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Date: May 14, 2025 Guest Skeptic: Dr. Ross Prager is an Intensivist at the London Health Sciences Centre and an adjunct professor at Western University. His expertise in critical care medicine is complemented by his research interests in critical care ultrasound and evidence-based knowledge translation. This is an SGEM Xtra episode. The inspiration was a […] The post SGEM Xtra: Ten Lessons They Don't Teach in Medical School (But Should) first appeared on The Skeptics Guide to Emergency Medicine.
Dr. Armin Feldman's Pretrial Prelitigation Medical Legal Consulting Coaching Program will teach you to build your own nonclinical consulting business as a valued consultant to attorneys without doing med mal cases or expert witness work. Armin will teach you everything from business concepts to the medicine involved when launching your new consulting business during one year of unlimited coaching. For more information, go to nonclinicalphysicians.com/mlconsulting/ Learn the business and management skills you need by enrolling in the University of Tennessee Physician Executive MBA program at nonclinicalphysicians.com/physicianmba. Get the FREE GUIDE to 10 Nonclinical Careers at nonclinicalphysicians.com/freeguide. Get a list of 70 nontraditional jobs at nonclinicalphysicians.com/70jobs. =============== In this classic episode from 2020, I revisit my conversation with Dr. Jessie Benson, who transformed from a high-achieving anesthesiologist and critical care specialist to a multifaceted creator pursuing life coaching, art, music, and homesteading. After nearly a decade in medicine, Dr. Benson realized she was caught in an endless cycle of chasing approval and achievement—from being first in her medical school class to earning "best fellow" honors at Cleveland Clinic. She shares her four-year journey to break free from perfectionism and fear of rejection, which began with exploring creative pursuits while still practicing and culminated in paying off $250,000 in medical school debt before giving six months' notice to her practice. Dr. Benson discusses her post-medicine path, including becoming a professional artist with a unique beeswax technique, learning to play cello, embarking on an eight-month RV journey across America, and eventually settling in Floyd, Virginia to pursue homesteading. She also explains how her coaching practice evolved from project management to helping clients overcome "barrier beliefs," culminating in her "Brave is Beautiful Circle" program designed specifically for women physicians seeking authenticity and creativity. You'll find links mentioned in the episode at nonclinicalphysicians.com/intensivist-to-coach/
In this episode of PICU DOC on Call, Dr. Rahul Damania and Dr. Pradip Kamat discuss the resurgence of measles in the United States. They explore the virus's pathophysiology, clinical features, diagnostic methods, treatment options, and complications. They emphasize the critical role of vaccination in preventing measles outbreaks and address the historical context and public health challenges related to vaccine hesitancy. The speakers highlight the severe complications of measles, especially in immunocompromised patients, and advocate for robust vaccination efforts to protect vulnerable populations and prevent the spread of this preventable disease. Tune in to hear more!Show Highlights:Resurgence of measles in the United StatesHistorical context of measles outbreaks and vaccination impactCurrent statistics and recent cases of measlesPathophysiology of the measles virusClinical features and progression of measles infectionDiagnostic approaches for confirming measlesDifferential diagnosis considerations for fever and rashTreatment options and the role of vaccinationComplications associated with measles, including severe outcomesPublic health challenges related to vaccine hesitancy and advocacy for immunizationResources:CDC Measles Info PageWHO Measles Global SurveillanceReferences:Fuhrman & Zimmerman. Textbook of Pediatric Critical Care, Ch. 52Long S et al. Principles and Practice of Pediatric Infectious Diseases, Ch. 227Moss WJ. Measles. Lancet. 2017;390(10111):2490-2502Paules CI, Marston HD, Fauci AS. NEJM. 2019;380(23):2185-2187
About our guest:Ilyse Genser is a pediatric neurologist and the associate program director of the pediatric neurology combined residency program at Children's National Hospital. She is originally from Westchester, New York, where she attended medical school at New York Medical College. She then completed her general pediatrics training at Brown University in Providence, Rhode Island, and came to Washington, D.C., to complete her child neurology training at Children's National Hospital. Learning Objective:Develop an expert-guided approach to choosing appropriate neuroimaging techniques for critically ill children.References: Shulman, J. G., & Abdalkader, M. (2023). Imaging of Central Nervous System Ischemia. http://journals.lww.com/continuumHakimi, R. (2023). Imaging of Central Nervous System Hemorrhage. http://journals.lww.com/continuumJordan, J. T., & Gerstner, E. R. (2023). Imaging of Brain Tumors. http://journals.lww.com/continuumBarnette, A. R., Horbar, J. D., Soll, R. F., Pfister, R. H., Nelson, K. B., Kenny, M. J., Raju, T. N. K., Bingham, P. M., & Inder, T. E. (2014). Neuroimaging in the Evaluation of Neonatal Encephalopathy. PEDIATRICS, 133(6), e1508–e1517. https://doi.org/10.1542/peds.2013-4247Questions, comments or feedback? Please send us a message at this link (leave email address if you would like us to relpy) Thanks! -Alice & ZacSupport the showHow to support PedsCrit:Please complete our Listener Feedback SurveyPlease rate and review on Spotify and Apple Podcasts!Donations are appreciated @PedsCrit on Venmo , you can also support us by becoming a patron on Patreon. 100% of funds go to supporting the show. Thank you for listening to this episode of PedsCrit. Please remember that all content during this episode is intended for educational and entertainment purposes only. It should not be used as medical advice. The views expressed during this episode by hosts and our guests are their own and do not reflect the official position of their institutions. If you have any comments, suggestions, or feedback-you can email us at pedscritpodcast@gmail.com. Check out http://www.pedscrit.com for detailed show notes. And visit @critpeds on twitter and @pedscrit on instagram for real time show updates.
