as in HIV, the immune response, which is protective and beneficial, eventually becomes damaging. It becomes dysfunctional. In EoE, if you continually eat the allergic food, the inflammation becomes damaging to the esophagus.   [28:27] Long-term inflammation leads to replacing the normal esophageal tissue with fibrotic tissue, and that's why the esophagus eventually gets hardened and less able to let the food go through.   [28:40] In respiratory diseases, the soft tissue of the lung gets replaced with thicker tissue, and the lung is not able to expand.   [28:54] Dr. Lee says he people to think about TSLP as this master alarm switch. We hope that if you could turn off that TSLP, you could then avoid a lot of the complications that we see with chronic inflammation in these conditions.   [29:14] We're hopeful that you could even take away the symptoms that you see in these diseases, make patients feel better, and with extended treatment, you could begin to reverse some of the damage resulting from inflammation.   [29:32] Ryan likes that analogy and how Dr. Lee has concisely explained these complicated concepts.   [29:51] Dr. Lee thanks Holly and Ryan and adds one more plea to listeners. Please consider getting involved with research. Clinical trials cannot be done without patients. We need patients to advance new treatments.   [30:27] Researchers like Dr. Lee spend a lot of time thinking about how to make the studies not only informative but also fair to patients who decide to become involved. It's a lot of work and a fair amount of time commitment.   [30:44] If you don't want to be in a study, you can help by being on a patient feedback panel and reviewing protocols and informed consents. Follow your interests. Think about getting involved with research, however you can.   [31:06] Ryan and Holly are very grateful for the community, with so many wonderful clinicians and researchers, and so many patients who are willing to volunteer their time and their data to help researchers find better solutions going forward.   [31:26] Ryan thanks Dr. Lee for coming on and putting out that call to action. It's a great reminder for listeners and the patients in the community to look for those opportunities. Chat with your physician. Go to APFED's website. There's a link to active clinical trials.   [31:47] For our listeners who want to learn more about eosinophilic disorders, we encourage you to visit apfed.org and check out the links in the show notes below.   [31:53] For those looking to find specialists who treat eosinophilic disorders, we encourage you to use APFED's Specialist Finder at apfed.org/specialist.   [32:01] If you'd like to connect with others impacted by eosinophilic diseases, please join APFED's online community on the Inspire Network at apfed.org/connections.   [32:11] Ryan thanks Dr. Andrew Lee for joining us today. We learned a lot. Holly also thanks APFED's Education Partners Bristol Myers Squibb, GSK, Sanofi, Regeneron, and Takeda for supporting this episode.   Mentioned in This Episode: Andrew Lee, M.D., VP Clinical Research, Uniquity Bio   "A Mouse Model for Eosinophilic Esophagitis (EoE)" Current Protocols, Wiley Online Library   APFED on YouTube, Twitter, Facebook, Pinterest, Instagram Real Talk: Eosinophilic Diseases Podcast apfed.org/specialist apfed.org/connections apfed.org/research/clinical-trials   Education Partners: This episode of APFED's podcast is brought to you thanks to the support of Bristol Myers Squibb, GSK, Sanofi, Regeneron, and Takeda.   Tweetables:   "I see drug development as a chance to apply cutting-edge research to benefit people." — Andrew Lee, M.D.   "When the cells that line the GI tract and the cells that line the airways in our lungs receive an insult or an injury, they get a danger signal, then they make TSLP." — Andrew Lee, M.D.   "Observational studies have found that some people with genetic variations that lead to higher levels of TSLP in their bodies had an increased risk for allergic inflammatory diseases like EoE, atopic dermatitis, and asthma." — Andrew Lee, M.D.   "There's a lot of research on TSLP, and one of the reasons we're excited about the promise of TSLP is that it's so far upstream; so much of the beginning, that it's affecting other cells." — Andrew Lee, M.D.   "Please consider getting involved with research. We can't do these clinical trials without patients. We need patients to advance new treatments for patients." — Andrew Lee, M.D.

Reproductive Rape- A New Kind Of Rape; Black Guys Are DECEPTIVELY Impregnating Naïve Girls, Racism Study is TOTALLY FAKE, Mosques Should Be BANNED In Europe. Mr. Reagan   Mr Reagan A New Kind Of Rape; Black Guys Are DECEPTIVELY Impregnating Naive Girls Racism Study is TOTALLY FAKE Mosques Should Be BANNED In Europe   A New Kind Of Rape; Black Guys Are DECEPTIVELY Impregnating Naive Girls Are women being intentionally deceived into motherhood? This disturbing exposé reveals the growing crisis of reproductive coercion and why no one is willing to talk about it. In this emotionally charged and deeply unsettling video, Mr. Reagan dives into the disturbing pattern of reproductive coercion, where some men intentionally deceive women into becoming mothers. Backed by personal stories and a chilling research study out of Baltimore, this episode uncovers a trend that's been hidden in plain sight. The central theme? It's nearly impossible to “accidentally” get someone pregnant in the 21st century. If it's happening repeatedly, especially with the same tactics, it's no longer an accident. It's a strategy. In some communities, this strategy is being normalized, even encouraged. Using emotionally manipulative language, deceptive behaviors, and disturbing tactics like removing condoms in secret, these men are not just abandoning women; they are weaponizing fertility. This episode explores what it means when parenthood becomes a tool of control, betrayal, and systemic exploitation. Watch this video at- https://youtu.be/YKsb0WhUpSM?si=MDna0_Iur4tvxzh3 Mr Reagan 400K subscribers 16,387 views Oct 13, 2025 #Politics #News #Trending   Racism Study is TOTALLY FAKE A racism study went viral, but new evidence proves it was a calculated lie, and it's been used to reshape hospitals, education, and culture. Here's the shocking truth. A 2020 study claimed that white doctors caused higher mortality rates among Black newborns. The media ran wild with it. Nearly 800 academic papers cited it. Hospitals changed their hiring policies. But in 2024, researchers gained access to the raw data, and it tells a very different story. It turns out the study failed to account for a critical variable: birth weight. High-risk, underweight infants were disproportionately treated by white doctors in advanced ICUs, skewing the data. When corrected, the alleged racial disparity vanished. But the researchers knew this... and omitted the data anyway. This wasn't an oversight. It was deception: deliberate, coordinated, and ideological. Organizations like Do No Harm uncovered proof via FOIA requests. Even the study's authors had internal data showing white infants fared worse under Black doctors, but they cut it from the final report. Why? Because it shattered their anti-white narrative. Watch this video at- https://youtu.be/OuJzI6xeYI8?si=JgPsGD6DJJwu-XIc Mr Reagan 400K subscribers 9,166 views Oct 17, 2025 #Politics #News #Trending Subscribe to my NEW Channel, STRANGE TALES!    • The Great Emu War   Patreon:   / mrreagan   ----------------------------------------------- MR REAGAN MERCHANDISE https://teespring.com/stores/mr-reagan -------------------------------------------- FOLLOW MR REAGAN ON TWITTER!   / mrreaganusa     Mosques Should Be BANNED In Europe The West is changing, and the sound of church bells is being replaced by the Muslim call to prayer. What does this mean for Christian Europe? This video makes the case. Europe, once the stronghold of Christianity and Western tradition, is undergoing a cultural transformation. As mosques rise and public Islamic prayer becomes normalized across the UK and France, many are raising the alarm. In this video, Mr. Reagan discusses why the presence of mosques in Europe may represent more than religious freedom, it could signal a silent conquest. From Leicester to London, towns are awakening not to church bells, but to the Muslim adhan. Some see this as peaceful coexistence. Others view it as an aggressive takeover. The controversy deepens when sacred Christian landmarks become platforms for Islamic prayer. With over 2,600 mosques now in France, up from just 8 in 1975, the question becomes: Is this replacement or multiculturalism gone too far? This video uses data, history, and cultural analysis to argue why the proliferation of mosques might threaten Europe's identity. Mr. Reagan connects the rise in mosque influence with broader topics: immigration, cultural dilution, and the so-called Great Replacement. Is it time for Europe to say "enough"? Or are such concerns overblown? Watch and decide. Watch this video at- https://youtu.be/oT7VhyQuDq4?si=GscGg29njfRoPDk_ Mr Reagan 400K subscribers 4,121 views Oct 15, 2025 #Politics #News #Trending   --------------------------------------------------------------------  Check out our ACU Patreon page: https://www.patreon.com/ACUPodcast   HELP ACU SPREAD THE WORD!  Please go to Apple Podcasts and give ACU a 5 star rating. Apple canceled us and now we are clawing our way back to the top. Don't let the Leftist win. Do it now! Thanks. Also Rate us on any platform you follow us on. It helps a lot. Forward this show to friends. Ways to subscribe to the American Conservative University Podcast Click here to subscribe via Apple Podcasts Click here to subscribe via RSS You can also subscribe via Stitcher FM Player Podcast Addict Tune-in Podcasts Pandora Look us up on Amazon Prime …And Many Other Podcast Aggregators and sites ACU on Twitter- https://twitter.com/AmerConU . Warning- Explicit and Violent video content.   Please help ACU by submitting your Show ideas. Email us at americanconservativeuniversity@americanconservativeuniversity.com   Endorsed Charities -------------------------------------------------------- Pre-Born! Saving babies and Souls. https://preborn.org/ OUR MISSION To glorify Jesus Christ by leading and equipping pregnancy clinics to save more babies and souls. WHAT WE DO Pre-Born! partners with life-affirming pregnancy clinics all across the nation. We are designed to strategically impact the abortion industry through the following initiatives:… -------------------------------------------------------- Help CSI Stamp Out Slavery In Sudan Join us in our effort to free over 350 slaves. Listeners to the Eric Metaxas Show will remember our annual effort to free Christians who have been enslaved for simply acknowledging Jesus Christ as their Savior. 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Thank you for your compassion  Giving the Gift of Freedom and Hope to the Enslaved South Sudanese -------------------------------------------------------- Food For the Poor https://foodforthepoor.org/ Help us serve the poorest of the poor Food For The Poor began in 1982 in Jamaica. Today, our interdenominational Christian ministry serves the poor in primarily 17 countries throughout the Caribbean and Latin America. Thanks to our faithful donors, we are able to provide food, housing, healthcare, education, fresh water, emergency relief, micro-enterprise solutions and much more. We are proud to have fed millions of people and provided more than 15.7 billion dollars in aid. Our faith inspires us to be an organization built on compassion, and motivated by love. Our mission is to bring relief to the poorest of the poor in the countries where we serve. We strive to reflect God's unconditional love. It's a sacrificial love that embraces all people regardless of race or religion. 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Thank you Sandra D, ITS Never Happening…, Steven Rosenzweig, Marg KJ, Lynette, and many others for tuning into my live video! Join me for my next live video in the app.* Study – Less staff, greater mortality in private equity hospital emergency departments: Staff and salary levels go down, but patient mortality goes up, in emergency departments (EDs) and intensive care units (ICUs) when ho… To hear more, visit egberto.substack.com

In this episode of the Society of Critical Care Medicine (SCCM) Podcast, host Diane McLaughlin, DNP, AGACNP-BC, CCRN, FCCM, is joined by John Appino, MBA, founder and CEO of Contract Diagnostics, and Ryan Hakimi, DO, MS, NVS, RPNI, CPB, FNCS, FCCM, neurointensivist at Prisma Health in Greenville, South Carolina, for a conversation on salary and contract negotiations for advanced practice providers (APPs). The guests explore the nuances of evaluating job offers and negotiating compensation, as well as prioritizing onboarding, mentorship, and job fit. Dr. Hakimi shares insights from his leadership roles in academic neuro-ICUs and his longstanding advocacy for APPs, while Mr. Appino offers a strategic perspective on contract structures, compensation models, and negotiation tactics. The discussion highlights the variability in contract practices across academic and private institutions, the importance of defining full-time employment expectations, and the role of offer letters versus formal contracts. Listeners will learn how to approach salary discussions with confidence, including when to negotiate, which data to reference (e.g., Medical Group Management Association and American Medical Group Association benchmarks), and how to assess a job offer beyond salary. This episode is valuable for APPs at any career stage seeking fair compensation and sustainable career growth. It emphasizes that successful negotiations are not just about salary—they are also about clarity, support, and long-term professional satisfaction.

Dr. Arup Roy-Burman, Founder and Chief Strategy and Medical Officer of Elemeno Health, is addressing the gap between established medical policies and actual frontline practice. The Elemeno microlearning platform provides just-in-time multimedia content, building confidence in high-risk, low-frequency procedures, helping support knowledge retention, and combating clinician burnout. This modern approach to learning caters to clinicians with shorter attention spans and the expectation of receiving information on the device of their choice when they need it. Arup explains, "My background is as an ICU physician, and I have practiced as an ICU director for 20-plus years. And the challenge that we had in our ICUs is how to keep our teams on the same page with constantly changing information? And on top of that, in the context of constantly changing staff, medicine is full of so many different practices, workflows, and procedures, and we expect our staff to know all of them and to be able to execute on each one of them at the time that they need to. But that's really unrealistic. There's no way that people can stay on top of it. All medical knowledge doubles every 73 days."   "When we think about today's generational workforce, as we think about just those of us who have kids, we see that attention spans, as you said, are short. People don't want to sit through a whole classroom. They can't remember that. And the way that people want to learn now and the way that they do learn, it's like one of our clients put it, it's like the "TikTokification of education." How do we deliver information on a mobile device? How do we deliver it in short, bite-sized chunks? Multimedia that you can actually consume in context when you need it." #ElemenoHealth #DigitalHealth #HealthcareInnovation #Microlearning #NurseTraining  elemenohealth.com Download the transcript here

Dr. Arup Roy-Burman, Founder and Chief Strategy and Medical Officer of Elemeno Health, is addressing the gap between established medical policies and actual frontline practice. The Elemeno microlearning platform provides just-in-time multimedia content, building confidence in high-risk, low-frequency procedures, helping support knowledge retention, and combating clinician burnout. This modern approach to learning caters to clinicians with shorter attention spans and the expectation of receiving information on the device of their choice when they need it. Arup explains, "My background is as an ICU physician, and I have practiced as an ICU director for 20-plus years. And the challenge that we had in our ICUs is how to keep our teams on the same page with constantly changing information? And on top of that, in the context of constantly changing staff, medicine is full of so many different practices, workflows, and procedures, and we expect our staff to know all of them and to be able to execute on each one of them at the time that they need to. But that's really unrealistic. There's no way that people can stay on top of it. All medical knowledge doubles every 73 days."   "When we think about today's generational workforce, as we think about just those of us who have kids, we see that attention spans, as you said, are short. People don't want to sit through a whole classroom. They can't remember that. And the way that people want to learn now and the way that they do learn, it's like one of our clients put it, it's like the "TikTokification of education." How do we deliver information on a mobile device? How do we deliver it in short, bite-sized chunks? Multimedia that you can actually consume in context when you need it." #ElemenoHealth #DigitalHealth #HealthcareInnovation #Microlearning #NurseTraining  elemenohealth.com Listen to the podcast here

Show Notes  In this episode of Acute Conversations, we welcome Dr. Nicole Neveau, PT, DPT, NCS — Director of Rehabilitation Services at SSM Health St. Louis University Hospital and our newest co-host. Nicole shares her path into acute care, from unfolding paper charts as a new grad to leading a team of more than 100 therapists. She reflects on lessons learned in trauma and neuro ICUs, the importance of mentorship, and why she sees therapists as consultants who guide recovery through evidence, collaboration, and patient stories. Alongside host Dr. Leo Arguelles, Nicole also previews the upcoming 2026 Bridge the Gap Conference in Chicago and what it means for connecting research with practice. Today's Guests: Nicole Neveau, PT, DPT, NCS

In this episode, Stuart Haines, JACCP Editor-in-Chief, interviews Dr. Andrea Sikora, Dr. Brian Murray, and Dr. Susan Smith about their recently published consensus recommendations for integrating critical care pharmacists into intensive care unit (ICU) teams which was endorsed by ACCP as well as the American Association of Critical-Care Nurses, American Society of Health-System Pharmacists, Institute of Safe Medication Practices, and the Society of Critical Care Medicine.  The paper was published in the September 2025 issue of JACCP and is available open access. The document addresses the "unmet need" of operationalizing the pharmacist's role, as evidence suggests that many ICUs still lack a critical care pharmacist. The recommendations go beyond simply advocating for pharmacists; they provide a blueprint for hospitals to optimize pharmacist services, including direct and indirect patient care activities. The paper and its supplementary materials, which include an institutional assessment checklist, can be used to improve the quality of patient care.

