Mayo Clinic is replacing overnight respiratory therapists with telehealth in its critical access hospitals — so Rob and Mike revisit the decision with someone who's lived it.

Jill Wolber, an RT with nearly 30 years in critical care and a year as the lone night RT at a rural critical access hospital, takes the conversation into the trenches: running from ER codes to deliveries, managing near-sentinel events, and feeling like her license was on the line every shift.

Having done telehealth herself, she explains why Mayo's "quality of care" framing crosses a line — and the critical difference between telehealth as a backup versus a replacement. A candid look at staffing, ethics, and what rural communities stand to lose.

Plus: a birthday shout-out to the U.S. Navy Hospital Corps.

New here? Start with our first conversation on the Mayo decision: https://open.spotify.com/episode/3IfjcHYfTodvjtPXV9Eqrv?si=PQImJiX7SeCTLByrxPE6_g

Join the conversation. Let's get ethical.

Recorded live at the California Society for Respiratory Care conference, We are joined by crew from RT Sidebar for a special crossover edition with the Let's Get Ethical crew. And if that wasn't enough, a familiar face makes his long-awaited return — the one and only JB is back in the house.

The crew gets candid about how podcasting has transformed respiratory therapy education, reaching listeners across 14+ countries and platforms like Spotify, YouTube, iHeart, and Amazon Music. They share their funniest, most cringe-worthy podcast memories — from garage recordings about meat marinades to one unforgettable bedside moment involving a bassinet and a very awkward congratulations. Plus, hear how this unlikely group of friends found each other through webinars, word of mouth, and a little bit of fate.

It's laughs, love, and a whole lot of respiratory therapy energy — straight from sunny California.

Is the next pandemic already here, or is it just social media noise? In this episode of Let's Get Ethical, Rob and Mike welcome back Mindy Conklin to discuss the ethical implications of healthcare professionals venting on social media while in uniform. We break down the reality of the Hantavirus "scare," address the toxic culture of negativity facing students and new grads, and discuss what it truly means to uphold the oath in a post-COVID world. If you are feeling burned out, or if you're tired of the bedside "venting" culture, this conversation is for you.

Recorded live at the Missouri Society Respiratory Care Conference with RT Sidebar, this episode features respiratory therapist, educator, and provost Dr. Aaron Light. He opens up about failing algebra twice, landing on academic probation, and ultimately graduating as class valedictorian.

But the real heart of this conversation is legacy. Dr. Light reflects on what it means to train students who go on to care for thousands of patients, help champion compact licensure across 11 states, and build a "coaching tree" of educators who are now shaping the next generation themselves. He also makes a passionate case for why senior therapists have an absolute obligation to mentor those coming up behind them.

A must-listen for anyone who wants to make a bigger impact than just the patients in front of them.

In this special, collaborative episode of Let's Get Ethical , Mike and Rob are joined by the team from RT Sidebar—Matt, JJ, and Mindy—to tackle a pressing and controversial issue in the healthcare industry: the recent announcement by the Mayo Clinic to eliminate overnight respiratory therapist (RT) coverage at three of its smaller facilities.

Coming together to unpack the complex, emotional, and systemic implications of this decision, the panel discusses the reality of the evolving healthcare landscape, the potential for a "trickle-down" effect on other hospital systems, and the urgent need for the profession to define its own value.

In this podcast episode of Let's Get Ethical, hosts Rob and Mike interview Dr. William Croft, the Executive Director of the North Carolina Respiratory Care Board, to discuss the intersection of professional ethics and licensing. Dr. Croft details his multifaceted role, which includes overseeing background checks, lobbying for legislation, and conducting investigations into practitioner misconduct. The conversation focuses on the central question of whether mandatory ethics courses actually improve professional behavior, with the participants suggesting that case studies and active engagement are more effective than passive lectures. They examine common ethical breaches, such as pre-charting and falsifying records, attributing these actions to poor time management, insecurity, or a "monkey see, monkey do" culture. Ultimately, the source emphasizes that maintaining integrity and a patient-first mentality are essential for navigating the complex legal and moral challenges of the respiratory care profession.

In this live episode recorded at the California Society for Respiratory Care (CSRC) 2026 conference in Temecula, hosts Rob and Mike sit down with a trailblazing guest — Mindy Conklin! One of the first seven Advanced Practice Respiratory Therapists (APRTs) in the country.

