Chief Complaint Podcast (Zach Sielaff)

Episode 2 of the Chief Complaint podcast is here! Today LJ and Zach discuss the ZDoggMD video focused on burnout and the concept of moral injury, the AAP's recent guidelines on the care of transgender kids, and how to handle undifferentiated headache. To finish things up, Zach takes the NCLEX once again, can he do better than last week's 2 out of 3? Join us and find out!

If you'd like to ask a question that we can answer on the air, or just get in touch, send us an email at ChiefComplaintdPod@gmail.com, or tweet us @ChiefPod.

ZDoggMD video - https://www.youtube.com/watch?v=L_1PNZdHq6Q
AJN NewsCAP - https://journals.lww.com/ajnonline/Citation/2019/04000/NewsCAP__The_AAP_issues_a_statement_on.12.aspx
AAP Guidelines - https://pediatrics.aappublications.org/content/142/4/e20182162
Headache Management - https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3994811/

Music:
You're There by The Mini Vandals
All Night by Ikson

Episode 3 of the Chief Complaint podcast is here! Today LJ and Zach discuss nurse bullying, how the Marine Corps deals with penicillin allergies, and they do some mythbusting about arriving to the ED via ambulance. If you'd like to ask a question that we can answer on the air, or just get in touch, send us an email at ChiefComplaintdPod@gmail.com, or tweet us @ChiefPod.

Twitter thread on bullying: https://twitter.com/ScrubsandPearls/status/1114174905224970241
Amoxicillin in Marines: https://www.jacionline.org/article/S0091-6749(15)01865-5/pdf
Penicillin rash: https://www.summitmedicalgroup.com/library/pediatric_health/hhg_rash_ampicil/
Article on PCN from NIH: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3255391/

Music:
You're There by The Mini Vandals
All Night by Ikson

Episode 4 of the Chief Complaint podcast is here! Today LJ and Zach bring you an update from the New York State Nurses Association labor dispute, talk about HCAHPS surveys, and discuss the medication error at Vanderbilt in 2017 and its ramifications. If you'd like to ask a question that we can answer on the air, or just get in touch, send us an email at ChiefComplaintdPod@gmail.com, or tweet us @ChiefPod.

NYSNA update: https://www.nytimes.com/2019/04/10/nyregion/nurses-strike-nyc.html
HCAHPS surveys: https://www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/HospitalQualityInits/HospitalHCAHPS.html
Vanderbilt nurse: https://www.npr.org/sections/health-shots/2019/04/10/709971677/when-a-nurse-is-prosecuted-for-a-fatal-medical-mistake-does-it-make-medicine-saf

Music:
You're There by The Mini Vandals
All Night by Ikson

The first short stay episode of Chief Complaint is live! LJ and Zach had crazy weeks and were not able to get together to record, so instead it's Zach flying solo on this bite-sized episode. He talks about a patient he saw with the gnarliest skin wound, and then gets nerdy with you to go a little more in-depth on CT scans and MRIs. LJ will be back for a full episode next week, but if you'd like to ask a question that we can answer on the air, or just get in touch, send us an email at ChiefComplaintdPod@gmail.com, or tweet us @ChiefPod.

MRI firearm incident: https://www.ajronline.org/doi/full/10.2214/ajr.178.5.1781092

Music:
You're There by The Mini Vandals
All Night by Ikson

Episode 5 of the Chief Complaint podcast is here! LJ is back in the studio with plenty to talk about, as we discuss Washington state Senator Maureen Walsh's comments about nurses playing cards, the recent measles outbreaks and the need for vaccination, and finally a truly strange anti-aging therapy called a vampire facial. If you'd like to ask a question that we can answer on the air, or just get in touch, send us an email at ChiefComplaintdPod@gmail.com, or tweet us @ChiefPod.

Links:
Senator on nurses playing cards: https://cdn.wsna.org/post/index-2.html?p=post/index.html&p=news%2F2019%2Fsenator-states-that-nurses-probably-play-cards-for-a-considerable-amount-of-the-day-in-amending-rest-breaks-bill&fbclid=IwAR0CYctvOXXsTPMm7nk8y8-ev13dOkNoZeIlvarTuyHD1tY7XdVBDcrJe5w
New details on Washington State RN bill: https://nurse.org/articles/Washington-state-nurse-bill-passes-no-8-hour-limit/
Vampire facials: https://www.lcsun-news.com/story/news/local/new-mexico/2019/04/29/vampire-facial-hiv-vip-spa-new-mexico/3619261002/
Measles outbreak: https://www.medscape.com/viewarticle/912215?nlid=129500_4622&src=WNL_mdplsnews_190426_mscpedit_nurs&uac=325601EJ&spon=24&impID=1947841&faf=1