What is Long Covid? Is it real? What does it feel like? Do you have it? And how do you cure it? With fatigue and brain fog, you don't want to spend hours scrolling through conflicting opinions. So we've got you covered with the wonderful and highly-respected pulmonologist and intensive care physician and Long Covid expert, Dr. Wes Ely. So tuck in, breathe deep and let's load you up with true facts about what Long Covid is, how it differs from other post-viral illnesses, variants and Long Covid risk, why people say it's not real, advice for caregivers, changing opinions in medicine, similarities to HIV, treatment options, auto-immune issues, POTS, post-exertional malaise, the best way to prevent it. Next week: Part 2 with even more info. Follow Dr. Ely on GoogleScholar and BlueskyBuy Dr. Ely's book, Every Deep-Drawn Breath, on Bookshop.org or AmazonA donation went to the Critical Illness, Brain Dysfunction, And Survivorship (CIBS) CenterMore episode sources and linksSmologies (short, classroom-safe) episodesOther episodes you may enjoy: Surgical Angiology (VEINS & ARTERIES), Cardiology (THE HEART), Disability Sociology (DISABILITY PRIDE), Molecular Biology (PROTEINS + SCIENCE COMMUNICATION), Nephrology (KIDNEYS), Diabetology (BLOOD SUGAR)Sponsors of OlogiesTranscripts and bleeped episodesBecome a patron of Ologies for as little as a buck a monthOlogiesMerch.com has hats, shirts, hoodies, totes!Follow Ologies on Instagram and BlueskyFollow Alie Ward on Instagram and TikTokEditing by Mercedes Maitland of Maitland Audio Productions and Jake ChaffeeManaging Director: Susan HaleScheduling Producer: Noel DilworthTranscripts by Aveline Malek Website by Kelly R. DwyerTheme song by Nick Thorburn
About our guest:Ilyse Genser is a pediatric neurologist and the associate program director of the pediatric neurology combined residency program at Children's National Hospital. She is originally from Westchester, New York, where she attended medical school at New York Medical College. She then completed her general pediatrics training at Brown University in Providence, Rhode Island, and came to Washington, D.C., to complete her child neurology training at Children's National Hospital. Learning Objective:Develop an expert-guided approach to choosing appropriate neuroimaging techniques for critically ill children.References: Shulman, J. G., & Abdalkader, M. (2023). Imaging of Central Nervous System Ischemia. http://journals.lww.com/continuumHakimi, R. (2023). Imaging of Central Nervous System Hemorrhage. http://journals.lww.com/continuumJordan, J. T., & Gerstner, E. R. (2023). Imaging of Brain Tumors. http://journals.lww.com/continuumBarnette, A. R., Horbar, J. D., Soll, R. F., Pfister, R. H., Nelson, K. B., Kenny, M. J., Raju, T. N. K., Bingham, P. M., & Inder, T. E. (2014). Neuroimaging in the Evaluation of Neonatal Encephalopathy. PEDIATRICS, 133(6), e1508–e1517. https://doi.org/10.1542/peds.2013-4247Questions, comments or feedback? Please send us a message at this link (leave email address if you would like us to relpy) Thanks! -Alice & ZacSupport the showHow to support PedsCrit:Please complete our Listener Feedback SurveyPlease rate and review on Spotify and Apple Podcasts!Donations are appreciated @PedsCrit on Venmo , you can also support us by becoming a patron on Patreon. 100% of funds go to supporting the show. Thank you for listening to this episode of PedsCrit. Please remember that all content during this episode is intended for educational and entertainment purposes only. It should not be used as medical advice. The views expressed during this episode by hosts and our guests are their own and do not reflect the official position of their institutions. If you have any comments, suggestions, or feedback-you can email us at pedscritpodcast@gmail.com. Check out http://www.pedscrit.com for detailed show notes. And visit @critpeds on twitter and @pedscrit on instagram for real time show updates.
Date: February 11, 2025 Guest Skeptic: Dr. Ross Prager is an Intensivist at the London Health Sciences Centre and an adjunct professor at Western University. His expertise in critical care medicine is complemented by his research interests in critical care ultrasound and evidence-based knowledge translation. This is another SGEM Xtra. On today's episode, we're diving […] The post SGEM Xtra: Rock, Robot Rock – AI for Clinical Research first appeared on The Skeptics Guide to Emergency Medicine.
Send us a textAs a result of the rapid adoption CAR-T therapy for certain lymphoid malignancies and multiple myeloma, of these treatments, CRS and ICANS will become more common in IM wards in the coming years. Take a listen to learn about how to treat this emerging condition. This episode was written by Dr. Veronica Ramirez (Internal Medicine Resident) and reviewed by Dr. Kelly Davison (Hematology) and Dr. Blair Schwartz (General Internist and Intensivist). Infographic by Neeloufar Grami (medical student).Support the show
Afl. 182 - We drinken koffie met Job midden op de Kinder-IC: dag in dag uit heeft hij te maken met doodzieke kinderen en intens verdrietige ouders. Hij neemt ons mee in zijn ervaringen als kinderintensivist, hoofd van de afdeling, vader én coach. Eén ding is een feit: de deur van Job staat letterlijk altijd open. Hij weet om te gaan met de heftige emoties die met dit vak gepaard gaan, en tevens de jonge artsen hierin te begeleiden. Van kwetsbare pasgeborenen tot tieners die verongelukken met een Fatbike; prof. dr. Job van Woensel ziet het allemaal.
In this episode, Peter Brindley and Leon Byker sit down with Dr. Rob Bevan, immediate past president of the College of Intensive Care Medicine (CICM) and Critical Care Director at Auckland City Hospital, Auckland, New Zealand. Dr. Bevan shares his journey through leadership in intensive care, the role of intensive care colleges, and the evolution of critical care training. He also explores the political, social, and ethical dimensions of critical care, from workforce sustainability to the unique role of intensivists as brokers of care. Episode Highlights: The Evolution of CICM: History of the CICM and the differences between the CICM and similar organizations globally. Training for Critical Care: The training pipeline in Australasia. Advocacy and Political Engagement: The role of the CICM in advocating for intensive care resources. The Value of College Convocations: Celebrating new fellows and their families and the role of meaningful ceremonies. The Intensivist as a Broker of Care: Defining the role of the ICU specialist in complex patient care. The Future of Critical Care Workforce: Addressing workforce challenges and it's sustainability. The Upcoming CICM Annual Meeting: Highlights of the upcoming 2025 meeting in Tasmania. Reflections on Leadership and Administration: Dr Bevan's Journey into administration and why it matters.
Welcome back Rounds Table Listeners!We are back this week with a special podcast episode! Dr. Mike Fralick sits down with Dr. Dirk von Lewinski, an Interventional Cardiologist, Intensivist, and Scientist from the Medical University of Graz, to chat about his practicing changing trial!Questions? Comments? Feedback? We'd love to hear from you! @roundstable
Let's talk about the crashing intubated patient. What's your strategy? What if the nearest ICU requires transport? EM/intensivist Andrew Phillips gives EMRA*Cast host Kyle Duke some high-yield tips that you'll want to hear, too.
