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On this episode of GMM, we are joined by Dr. Michael Stutzman, a nocturnist at UVMMC. We discuss what it is like to be a nocturnist, Dr. Stutzman's sleep and eating patterns, and how to stay well despite a demanding schedule, among many other topics. Co-Hosts: Caity Decara: caitlin.decara@med.uvm.edu Haley Bayne: haley.bayne@med.uvm.edu
As a hospitalist and board certified internal medicine physician at UCSF, Dr. Josh Ronen likes to say his job is to catch the patients before they fall or “crash.”In his role as a nocturnist at UCSF Medical Center, he evaluates ER patients for admission and serves as the primary physician for patients who are already admitted to the hospital. As a hospital medicine attending and Assistant Professor of Clinical Medicine at the UCSF School of Medicine, Dr. Ronen enjoys teaching and offering his unique perspectives knowing no one in medicine has the same training experience.During difficult discussions with patients' families, some of Dr. Ronen's many strengths are his candor and honesty. Knowing families will remember these conversations forever, he wants them to know he's listening and treats them as he would his own family.Hear more about how the hospital is different between the hours of 7pm and 7am, and don't miss our deep dive into which TV doctor Dr. Ronen would be, if he were one. To learn more about Dr. Josh Ronenhttps://www.ucsfhealth.org/providers/dr-joshua-ronen ABOUT MEET THE DOCTOR The purpose of the Meet the Doctor podcast is simple. We want you to get to know your doctor before meeting them in person because you're making a life changing decision and time is scarce. The more you can learn about who your doctor is before you meet them, the better that first meeting will be. When you head into an important appointment more informed and better educated, you are able to have a richer, more specific conversation about the procedures and treatments you're interested in. There's no substitute for an in-person appointment, but we hope this comes close.Meet The Doctor is a production of The Axis. Made with love in Austin, Texas.Are you a doctor or do you know a doctor who'd like to be on the Meet the Doctor podcast? Book a free 30 minute recording session at meetthedoctorpodcast.com.
Medical Humanities, editor-in-chief Brandy Schillace speaks to Emily Silverman, MD, the University of California San Francisco (UCSF)creator of The Nocturnist podcast, and Luna Dolezal, Associate Professor in Philosophy and Medical Humanities based in the Wellcome Centre for Cultures and Environments of Health. They both published a 10-part podcast series called 'Shame in Medicine: The Lost Forest'. Blog link with the transcription of this podcast: https://blogs.bmj.com/medical-humanities/2023/03/02/shame-in-medicine-the-lost-forest Related links: https://shameandmedicine.org/ https://thenocturnists.com/ https://www.thenocturnists-shame.org/ Subscribe to the Medical Humanities Podcast in all podcast platforms, including Apple Podcasts, Google Podcasts, Stitcher and Spotify. If you enjoy our podcast, please consider leaving us a review and a 5-star rating on the Medical Humanities Podcast iTunes page (https://podcasts.apple.com/gb/podcast/medical-humanities-podcast/id961667204). Thank you for listening!
Many of us have been inspired to work in healthcare. You wanted to make a difference. You had so many ideas, so much ambition, so much passion then over the years of unanticipated trauma and drama, healthcare took its toll. You got burned out. You've been spending more time with equipment and documentation than you have with the patient. You don't feel appreciated. You sometimes don't even like being a nurse anymore. You sometimes wonder if you made a mistake in your career choices.In this episode Nurse Alice speaks with Dr. Emily Silverman, internal medicine physician and Volunteer Assistant Professor of Medicine at UCSF and the creator of The Nocturnists, a vibrant community of healthcare workers who are celebrating their humanity through storytelling. By airing clinicians' stories in a safe and generative public forum, The Nocturnists helps shatter the myths of the invincible healthcare provider and reveal the truth: that healthcare workers are human, just like everyone else, and that our humanity is our strength, not our weakness.