Critical care in the United States faces a mounting crisis. With a shortage of board-certified intensivists and younger, less experienced nurses filling ICUs, hospitals often struggle to provide timely, gold-standard care. Studies show that hospitals with board-certified intensivists in their ICUs see a 30% reduction in patient mortality, yet thousands of facilities still lack this vital expertise.So, how can technology close the critical care gap and help hospitals meet these new quality standards while supporting overburdened staff?In this episode of I Don't Care, host Dr. Kevin Stevenson sits down with Dr. Diego Reino, CEO of Intercept Telehealth, to explore how virtual critical care, telestroke, and virtual nursing are transforming hospital operations. The conversation covers how Intercept leverages a fully decentralized model to recruit top intensivists nationwide, integrates ICU bedside data into remote platforms, and provides hospitals with proactive, equitable, and scalable patient care.Key Takeaways:Virtual critical care fills critical staffing gaps: Intercept's decentralized network allows intensivists and nurse practitioners across the country to provide real-time ICU support, even in high-acuity situations.Technology transforms speed and access: Integrated platforms transmit live bedside data, enabling near-instant intensivist response times—averaging 36 seconds compared to the five-minute benchmark.Beyond ICU coverage: Intercept also delivers telestroke, teleneurology, virtual nursing, and telesepsis programs, helping hospitals improve patient safety, meet compliance standards, and support younger, less-experienced nurses.Dr. Diego Reino is a liver and kidney transplant surgeon and the President and CEO of Intercept Telehealth. He trained at UCLA in transplant surgery and began his career at the Cleveland Clinic in Florida. Driven by a commitment to equity in critical care, Dr. Reino founded Intercept to harness technology and provide gold-standard ICU coverage to hospitals nationwide. His leadership continues to expand access to specialized care, from virtual critical care to stroke and sepsis management.

Most of us are doing it 20,000 times a day—and doing it wrong.Breathing isn't just automatic. It's foundational. And when your breath is off, your body and mind feel it: stress spikes, energy crashes, and your nervous system can't find its footing.In this episode of Alive & Well, I'm joined by integrative physiotherapist Campbell Will, who has spent years studying the breath across ICUs, neurosurgical wards, elite athletic settings, and private practice. What he's found is simple but profound: when you breathe well, you elevate your health, performance, and emotional balance. When you breathe poorly, you drive dysfunction.We're diving into: ✔️ How the breath directly impacts your ability to self-regulate and co-regulate ✔️ What dysfunctional breathing really is—and the surprising ways it shows up in daily life ✔️ How poor breathing patterns keep your body stuck in stress (and what to do instead)If you've ever felt tired, tense, or like your body is stuck in “on” mode—this episode will help you reconnect with the most powerful (and accessible) tool you already have.

Send us a textWhat if the most powerful act of kindness isn't fixing someone's problems, but simply being present with them? Pediatric cardiothoracic intensive care nurse Natalie Miller Binkley brings this revolutionary perspective to life in our conversation about healing, presence, and the unique challenges facing healthcare workers today.Natalie takes us inside the specialized world of pediatric cardiac care, where tiny patients with congenital heart abnormalities undergo complex surgeries that literally reroute how blood flows through their bodies. She explains why some pediatric cardiac units now treat patients into adulthood - these unique anatomies require specialized knowledge that adult cardiologists simply don't have.But our conversation goes much deeper when Natalie shares how her experiences during COVID transformed her approach to healing. Working in adult ICUs during the pandemic's darkest days, she witnessed profound isolation and suffering that no medical intervention could fix. This awakening led her to develop a holistic coaching practice centered on a radical idea: before we can heal, we need someone to witness our experience without judgment.Unlike traditional coaching that focuses on giving advice and directions, Natalie's approach begins with creating space for people to process their experiences and regulate their nervous systems. She explains how many symptoms we attribute to conditions like ADHD or anxiety may actually stem from chronically dysregulated nervous systems - the result of constant overstimulation and pressure.For nurses especially, the challenges are immense. Many work 12-16 hour shifts with minimal breaks, sometimes unable to drink water throughout their day or even use the bathroom. With unsafe patient ratios becoming the norm, nurses often spend entire shifts distributing medications with little time for the compassionate care that drew them to nursing.Discover why true kindness isn't always about grand gestures or perfect advice, but creating a space where people feel safe enough to breathe, to be witnessed in their chaos, and to remember they're whole human beings experiencing normal responses to abnormal situations.Have you experienced the healing power of simply being heard? Share your thoughts and connect with Natalie through the links in our show notes.This podcast is a proud member of the Mayday Media Network. If you have an idea for a podcast and need some production assistance or have a podcast and are looking for a supportive network to join, check out maydaymedianetwork.com. Like what you hear on the podcast? Follow our social media and subscribe to our newsletter for more uplifting, inspirational and feel-good content.FacebookInstagramLinkedInTikTok Newsletter SignupSupport the show

President Donald Trump has hinted at reviving the pot industry's rescheduling hopes. Crain's cannabis reporter John Pletz talks with host Amy Guth about the potential impact on local big players in the cannabis industry.Plus: South Loop residents weigh in on Chicago Fire stadium plan, Northwestern Memorial plans $96.5 million project to expand and bridge ICUs, Deere plunges as struggling farmers delay machinery rebound and unions rally at Jesse Brown after report shows VA hospitals' worsening staff shortages and a separate report shows physician pay declines despite rising workloads.

Health care trainees rotate through a variety of different settings. ICUs, hospital wards, and outpatient clinics. If they're lucky, they might even spend time in a nursing home. But on today's podcast, we're adding one more setting to that list: your local art museum. In this thought-provoking episode, we explore how art museum teaching is being integrated into the education of medical professionals—and why it's making a profound difference. Our guests, Amy Klein, Laura Morrison, and Gordon Wood, share their journey of integrating art into medical training, along with practical strategies you can use if you're inspired to do the same. You'll also hear how engaging with museum-based medical education can help health care professionals deepen empathy and emotional awareness, practice the skill of multiple perspective-taking, and grow more comfortable with ambiguity and uncertainty. Resources mentioned in the podcast include: A story about one medical student's experience with a day in the museum using multiple museum-based education exercices A Journal Article published in the Journal of Palliative Medicine titled “Museum-Based Education: A Novel Educational Approach for Hospice and Palliative Medicine Training Programs”  A journal article on “Twelve Tips for Starting a Collaboration with an Art Museum.” A handout from the 2025 AAHPM/HPNA preconference gives examples of museum-based education exercises and resources for further training.  Alex's summary of some prompts we discussed for the “Personal Responses Tour”, which is a reflective exercise where participants choose artwork based on a personal prompt, then share with a small group. The prompts include: Find a work of art that reminds you of a patient Find a work of art that reflects a challenging clinical situation Find a work that speaks to an experience you have had in your palliative medicine training that taught you about the impact of bias or racism Find a work that connects to the path you took into palliative care or geriatrics Find a piece that makes you think about community Find a piece that reflects your idea of what a “good death” is Lastly, stay on the “look out for” the 2026 Art Museum-Based Education preconferences session at the AAHPM/HPNA annual meeting on March 4, 2026 in San Diego!    

This week on The Fuel Run Recover Podcast, I'm joined by Deanna Rempel, a Registered Respiratory Therapist and passionate trail runner from Manitoba, for a timely and informative conversation about air quality and how it affects runners.Deanna brings her unique perspective from working in ICUs, emergency rooms, and on the trails. As wildfires and smoke become more common, understanding the Air Quality Health Index (AQHI) and its impact on our performance and long-term health is more important than ever.In this episode, we cover:What the AQHI is and how to interpret itWhy the numbers don't always match what you see or smell outsideShort-term vs. long-term health risks of running in poor air qualityWhether a few smoky runs can really do lasting damageHow to adapt your training when living in areas with regular air quality issuesPractical tips to protect your lungs and make smart running choices when air quality dipsWhether you're a road runner, trail lover, or ultra enthusiast, this episode will help you make informed decisions to protect your respiratory health without sacrificing your training.Follow @manitoba_trail_runners to keep up with Deanna's adventures and Manitoba's amazing trail running community.Looking for the resources mentioned in today's episode?⁠⁠⁠⁠Get your free fueling and strength training guide for runners here⁠⁠⁠⁠And, learn more about working with me inside the ⁠Fuel Train Recover Club here!⁠

Welcome back to Ditch the Labcoat! In this thought-provoking episode, Dr. Mark Bonta sits down with Kali Dayton, nurse practitioner, international consultant, and the bold voice behind the Awake and Walking ICU movement. Together, they peel back the curtain on a common but rarely questioned practice in critical care: routine heavy sedation of patients on ventilators.Kali shares her journey from a nurse in a pioneering ICU—where awake, mobile, intubated patients were the norm—to a world where comatose ventilator patients are the expectation. She unpacks the hidden harms of automatic sedation, sharing both eye-opening research and the heart-wrenching stories of ICU survivors who left with trauma, cognitive struggles, and fractured lives.Dr. Bonta and Kali explore how culture, habit, and outdated beliefs have shaped critical care—and challenge us all to rethink what's possible. Is it really safer, easier, or kinder to keep patients sedated? Or can presence, mobility, and human connection transform not just survival, but recovery?Get ready to question what you thought you knew about the ICU, discover what's already possible in some hospitals, and hear a call to action for compassionate, evidence-based change. If you work in healthcare—or might ever need it—this is a conversation you can't afford to miss. Let's ditch the lab coat and reimagine patient care, one episode at a time.Episode HighlightsRethinking ICU Sedation — Most ventilated patients don't require deep sedation—remaining awake can actually improve outcomes and reduce harm.Hidden Harm of Sedation — Automatic sedation often leads to delirium, long-term trauma, and cognitive impairment for many ICU survivors.Awake and Walking ICU Model — It's possible and beneficial to keep intubated patients awake and mobile; some ICUs already achieve this routinely.Cultural Myths in Medicine — Common ICU practices persist due to unexamined traditions, not necessarily the latest evidence or patient-centered thinking.Preventing Delirium Is Key — Early avoidance of sedation and encouraging mobility drastically decrease risks of ICU delirium and related complications.Power of Patient Stories — Listening to ICU survivors reveals the real, lasting harms of unnecessary sedation and challenges clinical assumptions.Team Buy-In Essential — Successful change requires educating and involving the entire healthcare team, from doctors to bedside nurses.Early Mobility Saves Lives — Mobilizing patients—even walking them—within hours of intubation is not only feasible, but can improve recovery.Family Involvement Matters — Informing and including families in care expectations helps calm patients and supports a less traumatic ICU experience.Start Small, Lead Change — Begin cultural transformation with one patient, one team—small steps can drive a revolution toward better, humane care.Episode Timestamps05:14 — Challenges of Mechanical Ventilation 06:57 — ICU Nursing: Breathing Tube Walks 10:14 — ICU Norms Challenged: Breathing Tubes 13:16 — Pioneering Awake, Mobile Patient Care 19:11 — Awake and Walking ICU Initiative 22:06 — Rethinking Hospital DVT Practices 25:42 — Sedation Considerations Before Intubation 27:20 — Reducing Delirium in ICU Care 32:57 — Sedation: Not Just Laughing Gas 36:24 — Rounding Culture and ICU Challenges 39:08 — Improving ICU Care: ABCDEF Protocol 41:23 — Rethinking Patient Sedation Practices 44:14 — Improving ICU Patient Care 47:38 — Revolutionizing Awake ICU CareDISCLAMER >>>>>>    The Ditch Lab Coat podcast serves solely for general informational purposes and does not serve as a substitute for professional medical services such as medicine or nursing. It does not establish a doctor/patient relationship, and the use of information from the podcast or linked materials is at the user's own risk. The content does not aim to replace professional medical advice, diagnosis, or treatment, and users should promptly seek guidance from healthcare professionals for any medical conditions.   >>>>>> The expressed opinions belong solely to the hosts and guests, and they do not necessarily reflect the views or opinions of the Hospitals, Clinics, Universities, or any other organization associated with the host or guests.    Disclosures: Ditch The Lab Coat podcast is produced by (Podkind.co) and is independent of Dr. Bonta's teaching and research roles at McMaster University, Temerty Faculty of M

Get unlimited CE credits for this podcast and any learning experience here: SapienCE Reflecting Learning | Unleash Your Inner SageIn this podcast episode, we introduce Amanda Luper, an experienced occupational therapist with over 13 years in acute care ICU. Amanda shares her journey, starting from her field placement at Vanderbilt, which shaped her career path, to her current focus on early mobility and cognitive care in the ICU. She discusses the innovative approaches she has championed, including mobilizing patients early, even building protocols for cognitive assessments. Amanda also emphasizes the importance of interdisciplinary collaboration in the ICU and highlights the critical role OTs play in patient care. The episode touches on her experiences advocating for better OT training and competency in ICUs and her work in post-ICU support groups. Through detailed examples and heartfelt patient stories, Amanda illustrates the significant impact occupational therapists can have on patient recovery and outcomes.www.DaytonICUConsulting.com