Cerebral ultrasound is a developing point-of-care tool for intensivists and emergency physicians, with an important role in diagnosing acute intracranial pathology. The use of transcranial Doppler has expanded over the last years, opening a new window to the assessment of cerebral anatomy not only in neurocritical patients but also in general ICU and emergency room patients. To discuss the use of cerebral ultrasound for young intensivists we have interviewed Dr. Bertuetti. Listen to the interview in the following podcast.
Dr. Ryan Martin joins the Teledigm Pulse to discuss Acute Pulmonary and Intensivist services, sharing his experience in regional and rural hospitals and how this service made a difference in the COVID-19 pandemic. Part 2 of 2.
Dr. Ryan Martin joins the Teledigm Pulse to discuss Acute Pulmonary and Intensivist services, sharing his experience in regional and rural hospitals and how this service made a difference in the COVID-19 pandemic. Part 1 of 2.
Welcome to the 2nd episode in our Critical Care Forum Canada 2023 podcast series, where we interview leading Canadian experts. In this episode, we explore the intersection of artificial intelligence and critical care medicine with Dr. Shelly Dev and David Maslove, recorded after a panel discussion held at the Conference in Toronto. Dr Dev is no stranger to our podcast and is a staff intensivist at Sunnybrook Health Sciences Centre, Toronto, Canada, where she serves as the director of education for Critical Care Medicine. Dr Maslove is a Clinician Scientist and Intensivist at Queen's University, Kingston, Canada. His research focuses on the use of physiologic and genomic data to advance precision medicine in the ICU.
On this episode of Pophealth Week, we feature Hesham Hessaballa MD, a pulumonary and critical care medicine specialist practicing for more than 20 years. Dr. Hassaballa is board certified in internal medicine, pulmonary medicine, critical care medicine and sleep medicine, serves as Assistant Professor Rush University & Medical Center, and Editor of the popular blog @MedikaLife keep up with Dr. Hassaballa's work on Twitter profile @HAHassaballaMD or on linkedIn, or on the web via www.drhassaballa.com. We discuss his journey into critical care medicine and explore his '11 rules for the ICU' recommendations outlined in 'How Not to Kill Someone in the ICU'. Follow Dr. Hassaballa's work on Twitter via @HAHassaballaMD, on linkedIn, or on the web via www.drhassaballa.com.
On this episode of Pophealth Week, we feature Hesham Hessaballa MD, a pulumonary and critical care medicine specialist practicing for more than 20 years. Dr. Hassaballa is board certified in internal medicine, pulmonary medicine, critical care medicine and sleep medicine, serves as Assistant Professor Rush University & Medical Center, and Editor of the popular blog @MedikaLife keep up with Dr. Hassaballa's work on Twitter profile @HAHassaballaMD or on linkedIn, or on the web via www.drhassaballa.com. We discuss his journey into critical care medicine and explore his '11 rules for the ICU' recommendations outlined in 'How Not to Kill Someone in the ICU'. Follow Dr. Hassaballa's work on Twitter via @HAHassaballaMD, on linkedIn, or on the web via www.drhassaballa.com.
Hosts Fred Goldstein and Gregg Masters MPH talk to Hesham Hessaballa MD, a pulumonary and critical care medicine specialist practicing for more than 20 years. Dr. Hassaballa is board certified in internal medicine, pulmonary medicine, critical care medicine and sleep medicine, serves as Assistant Professor Rush University & Medical Center, and Editor of the popular blog @MedikaLife. They discuss his journey into critical care medicine and explore his '11 rules for the ICU' recommendations outlined in 'How Not to Kill Someone in the ICU'. To stream our Station live 24/7 visit www.HealthcareNOWRadio.com or ask your Smart Device to “….Play Healthcare NOW Radio”. Find all of our network podcasts on your favorite podcast platforms and be sure to subscribe and like us. Learn more at www.healthcarenowradio.com/listen
Dr. Alin Gragossian completed a residency program in Emergency Medicine at Drexel University, where she cultivated the skills required to manage critical and time-sensitive diagnoses. Following her residency, Dr. Gragossian pursued a 2-year multidisciplinary fellowship in Critical Care Medicine at Mount Sinai Hospital in New York City. Her experiences in these environments equipped her with a unique insight into the intricacies of managing critical cardiac conditions. Remarkably, Dr. Gragossian's personal journey has been deeply intertwined with her professional pursuits. In 2019, she underwent an urgent heart transplant herself after being diagnosed with familial dilated cardiomyopathy, a life-changing experience that gave her a unique understanding of the patient's perspective. Presently, Dr. Gragossian is an Intensivist through Equum Medical. Additionally, she holds the position of Associate Medical Director at Donor Network West, where she guides the organization's donor management initiatives. Furthermore, her contributions extend to the realm of medical technology as a consultant for various medical technology companies, where she leverages her expertise to advance medical innovation in critically ill patients. Most recently, Dr. Gragossian's dedication to advocacy has earned her the esteemed role of Chair of the American Society of Transplantation's Transplant Community Advisory Council. Here, she helps shape the future of transplant medicine and health education for patients and caregivers. Things we discuss in the show: Alin's genesis story Illness to heart transplant Lessons learned from being at death's door Alin's future Follow Dr. Gragossian: LinkedIn Instagram Blog Podcast
Today, we have a remarkable guest, Dr. Steven Bradley, an Anesthesiologist and Intensivist who brings a unique perspective to the table. Get ready for a conversation about embracing challenges, the power of being an oddball, and the unexpected magic of serendipity.Segment 1: The Power of Being an OddballDr. Bradley has embraced being an oddball in the medical world. We delve into how this unique perspective has shaped their career and approach to challenges.Segment 2: Navigating Challenges Segment 3: The Power of SerendipitySerendipity often plays a significant role in our journeys. Dr. Steven Bradley shares moments where unexpected encounters or events led to positive outcomes.Explores the concept of serendipity in their medical career, including how chance encounters, unplanned decisions, and unforeseen events have shaped their path.Conclusion:A big thank you to Dr. Steven Bradley for sharing their incredible journey with us today. Remember, embracing your uniqueness, navigating challenges with resilience, and recognizing the magic of serendipity can lead to a fulfilling and impactful career. Links for Dr. Steven BradleyYoutube: https://www.youtube.com/c/StevenBradleyMDTwitter: @StevenBradleyMDPodcast: Black DoctorsBlog: stevenbradleymd.comWant to keep the convo going? Join our FB group!https://www.facebook.com/groups/sevosistasHave a burning question? A concern? A controversy or issue you want to hear covered? We got you, boo! Leave a voice message at 202 743 1404. We will play your recording on the podcast and address your topic (if you don't want it played just say it in the voicemail, we will still cover your topic!). This podcast is for you and we want to include you on this journey! Hope to hear from you soon
