Podcasts about Occupational Outlook Handbook

When it comes to pricing, there's so much out there in the world telling and showing us we are not valued, when actually, all we're hearing are the loudest talkers, right? The real problem is believing in your value and not allowing society and people outside of you to change your belief in yourself.  In this episode, I discuss the importance of valuing your work appropriately and not undercharging for your services. I'm sharing my own journey helping clients navigate difficult conversations and set proper fees. We'll dive into the pitfalls of charging lower than deserved fees, explaining how it can affect one's self-worth and client perception. I'll provide actionable steps on how to increase rates, communicate value to clients, and break the cycle of undervaluing yourself, while setting boundaries and protecting your peace, heart, and reputation all while ensuring your contract reflects these values! Tune in to learn practical strategies for achieving a more harmonious, Joyful and Thriving™ creative life! 01:10 Combining Brands and Evolving 01:45 The Importance of Charging What You're Worth 03:52 Personal Experience with Pricing 06:06 Understanding Your Value and Raising Prices 08:40 Practical Steps to Increase Your Rates 11:30 The Impact of Pricing on Your Business 21:32 Action Steps Resources from the Show  Bureau of Labor Statistics, U.S. Department of Labor, Occupational Outlook Handbook, Graphic Designers (visited February 05, 2025). Listen to Episode 24 - Services Listen to Episode 25 - Pricing Waitlist for the 8-Week Contracts Course Free Guide: “12 Simple Tweaks to a Clearer Client Contract” >>>  Hi! I'm Sheila, your guide to a Joyful and Thriving™ creative life! I have lots of titles: attorney, social worker, coach, consultant, keynote speaker, educator. And while I'm proud of those titles, I am a human first and a title second – just like you. I want to help you reset expectations, set boundaries, and make aligned decisions, so you can streamline and focus your energy on the people, projects, and pay that actually matter to you.  Instagram: @sheilamwilkinson | LinkedIn Rate this podcast/episode on Apple Podcasts, or leave feedback here, and be sure to leave me a voice note with a question for me to answer in a future episode!

 Download the 2024-25 NCAA college-bound student-athlete guide.The guide will have you understand the following:The three NCAA DivisionsRecruitingFinal Amateurism Academic Requirement- The three NCAA Divisions         Follow the NCAA Eligibility Center on social media.                       X (formerly Twitter): @ncaaec            Facebook: @ncaaec            Instagram: @playcollegesports            YouTube: @ncaaecHone your athletic skills.Research career and majors.Resources: Look at the major list of the school you want to attend.Occupational Outlook Handbook- htpps://www.bls.govCareerOneStop- https://careeronestop.orgCandid CareerO*Net OnLineFocus 2   Research scholarship and other financial aid.          -Not every high school student-athletes will receive an athletic scholarship. That is why it is                       important to make good grades, volunteer your time,  TYPES OF SCHOLRSHIPS:Academic AthleticCommunity servicesDemographicNeed-basedScholarship for womenIdentity-based Merit aidMilitary MajorCreativeReligiousFederal, state, university, and private funding sources.   COST OF ATTENDENCE INCLUDES:Tuition and FeeRoom and BoardBooks and SuppliesTransportationMiscellaneous expenses

Ever seen info from the Common Data Set or stumbled onto BLS.gov? Whether you've never heard of these information sources or have some passing insight, you'll want to listen to today's show. We'll unpack what the CDS is and share how to best use it, and look into the wonders (our opinion!) of the Occupational Outlook handbook found at BLS.gov.

Ever seen info from the Common Data Set or stumbled onto BLS.gov? Whether you've never heard of these information sources or have some passing insight, you'll want to listen to today's show. We'll unpack what the CDS is and share how to best use it, and look into the wonders (our opinion!) of the Occupational Outlook handbook found at BLS.gov.

Ever seen info from the Common Data Set or stumbled onto BLS.gov? Whether you've never heard of these information sources or have some passing insight, you'll want to listen to today's show. We'll unpack what the CDS is and share how to best use it, and look into the wonders (our opinion!) of the Occupational Outlook handbook found at BLS.gov.

Start overcoming overwhelm TODAY and join the waitlist for the Leadership On The Rocks: The Survival Guide Course, CONTACT US: Visit our website at https://www.leadershipontherocks.com/ Follow us online at: Facebook: Leadership on the Rocks Instagram: @leadership_onthe_rocks Linked In: Bethany Rees Twitter: @Leadontherocks Email us at contact@bressentialservices.com Summary: Many Americans have reached such a high point of busyness, anxiety, or stress that they struggle to make it through each day mentally. This is causing not only a mental health crisis but an economic crisis as many people suffering from burnout choose to resign from their place of employment. Enter the Great Resignation. Whether you are experiencing the pain of the Great Resignation as the boss that hires or as the employee that is ready to leave, in today's podcast we'll discuss four causes of burnout at work and how to extinguish burnout in order to rekindle passion and purpose within our work…not only for you but those that work with and for you. Application: Root Cause #1 - Having Unmet Expectations Solution #1 - The solution is to have candid conversations with the stakeholders involved so those expectations are verbalized. Then work towards meeting the expectations you have power over, ask about those that require up the ladder approval, and explain and/or simplify those that you have no control over. It is absolutely amazing what just having an honest and vulnerable conversation will do for the mind and heart of a person. Root Cause #2 - A Negative Work Culture Solution #2 - If you are boss, then you need to assess how bad the current culture is as well as reflect on whether or not you've even provided clarity on the core values and beliefs your team should have and rally around. If there is no target for what a positive culture looks like in your organization, then how are you and your people going to work towards it? If you have no target for what a positive culture looks like, work with your employees to create one. If you have one but nobody works towards it, then you my friend have an accountability problem…and it's all your fault. Root Cause #3 - A Lack of Clarity about What is Most Essential Solution #3 - To avoid burnout among our employees, our places of employment have to do a better job of providing clarity on what is essential, or the most important priorities. Focus on the right thing at the right time for the right reason. Root Cause #4 - A Lack of Leadership Support Solution #4 - As leaders we need to shield our people from unnecessary stresses or demands of their time and attention while supporting and nourishing their growth and development. (Any easy example is stop hosting meetings that waste everyone's time and cost the company a ton of money and resources because there is no return on investment from it.) References: Milenkovic, Milja. “42 Worrying Workplace STRESS Statistics.” The American Institute of Stress, 25 Sept. 2019, www.stress.org/42-worrying-workplace-stress-statistics. "Bureau of Labor Statistics, U.S. Department of Labor, Occupational Outlook Handbook, Job Openings and Labor Turnover - November 20121, on the Internet at https://www.bls.gov/news.release/pdf/jolts.pdf (visited January 31, 2021)." Cook, Ian. "Who is Driving the Great Resignation?" Harvard Business Review, 15 September 2021, https://hbr.org/2021/09/who-is-driving-the-great-resignation. Chinni, Dante. "Great Resignation' hits schools across all positions," NBC News online, 26 December 2021, https://www.nbcnews.com/meet-the-press/news/great-resignation-hits-schools-across-all-positions-n1286565 McKeown, Greg. (2014). Essentialism. USA: Crown Business. McKeown, Greg. (2021). Effortless. USA: Random House. Brown, Brene. (2017). Braving the Wilderness. New York: Random House. Brown, Brene. (2018). Dare to Lead. New York: Random House. The Holy Bible, English Standard Version. ESV® Text Edition: 2016. Copyright © 2001 by Crossway Bibles, a publishing ministry of Good News Publishers. https://www.biblegateway.com/

Vistatec CEO Thomas Murray joins the pod to discuss the company's international presence, the tech and business environment, and managing growing content volumes.Thomas shares his insights on how geographic spread and the follow-the-sun model are important in serving clients. He explains why the language service provider (LSP) prefers organic growth over M&A, owing to the quality and longevity of customer relationships.He also discusses how globalization has changed the way the LSP tackles “content explosion”; and how agility and speed of execution are crucial to scalability. The CEO also weighs in on ISO certification and how using it in the right way can lead to operational excellence.Finally, Thomas reflects on the past year as Vistatec moved its operations online and kept staff safe through Covid.First up, Florian and Esther share key takeaways from SlatorCon Remote, which drew in nearly 300 attendees and facilitated 200-300 individual networking sessions. This year's SlatorCon Remote highlighted the message of growth with Iyuno-SDI CEO David Lee pointing out how 2020 was a peak year for OTT. In the UK Esther touches on two healthcare translation and interpreting framework contracts that are valued at over USD 500m. Meanwhile, Florian goes over the top paying states and job prospects in the United States as presented in US BLS' annual Occupational Outlook Handbook.

