Podcasts about micu

LEXINGTON, Ky. (March 5, 2025) — It's hard to believe it's been five years since the COVID-19 pandemic officially arrived in the Commonwealth – but on Friday, March 6, 2020, Gov. Andy Beshear confirmed the state's first COVID-19-positive patient and declared a state of emergency in Kentucky. And that first case was tested and diagnosed right here at the University of Kentucky Albert B. Chandler Hospital. That day began a grueling, years-long grind for medical professionals across the state, the country, and the world. Hospital systems struggled to keep up with surges of severely ill patients coming through their doors. Shortages of personal protective equipment, ventilators, ECMO machines, inpatient beds, and even health care providers themselves led to a type of global health crisis not seen in more than a century.   In today's episode of Behind the Blue, you'll hear from eight longtime employees from the medical side of UK's campus, ranging from administrators to frontline health care providers to researchers. We asked them to reflect on those scary, early days of the pandemic, how it impacted their professional and personal lives, and some of the lessons learned from living through such a significant moment in history. Let's meet our guests for this oral history of the COVID-19 pandemic at UK and in the Commonwealth.   Jenn Alonso has been at UK HealthCare for 13 years and has worked in the medicine intensive care unit (MICU) as a registered nurse since 2014. As a MICU nurse, she works alongside a team of physicians, nurses, therapists and other providers to take care of some of the most critically ill patients who come to UK HealthCare. Alonso was working in the MICU the day UK's first COVID-19 patient was admitted and was directly involved in frontline care for the sickest COVID-19 patients day in and day out.   Kim Blanton, D.N.P., is the chief nursing officer for UK Albert B. Chandler Hospital. Blanton began her nursing career at UK in 1998 in the neuro-trauma ICU and worked her way up through several nursing positions, including rapid response nursing, working as a division charge nurse and managing the cardiovascular stepdown unit. After briefly leaving UK to help create and run an ICU at a local rural hospital, she returned in 2011 as a hospital operations administrator before becoming the UK HealthCare enterprise director for Infection Prevention and Control (IPAC) and Quality and Safety. Blanton was serving in her IPAC role when the COVID-19 pandemic began and was instrumental in UK's COVID-19 response: She helped bring home UK students from abroad, called COVID-19 patients to help them navigate their care and quarantine, developed plans and processes for patient surges and PPE needs, and much more.   Kevin Hatton, M.D., Ph.D., is the chief medical officer for UK Albert B. Chandler Hospital. An anesthesiologist by training, he earned both his medical degree and doctorate of philosophydegree from UK. Including his time in residency, Dr. Hatton has worked at UK HealthCare for 21 years, serving in a variety of leadership roles in anesthesiology in critical care medicineprimarily for neurology and cardiovascular ICUs. When the pandemic began, he was serving as senior medical director for critical care services as well as was interim director for ECMO services. Initially, Hatton's role focused on training and preparing the anesthesia critical care team to help provide care for non-COVID ICU patients, as much of the medicine ICU staff's time was spent caring for COVID-positive inpatients. ECMO, the highest form of life support, is a machine that takes over function of a patient's damaged heart and/or lungs by removing a patient's blood, oxygenating it, and returning it into the body. Though ECMO is used on a daily basis at UK HealthCare, its use skyrocketed during the pandemic as patients whose lungs were severely damaged by the virus needed this highest form of life support. As interim director for ECMO services, Hatton and his team had to rapidly develop protocols and processes to use the limited number of ECMO machines to help the most patients possible.   Ashley Montgomery-Yates, M.D., has been physician in the UK Division of Pulmonary, Critical Care and Sleep Medicine since 2013. As a critical care physician, she works primarily in the MICU setting taking care of the sickest patients – people on ventilators, with multi-organ failure, post-operative complications, and more. In 2013, she launched UK HealthCare's ICURecovery Clinic, which helps patients who have been in the ICU navigate the follow-up care and resources they need to recover. At the time, UK HealthCare's ICU Recovery Clinic was just one of three in the nation. Montgomery-Yates is currently the senior vice chair for the Department of Internal Medicine. When the pandemic began, she had recently become the interim chief medical officer for inpatient and emergency services. In this role and as an ICU physician, Montgomery-Yates and her colleagues were heavily involved in the day-to-day care of inpatients with COVID-19. She was part of the team that launched UK's successful Mass Vaccination Clinic out at Kroger Field, and her ICU teams also helped guide the creation of UK HealthCare's brand-new MICU, which opened January 2024.   Meg Pyper is a division charge nurse with the UK Albert B. Chandler Hospital Emergency Department and has been with UK HealthCare Emergency Medicine since 2010. As a charge nurse, her role is like air traffic control for the ED — taking calls from EMS and local hospitals about incoming patients and transfers, determining what services that patient will need upon arrival, and notifying interdisciplinary team members to be prepared when those patients arrive. As a nurse, she was drawn to emergency medicine after seeing her favorite nurse mentors be “the calm in the chaos.” Pyper began in this role just weeks before the pandemic arrived in Kentucky, and she and her team were the first line of care COVID patients received when they arrived at UK Chandler Hospital.   Lindsay Ragsdale, M.D., is the chief medical officer for Kentucky Children's Hospital and chief of the Division of Pediatric Palliative Care. Since arriving at UK in 2013, she has worked to build a robust program that helps seriously ill young patients and their families by caring for them holistically – looking at their physical, mental, emotional and spiritual well-being, and helping them navigate the experience of being severely ill.  Ragsdale became the KCH CMO in 2021, right when the COVID-19 delta variant was beginning to affect children much more than previous variants had. She helped set up both the pediatric monoclonal antibody clinic that provided infusions to help protect high-risk pediatric patients, as well as the successful pediatric vaccine clinic, which provided COVID-19 vaccines for children in a playful, engaging environment.   Rob Sprang is the director of Kentucky TeleCare, a role he's held at UK since 1996. UK first began using telehealth services in 1995. Since then, telehealth has grown by leaps and bounds, but its use skyrocketed during the pandemic. Earlier days of telehealth were usually done facility-to-facility — however, the vastly improved technology and public acceptance of telehealth, along with new, more relaxed regulatory laws around its use has allowed telehealth to explode in popularity. When the pandemic hit Kentucky, Sprang and his team — along with countless ambulatory providers and staff – worked 24/7 for more than a week to get UK HealthCare clinics set up to offer telehealth so that patients could still see their providers without needing to go into the hospital or clinic. Telehealth was a critical element in helping to protect both patients and providers from potential exposure to COVID-19.   Vince Venditto, Ph.D., is an associate professor of pharmaceutical sciences in the UK College of Pharmacy with a background in chemistry, drug delivery, and vaccine development. In the early days of the pandemic, his work in blood analysis – looking for biomarkers for cardiovascular disease in up to 1,500 samples at a time – was adapted to do mass testing for COVID antibodies as a means of diagnosis. After PCR tests became the gold standard for diagnosing the disease, his work shifted again — this time to working with local pharmacies for surveillance of COVID out in Kentucky communities. Post-COVID, this project has evolved to include other infectious diseases and inflammatory conditions, and it focuses on increasing access to health care through Kentucky's network of pharmacies. It also has a new name: Pharmacy-based Recruitment Opportunities To Enhance Community Testing and Surveillance (PROTECTS). Venditto co-directs this project along with Brooke Hudspeth, Pharm.D., an associate professor of pharmacy practice and science. Venditto is also part of The Consortium for Understanding and Reducing Infectious Diseases in Kentucky (CURE-KY), which fosters multidisciplinary collaborations to address the burden of infectious diseases in the Commonwealth and beyond. This consortium was built on the heels of UK's COVID-19 Unified Research Experts (CURE) Alliance, which was quickly assembled in 2020 to support a full range of COVID-related research. -- Behind the Blue is available via a variety of podcast providers, including iTunes and Spotify. Become a subscriber to receive new episodes of “Behind the Blue” each week. UK's latest medical breakthroughs, research, artists and writers will be featured, along with the most important news impacting the university. Behind the Blue is a joint production of the University of Kentucky and UK HealthCare. Transcripts for this or other episodes of Behind the Blue can be downloaded from the show's blog page.  To discover how the University of Kentucky is advancing our Commonwealth, click here.  

Send us a textThe Peace & Prosperity Podcast is a bi-weekly conversation with Jason Phillips, LCSW, licensed therapist and confidence expert in Raleigh, NC, discussing all things related to self-love and self-confidence, and how we can improve ourselves personally and professionally.What does it take to thrive in the high-stakes world of nursing? Join Jason for an insightful conversation with his cousin Isaac, a registered nurse with 17 years of ICU experience. From community mental health to mastering MICU, neurotrauma, and surgical ICU, Isaac shares the pivotal moments that shaped his career, offering encouragement to those navigating healthcare challenges.We also tackle workplace mental health, the power of a strong support system, and strategies for managing high-functioning anxiety. Tune in for practical insights, and don't forget to like, share, and subscribe—let us know what topics you'd love to hear next!To stay connected with Jason and learn about coaching, connect with Jason on social media:Instagram - https://www.instagram.com/jphillipsmsw/Facebook - https://www.facebook.com/jphillipsmswVisit Jason's website for a consultation:Website -https://www.jasonlphillips.comTo book Jason to speak to your team or organization:https://peaceprosperitycoaching.hbportal.co/public/660d8068c9d2d600253b215b/1-InquirySupport the show

Micul urs trăiește fericit și liniștit în munți. El se joacă, descoperă lucruri noi în fiecare zi și, din când în când, lasă soarele strălucitor să îi mângâie blănița. Însă marelui urs nu-i place asta deloc. Micuțul ar trebui să învețe să se comporte ca un urs adevărat! Dar oare cum poți deveni un urs adevărat?

Article: Olson EM, Sanborn DM, Dyster TG, Kelm DJ, Murray SG, Santhosh L, DesJardin JT. Gender Disparities in Critical Care Procedure Training of Internal Medicine Residents. ATS Sch. 2023 Feb 13;4(2):164-176. doi: 10.34197/ats-scholar.2022-0025OC. PMID: 37538076; PMCID: PMC10394715. About our Guests: Dr. Emily Olson is a pulmonary and critical care medicine fellow at Northwestern Feinberg School of Medicine. She attended medical school at the University of Wisconsin School of Medicine and completed her internal medicine residency at Mayo Clinic in Rochester, Minnesota. In addition to her work on gender disparities in procedural training, Dr. Olson is interested in clinical feedback and transitions in medical education. Dr. Lekshmi Santhosh is an Associate Professor of Medicine in the Division of Pulmonary/Critical Care Medicine and the Division of Hospital Medicine at UCSF. She practices in the MICU, neuro ICU, on the Internal Medicine teaching wards, and at the Pulmonary Outpatient Faculty Practice at UCSF. Dr. Santhosh serves as the Curriculum APD for the Internal Medicine Residency and is an Associate Program Director of the Pulmonary and Critical Care Medicine Fellowship. Learning Objectives:By the end of this podcast, listeners should be able to:Define ‘mixed methods' in a research context.Explain why a researcher might choose focus groups instead of individual interviews for qualitative assessment.  Discuss factors contributing to implicit bias in procedural opportunities for trainees.Explain how implicit bias in educational opportunities might lead to a ‘leaky pipeline' for competitive subspecialties. Identify ways to truncate their implicit bias when offering procedures to trainees.References:Olson EM, Sanborn DM, Dyster TG, Kelm DJ, Murray SG, Santhosh L, DesJardin JT. Gender Disparities in Critical Care Procedure Training of Internal Medicine Residents. ATS Sch. 2023 Feb 13;4(2):164-176. doi: 10.34197/ats-scholar.2022-0025OC. PMID: 37538076; PMCID: PMC10394715.Olson EM, Kennedy CC, Kelm DJ. Assessment of Gender Parity: Leadership Representation in Pulmonary and Critical Care Medicine. J Womens Health (Larchmt). 2022 Mar;31(3):439-446. doi: 10.1089/jwh.2020.8982. Epub 2021 May 5Questions, 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.