"That's what's been our goal, showing that sense of urgency" Dr. Michael Galvez is a Pediatric Hand Surgeon in California, Dr. Cesar Padilla is an Obstetric Anesthesiologist and Intensivist in California and they join Explore The Space Podcast to discuss National Latino Physician Day and the critical need to increase the number of Latino/a physicians in the United States. In turns eye-opening and inspiring, this was a fantastic discussion! Check out the archive of Explore The Space Podcast The Explore The Space Merchandise Store is open! Please check it out Please subscribe to and rate Explore The Space on Apple Podcasts or wherever you download podcasts. Email feedback or ideas to mark@explorethespaceshow.com Follow on Twitter @ETSshow, Instagram @explorethespaceshow Links National Latino Physician Day website Twitter: @michaelgalvezmd, @themillenialMD Instagram: @doctor_cesar, @michaelgalvezmd, @nationallatinophysicianday
In this chapter, Dr. Alex Niven, renowned critical care physician and educator, provides a mirror for us to see our current state of emergency airway management - for its opportunities for improvement, innovations and best practices. This evidence fueled presentation is a must-listen for any emergency healthcare physician or provider. CONTACTS Youtube -https://www.youtube.com/@AlwaysonEM X - @AlwaysOnEM; @VenkBellamkonda Instagram – @AlwaysOnEM; @Venk_like_vancomycin; @ASFinch Email - AlwaysOnEM@gmail.com
In this episode of the podcast, we will discuss oncologic emergencies. Dr. Zanotti is joined by Dr. R Scott Stephens, a pulmonary/critical care physician and associate professor of medicine and oncology at the Johns Hopkins University School of Medicine. He is the Director of Oncology and Bone Marrow Transplant Critical Care at Johns Hopkins Hospital and the Sidney Kimmel Comprehensive Cancer Center. A recognized clinician, educator, and researcher Dr. Stephens has expertise and interest in ARDS, ECMO, and oncologic critical care. Additional Resources: Oncologic Emergencies for the Intensivist – the Old, the New, and the Deadly. Thandra K, et al. J Intensive Care Med 2020: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6886674/ Oncologic Emergencies – Traditional and Contemporary. Spring J, and Munshi L. Crit Care Clin 2020: https://pubmed.ncbi.nlm.nih.gov/33190777/ Critically Ill Patients with Cancer: A Clinical Perspective. Martos-Benitez F, et al. World J clin Onco 2020: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7643188/ Management of Febrile Neutropenia: ESMO Clinical Practice Guidelines. Annals of Oncology 2016: https://www.annalsofoncology.org/article/S0923-7534(19)31643-6/pdf Books Mentioned in this Episode: The Elements of Style. By William Strunk and EB White: https://amzn.to/3KddG7C The Structure of Scientific Revolutions: By William Kuhn: https://bit.ly/43HkS34 The Physicists: The History of a Scientific Community in Modern America. By Daniel Kevles: https://bit.ly/477Z8jO American Prometheus: The Triumph and Tragedy of j. Robert Oppenheimer. By Kai Bird and Martin Sherwin: https://bit.ly/479AEqn
Anthropologist, Intensivist, Anesthesiologist, and Psychiatrist, convene to talk about the anthropological concept of empathy, why it's missing in modern-day medicine, and how to go about reclaiming it. Professor Doug Hollan of UCLA Anthropology, Dr. Wes Ely of Vanderbilt University Medical Center, and Dr. David Elkin of UCSF.
Megan & Ross Maenius are parents to Mila and patient advocates at Children's Medical Center Dallas. They have an incredible story to tell about their child's journey that may help the next time you are caring for a patient with chronic medical complexity in the pediatric ICU.Erin Gordon, D.O. is an Associate Professor of Pediatrics at University of Texas Southwestern and an intensivist in the pediatric cardiac intensive care unit. Dr. Gordon is the medical director of the inpatient developmental care program and directly involved in creating an environment that fosters the growth and development of the congenital heart disease population, including parental mental health and resilience. Her passion for patient and family advocacy has led to her desire to bring a louder voice to the concept of a “primary” intensivist.Learning objectives:After listening to this episode, learners should be able to:Recognize the parental consequences of children with complex chronic conditions and those requiring a prolonged ICU stay.Recognize aspects of ICU care that limit effective communication between parents/caregivers and clinicians.Discuss strategies to improve communication between parents/caregivers and clinicians including the role of a primary intensivist program.Discuss ways that parents/caregivers and clinicians can partner together to improve the care provided to children in the ICU.How to support PedsCrit:Please rate and review on Spotify and Apple Podcasts!Donations are appreciated @PedsCrit on Venmo , you can also support us by becoming a patron on Patreon. 100% of funds go to supporting the show.To help improve the podcast, please complete our Listener Feedback Survey (< 5 minutes)!Thank you for listening to this episode of PedsCrit. Please remember that all content during this episode is intended for educational and entertainment purposes only. It should not be used as medical advice. The views expressed during this episode by hosts and our guests are their own and do not reflect the official position of their institutions. If you have any comments, suggestions, or feedback-you can email us at pedscritpodcast@gmail.com. Check out http://www.pedscrit.com for detailed show notes. And visit @critpeds on twitter and @pedscrit on instagram for real time show updates.Support the show
Course: Corticosteroids for Bronchiolitis? - A Conversation with an Intensivist Course Director: Tony R Tarchichi MD - Associate Professor in Dept of Pediatrics at the University of Pittsburgh School of Medicine Course Director: Jonathan Pelletier MD - Associate Professor of Pediatrics at the Northeast Ohio Medical University This Podcast series was created for Pediatric Hospitalists or those healthcare professionals who take care of hospitalized children. This episode is Corticosteroids for Bronchiolitis? - A Conversation with an Intensivist. As always there is free CME credit of up to 1 AMA category 1 for listening to this podcast and going to the Univ of Pitt site. See the link below. ______________________________________________________ Objectives: Upon completion of this activity, participants will be able to: 1. Review how the PICU will use steroids for bronchiolitis. 2. Review why the PICU will use steroids for bronchiolitis. 3. Review the evidence for and against steroids for bronchiolitis. ______________________________________________________ Released: 5/26/2023, Reviewed 5/26/2023, Expire: 5/26/2024 If you are new to the Internet-based Studies in Education and Research (ISER) website (which is how you will get your CME credit), you will first need to create an account: Step 1. Create an Account https://www.hsconnect.pitt.edu/HSC/home/create-account.do If you have used the ISER website in the past, you can click on the link below and then log onto in order to complete the evaluation for this training: Step 2. To access the test for CME credit: Coming Soon! Accreditation Statement: In support of improving patient care, the University of Pittsburgh is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME) and the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team. The University of Pittsburgh School of Medicine designates this enduring material activity for a maximum of 1.0 AMA PRA Category 1 CreditsTM. Physicians should only claim credit commensurate with the extent of their participation in the activity. Other health care professionals will receive a certificate of attendance confirming the number of contact hours commensurate with the extent of participation in this activity.