We look at the Management Occupations section of the OOH, updated on April 9, 2021 This episode is also available as a multimedia blog post: https://evansonmarketing.com/2021/04/28/updated-occupational-outlook-handbook-material/

In this discovery-themed episode, John David talks with Fabio Alamini from Volvo Financial Services about emerging trends in the analytics marketplace.Recommended resources related to this episode:O*Net Online, a U.S. Bureau of Labor and Statistics database to research common analytics careers and marketplace trends.Occupational Outlook Handbook, a U.S. Bureau of Labor and Statistics database to research common analytics careers and marketplace trends.Follow us on LinkedIn: John David Ariansen https://www.linkedin.com/in/johndavidariansen/ Elizabeth Illig https://www.linkedin.com/in/eillig/Want to learn some analytics skills? Check out John David’s courses:Tableau Desktop Specialist Guidehttps://www.udemy.com/course/tableau-desktop-specialist-certification-guide/?referralCode=AC6F2FDED8C5A0040276Power BI Top Skillshttps://www.linkedin.com/learning/power-bi-top-skills/top-skills-for-power-biInterested in private career coaching? Click the link to work one-on-one with Elizabeth.https://holcombeandillig.com/

John David and Elizabeth discuss the podcast’s first monthly theme of discovery. They talk about self-discovery and marketplace discovery. Self-discovery involves assessments like the CliftonStrengths and Career Leader so you know what strengths you have and how you fit into the marketplace. Marketplace discovery involves researching common analytics job titles and trends.Sign up for our email list to get a free analytics resume guide: https://mailchi.mp/df01df1e8856/analyticsjobRecommended resources related to this episode:CliftonStrengths assessment to understand your strengths. If you’re interested in going over your results one-on-one, Elizabeth is a Gallup-Certified Strengths Coach. Contact Elizabeth at https://holcombeandillig.com/.Career Leader assessment to understand how you fit into the business world.O*Net Online, a U.S. Bureau of Labor and Statistics database to research common analytics careers and marketplace trends.Occupational Outlook Handbook, a U.S. Bureau of Labor and Statistics database to research common analytics careers.Salary.com to research local salary information.Payscale.com to research local salary information specific to your degree, experience, and skills and the job you’re applying for.Follow us on LinkedIn: John David Ariansen https://www.linkedin.com/in/johndavidariansen/Elizabeth Illig https://www.linkedin.com/in/eillig/Want to learn some analytics skills? Check out John David’s courses:Tableau Desktop Specialist Guidehttps://www.udemy.com/course/tableau-desktop-specialist-certification-guide/?referralCode=AC6F2FDED8C5A0040276Power BI Top Skillshttps://www.linkedin.com/learning/power-bi-top-skills/top-skills-for-power-biInterested in private career coaching? Click the link to work one-on-one with Elizabeth. https://holcombeandillig.com/

I had a wonderful time sitting down with Mona, my first Supervising Physician when I graduated PA School, to talk about a variety of topics related to patient care and the medical experience. This was an unplanned interview so we went wherever the conversation took us and I couldn’t have been happier with the results. Our relaxed 2 hour conversation after dinner was edited down resulting in a wonderful 50 mins that I honestly feel anyone interested working in Medicine should listen to. Thank YOU for listening to it and continuing to make Maybe Medical a success! Medical Doctor (Physician)* Diagnose and treat injuries or illnesses. Examine patients; take medical histories; prescribe medications; and order, perform, and interpret diagnostic tests. They counsel patients on diet, hygiene, and preventive healthcare using evidence based medicine. 2018 Median Pay: Wage is equal to or greater than $208,000 per year (or $100.00 per hour). Educational Degree: Doctoral Degree (8 years of College on Average) Number of US Jobs in 2016: 713,800 Job Outlook 2016 - 2026: 13% (Faster than Average) *Bureau of Labor Statistics, U.S. Department of Labor, Occupational Outlook Handbook, Physicians and Surgeons Incredible Video by Brene Brown on Empathy Urgent Care - Walk-in clinics focused on the delivery of acute care in a dedicated medical facility outside of a traditional emergency room. Urgent care centers treat injuries and illnesses that are not serious enough to require an emergency department visit. Medical Residency - Training after graduating from Medical School. Minimum of three years for primary care physicians and some other specialties, but up to five years or more for some surgical specialties. Biochemistry - The study of the chemical processes within and relating to living organisms. Internal Medicine - The medical specialty dealing with the prevention, diagnosis, and treatment of adult diseases. Primary Care (AKA PCP or GP [General Practice]) - Day to day healthcare given by a provider including health promotion, disease prevention, health maintenance, counseling, diagnosis and treatment of acute and chronic illnesses, and patient education. Mammogram - The imaging process using low-energy X-rays to examine the breast for diagnosis and screening, commonly with the goal of early detection of breast cancer. Anxiety - Intense persistent, or transient, excessive worrying and fear about factors not usually fear inducing. Depression - Medical illness with a variety of symptoms with the main one being a depressed mood or loss of interest in activities, may cause significant impairment in daily life and may result in suicidal attempts if severe enough and untreated. CMP (Comprehensive Metabolic Panel) - Blood test that generally includes Albumin, blood urea nitrogen (BUN), Calcium, Carbon dioxide (Bicarbonate), Chloride, Creatinine, Glucose, Potassium, Sodium, Total Bilirubin and Protein. Different from a Basic Metabolic Panel in that it usually includes Liver Enzymes of Alanine aminotransferase (ALT), Alkaline phosphatase (ALP) and Aspartate aminotransferase (AST). SSRI (Selective Serotonin Reuptake Inhibitor) - Very common class of medication used for depression and a variety of other mental health issues. Acid Reflux (AKA “Heartburn” or GERD [Gastroesophageal Reflux Disease]) - Usually due to excessive eating, laying down after eating in bed, or medication related in which there is a burning sensation in the chest, very common and may lead to further damage or cancer of the esophagus if untreated. Stages of Grief (Kubler-Ross Model) - Progression of emotional states experienced by both terminally ill patients after diagnosis and by loved-ones after a death. The five stages are chronologically: denial, anger, bargaining, depression and acceptance. The stages vary in duration depending on the person and not everyone experiences all five stages. GI (Gastroenterology) - The branch of medicine focused on the digestive system. Prilosec - Common Proton Pump Inhibitor that is used to treat GERD. Lipase - Pancreatic enzyme (used in the digestion of food) in which it is elevated due to alcoholism, medications, pancreatic cancer, and other reasons. Numbers Need to Treat - Average number of patients who need to be treated to prevent one additional bad outcome. Colon Cancer - Cancer of the large intestine, at times may not be apparent until a perforation (hole in the colon) or bloody stool occurs. Sepsis - A potentially life-threatening condition caused by the body's response to an infection. Extubate - To remove the endotracheal tube (breathing tube) when someone is ventilated (on a breathing machine). May be removed as they are improving and no longer need it, or when the determination of brain death has been made to allow the patient to die. Subdural Hemorrhage - Blood gathers between the inner layer of the dura mater and the arachnoid mater of the brain, generally related to trauma and may be life threatening. Blood Culture - A critical lab that checks for blood infection from bacteria, yeast, and other microorganisms. Having a blood infection is a condition known as bacteremia. Hospitalist - Medical Provider responsible for care of a patient admitted to the hospital. CHF (Congestive Heart Failure) - Heart’s inability as a pump to maintain blood flow to meet the body's needs. Signs and symptoms often include shortness of breath and leg swelling. Pneumonia - Infection of the lung, may be life threatening, usually due to bacteria, but may be fungal, chemical, or viral in nature. “Crashing” - A slang term used to describe a patient who is doing poorly and may be imminently dying soon. May include severely low blood pressure, heart arrhythmias, or issues breathing as a few common examples. 8 on 13 off - Working 8 days in a row of 10 or 12 hour shifts, then having 13 days off. Often a 7 on 7 off schedule is common. Scrubs Patient Advocacy - Doing what is best for the patient in all facets of care provided.  Listening to and understanding their needs. Renal Failure - May vary in severity from mild to “end-stage” kidney failure. May include leg swelling, feeling tired, vomiting, loss of appetite, or confusion. May require the person to be on dialysis. Vancomycin - A very strong antibiotic used to treat a variety of infections, may be used intravenously or by mouth. Drug Trough - The lowest concentration reached by a drug before the next dose is administered, often used in therapeutic drug monitoring. Tenements TB (Tuberculosis) - An infectious disease often caused by the bacteria Mycobacterium tuberculosis. Affects the lungs, but can also affect other parts of the body. Great Depression Era Aflotoxin Aspergillus Flavum Mold - A fungal toxin that commonly contaminates corn and other types of crops during production, harvest, storage or processing that may cause cancer. 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. MA (Medical Assistant) – A health professional that works along side a medical team in an inpatient or outpatient setting. 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. OR (Operating Room) - Where surgeries take place. Reimbursement - Payment for care provided. Medicare - Government provided healthcare insurance to those over 65, young people with disabilities, and people with end stage renal disease. On-Call - Being ready and available to go into the hospital to provide patient care or answer medical questions while being away from the hospital/clinic. Insulin - Hormone the pancreas produces to help metabolize food for absorption and often either does not work or is not produced in diabetics, thus they may need external insulin. Scribe - Entry level medical personnel responsible for charting medical provider-patient encounters in real time, such as during medical examinations to assist the person in seeing more patients over a time frame. Homeopathy - A medical system with it’s foundation believing that the body can cure itself or with the use of tiny amounts of natural substances, like plants and minerals. Pulmonology - A medical specialty that deals with diseases involving the respiratory tract. Human Genome Project Neurology - The area of medicine focused on the nervous system.  This includes the nerves, brain, and spine. Psychology - The science focused on personal behavior and the mind, including conscious and unconscious process, as well as feeling and thought. MCAT (Medical College Admissions Test) - Standardized test used for students trying to get into Medical School. Meharry Medical School 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. 9 to 5 Tootsie 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.

