Podcasts about rnegade

Sometimes V-fib doesn't respond to the shock at all. Sometimes it converts and comes right back. Those are two completely different problems.In this episode, Sarah breaks down the science behind why defibrillation fails, how to recognize the difference between refractory and recurrent V-fib, and respond when shocks aren't working. You'll learn how to start approaching the electrical storm at the bedside — that means understanding transthoracic impedance, optimizing your pad placement, and knowing when to reach for double sequential defibrillation.Topics discussed in this episode:Refractory vs. recurrent V-fibThe physiology of ventricular fibrillation and re-entry tachycardiasMisconceptions about defibrillationTransthoracic impedance and how to reduce itAnterior-lateral vs. anterior-posterior pad placementDouble sequential defibrillation: evidence and objectionsKey findings from the DOSE VF trialAmerican Heart Association. (2025). 2025 American Heart Association guidelines for cardiopulmonary resuscitation and emergency cardiovascular care. Circulation.Cheskes, S., Dorian, P., Feldman, M., McLeod, S., Scales, D. C., Pinto, R., Turner, L., Morrison, L. J., Drennan, I. R., & Verbeek, P. R. (2020). Double sequential external defibrillation for refractory ventricular fibrillation: The DOSE VF pilot randomized controlled trial. Resuscitation, 150, 178–184. https://doi.org/10.1016/j.resuscitation.2020.02.010D. Hasegawa, A. Sharma, Y. I. Lee, & R. Sato. (2023). A systematic review and meta-analysis of esmolol for refractory ventricular fibrillation and pulseless ventricular tachycardia. Chest, 164(4 Suppl.), A1568. https://doi.org/10.1016/j.chest.2023.07.1077International Liaison Committee on Resuscitation. (2025). 2025 International Consensus on Cardiopulmonary Resuscitation and Emergency Cardiovascular Care Science With Treatment Recommendations (CoSTR).Mentioned in this episode:CONNECT

Send us Fan MailThere are people in the hospital who walk into the room when everything is falling apart.Not to fix it or rush through, but simply to be there.Today's guest, Mark Wilson, lives in that space—right in the emergency room, where life can change in a single moment. Where nurses are moving fast, families are trying to make sense of the unthinkable, and patients are meeting some of the hardest moments of their lives.But what makes his story different… is that he's been on the other side of the bed.After a severe bicycle accident, Mark suffered a traumatic brain injury and spent months in a rehabilitation hospital, learning how to walk again, relearning his body, his independence—his life. And somewhere in that process, something shifted.What started as survival… became a calling.Now, he shows up for patients and families in crisis as an emergency room chaplain, bringing a kind of presence that only comes from someone who truly understands what it feels like to be vulnerable, uncertain, and afraid.His experience as a former EMT, firefighter and lead pastor, gives him a unique lens on faith, meaning, and what people actually need in moments of crisis—whether they consider themselves spiritual or not.This conversation is for those on the frontlines of healthcare—the nurses and others who journey through the tough times and often carry unprocessed burdens. It's for anyone seeking insight into what truly matters when life hangs in the balance. Mark offers a message of comfort and compassion, encouraging us to embrace the uncertain and the deep insights that occur in moments of crisis.In the five-minute snippet: a shop teacher with a messy garage? Find Mark Wilson here:pastormarkwilson@sbcglobal.netmwilson@kaweahhealth.orgSierra Baptist ChurchContact The Conversing Nurse podcastInstagram: https://www.instagram.com/theconversingnursepodcast/Website: https://theconversingnursepodcast.comYour review is so important to this Indie podcaster! You can leave one here!  https://theconversingnursepodcast.com/leave-me-a-reviewWould you like to be a guest on my podcast? Pitch me! https://theconversingnursepodcast.com/intake-formCheck out my guests' book recommendations! https://bookshop.org/shop/theconversingnursepodcast I've partnered with RNegade.pro! You can earn CE's just by listening to my podcast episodes! Check out my CE library here: https://rnegade.thinkific.com/collections/conversing-nurse-podcastThanks for listening!

Send us Fan MailThere's a certain kind of pain a lot of people learn to live with.It starts as something small—a twinge, a tightness, a bad shift at work. And then, slowly, it becomes part of your normal. You stretch it out, push through it, tell yourself it's just part of the job… part of getting older… part of life.And if you work in healthcare, you probably know this story all too well.You spend your days lifting, turning, reaching, carrying—taking care of everyone else—while your own body keeps asking for attention you don't have time to give.So what happens when the pain doesn't go away?When the usual answers stop working?When you start to wonder if this is just how it's going to be?Today's guest has spent over 30 years asking those exact questions—and refusing to accept the idea that chronic back pain is something people just have to live with.Dr. Brigitte Rozenberg is a Doctor of Chiropractic and the founder of Spinatomy Spine & Disc Centers and the creator of Advanced Spinal Restoration Therapy. Her work has helped thousands of people find relief from chronic pain—without surgery, without medication, and without giving up on their lives.We talk about where traditional care gets it right, where it falls short, and why so many people—especially caregivers—end up carrying pain in silence for far too long.If you've been pushing through, powering on, or quietly wondering if things could feel different… this one is for you.In the five-minute snippet: Aye, Chihuahua! For Dr. Rozenberg's bio, visit my website (link below).Caring for Others While Caring for Your SpineContact The Conversing Nurse podcastInstagram: https://www.instagram.com/theconversingnursepodcast/Website: https://theconversingnursepodcast.comYour review is so important to this Indie podcaster! You can leave one here!  https://theconversingnursepodcast.com/leave-me-a-reviewWould you like to be a guest on my podcast? Pitch me! https://theconversingnursepodcast.com/intake-formCheck out my guests' book recommendations! https://bookshop.org/shop/theconversingnursepodcast I've partnered with RNegade.pro! You can earn CE's just by listening to my podcast episodes! Check out my CE library here: https://rnegade.thinkific.com/collections/conversing-nurse-podcastThanks for listening!

Imagine being able to cut your hospital's code blue events outside of critical care in HALF in just six months. That's exactly what happened when Sarah built her hospital's rapid response team from the ground up.Nurse Gwenny takes over the show to find out how she did it, from the pitch that got the program started to the skills that actually matter on rapid response teams. She also shares what disqualifies a candidate even when the resume is perfect, why so few resources exist for rapid response training, and how she's filling that gap herself.Whether you're hoping to start a rapid response program at your hospital or just want to feel more confident the next time you call one, this episode is for you.Topics discussed in this episode:How Sarah became a rapid response nurseThe backstory behind the Rapid Response RN PodcastThe impact of having a rapid response teamHow you can start a rapid response programRapid response education and (lack of) resourcesHiring red flags that override a strong resumeSoft skills nursing school never teachesTrusting nursing intuition when vitals look fineJoin the Nurse Gwenny Library to earn CE credits for listening to the show! Use code: rapidresponsernto get a discount on your membership:https://library.nursegwenny.com/bundles/nurse-gwenny-library-membershipMentioned in this episode:CONNECT

Send us Fan MailYou're going to love this one.Today I'm talking with Seth Radnothy, a fellow nurse whose path into healthcare is anything but typical. Before he ever stepped into a hospital, he was serving as a Reconnaissance Marine—and if that doesn't tell you something about his ability to stay calm under pressure, just wait.Seth's worked as a paramedic and in both emergency and perioperative nursing, so he knows what it's like when things get intense fast. These days, he's taken all that experience and built something really unique—Pulsepoint Prose Legal Nurse Consulting—where he helps attorneys make sense of complex medical cases. He also shares what he's learned as a legal nurse consultant with the next generation of nurses as a clinical nursing instructor. And because he values his work/life balance, in his off time, he plays guitar in his band, hits CrossFit, mountain bikes, and hangs out with his wife and their furry crew.This one is about the many ways a nursing career can evolve—and how all of your experiences can come with you. In the five-minute snippet: We all scream for ice cream. For Seth's bio, visit my website (link below).Contact The Conversing Nurse podcastInstagram: https://www.instagram.com/theconversingnursepodcast/Website: https://theconversingnursepodcast.comYour review is so important to this Indie podcaster! You can leave one here!  https://theconversingnursepodcast.com/leave-me-a-reviewWould you like to be a guest on my podcast? Pitch me! https://theconversingnursepodcast.com/intake-formCheck out my guests' book recommendations! https://bookshop.org/shop/theconversingnursepodcast I've partnered with RNegade.pro! You can earn CE's just by listening to my podcast episodes! Check out my CE library here: https://rnegade.thinkific.com/collections/conversing-nurse-podcastThanks for listening!

We all know the many challenges facing the Nursing profession today. Nursing takes so much from us… but it also has so much to offer.Recorded live at NurseCon at Sea, Sarah sits down with two nurses who hit their breaking point and found a way to keep showing up. This episode goes deep into the messy reality of nursing burnout, from the struggle to put yourself first to the boundaries, mindset shifts, and support systems that keep nurses in the game.You don't have to manage burnout alone, so don't miss this one.Topics discussed in this episode:Self-care and resilience as a disciplineThe nursing choice: fracture or adaptBuilding a life that isn't fully defined by the institutionImportant things we don't say to each otherWhat patients actually need from their nursesTherapy, medication, and sleep as nursing toolsAn exercise to audit your cup-fillers vs. cup-drainersWhy it's so important to share your experienceHow leaders should respond when a nurse is nearing burnoutLearn more about NurseCon at Sea:https://nurseconatsea.com/Mentioned in this episode:CONNECT

Send us Fan MailToday's guest is someone who beautifully bridges two worlds—science and story, medicine and meaning.Amanda Skenandore is an award-winning author of historical fiction whose novels have been translated into multiple languages and recognized by organizations like the American Library Association, Reader's Digest, Silicon Valley Reads, and Apple Books. In 2024, she was honored with the Nevada Arts Council Literary Fellowship for her contributions to literature and the arts.But what makes Amanda especially fascinating to me is that before she ever became a full-time writer, she spent 16 years as a registered nurse.And you can feel that in her work.Her stories don't just live in the past—they dig into the human experience of medicine, justice, and belonging… often in the overlooked corners of history where voices have been silenced or forgotten.Today, we talk about that journey—from bedside nursing to bestselling author, how her clinical experiences shaped her storytelling, and what it means to care for people… whether through medicine or through words.In the five-minute snippet: they are just so cute. For Amanda's bio, visit my website (link below).Amanda's bookstoreContact The Conversing Nurse podcastInstagram: https://www.instagram.com/theconversingnursepodcast/Website: https://theconversingnursepodcast.comYour review is so important to this Indie podcaster! You can leave one here!  https://theconversingnursepodcast.com/leave-me-a-reviewWould you like to be a guest on my podcast? Pitch me! https://theconversingnursepodcast.com/intake-formCheck out my guests' book recommendations! https://bookshop.org/shop/theconversingnursepodcast I've partnered with RNegade.pro! You can earn CE's just by listening to my podcast episodes! Check out my CE library here: https://rnegade.thinkific.com/collections/conversing-nurse-podcastThanks for listening!