Join us for this insightful conversation with Kathryn Williamson, a nurse anesthetist and educator, as we explore the exciting and challenging journey to becoming a Certified Registered Nurse Anesthetist (CRNA). Kathryn shares her experiences, offering an inside look at the role of CRNAs, the educational path to anesthesia nursing, and the importance of clinical expertise. The episode also touches on the profound emotional connections nurses develop with their patients and raises awareness about colon cancer. Whether you're an aspiring CRNA, a seasoned nurse, or curious about advanced practice nursing, this episode has something for everyone.Chapters:00:00 - Introduction to Nurse Anesthesia and the CRNA Journey02:50 - Understanding the Role of a CRNA05:57 - Navigating the Path to Nurse Anesthesia School08:51 - Personal Stories and Connections in Nursing11:52 - The Importance of Shadowing and Experience15:08 - Colon Cancer Awareness and Patient Empathy18:12 - The Impact of Personal Experiences on Nursing21:10 - Advice for Aspiring CRNAs23:58 - Conclusion and Future AspirationsAbout Kathryn Williamson, DNP, APRN, CRNA: Dr. Kathryn Williamson, DNP, APRN, CRNA, is a dedicated nurse anesthetist, educator, and leader in the field of nurse anesthesia. Based in Atlanta, Georgia, she provides anesthesia care for complex surgeries at Piedmont Hospital and serves as a sole anesthesia provider for colonoscopies and upper endoscopies at United Digestive. She also plays a pivotal role as clinical faculty at Emory University School of Nursing, preparing the next generation of nurses and mentoring students through shadowing opportunities at her workplace.Kathryn's nursing career spans nearly two decades, beginning with her BSN from New York University in 2005. Her experience as a critical care nurse in neurovascular, surgical, and medical ICUs laid the foundation for her transition into advanced practice. She earned her Master's in Nurse Anesthesia from Bloomsburg University in 2012 and later achieved her Doctor of Nursing Practice from the University of Pittsburgh in 2021, where her doctoral project focused on high-risk airway protocols during the COVID-19 pandemic.An active contributor to her profession, Kathryn is involved in committees for the American Association of Nurse Anesthetists and has published research on the preoperative needs of pediatric patients and their caregivers. With past faculty roles at Pennsylvania State University and numerous awards for her academic and clinical excellence, she continues to inspire and shape the future of nurse anesthesia through her work at Emory Healthcare and beyond. Celebrate Nurses Month with us on Instagram @AMNNurse! About AnnAnn King, a seasoned travel nurse with a remarkable 14-year track record, has dedicated the past 13 years to specializing in Neonatal ICU. Ann has been traveling with AMN Healthcare for 4.5 years, enriching her expertise with diverse experiences. Currently residing in San Diego, Ann not only thrives in her nursing career but also serves as the host of the Nursing Uncharted podcast, where she shares invaluable insights and stories from the world of nursing. Connect with Ann on Instagram @annifer05 No Better Place than CA! Book your assignment in the Golden State Today! Level up your career today! Find your dream travel assignment! Support for every step. Learn more about AMN Healthcare's EAP Program. Share the opportunity and refer a friend today! Ready to start your next travel assignment in the Golden State? Browse CA Jobs! Episode Sponsor:We're proudly sponsored by AMN Healthcare, the leader in healthcare staffing and workforce solutions. Explore their services at AMN Healthcare. Discover job opportunities and manage your assignments with ease using AMN Passport. Download the AMN Passport App today! Join Our Communities: WebsiteYouTubeInstagramApple PodcastsSpotifyLinkedInFacebook Powered by AMN Healthcare

EP #330 - Not an Ending, A Beginning, an interview with author and spiritual practitioner, Nancy MacMillian I know I say this every time—and yes, I'm probably being redundant—but I say it because it's true. I get to welcome and have chats with so many incredible guests. And this guest, Nancy MacMillian is no exception. She has written an amazing book, and I'm so excited to introduce her. Nancy MacMillian is a gifted storyteller and someone who guides others through one of life's most profound transitions: Dying. I'm honored to welcome her to Empowering Chats. Nancy's work focuses on death and dying, and her book, Call to the Far Side, explores how we can approach death with awareness and support our loved ones as they enter this unknown—and often miraculous—part of life. She speaks truths that need to be heard, especially in the Western world, where death is often handled in sterile, clinical settings like ICUs, far from family and loved ones. We talk about the use of medication in the dying process—recognizing that when there's pain, medication is necessary—but what about when there isn't? Nancy believes possibilities open up when we allow the body to do what it naturally knows how to do. Nancy discusses the endorphins released near death, and how we might honor the body's own ability to bring peace and grace. We also explore what it means to die with dignity, kindness, and love. Nancy encourages open conversations about death with those closest to us. When we talk about it—ask questions, share thoughts—it can help us be better companions to those we love as they enter that journey. It help us -the care giver - be more present, not just physically, but emotionally and spiritually. In her book, she also highlights the growing number of resources available today that didn't exist before, such as Death Doulas, music therapy, massage, and other out-of-the-box options. Her book speaks to the cultural shift happening in how we view death in the West—and it's a hopeful one. Call to the Far Side reintroduces the idea that death can be beautiful. It's not something to fear or push away. As Nancy so eloquently puts it, this is about bringing death back into our hearts and homes—and remembering that our dead are not gone; they're just in the next room. Being intentional and conscious about the dying process can be incredibly supportive—for those who are transitioning, and for those of us walking alongside them. To learn more about Nancy MacMillian visit: NancyMacMillan.com To Purchase her book, Call to the Far Side visit: NancyMacMillan.com/book To view Nancy's Substack Page visit: NancyMacMillan.substack.com To learn more about how I show up in the world visit: SusanBurrell.com

What is the current state of affairs with the ABCDEF bundle in many ICUs? What is it like to be trained to have patients awake after intubation to later be begging for awakening trials? Dr. Nick Ghionni, The Floating Vent Guy, shares incredible insights, stories, and thoughts in this episode. Get CE credits for all podcast episodes and a variety of your own determined learning experiences at Sapien HERE! Www.DaytonICUConsulting.com

The Fortified Life Podcast with Jason DavisEpisode 193 – “From Anxiety to Expectation” with Steve CussEpisode SnapshotAn eye‑opening conversation on noticing and diffusing leadership anxiety, closing the gap between our beliefs and experience of God, and cultivating healthy workplace cultures. Author, speaker, and Capable Life founder Steve Cuss shares practical frameworks from his books Managing Leadership Anxiety and The Expectation Gap that help leaders bring freedom to themselves, their teams, and their faith journey.Guest Bio – Steve CussRole: Author, Speaker, Organizational Consultant, Founder of Capable Life communityBackground: Born in Western Australia; pastoral training in the U.S.; CPE hospital chaplain residency forged his focus on anxiety and reactivityExpertise: Helping leaders notice contagious anxiety, break predictable reactive patterns, and foster well‑being in organizations and churchesResources: Books (Managing Leadership Anxiety, The Expectation Gap), podcast Being Human (Christianity Today), coaching intensives & Camino‑style spiritual journeysConnect: SteveCussWords.comTimestampedOutline Time Segment0:00 Welcome ¬ Jason sets the theme: dependency on Jesus in the marketplace2:10 Steve's backstory – From Perth to U.S. Bible college & unexpected chaplain residency8:35 Discovering personal anxiety in ICU rooms; the gift of “aggressive” supervisors15:12 Defining reactivity – the only contagious anxiety & why leaders must notice it25:40 People‑pleasing & perfectionism: false threats that wire our bodies for fear32:05 Managing Leadership Anxiety – central thesis, “what the world needs most is a well-leader”40:18 Introducing The Expectation Gap – Aligning head beliefs with body experience of God48:30 False reality vs. lived reality; spotting assumptions that sabotage faith & relationships55:20 Upcoming Capable Life Camino Walk in Spain; creating immersive growth experiences58:45 Lightning Round – What excites Steve about the rest of 20251:02:00 Where to find Steve's books, courses, and weekly newsletter1:04:00 Jason's takeaway + Fortified Life send‑off(“From the boardroom to the bathroom…”)Key TakeawaysWell‑being is leadership's greatest gift. A non‑anxious presence frees teams to thrive.Reactivity is contagious—& always rooted in a false reality. Notice it, name it, diffuse it.Mind the anxiety gap. Between stimulus and response lies space to choose freedom over fear (Viktor Frankl).Bridge the expectation gap by aligning your understanding of God with what your body experiences.Ask brave questions: “How do you experience me at my best…and at my worst?” Growth starts with honest feedback.The environment shapes awareness. High-intensity spaces (such as ICUs and crisis situations) reveal hidden coping mechanisms.Relief is reason enough. Doing the inner work leads to peace for you and the people you lead.Scripture Anchors1 Peter 5:7 – “Cast all your anxiety on Him because He cares for you.”Philippians 4:6-7 – Peace that surpasses understanding guards heart & mind.Proverbs 4:23 – Guard your heart, for everything you do flows from it.Resources & LinksSteve's Website: SteveCussWords.com – free mini‑courses & weekly “Tips & Tools” emailBooks:Managing Leadership Anxiety: Yours and Theirs (Thomas Nelson)The Expectation Gap (NavPress)Podcast: Being Human on the Christianity Today networkCapable Life Community: Online memberships + live intensivesCamino Formation Walk (Oct 2025): Details at SteveCussWords.com/experiencesJason's Book: Fortify: Being Rooted in God's Plan for Work & Business – available on AmazonNext‑Step ChallengesIdentify one trigger of leadership anxiety this week; practice pausing before responding.Survey your team with Steve's question: “When I'm at my worst, how do you experience me?” Commit to shrinking the gap.Journal the expectation gap: Note a belief about God and where experience doesn't yet match. Pray for alignment.Memorable Quotes“What the world needs most is a well leader—someone working on themselves more than on their team.” — Steve Cuss “Reactivity is the only anxiety that spreads faster than a rumor.” — Steve Cuss “Humans are like trout: trying to get the most food in the laziest way possible.” — Steve Cuss.Connect & ShareSubscribe: FortifiedLifePodcast.com | New episodes Wednesdays 8:30 PM ESTFollow Jason: IG/Twitter @MrFortify | LinkedIn Jason DavisFollow Steve: IG/Twitter @SteveCussWords | LinkedIn Steve CussHashtags: #FortifiedLife #LeadershipAnxiety #ExpectationGap #FaithInBusiness #CapableLifeProduction CreditsHost: Jason “Mr. Fortify” DavisGuest: Steve CussProducer & Audio: Positive Power XXI StudiosEditing: VEGAS Pro | Transcript by Descript (AI‑generated)Show Notes:  © 2025 Fortified Life Podcast • All Rights Reserved

In this episode of the Healthy, Wealthy, and Smart Podcast, host Dr. Karen Litzy welcomes Campbell Will, an integrative physiotherapist and breathwork educator, to discuss the significant impact of breath on health and performance. Campbell shares his journey from traditional physiotherapy to specializing in breath work, highlighting the role of proper breathing in enhancing performance and reducing stress. He emphasizes the importance of shifting the focus from disease to health and how breath can serve as a powerful tool for achieving balance and well-being. Tune in to discover valuable insights on how breathwork can transform your approach to health and self-regulation. Time Stamps:  [00:02:19] Importance of breath in health. [00:06:13] Defining breathwork and its impact. [00:06:54] Breathwork and nervous system health. [00:10:03] Breathing and emotional state. [00:13:45] Breathing's impact on health. [00:18:01] Dysfunctional breathing effects. [00:20:59] Dysfunctional breathing and posture. [00:26:01] Breathwork and assessment importance. [00:29:47] Breathing as a present anchor. [00:31:41] Nervous system and breathwork. [00:34:18] Nervous system's role in healing. [00:39:15] Breath awareness and self-empowerment. [00:41:40] Awareness as a foundational piece. [00:45:03] Vulnerability in professional practice.   More About Campbell Will: Campbell Will is an integrative physiotherapist with a primary focus on the role of the breath on human health and performance. His experience spans ICUs, neurosurgical wards, elite athletes and private practice. Across this spread of clinical settings he noticed a widely unaddressed commonality; breathing. When done correctly, it elevates and enhances performance. When done poorly, it drives dysfunction.  Campbell utilises his diverse background and experience to help practitioners shift their focus from disease and dysfunction to health, happiness and freedom. His holistic, multidisciplinary approach focuses on restoring balance to body, mind, emotions and energy. Campbell views the breath as a tool accessible to all, providing the foundation for optimal health and well-being. Resources from this Episode: Campbell's Website Campbell on Instagram Free Gift: Fundamentals of Breath : A Self Paced Breath Correction Program (coupon BREATHE20 for 20% off)   Jane Sponsorship Information:   Book a one-on-one demo here Mention the code LITZY1MO for a free month   Follow Dr. Karen Litzy on Social Media: Karen's Twitter Karen's Instagram Karen's LinkedIn Subscribe to Healthy, Wealthy & Smart: YouTube Website Apple Podcast Spotify SoundCloud Stitcher iHeart Radio

Support the show:https://www.paypal.me/Truelifepodcast?locale.x=en_USBuy Grow kit: https://modernmushroomcultivation.com/This Band willl Blow your Mind! Codex Serafini: https://codexserafini.bandcamp.com/album/the-imprecation-of-animaThere are moments in our lives when the veil lifts—when the illusions fall away and what remains is truth, raw and unfiltered. It is in these moments that we are called to choose: to turn back into the shadows of familiarity, or to walk forward into the fire of awakening. Today, you're about to meet two people who have not only walked that path—but have become guides for those ready to burn away what no longer serves and to stand in the flame of their own becoming.Patrick and Michele Fishley are the founders of Soul Reflections, the world's first global online Iboga/Ibogaine community—a sanctuary for practitioners, providers, seekers, and visionaries alike. But their story isn't just digital—it's deeply spiritual, rooted in blood, bone, and ancient tradition. They are Ngangas—healers and seers—initiated into the sacred Bwiti traditions of Gabon, recognized by the elders themselves, not just for their knowledge, but for their courage, their humility, and their relentless commitment to truth.Patrick, known in the Bwiti tradition as DIBADI Mabunza Mukuku a Kandja—the warrior with the Bwete force and flames of truth from his mouth—is a Registered Nurse with over three decades of experience in Emergency Rooms, ICUs, and trauma bays. A Medical Director and lead facilitator, he has guided over 1,500 Iboga journeys with a perfect safety record. His work bridges the primal and the clinical, the ancestral and the modern.Michele, known as Yakéta—Mother of Twins, Mother of All—is a Licensed Practical Nurse and a transformational integration coach with over 18 years of acute care experience. She is a fierce and nurturing presence in the space, initiated into the sacred feminine lineages of the Nyèmbè and Mabundi traditions. Michele brings the power of the mother, the healer, and the spiritual midwife into every ceremony, retreat, and conversation.Together, Patrick and Michele have turned their lives into a living ceremony. They carry the medicine not just in their hands, but in their hearts. Through their annual pilgrimages to Gabon, they continue to deepen their commitment to the Bwiti traditions—honoring the land, the elders, and the sacred fire of Iboga.Their mission is simple yet profound: to weave ancient wisdom with modern healing, to create safe, soul-rooted spaces for transformation, and to remind us that real healing is not a transaction—it is a sacred initiation.So if you're ready to hear from two of the most grounded, experienced, and spiritually aligned voices in the Iboga space… buckle up. This conversation isn't just a discussion—it's a portal.https://soulreflections.net/ Support the show:https://www.paypal.me/Truelifepodcast?locale.x=en_USCheck out our YouTube:https://youtube.com/playlist?list=PLPzfOaFtA1hF8UhnuvOQnTgKcIYPI9Ni9&si=Jgg9ATGwzhzdmjkgGrow your own:https://modernmushroomcultivation.com/This Band Will Blow Your Mind: Codex Serafinihttps://codexserafini.bandcamp.com/album/the-imprecation-of-anima