  First of all, I want to point out that everything I've taught you in previous podcast episodes holds true for foreign nationals. In other words, there's nothing US citizens should do in their job search that foreign nationals shouldn't do. There is, however, another layer (or perhaps a few additional layers) for foreign nationals.   The order of this process MUST be: 1. Secure a job in the US, then obtain the appropriate visa You are going to be looking for companies that are willing to sponsor a visa, which will cost the employer approximately $25K. Because of this, only about 5% of companies in the US will sponsor visas, and they typically only do so for individuals with highly specialized skills. Even though you won't yet have a visa when you are looking for employment, it is necessary to know what type of visa you will be seeking because certain employers will only sponsor certain types of visas. Some of the more common visas are: H1B – for specialized workers (this is the most common) H2B – for temporary skilled or unskilled workers (non-agricultural but temporary in nature) L1 – Intracompany Transferee – you have to be in management or have specialized skills and will be working for the same employer Certain companies that have strong relationships with the US have specialized visas that are easier to obtain; these countries include Australia, the UK, Canada, and Mexico. Beware of visa scams; there is never a fee to apply for a US work visa. Note that many people find obtaining a student visa an easier route; they can then seek sponsorship once in the US, perhaps with a company they intern with. The sites I recommend to look for jobs include Indeed, Glassdoor, and USponsor Me. Keep in mind you are looking for companies that are willing to sponsor, so don't waste your time applying for those that don't. Sometimes, smaller companies may have difficulty attracting highly specialized workers, and thus may be more amenable to sponsoring a visa that very large corporations. They have to be large enough to be able to absorb the $25K in legal fees, but if they are small enough to not use an Applicant Tracking System (the computer software that may automically kick you out if you aren't a US citizen) you might have an easier road. LinkedIn is going to be a major resource for your job search in the US, so make sure your profile is top-notch. Take note of recruiters looking at you profile and/or connecting with you, then reach out to them about opportunities with sponsoring companies. The Bureau of Labor Statistics website is an excellent source for salary information; the Occupational Outlook Handbook can help you with job prospects. You can also Google things like “least expensive major US cities” to find the locations most affordable to live in. This will be particularly helpful if you are seeking an entry-level or unskilled laborer job or want to start your own business. To avoid driving yourself insane, it will be important to have a career focus and a few cities you want to focus on. “I will take any job anywhere in the US” may sound like a good way to expand your options, but you aren't targeting, which will make you appear irrelevant to employers.   Networking Networking is very important for all job seekers…and especially so for foreign nationals. While you may be thousands of miles away, the Internet and LinkedIn makes it possible to network effectively. I won't go into great detail here because this is a topic I've covered extensively in other episodes.   Resume Everything I've said about the resume in other episodes holds true for foreign nationals. You have, however, a few additional hoops to jump through: 1. Make it clear what the US equivalent is to your degree, if obtained in another country. There are websites that can help you with this. 2. If there are other aspects of your resume that may not show the US equivalent, do so. 3. There shouldn't be any personal information on your resume such as picture, age, marital status, or hobbies. 4. Your resume shouldn't have any personal pronouns, such as “I” or “me.” 5. Tell what languages you speak, and your proficiency with each. 6. Although your references are separate from your resume, I want to talk briefly about them here. If you are able to secure US references, that will be a tremendous help.   Interviewing Recently, someone reached out to me about the difficulty foreign nationals face in the interview process, especially if there is a language barrier. If you think your ability to interview in English will be a barrier to employment, I recommend hiring an interview coach such as myself to determine if a barrier actually exists, how significant that barrier is, and how to address it. It's not just the language itself that creates a barrier – the lack of ability of understand sayings or humor may make it more difficult for the interviewer to feel as if he or she has really “gotten to know you.” Five biggest mistakes in this process: 1. Putting your needs first Sure you want a job in the US. But if you lead with that, the employer will be turned off. 2. Playing the desperation card Don't expect an employer, whom you've never even met, to feel sorry for you to the tune of $25K. 3.     Not showing your qualifications You still have to be the most qualified candidate to get the job. 4.     Not showing your interest Employers want to know why you want to work for them…not just that you want any job you can get. And your reason can't be self-serving. 5.     Applying to companies that clearly don't sponsor This just wastes your time. In closing, DO expect: 1.     That this process will take several months, if not a year 2. Lots of rejection and frustration 3. Some attempts to scam or cheat you, preying on your desire to work and live in the US   www.exclusivecareercoaching.com   Follow My YouTube channel (Lesa Edwards); it's chocked full of valuable career management content in easily digestible bites.   Want to speak with an expert about your career/job search goals? Need help figuring out what's holding you back from achieving your dream career? Let's talk. Here's the link to schedule a 30-minute consult call with me:  https://my.timetrade.com/book/D6KLN. Hope to see you soon!     

We spoke with Dr. Marie Waung, an industrial-organizational psychologist and professor at the University of Michigan-Dearborn, about the field of psychology in general and the skills one can acquire by studying psychology. Maddy & Zenon also talked about the history of psychology, research on career anxiety, and some basic terms & concepts to prepare listeners for the interview. Some of the skills Dr. Waung discussed include: Critical thinking & analytical skills Evaluation of information Writing & speaking skills Research methods and statistics Computer skills, especially with statistical software Interpersonal skills; working with others, integrating diverse perspectives Dr. Waung mentioned the Occupational Outlook Handbook, a resource published by the federal government that looks at outcomes and predictions for many different careers. We'd also like to recommend this book to anyone who wants to know more about different careers in which knowledge of psychology can be useful! Send us an email at hosts@pre-occupied.com! Follow us on Twitter @PreOccPodcast! Credits Music: Aaron Mealey Graphics: Colin Mealey

Topic - Your Life's Work Think you know what you want to do for your life's work? What do you actually know about the job you're chasing? Will you like it or regret it? You can “audition” jobs by volunteering at the places you might be working. You might be emptying the trash or going for coffee, but you'll see the day-to-day job, up close and personal, and it might be really different from what you've been told. Talking with the employees will give you a feel for what they like and don't like about the job and what they might have done differently. You might learn about related fields that could be a better fit. Go online and check out the Dictionary of Occupational Titles and the Occupational Outlook Handbook. The Dictionary will tell you about the job and the Handbook will tell you about the future of the job. You're likely to have 6-7 related jobs in your career. As Dr. Seuss says, “Oh the places you will go!” --- Send in a voice message: https://anchor.fm/drclaudia/message