Dr Rob Mac Sweeney is an Intensivist at the Royal Victoria Hospital in Belfast, and the lead organizer for the Critical Care Review, both the website and conference. 2023's conference is June 14-16, and streamed from the Titanic Centre in Belfast. Join us as Dr. Mac Sweeney explains what makes this meeting one of the top conferences in Critical Care. Follow this link for the 20223 meeting: CCR23 (criticalcarereviews.com)
Course: Albuterol for Bronchiolitis? - A Conversation with an Intenstivist Course Director: Tony R Tarchichi MD - Associate Professor in Dept of Pediatrics at the University of Pittsburgh School of Medicine Course Director: Jonathan Pelletier MD - Associate Professor of Pediatrics at the Northeast Ohio Medical University This Podcast series was created for Pediatric Hospitalists or those healthcare professionals who take care of hospitalized children. This episode is Albuterol for Bronchiolitis? - A Conversation with an Intenstivist. As always there is free CME credit of up to 1 AMA category 1 for listening to this podcast and going to the Univ of Pitt site. See the link below. ______________________________________________________ Objectives: Upon completion of this activity, participants will be able to: 1. Discuss the increase in albuterol usage for bronchiolitis occurring in pediatric intensive care units nationally. 2. Discuss the evidence base behind using albuterol for bronchiolitis in critically ill pediatric patients. 3. Discuss how the American Academy of Pediatrics bronchiolitis guidelines apply to the patients in the pediatric intensive care units. ______________________________________________________ Released: 3/13/2023, Reviewed 3/13/2023, Expire: 3/13/2024 If you are new to the Internet-based Studies in Education and Research (ISER) website (which is how you will get your CME credit), you will first need to create an account: Step 1. Create an Account https://www.hsconnect.pitt.edu/HSC/home/create-account.do If you have used the ISER website in the past, you can click on the link below and then log onto in order to complete the evaluation for this training: Step 2. To access the test for CME credit: Coming Soon!!! Accreditation Statement: The University of Pittsburgh School of Medicine is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians. The University of Pittsburgh School of Medicine designates this enduring material for a maximum of (1) AMA PRA Category 1 CreditsTM. Physicians should only claim credit commensurate with the extent of their participation in the activity.
Cardiac arrest causes neurological injury through a sustained period of hypoxia and ischaemia. It has long been thought that avoiding further hypoxia could save vulnerable brain tissue, leading to the common practice of deliberate hyperoxygenation. However, recent research has suggested this approach may in fact be harmful. Paul Young is an Intensivist and critical care researcher from Wellington in New Zealand, and he joins me to discuss an upcoming study which will further explore this issue, LOGICALSee omnystudio.com/listener for privacy information.
Dr Sandy Widder is a Trauma Surgeon, Intensivist and overall amazing human being. She works as an associate professor in the departments of critical care and surgery at the University of Alberta, and is the Assistant Zone Director on Integrated Quality Management for the Edmonton zone in Alberta, Canada. She is passionate about Quality Improvement/Patient Safety and somehow finds time for Health administration in her busy schedule. We were lucky to get her on our podcast! Join us as she talks about what the general intensivist needs to know about the trauma patient. Further reading: ABC assessment: Early prediction of massive transfusion in trauma: simple as ABC (assessment of blood consumption)? Nunez TC, Voskresensky IV, Dossett LA, Dutton WD, Cotton BA. J. Trauma. 2009. Feb 66 (2): 346-52. TXA: Effects of transexamic acid on death, vascular occlusive events, and blood transfusion in trauma patients with significant hemorrhage (CRASH-2): a randomized, placebo-controlled trial. Lancet. 2010. 376: 23-32. Fibrinogen: Reversal of trauma-induced coagulopathy using first-line coagulation factor concentrates or fresh frozen plasma (RETIC): a single-centre, parallel-group, open label, randomized trial. Innerhofer P, Fries D, Mittermayer M, Innerhofer N, von Langen D, Hell T et al. Lancet Haematology. 2017. 4 (6): 258-271. Stop the bleed: www.stopthebleed.org VTE Prophylaxis: Updated guidelines to reduce venous thromboembolism in trauma patients: a Western Trauma Association critical decisions algorithm. Let EJ, Brown C, Moore E, et al. The Journal of Trauma and Acute Care Surgery. 2020. 89 (5): 971-981. Geriatric trauma: ACS TQIP Geriatric Trauma Management Guidelines. HTTPS:www.facs.org/media/314or1oq/geriatric_guidelines.pdf Rib fractures: Western Trauma Association Critical Decisions in Trauma: Management of rib fractures. Brasel KJ, Moore E, Albrecht RA et al. 2017. Journal of Trauma and Acute Care Surgery. 82 (1): 200 - 203.