Getting ROSC is not always the win we sometimes think it is. It's what we're looking for the entire resuscitation, but the real challenge begins once we get it… and what we do in the next few hours has a major impact on patient outcomes.In this episode, Sarah shares a real rapid response case to walk through the physiology, decision-making, and advocacy of post-arrest care. The 2025 AHA post resuscitation guidelines have brought important shifts to post-ROSC management, from how aggressively to oxygenate to when it's safe to prognosticate. Don't miss the full breakdown!Topics discussed in this episode:Oxygenation and ventilation: how to avoid hyperoxia and hypoxiaPerfusion, pressors, and the limits of MAPTemperature management guidelinesSedation, analgesia, and the paralyzed-but-awake patientDiagnostics: timing, priorities, and what to rule outHow to use neuroprognostication the right wayHow to talk to families without giving false hopeNursing priorities and how to advocate for your patientsCheck out the new Post Resuscitation Guidelines:https://www.ahajournals.org/doi/10.1161/CIR.0000000000001375Listen to episode 73 — Resuscitate Before You Intubate: How to NOT KILL YOUR PATIENT When You Intubate: https://podcasts.apple.com/us/podcast/73-resuscitate-before-you-intubate-how-to-not-kill/id1535997752?i=1000630431016Mentioned in this episode:AND If you are planning to sit for your CCRN and would like to take the Critical Care Academy CCRN prep course you can visit https://www.ccrnacademy.com and use coupon code RAPID10 to get 10% off the cost of the course!CONNECT

Send us Fan Mail**Hey, before we jump into today's episode, I want to give you a quick heads-up. This conversation includes a personal story about an attempted suicide and some mental health struggles.If that's something that feels heavy or triggering for you right now, it's completely ok to skip this episode or come back to it another time. Take care of yourself first.If you're listening and finding that this brings anything up for you, just know you're not alone. You can call or text the 988 Suicide &Crisis Lifeline anytime, or reach out to someone you trust. Support is out there, and you deserve it.Today's guest is the kind of educator you don't forget.Gwenny Winkler, or Nurse Gwenny, built her career in some of the most extreme environments in healthcare—from the emergency department to helicopter EMS—where decisions are fast, the stakes are high, and there's no room for autopilot.But what makes Gwenny stand out isn't just her clinical background—it's how she teaches.She believes learning should be fun, engaging, and built for real life—not just for passing a test. And she's known for creating those “aha” moments that flip a switch for her students and bring their curiosity back to life.Often described as “intense,” Gwenny brings a fast-paced, high-energy style to everything she does—but her real superpower is knowing when to slow down, connect, and treat the human behind the condition.In 2026, she and her husband, Mr. Nurse Gwenny, launched The Nurse Gwenny Library, a modern continuing education platform designed for today's learner, with over 100 hours of content that actually sticks.We talk about what's broken in healthcare education, how to prepare clinicians for the realities of high-acuity environments, and why curiosity in the form of the question, “But, Why?” might be the most important skill Gwenny is teaching. I'm grateful for our conversation because I'm certain someone will benefit by hearing Gwenny's deeply personal story of a Contact The Conversing Nurse podcastInstagram: https://www.instagram.com/theconversingnursepodcast/Website: https://theconversingnursepodcast.comYour review is so important to this Indie podcaster! You can leave one here!  https://theconversingnursepodcast.com/leave-me-a-reviewWould you like to be a guest on my podcast? Pitch me! https://theconversingnursepodcast.com/intake-formCheck out my guests' book recommendations! https://bookshop.org/shop/theconversingnursepodcast I've partnered with RNegade.pro! You can earn CE's just by listening to my podcast episodes! Check out my CE library here: https://rnegade.thinkific.com/collections/conversing-nurse-podcastThanks for listening!

The AHA just updated the playbook on acute pulmonary embolism. The old classification system is gone. Heparin drips are no longer the default. And if your instinct is to push for intubation, that could be the thing that makes your patient worse.In this episode, Dr. Mark Creager, lead author of the 2026 AHA Multi-Society Guideline on Acute Pulmonary Embolism, breaks down exactly what's changed, how the new guidelines help teams make better decisions faster, and what nurses need to know about frontline PE management.Learn what the data says about oxygen therapy, anticoagulation, vasopressors, and the decisions that matter most when your PE patient starts to slide.Topics discussed in this episode:The new A to E classification system and how to categorize patientsClinical signs that your PE patient is deterioratingOxygen therapy: why intubation can be dangerousVasopressor therapy and when to add vasopressinLow-molecular-weight heparin vs. unfractionated heparinPE response teams: when to activate and who should be on the teamWhat you can do when your hospital has no PERTWhen to transfer by classification (and when it may be too late)The nurse's role in early recognition and escalationAnd you can check out the full AHA/ACC 2026 updated PE guideline here:https://www.ahajournals.org/doi/10.1161/CIR.0000000000001415Mentioned in this episode:Xshears are the best shearscheck em out here: https://xshear.com//discount/Rapid10 and you can use code RAPID10 to get 10% off your purchaseCONNECT

Send us Fan MailToday's episode is Nicole Cromwell 2.0—and trust me, a lot has happened in the last three years.What started as a creative outlet has grown into something much bigger. In fact, Nicole's life as an artist might just be giving her full-time nursing career a run for its money.Since we last talked in episode 46,  she hasn't just been creating beautiful art—she's been building pathways for others to reconnect with their own creativity. Her Brave Beginner Art course has expanded, and she's added Creative Thinking in Nursing, both offering continuing education units. I've taken her Brave Beginner course myself, and I can tell you—it's not just about art. It's about rediscovering a part of yourself you may have forgotten was there.And Nicole hasn't lost sight of the bedside. As a former ICU nurse, she's created two powerful resources—The ICU Diary and The Hospital Wellness Journal—designed to support patients and families as they navigate some of the most vulnerable moments of their lives.You've heard me say it before—I deeply admire nurses who lift up other nurses. Nicole has experienced firsthand the impact of creativity: less stress, less anxiety, more joy, and a deeper connection to emotion. And now, she's on a mission to make sure other healthcare professionals can experience that too.If that's not altruism, I don't know what is.Enjoy Nicole Cromwell 2.0. For Nicole's bio, visit my website (link below).Be sure to get 25% of Nicole's courses by using coupon code: CONVERSING NURSEContact The Conversing Nurse podcastInstagram: https://www.instagram.com/theconversingnursepodcast/Website: https://theconversingnursepodcast.comYour review is so important to this Indie podcaster! You can leave one here!  https://theconversingnursepodcast.com/leave-me-a-reviewWould you like to be a guest on my podcast? Pitch me! https://theconversingnursepodcast.com/intake-formCheck out my guests' book recommendations! https://bookshop.org/shop/theconversingnursepodcast I've partnered with RNegade.pro! You can earn CE's just by listening to my podcast episodes! Check out my CE library here: https://rnegade.thinkific.com/collections/conversing-nurse-podcastThanks for listening!

Send us Fan MailToday, we're talking about something that most nurses have felt — but few organizations are willing to name honestly.Burnout.But what if burnout isn't about resilience?What if it isn't about self-care?What if it's actually an ethical issue?My guest today is Aimee Ellis, nurse executive and author of Flatline Ethics. Aimee argues that when nurses are chronically overwhelmed, morally distressed, and unsupported, that's not a staffing inconvenience.That's an ethical breakdown.Recently debuting as a Top 10 New Release in Health Policy on Amazon, the book argues that nurse burnout is not a personal weakness — it's a leadership failure.If you've ever felt moral distress, invisible, or asked to carry the weight of a broken system — this conversation is for you. In the five-minute snippet: Grey Sloan Memorial Hospital, Aimee is comin' for you.For Aimee's bio, visit my website (link below).TAE Associates and Co.Contact The Conversing Nurse podcastInstagram: https://www.instagram.com/theconversingnursepodcast/Website: https://theconversingnursepodcast.comYour review is so important to this Indie podcaster! You can leave one here!  https://theconversingnursepodcast.com/leave-me-a-reviewWould you like to be a guest on my podcast? Pitch me! https://theconversingnursepodcast.com/intake-formCheck out my guests' book recommendations! https://bookshop.org/shop/theconversingnursepodcast I've partnered with RNegade.pro! You can earn CE's just by listening to my podcast episodes! Check out my CE library here: https://rnegade.thinkific.com/collections/conversing-nurse-podcastThanks for listening!

The stroke guidelines just changed and it's exciting and nuanced! What you do in the first 30 minutes could drastically change your patient's outcome. In this episode, Dr. Shyam Prabhakaran, neurologist and chief writer of the new 2026 AHA Stroke Guidelines, explains what's changed and how these guidelines are changing practice at the bedside.Stroke treatment decisions are getting faster, more nuanced, and more imaging-driven. Inclusion/exclusion criteria and whether to give thrombolytics, who is a candidate for thrombectomy, and when to touch the blood pressure have all been updated. Know the updates before your next stroke alert!Topics discussed in this episode:Introducing the classic extended window patient caseThrombolytics vs. thrombectomy explainedEMS destination decision: Choosing primary vs. comprehensive stroke centerHow reperfusion time windows have changedAdvanced imaging: ASPECTS and thrombectomy eligibilityTreatment options for patients presenting outside of the 4.5 hr windowBlood pressure management recommendationsWhat nurses should do in the first 15-30 minutesLVO red flags at the bedsidePediatric ischemic strokeCheck out the new AHA Stroke Guidelines:https://newsroom.heart.org/news/new-guideline-expands-stroke-treatment-for-adults-offers-first-pediatric-stroke-guidanceMentioned in this episode:CONNECT

Send a textIf nursing is consistently ranked as the most trusted profession in America…Why do so many nurses feel unheard inside their own workplaces?That question has been on my mind.On this podcast: We talk about burnout. We talk about staffing. We talk about leadership.But underneath all of it is something deeper — culture.And culture is hard to change.Not because nurses don't care.Not because leaders don't try.But because culture isn't just policy.It's identity.There are many layers to uncover here, so let's get into it.Notes on Nursing: What it is and What it is Not, by Florence NightingaleContact The Conversing Nurse podcastInstagram: https://www.instagram.com/theconversingnursepodcast/Website: https://theconversingnursepodcast.comYour review is so important to this Indie podcaster! You can leave one here! https://theconversingnursepodcast.com/leave-me-a-reviewWould you like to be a guest on my podcast? Pitch me! https://theconversingnursepodcast.com/intake-formCheck out my guests' book recommendations! https://bookshop.org/shop/theconversingnursepodcast I've partnered with RNegade.pro! You can earn CE's just by listening to my podcast episodes! Check out my CE library here: https://rnegade.thinkific.com/collections/conversing-nurse-podcast Thanks for listening!