  We talked about his background as a paramedic and currently working as a Trauma Surgery PA. We laid down so many points for anyone looking into getting into the medical field. We covered so many topics during our chat he wondered if there was any value to it, but I know due to his background and personality we were covering really important information when we were chatting. This is the whole reason for Maybe Medical! Please visit Maybemedical.com to leave comments and please rate us on your podcast feed to get the word out! Thank you Tyson!       Physician Assistant Stats:* Physician Assistants 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.   2017 Median Pay: $104,860 per year ($50.41 per hour)   Educational Degree: Masters Degree   Number of US jobs in 2016:106,200   10 Year Job Outlook: 37% growth, much faster then avg.     *Bureau of Labor Statistics, U.S. Department of Labor, Occupational Outlook Handbook, Physician Assistants, (visited August 5, 2018).     Terms Covered in Episode M.D. (Doctor of Medicine) - Requires completion of a (usually) four year graduate medical school training program to become a Physician.  They examine patients; take medical histories; prescribe medications; and order, perform, and interpret diagnostic tests. They counsel patients on diet, hygiene, and preventive healthcare.   Psychiatry - Medical specialty focusing on Mental and Behavioral Health.   Salary - Opposite of hourly pay.  Salary is paid no matter how little or excess work is performed.  Does not fluctuate based on productivity or hours worked unless previously agreed upon.   Production Bonus - Extra pay for seeing more then the require amount of patients, or some variation of productivity.   Attending Cosign - Legal signature and acknowledgement of a Physician Assistant's note.  Agreeing with their interpretation of diagnostics, medical diagnosis, and treatment plan.  Requirement of number of cosigned notes varies by state with many asking 10% of charts be reviewed by the Supervising Physician.   Reimbursement - Payment for services and medical supplies from insurance companies.   Third-Party Reimbursement   RVU (Relative Value Units) - Measure of value used in the US to determine services provided by practitioners to gauge the value, and thus the reimbursement from insurance companies, for care given to patients. Trauma Surgery - Surgical field dealing with acute traumatic injuries such as falls, motor vehicle crashes, gunshots, blunt and penetrating injuries, etc.   "Scut Monkey" - Slang term for an inexperienced medical student.  Responsible for much of the paperwork and other undesirable duties...also the subtitle of an EXCELLENT book.  Seriously, buy it!   Discharge - To be released from the hospital and given specific follow up instructions, support services, and pertinent medications. Admit - To be brought in to the hospital for medical care, surgical care, or recovery.   OR (Operative Room) - Where surgeries take place. 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.   Pre/Post Op - The phase just prior to or after surgery for a patient   Inpatient/Outpatient - Inpatient is someone staying, at minimum, overnight in the hospital, outpatient generally refers to a clinic patient.   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.   Resident - Physicians who have graduated from an accredited medical school and hold a medical degree who are now enrolled in a post graduate medical program, with varying years, with the focus on a specific medical/surgical field.   Chest Tube - A tube placed in the chest cavity to evacuate blood, pus (exudate), or air.   “Bronchs” (Bronchoscopy) - Surgical technique of visualizing the inside of the airways for diagnostic and therapeutic purposes using a flexible camera/suction device (bronchoscope) inserted into the airway (mouth, nose, trachea) of a sedated patient.   Supervising Physician - Each PA has a Supervising Physician on state record who has partnered for medical care.   Subspecialty - Specific medical or surgical focus.  For example bariatric surgery instead of general surgery or pediatric neurology instead of pediatrics.   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 Tech - Staff who work in all aspects of patient care under the supervision of the Practitioners and Nursing staff.   Many have a paramedic/firefighting background.   “Ride-a-long” - Volunteer position to ride with EMS staff seeing the real world day to day duties of their career.   On Scene - On location of the medical event.   Aaron - Super Amazing Guy and Critical Care Nurse Practitioner.   Certificate Program - Generally around a two year program at a local community college.   EMS (Emergency Medical Services) - Services that treat illnesses and injuries that require an urgent medical response, providing out-of-hospital treatment and transport to definitive care.   Paramedics, Police, Firefighters, etc.   Undergrad - Generally refers to a Bachelor program (four to five years) after high school.   Monitor Tech - Trained technicians who observe and interpret a patient's heart status and other vital signs remotely in the hospital.   Phlebotomist - Staff skilled at drawing blood/obtaining labs.   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.   Urgent care - Walk-in clinics focused on the delivery of acute care in a dedicated medical facility outside of a traditional emergency room. Urgent care centers treat injuries and illnesses that are not serious enough to require an emergency department visit.   Auger - A large helical drill bit used often for drilling earth or wood.   Prerequisites - Classes you may need to take before further applying to a program.   Usually a focus on science/math for the medical flied.   Bachelor’s Degree - On average four to five year University Program to pursue a degree in a specific field.   Intubate - 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.   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.   Mapping Navajo Nation: Vice News Tonight on HBO (watch it!)   Protocols - Specific guidelines that allow EMS to treat patients en route to the hospital based on the medical situation and skill of staff.   EMS Transfers - Often non-emergent transfers from one medical facility to another.  May be as simple as a hospital to nursing home transfer a few mins away, or a half day trip to a metropolis with better medical services.   Pension - A regular payment made during a person's retirement from an investment fund to which that person or their employer has contributed during their working life.   Colleen - Supportive Wife and Amazing Flight Nurse   Travel RN - Nurse who travels for limited contracts working in all variety of places and roles.   On average 8 to 13 week contracts.   Wake Forest Physician Assistant Program   PAEA - Physician Assistant Education Association   List of PA Programs   PA History   Prescription - Legal written order for prescribed medications from a medical practitioner and dispensed by a pharmacy.   Surgical Programs   American College of Surgeons List of Surgical Specialties   A1c (Hemoglobin A1c) - A blood test that measures your average blood glucose, or blood sugar, level over the past 3 months.  Hemoglobin is a protein found inside red blood cells that carries oxygen to the body.  Used during the evaluation and treatment of diabetes.   Diabetes -  Refers to a group of diseases that result from an inability to utilize or produce insulin (naturally produced hormone) and thus unable to process glucose (sugar) appropriately.  This leads to a large variety of complications.   Byetta - A medication used for type 2 diabetics that promotes insulin secretion by the pancreas.   Vascular - A surgical subspecialty focusing on arteries, veins and lymphatic circulation using medical therapies, minimally invasive procedures, and surgical intervention.   Orthopedics - Branch of surgery concerned with conditions involving the musculoskeletal system.   Plastic Surgery - Surgical field specializing in restoration, reconstruction, or alteration of the human body.   Transplant Surgery - Surgical specialty in which an organ is removed from one body and placed in the body of a recipient, to replace a damaged or missing organ.   List of PA Residency Programs   Montefiore PA Surgical Residency   Consult - When asked to weigh in officially with your medical opinion from your specialty on a patient managed by another team.   Didactic Phase - Refers to the classroom aspect of medical education.  The opposite would be clinical phase working with actual patients.   “Steps” - Refers to the USMLE   Schwartz's Principles of Surgery   Staff PA - Hospital employed Physician Assistant.   CT Surgery - Cardiothoracic surgery deals with issues of the thorax, generally the heart and lungs.   Vein Harvest - Generally endoscopic removal of a vein to replace a coronary artery (cardiac bypass).   "Pimping" - Refers to the process of getting questioned, sometimes spontaneously, on random medical topics until failure by your preceptor.   Pathophysiology - The processes associated with disease or injury.   Neurosurgery - Surgery dealing with the Nervous System (brain and spine).   Pathology - The area of medical focused on conditions typically observed during a disease state.   Foreign Body - An object that is not supposed to be there.   IM (Internal Medicine) - The medical specialty dealing with the prevention, diagnosis, and treatment of adult diseases. AKA “Internists.”   Hospitalist - Practitioners who focus on the treatment of hospitalized patients.   Follow up - The scheduled visit to see how the patient is progressing in their recovery or disease state after a hospital discharge or clinic visit.   Pneumothorax - AKA “Collapsed lung” is when air leaks into the space between the lungs and chest wall.  This may be due to blunt or penetrating trauma, or spontaneous due to congenital (developmental) or disease origin.  Treatment is a chest tube.   OR Device Rep - Professional representative who assists and educates the surgeon during a procedure with an expertise in their area and their company’s equipment (knee replacements, defibrillators, etc).   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.  

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.  

When chatting with Sam it reminded me how much I missed the ER.  She gave us a wonderful perspective on how it is to work in the ER and what traits would make an ideal ER RN.  We discussed the various routes to become a nurse and she shared her personal pros and cons with us about nursing in the emergency setting.   Thank you Sam!   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 UC College of Nursing   CNA (Certified Nursing Assistant) - Takes care of patients under the supervision of Licensed Practicing Nurses and Registered Nurses in a facility. Microbiology - The study of microorganisms, encompasses numerous sub-disciplines including virology, parasitology, mycology and bacteriology.   Satellite clinic - A facility owned by a hospital, but operated at a distant site.   Urgent care - Walk-in clinics focused on the delivery of acute care in a dedicated medical facility outside of a traditional emergency room. Urgent care centers treat injuries and illnesses that are not serious enough to require an emergency department visit.   Pediatrics Medicine - A branch of medicine that involves the medical care of infants, children, and adolescents. BSN - Bachelor of Science in Nursing, more schooling then Associate's. Usually four to five years. ASN/ADN - Associate’s Degree in Nursing.  Usually around two years.   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. 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.   Drug Reps - Pharmaceutical Representatives are professionals that work for the companies that manufacture, market, and sell medications that work with clinics, hospitals, and other health care facilities to educate about new products and continue to support current products.   PureWick External Female Catheter

