If you love your job, you won’t work a day in your life. We’ve all heard the quote, but sometimes work is work and your co-workers and your supervisor make (or break) the environment. Employees enjoy being acknowledged for the “small things”, they would like support for their team and be valued for what they bring to the table. These are all things employees desire and Dr. Tina Fields strives to deliver for her unit.

In this episode, Dr. Burriesci chats with Dr. Tina Fields, the Supervisor and Director of Residency at University of Michigan  Health. They burrow in deep on leadership and what that looks like on the “Cards” unit, how she facilitates her staff recognizing one another and empowers them with knowledge from within and adjacent to their scope of practice.

She ventures from her desirable leadership practices to the treatment of Left Ventricular Assistive Device (LVAD) patients and how that can be an incredibly complex dance. She explains that she wants her team to feel confident in the treatment of these patients (and all others), but that she also wants them to practice at the top of their scope. Her team knows what they’re doing, and they should advocate for themselves and their patients. She rounds out the episode by talking about what the University of Michigan’s Cardiovascular and Pulmonary residency looks like and how they set their residents up for success, even if their route ventures from their facility.

Join us for a conversation that not only educates but also ignites a passion for pushing the boundaries of physical therapy.

 In This Episode:
- How to create great culture in a department
- How to create good PT culture hospital-wide
- What it means to practice at the top of your license
-  Competencies and orientation
-  LVAD training


Interested in Jane?
Jane, an all-in-one practice management software with helpful features to power your practice.
Head to jane.app/guide to book a personalized demo.
Don't forget, you can use the code CARDIOPULM1MO at the time of sign-up for a 1-month grace period applied to your new account.

Find me on:

IG: @all_things_cardiopulm
Threads: @all_things_cardiopulm
Website: www.allthingscardiopulm.com
Twitter: @allcardiopulm
Linked-In: Rachele Burriesci
Text at 913-308-4494

If you love your job, you won’t work a day in your life. We’ve all heard the quote, but sometimes work is work and your co-workers and your supervisor make (or break) the environment. Employees enjoy being acknowledged for the “small things”, they would like support for their team and be valued for what they bring to the table. These are all things employees desire and Dr. Tina Fields strives to deliver for her unit.

In this episode, Dr. Burriesci chats with Dr. Tina Fields, the Supervisor and Director of Residency at University of Michigan  Health. They burrow in deep on leadership and what that looks like on the “Cards” unit, how she facilitates her staff recognizing one another and empowers them with knowledge from within and adjacent to their scope of practice.

She ventures from her desirable leadership practices to the treatment of Left Ventricular Assistive Device (LVAD) patients and how that can be an incredibly complex dance. She explains that she wants her team to feel confident in the treatment of these patients (and all others), but that she also wants them to practice at the top of their scope. Her team knows what they’re doing, and they should advocate for themselves and their patients. She rounds out the episode by talking about what the University of Michigan’s Cardiovascular and Pulmonary residency looks like and how they set their residents up for success, even if their route ventures from their facility.

 In This Episode:
- How to create great culture in a department
- How to create good PT culture hospital-wide
- What it means to practice at the top of your license
-  Competencies and orientation
-  LVAD training


Interested in Jane?
Jane, an all-in-one practice management software with helpful features to power your practice.
Head to jane.app/guide to book a personalized demo.
Don't forget, you can use the code CARDIOPULM1MO at the time of sign-up for a 1-month grace period applied to your new account.

Find me on:

IG: @all_things_cardiopulm
Threads: @all_things_cardiopulm
Website: www.allthingscardiopulm.com
Twitter: @allcardiopulm
Linked-In: Rachele Burriesci
Text at 913-308-4494

In this episode, Dr. Burriesci breaks down sublingual nitroglycerin. She gives the need-to-know facts, safety considerations and important education tips for your patients. 

A perfect snippet for NPTE study prep and need-to-know rules for the treating PT.

In This Episode

• MOA of Sublingual Nitro
• Indications of Nitro
• Side effects of Nitro
• How to take Nitro
• 3 Rules of Nitro
• Safety Considerations 

Interested in Jane?
Jane, an all-in-one practice management software with helpful features to power your practice.
Head to jane.app/guide to book a personalized demo.
Don't forget, you can use the code CARDIOPULM1MO at the time of sign-up for a 1-month grace period applied to your new account.

Find me on:

IG: @all_things_cardiopulm
Threads: @all_things_cardiopulm
Website: www.allthingscardiopulm.com
Twitter: @allcardiopulm
Linked-In: Rachele Burriesci
Text at 913-308-4494

In this episode, Rachele gives some life updates and tells the tale of DIY, Thanksgiving, and hosting her 9 family members. 

Gratitude all around for this episode for both family and you. Rachele has reached her 1 year anniversary of Talking All Things Cardiopulm and she is grateful to all of you who have listened, supported, and reached out.