The Doc, U R… Podcast aims to empower physicians (from medical school and beyond) and combat the stigmas surrounding their mental health and diminish physicians affected by limiting beliefs, working small, and burnout. We will start with the women doctors in our lives and provide conversations geared towards female physicians, but understand this is not just about female physicians.The objective of the podcast is to de-stigmatize physician mental health. The goals are to humanize physicians, empower female physicians, and bring awareness to their healing needs. The theme this season is “Navigating Mental Health & Medicine: Defining Burnout, An Occupational Hazard.”This week, Dr. Kiki talks with Dr. Donyell Doram about all the things we need to address when it comes to our mental health. A Biotechnology graduate of Rutgers University, Dr. Doram worked in medical research before developing a passion for providing. She began medical school at Drexel University College of Medicine and later finished her residency at Internal Medicine at Lehigh Valley Hospital in Allentown PA. Currently, Dr. Doram works as a Nocturnist for the Neurosurgical program at Thomas Jefferson University Hospital.In this episode:How going through medical school affects mental healthThe importance of seeing yourself ten years from nowThe changes in mental health from school to becoming a doctorRecognizing, validating, and learning to deal with your emotionsEnjoy as Dr. Doram discusses how becoming an adult has changed her mental health and how to cope with it. Follow Dr. Doram on IG @donyellad or FB @donyell.~~~~ HIGHLIGHTSThe DOBlack Girl VenturesWired MagazineMedium~~~~GUEST INTAKE FORMInterested in being a guest? Fill out our Guest Intake Form.PHYSICIAN ONLY SURVEYFill out and share our Physician Survey to help improve resources for physicians.FEMALE PHYSICIAN ONLY NETWORKJoin and share our Female Physician Collective, dedicated to finding solutions to the issues we face. SPONSORSHIP OPPORTUNITIESLooking to sponsor the podcast? Fill out our Sponsorship Form. CREDITSHost: Dr. KikiEditor: Rebecca LiuTunes: Noah JacobsDISCLAIMERViews expressed on the podcast are solely those of the host and the guests interviewed and are for informational/educational purposes only. Also, views shared are addressing issues in the medical system overall. Although there is a myriad of medical professionals sharing their insights, please consult with your established healthcare professional for any and all health matters.CONNECT WITH USWebsiteInstagramLinkedInTwitterFacebookYouTube
In this episode, I'm joined by Dr. Muhammad Noorani, a nocturnist hospitalist based in Alabama. He still lives and works like a resident, averaging about 28 days a month at the hospital and driving the same practical car. Financial independence and income diversification has always been important to Dr. Noorani and when the pandemic hit, it gave him some time to reflect on his plan B - which ultimately led to day trading. ***If you enjoyed the podcast, would you please consider leaving a short review on Apple Podcasts? It takes less than 60 seconds, and it really helps us get the word out about the show.For more thoughts about physician independence and autonomy, visit us at:sycamoredocs.comtwitter.com/sycamoredocsyoutube.com/sycamoredocsfacebook.com/sycamoredocsinstagram.com/sycamoredocsCredits:Theme Music - White Waves by Shearwater
On this episode we are discussing how our weeks went. This episode just features our weekly host C. Allen, Artistik Rebel, & Tony the Nocturnist.
Bro, Where's My Phone Podcast is a weekly podcast hosted by photographer Christopher Allen and his photography friends Meech and Tony the Nocturnist.
Dr. Pham is the Section Chief of Infectious Disease at NYU Langone Medical Center. In this interview, he discusses COVID-19 updates, testing, and precautions. The interview is done by Dr. Lyn Weiss, Chair NYU Winthrop, Nocturnist on COVID + Medicine Unit.