I've known Tiffany for quite a long time now and she truly is like a sister to me.  I was so excited to have her on the show, but I've never once worked with her.  Despite this, she is such a wonderful person that if I ever was to be sick, injured, or my family needed care I would be so fortunate if she was the nurse.  She has been caring for people her entire life, even when not her responsibility.  I hope you feel as inspired as I am after listening to her.   As we discussed here is a wonderful Florence Nightingale quote:   The most important practical lesson that can be given to nurses is to teach them what to observe, how to observe, what symptoms indicate improvement, what the reverse, which are of importance, which are of none, which are the evidence of neglect, and of what kind of neglect.   Thank you Tiffany!       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   Palliative Medicine - An interdisciplinary approach to specialized medical and nursing care for people with life-limiting illnesses. It focuses on providing relief from the symptoms, pain, physical stress, and mental stress at any stage of illness.   Geriatrics Medicine - A specialty that focuses on health care of elderly people. It aims to promote health by preventing and treating diseases and disabilities in older adults.   Pediatrics Medicine - A branch of medicine that involves the medical care of infants, children, and adolescents.   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.   Travel RN - Nurse who travels for limited contracts working in all variety of places and roles.  On average 8 to 13 week contracts.   Autonomy - Being able to work independently.   CNA (Certified Nursing Assistant) - Takes care of patients under the supervision of Licensed Practicing Nurses and Registered Nurses in a facility.   Personal Home Care - Providing medical care in a home setting.  Either in a group facility, as a visitor to an individual home, or as a live in caregiver providing 24/7 support.   Pharmacy Tech - A health care provider who performs pharmacy-related functions working under the direct supervision of a licensed pharmacist.   Corpsman - An enlisted member of a military medical unit.   Prerequisites - Classes required to set an educational foundation prior to enrolling in more focal studies.   Bachelor's Degree - On average four to five year University Program to pursue a degree in a specific field.   LPN (Licensed Practicing Nurse, aka Licensed Vocational Nurse) - Provides nursing centered patient care as part of a medical team.  Requires less years of education with less responsibilities on average compared to a Registered Nurse.   ASN/ADN - Associate’s Degree in Nursing   BSN - Bachelor of Science in Nursing, More schooling then Associate's.   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.   Antimicrobial - An agent that kills microorganisms or stops their growth.   Oncology - Oncology is a branch of medicine that deals with the prevention, diagnosis, and treatment of cancer.   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.   CCU (Cardiac Care Unit) - Part of the hospital that focuses on postoperative cardiac surgical patients and those who have suffered from cardiac events or other variety of cardiac related disease processes.   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.   CABG (Coronary Artery Bypass Graft Surgery) - "Bypass" surgery is a surgical procedure to restore normal blood flow to an obstructed coronary artery.   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.   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.   Dobutamine - Inotrope class of cardiac medication used in the treatment of adults with weakened cardiac function due to poor effort of cardiac contractions (pumping of the heart) that may result from cardiac disease or cardiac surgery.  Helps the heart to beat stronger and more efficiently.   Dopamine - Medication used as a stimulant for low blood pressure, cardiac arrest, or slow heart rate.   Vasopressors - Class of Antihypotensive medications that are used to raise blood pressure by contracting blood vessels.   Insulin - Hormone naturally produced by the body to help process carbohydrates that is given via injection to diabetics who are unable to either produce, or are no longer as sensitive to, their insulin.   Massive Transfusion Protocol - Protocol that a hospital system has when need of large quantities of blood and blood products are needed to be transfused for a patient with significant blood loss that may still be ongoing.   Florence Nightingale - Founder of Modern Nursing   Certified Breastfeeding Specialist - Specialized healthcare provider who work with mom and their baby to assist in feeding and help those experiencing breastfeeding problems, such as latching issues, painful nursing, or low milk production.   Prenatal Care - Care being provided to those pregnant or planning to become pregnant.   Acute Care - The opposite of long term care.  Providing care for expected temporary illness or injury.   Foley Catheter - A tube that is inserted through the urethra to the bladder to empty urine.  May be left in place and a bag attached to it.   Skills Lab - Focused area to learn new medical techniques or further practice known skills.   Colostomy - A surgical procedure that brings one end of the large intestine out through an opening (stoma) made in the abdominal wall. Poop and liquid moving through the intestine empties via the stoma into a bag attached to the abdomen.   Oregon State Board of Nursing   Latching - The application and placement of the child's mouth to the nipple/breast to form an appropriate connection for feeding.   Colostrum - The nutrient rich first form of milk produced immediately following delivery of the newborn and contains antibodies to protect the newborn against disease.   Breast Pumping - Using a machine to mild the breasts for milk to be used at a later date or if there is issues with the infant latching on to the nipple for adequate feedings.   Torticollis - A rare, and often temporary, condition in which the neck muscles contract, causing the head to twist to one side.   Teddy Bear Constipation - Your teddy bear is "overstuffed."   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.

Despite working with Chanelle for only a few months I came away from every interaction feeling confident that the patients we were working with together were going the get the absolute best care.  She is a wonderful mix of confidence and compassion that makes every patient put 100% of their trust in her.  I learned so much from her in this quick chat before her shift at the hospital and I know you will as well.  Thank you Chanelle! Radiologic Technologists* Radiologic technologists perform diagnostic imaging examinations on patients that are licensed by the American Registry of Radiologic Technologists, which is an organization offering credentialing in medical imaging, interventional procedures, and radiation therapy. 2017 Median Pay: $58,440 per year ($28/hour) Educational Degree: Associate's Degree Number of US jobs in 2016: 241,700 10 Year Job Outlook: 13% growth, faster then avg. *Sourced from and edited based on information found on Bureau of Labor Statistics, U.S. Department of Labor, Occupational Outlook Handbook, Radiologic and MRI Technologists, on the Internet at https://www.bls.gov/ooh/healthcare/radiologic-technologists.htm (visited October 25, 2018). Terms Covered in Episode AART - American Registry of Radiologic Technologists Inpatient/Outpatient - Inpatient is someone staying, at minimum, overnight in the hospital, outpatient generally refers to a clinic patient.   Pre/Post Op – The phase just prior to or after surgery for a patient Fluoroscopy - Imaging technique that uses X-rays to obtain real-time moving images of the interior of an object. Radiologist - Physician who specializes in interpreting diagnostic images such as CT, MRI, X-ray, etc.  May also perform procedures during diagnostic tests. Psych Patient - Someone generally suffering from a schizophrenic break, suicidal thoughts, or self harm when they are seen in the Emergency Room.    Constipation - Difficult time having a bowel movement (poop), induced by lack of hydration and movement when in the hospital, may progress to the more severe term call "Obstipation." Small Bowel Obstruction - Physical blockage of the small intestine more commonly due to previous surgeries that can cause adhesions (walls of intestines stick together).  May resolve on it’s own with time or may require surgery to correct.  Abdominal series - Used to help diagnose cause of abdominal pain.  X-ray series that usually consists of a standing abdominal x-ray, laying abdominal x-ray, and chest x-ray. Diagnose - Identifying the cause of the medical issue.  R.T. (Respiratory Therapy) - Therapists in the hospital that assist in all manner of care regarding the respiratory system during times of recovery from illness, injury, or maintenance of a long term lung disease.  O.R. (Operating Room) - Where surgeries take placeEsophagram - Exam performed of the esophagus (tube that goes from mouth to stomach) to assess frequent heartburn (upper abdominal pain), gastric reflux (food/acid coming back up), aspiration (food or fluid in your wind pipe, aka Trachea), difficulty eating, drinking, or swallowing.Barium Sulfate - Low toxicity high density chemical compound used as a radio contrast agent in x-ray and other imaging of the digestive tract.  Speech Therapy - Therapist who specialize in all manner related to language formation and often assist patients who are having difficulty eating to help properly retrain or assess how to physically get nutrition.  Aspirate - To have food/liquid accidentally go down the Trachea (“wind pipe”) and may result in pneumonia (lung infection, may be fatal).Ultrasound - Diagnostic and therapeutic imaging using high frequency sound waves.Prerequisites - Classes you may need to take before further applying to a program.  Usually a focus on science/math for the medical flied.  Clinical's - Rotations where students are working in the hospital or clinic getting medical exposure during their training.  CT Scan - Image made using computerized axial tomography (aka CAT Scan), which gives us various angles to assess the anatomy with much more detailed look compared to x-ray.  Radiation Therapy - Type of cancer treatment that uses beams of intense radiation (energy) to kill cancer cells in hopes of a cure or sometimes as a comfort measure to decrease the size of the cancer.  Positioning - The right orientation of the patient for the x-ray to take an image of a part of anatomy.  Varies by each image.  A variation off of the desired positioning will result in a subpar image.  kVp (Kilovoltage Peak) - The voltage applied to the X-ray tube.  The radiation dose to the patient is directly proportional to the square of kV. Milliampere-seconds (mAs) - Measure of radiation produced over a set amount of time via the X-ray tube. Thyroid - Butterfly shaped endocrine gland located on the front of the neck responsible for thyroid hormone that assists in regulation of metabolism and protein synthesis.  Nuclear Med Technologists - Technologists who prepare and administer radioactive drugs to patients for therapeutic and diagnostic purposes.  Gastrograffin Challenge - Diagnostic procedure used for assessment of small bowel obstruction.  Involves administration of water-soluble barium like contrast followed by serial abdominal x-rays.   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.  

