Talking All Things Cardiopulm

Peripheral Artery Disease (PAD) is a diagnosis that very much resembles coronary artery disease, except the pain occurs in the legs instead of the chest. Treating these patients can be tricky due to the activity limitations they experience.  So how can we make a difference in clinic?

In this episode, Dr.Burriesci breaks down what PAD is. She explains the risk factors, pathophysiology and how physical therapists can best treat this disease. Traditionally, “no pain, no gain” are words that you will never here out of a PTs mouth, but what if this time is different? She explains the why behind the treatment interventions and the potential results our patients will experience.

In This Episode:

• Break down the pathophysiology of PAD
• Risk factors of PAD
• Diagnostic Testing
• Education 
• Treatment interventions for this patient population
• Progression of disease
• Prevention of progression

Jane Promo Code: CARDIOPULM1MO
Jane is an all-in-one practice management software with features to run your entire practice, including online booking, scheduling, charting, and billing. 👋 And our PCI-compliant payment solution, Jane Payments, has all of your payment needs covered. 

Find me on:

IG: @all_things_cardiopulm

Threads: @all_things_cardiopulm

Website: www.allthingscardiopulm.com

Youtube: @allthingscardiopulm

Linked-In: Rachele Burriesci

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Have you ever wondered why exercising in the heat feels so much harder? This week on Talking All Things Cardiopulm, we're going to tackle this burning question. 

With rising temperatures and high humidity, it’s important to understand the body’s response, in order to make informed decisions about our time outdoors and more importantly, exercising in the heat of the day. 

In this episode, Dr. Burriesci breaks down the body's physiological response to high heat and some important environmental considerations.  She describes the response of the cardiovascular and pulmonary systems to the body's compensations and what this looks like compounded with comorbidities, such as COPD and heart failure.  She also navigates through the signs of heat-related illnesses such as heat exhaustion, heat injury, and heat stroke, you'll learn how to recognize these conditions and what to do if you or someone else experiences them. Lastly, she gives tips and tricks for mitigating the overwhelming heat, while maintaining safety with exercise.

In This Episode:

• Break down of thermoregulation
• Body’s Compensation to High Heat
• Cardiovascular & pulmonary response 
• Ability to acclimate to high temps
• Tips for exercising outdoors in the summer months
• Considerations with patients with comorbidities

Jane Promo Code: CARDIOPULM1MO
Jane is an all-in-one practice management software with features to run your entire practice, including online booking, scheduling, charting, and billing. 👋 And our PCI-compliant payment solution, Jane Payments, has all of your payment needs covered. 

Find me on:

IG: @all_things_cardiopulm

Threads: @all_things_cardiopulm

Website: www.allthingscardiopulm.com

Youtube: @allthingscardiopulm

Linked-In: Rachele Burriesci

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If you’re in healthcare, you understand the range of healthcare literacy among our patients. However, healthcare literacy is not the entire story. The experience of actually being in a healthcare facility accounts for a large portion of a person’s healthcare perspective. 

Could you imagine entering a facility expecting to discuss your concerns and be heard? But instead, you are met with an impersonal environment where your worries are downplayed. Or if no one took the time to explain what procedures you would be undergoing that day? It’s a truly terrifying experience, yet many people have these exact interactions.

 In this episode, Dr. Burriesci recounts her personal experience with an appointment and describes what it felt like being on the other side of the table.  She explains the importance of basic communication and its impact on patient care. Our words can enhance the patient experience, calm the nervous system, and improves patient outcomes. Healthcare can be a fast-paced, scary experience, but we can help guide the process and take the fear out of the experience.  We can either add to the ever-surmounting anxiety or we can change the entire trajectory for the better by taking an extra moment to lessen the anxiety for our patients and bring the human aspect back into our approach.

In this episode:

• Discuss a current personal experience in healthcare
• The basics of communication
• Importance of identifying yourself
• Help calm the nervous system with an explanation of the plan
• Build trust and rapport.
• Tips to prep for your next appt.

If anyone is looking for an EMR system for their business, I highly recommend Jane. It is super easy to use, highly customizable and has great integrations for easy payment.

Go to: jane.app/payments

Use code: CARDIOPULM1MO for a 1-month grace period for your new Jane subscription!

Find me on:

IG: @all_things_cardiopulm

Threads: @all_things_cardiopulm

Website: www.allthingscardiopulm.com

Youtube: @allthingscardiopulm

Linked-In: Rachele Burriesci

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In this episode, Dr. Burriesci discusses the frustrations with student affiliations.  With the help of Webster and the Oxford Dictionary, she breaks down the definition of a student and an intern.  She dives into the purpose of clinical affiliations and what they should represent. She explains why facilities should prioritize a systematic approach to student experiences and perhaps even form a dedicated committee to prevent reinventing the wheel each and every time and to make a purposeful learning experience for the student.