Music:
You're There by The Mini Vandals
All Night by Ikson

Episode 6 of the Chief Complaint podcast is here, and a happy nurse's week 2019 to you all! This week we're sending a thank you to the nurses who helped mentor us, we'll tell you what to look for when considering a diagnosis of measles, we'll talk about the Guinness World Record and their gender ideas, and finally cover some hospital administrators not quite getting it. If you'd like to ask a question that we can answer on the air, or just get in touch, send us an email at ChiefComplaintdPod@gmail.com, or tweet us @ChiefPod.

Links:
Measles: https://www.cdc.gov/measles/hcp/index.html
https://www.reuters.com/article/us-health-measles-europe/who-issues-warning-as-measles-infects-34000-in-europe-this-year-idUSKCN1SD0SA
Guinness record: https://www.nytimes.com/2019/05/05/world/europe/nurse-marathon-dress-guinness.html
https://www.instagram.com/p/BxK-Ao1A4EQ/?utm_source=ig_twitter_share&igshid=1eztlwlmpc3fe


Music:
You're There by The Mini Vandals
All Night by Ikson

Episode 7 of the Chief Complaint podcast is here! Today we discuss Fournier gangrene and it's association with newer agents for type-2 diabetes, the standard of care surrounding medical marijuana, and how to care for someone with a chief complaint of a febrile seizure. Zach will be out of town for two weeks after this episode airs, but we've got content for you in that time, so keep tuning in every Friday at 8am CST. If you've got a question or comment for us, send us an email at chiefcomplaintpod@gmail.com, or tweet us @ChiefPod.

Links:
Fournier Gangrene: https://annals.org/aim/fullarticle/2732837/fournier-gangrene-associated-sodium-glucose-cotransporter-2-inhibitors-review-spontaneous
https://www.medscape.com/viewarticle/912634#vp_1
Medical Marijuana: https://www.medscape.com/viewarticle/911912

Music:
You're There by The Mini Vandals
All Night by Ikson

Zach remains on vacation, and LJ is back with another "My Nursing Story". Today, she relates the story of a young woman she cared for after a self-inflicted gunshot wound, and everything that goes along with caring for not just the patient, but the family as well. If you've got a question you'd like us to answer, or a just want to get in touch, send us an email at chiefcomplaintpod@gmail.com, or tweet us @ChiefPod. Zach will be back with LJ next week, take care!
Music:
You're There by The Mini Vandals
All Night by Ikson

While Zach's away on vacation, LJ recorded a pair of episodes we're calling "My Nursing Story". Today, LJ takes you through the story of one of her first long-term patients, a gentlemen named Harry (not his real name) suffering from pancreatic cancer. As interesting as the bells and whistles topics are, nursing is fundamentally about the people we care for, and LJ masterfully relates the experience of being a new nurse responsible for a patient approaching the end of their life. We'll have another episode like this next week, and then Zach returns to the podcast in two weeks. If you've got a question or comment for us, send us an email at chiefcomplaintpod@gmail.com, or tweet us @ChiefPod. Have a great week!

Music:
You're There by The Mini Vandals
All Night by Ikson

Episode 8 of Chief Complaint is here! Zach has returned from Portugal, and he and LJ get together to talk about shift work and how it affects work/life balance, using exercise and music to help care for psychiatric patients, and new CDC guidelines regarding occupational TB testing. If you've got a question or comment for us, send us an email at chiefcomplaintpod@gmail.com, or tweet us @ChiefPod.

Links:
Good environment for psychiatric in-patients:
https://journals.sagepub.com/doi/10.1177/2164956119848657
https://www.medscape.com/viewarticle/913205?nlid=129932_4622&src=WNL_mdplsnews_190524_mscpedit_nurs&uac=325601EJ&spon=24&impID=1974004&faf=1
TB Testing:
https://www.cdc.gov/mmwr/volumes/68/wr/mm6819a3.htm?s_cid=mm6819a3_w

Music:
You're There by The Mini Vandals
All Night by Ikson

Episode 9 of Chief Complaint is here, and Zach got engaged over the weekend! Today he and LJ talk about a New York Times article on the exploitation of doctors and nurses, technology and the idea of "alarm fatigue", and they answer a listener question from the Innominate Podcast (@innominatepod)! If you've got a question or comment for us, send us an email at chiefcomplaintpod@gmail.com, or tweet us @ChiefPod.

