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In this episode, Dr. Sergion Zanotti discusses TEE in cardiac arrest and shock. Critical care clinicians commonly utilize transthoracic echocardiography in the ICU as part of their point-of-care-ultrasonography (POCUS) toolkit. However, there is a growing push to train intensivists in using transesophageal echocardiography (TEE) for cardiac arrest and peri-arrest situations in the ICU. Our guest is Dr. Sara Nikravan, a cardiothoracic anesthesia critical care physician with training in advanced perioperative echocardiography. Dr. Nikravan is an Associate Professor of Cardiothoracic Anesthesiology and Critical Care Medicine at the University of Washington Medical School and practices at the UW Medical Center. She is recognized as an expert and master educator in Critical Care, Perioperative echocardiography, and Point of Care Ultrasound. She has authored numerous peer-reviewed papers and is the guidelines co-chair of the Society of Critical Care Medicine Guidelines on Adult Critical Care Ultrasonography: Focused Update 2024, recently published in Critical Care Medicine. Additional links: Society of Critical Care Medicine Guidelines on Adult Critical Care Ultrasonography: Focused Update 2024, Crit Care Med 2025: https://pubmed.ncbi.nlm.nih.gov/39982182/ Focused Transesophageal Echocardiography During Cardiac Arrest Resuscitation: JACC Review Topic of the Week. JACC 2020: https://pubmed.ncbi.nlm.nih.gov/32762909/ Landing page for the Resuscitative TEE Project website: https://www.resuscitativetee.com/ Books mentioned in this episode: The Prophet. By Kahlil Gibran: https://www.amazon.com/dp/998247037X?psc=1&smid=ATVPDKIKX0DER&ref_=chk_typ_imgToDp
Guest: Tiffany Elliott, MS CCC-SLP, CNT, IBCLCEarn 0.1 ASHA CEU for this episode with Speech Therapy PD: https://www.speechtherapypd.com/course?name=Bridging-NICU-to-Home In this special birthday episode of First Byte, Michelle Dawson, a devoted therapist and mother, explores the intricate journey from NICU to home with expert Tiffany Elliott. They discuss practical strategies for caregivers in maintaining emotional wellbeing, the importance of neuroprotective care, and the Hospital to Home Systems Change project aimed at improving continuity of care for infants and their families. Elliott shares her insights from working in various NICUs, setting up essential support systems, and the critical role that emotional support plays in successful infant feeding. This episode is packed with valuable information for anyone interested in pediatric feeding, NICU professionals, and caregivers navigating early intervention services. Episode Timeline: 00:00 Welcome to First Bite00:29 A Day in the Life of a Pediatric Feeding Specialist01:31 University of Tennessee Lecture Experience04:11 Encouragement for Clinical Supervisors05:59 Introducing Tiffany Elliott06:41 Tiffany's Journey and NICU Experience19:09 Hospital to Home Systems Change23:39 Challenges in Early Intervention26:53 Barriers and Solutions in Washington State36:21 Personal and Professional Reflections40:12 Navigating Academia and Authenticity41:39 Balancing Productivity and Care in the NICU44:21 Challenges in Early Intervention Systems45:29 Continuity of Care and Billing Codes49:21 Training and Support for Caregivers51:59 Emotional Wellbeing and Feeding01:00:16 Practical Strategies for Caregiver Support01:11:38 Final Thoughts and Resources About the Guest(s): Tiffany Elliott, MS CCC-SLP, CNT, IBCLC, is a Speech-Language Pathologist (SLP) who specializes in pediatric feeding and swallowing disorders with a strong focus on preterm and medically complex infants and strengthening the caregiver-infant dyad. She is also an International Board Certified Lactation Consultant (IBCLC) and holds certifications in neonatal therapy (CNT) as well as neonatal touch and massage (NTMTC). She is currently a LEND trainee at the University of Washington. Tiffany is passionate about improving systems of care. She is a hospital-to-home systems change specialist with Northwest Center, where she partners with professionals across Washington state to enhance the hospital-to-home transition for infants and build community therapists' capacity. She also works on the infant feeding team at Seattle Children's Hospital, providing direct care for infants and their families. Before these positions, she co-founded the UW Medical Center's NICU SLP program and worked at Mary Bridge Children's Hospital.Watch this episode on YouTube: https://youtu.be/n7hXTJG_FJMMentioned in this episode:School of Speech is Back!!Season 2 of School of Speech has arrived! Every host Carolyn Dolby every Monday morning as she sits down with practicing SLPs, academic researchers, and leading experts to talk about all aspects of school-based speech-language pathology. Carolyn and her guests explore everyday topics, tackle tough situations, and share valuable insights to support school therapists in their daily practice. Find School of Speech on Spotify, Apple Podcasts and other podcast platforms.