Barrington is a wonderful friend and an excellent practitioner. He is very unique in that he decided to go back to school to become a Physician of Osteopathic Medicine after he was a successful practicing Physician Assistant in surgery. It is amazing how hard he works in every aspect of his life. I knew from working with him how hard and dedicated he was, but after hearing his stories, I have even more respect for him. Thanks for your time, Barrington!   Physician Assistant Stats:*Physician Assistants 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.  2017 Median Pay: $104,860 per year ($50.41 per hour) Educational Degree: Masters DegreeNumber of US jobs in 2016:106,20010 Year Job Outlook: 37% growth, much faster then avg.*Bureau of Labor Statistics, U.S. Department of Labor, Occupational Outlook Handbook, Physician Assistants, (visited August 5, 2018).   Physician and Surgeon Stats:**Physicians and surgeons diagnose and treat injuries and illnesses. Physicians examine patients; take medical histories; prescribe medications; and order, perform, and interpret diagnostic tests. They counsel patients on diet, hygiene, and preventive healthcare. Surgeons operate on patients to treat injuries, such as broken bones; diseases, such as cancers; and deformities, such as cleft palates. They work in all fields of medicine. 2017 Median Pay: Greater then $208,000 per year ($100 per hour) ***Educational Degree: Doctoral DegreeNumber of US jobs in 2016: 713,80010 Year Job Outlook: 13% growth, faster then avg.**Bureau of Labor Statistics, U.S. Department of Labor, Occupational Outlook Handbook, Physicians and Surgeons, on the Internet at https://www.bls.gov/ooh/healthcare/physicians-and-surgeons.htm (visited August 26, 2018). ***Other publications list Orthopedic and Cardiac Surgeons as making around $500k/yr   Terms Covered in Episode Cradle to Grave – Caring for patients from Neonatal to Geriatric population. OB/GYN (Obstetrics/Gynecology) – Medical field that deals with pregnancy, labor, post partum care, and women's health specialties. MA (Medical Assistant) – A health professional that works along side a medical team in an inpatient or outpatient setting. EKG (Electrocardiogram) – Graph representing the electrical conduction of the heart to determine cardiac disease or injury. Phlebotomy – Drawing blood from patients in an outpatient or inpatient setting. CASPA LECOM (Lake Erie College of Osteopathic Medicine) MCAT (Medical College Admission Test) - Standardized examination for prospective medical students Academic Index – Tool used by some colleges to summarize the academic performance of students AACOM (American Association of Colleges of Osteopathic Medicine) Manipulation – Applying pressure to a person's spine or other parts of their body to adjust and correct alignment to reduce pain and improve function Cervical Strain – Strain of the neck Muscle Relaxer – Prescription medications used to relax muscles during acute phase of healing NSAIDS (Nonsteroidal Anti-Inflammatory Drugs) – Motrin/Advil (Ibuprofen), Aspirin, Aleve (Naproxen) used to treat acute and chronic pain and inflammation injury and disease related Muscle Spindles – Stretch receptors within the body of a muscle that primarily detects length of the muscle. It has both sensory and motor components. Appendicitis – Infection and inflammation of the appendix requiring surgical intervention Visceral vs Somatic Pain – Visceral neurons transmit information from the organs and somatic pain comes from the skin or skeletal muscles Dermatome – Area of skin that is mainly supplied by a single spinal nerve Cholecystectomy – Surgical removal of the gallbladder COPD (Chronic Obstructive Pulmonary Disease) – Chronic inflammatory lung disease that causes shortness of breath among other pulmonary symptoms further divided into Chronic Bronchitis or Emphysema Pre/Post Op – The phase just prior to or after surgery for a patient Atelectasis – Complete or partial collapse of lung space, occurs when tiny air sacs called Alveoli become deflated Lymphatic System – Network of vessels in which lymph drains from tissues into the blood Lymphedema – Swelling in an extremity caused by lymphatic system blockage Tension Headache – Headache triggered by physical and/or emotional stress Fascia – Thin sheath of fibrous tissue over a muscle or organ Myofascial Release – Therapy used to treat pain and immobility by relaxing contracted muscles Muscle Energy – Therapy using gentle muscle contractions to relax and lengthen muscles to reduce pain and improve function Primary Care – Day to day healthcare given by a provider including health promotion, disease prevention, health maintenance, counseling, diagnosis and treatment of acute and chronic illnesses, and patient education HVLA (High-Velocity Low-Amplitude) – Chiropractic thrust used to adjust patients Sacrum – Triangular bone in the lower back inferior to the lumbar spine between the hip bones of the pelvis.   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.

Luther and I had a great time chatting on the phone. I had to edit out excessive giggling as we just really enjoyed talking about some of the wonderful benefits and pitfalls of working in medicine.  Please check out his website (linked below) and if you enjoy this please feel free to leave a comment or review on the site, itunes, or twitter (@medicalmaybe).  I would love any feedback if there are changes you would recommend.  This show has continually evolved thanks to everyone's support and info.  Salud!   Doctor of Chiropractic Stats:* Chiropractors treat patients with health problems of the neuromusculoskeletal system, which includes nerves, bones, muscles, ligaments, and tendons. They use spinal adjustments and manipulation, as well as other clinical interventions, to manage patients’ health concerns.   2017 Median Pay: $68,640 per year ($33.00 per hour)   Educational Degree: Doctoral Degree   Number of US jobs in 2016: 47,400   10 Year Job Outlook: 12% growth, faster then avg.     *Bureau of Labor Statistics, U.S. Department of Labor, Occupational Outlook Handbook, Chiropractors, (visited August 11, 2018).     Terms Covered in Episode Convergent Therapies List of Chiropractic Credentials   Naturopathic Physician   Acupuncturist - Practice a form of alternative medicine in which thin needles are inserted into the body for various aliments, part of traditional Chinese medicine.   Massage Therapy - Using touch to manipulate the muscles and other soft tissues of the body in order to relieve pain, help heal injuries, improve circulation, relieve stress, increase relaxation, and aid in the general wellness of patients.   GI Bill - Financial educational assistance provided to members of the US Military.   "Fast Track"Program - An accelerated training program compared to the "standard" length of a degree.  Seen in various fields of medicine.   Prerequisites - Classed required to set an educational foundation prior to enrolling in more focal studies like a Post-Graduate Program.   Venn Diagram   Craniosacral Therapy - Treating patients using gentle touch of the synarthrodial joints of the cranium.   Manipulation - Applying pressure to a person's spine or other parts of their body by a Chiropractor to adjust and correct alignment to reduce pain and improve mechanical function.     Clinical Rotation - In the clinic exposure learning and working with a Practitioner in the field of study as a student.   Pathology - Cause and effect of disease processes.   Orthopedics - Branch of surgery concerned with conditions involving the musculoskeletal system.   Radiology - Branch of medicine focusing on the interpretation and utilization of diagnostic imaging. Radiologist may read ultrasounds, CT scans, MRI images, and other forms of imaging while also utilizing them for some invasive procedures.   Pharmacology - Branch of medicine focusing on the development, study, and utilization of drugs to help prevent, treat, and cure disease.     OTC Meds - Over the Counter Medications do not require a prescription from a healthcare provider in order to purchase and use.   Dry Needling   ESTIM (Electrical Stimulation) - Electrodes placed on the skin delivering a controlled electrical stimulation to muscles to simulate what happens when a muscle is voluntarily contracted and released many times in a row.  Used to strengthen and repair tissue.   Ultrasound - Using sound waves for both diagnostic and therapeutic applications.   Evidence Based Medicine - Using analysis of studies using a control and treatment group in order to attempt and identify consistent cause and effect relationships with disease development and treatments.   Mixer vs Straight - Straights referred to those staying within the traditional and original theories of  Chiropractic medicine vs Mixers whom use Chiropractic applications in conjunction with other treatment modalities and philosophies.   Carpal Tunnel Syndrome - Median nerve compression at the wrist due to a tight flexor retinaculum usually due to repetitive tasks or excessive occupational vibration resulting in pain, weakness, and paresthesias (numbness/tingling) of the hand and fingers.   Jacob's Ladder   Treatment Modalities - Various ways utilized for treatment of patients.   Institute for Functional Medicine   Patient Advocacy - Doing what is best for the patient in all facets of care provided.  Listening to and understanding their needs.   Reimbursement - Payment for care provided.   University of Western States   Attrition - A reduction in numbers (in this case, the number of enrolled students).   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.