Hinter dem heutigen Türchen verbirgt sich: M.A.S.H unterm Messer Viel Spaß beim Hören! Mit besten dank für die Einspieler an Daniel – https://fahrtensprecher.kruemelschubla.de/fs-073-camping-windmuehlen-abschleppdienst/ Jörn Schaar – https://pca.st/jbsow055 Flo Jonas Julia außerdem Soundschnipsel von Freesound.org: MICU beeps_MaryWashingtonHospital_Oct2011.aif by jgeralyn — https://freesound.org/s/143645/ — License: Attribution 3.0 gloves latex rubber snap.flac by kyles — https://freesound.org/s/637585/ — License: Creative Commons 0 Helicopter Landing and Idle by Fission9 — https://freesound.org/s/693866/ — License: Creative Commons 0

Hinter dem heutigen Türchen verbirgt sich: M.A.S.H unterm Messer Viel Spaß beim Hören! Mit besten dank für die Einspieler an Daniel – https://fahrtensprecher.kruemelschubla.de/fs-073-camping-windmuehlen-abschleppdienst/ Jörn Schaar – https://pca.st/jbsow055 Flo Jonas Julia außerdem Soundschnipsel von Freesound.org: MICU beeps_MaryWashingtonHospital_Oct2011.aif by jgeralyn — https://freesound.org/s/143645/ — License: Attribution 3.0 gloves latex rubber snap.flac by kyles — https://freesound.org/s/637585/ — License: Creative Commons 0 Helicopter Landing and Idle by Fission9 — https://freesound.org/s/693866/ — License: Creative Commons 0

Ever wondered what it's like to be in a BSN program today? In this episode, I interview Padraic Day, a current BSN nursing student who shares his firsthand experience balancing the classroom, clinicals, and his role as a nurse extern in the MICU.  What You'll Learn: What nursing school and clinicals are really like from a student's perspective. How working as a CNA prepares you for bedside nursing. What it's like to work as a nurse extern in a Medical ICU (MICU) while still in school. Whether you're a nursing student, aspiring nurse, or just curious about the path to becoming a nurse, this episode is packed with relatable insights and tips. And for those of us who have been around for a while, it's interesting to hear what nursing school is like in 2024! If you want access to ALL of our FreshRN resources, check out the FreshRN All-Access Pass ➡️ https://www.freshrn.com/all-access/  Free Nursing Resources

Adelina Fronea, Președintele Life Call, a primit cea mai mare minune: viață în pântecele ei! Micuțul Efrem, care va veni pe lume în luna iunie, este rodul rugăciunilor fierbinți la Sfântul Efrem cel Nou și la Sfântul Ierarh Nectarie. Dragilor, ne dorim ca toate femeile însărcinate să se bucure de minunea Vieții din pântecele lor ❤️ De aceea, Life Call s-a angajat să construiască Centrul Maternal - un proiect ambițios care necesită ajutorul și sprijinul comunității. La Centrul Maternal Life Call vom oferi pentru 50 de femei însărcinate aflate în nevoie:- consiliere psihologică și suport emoțional- un acoperiș deasupra capului, hrană și educație- îngrijire medicală specializată- ateliere de reconversie profesională.Vizionare plăcută!Pentru Pomelnice și Donații accesați: https://www.chilieathonita.ro/pomelnice-si-donatii/Pentru mai multe articole (texte, traduceri, podcasturi) vedeți https://www.chilieathonita.ro/

In deze aflevering zijn we te gast bij de feestelijke ingebruikname van de nieuwe Mobiele Intensive Care Unit (MICU) in Maastricht. Een sterk staaltje samenwerking tussen Ambulancezorg Limburg en MUMC+. Tim van Brandenburg gaat in gesprek met Iris Ummels, Physician Assistant Intensive Care in het MUMC+, Marco van Lijf, Ambulancechauffeur en rijtrainer en Fernand Tielens, Projectleider van de nieuwe Mobiele intensive Care Unit (MICU). Wil je nog meer weten over de MICU in Maastricht? check dan: De Mobiele Intensive Care Unit (MICU) | Intensive Care (mumc.nl) en Transporttypen | Intensive Care (mumc.nl) Heb jij een interessant onderwerp? Mail dan naar podcast@ambulancezorglimburg.nl!

Angioedema is defined by upper airway swelling secondary to an immune response. The trigger and subsequent physiological response are how we categorize it. In this podcast, we discuss how to diagnose and treat both types: IgE/Histamine-mediated and Bradykinin-mediated. We also touch on how to address the difficult airway that may or may not lead to intubation. All in all, do not fear angioedema but respect it. Get CE hours for our podcast episodes HERE! -------------------------------------------- Twitter @heavyhelmet Facebook @heavyliesthehelmet Instagram @heavyliesthehelmet Website heavyliesthehelmet.com Email contact@heavyliesthehelmet.com Disclaimer: The views, information, or opinions expressed on the Heavy Lies the Helmet podcast are solely those of the individuals involved and do not necessarily represent those of their employers and their employees. Heavy Lies the Helmet, LLC is not responsible for the accuracy of any information available for listening on this platform. The primary purpose of this series is to educate and inform, but it is not a substitute for your local laws, medical direction, or sound judgment. --------------------------------------------  Crystals VIP by From The Dust | https://soundcloud.com/ftdmusic Music promoted by https://www.free-stock-music.com

Seară de seară, Luna străluceşte, Iar micuţa zână La drum o porneşte! Micuţa zână a Lunii îi face pe toţi, de la mic la mare, să se bucure de odihna nopţii – cu o melodie dintr-o morişcă muzicală şi cu un praf magic strălucitor, care le aduce vise plăcute! --- Send in a voice message: https://podcasters.spotify.com/pod/show/cufarulcupovesti/message

Desde "Siccilia in bocca" con la actualidad del deporte más cercano. Entrevista a Micu.See omnystudio.com/listener for privacy information.

 In this episode, Gary Micu Jr, Founder of Micu Growth based in Detroit, Michigan, USA, shares his insights about: His journey from accountant, to loan officer, to owner and Founder of MicuGrowth that focuses on enabling businesses to growHow the pandemic catalysed massive changes in his life - all for the better!Why investing in your personal and professional development pays off in so many unexpected waysWhich numbers are the most important numbers for a business Practical tips for networking, especially if it is outside your comfort zone And much more! Connect with Gary Micu Jr on LinkedIn here. Connect with MicuGrowth here. Watch this episode on YouTube here.  Connect with Gary Ryan on LinkedIn here.   Contact Gary Ryan here. Download Gary Ryan's #1 Amazon Kindle Bestseller in AudioBook and eBook formats for FREE here.  If you would like support in creating a high-performance culture based on treating people as human beings, please click here to contact Gary Ryan

Nick Villalobos, MD is the medical director of the MICU and critical care ultrasound at the San Antonio Military Medical Center. His lecture focuses on renal ultrasound techniques and how renal ultrasound can be used in critically ill patients to assess kidney function.

Pat Hirsch, a nurse who has a depth of experience in critical care and PACU units, describes some of the common types of liability in this setting and how PACU personnel handle them. The possibility of falling always looms large in a PACU. Patients may be disoriented, have pre-existing cognitive issues, visual disturbances, language barriers, and other issues. Where Pat works, low-, medium-, and high-risk patients are pre-identified. High-risk patients are given yellow socks and wrist bands, and other precautions are set into place. Breathing issues may be common for those with COPD, lung restrictive conditions, and sleep apnea. CO2 levels must be monitored. Many simple physical techniques, like having a conscious patient cough, can resolve the issues, but sometimes more complex maneuvers are required. Being sure that pulse ox monitors are working correctly is an important part of the equation. PACU personnel need to be particularly aware of the possibility of internal bleeding by recognizing its signs. This serious condition may sometimes require a return to surgery. Be sure to listen to or read this valuable and instructive podcast. Not only will it help you in analyzing PACU cases, but the life you save may be your own. Join me in this episode of Liability and Safety in PACU: Insights from an LNC with Pat Hirsch What classifies a post-anesthesia patient as a fall risk? What measures can prevent falls in the postoperative care unit (PACU)? How do PACU personnel handle breathing issues? What particular guidelines apply for the pulse ox readings? How do PACU personnel recognize and deal with internal bleeding? Listen to our podcasts or watch them using our app, Expert.edu, available at legalnursebusiness.com/expertedu. https://youtu.be/z6a4pqNcJMY You can still order the recordings for our 7th Virtual Conference! LNC Success™ is a Virtual Conference 3-day event designed for legal nurse consultants just like you! Pat Iyer and Barbara Levin put together THE first Legal Nurse Consulting Virtual Conference in July 2020. They are back with their 7th all-new conference based on what attendees said they'd find most valuable. This new implementation and networking event is designed for LNCs at any stage in their career. Build your expertise, attract higher-paying attorney clients, and take your business to the next level. After the LNC Success™ Virtual Conference, you will leave with clarity, confidence, and an effective step-by-step action plan that you can immediately implement in your business. Your Presenter of Liability and Safety in PACU: Insights from an LNC with Pat Hirsch My name is Patricia Hirsch and I'm from Cincinnati, OH. I've been an active bedside nurse for almost 39 years. My nursing experience includes Med-Surg, Telemetry, CCU, ICU, MICU, SICU, ED, Pre op and PACU. I've been working in a PACU for the past 16 years, along with pre op in the past 10 years. My clinical experience in Critical Care and PeriOp nursing has fostered my knowledge of the nursing process and standards of care in nursing.I also worked in many different hospital settings and worked for a nursing agency for 10 years. This broadened my knowledge in how different healthcare systems operate.I am also proficient in EPIC, and know how to navigate the EMR. This comes in handy when teaching clients how to understand the EMR! Connect with Pat https://www.linkedin.com/in/patricia-hirsch-67712153

În acest episod, vorbesc despre copilăria lui Nicolae Ceaușescu și ascensiunea lui înspre cele mai înalte funcții de partid. Aflat la București și muncind ca ucenic de cizmar, el e atras de mișcarea comunistă. Arestat de mai multe ori, tânărul arată o determinare și o fidelitate remarcabilă față de partid. La Doftana și în alte penitenciare, e luat sub aripa "greilor", care îl simpatizează. După intrarea în legalitate a partidului, prietenia cu ilegaliștii din închisori se dovedește a fi tare utilă, iar Ceaușescu devine, până la 36 de ani, al doilea om în Partid. Pe plan politic, e plăcut a fi omul care numește oameni în funcții. Viața devine și ea mai dulce, familia Ceaușescu bucurându-se de ani buni și fericiți.Support the show

En Música de Contrabando, revista diaria de música en Onda Regional de Murcia (orm.es; 23,05h a 01,00h)a Canadá es el país invitado en la 28 edición de La Mar de Músicas, que se celebrará del 14 al 22 de julio . Hoy han compartido el cartel completo: Fito Páez, Rozalén, Rodrigo Cuevas, Fatoumata Diawara, Calamaro, Rubén Blades, Owen Pallet, Arde Bogotá, Silvana Estrada, November Ultra o Silvia Pérez Cruz son algunos de los nombres más destacados del cartel. El festival rendirá homenaje a Lola Flores y a Víctor Jara, por el cincuenta aniversario de su asesinato,Noel Gallagher's High Flying Birds lanzan hoy el nuevo sencillo 'Council Skies', poderosa canción principal extraída del esperado nuevo álbum de estudio, que se lanzará el 2 de junio. Foo Fighters regresan con But here we are, su primer álbum tras la muerte del batería Taylor Hawkins, y presentan “Rescued”, avance de su nuevo disco. Surfin´Bichos lanza nuevo adelanto del disco, "Luz del Mediterráneo". "Canción de muerte del Pez Dorado" es el nuevo avance del sexto disco de Triángulo de Amor Bizarro, "Sed", que se publica el 2 de Junio. Claim presenta EL DORADO, el primer adelanto de su segundo LP, que se publicará en octubre de 2023 con Son Buenos, que habla de enfrentarse a la madurez y a los retos que conlleva las responsabilidades y los miedos de estar a la altura en algún momento clave de la vida..En la agenda de conciertos destacamos a Rufus Wainwright, osele Santiago, Lapido, Nacho Vegas, iNña Coyote eta Chico tornado, La Trinidad , Momentos Alhambra (Alondra Bentley), Orslok, Sam, Germán Meoro, Festival Primavera Lorca.El Warm Up Festival 2023 arranca el 28 de abril y hablamos con su director José Piñero de sus principales novedades (Franz Ferdinand, Yo La Tengo, Viva Suecia, Second, Hot Chip).Este sábado celebra el Azáutor 2023, la segunda edición del certamen Nacional de Cantautores de Abarán q, que tendrá co o artista invitado a Pedro Guerra, y cuyos finalistas (Andrés Iwasaki, Beatriz González, Luismi Partera, y Micu y María) nos presenta Pablo Martínez, que es también autor de 'AzáRock Rockumenta: más de 100 maquetas se han presentado de todo el país, y de algunas procedentes de Latinoamérica.