Puget Sound Energy is assuring its King County customers that they will get their power back by tomorrow afternoon at the latest. MSNBC is terrified of Trump’s new AG pick Pam Bondi. An elderly woman in Seattle drove her car off the roof of a house and somehow didn’t suffer any injuries. WSDOT said a new project on I-5 is going to obstruct traffic for 3 years. Guest: Desirae Aylesworth is the co-owner of Wild Mountain Cafe in Seattle’s Crown Hill neighborhood. Yet another small business that was broken in to. // Democrats’ radicalism moved the entire country to the right. Nancy Mace is receiving unhinged death threats for her opposition to trans women using the women’s bathrooms on Capitol Hill. Ana Navarro of ‘The View’ says you’re a bigot if you don’t want transgender women to go into a women’s bathroom. A state rep in Montana says that trans women are just as biologically female as ‘cis women.’ // Washington State University researchers have developed an AI model that can detect a whole host of health problems. UW Medical Center has a treatment that can cure depression with electrical currents.
Episode 121: This week the show welcomes Aolani Glover to the program! I first met Aolani at Central Washington University back in 1997. As fellow residents within the same dorm, we would soon begin hanging out with our group of friends partaking in random activities such as ab workouts, dinner parties and drinks on the weekends.After graduating, Aolani took up a job working at Nike in Oregon. She later began training to become a police officer in Washington when she suddenly suffered a serious health issue that nearly took her life. This tragic event eventually led to her receiving a heart transplant at the UW Medical Center in Seattle. Aolani joins the podcast to speak about her experience living as a transplant patient, and discuss the music that helped to inspire her journey along the way.0:00 - Cold Open / Intro (Lee Michaels)1:43 - Weather / School, Family & Church9:07 - CWU & The Dorms18:07 - The Dunhams / 8-Min Abs / Dining Hall23:12 - AM Geology Class 26:03 - Strong Personality / Adulting28:28 - College Major & Degree30:16 - Lee Olson / Passing Classes35:21 - Recruiting / Drinking / Red Robin39:43 - Job at Nike / Mother's Illness45:14 - WaMu / Married Life51:12 - Police Training / Waiting at Hospital 59:39 - Heart Tests / Coding / Harborview1:08:33 - Myspace Update / Hallucinations at UW1:11:00 - Device Options / Second Heart Failure1:16:27 - Transplant Waiting List / Utah Nurse1:24:43 - Heart Transplant Stats / Masks & Covid1:31:54 - Meeting Donor's Family1:42:52 - Lifespan Of Recipients / Aolani's PSA1:46:37 - Heart Attacks & Warning Signs1:51:37 - Surviving & Purpose1:58:15 - Organ Donations, Science & Technology2:02:09 - Inspirational Music / Songs About Hearts2:07:49 - E.T. & Pop Culture / Staying Positive2:11:03 - Outro / Close AOLANI'S HEART LINKS* Life Center Northwesthttps://lcnw.org/* Organ Donation and Transplantation: How Does it Work?https://youtu.be/K4bS7YZjqhY* Sign Up to Save Lives: Be An Organ Donorhttps://www.donors1.org/learn-about-organ-donation/sign-up-to-save-lives/* How UNOS, OPOs and transplant programs work together to save liveshttps://unos.org/about/national-organ-transplant-system/MUSIC CLIPS* Roxette - Listen To Your Heart (Official Music Video)* Elton John, Kiki Dee - Don't Go Breaking My Heart (with Kiki Dee)* Stevie Nicks - Stop Draggin' My Heart Around (Official Video) [HD Remaster]* Bee Gees - How Can You Mend a Broken Heart, live 1975* Billy Ray Cyrus - Achy Breaky Heart live at Jay Leno 1993* Neil Diamond - Heartlight (E.T. - Heartlight)* Deee-Lite - Groove is in the Heart (Live in Roskilde 1991)* Heart of Glass - Blondie | The Midnight Special* Bonnie Raitt - Just Like That (Official Lyric Video)
The ALL ME® Podcast Human Growth Hormone (HGH) – Does it work? – Dr. Brad Anawalt / Dr. Andy Hoofnagle The ALL ME Podcast is working hard to provide you with information from the World's leading experts when it comes to all things Appearance and Performance Enhancing Substance related. Throughout the year we ask our listeners to send us topics they'd like to learn more about. Recently we've been getting asked a lot about Human Growth Hormone (HGH or GH). Not only have people written in requesting more information on GH, we have had questions from students following our programs. In order for us to have the best understanding of these drugs we have gone out and found multiple experts to interview on this topic. In this podcast you're going to hear