ARDS is one of the more complex syndromes we manage in critical care. More than just pulmonary edema, we are battling stiff lungs, refractory hypoxemia, rising pressures, and frequently making decisions that can either protect the lung or make things worse.In this episode, I'm joined by respiratory therapist Melody Bishop for a deep dive into ARDS ventilator management through the lens of physiology, evidence, and real bedside practice. We break down what's actually happening in the lung, why some long-held practices have fallen out of favor, and how nurses and RTs can work together to make more precise, lung-protective decisions.If ARDS has ever felt like guesswork, this episode will help it make sense.Topics discussed in this episode:What ARDS looks like at the alveolar level and why surfactant loss changes everythingHow inflammation leads to stiff lungs, poor compliance, and refractory hypoxemiaWhy lung-protective ventilation is about avoiding harm, not chasing perfect numbersMoving beyond tidal volume: how driving pressure reframes vent managementHow RTs use compliance trends to judge whether lungs are improving or failingPEEP selection: why tables are a guide, not the final answerThe physiology behind proning and why it's one of the few ARDS interventions that saves livesWhy recruitment maneuvers fell out of favor (and what works instead)What nurses should be watching on the ventilator to catch deterioration earlyConnect with Melody and download her free book:https://melodybishoprt.com/Mentioned in this episode:Rapid Response Academy Winter 2026 Cohorthttps://www.rapidresponseandrescue.com/rraCONNECT

A transplant saves a life… but can also make the body attack itself. That's what Graft Versus Host Disease (GVHD) does, and why nurses need to catch it early. You may have never seen it before, but this episode will tell you what it looks like at the bedside and the early clues you can't afford to miss.Through a real patient case, Anthony, RN explains why GVHD is easy to overlook, how to think through common differentials, and what matters most when it comes to helping patients stabilize and recover.Topics discussed in this episode:CCOT's rapid response modelThe patient's condition weeks after allogenic transplantAnthony's assessment and what raised red flagsWhy early symptoms can get misread or minimizedHow Graft Versus Host Disease developsWhy emotional support is crucial to recoveryAcute vs. chronic Graft Versus Host DiseaseImportant early clues of Graft Versus Host DiseasePriority interventions for Graft Versus Host DiseaseHow Anthony's app can help bedside nursesYou can connect with Anthony or learn more about his apps here:https://thehumblenurse.com/Mentioned in this episode:CONNECT

Send a textToday's guest has one of those careers that doesn't follow a straight line—and that's exactly what makes it powerful.Julie Smith's professional path looks a bit like a zig-zag, but every turn adds depth. She began in communications, pivoted into emergency nursing, focused on safety net populations and disaster relief, moved into education, and now serves as a clinical product leader at InterSystems. There, she helps guide development of HealthShare, one of the world's most advanced interoperability platforms, supporting massive health systems and government-sponsored organizations around the globe.Julie is a nurse at heart, a health IT leader by trade, and a fierce advocate for health equity and clinician-centered technology. What I loved most about our conversations is when Julie explained why nurses must have a seat at the interoperability table—and how trust, not just technology, is the real end goal.In the five-minute snippet: You didn't just say the Q word, did you? For Julie's bio, visit my website (link below).Hear Julie on the Hit Like a Girl podcast!Contact The Conversing Nurse podcastInstagram: https://www.instagram.com/theconversingnursepodcast/Website: https://theconversingnursepodcast.comYour review is so important to this Indie podcaster! You can leave one here! https://theconversingnursepodcast.com/leave-me-a-reviewWould you like to be a guest on my podcast? Pitch me! https://theconversingnursepodcast.com/intake-formCheck out my guests' book recommendations! https://bookshop.org/shop/theconversingnursepodcast I've partnered with RNegade.pro! You can earn CE's just by listening to my podcast episodes! Check out my CE library here: https://rnegade.thinkific.com/collections/conversing-nurse-podcast Thanks for listening!

You know those moments when something just “feels off?” That's when you should trust your instincts and speak up because timing can completely change a patient's outcome.In this episode, Sarah is joined by Dr. Oscar Mitchell, Associate Director of the Center for Resuscitation Science and Director of the Medical Rapid Response Team at the Hospital of the University of Pennsylvania. They break down one septic shock case across two timelines: first, when rapid response is called early and there's still time to intervene, and later, when the patient is already crashing.You'll hear what a calm, collaborative rapid response call looks like, which signs of deterioration should never be ignored, and how to effectively share your concerns with a provider. This episode is for anyone who might call a rapid response AND for those who respond to emergencies.Topics discussed in this episode:Introduction to the patient and the 5PM timelineWhat the ideal provider–nurse collaboration looks likeEarly signs of deterioration that were missedWhy some nurses hesitate to call rapid responseThe patient's vitals at 10AM and why rapid response was calledWhy the documented respiratory rate might not be reliableWhy blood pressure can be misleadingSBAR and CUS frameworks for escalationDr. Mitchell's research on delays in RRT activation and mortalityEarly warning signs you should never ignoreRegister for the REVIVE Conference and use code RAPID50 to get $50 off!https://www.revive-conference.com/Check out Dr. Mitchell's research here:https://pubmed.ncbi.nlm.nih.gov/36349290/Mentioned in this episode:AND If you are planning to sit for your CCRN and would like to take the Critical Care Academy CCRN prep course you can visit https://www.ccrnacademy.com and use coupon code RAPID10 to get 10% off the cost of the course!CONNECT

Send us a textThis week, my guest is Tracy Hicks, a doctorally-prepared and dual-certified family and psychiatric mental health nurse practitioner. She also holds an MBA, which is particularly useful in her role as a CEO.Tracy is the founder of C-Trilogy Comprehensive Clinical Care and C-Trilogy Outreach, a certified community behavioral health clinic that provides mental health services, substance use support, primary care, and 24-hour crisis help.I was excited to talk with Tracy, who is an expert in the care and treatment of individuals with schizophrenia, because in my 36 years as a nurse, I have encountered only two patients with this diagnosis, both of whom were teenagers. I knew very little about the condition and was eager to learn from Tracy, and she did not disappoint.We discussed long-acting injectables as a successful treatment option, the challenges of compliance, and the management of a long-term chronic disease. We also emphasized the crucial importance of a strong support system to help patients lead meaningful lives.A recurring theme in our conversation was Tracy's passion when discussing these complex cases. This emotion stems from her lived experience, as two of her beloved family members—her father and her daughter—both have the disease. Growing up with the stigma of having a father with schizophrenia has shaped her perspective, and even though her daughter is now grown, Tracy's concerns for her never waver.Tracy's days are incredibly busy. Between practicing in the clinic, serving on multiple boards that advocate for marginalized populations, and shaping the next generation of nurses as an Associate Professor, people often ask her how she manages it all. Her answer? When you align with your purpose from God, He will guide your steps. She truly is a blessing to her community.In the five-minute snippet: Be prepared to jump! For Tracy's bio, visit my website (link below).Dr. Tracy Hicks Puts Her Mind to Improving Access to Mental Care, Frontier Nursing Empowering Care Partners Through Psychoeducation in Schizophrenia Care, Psychiatric TimesContact The Conversing Nurse podcastInstagram: https://www.instagram.com/theconversingnursepodcast/Website: https://theconversingnursepodcast.comYour review is so important to this Indie podcaster! You can leave one here! https://theconversingnursepodcast.com/leave-me-a-reviewWould you like to be a guest on my podcast? Pitch me! https://theconversingnursepodcast.com/intake-formCheck out my guests' book recommendations! https://bookshop.org/shop/theconversingnursepodcast I've partnered with RNegade.pro! You can earn CE's just by listening to my podcast episodes! Check out my CE library here: https://rnegade.thinkific.com/collections/conversing-nurse-podcast Thanks for listening!

Send us a text**CAUTION** This episode discussed suicide, suicidal ideation, drug dependency. PROCEED WITH CAUTION.This is a chronology of my serious health scare in 2025 and my subsequent dependency on Xanax. During this time I suffered suicidal ideation. I was aware of the resources available to me and I didn't reach out. Please don't make the same mistake and suffer needlessly.Here are some trusted mental health resources: National Suicide Hotline: Dial 988Crisis Text LineNational Alliance on Mental HealthSubstance Abuse and Mental Health ServicesAlso in this episode is my 2026 line-up of guests!Contact The Conversing Nurse podcastInstagram: https://www.instagram.com/theconversingnursepodcast/Website: https://theconversingnursepodcast.comYour review is so important to this Indie podcaster! You can leave one here! https://theconversingnursepodcast.com/leave-me-a-reviewWould you like to be a guest on my podcast? Pitch me! https://theconversingnursepodcast.com/intake-formCheck out my guests' book recommendations! https://bookshop.org/shop/theconversingnursepodcast I've partnered with RNegade.pro! You can earn CE's just by listening to my podcast episodes! Check out my CE library here: https://rnegade.thinkific.com/collections/conversing-nurse-podcast Thanks for listening!

The science is finally catching up to what clinicians have long known: more fluids aren't always the answer to septic shock. In this episode, host Sarah Lorenzini and Jaclyn Bond MSN-LM, MBA-HM explain what the ANDROMEDA-SHOCK 2 trial reveals about physiology-guided sepsis resuscitation and why fixed-volume fluid strategies can lead to avoidable harm.They break down how dynamic fluid responsiveness testing helps teams stop guessing, and how tools like FloPatch support real-time assessment of carotid flow time and stroke volume. You'll leave with a clearer idea of when to give fluids, when to stop, and how to justify the decision.Topics discussed in this episode:The purpose and key findings of the ANDROMEDA-SHOCK 2 studyWhy dynamic measures of fluid responsiveness matter more than static vitalsWhat recent meta-analysis data shows about physiology-guided fluid strategiesCarotid flow time: what it is, how it's measured, and how it guides decisionsHemodynamic assessment and bedside limitationsHow FloPatch supports real-time assessment so you can make individualized fluid decisionsSEP-1 2026 guideline updates and why it's better for patientsHow to apply these principles to your workflow Website: www.flosonicsmedical.com See FloPatch in action: https://hubs.ly/Q03-68Hg0Mentioned in this episode:CONNECT

Pulmonary embolisms don't always announce themselves... sometimes they ambush. One minute your patient is walking with physical therapy, the next they're hypotensive, hypoxic, and coding. This re-released early episode dives deep into why PE patients can look deceptively stable… right up until they aren't.In this episode, I revisit one of my earliest case-based teachings on pulmonary embolism, updated with an added segment on vasopressin use in obstructive shock from PE. Through real bedside stories from my time as a rapid response and ER nurse, we break down the physiology behind PE-related collapse, why intubation isn't always the answer, and how to think through management when the right ventricle is failing in front of you. This is a sobering but essential refresher on one of the most dangerous diagnoses we encounter.Topics discussed in this episode:Why pulmonary embolism is a common cause of in-hospital cardiac arrest (even if it's not common overall)Classic and subtle PE presentations and why they're often missedA real-time rapid response case: stable to crashing in minutesRisk factors for PE and the anticoagulation double-edged swordObstructive shock explained: what's actually killing the patientRight ventricular failure, septal bowing, and the spiral of deathWhy intubation can worsen outcomes in massive PEVasopressors in PE: norepinephrine, epinephrine, and vasopressinThe unique benefits of vasopressin in obstructive shockThrombolysis vs. thrombectomy: when TPA helps — and when it's deadlyBedside echo findings that point to massive PEWhy PE patients can crash during transport (and what to always bring)Nursing vigilance, rapid escalation, and activating help earlyWhen perfect care still isn't enough and the heart of nursing in end-of-life momentsMentioned in this episode:CONNECT

Some of the most common respiratory myths are still showing up at the bedside. But it's not your fault — most of us were never taught what an oxygenation problem versus a ventilation problem looks like in real time.In this episode, Melody Bishop RT explains how respiratory therapists think through oxygenation and ventilation to choose the right intervention and recognize when a patient is ready to breathe on their own. We're calling out the old dogma and myths that can delay treatment and worsen patient outcomes!Topics discussed in this episode:Ventilation vs. oxygenation: the core building blocksV/Q mismatch explainedABG findings for low-flow vs. high-flow vs. BiPAPWhen CO₂ is the problem and the benefits of BiPAPKey indicators it's time to intubate and the dangers of waitingThe myth of resting patients on ventilationHow to accurately assess spontaneous breathing trialsCOPD, oxygen, and the hypoxic drive mythWhat nurses should know about working with RTsConnect with Melody:https://melodybishoprt.com/Mentioned in this episode:Xshears are the best shearscheck em out here: https://xshear.com//discount/Rapid10 and you can use code RAPID10 to get 10% off your purchaseAND If you are planning to sit for your CCRN and would like to take the Critical Care Academy CCRN prep course you can visit https://www.ccrnacademy.com and use coupon code RAPID10 to get 10% off the cost of the course!CONNECT

Send us a textDr. Bonny Kehm is the Founding Dean and Assistant Provost of the College of Nursing and Health Sciences at Columbia Southern University. She's an accomplished nurse educator, researcher, and leader whose work has had a substantial influence at both the state and national levels.Appointed to the Missouri State Board of Nursing back in 2017, Dr. Kehm went on to serve as board president and contributed to vital initiatives through the Nursing Education Committee. Her leadership has influenced policy, program development, and the academic standards that shape how nurses are educated today.Beyond her administrative and regulatory work, she's also a Certified Nurse Educator through the National League for Nursing and has been recognized with multiple awards for her excellence in education and scholarship.What I love about Dr. Kehm's story is how she blends deep clinical experience with a passion for education, innovation, and mentorship. I'm inspired after hearing her insights on leadership and the future of nursing. Her dedication to shaping compassionate and confident nurse leaders is making a lasting impact, and I know you will walk away feeling motivated and hopeful.In the five-minute snippet: This one came out of nowhere. For Bonny's bio, visit my website (link below).Contact The Conversing Nurse podcastInstagram: https://www.instagram.com/theconversingnursepodcast/Website: https://theconversingnursepodcast.comYour review is so important to this Indie podcaster! You can leave one here! https://theconversingnursepodcast.com/leave-me-a-reviewWould you like to be a guest on my podcast? Pitch me! https://theconversingnursepodcast.com/intake-formCheck out my guests' book recommendations! https://bookshop.org/shop/theconversingnursepodcast I've partnered with RNegade.pro! You can earn CE's just by listening to my podcast episodes! Check out my CE library here: https://rnegade.thinkific.com/collections/conversing-nurse-podcast Thanks for listening!