Season 2 features special guests Army Colonel and Massachusetts General Hospital Trauma Surgeon, David King, Red Sox Legend David "Big Papi" Ortiz, Airforce Veteran and TAPS Founder Bonnie Carroll, Green Beret Kevin Flike, Host of The Nocturnist podcast and physician Emily Silverman, Poet and George W. Bush Institute Veteran Scholar Seema Reza, and more very special guests to come. Introduction music: James HouseClosing theme music: Darden Smith
Thanks. Thank you for taking the time to listen to the podcast. Your time is precious, and I genuinely appreciate you choosing to spend your time here. Tips. Recently, I crowdsourced some tips for facing fear on Instagram. Three of the shared tips are shared and elaborated on or editorialized by yours truly. Thoughts. Currently, I am reading, Dare to Lead by Brene Brown, and I was both shocked and encouraged to learn that she too has a fear of public speaking. (Affiliate link to book) https://amzn.to/2PEdcdx
Rounding out the trifecta of wonderful nurse guests this month on Maybe Medical is Flight Nurse Colleen R.! We covered how she feels you need to be able to fly by the seat of your pants to perform in her role, as well as have an emergency and critical care background. We talked about work and home partnerships and how to balance it all while supporting each other. She was extremely inspirational and I can not express my gratitude enough for her taking the time to sit down with us. Thank you Colleen! Registered Nurses* Registered nurses (RNs) provide and coordinate patient care, educate patients and the public about various health conditions, and provide advice and emotional support to patients and their family members. 2017 Median Pay: $70,000 per year ($33/hour) Educational Degree: Initially Associate's Degree or Bachelor's Degree Number of US jobs in 2016: 2,955,200 10 Year Job Outlook: 15% growth, much faster then avg. *Bureau of Labor Statistics, U.S. Department of Labor, Occupational Outlook Handbook, Registered Nurses, on the Internet at https://www.bls.gov/ooh/healthcare/registered-nurses.htm (visited November 16, 2018). Terms Covered in Episode American Nurses Association Trauma Surgery - Surgical field dealing with acute traumatic injuries such as falls, motor vehicle crashes, gunshots, blunt and penetrating injuries, etc. Pulmonology - A medical specialty that deals with diseases involving the respiratory tract. Consult - When asked to weigh in officially with your medical opinion from your specialty on a patient managed by another team. Perforated Bowel - Opening in the intestines due to trauma (knife, bullet, etc) or disease (infection, cancer, etc). Is a surgical emergency. Yuck. Sepsis - A potentially life-threatening condition caused by the body's response to an infection. Ventilator - To move breathable air into and out of the lungs, to provide breathing for a patient who is physically unable to breathe, or breathing insufficiently. "Coding" - What we casually use to describe a cardiopulmonary arrest in which there is a sudden loss of function of the heart or loss of respiratory function that requires immediate intervention in a life or death situation. IR (Interventional Radiology) - A subspecialty of radiology that uses minimally invasive, image-guided procedures to diagnose and treat diseases in nearly every system or organ of the body. CVA (Cerebral Vascular Assault, Stroke) – Possible permanent damage to the brain from a loss of blood flow from either rupture of a blood vessel or obstruction from a tumor, clot, plaque, etc. MI (Miocardial Infarction) - "Heart Attack" refers to a blocked coronary artery that has caused, or is moments away from causing, irreversible cardiac (heart) tissue damage. ET (Endotracheal) Tube - A tube of varied sizes that is inserted into the trachea for establishing and maintaining a patient's airway. Choose Your Own Adventure Books ER (Emergency Room, Emergency Department, Emergency Ward, Accident & Emergency Dept) - Department that must provide initial treatment for a broad spectrum of illnesses and injuries, some of which may be life-threatening and require immediate attention that arrive unplanned by walk-in, private vehicle, or ambulance. ICU (Intensive Care Unit, Critical Care Unit, or Intensive Therapy/Treatment Unit) - Part of the hospital with the sickest patients requiring the most intervention from both staff and equipment. May consist of intubated, sedated, and ventilated patients. Bachelor's Degree - On average four to five year University Program to pursue a degree in a specific field. Sacred Heart University College of Nursing Bridge Program - A postgraduate program that is usually shorter then traditional programs that take into account previous experience. Physical Therapist - An important medical provider and part of the rehabilitation team to help assist with treatment, recovery, and overall well being of patients with chronic conditions, illnesses, or injuries. Prerequisites - Classes you may need to take before further applying to a program. Usually a focus on science/math for the