from two brilliant and highly respected Doctors and Researchers in their field. Dr. Brad Anawalt Bradley Anawalt, M.D., is UW Medical Center's chief of Medicine and a board certified physician at the Endocrine and Diabetes Care Center at UW Medical Center – Roosevelt and Fred Hutchinson Cancer Center. He is also vice chair of UW's Department of Medicine and a UW professor of General Internal Medicine. He has been selected on local and national lists of "Best Doctors." Dr. Anawalt is an hormone specialist whose clinical interests include thyroid disorders, osteoporosis, male infertility, low testosterone and other hormonal abnormalities. He enjoys answering patients' questions and addressing their concerns. Dr. Anawalt earned his M.D. at UC Davis. His primary research interests are focused on the effects of testosterone in men. He has published widely on this topic. He has served in leadership roles in the Endocrine Society and acts as a consultant for the United States Anti-Doping Agency. Dr. Andy Hoofnagle Andy Hoofnagle, M.D., Ph.D., is a board certified pathologist for Laboratory Medicine at UW Medical Center, head of Clinical Chemistry and a UW professor of Laboratory Medicine. Dr. Hoofnagle's lab uses mass spectrometry in the care of patients. In addition, they are currently investigating the role of high density lipoproteins in protecting patients with chronic kidney disease from atherosclerosis. It is his main goal to provide the most accurate testing for every patient in the UW Medicine healthcare system. He feels his talented medical laboratory scientists are in a league of their own. Dr. Hoofnagle earned his M.D. and Ph.D. from the University of Colorado. His clinical and research interests include clinical chemistry, mass spectrometry, proteomics, metabolomics, vitamin D and high density lipoproteins. Both of these gentlemen are going to take the topic of Human Growth Hormone and break it down to where you're able to understand what it is, why is prescribed and how it works. There is a lot of misinformation out there on this topic and these guys do a great job of providing great information as well as debunking many of the HGH myths. Disclaimer The content in this podcast represents the opinion and knowledge of our guests. This podcast should not be used in any legal capacity whatsoever, including but not limited to establishing “standard of care” in a legal sense or as a basis for expert witness testimony. No guarantee is given regarding the accuracy of any statements or opinions made on the podcast The content should not be taken as medical advice and is for information purposes only. Should you have any medical questions please consult your healthcare professional. Resources and Links: Websites: . What are the risks of HGH treatment? HGH treatment might cause a number of side effects for healthy adults, including: · Carpal tunnel syndrome · Increased insulin resistance · Type 2 diabetes · Swelling in the arms and legs (edema) · Joint and muscle pain · For men, enlargement of breast tissue (gynecomastia) · Increased risk of certain cancers Clinical studies of HGH treatment in healthy older adults have been relatively small and short in duration, so there's little to no information about the long-term effects of HGH treatment. Example of Acromegaly According to the Mayo Clinic: Acromegaly is a hormonal disorder that develops when your pituitary gland produces too much growth hormone during adulthood. When you have too much growth hormone, your bones increase in size. In childhood, this leads to increased height and is called gigantism. But in adulthood, a change in height doesn't occur. Instead, the increase in bone size is limited to the bones of your hands, feet and face, and is called acromegaly. Because acromegaly is uncommon and the physical changes occur slowly over many years, the condition sometimes takes a long time to recognize. Untreated, high levels of growth hormone can affect other parts of the body, in addition to your bones. This can lead to serious — sometimes even life-threatening — health problems. But treatment can reduce your risk of complications and significantly improve your symptoms, including the enlargement of your features. Follow Us: · Twitter: @theTHF TikTok: @theTHF10 · Instagram: @theTHF · Facebook: Taylor Hooton Foundation · #ALLMEPEDFREE Contact Us: Email: Phone: 214-449-1990 ALL ME Assembly Programs:
KUOW's Eilís O'Neill reports they're walking out for fifteen minutes — the length of their break — to ask for better working conditions.