Rural nursing is anything but simple. They have limited resources, fewer specialists, and often have to send patients hours away from their families for a higher level of care. But all that is changing as new tech like Zeto brings monitoring right to the bedside and keeps more patients close to home.In this episode, ICU nurse leader Kristen RN shares how point-of-care EEG has empowered her team to catch subclinical seizures sooner and make faster, more informed clinical decisions. From buy-in to implementation, you'll hear how she advocated for her community and successfully integrated this technology into a small ICU. If you work in a rural or resource-limited facility, don't miss this one!Topics discussed in this episode:The unique challenges rural nurses and hospitals faceWhy keeping patients close to home mattersHow telemedicine and new tech are transforming rural healthcareWhy subclinical seizures are hard to recognizeHow Zeto's spot EEG helps nurses keep more patients close to homeThe positive impact on team confidence and patient careHow you can advocate for the tools your community needsLearn more about Zeto here:https://zeto-inc.com/Mentioned in this episode:CONNECT

Send us a textToday's guest is someone who brings compassion, intellect, and a genuine love for medicine to everything he does. Dr. Mahmoud Ibraheem is a Pulmonary and Critical Care physician whose medical journey has taken him from Bahrain to New York, Florida, and Texas. Those experiences shaped who he is as a physician. Beyond medicine, Dr. Ibraheem is passionate about mental health, music, and making medicine more human. He's also a proud husband to a brilliant cardiologist and devoted dog dad to Xena and Blue. In other words, he's very well-rounded.You might know him from Instagram, where he shares insight and humor about life in medicine under the handle @icuboy_meded.As Mahmoud told his story, I was filled with wonder at his joyful personality. His journey reminds us that medicine isn't just about surviving intense situations; it's about bringing heart, humor, and humanity into every encounter.In the five-minute snippet: Mahmoud's gone to the dogs! For Mahmoud's bio, visit my website (link below).Tik TokThreadsXContact The Conversing Nurse podcastInstagram: https://www.instagram.com/theconversingnursepodcast/Website: https://theconversingnursepodcast.comYour review is so important to this Indie podcaster! You can leave one here! https://theconversingnursepodcast.com/leave-me-a-reviewWould you like to be a guest on my podcast? Pitch me! https://theconversingnursepodcast.com/intake-formCheck out my guests' book recommendations! https://bookshop.org/shop/theconversingnursepodcast I've partnered with RNegade.pro! You can earn CE's just by listening to my podcast episodes! Check out my CE library here: https://rnegade.thinkific.com/collections/conversing-nurse-podcast Thanks for listening!

Your pneumonia patient is hypotensive, tachycardic, and not responding to fluids… what did you miss? It could be sepsis-induced cardiomyopathy, a common under-recognized shock state you could see at the bedside.In this episode, Dr. Mahmoud Ibrahim MD and host Sarah Lorenzini use a case study to highlight how nurses, intensivists and the ICU team can work together to recognize the signs of sepsis-induced cardiomyopathy early and give patients a better chance at recovery. You'll learn the diagnostic clues that your patient's heart is in trouble, how to approach controversial treatments like sodium bicarb, and what has to happen before intubation in a dual shock state.Topics discussed in this episode:What the initial bedside assessment says about the patientTreatment priorities for the  intensivist and nurseSigns that point to more than just sepsisWhy fluids aren't always the answerBlood pressure management: vasopressors and inotropesPathophysiology of sepsis-induced cardiomyopathyHow a sepsis-induced cardiomyopathy diagnosis changes treatmentThe vasopressin debate for sepsis-induced cardiomyopathyClues your intervention isn't working and what to do nextHow to prepare the patient for high-risk intubationWhat you need to know about administering sodium bicarbWhy collaboration matters at every step for patient recoveryConnect with Dr. Ibrahim:Instagram: https://www.instagram.com/icuboy_meded/Facebook: https://www.facebook.com/share/1Dg1ZTyfsN/TikTok: https://www.tiktok.com/@icuboy_mededThreads: https://www.threads.com/@icuboy_mededX: https://x.com/icuboy_mededLearn more about the different phenotypes in sepsis induced cardiomyopathy:https://journal.chestnet.org/article/S0012-3692(25)05143-8/abstractMentioned in this episode:CONNECT

Send us a textToday's guest is someone whose work sits right at the intersection of education, innovation, and human connection.Dr. Christine “Christy” Heid is a nursing educator, simulationist, innovator, and healthcare advocate with more than two decades of experience.As a Nursing Simulation Specialist, she brings an invaluable perspective as both a nurse educator and simulation expert who has personally experienced the challenges institutions face in preparing nurses for clinical practice. A recognized innovator in nursing education, she created the Heid ATE Guide for Clinical Teaching and Learning©, which is an Innovative, Progressive Tool to facilitate the Development of Clinical Judgment Skills for real-world nursing Practice. Brilliant.But wait, there's more. Christy has led a multi-site research project funded by an OADN Foundation Grant. She has held roles as a consultant, course developer, and faculty member, contributed to national committees, and published research on simulation and clinical judgment.In this episode, we talk about how simulation is transforming nursing education, what it really means to build clinical judgment, and why innovation is as much about empathy as it is about technology. Her work reminds us that innovation and empathy aren't opposites; they're partners.I wish, as a young nursing student in 1983, that Christy had been in my life. We didn't have simulations. We didn't have nursing simulation specialists. We had to practice on each other. Yeah, I'm not kidding. So we've come a long way and I was so happy to meet Christy.In the five minute snippet: Put on your boxing gloves. For Christy's bio, visit my website (link below).Contact The Conversing Nurse podcastInstagram: https://www.instagram.com/theconversingnursepodcast/Website: https://theconversingnursepodcast.comYour review is so important to this Indie podcaster! You can leave one here! https://theconversingnursepodcast.com/leave-me-a-reviewWould you like to be a guest on my podcast? Pitch me! https://theconversingnursepodcast.com/intake-formCheck out my guests' book recommendations! https://bookshop.org/shop/theconversingnursepodcast I've partnered with RNegade.pro! You can earn CE's just by listening to my podcast episodes! Check out my CE library here: https://rnegade.thinkific.com/collections/conversing-nurse-podcast Thanks for listening!

Every five years, resuscitation guidelines get a refresh. This year, a few have changed, many have stayed the same, and some are creating major controversy.In this episode, Dr. Ashish Panchal, Chair of the AHA Emergency Cardiovascular Care Committee, helps us unpack what's new, what might surprise you, and the science behind each decision. You'll learn why there's serious debate around epinephrine dosing, what changes matter most for the bedside, and how these updates will change the way you and your team respond to the next code!Topics discussed in this episode:The history and development of the AHA Resuscitation GuidelinesKey improvements: algorithms, clear language, and unified careBig, fundamental changes in the guidelinesHow choking management guidelines have changedThe recommended approach for synchronized cardioversionNew guidelines for post-resuscitation careWhy there's controversy around mechanical CPR and DSDIV vs. IO access: best practice and key takeawaysThe controversy around epinephrine dosingWhat these changes mean for nurses and code teamsListen to E140 with Dr. Ashish Panchal:https://healthpodcastnetwork.com/episodes/rapid-response-rn/140-resuscitation-then-and-now-how-evidence-shapes-every-beat-with-guest-dr-ashish-panchal-md-phd/Mentioned in this episode:AND If you are planning to sit for your CCRN and would like to take the Critical Care Academy CCRN prep course you can visit https://www.ccrnacademy.com and use coupon code RAPID10 to get 10% off the cost of the course!CONNECT

Send us a textToday's episode is one that really hits close to the heart — because it's about the people who spend their lives caring for others, and what happens when no one's caring for them.You're about to meet Kevin Dickinson, the founder of GetVitals, and his co-founder and clinical advisor, Amber Smith. They developed a mental health app built specifically for nurses — starting with those working in emergency departments. Kevin didn't come from healthcare; he came from engineering. But after watching Amber, an ER nurse and educator with more than a decade of experience, struggle through exhaustion, compassion fatigue, and burnout, he decided to do something bold: he left his career to build a tool that actually supports the people on the front lines.Together, Kevin and Amber are bringing a deeply personal and powerful perspective to the conversation about mental health in nursing — one that blends love, lived experience, and a shared mission to change the culture of healthcare.We'll discuss what burnout really looks like inside an ER, what inspired GetVitals, and how they're helping nurses take care of themselves with the same compassion they provide their patients every day.So settle in. This conversation is honest, hopeful, and a reminder that healing the healers might just be where change begins.In the five minute snippet: He nailed it! For Kevin and Amber's bios, visit my website (link below).Contact The Conversing Nurse podcastInstagram: https://www.instagram.com/theconversingnursepodcast/Website: https://theconversingnursepodcast.comYour review is so important to this Indie podcaster! You can leave one here! https://theconversingnursepodcast.com/leave-me-a-reviewWould you like to be a guest on my podcast? Pitch me! https://theconversingnursepodcast.com/intake-formCheck out my guests' book recommendations! https://bookshop.org/shop/theconversingnursepodcast I've partnered with RNegade.pro! You can earn CE's just by listening to my podcast episodes! Check out my CE library here: https://rnegade.thinkific.com/collections/conversing-nurse-podcast Thanks for listening!