If you're a clinician you can unlock a Free CME credit just by listening to this show and reflecting on what you learned! Just click this link and take 30 seconds to write a reflection on what you learned to unlock your free AMA PRA Category 1 CME credit https://earnc.me/uKvVBi
In this episode, Marion Elligsen, BScPhm, MSc, RPh, ACPR; Keith S Kaye, MD, MPH; and Andrew Shorr, MD, MPH, MBA, discuss key considerations for selecting empiric antibiotic regimens in patients with HABP/VABP in the intensive care unit, including: The role of novel β-lactam/β-lactamase inhibitor combinationsUse of clinical predictions scores (eg, Drug Resistance in Pneumonia [DRIP] score) to predict risk for pneumonia caused by multidrug-resistant pathogensApplication of rapid diagnostic testing in critically ill patients with pneumonia, including current limitationsImplementation of advanced antibiograms and clinical prediction scoresClinical utility of biomarkers for pneumonia (eg, procalcitonin)Application of updated nosocomial pneumonia classifications in clinical practiceFaculty:Marion Elligsen, BScPhm, MSc, RPh, ACPRPractice-Based ResearcherSunnybrook Research InstituteAntimicrobial Stewardship Pharmacy LeadDepartment of PharmacySunnybrook Health Sciences CentreToronto, Ontario, CanadaKeith S. Kaye, MD, MPHChief Division of Allergy, Immunology and Infectious DiseasesProfessor of MedicineRutgers Robert Wood Johnson Medical SchoolNew Brunswick, New JerseyAndrew Shorr, MD, MPH, MBADirectorPulmonary and Critical Care MedicineMedstar Washington Hospital CenterWashington, DCContent based on a CME program supported by an educational grant from Merck Sharp & Dohme Corp. Link to full program:https://bit.ly/3HaZpYwLink to downloadable slideset:https://bit.ly/3UxHoqr
Healing Hearts: Empowering Pediatric Critical Care Providers
In the cardiac lesion series, pediatric Intensivist, Dr. Laura Ortmann, describes the background of the cardiac lesion, what it looks like clinically, the most common complications post-operatively, and how the lesion is managed. In this episode, she will discuss a procedure, the Blalock–Thomas–Taussig Shunt. Listen in to learn more! If you plan to listen to the cardiac lesion series in order, this episode follows the Tricuspid Atresia episode. #drortmanncicu #picu #cicu #pediatrics
In this episode, we are joined by TeamHealth clinicians Dr. Michael Corvini, Southeast Division President and Dr. Rohit Uppal, Chief Clinical Officer, Hospitalist Services to discuss the impact of current industry challenges on high-quality hospital medicine services and how TeamHealth is helping providers navigate these issues.This episode is sponsored by TeamHealth.
Healing Hearts: Empowering Pediatric Critical Care Providers
In the cardiac lesion series, pediatric Intensivist, Dr. Laura Ortmann, describes the background of the cardiac lesion, what it looks like clinically, the most common complications post-operatively, and how the lesion is managed. In this episode, she will discuss the cardiac lesion Tricuspid Atresia. Listen in to learn more! If you plan to listen to the cardiac lesion series in order, this episode follows the Kawashima Procedure. #drortmanncicu #picu #cicu #pediatrics
Sepsis occurs when the body's immune system responds to an infection and injures its own tissues and organs. It is a medical emergency, requiring early detection and treatment as it can lead to septic shock, multi-organ failure, and death. One in five deaths worldwide is associated with sepsis and 40% of cases are in children under five years of age. Sepsis is the number one cause of death in hospitals, the number one cause of hospital readmissions, and the number one healthcare cost. Laboratory testing is essential in helping prevent, detect, and treat sepsis to minimize injury to the body and the risk of death. About Our Speaker: Dr. Lui Forni is a Professor and Consultant Nephrologist and Intensivist at Royal Surrey County Hospital NHS Foundation Trust in Guildford, England. Professor Forni earned a PhD in physical chemistry and subsequently studied medicine, specializing in nephrology and intensive care medicine. His research interests include pre-operative assessment of high-risk surgical candidates, renal replacement therapy, diagnosis, pathophysiology and treatment of acute kidney injury, and predictive modeling in acute medical admissions. He lectures both nationally and internationally and has published widely. He served as the Past Research Chair and is the Current Secretary of the European Society of Intensive Care Medicine.
As nurses, our lives will always be busy, but that doesn't mean we can't update you guys on what's happening with us. Speaking of updates, Peter is still a nurse in California, and I finally picked up a shift here in Illinois through an agency. It feels a little weird to get back on the job, not going to lie. But it's all good, and I am stoked to be back on board! For my first shift, I was assigned to the ICU. After two months of not working, the patient was in V-tach when I received the report. I also noticed that this hospital I'm currently assigned to doesn't have a supply room. Instead, they had open spaces down the center of the unit where you could grab your supplies. On top of that, charting was slightly different here as they use Cerner for documentation. Another thing I noticed during my shift was the communication. It was frustrating to go back and forth on the procedures that needed to be done for my patient. My patient was very sick. He came in with sepsis. had a CVA and was rule out for endocarditis. We can't do a TEE either, but after a while, he converted and went back to V-tach, so we needed to troubleshoot him. I talked to a cardiologist who ordered to cardiovert the patient and start lidocaine. But when I told Intensivist what the order was, he told me he doesn't do cardioversion and walked away. As nurses, we are always the "middle man" for everything, but if you are unsure what to do, it always helps to address the situation and see what is best for the patient. Watch the full debriefing video in this episode to learn more about what happened next! Cup of Nurses: https://fanlink.to/CONsite Frontline Warriors: https://fanlink.to/FWsite Apple https://fanlink.to/Applepodcast Spotify https://fanlink.to/Spotifypodcast Cup of Nurses Store https://fanlink.to/CONshop Frontline Warriors store https://fanlink.to/FWshop Interested in Travel Nursing? https://fanlink.to/TravelNurseNow Free Travel Nursing Guide https://fanlink.to/Travelnursingchecklist Nclex Guide https://fanlink.to/NCLEXguide Cup of Nurses FB Group https://www.facebook.com/groups/cupofnurses Frontline Warriors FB group https://fanlink.to/FWFBgroup
Dr. Goss grew up in Texas, and completed her undergraduate degree at Baylor University followed by medical school at Baylor College of Medicine. She did her residency training in Internal Medicine and Pediatrics, followed by fellowship training in Pulmonary and Critical Care, at Indiana University in Indianapolis, IN. After training, Dr. Goss joined the faculty at the University of Wisconsin in Madison, WI to participate in unique studies on the effect of prematurity on heart and lung function in adolescents and adults. She joined the faculty at UT Southwestern in 2020, and continues to lead multidisciplinary teams to study late cardiopulmonary outcomes after preterm birth.Find out more about Kara and this episode at: www.the-incubator.org______________________________________________________________________________________As always, feel free to send us questions, comments or suggestions to our email: nicupodcast@gmail.com. You can also contact the show through instagram or twitter, @nicupodcast. Or contact Ben and Daphna directly via their twitter profiles: @drnicu and @doctordaphnamd. enjoy!This podcast is proudly sponsored by Chiesi.