In this episode, we explore the world of critical care nursing and anesthesia with a special focus on MICU nursing and CRNA. Jenny Finnell shares her in-depth knowledge and experience in caring for critically ill patients and administering anesthesia for surgeries and other medical procedures. We also delve into the challenges and rewards of working in these high-stress, high-stakes environments. From school and bedside experience to the emotional toll of dealing with life and death situations, our conversation covers it all. Whether you're a healthcare professional or simply interested in the field, this episode offers valuable insights into the world of MICU nursing and CRNA. Tune in now to learn more Book a call with Jenny and CRNA School Prep Academy: https://crnaschoolprepacademy.com/ Nurses Teach Nurses: https://app.nursesteachnurses.com/ Timestamps 00:00 Introduction 03:01 About Jenny Finnell 04:18 The Incredible Benefits of Pursuing a Career as a CRNA 05:58 What is the Environment of an Open Heart Surgery looks like 09:23 The real responsibities of CRNA's 12:12 What does a life of a CRNA looks like 14:33 Patient Care Differences Between Adults and Children 16:39 Tips to becoming a CRNA 19:13 How to Boost Your Confidence and Conquer Your Insecurities 25:29 Experiences That Paved the Way to Becoming a CRNA 27:58 Reasons Why Nurses Leave Bedside Care 32:47 The Benefits of Seeking Professional Help from Experienced Healthcare Professionals 36:30 Who are the Nurses teach nurses for 39:36 What is "CRNA School Prep Academy" all about 43:20 Things that needs improvement in nursing 45:44 Wrapping up the show 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

It is time to move on from the pursuit of iconic architecture. The issues keeping our clients and collaborators up at night are the same things pushing our cities closer to the cusp of wholesale change. Things like the competition around attracting and keeping great tenants, providing magnetic experiences and destination workplaces in uncertain times, dealing with 'great bones' in a building and delivering sustainable spaces are all complex, and often perplexing, challenges. Challenging the building industry to create the momentum our cities will need for people and nature to thrive together, Senior Associate Razvan I. Ghilic-Micu spoke to a cross-industry audience of property owners, managers, developers and creators at TRANSFORM, the Green Building Council of Australia's event for sustainable built environments. With insights from 'From Ordinary to Extraordinary: A New Iconicity', Razvan was joined by Samantha Peart to talk about the key ingredients needed for this evolution to take place.  

A fost odată ca niciodată, într-un oraş nici prea mare, nici prea mic, o grădină zoologică. În ea trăiau o mulţime de animale diferite, aduse din toată lumea. Iar printre ele se afla şi o micuţă căprioară. Fusese adusă acolo dintr-o pădure îndepărtată, pe când era doar un pui. Nu văzuse niciodată lumea mare şi frumoasă din afara grădinii, doar auzise despre ea de la prietenii săi din celelalte cuşti. Dar asta avea să se schimbe curând căci, într-o noapte senină, a găsit poarta descuiată! Va îndrăzni oare să-şi părăsească cuşca? --- Send in a voice message: https://podcasters.spotify.com/pod/show/cufarulcupovesti/message

Dințișorul de lapte al Laurei a căzut în sfârșit!  Când se duce la culcare, ar trebui să și-l pună sub pernă. Apoi va primi în schimbul lui un cadou deosebit de la Zâna Măseluță. Dar Laura ar vrea să  păstreze dințișorul.  În definitiv, la ce îi trebuie micuței Zâne Măseluță dintele ei?În cele din urmă, Laura va afla că zâna are nevoie de dințișorul ei alb pentru orașul dinților de lapte de pe tărâmul zânelor! --- Send in a voice message: https://podcasters.spotify.com/pod/show/cufarulcupovesti/message

Episode #248 features artist & clothing designer Michael Burin aka Micu.NYC. He's done work with Zelooperz, LAAMS and more. His work in inspired by PS1 & PS2 era video games, a Post Soviet world and more. You can follow him on social media @micu.nyc!

Morning Glory - 14.12.2022 - invitat Micuțu

Morning Glory - 14.12.2022 - invitat Micuțu

Aproape a sosit Craciunul. Un mic grup de pomi il asteapta cu nerabdare pe vanzatorul de brazi de Craciun. In ce casa vor ajunge? Si ce cadouri vor fi asezate sub ramurile lor? De un lucru sunt siguri: dragul lor prieten, Micutul Pom, este inca prea mic pentru a deveni un brad de Craciun anul acesta. Oare au dreptate? --- Send in a voice message: https://anchor.fm/cufarulcupovesti/message

After nearly 3 years of low disease burden, respiratory syncytial virus (RSV) and influenza are infecting children at extraordinarily high levels, leading to frequent hospitalizations and overburdened children's hospitals around the world. During prior waves of the COVID-19 pandemic, pediatric intensive care units (PICUs) supported adult critical care by admitting younger adults. In this webinar, experts discuss the epidemiology and clinical management of RSV infection in the PICU. They also discuss how adult ICUs can return the favor to PICUs, assisting with the care of critically ill adolescents and helping preserve systems of care for all children. Moderator: Ryan C. Maves, MD, FCCP Panelists: Mary A. King, MD, MPH, and Deanna Behrens, MD This webinar was developed by the Disaster Response and Global Health Section of CHEST's Chest Infections and Disaster Response Network.

Micuţele personaje, Bobiță și Buburuză sunt cuprinse de febra aşteptării lui Moş Crăciun. Ele îşi pregătesc încălţările pentru ca Moşul să le poată oferi cadourile. --- Send in a voice message: https://anchor.fm/cufarulcupovesti/message

A venit rândul Micuței Bufnițe să facă o surpriză de Crăciun familiei sale. Dar oare ce surpriză? Ea s-a gândit să invite toate animalele din pădure pentru a petrece Crăciunul cu familia sa. Mama Bufniță îi sugerează să le trimită scrisori tuturor animalelor din pădure. Oare vor accepta invitația Micuței Bufnițe? --- Send in a voice message: https://anchor.fm/cufarulcupovesti/message

Rhabdomyolysis is a condition in which skeletal muscle cells break down and leak their contents into the extracellular space and bloodstream. I usually saw this complex condition in the MICU due to patients who were “found down” and had been lying in one position, completely immobile, for extended periods of time. In this episode you'll learn: The causes of rhabdomyolysis (there are a lot!) Pathophysiology Rhabdomyolysis complications Signs and symptoms of rhabdomyolysis Key assessments Lab tests used to diagnose and monitor the condition Treatments Important education components This is a complex topic with a lot to know, so check out the downloadable study guide that goes along with this lesson. Learn how to get your Power Guide here. Want to maximize your learning by reading this information, too? Check out the article and references here. RATE, REVIEW AND FOLLOW! If this episode helped you, please take a moment to rate and review the show! This helps others find the podcast, which helps me help even more people :-) Click here, scroll to the bottom, then simply tap to rate with 5 stars and select, "write a review." I'd love to hear how the podcast has helped you! If you're not following yet, what are you waiting for? It takes just a quick moment and the episodes show up like magic every Thursday. And, when I release a bonus episode, those show up, too! You'll never miss a thing! In Apple Podcasts, just click on the three little dots in the upper right corner here. Know someone who would also love to study with me? Share the show or share specific episodes with your classmates...when we all work together, we all succeed! On Apple Podcasts, the SHARE link is in the same drop-down as the follow link. Spread the love! Thanks for studying with me! Nurse Mo

“I would like to share with you a field recording from my garden in NW London. It features this garden furniture cover and raindrops tap dancing on it during a […]

El especial de este mes en Achilitime gira en torno a la figura del productor gitano más avanzado del planeta según Txarly Brown: Jack Jean Tarradellas "Jack Chakataga" Escoudé (Barcelona, 14/6/1984) hijo del mítico Johnny Tarradellas "Chipén". Jack es una figura imprescindible para entender la evolución de la rumba y el flamenco en el siglo XXI en nuestro país. Su curriculum es tan extenso como el de Pharrell. Un productor vocacional es el que no mira nunca el reloj en su estudio. Jack no sabe si es de día o de noche. Aparece con tan solo ocho años en los créditos de No Sólo de Rumba Vive el Hombre (BMG, 1992) de Albert Pla como corista. Su primer encuentro con los controles de un estudio de grabación se remontan al disco coral ideado por su padre, Som la Rumba (Zanfonia, 2000) con 16 años. Antes ya había formado su primer combo rumbero, Chipimaya, a duo con Chiqui Amaya hijo de José de Los Amaya. Más tarde cursa estudios musicales en el Taller de Mùsics donde forma (entre otros muchos) el proyecto de corte flamenco latin jazz Chakataga; uno de rumba arabesca junto músicos amazighs, Rumbamazigha, y otro de recuperación del legado de la rumba catalana con Rumba Vella. Todos ellos editan más de un disco que él mismo graba y arregla. También forma parte fundamental del proyecto Banda Achilifunk y actualmente del Achilifunk Sound System. Paralelamente arranca su carrera como productor, técnico de sonido y arreglista convirtiéndose en el pluriempleado más prolifico de la escena rumbera. Por sus manos han pasado Lady Gipsy, Sabor de Gràcia, Arrels de Gràcia, Viejos Rumberos, Micu, Ai Marai, Revolución, Manuel Malou, 4 de la Cera, Ramonet, Peret, Chacho y una lista interminable... También podemos otorgarle el mérito de ser el primero en grabar a Rosalía cantando Herois Obscurs en el disco Or Verd (Temps Record, 2014). Para más "inri", toca con solvencia prácticamente todos los instrumentos conocidos y si no, aprende en el tiempo que tarda en sujetarlos. Y es el inductor a la rumba y el flamenco de todo tipo de músicos: del pop al jazz. Algo así como lo que hizo Víctor Martínez en la mutación de C Tangana a la rumba: Musical Box, Handclaps, Guitar, Keyboards, Flamenco Guitar [Spanish Guitar], Electric Bass, Classical Guitar, Congas, Bongos, Bells, Maracas, Guiro, Backing Vocals, Timbales, Claves, Voice, Effects [Flamenco Percussion], Rhythm Guitar & Drums. Eso consta en los créditos.Veamos lo que hace Jack en un año de trabajo. Estamos en 2022. El programa de hoy recoge algunos de esos momentos. Desde sus conocimientos musicales y su bagaje sonoro, recrea y reinterpreta estilos dispares con una versatilidad y soltura impresionante. Arrancamos con el track que marcará el futuro presente. Cuando el rumbatón (o flamencotón) y la kinkydelia electrónica andaluza ya son mainstream (Tangana / Califato) Jack los adelanta a todos por la izquierda y se saca de la manga un taladro con adornos flamencos que dinamita las redes: Gipsy Drill. Jack hace tiempo que está a la vanguardia, a pesar de que nadie se entere de ello. Quizás su modestia y el no vivir a sueldo de una multinacional lo hacen único. Su espíritu libre y su caos vital lo acercan al genio indomable que siempre está un paso por delante. Si alguien se ofende lo sentimos, pero en este país de "catetos" Stromae o Tyler The Creator serian camareros. España es esa monarquía bananera en el que el Ministro de Cultura tiene menos ídem que un youtuber y lo más bochornoso es que no se avergüenza de ello. Eso lo explica todo.Volvamos al tracklist. Alternaremos a A93 con las 4th music sessions: trap, drill y rumbaton de salida a toda velocidad. Pasando por las baladas electrónicas de Iria M caeremos en la electrónica arabesca experimental. Con ella nos mudaremos al anime japonés. Lo de Jack es realmente de otro planeta: trasladar al flamenco sintonías de videojuegos. Otro salto estilístico: de la sintonía del Festival Flamenco Trocadero de Sotogrande de aire salsero gitano caeremos en la copla modernizada de Manuel Fernandez y su Bien Pagá. Repite Iria M, la musa de Jack (que en cuanto la descubra una multinacional volará hasta la luna). Sigue el programa con un surtido de rumbas al estilo moderno, sumándole samba, electrónica, balkan beats, metales preciosos, catalanismo o lo que haga falta, Jack siempre sorprende. Hasta Machado sucumbe al taladro. Y como colofón una sinfonía experimental de flamenco jazz. Talento en estado puro. Estos son algunos proyectos recientes, no es un "Lo Mejor de..." porque sería imposible sintetizar su carrera en una sola hora. Simplemente es un muestrario reciente de la extraordinaria versatilidad del mejor productor gitano en activo. Un crack.

Poveștile de adormit adulți, după cum le spune și numele, sunt o serie de audiobook-uri video pe care poți să le asculți seara la culcare, în pauza de prânz la mâncare sau dimineața pe răcoare.