Sanjana and Oskar are back to discuss more COVID-19 related information. On this episode, they discuss a study being done at UW Medical Center on Booster Vaccines, before transitioning into general opinions on the COVID vaccine right now.
There's a lot more physical gathering going on these days, at places like schools, gyms and restaurants. That doesn't bode well for Covid numbers - but there are ways to limit the risks.Guest: Dr. Vin Gupta, pulmonologist at UW Medical Center and the Institute for Health Metrics and EvaluationSupport the show by making a gift to KUOW: http://bit.ly/seattlenow
Healthcare organizations look to do two things: Meet patient expectations and lower costs. Sound a little contradictory? It doesn't have to be. With asset tracking, University of Washington Medicine is doing both. Ward Yohe, their Operations and Maintenance Analyst explains in the latest Aruba Unplugged. Vincent Rendoni hosts.
An update to the COVID-19 care plan at the University of Washington Medical Center A leading expert from the University of Washington Medical Center returns to the Modern Practice podcast with an update on what his health system is doing to combat COVID-19 in the Seattle area. He describes his team’s efforts in testing for the coronavirus, what they are doing with elective surgical procedures, their protocols with solid-organ transplants and how they have established new child-care arrangements, web-based town halls and PPE strategies. Guest speaker:Christopher Kim, MD, MBA, SFHMAssociate Medical DirectorQuality, Patient Safety and Clinical EfficiencyUniversity of Washington Medical Center Moderators:Tomas Villanueva, DO, MBA, FACPE, SFHMAssociate Vice PresidentClinical ResourcesVizient Lindsay Mayer, MSN Senior DirectorPrograms, PI CollaborativesVizient Show Notes:[01:16] First case on January 21.[01:26] First death on February 29.[01:45] Creation of protocols, guidelines and website.[02:18] Reaching 3,000 tests per day.[02:35] Establishing testing sites.[03:05] Frightening escalation: by March 24 UW Medical Center experienced 1,280 cases and 94 deaths.[04:09] Need to postpone elective surgeries.[04:33] Emerging use of telehealth.[05:15] Special protocols for solid-organ transplants.[06:00] Establishing child care, networks of colleagues and web-based town halls for staff.[08:15] Plan for the surge. For additional information on COVID-19 and how Vizient is supporting our members, visit vizientinc.com
Fitz suggests “Woodsheddin’” and learning a new skill while housebound; aside from being experts on private zoos, murder for hire, and meth. Throughout the day we are giving your Shout-Outs to those on the Front Lines. In the What Are You Kidding Me stories, the most stressed out states are Louisiana, Mississippi, and New Mexico, a woman driving around pointlessly was arrested, the world’s oldest man (112) had to cancel his birthday party and Uranus is leaking gas. Drew’s girlfriend wants him to dance on social media and he is not about it. In the Hourly Bulletin, governor likely to extend Stay-at-Home order, two deaths and 45 infections are linked to a choir practice in Skagit, southbound I-5 closed for a police standoff, and governor announces increased enforcement for non-compliant non-essential businesses. In the Fitz Files, the sheriff from Carole’s county in “Tiger King” is asking for new leads in her husband’s disappearance, Lizzo sent lunch to the UW Medical Center, Garth and Trisha will do another live concert from home on CBS Prime Time, and Dolly Parton is gonna read to kids on Facebook. In The Good Stuff, 19 members of the Norwegian Symphony performed Beethoven’s “Ode to Joy” online, and cars are showing up to hospitals to flash their headlights to show support. On Make Up or Break Up, Jack from Mill Creek says his girlfriend Lauren has been getting involved in his work while he’s working from home. Brace yourself, we are having a Twerk Fest up in here. Today’s Playlist Profiling is Donna from Monroe. Claire recommends binging the show “Hell on Wheels” on Netflix. Fitz debuts Thomas Rhett’s new song “Be the Light” with Reba, Keith Urban and Hillary Scott. How to Have a Neighborhood Party the Safe Way by throwing a DJ Dance Party.
The world expert in my lung disease practices (interstitial lung disease caused by Antisynthetase Syndrome) at UW Medical Center. I travel quarterly have testing and attend appointments with him. When I try to downplay the significance of my illnesses, my wife reminds me that few folks are required to see this level of specialist with this degree of frequency. Several years ago, I was told my diagnosis was terminal and I wasn't going to survive the next three years. Given these factors, it's difficult not to dread, or brace myself for bad news at these visits. And yet, no amount of bracing will change the outcome or enhance my quality of life.