I had such a fun time chatting on the phone with Dan about medicine.  Total recorded time was 2 hours that I had to edit down to this current episode.  His story from childhood to how he became one of the administrators for a surgical group in one of the biggest hospital systems in California is enriching.  He is a true inspiration.  Thanks Dan! Physician Assistant Stats:* Physician Assistants 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.   2017 Median Pay: $104,860 per year ($50.41 per hour)   Educational Degree: Masters Degree   Number of US jobs in 2016:106,200   10 Year Job Outlook: 37% growth, much faster then avg.     *Bureau of Labor Statistics, U.S. Department of Labor, Occupational Outlook Handbook, Physician Assistants, (visited August 5, 2018).     Terms Covered in Episode Navy A School   Corpsman - Enlisted medical specialist   Lipoma - Overgrowth of adipose tissue (fat) creating a benign tumor often located between skin and muscle layer.   Eugene Stead Jr. MD   CT Surgery - Cardiothoracic surgery deals with issues of the thorax, generally the heart and lungs.   Trauma Surgery - Surgical field dealing with acute traumatic injuries such as falls, motor vehicle crashes, gunshots, blunt and penetrating injuries, etc.   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.   Call - To be available on your “off time” for phone calls, patient visits, surgeries, emergencies, etc that varies by job.   Open Surgery - Traditional way of surgery going through the layers of the body to operate.   Endoscopic Surgery - Surgery utilizing cameras, smaller openings and temporary ports in the body to pass through instruments in a tight space allowing for less pain and quicker recovery.   Vein Harvest - Generally endoscopic removal of a vein to replace a coronary artery (cardiac bypass)   Bypass - Surgical procedure to restore blood flow to the heart after an obstruction occurs.   Cardiac Graft   BP (Blood Pressure) - Force of blood against the arterial walls.   Recovery - Phase after surgery when anesthesia is wearing off and patient is being monitored before being sent home with family or admitted to the hospital.   Punch Biopsy - Small round biopsy (cut) taken to identify the cause of abnormal tissue.   Hernia - Bulging of an organ (intestines) through an abnormal opening.   ENT Surgery - Ear, Nose, and Throat.  Various procedures involving the head.   MBA - Masters of Business   UCSF Neuroscience   Medicare - Government provided healthcare insurance to those over 65, young people with disabilities, and people with end stage renal disease.   401k - Retirement plan.   Western Governors University   Bedside Manner - approach or attitude towards a patient.   Neurosurgery - Surgery dealing with the Nervous System (brain and spine).   Trauma LVL 1 Center - Hospital able to provide total care for every aspect of injury.  Large facility with all types of staff including Residents.   Cerebral Stenosis - When artery inside the brain that becomes blocked by plaque or disease.   TPA (Tissue Plasminogen Activator) - Protein involved in the breakdown of blood clots.   Aneurysm - Ballooned and weaker area of an artery.   CVA (Cerebral Vascular Assault) - Stroke.  Damage to the brain from a loss of blood flow.   Ischemic CVA - loss of blood flow from a blockage.   Hemorrhagic CVA - loss of blood flow from a blockage a ruptured aneurysm.   Elective Surgery - Nonemergent scheduled surgery   Discectomy - Surgical removal of whole or part of a intervertebral disc.   Fusions - Surgery to join two or more vertebrae together.  Done for fractures, deformities, instabilities, slipped vertebrae, or herniated disk.   ACDF (Anterior Cervical Discectomy & Fusion) - Discectomy of the cervical spine (neck) with fusion to decompress the spinal cord and nerve roots of the cervical spine.   Neuroaxis (Neuraxis) - Central Nervous System   Tumor - Abnormal growth of cells   Resection - to surgically remove   Spine Stabilization - Surgery to stabilize the spine with more flexible materials then traditional fusion.   Angio - technique used to visualize inside blood vessels.   MRI (Magnetic Resonance Image) - Medical Imaging using magnets to see deep layers of the body.   Space Occupying Lesion - abnormal mass in the brain usually due to cancer, but may be abscess (infection) or hematoma (blood).   Glioblastoma - Rare very aggressive and fatal cancer of the brain or spine.   Code Yellow - Phrase used over PA system of hospital when Trauma Patient is coming to the ER.  To alert the hospital to assemble the Trauma Team and support staff to receive the patient.   Hypotensive - lower then normal blood pressure.   Chest Tube - tube placed in the chest cavity to evacuate blood, pus, or air.   Central Line - Larger then an traditional IV placed into a main vein of the body. Thoracotomy - Opening into the chest wall.   Finochietto (Rib Spreader) - Used to get a better window/view into the chest cavity the pushes the ribs aside.   Pericardial massage - Manually pumping the heart with a hand in the chest cavity.   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.

My wonderful friend stopped by from Oregon to help me get this show up and going while visiting his students in Montana at their clincal site rotations.  He is a pleasure to all who know him and I appreciate his time, openness, knowledge, and guidance.  Thank you Brian.  Go Beavs! Physical Therapy Stats:* Therapists whom are an important part of the rehabilitation, treatment, and education of patients with acute and chronic conditions, illnesses, or injuries. 2017 Median Pay: $86,850 ($41.76 hourly) Educational Degree: Doctoral Number of US jobs in 2016: 239,800 10 Year Job Outlook: 28% growth, much faster then avg. *Bureau of Labor Statistics, U.S. Department of Labor, Occupational Outlook Handbook, Physical Therapists, (visited July 11, 2018).   Terms Covered in Episode Oncology - Oncology is a branch of medicine that deals with the prevention, diagnosis, and treatment of cancer. ADL (Activities of Daily Living) - Cleaning, Cooking, Eating, Bathroom use, Dressing, etc… American Physical Therapy Association Traction - Straightening broken bones or relieving pressure Cerebral Palsy - A congenital (inherited/from birth) disorder of movement, muscle tone, or posture. Peroneal Nerve - Branch of the sciatic nerve, which supplies movement and sensation to the lower leg, foot and toes. Sciatic Nerve - Largest single nerve in the human body from each side of the lower spine and going distal. Distal (Near) & Proximal (Far) - In relation to the center of the body. TPN (Total Parental Nutrition) - Combination of fluids, lipids (fats), proteins, and essential elements/minerals formulated by Pharmacist and Registered Dietitian often in an Inpatient (Hospital) setting for those whom are unable to eat/drink.  Generally not a long term solution. Nosocomial Infections - Infections such as, but not limited to, skin infections (cellulitis) and Pneumonia (lung infection) that have been caught in a hospital and are potentially caused by organisms, with potential that some are resistant to antibiotics. TENS (Transcutaneous Electrical Nerve Stimulation) - Use of electric current produced by a device to stimulate the nerves for therapeutic purposes. Iontophoresis - Iontophoresis is a process of transdermal drug delivery by use of a voltage gradient on the skin. Achilles Tendinitis - An injury of the Achilles tendon, which connects the calf muscle to the heel bone. Tendinitis/Tendonitis - A condition in which the tissue connecting muscle to bone becomes inflamed. De Quervain's Tenosynovitis - A painful condition affecting the tendons on the thumb side of the wrist. Finkelstein's Test - Test used to diagnose de Quervain's tenosynovitis in people who have wrist pain. K-Tape (Kinesio Tape) - Elastic cotton strip with an adhesive that is used with the intent of treating pain and disability from athletic injuries Dupuytren’s Contracture - A gradual thickening and tightening of tissue under the skin in the hand. Lateral Epicondylitis (Tennis Elbow) - Irritation of the tissue connecting the forearm muscle to the elbow. Lordosis (Cervical [Neck] or Lumbar [Low Back]) - A curving inward of the spine....of humble note we were totally wrong and it is actually Cervical KYPHOSIS.  Carry on. Physical Therapy Assistant/Aide - Under the direction and supervision of Physical Therapists, they help patients who are recovering from injuries and illnesses regain movement and manage pain. Bursa - A fluid-filled sac countering friction at a joint   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.