Healing Hearts: Empowering Pediatric Critical Care Providers
In the cardiac lesion series, pediatric Intensivist, Dr. Laura Ortmann, instead of describing the background of the cardiac lesion, she will discuss the Kawashima procedure Listen in to learn more! If you plan to listen to the cardiac lesion series in order, this episode follows TET PA MAPCAS. #drortmanncicu #picu #cicu #pediatrics
COL (Dr.) Cristin Mount is an Army Critical Care Medicine physician currently stationed at Madigan Army Medical Center in Tacoma, WA. She graduated magna cum laude from the University of Scranton and completed medical school at the Uniformed Services University in Bethesda, Maryland in 2003. She did an Internal Medicine Internship and Residency at Madigan and moved to Walter Reed Army Medical Center in Washington, D.C., for Critical Care Medicine fellowship. After fellowship, she returned to Madigan as the Director, Critical Care Services and promptly deployed with the 28th Combat Support Hospital to Baghdad, Iraq where she served as the sole Intensivist and the theater consultant for Critical Care and Internal Medicine. She is the only woman to serve as Chief, Department of Medicine and the Deputy Commander of Medical Services. Currently she serves as the Critical Care Medicine Consultant to the Army Surgeon General.She is a Master of the American College of Physicians, and past Governor of the Army Chapter of the ACP. She is married to COL George Mount, an Army Rheumatologist, and they have three small boys under the age of 7.Any views expressed during this interview reflect those of Dr. Mount and do not represent official views of the Army Medical Department, Department of the Army or Defense Health Agency. We hope you enjoy this episode where we discuss her journey through medicine and leadership as well as leadership in the ICU. Welcome to Leading the Rounds. Questions We Asked: How did you become involved in medical leadership? How did you adjust to becoming a leader out of training? What are some things that help you lead in stressful situations? Can you discuss your article Ten Leadership Principles from the Military Applied to Critical Care and why you felt writing it was important? What is unique about leadership in the Intensive Care Unit? How do you develop a good care team? How do you balance being firm in a stressful leadership moment vs. being aggressive and condescending? How do you practice adaptive leadership? Advice for medical leaders? Books? Quotes & Ideas: When taking a new leadership position, “recognize that you're going to feel overwhelmed, and then sit back, learn, and ask questions.” In moments of panic, “put your helmet on, put your kevlar on, and march in a straight line.” You can study leadership, but you also need to practice. Look for everyday small moments where you can practice your leadership skills so they are ready when you need them. “Every day there's an opportunity to practice a leadership technique in your personal or work life.” Ten Leadership Principles from the Military Applied to Critical CareLeadership in the ICU: contrasts between problem solving without assessment of why things are happening vs. paralysis by analysis To be a great leader in the ICU, you have to be able to make decisions without having all of the information. “The success of the team means the success of the patient.” In addition to placing yourself in stressful situations, you can rehearse in your mind what you would do if you would have been placed into that environment. “As you are in a position to set boundaries to which work is not allowed, you have to set them.” Book Suggestions: Complications by Atul Gawande We Were Soldiers Once and Young by Lt. Gen. Harold G. Moore and Joseph L. GallowayThe Liberation Trilogy by Rick Atkinson
What makes a good PEM physician? (from a PICU standpoint) and how can we all work better together to benefit our patients? My former co resident, and now PICU attending Suzie Barry and I break it down. As always, Please consider supporting PEM Rules by clicking below https://ko-fi.com/pemrules
This week on the podcast we spoke with Dr. Paul Engels, a trauma surgeon from McMaster University in Hamilton, Ontario. We got into some pretty detailed discussions around trauma training specifically, but more broadly about how we define what a resident should be able to perform at the end of training. Links: 1. The current state of resident trauma training: Are we losing a generation? https://pubmed.ncbi.nlm.nih.gov/29806811/ 2. Canadian Collaborative on Urgent Care Surgery (CANUCS): https://canucs.ca/ 3. Cause for concern: Resident experience in operative trauma during general surgery residency at a Canadian centre. https://journalhosting.ucalgary.ca/index.php/cmej/article/view/69323/54233 4. Toward an all-inclusive trauma system in Central South Ontario: development of the Trauma-System Performance Improvement and Knowledge Exchange (T-SPIKE) project. https://pubmed.ncbi.nlm.nih.gov/33720676/ 5. ASSET course: https://www.facs.org/quality-programs/trauma/education/asset/ 6. Treatment of Ongoing Hemorrhage: The Art and Craft of Stopping Severe Bleeding. https://www.amazon.ca/Treatment-Ongoing-Hemorrhage-Stopping-Bleeding/dp/3319634941. 7. Simulated Trauma and Resuscitation Team Training (S.T.A.R.T.T) course: https://caep.ca/cpd-courses/simulated-trauma-and-resuscitation-team-training-s-t-a-r-t-t/ 8. Definitive Surgical Trauma Care (DSTC™) Courses. https://iatsic.org/DSTC/ 9. Advanced Trauma Operative Management (ATOM) course. https://atomcourse.com/#:~:text=The%20Advanced%20Trauma%20Operative%20Management,post%2Dcourse%20exams%20and%20evaluations. 10. BEST - Basic Endovascular Skills for Trauma. https://medschool.ucsd.edu/som/surgery/divisions/trauma-burn/training/courses/Pages/REBOA-Course.aspx. Bio: Paul Engels is a Trauma/General Surgeon and Intensivist at McMaster University in Hamilton, Ontario. He completed his residency in General Surgery and fellowship in Critical Care at the University of Alberta. He completed a fellowship in Trauma & Acute Care Surgery at Sunnybrook Health Sciences Centre in Toronto. He is a Fellow of the Royal College of Surgeons of Canada and the American College of Surgeons, as well as a member of the Eastern Association for the Surgery of Trauma and the American Association for the Surgery of Trauma.