medical field. PA (Physician Assistant) - Providers who practice medicine on teams with physicians and other healthcare workers. They examine, diagnose, and treat patients autonomously and as part of a team in all various specialties of medicine. On average a Master's level degree of education. NP (Nurse Practitioner) - A nurse practitioner is trained to assess patient needs, order and interpret diagnostic and laboratory tests, diagnose illness and disease, prescribe medication and formulate treatment plans. They may work in a solo practice independently or they may work within part of a hospital system. They graduate from a Master's or Doctorate level medical program. ASN/ADN - Associate’s Degree in Nursing. Usually around two years. EMT/Paramedic - Emergency medical technicians and paramedics care for the sick or injured in emergency medical settings by responding to emergency calls, performing medical services and transporting patients to medical facilities as needed. ER Techs - Staff who in all aspects of patient care under the supervision of the Practitioners and Nursing staff. Many have a paramedic/firefighting background. Travel RN - Nurse who travels for limited contracts working in all variety of places and roles. On average 8 to 13 week contracts. Smart Pumps Compact Nursing States NCLEX (National Council Licensure Examination) - A standardized exam that each state board of nursing uses to determine whether or not a candidate is prepared for practice. Wake Forest School of Medicine PA Program Harborview Medical Center King County Medic One "Board & Collared" - Refers to the practice of placing a patient on scene on a very hard and rigid backboard to immobilize them and place a neck collar on them to prevent any head movement in the event of a spine injury while they are transported to the hospital. They are incredibly uncomfortable. Intubated - When an ET Tube, or similar artificial airway, is placed, either in an emergency, where there is loss of respiratory function or planned such as in surgeries. First Responder - Generally refers to the first on scene in an event. May be police officers, firefighters, or paramedics for example. "Packaged" - Patient is ready to be transported. IVs are in, airway is secure if one is present, patient is strapped in, paperwork is read. Let's roll! EZ-IO - Used to gain access for medications or fluids when unable to get a line in a blood vessel. Using a drill a hollow bore is inserted into the broad side of a bone. Yeah, you drill into bone. "Push Line" - An IV that gives you access for medications that need to be administered over a short amount of time. Pain meds, sedatives, cardiac meds, etc. Vasopressors - Class of Antihypotensive medications that are used to raise blood pressure by contracting blood vessels. EJ - An IV placed into the external jugular of the neck. Central Line - Larger then an traditional IV placed into veins in the neck, chest, groin, or through veins in the arms. EMS (Emergency Medical Services) - Services that treat illnesses and injuries that requiring an urgent medical response, providing out-of-hospital treatment and transport to definitive care. Paramedics, Police, Firefighters, etc. Level One Trauma Center - A Level I Trauma Center is capable of providing total care for every aspect of injury – from prevention through rehabilitation and includes teaching residents and medical students in all fields. Med/Surg/Floor Nursing - Refers to what you would think of "general hospital patients." Those with pneumonia, new cardiac issues, skin infections, etc that do not require focal subspecialty involvement (cardiac, neuro, ortho, etc) or critical care support. Nocturnist - Hospital-based practitioner who only works overnight. Admit - To be brought in to the hospital for specific medical care. Entails obtaining a medical history, making a medical diagnosis, writing orders for treatment and other diagnostic procedures, diet, activity, etc. Post-Op/Recovery Room - The period right after surgery. GI (Gastroenterology) - The branch of medicine focused on the digestive system. Orthopedics - Branch of surgery concerned with conditions involving the musculoskeletal system. Neurology - The area of medicine focused on the nervous system. This includes the nerves, brain, and spine. Potassium - A naturally occurring mineral and electrolyte consumed in our diet. Involved in metabolism, hormone secretion, blood pressure control, fluid and electrolyte balance, and more. Normal standard range is around 3.5-5mEq/L. Critical Values - Any values considered to be too high or low and requires immediate medical attention to prevent further issues. "Bagging" - The act of using a manual balloon like bag that is squeezed for each breath to a patient. "Titrate a Drip" - To adjust the flow rate or dose delivered of medication in a IV or central line. Peggy Sue - Badass Patient Advocate "Shake and Bake" - Hyperthermic Intraperitoneal Chemotherapy is a highly concentrated, heated chemotherapy treatment that is delivered directly to the abdomen during surgery. Patient