Differential diagnosis is part physiology, part detective work. Especially in heart failure, where similar vital signs can mean very different things.In this episode, Natalie RN is back on the show to break down two pediatric cases that looked almost identical on arrival to the ED but their workups led to two very different treatment plans. She shares the assessment findings, diagnostics, and clinical clues that helped them uncover what was really going on.Learn how to connect the dots and find the right intervention when presentations look identical!Topics discussed in this episode:Presentation of two pediatric patients with similar symptomsDifferential diagnosis and early clinical cluesWhat to look for in your clinical assessmentPathophysiology of pulmonary hypertensionPathophysiology of dilated cardiomyopathyKey physical exam and diagnostic differencesDilated cardiomyopathy interventionsWhy it's hard to diagnose pulmonary hypertension in the ERNurse priorities when managing patients in the CVICUManaging pulmonary hypertension crises and reducing PVRPearls and pitfalls of treating these conditionsConnect with Natalie:https://www.instagram.com/chatwithnat_rn/Listen to Chat with Nurse Nat on Spotify:https://open.spotify.com/show/7Jh2qe44KipudVKkdXFwWHListen to Chat with Nurse Nat on Apple Podcasts:https://podcasts.apple.com/us/podcast/chat-with-nurse-nat/id1815541418Mentioned in this episode:CONNECT

Send us a textToday, I'm honored to welcome on the podcast, Lori Schellenberg, a registered nurse with nearly 45 years of experience. Lori's career is a true testament to the power of embracing change. She began at the bedside and followed her curiosity into home health, occupational nursing, and workers' compensation—discovering along the way just how transferable nursing skills really are.Through her journey, Lori built partnerships, mentored colleagues, and helped healthcare businesses grow. When retirement left her seeking a new purpose, she turned her focus to patient advocacy, founding Stepping Stone Advocacy Services. And when she noticed nurses themselves struggling with burnout and limited career vision, she created the Stepping Stone Nurse Academy—a platform offering courses, mentorships, and internships to help nurses transition into fulfilling alternative careers.Lori's mission today is dual: to support patients navigating the healthcare system and to empower nurses to realize their untapped potential. In the five-minute snippet:  I'd like to see this one on the big screen. For Lori's bio, visit my website (link below).Contact The Conversing Nurse podcastInstagram: https://www.instagram.com/theconversingnursepodcast/Website: https://theconversingnursepodcast.comYour review is so important to this Indie podcaster! You can leave one here! https://theconversingnursepodcast.com/leave-me-a-reviewWould you like to be a guest on my podcast? Pitch me! https://theconversingnursepodcast.com/intake-formCheck out my guests' book recommendations! https://bookshop.org/shop/theconversingnursepodcast I've partnered with RNegade.pro! You can earn CE's just by listening to my podcast episodes! Check out my CE library here: https://rnegade.thinkific.com/collections/conversing-nurse-podcast Thanks for listening!

Every trauma nurse knows this feeling: your stable patient suddenly starts to decompensate and instinct tells you there's more to the story. Today's case starts with a stable, post-arrest patient and ends in a full-blown tension pneumothorax.Hear why this patient went from stable to crashing in minutes, how delayed recognition changed the course of care, what diagnostics and assessments could have caught earlier. Trauma Pete breaks down the tell-tale signs, how it differs from a simple pneumothorax, and why it's so easy to miss in trauma patients.In this episode, you'll learn which patients are the most at risk, how to spot tension pneumothorax early, and why having a systematic approach to decompression make all the difference!Topics discussed in this episode:Presentation of a stable, post-arrest patientThe patient's rapid decline and first interventionsWhy they misread the signs of tension pneumothoraxPneumothorax in intubated vs. non-intubated patientsThe physiology of tension simple vs. tension pneumothoraxBedside clues and diagnostic signs of tension pneumothoraxEarly intervention and treatment prioritiesEmergent needle decompression: timing, technique, and follow-upChest tube placement and management: tips, troubleshooting, and air leaksMentioned in this episode:Join Rapid Response Academy Fall 2025 Cohort!Click here to learn more: https://www.rapidresponseandrescue.com/rraCONNECT

This is one of those cases that tests you in every way as a nurse. A toddler is pulled out of a pool and rushed to the ER, unresponsive and deteriorating fast. Today, Nurse Amber walks us through the critical moments that followed and how this case inspired her to turn her grief into a positive resource for nurses.We discuss what was going on at the alveolar level in this patient, the interventions Amber and her team performed, and the emotional aftermath of working on critical pediatric patients. You'll learn what to prioritize, the signs of deterioration that can show hours after rescue, and how to recognize what Sarah calls the “inflammatory cascade of awfulness.”This episode is an honest breakdown of both the science and humanity of drowning care. Don't miss this story!Topics discussed in this episode:Initial assessment of the patientFirst treatment priorities: ventilation, airway, and warmingThe pathophysiology of drowningMisconceptions about suctioning in drowning patientsThe nurse's role: documentation and respiratory managementPatient monitoring and signs of deteriorationThe emotional burden of pediatric fatalitiesHow the Get Vitals app supports nurses' mental healthLearn more about the Get Vitals app:Website - www.getvitals.careInstagram -@getvitalsnowMentioned in this episode:Listen to the In The Heart of Care Podcasthttps://link.cohostpodcasting.com/6598429e-e927-45b0-9b57-7dd34a09d803?d=seASyqjs7CONNECT

Some conditions hide in your genes, without any symptoms. One of these conditions is genetic arrhythmogenic cardiomyopathy, an inherited condition that can lead to sudden cardiac arrest — even if you feel completely fine.In this episode, Sarah and Leslie talk about their shared diagnosis of FLNC cardiomyopathy — from how this gene mutation affects the function of the heart to how they're managing this rare condition. You'll hear how Leslie's ICD has saved her life more than once, how it feels to be shocked back to life, and the resilience that's helped them move forward.This is a raw, real, emotional episode about living with a genetic heart condition. Tune in to learn the signs to watch for, when to get tested, and where to find support!Topics discussed in this episode:What is genetic arrhythmogenic cardiomyopathy?How FLNC-AC differs from other cardiomyopathiesCommon symptoms and some people are diagnosed too lateTreatment and lifestyle managementHow Sarah and Leslie finally got diagnosedLeslie's first cardiac arrest and its impactHow Sarah is processing her diagnosisWhat it feels like to be shocked by your ICDTypes of ICDs: transvenous, SICD, and EV-ICDMental and emotional recovery post-cardiac arrestThe WomenHeart organizationFind support or volunteer with WomenHeart:https://www.womenheart.org/Mentioned in this episode:Voices in NursingCheck out the Voices in Nursing Podcast here: https://www.aacn.org/education/podcast-series/voices-in-nursingCONNECT

What happens when a trauma patient isn't just a trauma patient? In today's episode, we're diving into “Trauma Plus” — those high-stakes situations where comorbidities, medications, environmental exposures, or underlying medical emergencies complicate recognition of decompensation and change everything about how we care for our patients.I'm joined by Flight Nurse Gwenny, who brings her expertise from the field to walk us through three complex trauma cases where things aren't what they first appear to be. You'll hear her real-time thought process as she navigates evolving scenarios and shares her assessment priorities, differential diagnoses, and critical interventions.If you've ever cared for a trauma patient and thought, “Something doesn't add up,” this episode will help sharpen your assessment skills and give you a framework for approaching the next challenging trauma case.Topics discussed in this episode:Recognizing subtle signs of trauma decompensationAssessing geriatric trauma patients with limited compensatory reservesManaging trauma patients on anticoagulationUnderstanding how hypothermia worsens bleeding and coagulopathyIdentifying and interrupting the trauma “triad of death”Balancing trauma care with underlying medical emergenciesAvoiding anchoring bias when a patient's story doesn't add upPrioritizing assessments and interventions during flight transportBuilding a mental checklist for “Trauma Plus” patientsConnect with Nurse Gwenny:Youtube:https://www.youtube.com/channel/UCLhEo_HaDEkPFA_cpQPAz2wInstagram:https://www.instagram.com/nursegwennyrn/TikTok:https://www.tiktok.com/@nurse.gwenny?_t=8qUUMwXhv5P&_r=1Purchase her books:https://www.nursegwenny.com/shopMentioned in this episode:Listen to the In The Heart of Care Podcasthttps://link.cohostpodcasting.com/6598429e-e927-45b0-9b57-7dd34a09d803?d=seASyqjs7CONNECT

Breaking Free from Food Drama with Dr. Melissa McCreery If food thoughts run your life or your hunger cues feel completely off, especially with thyroid or hormone issues, this episode is for you. I sit down with Dr. Melissa McCreery, psychologist, emotional eating expert, and host of Too Much on Her Plate, to uncover the real reasons behind overeating and why “eat less, move more” is a failed strategy. We talk about how stress, poor sleep, food deprivation, and lack of real self-care drive food struggles, and how to identify your unique “hidden hungers” so you can stop the binge, restrict, guilt cycle. Dr. Melissa also shares her take on perfectionism, GLP-1s, and why one-size-fits-all meal plans and willpower don't work. If you're ready to quiet the food chatter and finally feel in control, this episode gives you practical steps and tools you can start using today. Connect with Dr. Melissa McCreery The Freedom to Overeating Roadmap for Smart, Busy Women: https://toomuchonherplate.com/map/The free Hidden Hungers Quiz: https://toomuchonherplate.com/emotional-eating-quiz/The Too Much on Her Plate podcast: https://toomuchonherplate.com/podcast/Instagram: https://www.instagram.com/toomuchonherplate/ WHAT DO MY LABS MEAN?! Try the ultimate tool to Decode Your Labs: Understand your thyroid, hormones, and blood sugar numbers to transform your health https://dramie.com/labs/ We prescribe to all 50 states!  When you're ready to FINALLY get the help you deserve… Book a free application call: https://dramie.com/book-a-call/ Shop ALL of Dr. Amie's Fixxr® Supplements: https://betterlifedoctor.com/ EARN CE Credits: "Nurses, hold-on  – here comes the exciting part: you can earn nursing CE credits by listening to our podcasts! That's right—RNegade has teamed up with podcast hosts like me who are delivering amazing content that doesn't limit you to “thinking outside-the box,” it challenges you to BLOW-UP the box by learning from innovators, pioneers, and RENEGADES in the field of health and medicine WHILE EARNING YOUR CEs!” https://rnegade.thinkific.com/?ref=4d98d0 RATE, REVIEW AND FOLLOW ON APPLE PODCASTS If you made it this far I'm impressed! That means you really love the show and I love you for that!  So I'm going to ask you for a favor. Would you please leave a quick review or even 5⭐️. I DO read them and can't tell you how much I appreciate it! Thank you in advance!❤️  Just click here it's quick and easy : https://podcasts.apple.com/us/podcast/the-thyroid-fixer/id1529800263,  Ok ONE MORE favor…would you please subscribe and follow the show? This is a win-win! It tells the podcast powers that be that you like The Thyroid Fixer Podcast AND it lets you catch all the new episodes that come out every week. Follow with this link: https://podcasts.apple.com/us/podcast/the-thyroid-fixer/id1529800263 and never miss out on a moment of the journey! CONNECT WITH ME ON SOCIAL MEDIA: Want to get your labs reviewed and your questions answered LIVE by me? Join my exclusive Facebook group, Just Fix Your Thyroid – a supportive and empowering community designed to give you the tools, guidance, and HOPE you need on your thyroid and hormone journey.