In this episode:

-       Discuss the role of a CI

-       Levels of supervision for students on clinical affiliations

-       The over-emphasis of  “caseload” 

-       Arbitrary differences between “full caseload” between facilities & potentially employees

-       Mentoring students to make good clinical decisions

-       Teaching efficiency by observation and sharing skills

-       Importance of constructive feedback 

-       Importance of receiving feedback and being willing to learn


Sponsor Info:
jane.app/payments

Use code:  CARDIOPULM1MO   for a 1 month grace period!

Find me on:

IG: @all_things_cardiopulm

Threads: @all_things_cardiopulm

Website: www.allthingscardiopulm.com

Youtube: @allthingscardiopulm

Linked-In: Rachele Burriesci

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In this Episode:
- Benefits of Jane
- How I use Jane
- How to show skill in your documentation
- Documenting exam findings
- Articulating your assessment

Interested in Jane?
Jane, is an all-in-one practice management software with helpful features to power your practice.  Head to jane.app/burriesci 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

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

Youtube: @allthingscardiopulm

Linked-In: Rachele Burriesci

Text at 913-308-4494

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

Youtube: @allthingscardiopulm

Linked-In: Rachele Burriesci

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A garden produces vegetables and fruit all summer long and while that feels like it happens overnight, that’s not true. Gardens take time, nutrients, sunlight and the proper environment to grow and flourish in the best way each individual plant can.

 In this episode, Dr. Burriesci plants the idea that personal growth is a game of patience, hard work behind the scenes, and some dropped leaves before we flower. There’s no overnight success. When growing our own gardens we need to learn how to adapt, face challenges and setbacks and give ourselves the tools to make adjustments when needed. Remember there are many weeks prior to picking fruit where it’s just dirt in a cup (or a box).

Listen for a lighthearted episode on how to dig deep, persevere when the winter months come and bloom where you are planted.

Find me on:

IG: @all_things_cardiopulm

Threads: @all_things_cardiopulm

Website: www.allthingscardiopulm.com

Youtube: @allthingscardiopulm

Linked-In: Rachele Burriesci

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Do you know that flutter in your heart or when your heart skips a beat because you have had too much caffeine for the day? That’s called a premature ventricular contraction (PVC) and most of the time, it is benign. But when does that change?

In this episode, Dr. Burriesci unravels the mystery behind PVC’s as they appear on an electrocardiogram (EKG) and dlve into how physical therapists can play a pivotal role in managing PVC’s. She explains how PT’s can identify, address and what can exacerbate PVC symptoms. She educates on how to address this during a session and when to terminate a session because it can become more than just a benign PVC. 

Now grab a coffee, or watch your caffeine intake, and listen now!

In this Episode:

• Definition of a Premature Ventricular Contraction (PVC)
• ECG descriptors for PVCs
• Common causes of PVCs
• What 3 PVCs in a row actually mean
• Common PVC patterns  on ECG

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

Youtube: @allthingscardiopulm

Linked-In: Rachele Burriesci

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If you only had access to one PT tool or device for your eval and/or treatment session what would it be?  

 In this episode, Dr. Burriesci delves into the item she’d (likely) bring to a desert island, a pulse oximeter. She explains the invaluable information that can come from this device and it’s not specifically O2 related.  Yes a pulse ox will give you a quick read on oxygen and heart rate, and yes there are common causes for inaccuracies, but what else is it inadvertently telling you? Listen in for a few clinical tips that you likely won’t find in any textbook.  

 And after this episode, you’ll have to let her know if you too will take the pulse ox with you on your deserted island.

In this episode:

- Normal values of spO2

- Common causes of inaccurate readings via pulse-ox

- Atrial fibrillation

- Premature Ventricular Contractions (PVCs)


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

Youtube: @allthingscardiopulm

Linked-In: Rachele Burriesci

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In this episode, Dr. Burriesci chats about how necessary it is to advocate for our own profession and sometimes that can be as simple as wearing your damn stethoscope.  Although this episode is not specifically promoting wearing your stethoscope and it’s definitely not about shaming you for not wearing one, it’s actually about recognizing our role in supporting each other.

It’s all about elevating our profession while also educating other professionals and patients about what we are capable of doing. With such a wide scope of practice in our field, we have to remember that even if something is not in our comfort zone or even a skill we don’t personally enjoy, that does not give us permission to down our own profession.  We need to do better and support one another, so we can continue to elevate our profession.  

But if auscultation is a skill you want to become more comfortable with, start by wearing your stethoscope and finding a mentor that can help you master this skill.  Like any area of your life, in order to improve your skills it starts with practice.  And if you’re looking for a mentor, book yourself a mentor session with Dr. Burriesci.

 In this episode:

• Importance of elevating our colleagues
• Promote your skills
• Supporting our wide scope of practice
• Learning a new skill requires practice

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

Youtube: @allthingscardiopulm

Linked-In: Rachele Burriesci

Text at 913-308-4494