Mindy shares her remarkable journey from a non-traditional student at 31 who stumbled into respiratory therapy, to becoming a pioneer in an entirely new clinical profession. She opens up about the moment a chance encounter sparked a vision that would reshape her entire career — and eventually lead her to pack up her life and move to Baltimore for the very first APRT job posting.

The conversation dives into what APRTs actually are — think nurse practitioners or physician assistants, but exclusively in the cardiopulmonary space — and why the profession is poised to transform how patients with COPD, asthma, and critical illness receive care. Mindy also discusses the very real challenges of building a new profession from scratch: skepticism from colleagues, lack of legislation, and the long road to CMS reimbursement.

Beyond the professional, listeners get a glimpse of the person behind the pioneer — a proud Swifty, Peloton enthusiast, new grandmother, and self-described loud singer whose husband has reluctantly become a Taylor Swift fan.

A must-listen for anyone in respiratory care who wants to understand where the profession is headed and how to get involved.

In this episode, hosts Mike and Rob sit down with Jake Miller, RRT-ACCS, MBA, just before the California Society for Respiratory Care (CSRC) annual conference. Jake is the Manager of Respiratory and Interventional Pulmonary at Keck USC Medical Center and the current president of the CSRC.

Jake shares his 13+ year journey in respiratory care, starting out in EMS doing Orange County 911 work before transitioning into hospital-based practice. He opens up about how the burnout and exhaustion of working six to seven days a week during COVID pushed him to seek something more — leading him to get involved with the CSRC, where he found renewed purpose through committees, advocacy, and leadership.

The conversation digs into the real challenges facing state respiratory societies, including member burnout, retention struggles, and the push to grow initiatives like the Advanced Practice Respiratory Therapist (APRT) designation in California. The hosts also tackle the big question of why more of California's estimated 30,000 licensed respiratory therapists aren't engaged with their state society — and why they should be, given the legislative and professional issues directly affecting their licenses and patient care.

Jake's message is welcoming and low-pressure: show up to one committee meeting, give some feedback, and see what happens. A great listen for any respiratory therapist thinking about getting more involved in their profession.

What happens when an accidental Google search completely derails your life plan — in the best possible way? Ask Rachel Jenkins.

In this episode, Rob and Mike sit down with the MSRC Vice President and Ozarks Technical Community College faculty member ahead of the Missouri Society for Respiratory Care conference, and things get real fast. Rachel went from psychology and criminology student to respiratory therapist in the middle of a global pandemic, then pivoted to education, landed a spot in the AARC Emerging Leaders Program, and somehow still found time to plan a conference around Renaissance Fairs and dragon-themed ventilators. Yes, really.

But underneath the fun, Rachel pulls no punches about the state of the profession — calling out the therapists who want higher pay and a bigger scope of practice without doing the work to earn it, breaking down what it actually costs to get legislation moving, and making the case for why the next generation of RTs needs to be as comfortable talking to a physician as they are sending a text.

If you care about where respiratory care is headed and who's going to take it there, this is the episode for you.

Some lessons can't be taught in a classroom. They come from the bedside of a dying grandmother, from the weight of holding someone's hand when there's nothing left to do medically, from years of fighting to save lives and slowly learning that sometimes the most compassionate thing you can offer is peace.

In this deeply personal episode, Mike sits down with co-host Rob to trace the journey that shaped not just his career, but his humanity. From 14 years serving in the United States Navy — carrying skills that the civilian world didn't know what to do with — to becoming a pioneer in neonatal flight care, Rob's path has always been driven by a profound desire to help people in their most vulnerable moments. But it was the quiet, painful moments outside of the clinical setting that taught him the most.

Rob opens up about the experience of becoming his grandmother's healthcare decision maker, and how that deeply human moment forced him to confront the very questions he now dedicates himself to exploring — what does it really mean to do right by someone? When does fighting for a life become prolonging suffering? And how do we sit with families in their grief without losing ourselves in the process?

Together, Rob and Mike reflect on why ethics isn't just a policy or a licensure requirement — it's the thread that connects every difficult conversation, every family meeting, every moment a clinician chooses to pull up a chair, get to eye level, and truly listen. They also shine a light on a striking gap in the profession — only 11 states currently require ethics as part of licensure renewal — and make the case that checking a box is not the same as having the conversation that actually needs to happen. Because at the end of the day, our patients and their families don't need our sympathy. They need to know that someone genuinely sees them.