I speak with Dr.Jorge Salluh, Intensivist and Researcher, critical care dept D'or Institute for research and education and Professor, Postgrad program, Federal university, Rio de Janeiro, Brazil. Jorge wears many hats that cross the space of big data analytics, AI and ML, this includes being a Co-founder of Epimed, Board member of BRICNet (brazilian research in intensive care network) and LOGIC (Linking of Global Intensive Care). These organizations have done tremendous work in making open source ICU level data from Brazil and other parts of the world linked together on a common platform. Dr.Salluh and indeed all of us are looking for collaborators who want to utilize these resources! Please see links below: LOGIC - www.icubenchmarking.com [icubenchmarking.com] Bricnet - www.bricnet.org [bricnet.org] Brazilian ICUs registry- www.utisbrasileiras.com/en [utisbrasileiras.com] Epimed- https://www.epimedsolutions.com/en/ [epimedsolutions.com] https://www.linkedin.com/in/jsalluh/ [linkedin.com] Twitter: @jsalluh
Healing Hearts: Empowering Pediatric Critical Care Providers
In the cardiac lesion series, pediatric Intensivist, Dr. Laura Ortmann, describes the background of the cardiac lesion, what it looks like clinically, the most common complications post-operatively, and how the lesion is managed. In this episode, she will discuss the Cardiac Lesion Truncus Arteriosus. There are four different types of Truncus Arteriosus and each type depends on how the pulmonary arteries come off the truncus. If you want to listen in order of the series, this episode follows ALCAPA. Listen in to learn more!
Harry Nima Zegarra, MD, FCCP Co-Founder and Manager of Nima Equity Harry is a Pulmonary & Critical Care Medicine Physician, real estate investor, entrepreneur, co-founder and manager of Nima Equity LLC, a commercial real estate syndication company where he helps physicians to earn passive income, lower taxes and achieve financial freedom. Harry has experience in rental properties and currently owns and manages 9 properties across the DFW metropolitan area. Harry is General Partner in 784 units in 4 different States. Harry met his wife Mitsi in Medical School in Peru and they finished their training in Pennsylvania and Virginia. Harry currently works at a tertiary medical center in Dallas, TX. Harry and Mitsi love the outdoors. They have 2 boys, who love playing basketball and soccer. They love to vacation and travel to Cancun and Florida where they enjoy time at the beach, Disney or Legoland. Harry is also an avid runner. Get in touch with Harry: www.nimaequity.com https://www.youtube.com/channel/UCBYyErh18CHP_78YzuNoKqg https://www.facebook.com/nimaequity/ https://www.linkedin.com/company/nima-equity/ If you want to know more about Dr. Jason Balara and the Know your Why Podcast: https://linktr.ee/jasonbalara Audio Track: Back To The Wood by Audionautix is licensed under a Creative Commons Attribution 4.0 license. https://creativecommons.org/licenses/by/4.0/ Artist: http://audionautix.com/
In part two the conversation moves to more detail about Transnasal Humidified Rapid-Insufflation Ventilatory Exchange (THRIVE). There are also wider questions about "the future of anaesthesia". Ensure you are now subscribed to TopMedTalk so you never miss out. Chaired by Mike Grocott Professor of Anaesthesia and critical care at the University of Southampton and Rodney Meeke, recently retired Anaesthesiologist and Intensivist, Cork University Hospital with contributions from David Howard, Professor of Head and Neck Oncology at Imperial College London in 2008 and remains Honorary Consultant ENT/Head and Neck Surgeon at Imperial and UCLH NHS Trust Hospitals, Korle-Bu Hospital, Accra, and KCMC Hospital, Tanzania, Jim Roberts, Consultant anaesthetist & medical innovator at University College London Hospital & Anil Patel, Professor, consultant anaesthetist at The Royal National ENT & Eastman Dental Hospitals, University College London Hospital and DAS professor of anaesthesia & airway management.
"New '21st Century iron lung' ventilator designed by British experts could revolutionise Covid treatment by taking patients out of intensive care wards" Daily Mail UK, 19th Jan 2021 This is part one of a two part piece. This piece looks at the development of a new negative-pressure ventilatory support device: Exovent. Their website is here: https://exovent.org/ We also cover questions from the EBPOM Dingle audience; what is 'the next big thing' in ventilation? How do we optimise what we currently do? Should we expect to see more negative pressure devices and techniques? How do we get around the perennial problem of ventilator induced lung injury? In part two the conversation moves to more detail about Transnasal Humidified Rapid-Insufflation Ventilatory Exchange (THRIVE). Ensure you are subscribe to TopMedTalk so you can't miss it. Chaired by Mike Grocott Professor of Anaesthesia and critical care at the University of Southampton and Rodney Meeke, recently retired Anaesthesiologist and Intensivist, Cork University Hospital with contributions from David Howard, Professor of Head and Neck Oncology at Imperial College London in 2008 and remains Honorary Consultant ENT/Head and Neck Surgeon at Imperial and UCLH NHS Trust Hospitals, Korle-Bu Hospital, Accra, and KCMC Hospital, Tanzania, Jim Roberts, Consultant anaesthetist & medical innovator at University College London Hospital & Anil Patel, Professor, consultant anaesthetist at The Royal National ENT & Eastman Dental Hospitals, University College London Hospital and DAS professor of anaesthesia & airway management.
Dr. Stephen Milan, pulmonologist and medical director of the new intensivist program at West Boca Medical Center is interviewed about the new care being provided at the hospital. For more information about our services go to www.westbocamedctr.com.
This week, I sit down with Intensivist and Emergency Medicine Attending Dr. Haney Mallemat to discuss the importance of education and empowerment, the Bad Decisions to question your value and experience, and to share some lessons he's learned over his time on rounds and on social media. Connect with @criticalcarenow:Twitter - @CriticalCareNowFacebook - @CriticalCareNowIG - @CriticalCareNowTikTok - @CriticalCareNowYoutube - https://www.youtube.com/c/criticalcarenowWebsite - www.CriticalCareNow.com (free website of collective of educators) ResusX - ResusX.com (a conference for anyone involved in Emergency Medicine, Critical Care, and Resuscitation)Connect with Katie:Instagram - https://www.instagram.com/thekatiedukeFacebook - https://www.facebook.com/thekatiedukeWebsite - https://www.katiedukeonline.comLearn More:https://katieduke--theresumerx.thrivecart.com/the-np-society/ https://www.theresumerx.com/katieduke/See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.