In this episode, Hunter Jefferis, MICU nurse manager, and Levi Wynn, MICU assistant nurse manager at The Ohio State University Wexner Medical Center, discuss the power of presence, leading through innovation and changing people's perspectives — even when you're new to your leadership role.This episode is brought to you by: AACN's Online Community Forums, with information available atwww.aacn.org/onlinecommunity 

EMISIUNE SUSȚINUTĂ DE ACADEMIE VIE Vrei să Scrii Texte Eficiente pe Internet? Înscrie-te la Copywriting Funcțional și află cum Transformi Cuvintele în Bani chiar dacă ai 5 la Română. Ai 30% Reducere la Abonamentul Anual. Cea mai mare Reducere evăr special pentru tine și comunitatea Unu Noaptea. Economisești 64,7€ și plătești 150,95€ în loc de 215,64€. Ce să faci? ♦ Click aici: https://bit.ly/3LQ40hH ♦ Alege Abonamentul Anual ♦ Aplică Codul: 1NOAPTEA ♦ Primește 30% Reducere Cunoaște totul despre Top 5 Servicii de Copywriting cu cea mai mare cerere în Moldova și România. _____________ VICTOR MICUȘA:

I worked in the MICU for about eight years and most of my patients had some kind of respiratory involvement. For some it was pneumonia, for others it was ARDS, and some were simply on a ventilator because of a neurological impairment. Needless to say, I got really good at respiratory assessments. In this episode I'm sharing my best tips for conducting a respiratory assessment step-by-step. Want to maximize your learning by reading this information, too? Check out the article and references. Study Sesh: Get the podcast that truly changes the way you study!     RATE, REVIEW AND FOLLOW! If this episode helped you, please take a moment to rate and review the show! This helps others find the podcast, which helps me help even more people :-) Click here, scroll to the bottom, then simply tap to rate with 5 stars and select, "write a review." I'd love to hear how the podcast has helped you! If you're not following yet, what are you waiting for? It takes just a quick moment and the episodes show up like magic every Thursday. And, when I release a bonus episode, those show up, too! You'll never miss a thing! In Apple Podcasts, just click on the three little dots in the upper right corner here. Know someone who would also love to study with me? Share the show or share specific episodes with your classmates...when we all work together, we all succeed! On Apple Podcasts, the SHARE link is in the same drop-down as the follow link. Spread the love! Thanks for studying with me! Nurse Mo

Maya Noelle Prediger este personajul principal al primului film fantastic produs in Romania. „Copacul Dorinţelor: Amintiri din Copilărie” este o poveste care ilustrează călătoria magică a unei tinere paciente ce reuşeşte să evadeze din suferinţa unei boli incurabile. Micuţa Mara merge în lumea fantastică a satului Humuleşti, aşa cum este el prezentat în cea mai cunoscută carte a lui Ion Creangă: Amintiri din Copilărie. În distribuţie îi veţi găsi pe actorii: Maya Prediger (personajul principal), Teodor Corban, Matei Dima (Bromania), Cosmin Nedelcu (Micutzu'), Grigorie Silişteanu, Corneliu Ulici, Ada Condeescu, Irina Margareta Nistor.

The police watchdog has said it will not be investigating the contact Kent Police had with a couple before they died in a suspected 'murder-suicide'. Catalin Micu and his wife Ramona Stoia were discovered at GothInk in Canterbury last week. It emerged 54-year-old Micu was on bail and facing allegations of raping his wife. Hear what the IOPC has said in a statement and from our reporter who's been reading tributes left outside the studio. Also in today's podcast, a trainee Kent police officer who drove drunk after a barbecue, and another who lied to police about it, have been found guilty of gross misconduct. The government's plan to send some asylum seekers who arrive in Kent via small boats crossing the Channel to Rwanda is still causing controversy. Former PM Theresa May is the latest to speak out. The fall out from Partygate continues - hear from a Kent MP who has accused Boris Johnson of delivering a "pantomime performance" while meeting with backbenchers last night. Hundreds of The Wanted fans have lined the streets in south-east London to pay their respects to Tom Parker ahead of his funeral. The 33-year-old, who was patron of a Kent charity, died last month after being diagnosed with a brain tumour. The group in charge of planning for emergencies in Kent have told the podcast they are continuing to put pressure on government to come up with a solution to Operation Brock. The system of parking lorries on the M20 when they can't cross the Channel has been in place for 20 days now. Our business editor Chris Britcher has been speaking to the tactical lead of the Kent Resilience Forum. And find out why a Canterbury taxi driver isn't happy about calls for their vehicles to be electric.

On this episode, we dove into the world of anesthesia and what it means to be a CRNA. Special guest, Blaise Sims MSN MBA, CRNA, joined us to talk about his CRNA career, outline common misconceptions about CRNA, share tips and advice for new CRNAs, and more.We Discuss(0:00) Introduction(2:07) Did Blaise Always Know He Wanted to Be a CRNA?(3:40) What is CRNA School Like(9:10) Imposter Syndrome When Starting Out(13:00) CRNA School Prerequisites(14:18) Common Misconceptions About CRNA(22:13) What Assessments Do You Have During Surgery(27:55) How Much Variety Do You See in Your Day(33:11) Most Difficult CRNA Procedures(44:05) Logistics of Being a CRNA(49:17) 24hr Shifts as a CRNA(52:10) Difference Between 1099 vs W2 Nurses(57:03) Tips & Advice for New CRNAsAbout Blaise Sims MSN, MBA, CRNABlaise is a CRNA currently working as site chief in the Houston Gulf Coast region, nine years into his anesthesia practice. Before anesthesia, he worked as an ER tech and RN intern, then as an RN he worked in a trauma neuro ICU full time and worked PRN in the MICU, SICU, CICU, and ER. His previous anesthesia experience includes working at the Debakey Heart and Vascular Institute where he performed Heart, Lung, and Kidney transplants as well as all major aorta and vascular procedures. In December of 2020, Blaise graduated from LSUS with a Master's in Business Administration (MBA). He chose to pursue his MBA to educate himself for future leadership opportunities and obtain a more comprehensive understanding of the business side of healthcare and anesthesia. He gives back to the nursing community by mentoring young RNs new to their career, providing guidance and advice. He also has a charity that performs service trips in areas of need abroad. These service trips provide critical access to surgeries otherwise not available. They also provide amazing learning opportunities for the volunteer RNs that participate. When not working, Blaise is married with two children. His wife and kiddos are the reason behind everything he does. Where to Find Blaise OnlineInstagramLinkedInHis Charity's WebsiteAbout the ShowProducer – Jonathan Cary Assistant Producer – Katie SchraubenAssistant Producer – Sam MacKay Powered by American Mobile

Are you wondering what the difference between the medical and surgical ICUs is? Then watch this. I'm going to make a quick comparison between the MICU and SICU to help you figure out which nursing job you should pick. Some links mentioned below are affiliate links.

Poveste ecologică Text și voce Mariana Lucinschi

On Episode 6 of "Strange Times: Residency Training in the Time of COVID," Marco and Conner are joined by Dr. Brett (current UIC IM PGY-2) to discuss her early MICU rotation, her overall residency experience, and the effect of COVID on her training (originally recorded in June 2021).

Vacanță, soare, festival, laser, ochi, mâncare, masaj. După o pauză nemeritată, ne întoarcem pe micile, mediile și marile ecrane (depinde pe ce vă uitați la youtube) cu un podcast despre noi. Că ce altceva să și facem în valul 4?

Have you ever watched a relentlessly clever squirrel outwit a squirrel-proof bird feeder? Few things are more entertaining. In fact, stumping squirrels is big business, and studying how different squirrel personalities respond to environmental challenges is actually some people's day job. And yes, you read that right: "squirrel personalities." Finally, scientists have the intellectual freedom to admit animals have personalities. In today's episode, Ann and Lisa discuss animal personality science in the context of squirrels. We also introduce you to the four game show contestants, Rick, Marty, Frank, and Phat Gus, who competed in an obstacle course for a cache prize of walnuts. Bored and isolated during the early days of the pandemic, YouTube engineer and inventor. Mark Rober decided to become a birdwatcher, but before he knew it, he was producing and hosting a crazy new YouTube show, Backyard Squirrel Maze 1.0: Ninja Warrior Course.  Want to follow up on our sources or watch any of the videos we mention? Go to ThisAnimalLife.com and click on Show Notes.   Aliperti, Jaclyn R., et. al., “Bridging animal personality with space use and resource use in a free-ranging population of an asocial ground squirrel,” Science Direct, Vol. 180, October 2021.  Darwin, Charles, essay, “The Expression of the Emotions in Man and Animals,” Darwin Online, 1872. Ebert, Roger, review of “Day of the Jackal,” Roger Eber. Com, July 1973. “One hell of an exciting movie.” Kerlin, Kat, “Personality Matters, Even for Squirrels,” UC Davis, September 2021. Luckey, Bud, animator, “Sesame Street: That's About the Size,” YouTube. Luscomb, Richard, “Squirrels have human-like personality traits,” The Guardian, September 2021. “Meerkat Manor,” Wikipedia page. Micu, Alexandra, “Understanding squirrel Personalities can help us better protect endangered species,” ZME Science, September 22, 2021. Morgan, Lloyd, “Morgan's Canon,” Oxford Reference. O'Leary, Denyse, “Why Do Researchers Wonder Whether Animals Have Personalities?” Mind Matters, February 2021. Rober, Mark, “Backyard Squirrel Maze 1.0: Ninja Warrior Course,” YouTube, May 24, 2020. Shivik, John A., “Do animals have personalities? Why scientists are starting to admit they do,”  NBC News, December 2017. Sorcerer, directed by William Friedkin, starring Roy Scheider, Universal Pictures and Paramount, 1977. Be patient with the early backstories or just skip them till Roy gets to the jungle. Young, Miriam, Miss Suzy #1, Purple House Press, 1964, 2004.

Featured Guest: Michelle Castillo, BSRT, RRT  COVID Relief Travel RRT We interviewed Michelle, a COVID relief Travel RRT, who was presently working in Miami, FL. With 10 years experienced in Respiratory Care, she has been able to experience life and work in various hospital settings including NICU, PICU, ER, TRAUMA, MICU, CVICU, and is highly experienced in COVID-19 lung management.

Months after the winter surge, hope was still hard to come by for many of the healthcare workers in the MICU. The new normal of the unit under COVID-19 was pushing even some of the most veteran staff to their limits. Charge Christy Mulder turns to her faith to help her through until she received the first dose of the COVID vaccine in the state. The first shot would bolster the unit and give a new sense of hope while bringing them closer to one another. See new images from inside the Medical Intensive Care Unit during the shift change in Dark's multimedia piece Keep Breathing.

Months after the winter surge, hope was still hard to come by for many of the healthcare workers in the MICU. The new normal of the unit under COVID-19 was pushing even some of the most veteran staff to their limits. Charge Christy Mulder turns to her faith to help her through until she received the first dose of the COVID vaccine in the state. The first shot would bolster the unit and give a new sense of hope while bringing them closer to one another. See new images from inside the Medical Intensive Care Unit during the shift change in Dark's multimedia piece

March 19 marked one year since the Ohio State Medical Intensive Care (MICU) team cared for their first COVID-19 positive patient. Every day since, the team has been caring for our most critically ill COVID-19 patients. To mark this milestone in the battle, several members of the team took time out of their regular MICU duties recently to honor their one-year COVID-19 journey to help with the vaccination efforts. The team wanted to see the pandemic come full circle and do their part by administering vaccinations to the community that could have saved the lives of patients they lost.

During our visit to the MICU, the strain and struggle against an increasingly mortal virus was painfully apparent. During the Winter surge of 2020, nurses and frontline workers faced death in a volume that few had experienced before; whether accompanying relatives and patients in their final moments over video call or the long trip to the morgue. Even so, MICU staff found optimism in one another and in the promise of a vaccine on the horizon. See new images from inside the Medical Intensive Care Unit during the shift change in Dark's multimedia piece Keep Breathing.

During our visit to the MICU, the strain and struggle against an increasingly mortal virus was painfully apparent. During the Winter surge of 2020, nurses and frontline workers faced death in a volume that few had experienced before; whether accompanying relatives and patients in their final moments over video call or the long trip to the morgue. Even so, MICU staff found optimism in one another and in the promise of a vaccine on the horizon. See new images from inside the Medical Intensive Care Unit during the shift change in Dark's multimedia piece

By December of 2020, the winter surge of COVID-19 patients had finally arrived in Utah and frontline workers at University Hospital were bearing the brunt of a new wave of critically ill patients. Producers Stephen Dark and Mitch Sears visited the MICU during an early morning shift change on December 10th, to see firsthand how staff were coping with the increased pressure on both veteran caregivers and one young nurse whose first full-time nursing position since graduation was at the MICU in the teeth of the pandemic. See new images from inside the Medical Intensive Care Unit during the shift change in Dark's multimedia piece Keep Breathing.