Our main focus today was on nudging critical care clinicians to consider a more palliative approach to care.  Our guests are all trained in critical care: Kate Courtright, Scott Halpern, and Jaspal Singh.  Kate and Scott have additional training in palliative medicine.  To start. we review: What is a nudge? Also called behavioral interventions, heuristics, and cognitive biases. Prior podcasts on the ethics of nudging, and a different trial conducted by Kate and Scott in which the default for hospitalized seriously ill patients was to receive a palliative care consult. What is sludge?  I'd never heard the term, perhaps outside of Eric's pejorative reference to my coffee after adding copious creamers, flavoring, and sweeteners.  Sludge is apparently when you create barriers or extra work for someone.  For example, putting the healthy food at the back of the grocery store is sludge; making an applicant for health insurance climb the flight of stairs to the office - weeding out those less fit - is also sludge.  Prior-auth forms? Sludge. Examples of nudges, some based in health care, others in coffee.  This specific study, published in JAMA Internal Medicine, was conducted in 17 ICUs in North Carolina. Many were community hospitals.  Participants were critically ill and intubated.  Clinicians were randomized to 4 groups: Usual care Prognosis nudge - EHR prompt asking, do you think your patient will be alive in 6 months? This is called a focusing effect Comfort care nudge - EHR prompt asking if they'd offered comfort-focused care. This is called accountable justification - an appeal to standards of care for critically ill patients endorsed by multiple professional societies. Both the prognosis and comfort care nudge. A few key points of discussion: Is an EHR prompt a nudge or sludge?   The intervention was a negative study for the primary outcome, hospital length of stay.  Why?  The prognosis nudge did nothing.  What to make of that? Would you think an EHR nudge to consider prognosis might move the needle, at least on some outcomes? The nudge toward offering comfort care led to more hospice and early comfort-care orders.  Is this due to chance alone, given the multiplicity of secondary outcomes examined?  Or is it a tantalizing finding that suggests a remarkably low cost EHR based nudge might, on a population level, lead to critical care clinicians offering comfort care and hospice more frequently?  Imagine!    -Alex Smith  

The World Federation of Pediatric Intensive & Critical Care Societies (WFPICCS), in collaboration with OPENPediatrics, recognizes World PICU Awareness Week 2025. This initiative aims to raise global awareness about the importance of PICUs and critical care wards worldwide, emphasizing how healthcare professionals in these units, regardless of resource setting, are driving change. From managing infectious diseases to overcoming infrastructure challenges, this episode explores the resilience and innovation in pediatric intensive care across Sub-Saharan Africa. Hear from frontline experts in Sierra Leone, the Democratic Republic of Congo, and Madagascar as they share their experiences in providing critical care amidst epidemics, conflicts, and climate change. Discover how dedicated healthcare professionals are transforming outcomes for children in some of the most challenging environments. HOST Hans-Joerg Lang, MD, PhD, FRCPCH NGO Alliance for International Medical Action (ALIMA), Dakar Heidelberg Institute of Global Health, Germany GUESTS Archippe Muhandule Birindwa, MD, PhD Medical Director at Cliniques Universitaires de Bukavu Head of Department of Pediatrics at Université Officielle de Bukavu Pediatrics Lecturer at Institut Supérieur de Technique Médicale Democratic Republic of the Congo Diavolana Koecher, MD Professor at the University of Mahajanga Madagascar Marah Issiatu, RN, SCM, MSN Senior Nurse Specialist at JMB-PCE hospital Nursing Officer at JMB-PCE hospital Sierra Leone DATE Initial publication date: May 9, 2025. TRANSCRIPTS English - https://cdn.bfldr.com/D6LGWP8S/at/9p2jw59n8ghrghgpk7m72g/WPAW-25_Africa_Final_English.pdf Spanish - https://cdn.bfldr.com/D6LGWP8S/at/nv25jghz5c99ckcnt9jb4gpr/WPAW-25_Africa_Final_Spanish.pdf French - https://cdn.bfldr.com/D6LGWP8S/at/pm9j5jzbcz6v8jrghhsrp/WPAW-25_Africa_Final_French.pdf Portuguese - https://cdn.bfldr.com/D6LGWP8S/at/fj34b5cj9gjj6q3wgt3g7wrx/WPAW-25_Africa_Final_Portuguese.pdf Italian - https://cdn.bfldr.com/D6LGWP8S/at/35vmps6w6kkcnvhwvzf32wmc/WPAW-25_Africa_Final_Italian.pdf German - https://cdn.bfldr.com/D6LGWP8S/at/bnph8nvgg9k69j753f744jh/WPAW-25_Africa_Final_German.pdf Arabic - https://cdn.bfldr.com/D6LGWP8S/at/wrrm7hfnf43sngsj55bkf4/WPAW-25_Africa_Final_Arabic.pdf Please visit: www.openpediatrics.org OPENPediatrics™ is an interactive digital learning platform for healthcare clinicians sponsored by Boston Children's Hospital and in collaboration with the World Federation of Pediatric Intensive and Critical Care Societies. It is designed to promote the exchange of knowledge between healthcare providers around the world caring for critically ill children in all resource settings. The content includes internationally recognized experts teaching the full range of topics on the care of critically ill children. All content is peer-reviewed and open-access, thus at no expense to the user. For further information on how to enroll, please email: openpediatrics@childrens.harvard.edu

The World Federation of Pediatric Intensive & Critical Care Societies (WFPICCS), in collaboration with OPENPediatrics, recognizes World PICU Awareness Week 2025. This initiative aims to raise global awareness about the importance of PICUs and critical care wards worldwide, emphasizing how healthcare professionals in these units, regardless of resource setting, are driving change. From predictive analytics to AI-driven teamwork, this episode explores how pediatric intensive care units across North America are blending technology and human insight to transform care. Hear experts from leading children's hospitals in the U.S. discuss how innovation, frontline collaboration, and a focus on people, not just machines, are shaping the future of critical care for children. HOST Maya Dewan, MD, MPH Division Director, Division of Critical Care Attending Physician, Pediatric Intensive Care Unit & Associate Professor UC Department of Pediatrics Cincinnati Children's Hospital United States of America GUESTS Matthew Zackoff MD, Med Director, Critical Care Fellowship Program Co-Lead Digital Simulation, Center for Simulation and Research Attending Physician, Pediatric Intensive Care Unit Assistant Professor, UC Department of Pediatrics Cincinnati Children's Hospital United States of America Sanjiv Mehta, MD, MBE Sanjiv D Mehta, MD, MBE, MSCE Assistant Professor of Anesthesiology and Critical Care Medicine, University of Pennsylvania School of Medicine Attending Physician, Division of Pediatric Critical Care Medicine, Children's Hospital of Philadelphia Associate Medical Director for Analytics - ICU United States of America Jean Anne Cieplinski-Robertson, MSN, RN Senior Director of Nursing, Critical Care Children's Hospital of Philadelphia United States of America DATE Initial publication date: May 8, 2025. TRANSCRIPTS English - https://cdn.bfldr.com/D6LGWP8S/at/b73v7gmf79nzjt9bt3vg3w/WPAW-25_North_America_Final_English.pdf Spanish - https://cdn.bfldr.com/D6LGWP8S/at/2xjfmjbwfcw739f6f68tj4q/WPAW-25_North_America_Final_Spanish.pdf French - https://cdn.bfldr.com/D6LGWP8S/at/9b4xsp88j7m3t438rpxrc62t/WPAW-25_North_America_Final_French.pdf Portuguese - https://cdn.bfldr.com/D6LGWP8S/at/5bqn4q6fnw8b5gnr6swvvbx/WPAW-25_North_America_Final_Portuguese.pdf Italian - https://cdn.bfldr.com/D6LGWP8S/at/3n2xjk7tvrqgmtwwhx3mb8nb/WPAW-25_North_America_Final_Italian.pdf German - https://cdn.bfldr.com/D6LGWP8S/at/2q58jgjq7p99nxsgmbqp887/WPAW-25_North_America_Final_German.pdf Arabic - https://cdn.bfldr.com/D6LGWP8S/at/ntsn8qpntsfkm65krzs6hqc/WPAW-25_North_America_Final_Arabic.pdf Please visit: www.openpediatrics.org OPENPediatrics™ is an interactive digital learning platform for healthcare clinicians sponsored by Boston Children's Hospital and in collaboration with the World Federation of Pediatric Intensive and Critical Care Societies. It is designed to promote the exchange of knowledge between healthcare providers around the world caring for critically ill children in all resource settings. The content includes internationally recognized experts teaching the full range of topics on the care of critically ill children. All content is peer-reviewed and open-access, thus at no expense to the user. For further information on how to enroll, please email: openpediatrics@childrens.harvard.edu

The World Federation of Pediatric Intensive & Critical Care Societies (WFPICCS), in collaboration with OPENPediatrics, recognizes World PICU Awareness Week 2025. This initiative aims to raise global awareness about the importance of PICUs and critical care wards worldwide, emphasizing how healthcare professionals in these units, regardless of resource setting, are driving change. From frugal innovations to digital transformation, this episode highlights how pediatric intensive care is evolving across Asia. Hear from experts in Bangladesh, India, and Indonesia as they share how low-cost technologies, telemedicine, and integrated referral systems are improving outcomes for critically ill children even in the most remote settings. Discover how resilience and resourcefulness are driving change across the region. HOST Arun Bansal, MD, FCCM, FRCPCH Professor in Pediatric Critical Care at PGIMER Chandigarh, India and Chairperson of Pediatric Intensive Care Chapter of India GUESTS Mohammod Joyaber Chisti, MBBS, MMed (Paediatrics), PhD Professor of Pediatrics at icddr,b, Bangladesh Renowned for pioneering low-cost respiratory support technologies like bubble CPAP. Jayashree Muralidharan, MBBS MD Pediatrics FIAP FICCM Head of Pediatric Critical Care at PGIMER, Chandigarh, India A leader in intensive care in India. She had helped in developing and integrating digital health systems into PICU workflows using TelePICU. She also helped in developing a PICU Referral App Kurniawan Taufiq Kadafi, Sp.A(K) Chief of Pediatric Emergency Services, Indonesia, An expert on remote and interfacility pediatric transport across Indonesia's archipelago. DATE Initial publication date: May 7, 2025. TRANSCRIPTS English - https://cdn.bfldr.com/D6LGWP8S/at/k7x72vx63hnbvwx6wpwc4xnt/WPAW-25_Asia_Final_English.pdf Spanish - https://cdn.bfldr.com/D6LGWP8S/at/qxkcv5b23xs49tj6z6w6np/WPAW-25_Asia_Final_Spanish.pdf French - https://cdn.bfldr.com/D6LGWP8S/at/v463w7zbhbbpfbbmj8qf8b/WPAW-25_Asia_Final_French.pdf Portuguese - https://cdn.bfldr.com/D6LGWP8S/at/p377fk7m84xmppk9hx6bbq6/WPAW-25_Asia_Final_Portuguese.pdf Italian - https://cdn.bfldr.com/D6LGWP8S/at/gxbshfgg7xcm7rfpx3p5n4vm/WPAW-25_Asia_Final_Italian.pdf German - https://cdn.bfldr.com/D6LGWP8S/at/4px7mgpbf65rbb8n8vv2sjr/WPAW-25_Asia_Final_German.pdf Arabic - https://cdn.bfldr.com/D6LGWP8S/at/64vtqntqj7v99j4ztc2pk5n3/WPAW-25_Asia_Final_Arabic.pdf Please visit: www.openpediatrics.org OPENPediatrics™ is an interactive digital learning platform for healthcare clinicians sponsored by Boston Children's Hospital and in collaboration with the World Federation of Pediatric Intensive and Critical Care Societies. It is designed to promote the exchange of knowledge between healthcare providers around the world caring for critically ill children in all resource settings. The content includes internationally recognized experts teaching the full range of topics on the care of critically ill children. All content is peer-reviewed and open-access, thus at no expense to the user. For further information on how to enroll, please email: openpediatrics@childrens.harvard.edu