Why I Raised My Estrogen After Cancer I'm breaking down what really happens when estrogen drops, and why I chose to increase mine after a cancer diagnosis instead of avoiding it. I share my own experience with low estrogen, from skin changes to brain fog and libido loss, and explain the difference between rhythmic and steady dosing. You'll hear why estrogen isn't the enemy, how it can be one of the most powerful tools for health and longevity, and what you need to know to optimize metabolism and avoid the crash that happens when levels plummet. If you're navigating perimenopause or menopause and want a personalized approach instead of one-size-fits-all advice, this conversation will give you the clarity and direction you need. Podcast Episodes Mentioned: Ep. 215: Breast Cancer and Thyroid Disease – Learn the Connection, Lower the Risk with Dr. Jenn Simmons Ep. 536: Cancer Wasn't in the Plan Ep. 224: Hormones, Breast Cancer, Irrational Fears and Misinformation with Dr. Devaki Lindsey Berkson Ep. 530: My Cancer Diagnosis and The DUTCH Test WHAT DO MY LABS MEAN?! Try the ultimate tool to Decode Your Labs: Understand your thyroid, hormones, and blood sugar numbers to transform your health https://dramie.com/labs/ We prescribe to all 50 states!  When you're ready to FINALLY get the help you deserve… Book a free application call: https://dramie.com/book-a-call/ Shop ALL of Dr. Amie's Fixxr® Supplements: https://betterlifedoctor.com/ EARN CE Credits: "Nurses, hold-on  – here comes the exciting part: you can earn nursing CE credits by listening to our podcasts! That's right—RNegade has teamed up with podcast hosts like me who are delivering amazing content that doesn't limit you to “thinking outside-the box,” it challenges you to BLOW-UP the box by learning from innovators, pioneers, and RENEGADES in the field of health and medicine WHILE EARNING YOUR CEs!” https://rnegade.thinkific.com/?ref=4d98d0 RATE, REVIEW AND FOLLOW ON APPLE PODCASTS If you made it this far I'm impressed! That means you really love the show and I love you for that!  So I'm going to ask you for a favor. Would you please leave a quick review or even 5⭐️. I DO read them and can't tell you how much I appreciate it! Thank you in advance!❤️  Just click here it's quick and easy : https://podcasts.apple.com/us/podcast/the-thyroid-fixer/id1529800263,  Ok ONE MORE favor…would you please subscribe and follow the show? This is a win-win! It tells the podcast powers that be that you like The Thyroid Fixer Podcast AND it lets you catch all the new episodes that come out every week. Follow with this link: https://podcasts.apple.com/us/podcast/the-thyroid-fixer/id1529800263 and never miss out on a moment of the journey! CONNECT WITH ME ON SOCIAL MEDIA: Want to get your labs reviewed and your questions answered LIVE by me? Join my exclusive Facebook group, Just Fix Your Thyroid – a supportive and empowering community designed to give you the tools, guidance, and HOPE you need on your thyroid and hormone journey.

Midlife Nutrition and Hormones with Carol Covino In this episode, I sit down with Carol Covino to expose the nutrition and lifestyle habits that hold women back in midlife, and how to turn them around quickly. We cover why protein is non-negotiable for muscle, metabolism, and energy, how alcohol impacts fat loss and brain health, and what's really hiding in those “healthy” packaged snacks. Carol and I also dive into hormone shifts during perimenopause and menopause, the truth about cardio overload, and how to structure strength training that actually works for this stage of life. We talk sleep, movement, and the adjustments that make the biggest difference when nothing else seems to be working. If you want clear, practical steps for tackling brain fog, belly fat, and stubborn weight while supporting your hormones, this episode gives you the blueprint. Connect with Carol Covino: Website: carolcovino.com5 Quick Workouts: carolcovino.com/5-quick-workoutsInstagram: @carolcovinofitness WHAT DO MY LABS MEAN?! Try the ultimate tool to Decode Your Labs: Understand your thyroid, hormones, and blood sugar numbers to transform your health https://dramie.com/labs/ We prescribe to all 50 states!  When you're ready to FINALLY get the help you deserve… Book a free application call: https://dramie.com/book-a-call/ Shop ALL of Dr. Amie's Fixxr® Supplements: https://betterlifedoctor.com/ EARN CE Credits: "Nurses, hold-on  – here comes the exciting part: you can earn nursing CE credits by listening to our podcasts! That's right—RNegade has teamed up with podcast hosts like me who are delivering amazing content that doesn't limit you to “thinking outside-the box,” it challenges you to BLOW-UP the box by learning from innovators, pioneers, and RENEGADES in the field of health and medicine WHILE EARNING YOUR CEs!” https://rnegade.thinkific.com/?ref=4d98d0 RATE, REVIEW AND FOLLOW ON APPLE PODCASTS If you made it this far I'm impressed! That means you really love the show and I love you for that!  So I'm going to ask you for a favor. Would you please leave a quick review or even 5⭐️. I DO read them and can't tell you how much I appreciate it! Thank you in advance!❤️  Just click here it's quick and easy : https://podcasts.apple.com/us/podcast/the-thyroid-fixer/id1529800263,  Ok ONE MORE favor…would you please subscribe and follow the show? This is a win-win! It tells the podcast powers that be that you like The Thyroid Fixer Podcast AND it lets you catch all the new episodes that come out every week. Follow with this link: https://podcasts.apple.com/us/podcast/the-thyroid-fixer/id1529800263 and never miss out on a moment of the journey! CONNECT WITH ME ON SOCIAL MEDIA: Want to get your labs reviewed and your questions answered LIVE by me? Join my exclusive Facebook group, Just Fix Your Thyroid – a supportive and empowering community designed to give you the tools, guidance, and HOPE you need on your thyroid and hormone journey.

Nicotine, NDT Bans, and the Truth Big Pharma Doesn't Want You to Hear In this episode, I sit down with Dr. Bryan Ardis to challenge the mainstream narrative on nicotine and expose what's really behind the push to ban it worldwide. Backed by history, published research, and clinical data, Dr. Ardis explains how nicotine may support recovery from long COVID, reduce inflammation, improve autoimmune conditions, sharpen brain function, and even play a role in cancer prevention. We also cover the FDA's plan to ban natural desiccated thyroid medications and how it connects to larger efforts to restrict patient access to bioidentical hormones and other natural treatments. Dr. Ardis breaks down the financial and political forces at play, and I share my own cancer experience and how this information could shift your approach after a diagnosis. If you're ready to hear the research, the risks, and the real reasons behind these bans, this conversation will give you the clarity you need to protect your health and your options. Connect with Dr. Bryan Ardis: Website/Book: https://thedrardisshow.com/beyond-c-19-lies-book/#video Book on Amazon: ⁠Moving Beyond the CoVid 19 Lies⁠ Fall Conference: https://www.healingfortheages.com/2025-ages-fall-conference/ WHAT DO MY LABS MEAN?! Try the ultimate tool to Decode Your Labs: Understand your thyroid, hormones, and blood sugar numbers to transform your health https://dramie.com/labs/ We prescribe to all 50 states!  When you're ready to FINALLY get the help you deserve… Book a free application call: https://dramie.com/book-a-call/ Shop ALL of Dr. Amie's Fixxr® Supplements: https://betterlifedoctor.com/ EARN CE Credits: "Nurses, hold-on  – here comes the exciting part: you can earn nursing CE credits by listening to our podcasts! That's right—RNegade has teamed up with podcast hosts like me who are delivering amazing content that doesn't limit you to “thinking outside-the box,” it challenges you to BLOW-UP the box by learning from innovators, pioneers, and RENEGADES in the field of health and medicine WHILE EARNING YOUR CEs!” https://rnegade.thinkific.com/?ref=4d98d0 RATE, REVIEW AND FOLLOW ON APPLE PODCASTS If you made it this far I'm impressed! That means you really love the show and I love you for that!  So I'm going to ask you for a favor. Would you please leave a quick review or even 5⭐️. I DO read them and can't tell you how much I appreciate it! Thank you in advance!❤️  Just click here it's quick and easy : https://podcasts.apple.com/us/podcast/the-thyroid-fixer/id1529800263,  Ok ONE MORE favor…would you please subscribe and follow the show? This is a win-win! It tells the podcast powers that be that you like The Thyroid Fixer Podcast AND it lets you catch all the new episodes that come out every week. Follow with this link: https://podcasts.apple.com/us/podcast/the-thyroid-fixer/id1529800263 and never miss out on a moment of the journey! CONNECT WITH ME ON SOCIAL MEDIA: Want to get your labs reviewed and your questions answered LIVE by me? Join my exclusive Facebook group, Just Fix Your Thyroid – a supportive and empowering community designed to give you the tools, guidance, and HOPE you need on your thyroid and hormone journey.

Why would a healthy newborn suddenly stop eating and start vomiting? When a fussy baby comes into the ER, it's easy to assume it's nothing urgent — like colic or gas. But in today's case, there were small signs that pointed to something more.This episode unpacks the high-risk condition and treatment of neonatal cardiogenic shock with Natalie Pleiman, pediatric nurse and clinical coach. From the early (often misleading) signs to critical assessments, you'll learn what makes cardiogenic shock different in neonates (specifically ductal dependent lesions), what to look for in patient labs, and how to manage the risks of treatment.Tune in for insights that will help you on your next pediatric cardiac emergency!Topics discussed in this episode:Neonatal triage: initial assessment and red flagsPhysical exam and early diagnosticsDifferences in neonatal anatomy and physiologyPreductal vs. postductal vitalsSigns of coarctation of the aortaAssessing for sepsis vs. cardiogenic shockThe dangers of fluid bolusesHow to effectively administer prostaglandinsThe risk and process of neonatal intubationPathophysiology of coarctation of the aortaICU stabilization to optimize cardiac functionKey signs of congenital heart conditionsNatalie's framework for understanding congenital heart defectsConnect with Natalie:https://www.instagram.com/chatwithnat_rn/Listen to Chat with Nurse Nat on Spotify:https://open.spotify.com/show/7Jh2qe44KipudVKkdXFwWHListen to Chat with Nurse Nat on Apple Podcasts:https://podcasts.apple.com/us/podcast/chat-with-nurse-nat/id1815541418Mentioned in this episode:Listen to the In The Heart of Care Podcasthttps://link.cohostpodcasting.com/6598429e-e927-45b0-9b57-7dd34a09d803?d=seASyqjs7CONNECT

Traditional Chinese Medicine and Thyroid Healing: A Conversation with Dr. Chris Motley In this episode, I sit down with Dr. Chris Motley to explore how Traditional Chinese Medicine (TCM) can uncover and address the root causes of thyroid dysfunction. This is the first time on the show we're going deep into the science of acupuncture, meridians, and herbs - explained in a way that connects directly to your thyroid health. Dr. Chris combines the best of Eastern and Western approaches, showing how TCM can work alongside your medications, lab testing, and conventional care. He explains how energy “roadblocks” in the body's electrical pathways can disrupt thyroid function long before labs reveal a problem, and how those disruptions can be linked to unresolved emotional trauma or patterns passed down through generations. We discuss his own mother's experience moving from Hashimoto's to Graves disease and back, the key herbs he uses to support thyroid recovery, and why liver and colon health are critical to the process. He also shares how remote consultations can help identify energy imbalances that standard testing often misses. If you've been looking for an integrative approach that blends clear science with time-tested Eastern practices, this episode will give you practical strategies you can start exploring right away. Connect with Dr. Chris Motley: Podcast: Ancient Health Podcast Website: www.doctormotley.com Instagram: @doctormotley Facebook: https://www.facebook.com/doctormotley Free 7-day Membership Trial:https://www.doctormotley.com/offers/QqFzpvL5 WHAT DO MY LABS MEAN?! Try the ultimate tool to Decode Your Labs: Understand your thyroid, hormones, and blood sugar numbers to transform your health https://dramie.com/labs/ We prescribe to all 50 states!  When you're ready to FINALLY get the help you deserve… Book a free application call: https://dramie.com/book-a-call/ Shop ALL of Dr. Amie's Fixxr® Supplements: https://betterlifedoctor.com/ EARN CE Credits: "Nurses, hold-on  – here comes the exciting part: you can earn nursing CE credits by listening to our podcasts! That's right—RNegade has teamed up with podcast hosts like me who are delivering amazing content that doesn't limit you to “thinking outside-the box,” it challenges you to BLOW-UP the box by learning from innovators, pioneers, and RENEGADES in the field of health and medicine WHILE EARNING YOUR CEs!” https://rnegade.thinkific.com/?ref=4d98d0 RATE, REVIEW AND FOLLOW ON APPLE PODCASTS If you made it this far I'm impressed! That means you really love the show and I love you for that!  So I'm going to ask you for a favor. Would you please leave a quick review or even 5⭐️. I DO read them and can't tell you how much I appreciate it! Thank you in advance!❤️  Just click here it's quick and easy : https://podcasts.apple.com/us/podcast/the-thyroid-fixer/id1529800263,  Ok ONE MORE favor…would you please subscribe and follow the show? This is a win-win! It tells the podcast powers that be that you like The Thyroid Fixer Podcast AND it lets you catch all the new episodes that come out every week. Follow with this link: https://podcasts.apple.com/us/podcast/the-thyroid-fixer/id1529800263 and never miss out on a moment of the journey! CONNECT WITH ME ON SOCIAL MEDIA: Want to get your labs reviewed and your questions answered LIVE by me? Join my exclusive Facebook group, Just Fix Your Thyroid – a supportive and empowering community designed to give you the tools, guidance, and HOPE you need on your thyroid and hormone journey.