By December of 2020, the winter surge of COVID-19 patients had finally arrived in Utah and frontline workers at University Hospital were bearing the brunt of a new wave of critically ill patients. Producers Stephen Dark and Mitch Sears visited the MICU during an early morning shift change on December 10th, to see firsthand how staff were coping with the increased pressure on both veteran caregivers and one young nurse whose first full-time nursing position since graduation was at the MICU in the teeth of the pandemic. See new images from inside the Medical Intensive Care Unit during the shift change in Dark's multimedia piece

Aquest jove barcelon

Aquest jove barcelon

This wide-ranging episode, covering many angles of how we should consider doing less interventions to our patients and more transparent communication to their families, features US intensivist Todd Rice. Dr Todd Rice, is an Associate Professor of Medicine in the Division of Allergy, Pulmonary, and Critical Care Medicine at Vanderbilt University Medical Center (VUMC) in Nashville, Tennessee. Todd is a clinical intensivist, the Director of the Medical ICU (MICU) and the Medical ECMO Program, and leads VUMC’s MICU strategy for the care of COVID-19 patients. In addition, Todd leads a substantial research program as a clinician scientist, and is co-chair of the Learning Healthcare System at Vanderbilt where the motto is "Learn What We Do and Do What We Learn." Professionally, he is proud of the evidence he has generated to improve the care of critically ill patients and the mentorship he has provided to other physician scientists. He loves ice hockey (watching, not playing) and is completely into enjoying life with his two sons. Todd graduated from the University of Notre Dame and completed Internal Medicine residency at Indiana University School of Medicine. He completed Pulmonary and Critical Care Medicine fellowship training at Vanderbilt University where he obtained a Master’s of Science in Clinical Investigation. Other roles Todd serves in include: President of the American Society of Parenteral and Enteral Nutrition Vice President for Clinical Trial Innovation and Operations in the Vanderbilt Institute for Clinical and Translational Research (VICTR) Critical care principal investigator for the Prevention and Early Treatment of Acute Lung injury (PETAL) clinical center at VUMC Medical Director of VUMC’s Human Research Protections Program Todd and I recorded this conversation in March 2020, just before the COVID-19 impacted fully in our respective countries. I didn’t feel I should put this episode out during the crisis of 2020 so I held it back until now. I also asked Todd if I could interview him a second time now (in February 2021) to freshen up the interview with some perspectives on how COVID-19 has affected he and his colleagues in Nashville. I hope you will gain immense value from what Todd speaks about on this episode, including: Why he’s considered an ICU junkie and how he’s changed over the years The principle of “Don’t just do something, stand there” Understanding the confidence/competence balance His 4 box method of understanding a critically ill patient’s situation The concept of the second victim with mistakes How transparency to families builds substantial trust Why he praises nurses in front of patient’s families The structure of the ward round at his ICU The importance of empowering nurses to ask questions His note-writing practice, and it’s benefits and risks His practice to look after himself during periods of clinical service The benefit of a mix of clinical and research work The importance of pragmatic trials studying things we are already doing His institution’s Learning Healthcare System and how it is used Some overall career tips How COVID-19 has affected his ICU How the ICU team is taking care of each other His ICUs struggle with harsh visitor restrictions and how they relaxed these safely   Please enjoy listening to Todd Rice.   Andrew Davies   --------------------   About the Mastering Intensive Care podcast: The podcast aims to inspire and empower you, through conversations about the human side of Intensive Care, to bring your best self to the Intensive Care bedside, with a focus on compassion, collaboration and personal wellbeing.   --------------------   Links related to Todd Rice Todd Rice Todd Rice on Twitter @toddrice_icu   Links to other resources (in order of mentioning) ANZICS Clinical Trials Group ARDSnet low tidal volume strategy study EDEN study TARGET study PERMIT study   Links related to Mastering Intensive Care podcast Mastering Intensive Care podcast Mastering Intensive Care page on Facebook Mastering Intensive Care at Life In The Fast Lane Andrew Davies on Twitter: @andrewdavies66 Andrew Davies on Instagram: @andrewdavies66 Andrew Davies on LinkedIn Email Andrew Davies Audio Producer Chris Burke Burke Sound & Media

In this episode we host Akira Kyle Micu, a talented photographer and videographer who's now well established in Dubai. His views on friendship and love were discussed, and how these affected his mentality at work.This lead to some chat on the power of the mind and how manifestations and the law of attraction shape our lives. Finally, we also touched on his passion for movies and the film industry through his aspirations of bursting onto the film industry.

Episode 40: Erectile Dysfunction Basics. Erectile dysfunction fundamentals, allergy to penicillin label removal, jokesToday is February 5, 2021. Question of the month: Diabetes managementThis is a reminder of our question for this month. Please answer before Feb 15, 2021. The best answer will receive a prize. Question: What is the first treatment approach for type 2 DM? For example, for a patient who had polydipsia, polyuria for a few weeks and at your office had a random BG of 210.Send your answer to RBresidency@clinicasierravista.org. Don’t miss this chance to win.Penicillin Allergy Study: How many times have you heard a patient say that they are allergic to penicillin? Exactly, a lot! Skin allergy testing continues to be the best test to diagnose penicillin allergy. All patients who have a negative penicillin allergy skin test should be challenged with penicillin in a medical setting for 1-2 hours to ensure that immediate reaction does not occur. Many patients labeled as “allergic to penicillin” may not be truly allergic. We recognize that true penicillin allergy exists, and allergic reactions range from mild rash to life-threatening anaphylaxis, but many patients needing penicillin may not get it because of a wrong diagnosis of penicillin allergy. Up to 15% of the US population are labeled as “allergic to penicillin”. The American Journal of Respiratory and Critical Care Medicine published in February 2020 a way to remove low-risk penicillin allergy labels in an ICU. The investigators created a risk-stratification tool after evaluating 318 patients in an allergy clinic. Low risk indicators include urticaria to penicillin >5 years ago, a self-limited rash, GI symptoms only, a remote childhood history, a family history only, avoidance from fear of allergy only, a known tolerance to penicillin since the reported reaction, or non-allergic symptoms. Using that tool, 216 patients admitted to the MICU labeled as “allergic to penicillin” were evaluated. 68 patients qualified as “low risk.” 54 patients agreed to be challenged with a single oral dose of 250 mg amoxicillin and observed for 1 hour. None of the challenged patients had any immediate or delayed reaction. Their penicillin allergy label was removed. Later, 41 of the 54 challenged patients received multiple doses of either penicillin’s (17 patients) or cephalosporins (24 patients) without any reaction. This tool has not been validated to be used in an outpatient setting yet, but it sets the foundation for further investigation in this matter.This is Rio Bravo qWeek, your weekly dose of knowledge brought to you by the Rio Bravo Family Medicine Residency Program from Bakersfield, California. Our program is affiliated with UCLA, and it’s sponsored by Clinica Sierra Vista, Let Us Be Your Healthcare Home. ____________________________Erectile Dysfunction. Arreaza: Today our guest is Dr. John Ihejirika.  Ihejirika: My name is Dr. John Ihejirika. I am one of the third/Final-year residents at the Rio Bravo Family Medicine residency program, here in Bakersfield, California.  I am glad to be back on the podcast and thanks for having me again.Arreaza: What topic are you discussing today?Today I will be talking about Erectile dysfunction.Arreaza: What is Erectile dysfunction?Ihejirika: Erectile dysfunction [ED] can be defined as the inability to achieve or maintain a penile erection sufficient for satisfactory sexual performance. It is very common, affecting at least 12 million men in the United States. The condition can be caused by vascular, neurologic, psychological, medications and hormonal factors. Arreaza: What are common conditions associated with ED?Ihejirika: Common conditions related to ED include diabetes mellitus, hypertension, hyperlipidemia, obesity, testosterone deficiency, and prostate cancer treatment. Performance anxiety and relationship issues are common psychological causes. Medications and substance use can also cause or exacerbate EDMedications: Antidepressants are a common cause especially the SSRI and SNRI drugs.  Substances: Tobacco, alcohol, and illicit drugs can cause ED. Marijuana use may cause ED, although further study is needed.Arreaza: Is ED related to any other risks?Ihejirika: Cardiovascular risk: ED is associated with an increased risk of cardiovascular disease, particularly in men with metabolic syndrome. Initial treatment: Tobacco cessation, regular exercise, weight loss, and improved control of diabetes, hypertension, and hyperlipidemia are recommended initial lifestyle interventions. Arreaza: Let’s talk about the “blue pill.”Ihejirika: Oral phosphodiesterase-5 inhibitors are the first-line treatments for ED. Second-line treatments include alprostadil and vacuum devices. Arreaza: Vaccum: No medication interaction.Ihejirika: Surgically implanted penile prostheses are an option when other treatments have been ineffective. Counseling is recommended for men with psychogenic ED.Arreaza: However, most cases have an organic cause. How is Erectile Dysfunction assessed?Ihejirika: The American Urological Association (AUA) recommends that the initial evaluation of ED include a complete medical, sexual, medication and psychosocial history. The five-item version of the International Index of Erectile Function Questionnaire is a validated survey instrument that can be used to assess the severity of ED symptoms. QUESTIONSSCORES12345Over the past six months:1. How do you rate your confidence that you could get and keep an erection?Very lowLowModerateHighVery high2. When you had erections with sexual stimulation, how often were your erections hard enough for penetration?Almost never or neverA few times*Sometimes†Most times‡Almost always or always3. During sexual intercourse, how often were you able to maintain your erection after you had penetrated (entered) your partner?Almost never or neverA few times*Sometimes†Most times‡Almost always or always4. During sexual intercourse, how difficult was it to maintain your erection to completion of intercourse?Extremely difficultVery difficultDifficultSlightly difficultNot difficult5. When you attempted sexual intercourse, how often was it satisfactory for you?Almost never or neverA few times*Sometimes†Most times‡Almost always or alwaysFive-Item Version of the International Index of Erectile Function Questionnairenote: The score is the sum of the above five question responses. Erectile dysfunction is classified based on these scores: 17 to 21 = mild; 12 to 16 = mild to moderate; 8 to 11 = moderate; 5 to 7 = severe.* —Much less than one half the time.† —About one half the time.‡ —Much more than one half the time.     Summary of diagnosis and Treatment of Erectile Dysfunction.    Sources: I got this knowledge from the AAFP website, Up to Date, Review/Journal and from some my faculty. You can see our website for further details on theses references.Conclusion:  It is very important to be aware of this condition because as stated earlier It is very common, affecting at least 12 million men in the United States. Most male patients feel depressed or “incomplete” when experiencing ED and it is one of the most common reasons for male patients to visit the doctor, although most patients do not disclose the reason for the visit during the rooming process or with a female provider. Knowledge of the management of ED is also vital to have as a provider as it helps you restore your patients’ self-esteem and gives you reciprocal gratification in addition, so be ready to treat your patients. ____________________________For your Sanity: Jokesby Claudia Carranza, Gina Cha, an guest notary public-What do you call a bear with no teeth? A gummy bear.-How do you keep geese from speeding? Goose bumps.-Why do fish choirs always sign off-key? Because you can’t tuna fish.-Why did the toilet paper run down the hill? To get to the bottom.-How do make a slug drink? Stick it in the blender._____________________________Now we conclude our episode number 39 “Erectile Dysfunction Basics.” Today, Dr Ihejirika gave us the tools to address this common issue among our male patients. Diabetes and hypertension are to blame for ED in most cases. He taught us how to assess and treat our patients with many methods, including the famous “blue pill.” We also hope you enjoyed our goofy jokes. Don’t forget to participate in our contest by answering our question of the month and receive a prize. Our question is: What is the first treatment approach for type 2 Diabetes? For example, for a patient who had polydipsia, polyuria for a few weeks and at your office had a random blood sugar of 210. Send your answer to rbresidency@clinicasierravista.org before February 15, 2021.And remember… Even without trying, every night you go to bed being wiser than when you woke up. Thanks for listening to Rio Bravo qWeek. If you have any feedback about this podcast, contact us by email at RBresidency@clinicasierravista.org, or visit our website riobravofmrp.org/qweek. This podcast was created with educational purposes only. Visit your primary care physician for additional medical advice. This week we thank Hector Arreaza, John Ihejirika, Claudia Carranza, Gina Cha, and a notary public guest. Audio edition: Suraj Amrutia. See you next week!    References:Stone CA Jr et al., Risk-stratified management to remove low-risk penicillin allergy labels in the intensive care unit. Am J Respir Crit Care Med 2020 Feb 21; [e-pub]. (https://doi.org/10.1164/rccm.202001-0089LE) https://www.jwatch.org/na51025/2020/03/25/approach-removing-penicillin-allergy-labels Rosen RC, Cappelleri JC, Smith MD, Lipsky J, Peña BM. Development and evaluation of an abridged, 5-item version of the International Index of Erectile Function (IIEF-5) as a diagnostic tool for erectile dysfunction. Int J Impot Res. 1999;11:322. Rew, Karl T. and Joel Heidelbaugh, MD, Erectile dysfunction, University of Michigan Medical School, Ann Arbor, Michigan. Am Fam Physician. 2016 Nov 15;94(10):820-827. https://www.aafp.org/afp/2016/1115/p820.html.  Khera, Mojit, MD, MBA, MPH, Peter J Snyder, MD, Michael P O'Leary, MD, MPH and Kathryn A Martin, MD, Treatment of male sexual dysfunction, Up To Date, accessed on February 1, 2021. https://www.uptodate.com/contents/treatment-of-male-sexual-dysfunction?search=erectile%20dysfunction&source=search_result&selectedTitle=2~150&usage_type=default&display_rank=2 

Toţi cei de la fermă o iubesc pe măgăruşa Mimi, cu urechile ei lungi şi moi, cu blana pufoasă, ochii mari şi catifelaţi. Mimi trăieşte pentru prima dată experienţa sărbătorilor de iarnă. Asistă la pregătirile care se fac, e încântată şi în acelaşi timp curioasă: cine este Îngerul Crăciunului, care le aduce atâta bucurie oamenilor şi animalelor de la fermă? Oare acesta va veni şi la ea cu un dar? --- Send in a voice message: https://anchor.fm/cufarulcupovesti/message

Dr. Jim Salwitz and Chris Hoenig kick off the third season of Medically Necessary, The Official Podcast of the Robert Wood Johnson University Hospital (RWJUH) Medical Staff with Dr. Sheraz Siddqiui (Chief, Hospital Medicine, RWJUH) and Dr. Mafudia Suaray, one of the COVID-19 team leaders, discussing how the disease has changed in this second surge. Then, they're joined by MICU attending Dr. David Fischler to look at the differences in ICU patients this time around.