The World Federation of Pediatric Intensive & Critical Care Societies (WFPICCS), in collaboration with OPENPediatrics, recognizes World PICU Awareness Week 2025. This initiative aims to raise global awareness about the importance of PICUs and critical care wards worldwide, emphasizing how healthcare professionals in these units, regardless of resource setting, are driving change. From digital twins to AI-driven alarms, this episode explores how innovation, teamwork, and smarter technology are reshaping pediatric intensive care across Europe. Join experts from the UK and the Netherlands as they share how connecting data, patients, families, and care teams is improving outcomes and why breaking down silos is key to the future of pediatric critical care. HOST Diana Ferro, PhD, ABAIM, MS, BS Healthcare Research Officer, Predictive and Preventive Medicine Ospedale Pediatrico Bambino Gesù Board Executive, Italian Society for AI in Medicine Rome, Italy GUESTS Erik Koomen, MD Chief Medical Technology Officer Anesthesiologist and pediatric intensivist Pediatric Intensive Care Department of Pediatrics Wilhelmina's Children Hospital (part of UMC Utrecht) Utrecht, Netherlands Joppe Nijman, MD, PhD Pediatric intensivist Consultant and investigator clinical operations research group Wilhelmina's Children Hospital (part of UMC Utrecht) Utrecht, Netherlands Peter White, RN Chief Nursing Information Officer Alder Hey Children's Hospital Liverpool, England DATE Initial publication date: May 6, 2025. TRANSCRIPTS English - https://cdn.bfldr.com/D6LGWP8S/as/j37fnp56fwg6n8pzmfbppf8r/WPAW-25_Europe_Final_English Spanish - https://cdn.bfldr.com/D6LGWP8S/at/qrjqs79zq4prpnr4km3p79/WPAW-25_Europe_Final_Spanish.pdf French - https://cdn.bfldr.com/D6LGWP8S/at/649tc94vccnhhskbfhppf/WPAW-25_Europe_Final_French.pdf Portuguese - https://cdn.bfldr.com/D6LGWP8S/at/4qrxwztkfxf6sfgq24h83c2m/WPAW-25_Europe_Final_Portuguese.pdf Italian - https://cdn.bfldr.com/D6LGWP8S/at/5vvc7bgbtk7k57kfxt5w694/WPAW-25_Europe_Final_Italian.pdf German - https://cdn.bfldr.com/D6LGWP8S/at/j5szgq6vtng48g4mt8rrx7h/WPAW-25_Europe_Final_German.pdf Arabic - https://cdn.bfldr.com/D6LGWP8S/at/mz5rkq8nf54p8739t9gzftcw/WPAW-25_Europe_Final_Arabic.pdf Please visit: www.openpediatrics.org OPENPediatrics™ is an interactive digital learning platform for healthcare clinicians sponsored by Boston Children's Hospital and in collaboration with the World Federation of Pediatric Intensive and Critical Care Societies. It is designed to promote the exchange of knowledge between healthcare providers around the world caring for critically ill children in all resource settings. The content includes internationally recognized experts teaching the full range of topics on the care of critically ill children. All content is peer-reviewed and open-access, thus at no expense to the user. For further information on how to enroll, please email: openpediatrics@childrens.harvard.edu

The World Federation of Pediatric Intensive & Critical Care Societies (WFPICCS), in collaboration with OPENPediatrics, recognizes World PICU Awareness Week 2025. This initiative aims to raise global awareness about the importance of PICUs and critical care wards worldwide, emphasizing how healthcare professionals in these units, regardless of resource setting, are driving change. From AI-driven sepsis screening to innovative non-invasive ventilation protocols, this episode delves into the transformative impact of technology and collaboration in pediatric intensive care across the Middle East. Join us as we hear from leading experts who are pioneering data-driven approaches and creative solutions to improve patient outcomes in resource-limited settings. Discover how these advancements are shaping the future of pediatric care in the region HOST Manu Somasundaram Sundaram, MBBS, MD (India), FRCPCH, CPHQ, MBA. Consultant PICU and Medical Director Quality, SIDRA Medicine , Doha, Qatar Assistant Professor , Weill Cornell Medicine - Qatar GUESTS Omar Al Dafaei, MD Consultant PICU Royal Hospital Muscat, Oman Kholoud Said, MD, MRCPCH Consultant –Pediatric ICU, Royal Hospital Muscat, Oman AbdulRahman Zayed Saad AlDaithan, MD Senior Specialist, Pediatric Intensive Care Unit Pediatrics Division General Ahmadi Hospital, Kuwait Oil Company (KOC) Al Ahmadi Area, Kuwait DATE Initial publication date: May 5, 2025. TRANSCRIPTS English - https://cdn.bfldr.com/D6LGWP8S/at/rnkk777mrhwhq82w78hm54j4/WPAW-25_Middle_East_Final_English.pages Spanish - https://cdn.bfldr.com/D6LGWP8S/at/q37ww33767cvm527g3t92w5p/WPAW-25_Middle_East_Final_Spanish.pdf French - https://cdn.bfldr.com/D6LGWP8S/at/b58j8mpc4xwpm9mwf537hp/WPAW-25_Middle_East_Final_French.pdf Portuguese - https://cdn.bfldr.com/D6LGWP8S/at/7h4r8xg937364bbzbms9w9/WPAW-25_Middle_East_Final_Portuguese.pdf Italian - https://cdn.bfldr.com/D6LGWP8S/at/fsf97qrks969v9q9spbw9n/WPAW-25_Middle_East_Final_Italian.pdf German - https://cdn.bfldr.com/D6LGWP8S/at/56f5rhgws7ns94r6mgh9z/WPAW-25_Middle_East_Final_German.pdf Arabic - https://cdn.bfldr.com/D6LGWP8S/at/46j3wgv359br2fx6j399xtgk/WPAW-25_Middle_East_Final_Arabic.pdf Please visit: www.openpediatrics.org OPENPediatrics™ is an interactive digital learning platform for healthcare clinicians sponsored by Boston Children's Hospital and in collaboration with the World Federation of Pediatric Intensive and Critical Care Societies. It is designed to promote the exchange of knowledge between healthcare providers around the world caring for critically ill children in all resource settings. The content includes internationally recognized experts teaching the full range of topics on the care of critically ill children. All content is peer-reviewed and open-access, thus at no expense to the user. For further information on how to enroll, please email: openpediatrics@childrens.harvard.edu

In this episode of the NCS Podcast Perspective series, Nicholas Morris, MD, is joined by Immediate Past-President of NCS, Paul Vespa, MD, a professor of neurology and neurosurgery at UCLA. Dr. Vespa shares his path into neurocritical care, as well as his views on the growth of neuro ICUs and advances in continuous EEG monitoring and microdialysis. He discusses the future of AI in EEG, the value of patient stories and the importance of clinician-investigators, mentorship, and teamwork. The views expressed on the NCS Podcast are solely those of the hosts and guests and do not necessarily reflect the opinions or official positions of the Neurocritical Care Society.  

The World Federation of Pediatric Intensive & Critical Care Societies (WFPICCS), in collaboration with OPENPediatrics, recognizes World PICU Awareness Week 2025. This initiative aims to raise global awareness about the importance of PICUs and critical care wards worldwide, emphasizing how healthcare professionals in these units, regardless of resource setting, are driving change. Discover how innovation is reshaping pediatric intensive care across Latin America. From telemedicine and AI to regional data networks, leading experts share practical solutions and powerful success stories. HOST Manuel Enrique Soriano Aguilar, MD Pediatric Critical Care Medicine StarMédica Hospital Infantil Privado & Centro Médico ABC Past President of the Mexican Society of Pediatric Critical Care SLACIP (Latin-American Association of Pediatric Critical Care) Representative to the World Federation of Pediatric & Critical Care Societies (WFPICCS) Mexico GUESTS Emmanuelle Dexeus Gabriel Fernández Vera, Paediatric Critical Care Medicine/Big Data in Health Intensive Care Hospital General de Acapulco RENEO and PALS instructor, SLACIP social media spokesperson Mexico Ledis Maria Izquierdo Borrero, MD Paediatrician specialising in Critical Care Medicine and Paediatric Intensive Care. Master in Biomedical Engineering Chief UCIP Hospital Militar Central Associate Professor Universidad Militar Nueva Granada Colombia Alexandra Jimenez Chaves, MD Specialist in Paediatric Intensive Care Mg(c) Artificial Intelligence Support Services Coordinator at Colsubsidio Children's Clinic Teacher Colegio Mayor Nuestra Señora del Rosario Advanced Life Support in Paediatrics Instructor Founding Member Aipocrates (Think Tank Innovation in Health) Colombia Maria del Pilar Arias, MD Specialist in Paediatric Intensive Care - Master in Clinical Effectiveness - Master in Data Science and Knowledge Management Staff physician Intermediate Care Unit. Ricardo Gutierrez Children's Hospital Buenos Aires. Argentina Coordinator of the SATI-Q Quality Benchmarking Program (Argentinean Society of Intensive Care). DATE Initial publication date: May 4, 2025. TRANSCRIPTS English - https://cdn.bfldr.com/D6LGWP8S/as/89x7t8rcm3rbv32vnkxvjh6/WPAW-25_LATAM_Final_English Spanish - https://cdn.bfldr.com/D6LGWP8S/at/px9wtttsw8q68w2h68r8qcpx/WPAW-25_LATAM_Final_Spanish.pdf French - https://cdn.bfldr.com/D6LGWP8S/at/2pn95f94vc9vm9p633zq59/WPAW-25_LATAM_Final_French.pdf Portuguese - https://cdn.bfldr.com/D6LGWP8S/at/z6v47859hk7tpn8vzkvkrbm/WPAW-25_LATAM_Final_Portuguese.pdf Italian - https://cdn.bfldr.com/D6LGWP8S/at/gpqnjkkpth8g7ps84gfgkhr/WPAW-25_LATAM_Final_Italian.pdf German - https://cdn.bfldr.com/D6LGWP8S/at/76n5cr66m6cq9474hwr986tq/WPAW-25_LATAM_Final_German.pdf Arabic - https://cdn.bfldr.com/D6LGWP8S/at/785vh6cqkrsrr8mxf9xwtgkx/WPAW-25_LATAM_Final_Arabic.pdf Please visit: www.openpediatrics.org OPENPediatrics™ is an interactive digital learning platform for healthcare clinicians sponsored by Boston Children's Hospital and in collaboration with the World Federation of Pediatric Intensive and Critical Care Societies. It is designed to promote the exchange of knowledge between healthcare providers around the world caring for critically ill children in all resource settings. The content includes internationally recognized experts teaching the full range of topics on the care of critically ill children. All content is peer-reviewed and open-access, thus at no expense to the user. For further information on how to enroll, please email: openpediatrics@childrens.harvard.edu Please note: OPENPediatrics does not support or control any related videos in the sidebar; these are placed by YouTube. We apologize for any inconvenience this may cause.

The World Federation of Pediatric Intensive & Critical Care Societies (WFPICCS), in collaboration with OPENPediatrics, recognizes World PICU Awareness Week 2025. This initiative aims to raise global awareness about the importance of PICUs and critical care wards worldwide, emphasizing how healthcare professionals in these units, regardless of resource setting, are driving change. From solar-powered oxygen to virtual mentoring across islands, this episode explores how innovation and collaboration are transforming pediatric intensive care in Oceania. Hear powerful stories from frontline experts overcoming resource limitations to improve outcomes in some of the world's most remote regions. HOST Emma Haisz, RN ECLS Clinical Nurse Consultant Queensland Children's Hospital Brisbane, Australia GUESTS Trevor Duke, MD, FRACP Paediatric intensive care specialist at Melbourne's Royal Children's Hospital Professor of paediatrics at the University of Melbourne Department of Paediatrics Professor of child health at the School of Medicine, University of Papua New Guinea Monica Brook MB BS, FCICM PICU Consultant Starship Children's Hospital Auckland, New Zealand Please visit: www.openpediatrics.org DATE Initial publication date: May 3, 2025. TRANSCRIPTS English - https://cdn.bfldr.com/D6LGWP8S/at/nw8gknpkxp2rq8cpt7fgjgb/WPAW-25_Oceania_Final_English.pdf French - https://cdn.bfldr.com/D6LGWP8S/at/wv5wftfg9z4w58mf8hnjkp/WPAW-25_Oceania_Final_French.pdf German - https://cdn.bfldr.com/D6LGWP8S/at/6j49gthzfrnhj5r7zkmkhbh/WPAW-25_Oceania_Final_German.pdf Spanish - https://cdn.bfldr.com/D6LGWP8S/at/xf46wzqx2rwwjrkqgg33bwq/WPAW-25_Oceania_Final_Spanish.pdf Portuguese - https://cdn.bfldr.com/D6LGWP8S/at/bv7rcpx5jcxj9t6c3w98bjh/WPAW-25_Oceania_Final_Portuguese.pdf Italian - https://cdn.bfldr.com/D6LGWP8S/at/7xxpc4gh5hjvgvvc7c3fcj7/WPAW-25_Oceania_Final_Italian.pdf Arabic - https://cdn.bfldr.com/D6LGWP8S/at/xzvxftsvjzszrfgwh72j5srn/WPAW-25_Oceania_Final_Arabic.pdf Please visit: www.openpediatrics.org OPENPediatrics™ is an interactive digital learning platform for healthcare clinicians sponsored by Boston Children's Hospital and in collaboration with the World Federation of Pediatric Intensive and Critical Care Societies. It is designed to promote the exchange of knowledge between healthcare providers around the world caring for critically ill children in all resource settings. The content includes internationally recognized experts teaching the full range of topics on the care of critically ill children. All content is peer-reviewed and open-access, thus at no expense to the user. For further information on how to enroll, please email: openpediatrics@childrens.harvard.edu Please note: OPENPediatrics does not support or control any related videos in the sidebar; these are placed by YouTube. We apologize for any inconvenience this may cause.

Summary At some point this medication may show its face on the pain boards.  Whether or not Suzetrigine will appear on the pain boards, all of us need to know about this new class of analgesic. Brought to you by NRAP Academy, home of the PainExam Board Prep Here, Dr. David Rosenblum delivered a comprehensive lecture about a new pain medication called Journavx (Suzetrigine). He discussed its mechanism of action as a NAV 1.8 receptor inhibitor, its clinical applications, contraindications, and dosing guidelines. Dr. Rosenblum emphasized that this non-opioid medication represents a new class of pain management drugs with no addiction potential. He also shared information about upcoming educational events, including ultrasound courses and various pain management conferences. The lecture included detailed information about drug interactions, safety considerations, and clinical trial results comparing Journavx to placebo and hydrocodone-acetaminophen combinations. Key findings from clinical trials showed that Jornavix achieved pain relief in 119 minutes compared to 480 minutes for placebo in abdominoplasty trials, and 240 minutes versus 480 minutes in bunionectomy trials. The recommended dosing is 50mg tablets twice daily, with an initial loading dose of 100mg. While the drug showed promising results for moderate to severe acute pain management, it did not demonstrate superiority over hydrocodone in clinical trials. Important contraindications include CYP3A inhibitors, and special considerations are needed for patients with hepatic impairment or those taking hormonal contraceptives. The medication should be taken on an empty stomach, either one hour before or two hours after food, and patients should avoid grapefruit juice while on this medication. For more infomation.... Chapters Introduction and Upcoming Events Dr. Rosenblum announced several upcoming events, including an ultrasound course in New York City on May 17th, 2025. He mentioned offering ultrasound and IV training for healthcare professionals, particularly nurses, ICUs, PAs, and hospital doctors. He also highlighted upcoming conferences including ASPN, Pain Week, Latin American Pain Society, New York, New Jersey Pain Congress, ASIPP, and EPA. Introduction to Journavx (Suzetrigine) Dr. Rosenblum introduced Suzetrigine (Journavx), a new 50mg tablet medication. He emphasized that this discussion was not sponsored by any pharmaceutical company but rather focused on educating about a new class of pain medication. He noted its potential importance as a future board examination topic. Mechanism of Action Dr. Rosenblum explained that Jornavx works by inhibiting the NAV 1.8 receptor. He detailed how the drug blocks sodium ions from entering pain-sensing neurons, disrupting action potential initiation and propagation. He emphasized that the drug is highly selective, binding over 31,000 times more selectively to NAV 1.8 than other NAV subtypes. Contraindications and Drug Interactions Dr. Rosenblum outlined various contraindications, particularly focusing on CYP3A inhibitors and inducers. He listed specific medications in each category and emphasized the importance of careful monitoring when prescribing Journavx alongside these medications. Clinical Trial Results and Dosing Guidelines Dr. Rosenblum presented clinical trial results showing Journavx's effectiveness in treating moderate to severe acute pain. He detailed the dosing guidelines: 50mg tablets twice daily, with an initial loading dose of 100mg. He emphasized the importance of taking the medication on an empty stomach and avoiding grapefruit juice. Q&A No Q&A session in this lecture