Methylene Blue, GABA, and What Your Mitochondria Actually Need In this episode, I sit down with Dr. Scott Sherr to unpack two of the most talked about tools in metabolic and brain health: methylene blue and GABA. If you're dealing with supplement fatigue, burnout recovery, post-surgical healing, thyroid issues, or perimenopausal symptoms that no one seems to have answers for, this conversation is the reset you've been looking for. We start with methylene blue and why it's gaining attention, what it actually does at the cellular level, and how it supports energy, detox, and overall resilience. Dr. Sherr breaks down how to use it safely, what to look for in a quality product, and how to avoid common mistakes. Then we shift into nervous system support, specifically GABA, and how it influences anxiety, sleep, and focus. Dr. Sherr shares his approach to calming down the stress response and why supporting both energy and relaxation is essential for long-term health. We cover how these two tools can impact everything from mood and metabolism to brain clarity and hormone balance. If you've been trying to piece together a supplement plan that actually works for your body, and your life, this episode is designed to help you simplify and move forward with clarity. Connect with Scott Scherr: Troscriptions: www.troscriptions.com Instagram: @troscriptions Personal IG: @drscottsherr Personal website: drscottsherr.com WHAT DO MY LABS MEAN?! Try the ultimate tool to Decode Your Labs: Understand your thyroid, hormones, and blood sugar numbers to transform your health https://dramie.com/labs/ We prescribe to all 50 states!  When you're ready to FINALLY get the help you deserve… Book a free application call: https://dramie.com/book-a-call/ Shop ALL of Dr. Amie's Fixxr® Supplements: https://betterlifedoctor.com/ EARN CE Credits: "Nurses, hold-on  – here comes the exciting part: you can earn nursing CE credits by listening to our podcasts! That's right—RNegade has teamed up with podcast hosts like me who are delivering amazing content that doesn't limit you to “thinking outside-the box,” it challenges you to BLOW-UP the box by learning from innovators, pioneers, and RENEGADES in the field of health and medicine WHILE EARNING YOUR CEs!” https://rnegade.thinkific.com/?ref=4d98d0 RATE, REVIEW AND FOLLOW ON APPLE PODCASTS If you made it this far I'm impressed! That means you really love the show and I love you for that!  So I'm going to ask you for a favor. Would you please leave a quick review or even 5⭐️. I DO read them and can't tell you how much I appreciate it! Thank you in advance!❤️  Just click here it's quick and easy : https://podcasts.apple.com/us/podcast/the-thyroid-fixer/id1529800263,  Ok ONE MORE favor…would you please subscribe and follow the show? This is a win-win! It tells the podcast powers that be that you like The Thyroid Fixer Podcast AND it lets you catch all the new episodes that come out every week. Follow with this link: https://podcasts.apple.com/us/podcast/the-thyroid-fixer/id1529800263 and never miss out on a moment of the journey! CONNECT WITH ME ON SOCIAL MEDIA: Want to get your labs reviewed and your questions answered LIVE by me? Join my exclusive Facebook group, Just Fix Your Thyroid – a supportive and empowering community designed to give you the tools, guidance, and HOPE you need on your thyroid and hormone journey.

This episode is your straight-up crash course on perimenopause... what it is, how to know you're in it, and what to do when your body starts rewriting the rules without your permission. I'm joined by Dr. Amy Killen, who doesn't sugarcoat a thing. Together, we unpack the early signs of hormonal shifts, the symptoms most doctors dismiss, and why perimenopause deserves real medical attention, not another vague suggestion to “just get more sleep.” We get into the real reasons behind the mood swings, sleep disruption, joint pain, and motivation crashes. We cover which labs are worth running, how to interpret them, and why testosterone and progesterone matter long before menopause officially shows up. We also talk through the decision-making process around hormone therapy, when to start, how to cycle it, and what the latest research actually says about safety, cancer risk, and long-term benefits. If you've been told to wait until menopause to care about your hormones, this is your correction. No confusion, no guesswork, no being dismissed. Just the facts, the options, and the tools to make informed decisions that actually support your health. This is the conversation you should've had years ago. Let's get you caught up. Connect with Dr. Amy Killen Website: www.dramykillen.comLongevity Clinic - Humanaut Health: www.humanauthealth.comIG: @dramybkillen Longevity Supplements: https://hopbox.life/ WHAT DO MY LABS MEAN?! Try the ultimate tool to Decode Your Labs: Understand your thyroid, hormones, and blood sugar numbers to transform your health https://dramie.com/labs/ We prescribe to all 50 states!  When you're ready to FINALLY get the help you deserve… Book a free application call: https://dramie.com/book-a-call/ Shop ALL of Dr. Amie's Fixxr® Supplements: https://betterlifedoctor.com/ EARN CE Credits: "Nurses, hold-on  – here comes the exciting part: you can earn nursing CE credits by listening to our podcasts! That's right—RNegade has teamed up with podcast hosts like me who are delivering amazing content that doesn't limit you to “thinking outside-the box,” it challenges you to BLOW-UP the box by learning from innovators, pioneers, and RENEGADES in the field of health and medicine WHILE EARNING YOUR CEs!” https://rnegade.thinkific.com/?ref=4d98d0 RATE, REVIEW AND FOLLOW ON APPLE PODCASTS If you made it this far I'm impressed! That means you really love the show and I love you for that!  So I'm going to ask you for a favor. Would you please leave a quick review or even 5⭐️. I DO read them and can't tell you how much I appreciate it! Thank you in advance!❤️  Just click here it's quick and easy : https://podcasts.apple.com/us/podcast/the-thyroid-fixer/id1529800263,  Ok ONE MORE favor…would you please subscribe and follow the show? This is a win-win! It tells the podcast powers that be that you like The Thyroid Fixer Podcast AND it lets you catch all the new episodes that come out every week. Follow with this link: https://podcasts.apple.com/us/podcast/the-thyroid-fixer/id1529800263 and never miss out on a moment of the journey! CONNECT WITH ME ON SOCIAL MEDIA: Want to get your labs reviewed and your questions answered LIVE by me? Join my exclusive Facebook group, Just Fix Your Thyroid – a supportive and empowering community designed to give you the tools, guidance, and HOPE you need on your thyroid and hormone journey.

One unstable patient, three departments, and every nurse on alert... Let's break down what really happens during a high-risk STEMI. This episode follows the case of a 62-year old patient from ER to the Cath Lab to the ICU. Nurses Sarah Vance and Caitlyn Nichols help us explore the role of nurses in each stage of care, from stabilizing the patient to placing an Impella device.We cover everything from IV placement and medications to monitoring patients through each phase of care. Learn how to prepare patients for the Cath Lab, manage complications like V-fib and bleeding post-PCI, and support the next team during handoffs. This is a must-listen for nurses involved in cardiac care!Topics discussed in this episode:Case presentation of a 62-year old patientER nurse priorities for STEMI patientsInitial treatment and stabilizationWhy “M.O.N.A.” is an outdated practicePreparing the patient for the Cath Lab teamCath Lab nurse responsibilities and role during PCIHigh-risk PCI vs. standard PCIManaging common complicationsTransitioning from Cath Lab to ICUICU nurse priorities for post-PCI patientsImpella placement and monitoringManaging reperfusion arrhythmiasLong-term care and getting patients off the ImpellaPatient and family educationConnect with Sarah Vance:https://www.instagram.com/iseeu_nurse/Connect with Caitlyn Nichols:https://www.instagram.com/icunursingnotesbycaitlyn/Mentioned in this episode:CONNECT

Your thyroid isn't lazy... it's being ambushed. Mold, Lyme, EMFs, trauma, and a cascade of overlooked chaos are quietly hijacking your hormones, and most doctors are too busy Googling your symptoms to notice. That's why I brought in Dr. Jessica Peatross, the go-to expert when the “standard labs” come back “normal” but you still feel like a zombie version of your former self. We get into the nitty-gritty of why some bodies crash and burn while others breeze through black mold exposure. Nervous system dysregulation, generational trauma, sneaky infections, and the electromagnetic soup we're all swimming in... yep, it's all fair game. Dr. Jess breaks down how these layers stack up to push your thyroid off a cliff, and more importantly, how to claw your way back. This isn't just another “let's detox everything and hope for the best” pep talk. We're talking practical, actionable strategies, what's actually worth testing, how to protect your body when you can't escape your environment and why regulating your nervous system might be the most underrated move in your healing playbook. If you're sick of feeling like a tired mystery case with a cabinet full of supplements and zero answers, this episode is your permission slip to stop chasing symptoms and start reclaiming your energy with your thyroid, your sanity and your sense of power fully intact. Connect with Dr. Jess Peatross Website: drjessmd.com https://wellnessplus.com/ Instagram: @dr.jess.md To work with Dr. Peatross: drjess.health WHAT DO MY LABS MEAN?! Try the ultimate tool to Decode Your Labs: Understand your thyroid, hormones, and blood sugar numbers to transform your health https://dramie.com/labs/ We prescribe to all 50 states!  When you're ready to FINALLY get the help you deserve… Book a free application call: https://dramie.com/book-a-call/ Shop ALL of Dr. Amie's Fixxr® Supplements: https://betterlifedoctor.com/ EARN CE Credits: "Nurses, hold-on  – here comes the exciting part: you can earn nursing CE credits by listening to our podcasts! That's right—RNegade has teamed up with podcast hosts like me who are delivering amazing content that doesn't limit you to “thinking outside-the box,” it challenges you to BLOW-UP the box by learning from innovators, pioneers, and RENEGADES in the field of health and medicine WHILE EARNING YOUR CEs!” https://rnegade.thinkific.com/?ref=4d98d0 RATE, REVIEW AND FOLLOW ON APPLE PODCASTS If you made it this far I'm impressed! That means you really love the show and I love you for that!  So I'm going to ask you for a favor. Would you please leave a quick review or even 5⭐️. I DO read them and can't tell you how much I appreciate it! Thank you in advance!❤️  Just click here it's quick and easy : https://podcasts.apple.com/us/podcast/the-thyroid-fixer/id1529800263,  Ok ONE MORE favor…would you please subscribe and follow the show? This is a win-win! It tells the podcast powers that be that you like The Thyroid Fixer Podcast AND it lets you catch all the new episodes that come out every week. Follow with this link: https://podcasts.apple.com/us/podcast/the-thyroid-fixer/id1529800263 and never miss out on a moment of the journey! CONNECT WITH ME ON SOCIAL MEDIA: Want to get your labs reviewed and your questions answered LIVE by me? Join my exclusive Facebook group, Just Fix Your Thyroid – a supportive and empowering community designed to give you the tools, guidance, and HOPE you need on your thyroid and hormone journey.