In this episode, Ian reviews a seminar New England Journal paper by Herridge et al. (2011) discussing functional disability longitudinally post-ARDS treatment across four MICU and SICUs in Canada. The paper details the functional, psychosocial, and medical impairments that have appeared to linger in this sample across five years of follow-up data collection. This paper is considered one of the top 100 critical care studies ever published.

By April, the governor's stay-at-home directive seemed to be working. New COVID-19 positive cases appeared to be leveling off. But the new rules aimed at keeping everyone safe had also led to tens of thousands of Utahns losing their jobs. The MICU staff anxiously watched TV news stories about large groups of unmasked, undistanced protestors demanding the state re-open for business. Meanwhile, as one extremely sick MICU patient with COVID-19 became eligible for what was “the last resort” technology offered, staff wondered what would happen if the public stopped observing the very measures put in place to keep them safe, and whether some of those very protestors would soon be needing their care.

Linda Micu is a retired real estate investor. Prior to that she took an early retirement from TWA and has travelled all over the world. She lives in Lincoln, MA which is 16 miles west of Boston. She makes her own bread and grows tomatoes. --------------------------------------------------------------------------------------------------------------- Created during a time of quarantine in the global Coronavirus pandemic, A Moment Of Your Time's mission is to provide a space for expression, collaboration, community and solidarity. In this time of isolation, we may have to be apart but let's create together.  Follow Us: Instagram | Twitter Created by CurtCo Media Concept by Jenny Curtis Theme music by Chris Porter A CurtCo Media Production See omnystudio.com/listener for privacy information.

COVID-19 was far from the world's first go-around with a pandemic. In 2009, H1N1 claimed hundreds of thousands of lives worldwide. For nurses at the MICU who had cared for patients back then, COVID-19 at times was a haunting replay of the painfully familiar fight to treat patients struggling to breathe. As the first COVID patients came in, MICU staff faced ever-changing protocols and the unnerving realization that this virus was even more dangerous than anything they had faced before.

“It's a battle of wanting to provide care and wanting to protect yourself and the people you love,” says nurse Megan Diehl. This tug of war is one critical care nurses faced constantly through the early weeks of the COVID-19 pandemic. On the 4th floor of University of Utah Hospital, the medical intensive care unit (MICU) has always treated the very sickest of the sick. The unit's medical professionals go to extraordinary lengths to save the people in their care. But as the first COVID-19 patients trickled in, these lifesavers discovered that the precautions necessary to protect themselves from the virus challenged the very essence of their duty as healers.

Micuța balenă Gerda are o copilăria fericită. Ceva neașteptat se petrece și Gerda se pierde de familia ei.Tristă și singură, ea hoinărește prin vastul ocean. Reușește să își facă prieteni noi. Fiecare dintre ei o învață lucruri interesante. Ea află cum trăiesc alte vietăți și descoperă lumea fascinantă prin care trece. Dar oare va reuși micuța Gerda să găsească ceea ce caută? --- Send in a voice message: https://anchor.fm/cufarulcupovesti/message

Micuța balenă Gerda are o copilăria fericită. Ceva neașteptat se petrece și Gerda se pierde de familia ei.Tristă și singură, ea hoinărește prin vastul ocean. Reușește să își facă prieteni noi. Fiecare dintre ei o învață lucruri interesante. Ea află cum trăiesc alte vietăți și descoperă lumea fascinantă prin care trece. Dar oare va reuși micuța Gerda să găsească ceea ce caută? --- Send in a voice message: https://anchor.fm/cufarulcupovesti/message

En este episodio JM, Amed y UB se embarcan en uno de los temas que más saben, pasando por comida, ejercicio, TIKTOK, etc. Con apariciones especiales de Alejo Morales y Diego Flores. Relax sit back, in fact grab a six pack! Nos hacen un gran favor si comparten este podcast con algún amigo.

What have we learned about the sickness caused by coronavirus? You’ll hear from diarists from Michigan, Maryland, Ontario/Canada, Massachusetts, and California. You will hear from a meds/peds resident, a neuroimmunology fellow, a MICU nurse, two internal medicine residents, a primary care doctor, and an OB/GYN. Illustrations by Lindsay Mound. This series is brought to you by the California Medical Association, the Gordon and Betty Moore Foundation, and donations from our listeners. Learn more and support us at thenocturnists.com. Thank you!

Dr. Sneha Kannan, 3rd year internal medicine resident at MGH, systematically walks us through management strategies for COVID-19 patients in the ICU. Music by Kevin MacLeod.

What have we learned about the virus so far? In the third episode of our special podcast series on COVID19, you will hear voices of a MICU nurse in San Francisco, an internal medicine resident in New York City, an internal medicine resident in Montreal, Canada, a neonatology fellow in Pennsylvania, a geriatrician in California, a participant in a study of a candidate vaccine, an anonymous health care provider, and a medical student in New York City. Illustrations by Lindsay Mound. This series is brought to you by the California Medical Association, the Gordon and Betty Moore Foundation, and donations from our listeners. Learn more and support us at thenocturnists.com. Thank you!

An assassination attempt leaves Vincent in dire straights. And when he wakes up in a mysterious hospital, he finds leaving might not be easy. . . or even possible. Audio credits: Music from https://filmmusic.io "Inspired" by Kevin MacLeod (https://incompetech.com) License: CC BY (http://creativecommons.org/licenses/by/4.0/) Virtutes Instrumenti by Kevin MacLeod Link: https://incompetech.filmmusic.io/song/4590-virtutes-instrumenti License: http://creativecommons.org/licenses/by/4.0/ Juan_Merie_Venter “Dogbark.wav.” - https://freesound.org/people/Juan_Merie_Venter/sounds/327666/ Lensflare8642 “shotgun sounds” - https://freesound.org/people/lensflare8642/sounds/145209/ Man Down by Kevin MacLeod Link: https://incompetech.filmmusic.io/song/4016-man-down License: http://creativecommons.org/licenses/by/4.0/ jgeralyn “MICU beeps_MaryWashingtonHospital_Oct2011.aif” - https://freesound.org/people/jgeralyn/sounds/143645/ Trio for Piano, Cello, and Clarinet by Kevin MacLeod Link: https://incompetech.filmmusic.io/song/4547-trio-for-piano-cello-and-clarinet License: http://creativecommons.org/licenses/by/4.0/ Lost Time by Kevin MacLeod Link: https://incompetech.filmmusic.io/song/4005-lost-time License: http://creativecommons.org/licenses/by/4.0/ Grave Matters by Kevin MacLeod Link: https://incompetech.filmmusic.io/song/3822-grave-matters License: http://creativecommons.org/licenses/by/4.0/ Unseen Horrors by Kevin MacLeod Link: https://incompetech.filmmusic.io/song/4569-unseen-horrors License: http://creativecommons.org/licenses/by/4.0/ Anguish by Kevin MacLeod Link: https://incompetech.filmmusic.io/song/3373-anguish License: http://creativecommons.org/licenses/by/4.0/ Oppressive Gloom by Kevin MacLeod Link: https://incompetech.filmmusic.io/song/4174-oppressive-gloom License: http://creativecommons.org/licenses/by/4.0/

Calling all Nurses interested in MedFlight ---if you are a nurse and interested in critical care transport here at MedFlight, this is the podcast for you.    Who would not enjoy caring for critical care patients in a back of a helicopter or MICU?     Join Sally Betz, Brandon Carter, Jason Pierce and I (Steve Borghese) as we lay the foundation needed to be a serious candidate for a job here at MedFlight.   We will learn from our panel their career background on how they got into critical care transport and their opinions on what they recommend doing to prepare yourself for a career in critical care transport.    We also will give you some insight on our hiring and interview process.   This is a must hear podcast if you have any interest at all in critical care transport.      

Calling all Paramedics ---if you are a paramedic and are interested in critical care transport here at MedFlight, this is the podcast for you.    Who would not enjoy a helicopter or an MICU truck equipped to take ventilators, Balloon Pumps, and Impella Devices (just to name a few things) as your prime vehicle for transport?     Jason Pierce and I from the MedFlight Education Department sit down with Steve Cook and Scott Gano and lay the foundation needed to be a serious candidate for a job here at MedFlight.  From a fire department paramedic and a county run EMS Medic—we will learn their career background on how they got into critical care transport and their opinions on what they recommend doing to prepare yourself for a career in critical care medicine.     We also will give you some insight on our hiring and interview process.  This is a must hear podcast if you have any interest at all in critical care transport.  You might even laugh a little as most of us in this podcast have been around for a while.   

About 21 million Americans struggle with addiction every day, yet only 10 percent receive treatment. While that percentage is unbelievably low, the reality is that traditional methods of aid are inaccessible for many people, even if addicts are ready for treatment. Fortunately, many organizations recognize this issue and are creating paths to make treatment more accessible. Two innovative programs that are literally taking treatment to the streets are Boston Massachusetts’ Care ZONE, an on-wheels overdose treatment facility, and New Jersey’s Mobile Intensive Care Unit (MICU), paramedics equipped with lifesaving Suboxone. To guide us through these innovative programs is returning guest Dr. Jessie Gaeta, the Chief Medical Officer for the Boston Healthcare for the Homeless Program, and Dr. Shereef Elnahal, Commissioner of the New Jersey Department of Health. We first met Dr. Gaeta 3 years ago, when we discussed her Supportive Place for Observation and Treatment (SPOT) program. Today, she shares her insight into her latest project, Care ZONE, a mobile treatment facility helping to bring addiction treatment to those unable to visit treatment centers. Furthermore, Dr. Shereef Elnahal discusses the progress the MICU has made by adding of the gold-standard of opioid addiction treatment drugs, Suboxone (buprenorphine and naloxone), to their overdose recovery arsenal. Given these success stories, many people have argued that it’s time to relax our tight regulations on Suboxone prescriptions, and remove obstacles for recovery. In the meantime, programs like Boston’s Care ZONE and the New Jersey MICU paramedics, prove that outside-the-box solutions are crucial to progressing against the . For the full details of these revolutionary addiction treatment programs, listen to today’s podcast, and be sure to let us know what programs are making a difference in your home town, down in the comments.

Oques Grasses, Buhos, Senyor Oca, Macaco, Micu, Ovella Xao, Homes Ll

In acest episod stau de vorba cu ALEXANDRA MICU, fashion model international cu aparitii in cele mai importante publicatii de moda precum Vogue, Porter, Numero, Harper's Bazaar si protagonista a unor campanii mondiale pentru branduri ca Louis Vuitton, Dolce Gabbana, Max Mara, Mango etc. O prezenta absolut fermecatoare !   https://www.instagram.com/alexxandramicu/?hl=en

On today’s episode, Lisa shares the most useful strategy that helped her through the days of MICU. On part two, she discusses her gratitude towards Doug's final days after he entered hospice care. The two parts of this episode are previously recorded from a Facebook Live on the Widow Walking Forward Facebook page in 2018.Also, we are proud to announce we have officially launched the Widow Walking Forward website! Please go check it out at widowwalkingforward.comFor more content from Lisa, visit the Facebook Page for Widow Walking Forward. Here, she posts uplifting and inspiring messages to keep you going through the day! 