Summary At some point this medication may show its face on the Anesthesia boards.  Whether or not Suzetrigine will appear on the Anesthesiology boards, all of us need to know about this new class of analgesic. Brought to you by NRAP Academy, home of the AnesthesiaExam Board Prep Here, Dr. David Rosenblum delivered a comprehensive lecture about a new pain medication called Journavx (Suzetrigine). He discussed its mechanism of action as a NAV 1.8 receptor inhibitor, its clinical applications, contraindications, and dosing guidelines. Dr. Rosenblum emphasized that this non-opioid medication represents a new class of pain management drugs with no addiction potential. He also shared information about upcoming educational events, including ultrasound courses and various pain management conferences. The lecture included detailed information about drug interactions, safety considerations, and clinical trial results comparing Journavx to placebo and hydrocodone-acetaminophen combinations. Key findings from clinical trials showed that Jornavix achieved pain relief in 119 minutes compared to 480 minutes for placebo in abdominoplasty trials, and 240 minutes versus 480 minutes in bunionectomy trials. The recommended dosing is 50mg tablets twice daily, with an initial loading dose of 100mg. While the drug showed promising results for moderate to severe acute pain management, it did not demonstrate superiority over hydrocodone in clinical trials. Important contraindications include CYP3A inhibitors, and special considerations are needed for patients with hepatic impairment or those taking hormonal contraceptives. The medication should be taken on an empty stomach, either one hour before or two hours after food, and patients should avoid grapefruit juice while on this medication. For more infomation.... Chapters Introduction and Upcoming Events Dr. Rosenblum announced several upcoming events, including an ultrasound course in New York City on May 17th, 2025. He mentioned offering ultrasound and IV training for healthcare professionals, particularly nurses, ICUs, PAs, and hospital doctors. He also highlighted upcoming conferences including ASPN, Pain Week, Latin American Pain Society, New York, New Jersey Pain Congress, ASIPP, and EPA. Introduction to Journavx (Suzetrigine) Dr. Rosenblum introduced Suzetrigine (Journavx), a new 50mg tablet medication. He emphasized that this discussion was not sponsored by any pharmaceutical company but rather focused on educating about a new class of pain medication. He noted its potential importance as a future board examination topic. Mechanism of Action Dr. Rosenblum explained that Jornavx works by inhibiting the NAV 1.8 receptor. He detailed how the drug blocks sodium ions from entering pain-sensing neurons, disrupting action potential initiation and propagation. He emphasized that the drug is highly selective, binding over 31,000 times more selectively to NAV 1.8 than other NAV subtypes. Contraindications and Drug Interactions Dr. Rosenblum outlined various contraindications, particularly focusing on CYP3A inhibitors and inducers. He listed specific medications in each category and emphasized the importance of careful monitoring when prescribing Journavx alongside these medications. Clinical Trial Results and Dosing Guidelines Dr. Rosenblum presented clinical trial results showing Journavx's effectiveness in treating moderate to severe acute pain. He detailed the dosing guidelines: 50mg tablets twice daily, with an initial loading dose of 100mg. He emphasized the importance of taking the medication on an empty stomach and avoiding grapefruit juice. Q&A No Q&A session in this lecture

  Summary At some point this medication may show its face on the Physiatry boards.  Whether or not Suzetrigine will appear on the Physical Medicine and Rehabilitation boards, all of us need to know about this new class of analgesic. Brought to you by NRAP Academy, home of the PMRExam Board Prep Here, Dr. David Rosenblum delivered a comprehensive lecture about a new pain medication called Journavx (Suzetrigine). He discussed its mechanism of action as a NAV 1.8 receptor inhibitor, its clinical applications, contraindications, and dosing guidelines. Dr. Rosenblum emphasized that this non-opioid medication represents a new class of pain management drugs with no addiction potential. He also shared information about upcoming educational events, including ultrasound courses and various pain management conferences. The lecture included detailed information about drug interactions, safety considerations, and clinical trial results comparing Journavx to placebo and hydrocodone-acetaminophen combinations. Key findings from clinical trials showed that Jornavix achieved pain relief in 119 minutes compared to 480 minutes for placebo in abdominoplasty trials, and 240 minutes versus 480 minutes in bunionectomy trials. The recommended dosing is 50mg tablets twice daily, with an initial loading dose of 100mg. While the drug showed promising results for moderate to severe acute pain management, it did not demonstrate superiority over hydrocodone in clinical trials. Important contraindications include CYP3A inhibitors, and special considerations are needed for patients with hepatic impairment or those taking hormonal contraceptives. The medication should be taken on an empty stomach, either one hour before or two hours after food, and patients should avoid grapefruit juice while on this medication. For more infomation.... Chapters Introduction and Upcoming Events Dr. Rosenblum announced several upcoming events, including an ultrasound course in New York City on May 17th, 2025. He mentioned offering ultrasound and IV training for healthcare professionals, particularly nurses, ICUs, PAs, and hospital doctors. He also highlighted upcoming conferences including ASPN, Pain Week, Latin American Pain Society, New York, New Jersey Pain Congress, ASIPP, and EPA. Introduction to Journavx (Suzetrigine) Dr. Rosenblum introduced Suzetrigine (Journavx), a new 50mg tablet medication. He emphasized that this discussion was not sponsored by any pharmaceutical company but rather focused on educating about a new class of pain medication. He noted its potential importance as a future board examination topic. Mechanism of Action Dr. Rosenblum explained that Jornavx works by inhibiting the NAV 1.8 receptor. He detailed how the drug blocks sodium ions from entering pain-sensing neurons, disrupting action potential initiation and propagation. He emphasized that the drug is highly selective, binding over 31,000 times more selectively to NAV 1.8 than other NAV subtypes. Contraindications and Drug Interactions Dr. Rosenblum outlined various contraindications, particularly focusing on CYP3A inhibitors and inducers. He listed specific medications in each category and emphasized the importance of careful monitoring when prescribing Journavx alongside these medications. Clinical Trial Results and Dosing Guidelines Dr. Rosenblum presented clinical trial results showing Journavx's effectiveness in treating moderate to severe acute pain. He detailed the dosing guidelines: 50mg tablets twice daily, with an initial loading dose of 100mg. He emphasized the importance of taking the medication on an empty stomach and avoiding grapefruit juice. Q&A No Q&A session in this lecture

This episode is brought to you by Barefaced: Barefaced takes the guesswork out of skincare. Founded by Nurse Practitioner Jordan Harper, they pair results-driven products with expert guidance, simplifying your routine and empowering you to achieve the confidence that comes from truly feeling great in your skin. Go to www.barefaced.com and use code VALERIA15 at checkout. Valid through 3/30/25 for both new and existing customers. Starting 3/31/25, valid for new customers only. Offer valid on one-time purchases only. Not applicable to subscription orders. In this episode, Valeria is joined by Jordan Harper, a Board-Certified Nurse Practitioner and Founder/CEO of Barefaced. They delve into Jordan's unique journey from working in pediatric ICUs, to becoming an injector and then establishing her own skincare brand based on her clients' needs. From Botox to Mini Facelifts, Jordan and Valeria discuss the highs and lows of facial augmentation and when and how to know which procedures are right for you. Together they also explore the foundational elements of effective skincare routines, the efficacy of in-office treatments like microneedling and Botox, and the evolving landscape of aesthetic procedures. Additionally, Jordan sheds light on the significance of using the right products based on skin type, Barefaced's mission of “Less is More”, and the broader conversation around aging gracefully while maintaining mental and physical well-being. Follow Jordan: https://www.instagram.com/jordanharper_np/  Follow Barefaced: https://www.instagram.com/barefaced/  Shop my look from this episode: https://shopmy.us/collections/1382416  Follow me: https://www.instagram.com/valerialipovetsky/  What We talked about: 00:39 Meet Jordan Harper: From the ICU to Barefaced 01:22 Navigating the World of Experts 03:40 The Role of Problem Solving in Skincare 05:19 Transitioning to Cosmetic Dermatology 08:14 The Evolution of Injectable Treatments 14:46 The Importance of a Solid Skincare Foundation 17:29 Debunking Skincare Myths and Best Practices 31:51 The Importance of Nighttime Skincare 32:01 Maximizing Collagen Production with Vitamin C 32:42 Daytime Skincare Challenges 33:12 The Right Way to Use Retinoids 35:32 SPF: Myths and Realities 37:48 Exfoliation: Finding the Right Balance 40:59 Navigating Skincare Products and Treatments 45:56 The Role of Botox in Skincare 56:52 Facelifts and Aging Gracefully 59:17 Final Thoughts and Takeaways Learn more about your ad choices. Visit megaphone.fm/adchoices