She's back....my friend Debra Atkinson, menopause fitness expert and strength training authority, to talk about what actually works when it comes to building muscle, leaning out, and staying strong through midlife and beyond. If you've been stuck in the cardio hamster wheel wondering why your body isn't changing, this is your wake up call. We're breaking down exactly why resistance training isn't optional anymore, it's essential for fat loss, metabolism, bone health and confidence as your hormones shift. This isn't about working harder. It's about working smarter, and getting real about the science behind muscle, aging, and results that actually last. We also dive into the deeper stuff: how GLP-1 meds, HRT, and protein intake play into all of it, and why women need to stop avoiding the weight room like it's some bro-only zone. Whether you're a total newbie, feeling stuck, or just need a push to start lifting heavier, this episode clears the confusion and gives you the strategy you've been missing. No more fluff. No more guesswork. Just the truth about how to get stronger, leaner, and feel like a total powerhouse in the body you're in. Grab the interval training guide below and let's get to work. Connect with Debra Atkinson: https://www.flippingfifty.com/ https://www.instagram.com/flipping50tv WHAT DO MY LABS MEAN?! Try the ultimate tool to Decode Your Labs: Understand your thyroid, hormones, and blood sugar numbers to transform your health https://dramie.com/labs/ We prescribe to all 50 states!  When you're ready to FINALLY get the help you deserve… Book a free application call: https://dramie.com/book-a-call/ Shop ALL of Dr. Amie's Fixxr® Supplements: https://betterlifedoctor.com/ EARN CE Credits: "Nurses, hold-on  – here comes the exciting part: you can earn nursing CE credits by listening to our podcasts! That's right—RNegade has teamed up with podcast hosts like me who are delivering amazing content that doesn't limit you to “thinking outside-the box,” it challenges you to BLOW-UP the box by learning from innovators, pioneers, and RENEGADES in the field of health and medicine WHILE EARNING YOUR CEs!” https://rnegade.thinkific.com/?ref=4d98d0 RATE, REVIEW AND FOLLOW ON APPLE PODCASTS If you made it this far I'm impressed! That means you really love the show and I love you for that!  So I'm going to ask you for a favor. Would you please leave a quick review or even 5⭐️. I DO read them and can't tell you how much I appreciate it! Thank you in advance!❤️  Just click here it's quick and easy : https://podcasts.apple.com/us/podcast/the-thyroid-fixer/id1529800263,  Ok ONE MORE favor…would you please subscribe and follow the show? This is a win-win! It tells the podcast powers that be that you like The Thyroid Fixer Podcast AND it lets you catch all the new episodes that come out every week. Follow with this link: https://podcasts.apple.com/us/podcast/the-thyroid-fixer/id1529800263 and never miss out on a moment of the journey! CONNECT WITH ME ON SOCIAL MEDIA: Want to get your labs reviewed and your questions answered LIVE by me? Join my exclusive Facebook group, Just Fix Your Thyroid – a supportive and empowering community designed to give you the tools, guidance, and HOPE you need on your thyroid and hormone journey.

I finally get to dive deep with the queen of hormones herself, Dr. Carrie Jones! We're breaking down estrogen dominance, estrogen detoxification and what all this really means for women navigating perimenopause, menopause, or recovering from hormone-driven cancers. If you've ever stared at your Dutch test results like they're written in another language or questioned whether your hormone therapy is safe, this is the episode you need in your life. Carrie explains how estrogen is processed in the body, why detoxification matters for symptoms and long-term health (spoiler: it's about way more than just estrogen), and why you don't need to fear hormone therapy, even with a cancer history. Carrie then unpacks the difference between estrogen dominance and bad detox pathways, how to test and interpret your results, the exact nutrients and supplements to help your system handle hormones like a pro, and why constipation is basically your mortal enemy when it comes to hormone health. We bust the myths on “bioidentical” versus synthetic hormones, discuss the hot debate on estradiol vs. estriol, and share real solutions if you're tired of bloat, moodiness, or stubborn pounds. If you want actionable advice, up-to-date info, and want to make sense of hormone chaos, tune in now and start fixing what's really driving your symptoms! Connect with Dr. Carrie Jones Website: https://www.drcarriejones.com/ Podcast: Hello Hormones with Dr. Carrie Jones WHAT DO MY LABS MEAN?! Try the ultimate tool to Decode Your Labs: Understand your thyroid, hormones, and blood sugar numbers to transform your health https://dramie.com/labs/ We prescribe to all 50 states!  When you're ready to FINALLY get the help you deserve… Book a free application call: https://dramie.com/book-a-call/ Shop ALL of Dr. Amie's Fixxr® Supplements: https://betterlifedoctor.com/ EARN CE Credits: "Nurses, hold-on  – here comes the exciting part: you can earn nursing CE credits by listening to our podcasts! That's right—RNegade has teamed up with podcast hosts like me who are delivering amazing content that doesn't limit you to “thinking outside-the box,” it challenges you to BLOW-UP the box by learning from innovators, pioneers, and RENEGADES in the field of health and medicine WHILE EARNING YOUR CEs!” https://rnegade.thinkific.com/?ref=4d98d0 RATE, REVIEW AND FOLLOW ON APPLE PODCASTS If you made it this far I'm impressed! That means you really love the show and I love you for that!  So I'm going to ask you for a favor. Would you please leave a quick review or even 5⭐️. I DO read them and can't tell you how much I appreciate it! Thank you in advance!❤️  Just click here it's quick and easy : https://podcasts.apple.com/us/podcast/the-thyroid-fixer/id1529800263,  Ok ONE MORE favor…would you please subscribe and follow the show? This is a win-win! It tells the podcast powers that be that you like The Thyroid Fixer Podcast AND it lets you catch all the new episodes that come out every week. Follow with this link: https://podcasts.apple.com/us/podcast/the-thyroid-fixer/id1529800263 and never miss out on a moment of the journey! CONNECT WITH ME ON SOCIAL MEDIA: Want to get your labs reviewed and your questions answered LIVE by me? Join my exclusive Facebook group, Just Fix Your Thyroid – a supportive and empowering community designed to give you the tools, guidance, and HOPE you need on your thyroid and hormone journey.

I'm joined once again by the brilliant Sarah Banta for a discussion on brain health, and trust me, you don't want to miss this one. We crack open why rates of depression, anxiety, ADHD, autism, and even Alzheimer's are skyrocketing in our modern world. No, it's not just “hormones”, it's a tangled web of gut health, toxins, heavy metals, processed foods, and, believe it or not, little parasites controlling more than just your digestive tract. We're not afraid to dig into topics like SSRIs and their hidden long-term risks. Get ready for raw statistics, real-life stories, and the truth about why so many of us (and our kids) are struggling with issues we didn't see 30 years ago. But I'm not leaving you swirling in stress, we've got solutions! We get practical, talking about targeted supplements, the undeniable gut-brain connection, and the absolute essentials you need to detox and fuel your brain for peak performance. We expose hidden threats in your “healthy” foods and break down realistic, actionable steps to reclaim your mind, your mood, and your quality of life, even if your thyroid's already optimized. If you're tired of band-aid fixes and want to future-proof your brain (or your kid's), this episode is your biohacking blueprint. Sara Banta's Accelerated Health Products: https://acceleratedhealthproducts.com/amie Use code: DRAMIE5 for 5% off WHAT DO MY LABS MEAN?! Try the ultimate tool to Decode Your Labs: Understand your thyroid, hormones, and blood sugar numbers to transform your health https://dramie.com/labs/ We prescribe to all 50 states!  When you're ready to FINALLY get the help you deserve… Book a free application call: https://dramie.com/book-a-call/ Shop ALL of Dr. Amie's Fixxr® Supplements: https://betterlifedoctor.com/ EARN CE Credits: "Nurses, hold-on  – here comes the exciting part: you can earn nursing CE credits by listening to our podcasts! That's right—RNegade has teamed up with podcast hosts like me who are delivering amazing content that doesn't limit you to “thinking outside-the box,” it challenges you to BLOW-UP the box by learning from innovators, pioneers, and RENEGADES in the field of health and medicine WHILE EARNING YOUR CEs!” https://rnegade.thinkific.com/?ref=4d98d0 RATE, REVIEW AND FOLLOW ON APPLE PODCASTS If you made it this far I'm impressed! That means you really love the show and I love you for that!  So I'm going to ask you for a favor. Would you please leave a quick review or even 5⭐️. I DO read them and can't tell you how much I appreciate it! Thank you in advance!❤️  Just click here it's quick and easy : https://podcasts.apple.com/us/podcast/the-thyroid-fixer/id1529800263,  Ok ONE MORE favor…would you please subscribe and follow the show? This is a win-win! It tells the podcast powers that be that you like The Thyroid Fixer Podcast AND it lets you catch all the new episodes that come out every week. Follow with this link: https://podcasts.apple.com/us/podcast/the-thyroid-fixer/id1529800263 and never miss out on a moment of the journey! CONNECT WITH ME ON SOCIAL MEDIA: Want to get your labs reviewed and your questions answered LIVE by me? Join my exclusive Facebook group, Just Fix Your Thyroid – a supportive and empowering community designed to give you the tools, guidance, and HOPE you need on your thyroid and hormone journey.

I'm joined by my powerhouse detox expert and friend, Sinclair Kennally, for a no-BS deep dive into liver health, gallstones, and coffee enemas! We're getting real about why your liver deserves way more attention, especially if you're a woman navigating perimenopause, menopause, hypothyroidism, or plain old toxic overload from just existing in today's world. Sinclair breaks down how over 500 metabolic processes rely on your liver, how sluggish bile and sneaky “liver stones” could be wrecking your thyroid and hormones, and why those standard liver function tests could be totally missing the real problem. But we don't just scare you with facts, we hand you the map. Whether you've still got a gallbladder or not, you'll hear actionable strategies for supporting your liver, boosting digestive mojo, and the real deal on coffee enemas. If you're tired of getting sucked into crazy expensive detox protocols or Instagram supplement fads, this is your chance to finally simplify, trust your body's innate wisdom, and actually get results. Sinclair's Rapid Liver Reset: https://smpl.ro/al/16HkTr7MQgNZLDZ9cUQhSKuU/51192-Dr-Amie-Hornaman WHAT DO MY LABS MEAN?! Try the ultimate tool to Decode Your Labs: Understand your thyroid, hormones, and blood sugar numbers to transform your health https://dramie.com/labs/ We prescribe to all 50 states!  When you're ready to FINALLY get the help you deserve… Book a free application call: https://dramie.com/book-a-call/ Shop ALL of Dr. Amie's Fixxr® Supplements: https://betterlifedoctor.com/ EARN CE Credits: "Nurses, hold-on  – here comes the exciting part: you can earn nursing CE credits by listening to our podcasts! That's right—RNegade has teamed up with podcast hosts like me who are delivering amazing content that doesn't limit you to “thinking outside-the box,” it challenges you to BLOW-UP the box by learning from innovators, pioneers, and RENEGADES in the field of health and medicine WHILE EARNING YOUR CEs!” https://rnegade.thinkific.com/?ref=4d98d0 RATE, REVIEW AND FOLLOW ON APPLE PODCASTS If you made it this far I'm impressed! That means you really love the show and I love you for that!  So I'm going to ask you for a favor. Would you please leave a quick review or even 5⭐️. I DO read them and can't tell you how much I appreciate it! Thank you in advance!❤️  Just click here it's quick and easy : https://podcasts.apple.com/us/podcast/the-thyroid-fixer/id1529800263,  Ok ONE MORE favor…would you please subscribe and follow the show? This is a win-win! It tells the podcast powers that be that you like The Thyroid Fixer Podcast AND it lets you catch all the new episodes that come out every week. Follow with this link: https://podcasts.apple.com/us/podcast/the-thyroid-fixer/id1529800263 and never miss out on a moment of the journey! CONNECT WITH ME ON SOCIAL MEDIA: Want to get your labs reviewed and your questions answered LIVE by me? Join my exclusive Facebook group, Just Fix Your Thyroid – a supportive and empowering community designed to give you the tools, guidance, and HOPE you need on your thyroid and hormone journey.