Dr. Seth J Koenig, Professor, Dept of Medicine and Cardiovascular and Thoracic Surgery; Professor of Medicine, Donald and Barbara Zucker SOM at Hofstra/Northwell; Director, Acute Lung Injury Center, Northwell Health; and Director, MICU at the Long Island Jewish Medical Center, presents on “Transesophageal Echocardiography in the Intensive Care Unit”.

Ce îmi place la ea? Este echilibrată și sigură pe ea. Calmă și atentă în toate detaliile. Să preiei un astfel de business de la părinți, să le demonstrezi că poți să-l stăpânești foarte bine și mai ales să îți placă teribil de tare, înseamnă că și-a găsit pasiunea dar și vocația.

Invitata de azi este Alexandra Nechita. ”Micuța Picasso” ne face să fim mândri de ea atât în România, cât și în tările străine în care expune. Despre ce am povestit: - cine este și ce face; - autobiografia în 20 de secunde; - cum a ajuns în America; - povești din copilăria trăită în America; - ce mâncare îi amintește de copilărie; - ce jocuri se jucau; - ce spune mama ei despre Alexandra; - despre prima ei expoziție, de când avea 8 ani; - cum a vândut primul tablou; - cum era în adolescență; - ce fel de băieți îi plăceau; - cum a ajuns la UCLA; - cum e să locuiești în LA; - cum a început să deseneze; - portretele cui le-a pictat; - cum l-a cunoscut pe soțul ei; - ce a învățat Mihaela de la Alexandra; - Back to back; - cât e de activă pe rețelele de socializare; - ”10 întrebări esențiale”. Invitata specială de azi, pe lângă Alexandra, este prietena ei Mihaela Geoană.

Segunda parte de un café con micro con Emili Prado que es catedrático de Comunicación Audiovisual y Publicidad en la Universidat Autònoma de Barcelona y una de los mayores expertos en el estudio de la radio y la televisión.  Durante la entrevista se reproducen fragmentos de: Veles e Vents interpretada por Catsons y Micu y Toti Soler Afternoon de Charles Chaplin BSO Plácido

Waarom zien we zo weinig blockchain-innovatie in videogames? In deze Cryptocast Vlad Micu, van beroep Gamedesigner en business development consultant in de game-industrie. Micu adviseert developers over de hele wereld en geeft les aan verschillende buitenlandse universiteiten.

You can find the full episode description, show notes, and links at https://edgeofcomfort.com/eocp7/   "In Myanmar, there are times when you don't see any other tourists. You feel immersed in the culture and what's going on in daily life...It's also the land of five million trillion pagodas!" - Sophia Iaquinta   You are listening to Part 1 of 2. Listen to Part 2. Sophia Iaquinta (@smiaquinta) joins the Edge of Comfort podcast during her exploration of Myanmar. Originally from Nebraska, Sophia attended university in Minnesota to earn a dual degree in Nursing and Sociology & Anthropology. She stuck around Minnesota after graduation to work as a nurse in the Medical Intensive Care Unit (MICU) of a hospital. Throughout two years in the MICU, Sophia often worked 12-hour night shifts for six to seven days in a row. After deciding she didn't want to spend her career in a hospital, Sophia looked for other alternatives. Ideally, alternatives that combined her love for traveling with nursing. This led her to look into joining the Peace Corps. She applied to volunteer with them and was accepted mid-summer 2017. Starting February 2018, Sophia is spending the next two years in Guatemala working as a maternal and child health specialist. After quitting her nursing job, she had a four-month gap between the end of her lease in Minnesota and the Peace Corps start date. She decided to pack her bags and embark on a solo trip around Asia.   Some of the topics we discuss in Part 1 include: Deciding to visit Myanmar despite high political tensions Surprising beauty and landscapes in Myanmar What to actually do in Myanmar Chiang Mai (Thailand) Lantern Festival Being a “cultural” traveler Attempting a technology detox   You can find the full episode description, show notes, and links at https://edgeofcomfort.com/eocp7/  