Nonepileptic events are prevalent and highly disabling, and multiple pathophysiologic mechanisms for these events have been proposed. Multidisciplinary care teams enable the efficient use of individual expertise at different treatment stages to address presentation, risk factors, and comorbidities.   In this episode, Kait Nevel, MD, speaks with Adriana C. Bermeo-Ovalle, MD, an author of the article “A Multidisciplinary Approach to Nonepileptic Events,” in the Continuum® February 2025 Epilepsy issue. Dr. Nevel is a Continuum® Audio interviewer and a neurologist and neuro-oncologist at Indiana University School of Medicine in Indianapolis, Indiana. Dr. Bermeo-Ovalle is a professor and vice-chair for Faculty Affairs in the Department of Neurological Sciences at Rush University Medical Center in Chicago, Illinois. Additional Resources Read the article: A Multidisciplinary Approach to Nonepileptic Events Subscribe to Continuum: shop.lww.com/Continuum Earn CME (available only to AAN members): continpub.com/AudioCME Continuum® Aloud (verbatim audio-book style recordings of articles available only to Continuum® subscribers): continpub.com/Aloud More about the American Academy of Neurology: aan.com Social Media facebook.com/continuumcme @ContinuumAAN Host: @IUneurodocmom Full episode transcript available here Dr. Jones: This is Dr Lyell Jones, Editor-in-Chief of Continuum, the premier topic-based neurology clinical review and CME journal from the American Academy of Neurology. Thank you for joining us on Continuum Audio, which features conversations with Continuum's guest editors and authors who are the leading experts in their fields. Subscribers to the Continuum Journal can read the full article or listen to verbatim recordings of the article and have access to exclusive interviews not featured on the podcast. Please visit the link in the episode notes for more information on the article, subscribing to the journal, and how to get CME. Dr Nevel: Hello, this is Dr Kait Nevel. Today I'm interviewing Dr Adriana Bermeo about her article on a multidisciplinary approach to nonepileptic events, which she wrote with Dr Victor Petron. This article appears in the February 2025 Continuum issue on epilepsy. Welcome to the podcast, and please introduce yourself to our audience. Dr Bermeo-Ovalle: Hello Dr Neville, it's a pleasure to be here. Thank you very much for inviting me. My name is Adriana Bermeo and I'm an adult epileptologist at Rush University Medical Center in Chicago, and I am also the codirector of the NEST clinic, which is a treatment clinic for patients with nonepileptic seizures within our level four epilepsy center. Dr Nevel: Wonderful. Well, thank you so much for being here, and I can't wait to talk to you about your article and learn a little bit about NEST, maybe, during our conversation, and how you approach things. To start us off talking about your article today, could you share with us what you think is the most important takeaway from your article for the practicing neurologist? Dr Bermeo-Ovalle: Wonderful. There's some messages that I would like people to get from working with patients with functional neurologic disorders in general. The first one is that functional neurologic disorders are very common in presentation in the neurologic clinic, almost no matter what your practice of self-specialty care is. The second is that for people who treat patients primarily with seizures or epilepsy, they account for between 5 to 10% of our patients in the clinic, but about 30% of our patients in our epilepsy monitoring unit because the seizures typically do not respond to anti-seizure medication management. Also, that in order to diagnose them, you don't need to have a neuropsychological stress already be available for the patient or the clinician. And the most important thing is that there are available treatments for these patients and that there are options that we can offer them for them to have less seizures and to be more integrated to whatever activities they want to get integrated. Dr Nevel: Wonderful. What do you think a practicing neurologist might find surprising after reading your article? Dr Bermeo-Ovalle: I think still many neurologists feel very hopeless when they see patients with these conditions. They do not have very good answers right away for the patients, which is frustrating for the neurologist. And they don't think there's too much they can do to help them other than send them somewhere else, which is very difficult for the neurologist and is crushing to the patients to see these doctors that they're hoping to find answers to and then just find that there's not much to do. But what I want neurologists to know is that we are making strides in our understanding of the condition and that there are effective treatments available. And I hope that after reading this and engaging with this conversation, they will feel curious, even hopeful when they see the next patient in the clinic. Dr Nevel: Yeah, absolutely. I find the history of nonepileptic seizures really interesting and I enjoyed that part of your article. How has our understanding of nonepileptic seizures evolved over the centuries, and how does our current understanding of nonepileptic seizures inform the terminology that we use? Dr Bermeo-Ovalle: Yeah. The way we name things and the way we offer treatment goes along to how we understand things. So, the functional seizures and epileptic seizures were understood in ancient times as possession from the spirits or the demons or the gods, and then treatments were offered to those kind of influences and that continues to happen with functional seizures. So, we go through the era when this was thought to be a women-only condition that was stemming from their reproductive organs and then treatments accordingly were presented. And later on with Charcot and then Freud, they evolved to even conversion disorders, which is one understanding the most conversion disorders, which is one of the frameworks where this condition has been treated with psychotherapy, psychoanalytic psychotherapy. And in our current understanding, we understand functional neurologic disorders in general as a more like a connection, communication network disorder, between areas of the brain that modulate emotional processing and movement control. And therefore, our approach these days is much more geared towards rehabilitation. You know, I think that's the evolution of thinking in many different areas. And as we learn more, we will be acquiring more tools to help our patients. Dr Nevel: Yeah, great. Thanks so much for that answer. Just reading the historical information that you have in your article, you can imagine a lot of stigma with this diagnosis too over time, and that- I think that that's lessening. But I was wondering if you could talk about that a little bit. How do we approach that with our patients and loved ones, any stigma that they might feel or perceive from being diagnosed with nonepileptic seizures? Dr Bermeo-Ovalle: Thank you for asking that question. Stigma is actually an important problem even for people living with epilepsy. There's still a lot of misunderstanding of what epilepsy is and how it affects people, and that people living with epilepsy can live normal, healthy lives and do everything they want to do with appropriate treatment. And if a stigma is still a problem with epilepsy, it is a huge problem for patients living with functional neurologic symptoms in general, but particularly with functional seizures or nonepileptic seizures. Because the stigma in this population is even perpetuated by the very people who are supposed to help them: physicians, primary care doctors, emergency room doctors. Unfortunately, the new understanding of this condition has not gotten to everybody. And these patients are often even blamed for their symptoms and for the consequences of their symptoms and of their seizures in their family members, in their job environment, in their community. Living with that is really, really crushing, right? Even people talk about, a lot about malingering. They come back about secondary gain. I can tell you the patients I see with functional seizures gain nothing from having this condition. They lose, often, a lot. They lose employment, they lose ability to drive. They lose their agency and their ability to function normally in society. I do think that the fight- the fighting of stigma is one that we should do starting from within, starting from the healthcare community into our understanding of what these patients go through and what is causing their symptoms and what can we do to help them. So there's a lot of good work to be done. Dr Nevel: Absolutely. And it starts, like you said, with educating everybody more about nonepileptic seizures and why this happens. The neurobiology, neurophysiology of it that you outlined so nicely in your article, I'm going to encourage the listeners to look at Figure 1 and 4 for some really nice visualization of these really complex things that we're learning a lot about now. And so, if you don't mind for our listeners, kind of going over some of the neurobiology and neurophysiology of nonepileptic seizures and what we're learning about it. Dr Bermeo-Ovalle: Our understanding of the pathophysiology of functional neurologic seizure disorder is in its infancy at this point. The neurobiological processes that integrate emotional regulation and our responses to it, both to internal stimuli and to external stimuli and how they affect our ability to have control over our movement---it's actually amazing that we as neurologists know so little about these very complex processes that the brain do, right? And for many of us this is the reason why we're in neurology, right, to be at the forefront of this understanding of our brain. So, this is in that realm. It is interesting what we have learned, but it's amazing all that we have to learn. There is the clear relationship between risk factors. So, we know patients with functional neurologic symptom disorder and with functional seizures, particularly in many different places in the world with many different beliefs, relationship to their body, to their expression of their body, have this condition no matter how different they are. And also, we know that they have commonalities. For example, traumatic experiences that are usually either very strong traumatic experiences or very pervasive traumatic experiences or recurrent over time of different quality. So, we are in the process of understanding how these traumatic experiences actually inform brain connectivity and brain development that result in this lack of connections between brain areas and the expression of them, and that result in this kind of disorder. I wish I can tell you more about it or that I would understand more about it, but I am just grateful for the work that has been done so that we can understand more and therefore have more to offer to these patients and their families and their communities that are support. Dr Nevel: Yeah, absolutely. That's always the key, and just really exciting that we're starting to understand this better so that we can hopefully treat it better and inform our patients better---and ourselves. Can you talk to us a little bit about the multidisciplinary team approach and taking care of patients with nonepileptic seizures? Who's involved, what does best practice model look like? You have a clinic there, obviously; if you could share with us how your clinic runs in the multidisciplinary approach for care of these patients? Dr Bermeo-Ovalle: The usual experience of patients dealing with functional seizures, because this is a condition that has neurological symptoms and psychiatric symptoms, is that they go to the neurologist and the neurologist does not feel sufficiently able to manage all the psychiatric comorbidities of the condition. So, the patient is sent to psychiatry. The psychiatry really finds themselves very hopeless into handling seizures, which is definitely not their area of expertise, and these patients then being- “ping-ponging” from one to the other, or they are eventually sent to psychotherapy and the psychotherapist doesn't know what they're dealing with. So, we have found with- and we didn't come up with this. We had wonderful support from other institutions who have done- been doing this for a longer time. That bringing all of this specialty together and kind of situating ourselves around the patient so that we can communicate our questions and our discrepancies and our decision between who takes care of what without putting that burden on the patient is the best treatment not only for the patient, who finally feels welcome and not burden, but actually for the team. So that the psychiatrist and the neurologist support the psychotherapist who does the psychotherapy, rehabilitation, mind the program. And we also have the support and the involvement of neuropsychology. So, we have a psychiatrist, a neurologist, social worker, psychotherapist and neuropsychology colleagues. And together we look at the patient from everywhere and we support each other in the treatment of the patient, keeping the patient in the middle and the interest of the patient in the middle. And we have found that that approach has helped our patients the best, but more importantly, makes our job sustainable so that none of us is overburdened with one aspect of the care of the patient and we feel supported from the instances that is not our most comfortable area. So that is one model to do it. There's other models how to do it, but definitely the interdisciplinary care is the way to go so far for the care of patients with functional neurologic symptom disorders and with functional seizures or nonepileptic seizures in particular. Dr Nevel: Yeah, I can see that, that everybody brings their unique expertise and then doesn't feel like they're practicing outside their, like you said, comfort zone or scope of practice. In these clinics---or maybe this happens before the patient gets to this multidisciplinary team---when you've established a diagnosis of nonepileptic seizures, what's your personal approach or style in terms of how you communicate that with the patient and their loved ones? Dr Bermeo-Ovalle: It is important to bring this diagnosis in a positive term. You know, unfortunately the terminology question is still out and there's a lot of teams very invested into how to better characterize this condition and how to- being told that you don't have something is maybe not that satisfying for patients. So, we are still working on that, but we do deliver the diagnosis in positive terms. Like, this is what you have. It's a common condition. It's shared by this many other people in the world. It's a neuropsychiatric disorder and that's why we need the joint or collaborative care from neurology and psychiatry. We know the risk factors and these are the risk factors. You don't have to have all of them in order to have this condition. These are the reasons why we think this is the condition you have. There is coexisting epilepsy and functional seizures as well. We will explore that possibility and if we get to that conclusion, we will treat these two conditions independently and we- our team is able to treat both of them. And we give them the numbers of our own clinic and other similar clinics. And with that we hope that they will be able to get the seizures under better control and back to whatever is important to them. I tell my trainees and my patients that my goals of care for patients with functional seizures are the same as my patients with epileptic seizures, meaning less seizures, less disability, less medications, less side effects, less burden of the disease. And when we communicate it in that way, patients are very, very open and receptive. Dr Nevel: Right. What do you think is a mistake to avoid? I don't know if “mistake” is necessarily the right word, but what's something that we should avoid when evaluating or managing patients with nonepileptic seizures? What's something that you see sometimes, maybe, that you think, we should do that differently? Dr Bermeo-Ovalle: I think the opportunity of engaging with these patients is probably the hardest one. Because neurologists have the credibility, they have the relationship, they have- even if they don't have a multi-disciplinary team all sitting in one room, they probably have some of the pieces of this puzzle that they can bring together by collaborating. So, I think that missing the opportunity, telling the patient, this is not what I do or this is not something that belongs to me, you need to go to a mental health provider only, I think is the hardest one and the most disheartening for patients because our patients come to us just like all patients, with hopes and with some information to share with us so that we can help them make sense of it and have a better way forward. We as neurologists know very well that we don't have an answer to all our patients, and we don't offer zero seizures to any of our patients, right? We offer our collaborative work to understand what is going on and a commitment to walk in the right direction so that we are better every day. And I do think wholeheartedly that that is something that we can offer to patients with functional seizures almost in any environment. Dr Nevel: Yeah, absolutely. And using that multidisciplinary approach and being there with your patient, moving forward in a longitudinal fashion, I can see how that's so important. What do you find most challenging and what do you find most rewarding about caring for patients with nonepileptic seizures? Dr Bermeo-Ovalle: The thing that I find more challenging are the systemic barriers that the system still places. We discuss with the patients, what is the right time to go to the emergency room or not? Because the emergency room may be a triggering environment for patients with functional seizures and it may be a place where not everybody is necessarily attuned to have this conversation. Having said that, I never tell any of my patients not to go to the emergency room because I don't know what's happening with them. As a matter of fact, we're getting a lot of information on high mortality rates in patients with functional seizures, and it's not because of suicide and is probably not related to the seizure. Maybe this is---you know, this is speculation on my part---that is because they get to more severe conditions in other things that are not the functional seizures because they just experienced the healthcare system as very hostile because we are very in many instances. So, navigating that is a little bit difficult, and I try to tell them to have the doctors call me so that I can frame it in a different way and still be there for them. But I can tell you this clinic is the most rewarding clinic of all my clinical activities. And I love with all my heart being an epileptologist and seeing my patients with epilepsy. But the number of times my patients with functional seizures say, nobody had ever explained this to me, nobody had ever validated my experience in front of my family so that I'm not- like, feel guilty myself for having this episode, I can't tell you how many times. And obviously patients who come to the nonepileptic seizure clinic already know that they come to the nonepileptic seizure clinic, so that- you can say it's a selection of patients that are already educated in this condition to come to the clinic. But I would love everybody to know managing this population can be enormously, enormously satisfying and rewarding. Dr Nevel: Especially for, I imagine, patients who have been in and out of the ER, in and out of the hospital, or seen multiple providers and make their way to you. And you're able to explain it in a way that makes sense and hopefully reduces some of that stigma maybe that they have been feeling. Dr Bermeo-Ovalle: And along with that, iatrogenic interventions, unnecessary intubations, unnecessary ICUs; like, so much. And I think, I have no superpower to do that other than understanding this condition in a different way. And by I, I mean all the providers, because I'm not alone in this. There's many, many people doing excellent work in this state. And we just need to be more. Dr Nevel: Yeah, sure. Absolutely. So, on that note, what's next in research, or what do you think will be the next big thing? What's on the horizon in this area? Dr Bermeo-Ovalle: I think the community in the functional neurologic disorder community is really hopeful that more understanding into the neurobiology of this condition will bring more people over and more neurologists willing to take it on. There was an invitation from the NIH, I think, about four or five years ago to submit proposals for research in this area in particular. So, all of those studies must be ongoing. I'm much more a clinician than a researcher myself, but I am looking forward to what all of that is going to mean for our patients. And for- I think there's other opportunities in that further understanding of the clinical manifestations of many other conditions, and for our understanding of our relationship with our patients. I feel we are more attuned to align with a disease that, when the experience of the patient- and with a disease like this, a condition like this one, we have to engage with the personal experience of the patient. What I mean by that is that we are more likely to say,  I'm an epileptologist, I'm an MS doctor, you know, and we engage with that condition. This condition, like, just makes us engaging with the symptom and with the experience of the person. And I think that's a different frame that is real and rounded into the relationship with our patients. So, I think there's so much that we can learn that can change practice in the future. Dr Nevel: Yeah. And as your article, you know, outlines, and you've outlined today during our discussion, that- how important this is for the future, that we treat these patients and help them as much as we can, that comes with understanding the condition better, because wow, I was really surprised reading your article. The mortality associated with this, the healthcare costs, how many people it affects, was just very shocking to me. So, I mean, this is a really important topic, obviously, and something that we can continue to do better in. Wonderful. Well, thank you so much. It's been really great talking to you today. Dr Bermeo-Ovalle: Thank you, Katie, I appreciate it too. Dr Nevel: So again, today I've been interviewing Dr Adriana Bermeo about her article on a multidisciplinary approach to nonepileptic events, which she wrote with Dr Victor Petron. This article appears in the most recent issue of Continuum on epilepsy. Be sure to check out Continuum audio episodes from this and other issues. And thank you to our listeners for joining today.  Dr Monteith: This is Dr Teshamae Monteith, Associate Editor of Continuum Audio. If you've enjoyed this episode, you'll love the journal, which is full of in-depth and clinically relevant information important for neurology practitioners. Use the link in the episode notes to learn more and subscribe. AAN members, you can get CME for listening to this interview by completing the evaluation at continpub.com/audioCME. Thank you for listening to Continuum Audio.

 This week on the Team Lally Real Estate Radio Show, we interview Leigh Loganbill, Founder of Vitaflow Wellness. Leigh dives into the world of wellness, discussing innovative treatments that promote overall health, vitality, and rejuvenation. She also discusses Vitaflow's expansion, her journey into the wellness industry, and key tips for living a healthier life. Adrienne and Attilio share their personal experiences with Vitaflow and the impact of its treatments.We also have our Expert We Trust. Jodie Tanga of Pacific Rim Mortgage talks about their upcoming seminar on thriving in a tough market and explains nontraditional lending—how it differs from traditional loans and its impact on interest rates. Taylor Bramwell of Kilauea Pest Control shares his experience with mysterious attic noises in his new home, revealing what attracted the pests and how his team resolved it. He also highlights three surprising pests they commonly handle. Duke Kimhan of Hawaii Pacific Property Management breaks down wear and tear in rentals, why tenants aren't responsible for it, and what actually counts as damage.Who is Leigh Loganbill?Leigh Loganbill, a registered nurse with over 25 years of experience in ICUs and emergency rooms, moved to Hawaii in 2005 as a travel nurse. After years of witnessing preventable illnesses, she shifted her focus to proactive wellness and self-care. This passion led her to establish Vitaflow Wellness in Kailua, where she offers IV therapy, microneedling, PRP, and advanced aesthetic treatments backed by science, helping clients feel their best while embracing Hawaii's outdoor lifestyle.Vitaflow Wellness is an IV lounge and lifestyle med spa in Kailua, dedicated to enhancing health and well-being through science-backed treatments. They offer IV vitamin drips, esthetic services like XEOMIN and microneedling, PRP therapy, and antioxidant testing to support optimal wellness. By prioritizing hydration, prevention, and nutrient absorption, Vitaflow Wellness helps clients rejuvenate, thrive, and maintain a vibrant, healthy lifestyle.To reach Leigh, you may contact her in the following ways:Phone: (808) 780-7245Email: aloha@vitaflowwellness.comWebsite: Vitaflowwellness.com

Due to advancements in medical and surgical care, the survival of patients with congenital conditions into adulthood has dramatically increased. However, as these individuals transition to adulthood, their unique physiology, chronic complications, and evolving care needs create significant challenges for their management when they are admitted to adult intensive care units (ICUs). This episode will discuss adult congenital disease in the ICU. Dr. Zanotti is joined by Dr. Cameron Dezfulian, a pediatric and adult critical care physician. He is the director of the Adult Congenital Heart Disease Program Development for the Section of Critical Care at Texas Children's Hospital and a faculty member at Cardiothoracic Critical Care at Baylor St. Luke's Medical Center. He is also a Senior Faculty member at Baylor College of Medicine in Houston, Texas. Additional resources: ACC/AHA 2008 Guidelines for the Management of Adults With Congenital Heart Disease. Circulation 2008: https://www.ahajournals.org/doi/pdf/10.1161/CIRCULATIONAHA.108.190690 Special Considerations in Critical of the Congenital Heart Disease Patient. E Neethling, et al. Can J Cardiol. 2023: https://pubmed.ncbi.nlm.nih.gov/36682483/ Management of the Critically Ill Adult with Congenital Heart Disease. WB Kratzert, et al. J Cardiothorac Vasc Anesth 2018: https://pubmed.ncbi.nlm.nih.gov/29500124/ Adults with childhood-onset chronic conditions admitted to US pediatric and adult intensive care units. J Edwards, et al. J Crit Care 2015: https://pubmed.ncbi.nlm.nih.gov/25466316/ Down Syndrome. MJ Bull. N Eng J Med 2020. https://www.nejm.org/doi/full/10.1056/NEJMra1706537 Books and Music mentioned in this episode: The Bible: https://bit.ly/3EK4LL6