Advocacy - Doing what is best for the patient in all facets of care provided. Listening to and understanding their needs. Multi System Organ Failure - A cascading domino like effect where multiple organ systems start to shut down due to injury/illness. Krista Haugen and Survivors’s Network Post Resuscitation - The fragile period after performing CPR or similar resuscitation of a patient. M&M (Morbidity and Mortality Meeting) - Where we dissect individual challenging cases to identify what other choices could have been made for possible alternate outcomes. Off-Label - Using a medication that may not necessarily be the indication that it was originally intended for. For example Demerol that is a pain medication is excellent for post-operative rigors (shakes). A small dose works like magic...fun! IV Fluids - Intravenous fluids are given through an IV, central line, or IO and usually consist of normal saline or lactated ringer's solution. Levophed (norepinephrine bitartrate) - Medications used to raise blood pressure in critical patients. Used to be referred to as "Leave 'em dead" as any patient sick enough to require norepinephrine to manage their shock, then they were most likely going to die. Very commonly used nowadays. Epinephrine - Endogenous hormone that is given to patient's to treat a number of conditions including anaphylaxis, cardiac resuscitation, and bleeding. Inhaled epinephrine is used to help treat symptoms of croup. Is used in the ICU and cardiac unit to help maintain a high enough blood pressure. PRBC (Packed Red Blood Cells) – Blood that is transfused after finding the right compatible blood type for the patient. Plasma – Fluid in blood that is responsible for carrying red blood cells, white blood cells, platelets, etc. Is often used during blood transfusion to help stop the active bleeding by adding pro-clotting factors. Credo Cube Transfusion Guidelines Airlift NorthWest MONA - Morphine, Oxygen, Nitroglycerin, and Aspirin are all meds that should be administered to a patient experiencing chest pain. Emergency Nurse Association Balloon Pumps - Intra-Aortic Balloon Pumps use a thin flexible tube that is inserted into the aorta of the heart to pump blood artificially in a heart-like fashion. ECMO (Extra Corporeal Membrane Oxygenation) - Treatment that uses a pump to circulate blood through an artificial lung back into the bloodstream of a very ill patient. Provides heart-lung bypass support outside of the body. You are damn near dead at this point Skills Lab/”Sims” - Focused area to learn new medical techniques or further practice known skills. Society of Critical Care Medicine PFCCS - Pediatric Fundamental Critical Care Support ACLS - Advanced Life Support PALS - Pediatric Advanced Life Support Certification NRP - Neonatal Resuscitation Program ATLS - Advanced Trauma Life Support Certification CCRN - Critical Care Registered Nurse CEN - Board Certification of Emergency Nurses Each and every episode of Maybe Medical is for educational purposes only, not to be taken as medical advice. The opinions of those involved are of their own and not representative of their employer.
Hear how one of Yugoslavia’s top basketball players attempts to escape the Siege of Sarajevo and don't miss The Nocturnists late night meltdown at the morgue. "The Choice" from the Lucky Podcast Nada Rothbart thought she’d have plenty of time to get her family out of Sarajevo. Suddenly, it was too late. This story originally aired on Lucky podcast, listen to part two of Nada’s story "The Choice" here. Producer: Briana Breen "Live At The Morgue" from The Nocturnists Podcast What do you do when the morgue has a total meltdown. Galen Laserson tells her story live at The Nocturnist. Its host and creator is Emily Silverman, MD, its executive producer is Ali Block, MD, and its podcast producer is Marina Poole. The Nocturnists has its own podcast, with compelling stories from our live events, followed by an interview with the storyteller. Check it out wherever you get your podcasts. Season 9 Episode 16
Hospitals are amazing places. They’re emblems of the modern medical technology that saves and improves our lives in countless ways every day. But if you’ve ever roamed the halls of a hospital in the middle of the night, with its shiny echoey surfaces, background hum of anxiety, and distant monitors chiming like beacons of peril, you’re in no rush to return. But if you must, you’ll want someone like Shoshana Ungerleider there keeping an eye on things, especially if there are zebras. Read more → The post The Nocturnist appeared first on Nocturne.
Hospitals are amazing places. They're emblems of the modern medical technology that saves and improves our lives in countless ways every day. But if you've ever roamed the halls of a hospital in the middle of the night, with its shiny echoey surfaces, background hum of anxiety, and distant monitors chiming like beacons of peril, you're in no rush to return. But if you must, you'll want someone like Shoshana Ungerleider there keeping an eye on things, especially if there are zebras.