Session 28 Dr. Nii Darko is a community-based Trauma Surgeon. He's also an Osteopathic physician. Listen to his journey and what you should be thinking about. Dr. Darko has also been on The Premed Years podcast back in Session 196 and he is the host of the podcast called Docs Outside the Box. [01:05] An Early Interest in Trauma Surgery Practicing for almost five years now, Dr. Darko knew he wanted to be in two points of his life. As a seventeen-year-old, Nii had the opportunity to shadow a trauma surgeon in Newark, New Jersey, with his first exposure to trauma case was a person who got shot where they evaluated the patient and seeing a whole chorus of nurses and different medical staff helping the person. The trauma surgeon he was shadowing was at one corner of the room conducting the stuff, which to him seemed like an orchestra or rather a concerted type of chaos. The patient was taken into the operating room and when the doctor came out, he talked with the family. The doctor comes out of this operating room as a big superhero and saves the day. From then, he got hooked. Fast-forward to residency around ten to twelve years later, Nii noticed that general surgeons were doing everything including trauma and found himself moving towards operating on the unknown which to him was the fun part about trauma. You don't know exactly what's injured so you have to use all of these different detective-type qualities to figure out exactly what's going on. So Nii felt trauma surgery was the best mix for him in terms of taking care of patients who need things like appendix or the gall bladder and at the same time use his superman qualities in high-adrenaline and highly stressful situations. [04:40] Traits that Lead to a Good Trauma Surgeon Nii cites patience as a very big trait considering that oftentimes, with trauma, you don't know what's going on  and a lot of things are going on at the same time. Another important quality is leadership. You need to understand that it's a very highly stressful situation. You have the ability to take a step back, be patient and at the same time, have the qualities where you direct people respectfully. Nii stresses the fact that no man is an island, particularly in medicine and although you'll be making decisions on your own, you are leading a team and if you can lead them effectively, it's always going to end up, for the most part, with good results for the patients. Nii initially wanted to be obstetrician being greatly inspired by Bill Cosby of the Cosby Show who played the part of an obstetrician who was a positive African-American doctor figure. In fact in medical school, Nii was the first year representative for the OB/GYN club and he quickly realized afterwards that it wasn't for him. Orthopedic surgery was also in the running for a very short period of time for him but everything fell by the wayside when he did a rural general surgery rotation in the middle of Kansas and then knew from then on that general surgery was for him. [06:58] A Typical Day and Types of Patients Nii gets into the hospital by seven in the morning and a sign out period occurs where they talk about all the patients on the list, anything major that occurred the night before and then they talk about the plan for the next 12-24 hours. From 8 am to 7 pm, Nii handles different duties whether it be patient evaluation at the trauma bay or someone on the general floor. By 7pm, they do the sign out process again and whoever is on at night handles any situation that needs to occur at night and then do it all over again. Nii typically treats patients from all walks of life, children and elderly patients as well patients in their late teens and 20's. As a trauma surgeon, majority of patients he sees are patients in their teens to mid-late 20's and 30's, which he describes as the "invincible years" where people think they're invincible so they do more of the reckless stuff. Additionally, he sees a huge boom of geriatric patients consisting of the baby boomer generation who as they get older are more prone to falls and different types of mechanisms, making them the second largest patient population he deals with. 70% of his job consists of true trauma cases such as car accident, gunshot wounds, stab wounds, and critical care while 30% goes to general surgery. Only about 10-15% of his patients that come through the trauma bay get taken to the operating room for various operations such as removing a spleen or fixing a liver laceration or a washout of an exposed bone. A very small percentage of patients get taken to the operating room which is a significant shift from trauma surgery that our generation knows from most TV shows in the 70's and 80's. Because of how advanced technology now is, those days are way behind us. Now, you can study someone and take a look in their, say abdomen or chest, and have more information before you take them to the operating room. [12:08] Calls, Work-Life Balance, and Burnout In terms of taking calls, Nii works in a two-week-on-two-week-off type model which is basically a shift work where he and another surgeon alternate call for two weeks and he gets another two weeks off. No administrative work, no hospital work, no patients. So Nii works hard in Central Pennsylvania for two weeks and then he's able to get home for a week to see family. This makes it attractive for people who really care about being able to travel or being able to do things with their families that they may not be able to do in a regular type of job. But that said, Nii describes his two weeks on as tough. You can do it but it's not for everybody. However, Nii finds those two weeks off as very valuable. When his patients come back during the two weeks he's off, they have this agreement among all surgeon where it's no longer his patient but their patient. Hence, other doctors take care of him or treat him during his time off. Nii sees this as the wave of the future. It may not be necessarily two week in a row and two weeks off but more and more specialties are taking on this type of work model with varying number of days on and off and where they're working as a team. Considering the amount of work or the amount of patients one person has to see and to be able to have the lifestyle with the new generations coming up, millennials and GenX, he sees lifestyle as coming into center stage and as a result, this type of schedule is becoming a lot more attractive. Nevertheless, Nii still feels he has enough time for family since he's working very hard for two weeks and prior to this year, he was in a situation where he spent 24 hours in the hospital and another 24 hours afterward is for backup in case he's needed to come in. he ends up convincing the OR to give you time to operate early in the day which doesn't happen much due to elective cases filling in. So you may be spending an additional five to six hours in the hospital. Again, Nii stresses how tough those two weeks are and oftentimes, you may still not be able to see loved ones during that time, but during the two weeks off, you may still catch up. But it's not for everyone. Nii has still missed a lot of important life events and he honestly says there are times he's questioning if this is all worth it but in order to be human, you have to have that type of thought process at one point. Nii is not complaining but this is real talk. This is bringing to light something people have not talked about before and it may have been manifested in bad behaviors in the operating room. So it's important to have this type of discussions now. [17:35] Residency, Fellowship, and Competitiveness Nii did five years of general surgery residency which includes training in a whole bunch of various areas of surgery such as general surgery, surgical oncology, ENT, neurosurgery, a little bit of orthopedic surgery, but less focused on general surgery. Afterwards, he was allowed to practice general surgery and decided to do a one-year fellowship where he did additional training at University of Florida's Ryder Trauma Center. He got as much experience in trauma as he could as well as critical care experience. After his training, he became board-eligible to practice trauma surgery and critical care surgery as well as general surgery. Nii describes trauma surgery as not a very competitive residency for a host of reasons. For one, a lot of people are little bit nervous about the hours you work with trauma. Second, it's very stressful. Third, a lot of programs offer trauma so it's not as competitive as in the realms of vascular surgery or any other type of subspecialty such as laparoscopic surgery or bariatric surgery. For the most part, people may think of trauma surgery as not being too competitive but it's very hard to get into the top trauma centers like the University of Miami, Grey Memorial Hospital, USC in California, or Shock Trauma in Maryland, these hospitals. [19:55] How to Be a Competitive Applicant From a medical student's perspective, Nii cites the the key things for becoming a very competitive applicant to general surgery. First, set the groundwork by being an excellently trained general surgeon. Show your interest in general surgery whether it be going to conferences or shadowing a general surgeon. You're going to be doing a general surgery rotation so you may want to do an additional rotation as a third or fourth year doing a sub-internship in general surgery or trauma surgery. Get excellent letter of recommendation and do well on your board exams. Once you become a general surgery resident, make sure to have an open mind. Make sure you're giving every rotation that you're doing enough attention and being as open as possible to basically learn as much possible. Be open to the idea that maybe you thought you wanted to do trauma surgery but you're actually really interested in surgical oncology or what have you. At this point, which usually happens during your second or third year, start getting yourself involved in research or doing some additional trauma surgery rotations if you like or get yourself involved in co-authoring a chapter in a textbook if you're at a large institution that does that. As for Nii, University of Miami has opportunities for not only medical students but also for general surgery residents to attach themselves to one or two general surgeons who are making probably a 25-30-chapter textbooks. There are plenty of opportunities to get yourself ready but focus on getting into a general surgery residency and as a resident, start putting your hands in different ways to show your commitment to trauma surgery. [22:40] Tips for Choosing Your Program Nii says he wouldn't have done anything differently with how he chose his program. The way he did it as a fourth year surgery resident at Grey Memorial Hospital where there was a lot of trauma done, there were multiple trauma surgeons who train at various places and they've come to work at that hospital. What he did was querying all of those surgeons, going to various people and asking them about their program and why they think it would be good for him to train there. Aside from getting advice from them, he went online and looked up more about those different programs and even calling up the program directors where some of them accommodated him. Nii wants people to understand that medicine is an extremely small world but as you start to get into more sub-specialties like trauma surgery, it's a very, very small world. For instance, their chairperson knew the trauma director at Miami and they ended up getting introduced in that way so he got to talk to him and told him about the program. So he applied and ended up working for him. Additionally, when you apply you get the opportunity to interview at these places if given the interview, which is an opportunity for you to showcase how well you speak and think or how you are in person, outside, separate from a piece of paper. Also take it as an opportunity to interview them. Ask them in how well they train their residents or fellows and in doing well on their board exams, how much experience do they get operating in x or y, how much time do they get off. [25:00] His Hustle to Allopathic Residency as a DO Nii is a DO but he went to an allopathic residency program for general surgery. Based on the NRMP Match Data for 2017 for Surgery programs, out of 1,276 positions filled, only 64 were filled by osteopathic students. When asked about how it was for an osteopath to get into an allopathic residency, Nii explains how much he hustled which means grabbing an opportunity and not waiting for someone to give you an opportunity. He knew he wanted to do general surgery and was open to doing a general surgery residency at an osteopathic program. He went through the rounds of interview at all these different DO programs and at the same time he decided to interview at all different places. He got a phone call from three or four general osteopathic surgery programs that they have matched outside of the match, which was part of their culture. They at times will just agree to take in a certain person before the match. So Nii had no other places available to him to get into a DO general surgery residency. But since he got to interview also at allopathic programs, he still had that chance within that allopathic realm. He ended up doing a last-minute sub-internship at Morehouse School of Medicine in the Medical Intensive Care Unit (MICU). When he got there, he made it very clear that he was doing the MICU rotation because he tried to get into the SICU (Surgical Intensive Care Unit) rotation but it wasn't available. He actually got lucky he had a very good pulmonology critical care physician and he honestly told him that he enjoyed intensive care unit but at the same time he was really interested in being a surgeon but he took the opportunity since it was the only thing available to him. Then every now and then he would request to round with the trauma surgeons and then he eventually maneuvered that into seeing what they do in the trauma. He basically got his foot on the door and hustle his way into making sure they know him. As a result, he got accepted into their program. It wasn't until his second year that he had the opportunity to talk to the chairperson who accepted him because they saw his ability considering they have never ever taken an osteopathic medical student before. By the time he graduated from the program, he was the best resident that has ever come through that program. Nii's advice is to make sure that if any osteopathic medical students are ever interested in their program, you have to take them more seriously. Think that we're all going through the same trials and tribulations and stress. Nii thought they may think that because he's a DO, he's different but he went above and beyond and he crushed it. Back then, they didn't treat him any differently or did anything to make him feel that way, but it was the thoughts he had at that time. His advice to medical osteopathic students out there is if you want to get it then go get it. And if you have to get into a general surgery in the allopathic world, then go and be as aggressive as possible and take the opportunities that may be presented to you. Kick the door open and don't wait for someone to give you an opportunity otherwise you're going to be on the outside looking in. [31:40] Subspecialties, Other Specialists, and Special Opportunities As a trauma surgeon, your subspecialty is called Trauma Critical Care. You can go and get some additional education like other specialties can like take additional courses in ultrasound. This is very useful if you're trying to figure out if someone is bleeding in their abdomen or has blood anywhere else. Using it is cheap, quick, and it doesn't require moving the patient to a CT scan where their pressure can drop or end up dying of a collapsed lung. You can get additional training in mostly anything. It won't get you additional certification but Nii explains it's always good to have that additional training in your back pocket because you never know when you're going to use it. Moreover, if you want to get any type of additional training that would get you certified in something else, you may have to do an additional fellowship aside from trauma surgery such as laparoscopic surgery or plastic surgery. In trauma, Nii always works with an orthopedic surgeon for broken bones, neurosurgeons for head and spinal cord injuries, plastic surgeons and oral and maxillofacial surgeons for broken bones in the face or missing teeth, broken nose and broken sockets. Other specialties they work a lot with include cardiothoracic surgeons. Other special opportunities outside of clinical medicine for trauma surgeons can be EMS. For example, if EMS is called to a scene and a patient is found down, if there's enough training, and EMT may bring that patient to the ER and allow the ER to work that patient up. But if the patient has a bunch of bruises on the head or anything on the rest of the body that may suggest they've fallen, if a trauma surgeon did the education and ER comes together, they may be able to educate EMS as to what to do first. You can also create your own type of experience. You can do a podcast like Nii where he interviews ordinary doctors do extraordinary things. And as with any other specialty, the world is your oyster. Nii further says that as a doctor, whatever you do, you just have so many opportunities to do anything you want. There are so many ways that you can branch off and go into. [36:38] What He Wished He Knew Going Into Trauma Surgery Nii trained in Atlanta, Georgia and from his experience, he found trauma surgery as a burden in their hospital since majority of trauma patients at their facility were indigent populations. Other services are expensive  so if a patient with polytrauma comes through and they don't have insurance, it could be a huge expense for the hospital since a lot of that care has to oftentimes be written off. This normally occurs in areas where you have patients who don't have a lot of insurance or indigent populations. When Nii ended up becoming a trauma surgeon and going into areas where people have car insurance or people have other health insurances to pay for this, he didn't know that trauma surgeon could be as lucrative for a hospital as well as for the providers. And at the hospital he's currently at, trauma surgery is not a burden and instead is the biggest money maker for the hospital just because there are so many tenets of care. He wished he had known this before because he used to often get physicians who tried to turn him away from trauma surgery whereas in his current situation, trauma surgery is not seen as a burden and the administration can't get enough of trauma surgeons and want more of them. [39:00] Most and Least Liked Things About Trauma Surgery The thing Nii likes the most about trauma surgery is being the jack of all trades. He enjoys stressful situations and being trained in all different areas knowing you've got to stay calm. You get to orchestrate a lot of people and run a team and you're seeing someone literally from the door as they come in and all the way to when they're discharged and you're in charge of all facets of the care. He finds this very fascinating reason that the went to trauma surgery in the first place. On the flip side, the thing he liked the least is also the stress that comes with it that there's a lot to handle. In other specialties, you get to triage it to another person but you don't have this option in trauma surgery. There is constant stress which can eventually wear you down considering that Nii is still in his late 30's and he already feels the stress of that so he knows he can't continue like this into his 50's since it's not sustainable. But Nii loves this too so it's like an addiction. [40:45] Major Changes in Trauma Surgery Nii explains that trauma in the 80's and 90's was known to be not as operative as other specialties. There were even times when a lot of trauma surgeons lost the operative skills they've acquired during residency so a lot of trauma surgeons were not very good at operating. But a new field has come up called Emergency General Surgery or Acute Care Surgery, which Nii describes as a different thought process. For instance, if a trauma surgeon has to be in-house, he handles all the general surgery emergencies that occur in a hospital. This helps the general surgeons who have very busy elective services in the morning so they won't have to come in during the middle of the night to take out an appendix when at 7am they had a whipple surgery, which is one of the most intricate surgeries you can do in the abdomen that takes roughly about five to seven hours. So the general surgeon is no longer tired because he doesn't have to come in the middle of the night while the trauma surgeon can still get his hands dirty. Technology-wise, it continues to push things further and further. The obvious things would be technology getting smaller and smaller that you can transport patients with, which Nii considers as a small thing compared to the combination of trauma surgery and general surgery. [44:00] Would He Be Doing It All Over Again? If he had to do it all over again, Nii actually doesn't know if he would do it all over again. His thought process has changed a lot from medical school and residency, from a gunner mentality to now more of enjoying what he does and at the same time, he is no longer defined by being a physician. There is more to Nii Darko than just being a doctor. And if he had thought process in medical school, he may not have decided to go into general surgery and he may have decided to do something else where he'd be really be able to take care of patients not only in the way he would want to take care of them but also at the same time have a lifestyle where he can get away and that when he's off, he is off. No work no matter where he goes. Sure he does work two weeks on and two weeks off, but this may not be the same in another facility. As opposed to Emergency Medicine, you work a certain amount of shifts a month and you're guaranteed some time off. So if he had to do it all over again, he may have chosen something different. [45:40] Final Words of Wisdom Nii's advice to premed and medical students and residents looking at trauma surgery is to relax and take a big deep breath. If you want to be a trauma surgeon, there are plenty of places and spots available for you to get into trauma surgery. From a premed standpoint, focus on getting into medical school and being the best student you can be. At the same time, take opportunities to shadow a general surgeon and contrast that with shadowing a trauma surgeon so you can see the differences in how they practice. From a medical student's perspective, this is the time for you to really do as well as you can with your boards and with your rotations. At the same time, start laying the foundation for your commitment to general surgery if this is where you're interested in. Finally, as a resident, keep an open mind and give all of your rotations an equal share of your attention. At the same time, if you know for a fact that it's what you really want to do, go and get it. Don't let anybody keep an opportunity from you and know that trauma surgery is extremely rewarding. Although very stressful,  Nii enjoys it everyday and at the same time you deal with people at their most vulnerable states and being able to take care of someone every step of the way, not many other specialties say they can do that so he is very grateful and humbled he has the opportunity to do this. Links: Docs Outside the Box Podcast The Premed Years Podcast Session 196 (interview with Dr. Nii Darko) NRMP Match Data for 2017 University of Florida's Ryder Trauma Center

Today we welcome Mojdeh Saba Heavner, Pharm.D., BCPS, BCCCP. Dr. Heavner is an assistant professor here at the University of Maryland School of Pharmacy and a clinical pharmacy specialist in the UMMC MICU. She recently came back to us after a Critical Care & Transplant Specialty Pharmacy Residency at Yale, where she was voted the BEST Pharmacist in Connecticut. Now she is shaking things up here on MICU daily rounds and has revolutionized the care of our patients. So if you want to avoid the brow beating from your own pharmacist every morning, I highly suggest you listen to this lecture twice!!

In this episode we talk about the basics of ARDS - Acute Respiratory Distress Syndrome. It is the most severe form of acute lung injury and is something we see pretty regularly in the MICU. Learn about the different stages that occur as ARDS develops, what you're going to assess and how the patient is going to be treated in this episode of the Straight A Nursing Podcast. Also, if you're listening to these in order...I apologize...the "diabetes" post was posted too early, so when you listen to that one and hear that I've gotten better equipment, note that it won't be evident until we get to a post on renal basics (coming soon!). To subscribe, click on the iTunes link below OR search for "Straight A Nursing" on iTunes and then hit the SUBSCRIBE button...and be sure to leave a review to help us appear in the rankings so other students can find us and benefit, too! See more at www.straightanursingstudent.com! For a handy reference sheet that you can print out...click here!

Today’s special guest speaker, Paul J McCarthy MD, CNSC, is a new addition to the Maryland family. Dr. McCarthy recently practiced at the LSU Health Sciences Center, where he acted as an Assistant Professor of Medicine and Neurosurgery as well as the Assistant Director Neurosurgical Intensive Care Unit. Now he serves his time as an Assistant Professor in the Department of Internal Medicine here at the University of Maryland SOM and had been a constant presence in the MICU. Over his extensive career in medicine, Dr. McCarthy has been a voice of reason when it comes to ICU nutrition. Today he gives us a crash course in everything we need to know to keep our patients healthy and fed!

Today I had the pleasure of speaking with Tracy Lindstrom who is in her last semester as a DNP student. She has 10 years of experience as a nurse (MICU, home health, and case management). She shares her journey and the difficulties that come along with pursuing a career in medicine while being hearing impaired. If you're interested in sharing your story - please send an email to: andrew@physicianassistantboards.com Website: http://physicianassistantboards.com Personal IG: https://www.instagram.com/and_reid PABoards IG: https://www.instagram.com/paboards FB: https://www.facebook.com/paboards1  

Antreprenori care inspiră 118 Bogdan Micu: Cum să îți scrii propria călătorie antreprenorială

For internists not inclined towards cardiology or critical care, an ultrasound might be merely a diagnostic test to be ordered. Research and expertise in this field are expanding rapidly, however, and an affordable handheld ultrasound that can easily be carried in a white coat is likely not many years away. In this lecture, Dr. Nunley discusses the basic principles, physics, and ideas behind ultrasound to give a baseline for moving forward with additional training.   Dr. Nunley is a Professor of Medicine on faculty at the University of Louisville. He is the Clinical Director of the Lung Transplant Program at Louisville and is a teaching attending in the MICU. He has received multiple awards from national organizations including UNOS, American College of Chest Physicians and American College of Critical Care Medicine. His faculty profile can be found here.

Dr. Nunley is a Professor of Medicine on faculty at the University of Louisville. He is the Clinical Director of the Lung Transplant Program at Louisville and is a teaching attending in the MICU. Here, Dr. Nunley discusses the approach to a critically ill patient. His faculty profile can be found here: http://louisville.edu/medicine/departments/medicine/doctors/nunley

Dr. Devang Patel currently serves as Chief of Infectious Disease for the MICU here at the University of Maryland. Today he was was gracious enough to speak on invasive fungal infections not only here in the continental US, but also reliant on his experience working at the University of Zambi HIV program, where being ...