Dr. Zach Bush brings a unique perspective to understanding human emotions and healing, drawing from his 17-year background in academic medicine running ICUs and bone marrow transplant units, combined with his deep study of Chinese medicine, energy healing, and nature's intelligence. After leaving conventional medicine in 2010, he established an integrated medical center where he absorbed extensive knowledge of Chinese herbal medicine and acupuncture. His discovery that emotions are at the root of all diseases, backed by 5,000 years of Chinese medical science, led him to develop innovative approaches to emotional healing. Dr. Bush's current work with Project Biome involves studying nature's patterns and cycles, giving him unprecedented insights into how human emotional patterns mirror larger natural systems.In this powerful episode, you'll learn:The crucial difference between emotions and feelings, and why this distinction matters for healingHow our addiction to emotional patterns keeps us stuck in victim-perpetrator cyclesWhy nature has no purpose, and how this understanding can liberate us from emotional sufferingThe role of beauty in experiencing unconditional love and breaking free from emotional patternsHow unprocessed grief and trauma manifest physically and can be released through feelingWays to move from intellectual understanding to embodied feelingThe importance of being witnessed in our authentic expressionHow natural cycles of death and rebirth apply to emotional healingPractical approaches to feeling more deeply and metabolizing emotions naturallyKey Takeaway: Our addiction to processed emotions - much like processed foods - keeps us disconnected from the natural flow of feeling that exists in nature. By learning to distinguish between conditioned emotional patterns and raw, authentic feelings, we can break free from this addiction. The path forward isn't about managing or controlling emotions, but rather allowing ourselves to feel more deeply and completely, just as nature does. When we can embrace this natural way of being, our emotional struggles begin to metabolize and transform on their own, leading to genuine healing and liberation.Connect with Dr. Bush:Website: https://journeyofintrinsichealth.com/Join Dr Bush's Community: https://journeyofintrinsichealth.com/Instagram: @zachbushmdConnect with Raj:Instagram: @raj_janaiTunes: https://podcasts.apple.com/rs/podcast/stay-grounded-with-raj-jana/id1318038490Spotify: https://open.spotify.com/show/22Hrw6VWfnUSI45lw8LJBPYouTube: https://www.youtube.com/@raj_janaLegal Disclaimer: The information and opinions discussed in this podcast are for educational and entertainment purposes only. The host and guests are not medical or mental health professionals, and their advice should not be a substitute for seeking professional help. Any action taken based on the information presented is strictly at your own risk. The podcast host and their guests shall have neither liability nor responsibility to any person or entity with respect to any loss, damage, or injury caused or alleged to be caused directly or indirectly by information shared in this podcast. Consult your physician before making any changes to your mental health treatment or lifestyle. Hosted on Acast. See acast.com/privacy for more information.

On this episode of the Pretty Powerful Podcast, we sit down with the incredible Morgan Taylor—board-certified pediatric nurse practitioner, Chief Nursing Officer at Archer Review, and a true advocate for nursing education. Morgan shares her journey from working in pediatric ICUs at Duke University Hospital to leading innovative curriculum development for over half a million nursing and NP students. We discuss her mission to bridge critical gaps in nursing education, her passion for fostering a supportive community, and how to empower new nurses to stay in the profession during a time of unprecedented shortages.

“I have been a paratrooper and a medic for an air wing, consistently put my patients, brothers and sisters, and our national interest as my top priority,” Harry Fisher, an EMT since 1997, told Dr. Peter McCullough. “When I spoke out about the horrific things I was witnessing… I was called a terrorist by social media and shunned by many of my peers.” The paramedic says he witnessed “evidence of genocide” in 2020-2024 and shares how the medical system influences the minds of clinicians until they comply. Harry Fisher is a Nationally Registered Paramedic (NRP) with extensive experience in emergency medical services. An EMT since 1997 and paramedic since 2013, Fisher served as an Army and Air Force medic before working on ambulances for many years. During the COVID-19 pandemic, he transitioned to contract work in ERs, ambulances, and ICUs. Fisher is the author of “Safe and Effective, For Profit: A Paramedic's Story Exposing American Genocide” available at https://FishersBook.com. His career has spanned Oklahoma, New York City, North Dakota, and Alaska. Find him at https://x.com/harryfisherEMTP Dr. Kelly Victory MD is the Chief of Disaster and Emergency Medicine at The Wellness Company. A board-certified trauma and emergency specialist with over 30 years of clinical experience, Dr. Kelly served as CMO for Whole Health Management, delivering on-site healthcare services for Fortune 500 companies. She holds a BS from Duke University and her MD from the University of North Carolina. Follow her at https://x.com/DrKellyVictory 「 SUPPORT OUR SPONSORS 」 Find out more about the brands that make this show possible and get special discounts on Dr. Drew's favorite products at https://drdrew.com/sponsors  • FATTY15 – The future of essential fatty acids is here! Strengthen your cells against age-related breakdown with Fatty15. Get 15% off a 90-day Starter Kit Subscription at https://drdrew.com/fatty15 • PALEOVALLEY - "Paleovalley has a wide variety of extraordinary products that are both healthful and delicious,” says Dr. Drew. "I am a huge fan of this brand and know you'll love it too!” Get 15% off your first order at https://drdrew.com/paleovalley • THE WELLNESS COMPANY - Counteract harmful spike proteins with TWC's Signature Series Spike Support Formula containing nattokinase and selenium. Learn more about TWC's supplements at https://twc.health/drew 「 MEDICAL NOTE 」 Portions of this program may examine countervailing views on important medical issues. Always consult your physician before making any decisions about your health. 「 ABOUT THE SHOW 」 Ask Dr. Drew is produced by Kaleb Nation (https://kalebnation.com) and Susan Pinsky (https://twitter.com/firstladyoflove). This show is for entertainment and/or informational purposes only, and is not a substitute for medical advice, diagnosis, or treatment. Learn more about your ad choices. Visit megaphone.fm/adchoices

There's a shortage of specialized nurses who play a critical role in providing care to sexual assault survivors. Particularly in Louisiana, Mississippi, and Alabama. They are called sexual assault nurse examiners — or SANEs.As Drew Hawkins reports for the Gulf States Newsroom, one potential solution is to use telemedicine — but it's currently not available in the Gulf South.College textbooks are expensive. You might already know this if you've been to college, but prices have accelerated just in the last few years. And while tuition hikes and admission practices often create barriers of entry to higher education, sometimes it's that are prohibitively expensive, as they're often not covered by scholarships. As the spring semester gets into swing at schools across Louisiana, we found ourselves interested in efforts LSU is taking to address the accelerating problem of college textbook prices. Allen LeBlanc, Open Scholarship Librarian, at LSU Libraries tells us more about solutions.In June 2024, researchers released a medical study involving one Out Lady of the Lake Regional Medical Center in Baton Rouge. It looked at techniques for intubating patients, the practice putting a tube down your throat to provide ventilation, is something that's generally done when you're in critical condition. The trial involved Our Lady of the Lake Regional Medical Center in Baton Rouge as well as other ERs and ICUs across the nation. They're using a BPAP, a bilevel positive airway pressure machine.Dr. Christopher Thomas is a pulmonary critical care specialist at the hospital. He tells us more about this study, what researchers are hoping to find, and the results of a new airway pressure machine. ___Today's episode of Louisiana Considered was hosted by Adam Vos. Our managing producer is Alana Schrieber. We get production support from Garrett Pittman and our assistant producer Aubry Procell. You can listen to Louisiana Considered Monday through Friday at noon and 7 p.m. It's available on Spotify, the NPR App and wherever you get your podcasts. Louisiana Considered wants to hear from you! Please fill out our pitch line to let us know what kinds of story ideas you have for our show. And while you're at it, fill out our listener survey! We want to keep bringing you the kinds of conversations you'd like to listen to.Louisiana Considered is made possible with support from our listeners. Thank you!

In this episode of the Saving Lives Podcast, we review a nationwide study on cardiogenic shock in general ICUs, recently published in the European Heart Journal: Acute Cardiovascular Care. Discover why non-ischemic heart failure now leads cardiogenic shock admissions, which patient groups face the highest mortality, and how early ICU intervention can improve outcomes. Stay tuned for critical insights into managing this high-risk population. The Vasopressor & Inotrope Handbook I have written "The Vasopressor & Inotrope Handbook: A Practical Guide for Healthcare Professionals," a must-read for anyone caring for critically ill patients (check out the reviews)! You have several options to get a physical copy. Amazon: ⁠⁠⁠⁠https://amzn.to/47qJZe1⁠⁠⁠⁠ (Affiliate Link) My Store: ⁠⁠⁠⁠https://eddyjoemd.myshopify.com/products/the-vasopressor-inotrope-handbook⁠⁠⁠⁠ (Use "podcast" to save 10%) Citation: Citation: Guido T, Giovanni T, Elena G, Anna Z, Michele Z, Stefano F. Cardiogenic shock in general intensive care unit: a nationwide prospective analysis of epidemiology and outcome. Eur Heart J Acute Cardiovasc Care. 2024 Dec 3;13(11):768-778. doi: 10.1093/ehjacc/zuae108. PMID: 39302432.

Minnesota hospitals are seeing a surge in visits. It's mostly flu patients, according to the state, but COVID-19, RSV and norovirus are also spiking. Hospitals says it's putting a strain on ICUs and increasing wait times in emergency departments. And a state senator facing burglary charges is requesting to postpone a jury trial until May — after the Minnesota legislative session comes to a close. Those stories and more in today's evening update from MPR News. Hosted by Emily Reese. Music by Gary Meister.

I've spent some time reflecting back on all my years practicing in hospitals, often not sleeping for extended periods, sometimes days, covering hospitals floors and ICUs, resuscitating people who experienced cardiac arrests, taking them to the cath lab to open arteries, but also witnessing people with all sorts of other health conditions: cancers, wound infections, sepsis, delirium, the various stages of dementia, and hundreds of other debilitating disease. I now recognize that, looking back, so many health conditions can be better understood in light of the contribution of the microbiome, i.e., the trillions of microbes occupying the gastrointestinal tract from mouth to anus, the nasal sinuses, the airways, the brain, the prostate, the vagina and uterus, the skin—virtually every part of the human body. We all know about acute bacterial infections. But I'm talking about something different. While microbes exert effects via a number of different routes—think the gut-brain axis, the gut-skin axis, the gut-muscle axis, effects exerted via hormones, inflammatory mediating proteins, and bacterial breakdown products. But beyond this, there is a curious phenomenon in which bacteria and fungi themselves, by a number of means, travel through the body to take up residence and cause trouble. But the “trouble” is not an infection in the conventional sense, but something different, less acute, less urgent, less dramatic, but nonetheless playing a big role in your health. This is the fascinating and scary phenomenon called “translocation,” the topic for this episode of the Defiant Health podcast. _______________________________________________________________________________For BiotiQuest probiotics including Sugar Shift, go here.A 15% discount is available for Defiant Health podcast listeners by entering discount code UNDOC15 (case-sensitive) at checkout.*_________________________________________________________________________________Get your 15% Paleovalley discount on fermented grass-fed beef sticks, Bone Broth Collagen, low-carb snack bars and other high-quality organic foods here.* For 12% off every order of grass-fed and pasture-raised meats from Wild Pastures, go here._____________________________________________________________________________MyReuteri and Gut to Glow can be found here: oxiceutics.comSupport the showBooks: Super Gut: The 4-Week Plan to Reprogram Your Microbiome, Restore Health, and Lose Weight Wheat Belly: Lose the Wheat, Lose the Weight and Find Your Path Back to Health; revised & expanded ed

TWiM explains how ticagrelor alters the membrane of S. aureus and enhances the activity of vancomycin and daptomycin without eliciting cross-resistance, and the development of a novel continuous disinfectant technology that decreases healthcare-associated infections in ICUs by 70%. Hosts: Vincent Racaniello, Michael Schmidt, and Michele Swanson. Become a patron of TWiM. Links for this episode Ticagrelor and S. aureus (mBio) Novel disinfectant technology (Am J Inf Control) UVC-LED to inactivate foodborne pathogens (Appl Envir Micro) UV disinfection systems (ACS Photonics) High-touch surfaces in specialized patient care area (CDC) Take the TWiM Listener survey! Send your microbiology questions and comments (email or recorded audio) to twim@microbe.tv  

In this episode, we have a discussion about the intersection of health design/architecture and surgery with Dr. Andrew Ibrahim, a trained architect and practicing general surgeon and health services researcher. We discuss how hospitals, ICUs, operating rooms, and trauma bays are designed and the evidence behind them.  Host: Cody Mullens, general surgery resident at the University of Michigan, current Behind the Knife Surgery Education Fellow. (@Cody_Mullens) Guest: Dr. Andrew Ibrahim. Associate Professor of Surgery at the University of Michigan, Maud T. Lane Research Professor, Co-Director for the Center for Healthcare Outcomes and Policy. (@AndrewMIbrahim) Guide to hospital design on Dr. Ibrahim's website: https://www.surgeryredesign.com/resources Paper on measuring hospital design and quality of care using clinical data: https://shmpublications.onlinelibrary.wiley.com/doi/full/10.1002/jhm.12987 Science paper: https://www.science.org/doi/10.1126/science.6143402 CHEST paper: https://secure.jbs.elsevierhealth.com/action/getSharedSiteSession?redirect=https%3A%2F%2Fjournal.chestnet.org%2Farticle%2FS0012-3692%2810%2960225-5%2Ffulltext&rc=0 Please visit https://behindtheknife.org to access other high-yield surgical education podcasts, videos and more.   If you liked this episode, check out our recent episodes here: https://app.behindtheknife.org/listen

We discuss the practical barriers to implementing the A-F ICU liberation bundle, with Kali Dayton, ACNP-BC (@daytonicu), host of the Walking Home from the ICU podcast, and consultant to ICUs working on these issues. Learn more at the Intensive Care Academy! Find us on Patreon here! Buy your merch here!