Bella, the President and Founder of Alexander’s Hope, has a long-standing history of non-profit work and volunteering. At the age of 12, she traveled to Uganda where her heart was opened to non-profit work. She saw the world through a new lens and was inspired by the people she met who were not brought down, but rather up, by their life circumstances. Bella’s younger brother, Alexander, is the kindest person she knows. In 2017, the lives of the Chaffey family were forever changed. At the age of 19, Alexander began experiencing chest pain that was attributed to panic attacks. For several months, he worked to alleviate his “anxiety” yet experienced another “panic attack”. That summer, the family vacationed to Arches National Park. Half-way through their descent down, Alexander experienced intense chest pain and was unable to continue hiking. Bella and her sister, Sophia, ran in search of a park ranger. Alexander was carried out of the park on a stretcher; believing that this was another panic attack, the Chaffey’s finished out their vacation. Knowing Alexander was suffering something beyond panic attacks, his mom pursued additional evaluation. Alexander was immediately referred to medical imaging and was ultimately taken by ambulance to UW Medical Center where he was diagnosed with a bicuspid aortic valve and was in dire need of a heart valve replacement. Too weak for surgery, Alexander was taken for a coronary angiogram. During the scan, his heart stopped, and he was resuscitated. Ultimately, Alexander received a heart valve replacement and was placed on ECMO. Within one week, doctors concluded that Alexander needed a heart transplant. His heart was removed, he received an artificial heart and was placed on the transplant list. Miraculously, within eight days, a donor heart was found for Alexander. The mission of Alexander’s Hope is to spread awareness of organ donation and to alleviate misconceptions. They are working with the state of Washington to update Driver’s Ed videos discussing organ donation, targeting youth when applying for their driver’s license. Alexander’s Hope partners with Nick of Time, an organization that provides EKGs to high schools to test for undiagnosed heart conditions and teaches CPR and AED operation. Bella’s ultimate dream for Alexander’s Hope is a truck or physical space to enable screenings and to extend the reach internationally. To the approximately fifty-percent of Americans who are not organ donors, Bella would like to clear up misconceptions, share Alexander’s story - and those like him - whose lives were saved by the gift of an organ donation, and stories of those who did not receive an organ. On average, 21 people die daily waiting for an organ. One donor can transform the lives of 75 people. Resources Alexander’s Hope Donate Life Nick of Time Organ Donor United Network for Organ Sharing
Supporting the platelet transfusion needs of refractory patients is very resource intensive. These patients present numerous challenges for all clinical providers, including pathologists, because they typically have multiple comorbidities, are receiving multiple medications, and given the low platelet count, are at risk for bleeding. Because of the suboptimal response to platelets, these patients typically receive more transfusions compared to non-refractory patients, according to Dr. Monica Pagano, Medical Director of the Transfusion Service Laboratory at UW Medical Center in Seattle, in this CAPcast. Dr. Pagano lead the development of a case-based course on this topic as part of the CAP’s Clinical Pathology Improvement Program—or CPIP (https://capatholo.gy/2X6gb0b).
The emotional impact a rare disease can have on siblings of children with these conditions can be significant. A sibling voices survey evaluating the psychological effects of growing up with a sibling with severe epileptic encephalopathies presented at the European Congress on Epileptology last year suggests these children may be as risk for anxiety or depression. We spoke to Lauren Schwartz, a psychologist at the Rehabilitation Medicine Clinic at UW Medical Center, about the study, what it found, and what parents should take away from it.
How are Seattle’s hospitals affected by the city’s growth? Today’s episode features an in-depth interview with Dr. Susan Stern who is the head of the Division of Emergency Medicine, in charge of two of Seattle’s premier emergency departments: Harborview and UW Medical Center. You will hear the shocking way in which growth is impacting Suzanna, a nurse in a Seattle hospital’s orthopedics department. You will also hear from the executive director of Harborview Medical Center, Paul Hayes, and the interim executive director of UW Medical Center, Geoff Austin. This episode will give you a better understanding of capacity issues in our region’s hospitals and the resource needs of our region’s hospitals in the changing city.
Zen's University of Washington Orthopaedics and Sports Medicine Pod Experiment
If you want to begin training for a marathon or half-marathon, Alysun Deckert, a marathon runner and clinical dietitian with UW Medical Center, explains how to create your own sensible and injury-free exercise routine.