This episode is a case review of a recent patient that spurred a thought and common trend in the acute care setting.  Are younger patients overlooked? Independent a few days prior, they shouldn’t have any PT needs, right?  Rachele thinks false and she gives her perspective on why and how we can help this patient population.  She also gives clinical tools and insights to help the next patient who comes across your caseload. 

In this episode:

• Risk of VTE in orthopedic surgery
• Bilateral PE
• Cardiac Arrest
• ROSC
• Survival post-PE vs. survival post-PE / cardiac arrest
• Younger age patients in acute care
• Intubation affects on the lungs
• Cough Assessment / Chest wall mobility
• Splinting with Huff’ing/functional cough
• How to improve a cough
• Interval training
• The benefits of the Trifecta 
• Inspiratory holds - benefits and use in this patient
• Precursors to PE
• Importance of assessing vitals even in the outpatient setting

Interested in Jane?
Jane, an all-in-one practice management software with helpful features to power your practice.
Head to jane.app/guide to book a personalized demo.
Don't forget, you can use the code CARDIOPULM1MO at the time of sign-up for a 1-month grace period applied to your new account.

Find me on:

IG: @all_things_cardiopulm
Threads: @all_things_cardiopulm
Website: www.allthingscardiopulm.com
Twitter: @allcardiopulm
Linked-In: Rachele Burriesci
Text at 913-308-4494

In this episode, Dr. Burriesci breaks down her recently released Contraindication study guide for students prepping for the NPTE. In an attempt to make a clear-cut, hard stop, red light, contraindication guide, but she was quickly reminded that there is much more yellow/caution/“it depends” than hard stops.  Unfortunately,  “It depends” is not an answer you can pick on the NPTE.

This episode is part 2 of 2, so if you missed Part 1, Hard stop, Red Light and Grab Part 1 first.

Part 2 wraps up possible red lights in the ICU setting, including specific lines and tubes, specific diagnoses and high levels meds.

Join me to break down what is definitely a "Red Light" and what truly "depends."

If you are a student studying for the NPTE, listen for the black and white, and if you are a clinician, listen to all the gray.

Haven't grabbed your Contraindication study guide? Click the link below:
https://allthingscardiopulm.ck.page/683e1f6f42

Want to join the Cardiopulm Check Point Webinar? Nov 28th 5pm CST
https://allthingscardiopulm.ck.page/products/cardiopulmcheckpointnpte

Interested in Jane?
Jane, an all-in-one practice management software with helpful features to power your practice.
Head to jane.app/guide to book a personalized demo.
Don't forget, you can use the code CARDIOPULM1MO at the time of sign-up for a 1-month grace period applied to your new account.

Find me on:

IG: @all_things_cardiopulm
Threads: @all_things_cardiopulm
Website: www.allthingscardiopulm.com
Twitter: @allcardiopulm
Linked-In: Rachele Burriesci
Text at 913-308-4494

In this episode, Dr. Burriesci breaks down her recently released Contraindication study guide for students prepping for the NPTE. In an attempt to make a clear-cut, hard stop, red light, contraindication guide, but she was quickly reminded that there is much more yellow/caution/“it depends” than hard stops.  Unfortunately,  “It depends” is not an answer you can pick on the NPTE.

This podcast is an attempt to read between the lines, give rationale and thought process behind the clinical decisions you may be faced with day to day in your setting while giving guidance to the student sitting for the NPTE trying to navigate safety questions or the new grad getting their footing in a complex environment.

She attempts to pull out the hard stops (red light), but explains the rationale behind most of the yellow lights and when to proceed with caution as clinical judgments will play a pivotal role in most of the decisions you are faced with.


In this episode:
- Contraindications to exercise (Red light)
- Precautions to exercise (Yellow light)
- Guidelines on BP, HR, spO2, lab values, VTE
- Role of clinical decision-making and making decisions based on your patient
- Student vs. Clinician
- Acute Care Section CPG: Lab Values & Vital Signs
- Cardiopulmonary Section: VTE CPG & Oxygen Supplementation

Join my main newsletter:  https://allthingscardiopulm.ck.page/9bb2730421

Want to sign up for a mentoring call with Dr. Burriesci? Sign up here: https://www.allthingscardiopulm.com/mentoring


Did you grab your FREE Cardiopulm NPTE Contraindication Study Guide?
https://allthingscardiopulm.ck.page/683e1f6f42

Podcast episode: When is a PVC NOT just a PVC
https://podcasts.apple.com/us/podcast/episode-21-when-is-a-pvc-not-just-a-pvc/id1658078171?i=1000614336763


Sponsor Information:
Jane, an all-in-one practice management software with helpful features to power your practice.
Head to jane.app/guide to book a personalized demo.
Don't forget, you can use the code CARDIOPULM1MO at the time of sign-up for a 1-month grace period applied to your new account.