In this week's Money Minute, Marcus shares a helpful tool that he has used over the years to research career fields and options from the Bureau of Labor Statistics. Thinking of making a job change? Not sure what other professions are related to your current skillset? In school and want to make sure the job you want will exist in 4 years and allow you to "make it rain" or whatever the cool-kid equivalent of rain making is called in 2021? There's a website for that, the Occupational Outlook Handbook. Tune into this week's show to learn: Quick facts about your next career, such as Median Pay, Typical Entry-Level Education, Job Outlook, and more. The proactive professional steps Rich is taking now to ensure his dreams for the future don't become the ghost of professional missteps past. The differences between where Rich and Marcus thought they would be in college and how you might use their lessons learned to adjust your professional and collegiate pursuits. Lastly, Rich shares how a combination of personal growth, focus, discipline and the Paychecks and Balances show itself have helped him reach another milestone: paying off all of his personal credit card debt by 2017 Resources: The Bureau of Labor Statistics' Occupational Outlook Handbook Episode 20: Lifestyle Inflation Announcements: We're excited about "another one!" Be sure to check out our feature on NerdWallet for Black History Month 2017, 8 African American Financial Gurus to Follow. We're among some great and talented speakers and writers here. Find your expert, niche and get your follow on. We’re on Soundcloud! Check out our PATREON page! We’re raising funds to grow the show so we can create more great content that helps you get ahead professionally and financially. Debt Free Or Die Trying the book is available on Amazon! Looking for more career development and debt freedom tips? Join our email list at PaychecksandBalances.com/email for exclusive content including show updates, digital giveaways, and more. We don’t spam. We just keeps it real. Yes, keeps. LIKE us on Facebook.com/PaychecksandBalances or follow us on Twitter @PayBalances and Instagram at the same name!

After you have fully processed what happened, your next step is to look at your budget to find your unnecessary expenses. Pull out large recurring expenses that may provide you enjoyment, but aren’t providing any tangible benefits. A cable bill is a good example of this. Every dollar you have saved becomes important if you are unsure of how long you will be without work. Other expenses which should be cut are things you can make at home for a lesser cost, such as coffees and meals. Your financial accounts should be used in the following order: Checking — Use this fluid money first. Savings — Banks pay little to no interest in these accounts. Stocks — Sell off stocks if they are outside of a retirement account. 401K/IRA — Use this option only as a last resort. Do you have student loans? Eric says no matter which type of student loan you have, federal or private, you should notify the lending institution that holds your loan. Many times, during hardships these institutions offer deferments, which lower your monthly loan payments, but the company continues to earn interest on the balance. Ignoring health care coverage is a big no-no. In fact, under the Affordable Care Act, it is a requirement for individuals to have current health care coverage. Your previous employer is bound to offer you COBRA, which will allow you to keep your current level of coverage, but you must pay the employer’s previous contribution amount. If you do not have enough money saved to last for at least 6-months consider a part-time job to make ends meet or to avoid going into debt. Pro Tip — If you do spend money during unemployment, invest in something which will help you to get your next job! Eric Rosenberg Bio Eric Rosenberg is a finance writer who publishes the Personal Profitability Blog and the Personal Profitability Podcast. He has helped countless people clean up and fix their finances. Eric is proud to announce he has finally broken through the $10K a month threshold through his side business!  Find him on Twitter @EricProfits. Ben’s Job Search Resource: Ben’s resource this week is the Occupational Outlook Handbook from the Bureau of Labor and Statistics. The site allows job seekers to search through 575 different professions. It includes a comprehensive job review, job requirements, and a job feasibility outlook through 2024. Jenna’s Find Your Dream Job Listener Question: Today’s question comes from Dennis Mace, who asks, “How can I best utilize the Mac’s List website?” If you would like the team to answer a job-related question, email it to jenna@macslist.org, or call her at 716-JOB-TALK. If we use your question on the air, you will receive either a copy of our new book, Land Your Dream Job Anywhere (to be published February 1, 2017) or a Mac’s List Coffee Mug, your choice. Or, if you’ve found a job resource you think everyone should know about, send it to ben@macslist.org, and tell him how it has helped you find your dream job. Ben and Jenna’s segments are sponsored by Land Your Dream Job Anywhere (to be published February 1, 2017). The book offers practical, actionable, and proven tools to help you get clear about your career goals, find hidden jobs, ace your next interview and more. If you like this show, please help us by rating and reviewing our podcast on iTunes. We appreciate your support! Opening and closing music for Find Your Dream Job provided by Freddy Trujillo, www.freddytrujillo.com.

Topic - Career Exploration.  When you start those conversations about “What do you want to do when you grow up?”, be prepared.   Ask Greg, “What kind of work looks interesting to you?”  By late middle school, most kids have some sense of work they might like.   Talk to him in general terms such as those found in the Occupational Outlook Handbook or the Dictionary of Occupational Titles.  Both of these resources are online. The information in the Dictionary of Occupational Titles comes from those people who have direct experience working the job.   The Occupational Outlook Handbook gives details about working conditions of a job, the training, the kind of work that is done and the future of the job.   Some of the information is hilarious and you and Greg will look at each other and say, “Are there people who really do this job?”   Every job in America is presented in these two resources.  So, go and have fun! --- Send in a voice message: https://anchor.fm/drclaudia/message

Learn How To Build A Winning Social Media Audience With Cendrine Marrouat   A little about Our Guest! Cendrine Marrouat a former English major and hold a bachelor’s degree in English-to-French translation. And she's bilingual! Originally from France but currently residing in Winnepeg, Canada. In her 11-year career, she have done pretty much everything involving writing: teaching, translations, poetry, theatre, spoken word, reviews, blogging content curation, and journalism. Cendrine has self-published six collections of poems, released a CD, and wrote two plays. She decision to work in social media to connect with like minded entrepreneurs. She have dedicated the last four and a half years to helping small business owners and entrepreneurs leverage the power of online relationships and become strong and trusted brands. She is now the current author of the "The Little Big eBook on Social Media Audiences: Build Yours, Keep It, and Win. All available on Amazon or her website.   How to contact Cendrine Website:Social Media Slant Twitter: Cendrine Marrouat Book: The Little Big ebook on Social Media Audience: Build Yours, Keep it, and Win (Affiliate Link)   Our Discussion   - Cendrine Marrouat discusses her transition from creating poetry into social media and the process she went through.   - What is the best way to determine your audience when starting with your own business.   - How can can entrepreneurs determines who their audience is and where can they begin to find them.   - We drive into a popular topic of social listening, what is it and why it’s important to building your business brand. Cendrine shares the tools uses for social listening.   - To Facebook or not to Facebook? That is the question that is brought up and if you are wondering the same thing, listen to some concerns that were brought.   - How can someone go about building a social media community when you are just starting out in business.   - Why you need to embrace your own unique voice, when you’re on social media as a part of your business brand.   - Recommendations are offered for learning the Google plus platform and how to make the transition from Facebook and Twitter and the benefits of socializing on that platform.   - Cendrine opens up why you need to be receptive to constructive, criticism especially as an entrepreneur. Show Mentions   Mia Voss @TheMiaConnect   #LetsNetwork Twitter Chat Every Thursday at 8pm ET   Career Spotlight - Ghost Writer   Associations - American Grant Writing Association http://www.agwa.us/   - Writer’s Relief - A list of writer’s associations  http://writersrelief.com/writers-associations-organizations/     References:   - Bureau of Labor Statistics, U.S. Department of Labor, Occupational Outlook Handbook, 2014-15 Edition, Writers and Authors, on the Internet http://www.bls.gov/ooh/media-and-communication/writers-and-authors.htm   - http://en.wikipedia.org/wiki/Ghostwriter - How Much to Charge for Ghostwriting -Gigi Starr http://www.ehow.com/about_7378895_much-charge-ghostwriting.html#ixzz325qyxyGmhttp://www.ehow.com/about_7378895_much-charge-ghostwriting.htm  

Personal Branding: The Key To Successful Career Development with Ellory Wells   “Say what you mean and mean what you say.” Also, “Do what you say youwill do” Ellory is a personal development coach who focuses on leadership and personal branding. He has over 15 years of sales experience, and before starting his own coaching business, he spent 4 years building a $15 millionbusiness for one of the largest IT companies in the world. Ellory sharesthat knowledge and expertise the readers on his blog, Empowering the 80 Percent dot com, listeners to his podcast, the Empowered Podcast with Ellory Wells, and with the people he coaches.   Ellory Wells Twitter: @Ellorywells Website: http://www.ellorywells.com   Topics Mentioned:   - What is Entre-Preneurship? A phrase coined by Dan Miller. - How can someone handle the fear of finally making their career transition.   - Productivity Tip given to Ellory Wells by "The Podcast Answer Man"- Cliff Ravencraft.   - Ellory discusses the best reason to carry your cell phone, hint: It's can be used for more than making calls, texting, and emails.   - The surprise templates features that come with Ellory's personal branding e-book.   - Discount for One on One coaching with Ellory Wells   - Free Gift For Listeners ONLY! (Click for more information)   Books Mentioned: How I Raised Myself From Failure Frank Bettget Rise: 3 Practical Steps for Advancing Your Career, Standing Out as a Leader, and Liking Your Life - Patty Azzarello   Career Spotlight: Occupational Therapist   American Occupational Therapist Association    Bureau of Labor Statistics, U.S. Department of Labor, Occupational Outlook Handbook, 2014-15 Edition, Occupational Therapists, on the Internet at http://www.bls.gov/ooh/healthcare/occupational-therapists.htm