Find me on:

IG: @all_things_cardiopulm
Threads: @all_things_cardiopulm
Website: www.allthingscardiopulm.com
Twitter: @allcardiopulm
Linked-In: Rachele Burriesci
Text at 913-308-4494

In this episode, Dr. Burriesci chats with Justine Feitelson about Dysautonomia and Chronic Regional Pain Syndrome (CPRS). Justine is a business owner, health coach, podcast host, and a CRPS warrior.

Justine takes us on her journey of being diagnosed with CRPS, dysautonomia and likely (h)EDS. She describes the difficulty in the unknown, the rarity of the disease and the long 8-month process of getting a diagnosis.  Justine describes her battle of overcoming the pain of her limb and the resilience to return to her life. Justine is passionate and living proof. She has dedicated her life to doing better for people with CRPS.

Rachele and Justine pull together the similarities in the unknown, the rarity, the frustration and even the loneliness of dysautonima, POTS and CRPS. Join us just in time to close out Dysautonomia month.

In this episode:

• CRPS
• EDS/hEDS
• Dysautonomia
• Parasympathetic/Sympathetic Nervous System
• Breathing - physiologic benefits
• Benefits of exercise w CRPS/POTS

More on Justine:
Justine is a movement professional and health coach who works specifically with Complex Regional Pain Syndrome patients.

Once she was diagnosed with CRPS in 2019, she set forth on learning everything she could about pain and human movement so she’d have more tools to expose, desensitize and change the way her nervous system had become with CRPS - and help others do the same.

She realized our own bodies are the greatest tool to create change, yet as patients we often miss taking advantage of our most powerful asset - ourselves. Justine helps chronic pain patients optimize variables that effectively decrease pain through conservative pain management strategies even in the most complex cases using her signature MARSMethod.

You can check out her programs and work with the Empower You Chronic Pain Foundation, as well as the It's Not in Your Head podcast coming soon below.

Websites: www.resilientwarriorcoachingllc.com

Email: [email protected]

IG: @resilientwarriorcoaching

Facebook: facebook.com/justine.feitelson

LinkedIn: LinkedIn.com/justine-feitelson

Join my main newsletter:  https://allthingscardiopulm.ck.page/9bb2730421

Want to sign up for a mentoring call with Dr. Burriesci? Sign up here: https://www.allthingscardiopulm.com/mentoring

Find me on:

IG: @all_things_cardiopulm
Threads: @all_things_cardiopulm
Website: www.allthingscardiopulm.com
Twitter: @allcardiopulm
Linked-In: Rachele Burriesci
Text at 913-308-4494

In this episode, Rachele gets real and straight to the point. (as if she has ever beaten around the bush in her lifetime).  However, some recent student experiences brought this podcast to the forefront.

Dr. Burriesci has been in the Acute Care Setting for 14 years, she believes in the work that she does and she loves the setting.   She believes PTs have a vital role in the acute care setting and can make a difference in a patient's recovery, length of stay, return to independence and education. She has been hearing and fighting against the stereotype for years and even had many students excited for their upcoming clinicals.

But what happens when the stereotypes exist and even worse what happens when they are pushed onto students as the standard of care?

TUNE IN for more, I promise this one is a bit spicy....

Find me on:

IG: @all_things_cardiopulm
Threads: @all_things_cardiopulm
Website: www.allthingscardiopulm.com
Twitter: @allcardiopulm
Linked-In: Rachele Burriesci
Text at 913-308-4494

In most episodes we hear how Dr. Burriesci treats patients and her vast knowledge of Cardiopulmonary care. Today is different! We have the pleasure of getting to hear about Postural Orthostatic Tachycardia syndrome (POTS), but in a different light than we are used to.

In this episode, Dr. Burriesci shares her story of being diagnosed with POTS. She starts at the beginning of her journey and explains what those beginning moments felt like when she was in the emergency room with minimal answers. She takes us with her on journey of what she did to get a diagnosis and how she best manages her symptoms in her daily life. Along the way, she sprinkles in little nuggets of knowledge and glimmers of hope for others who battle the same diagnosis.

Find me on:

IG: @all_things_cardiopulm
Threads: @all_things_cardiopulm
Website: www.allthingscardiopulm.com
Twitter: @allcardiopulm
Linked-In: Rachele Burriesci
Text at 913-308-4494

In this episode, Dr. Burriesci describes the 4 phases of a cough, ways to assess cough sequencing, and how to implement proper cough techniques into our physical therapy practice to improve overall aerobic conditioning. 

She guides us through different diagnoses which may impact cough mechanics and how to tailor it for the patient’s needs. These clinical pearls will have your patients implementing good strong effective coughs. 💪🏻

Find me on:

IG: @all_things_cardiopulm
Threads: @all_things_cardiopulm
Website: www.allthingscardiopulm.com
Twitter: @allcardiopulm
Linked-In: Rachele Burriesci
Text at 913-308-4494