Links:
NYT OpEd: www.nytimes.com/2019/06/08/opinion/sunday/hospitals-doctors-nurses-burnout.html

Music:
You're There by The Mini Vandals
All Night by Ikson

Episode 10 of Chief Complaint is here! LJ and Zach talk about ED observation units, bariatric surgery for type 2 diabetes, and the "July effect". Then Zach tests his mettle against 3 more NCLEX questions, can he get 3 out of 3? Listen in and find out! If you've got a question or comment for us, send us an email at chiefcomplaintpod@gmail.com, or tweet us @ChiefPod.

Music:
You're There by The Mini Vandals
All Night by Ikson

Episode 11 of Chief Complaint is here! Today LJ and Zach talk about giving difficult news to patients and families, converting type A into type O blood, and avoiding hospital acquired infections. And in a special birthday edition of Zach takes the NCLEX, he goes for the ever elusive 3 out of 3. Can he get there? Listen in and find out! If you've got a question or comment for us, send us an email at chiefcomplaintpod@gmail.com, or tweet us @ChiefPod.

Links:
Terminal Diagnoses: https://khn.org/news/never-say-die-why-so-many-doctors-wont-break-bad-news/
Type A to Type O: https://www.medscape.com/viewarticle/914499?nlid=130295_4622&src=WNL_mdplsnews_190621_mscpedit_nurs&uac=325601EJ&spon=24&impID=2002799&faf=1#vp_1
Nosocomial Infections: https://www.medscape.com/viewarticle/912592

Music:
You're There by The Mini Vandals
All Night by Ikson

Episode 12 of Chief Complaint is here! Today Zach and LJ try and beat the heat by talking about black box warnings for psychotropic medications, 5 things that make healthcare suck, and then we'll dive into ECMO! If you've got a question or comment for us, send us an email at chiefcomplaintpod@gmail.com, or tweet us @ChiefPod.

Links:
Black Box - https://www.verywellhealth.com/black-box-warning-1123963
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6159703/
5 problems with healthcare - https://www.cracked.com/article_24568_5-under-reported-reasons-american-healthcare-sucks.html
ECMO - https://uihc.org/health-topics/family-guide-ecmo

Music:
You're There by The Mini Vandals
All Night by Ikson

Episode 13 of Chief Complaint is here, and it's all about neuro! Today Zach and LJ dive into numerous neurology topics, including the sympathetic vs parasympathetic nervous system, tPA and its use in stroke, and ICP monitoring. If you've got a question or comment for us, send us an email at chiefcomplaintpod@gmail.com, or tweet us @ChiefPod.

Music:
You're There by The Mini Vandals
All Night by Ikson

Episode 14 of Chief Complaint is here! Today Zach and LJ go over acidosis and alkalosis, talk about whether or not vitamins and other dietary supplements are beneficial, and then give some information about obstructive sleep apnea. If you've got a question or comment for us, send us an email at chiefcomplaintpod@gmail.com, or tweet us @ChiefPod.

Links:
Vitamins - https://annals.org/aim/fullarticle/2737825/effects-nutritional-supplements-dietary-interventions-cardiovascular-outcomes-umbrella-review-evidence

Music:
You're There by The Mini Vandals
All Night by Ikson

LJ is unavailable this week, so Zach takes his hand at My Nursing Story. First, he shares an experience from his EMT days about a young woman who suffered an overdose, and then he talks about an elderly patient he cared for when he was a nurse aide, and what he learned from that experience. If you've got a question you'd like us to answer, or a just want to get in touch, send us an email at chiefcomplaintpod@gmail.com, or tweet us @ChiefPod. Zach will be back with LJ next week, take care!

Music:
You're There by The Mini Vandals
All Night by Ikson

Episode 15 of Chief Complaint is here! Today LJ and Zach dive into the issues of ED overcrowding and a lack of inpatient beds, surprise bills for patients and errors within those bills, and whether homeopathy is right for you. If you've got a question or comment for us, send us an email at chiefcomplaintpod@gmail.com, or tweet us @ChiefPod.

Links:
Overcrowding: http://thenationshealth.aphapublications.org/content/46/2/E6?fbclid=IwAR3NbGQ4F4XFsexUzF6vjcsHJ8Sj8HV3zPXczuLC-920EkiXRVPIm1kA_N0
Billing: https://www.healthline.com/health-news/80-percent-hospital-bills-have-errors-are-you-being-overcharged?fbclid=IwAR3Tr7RSyfdhzbP6TI9CCq3POb0FOkIzSwCvRTs0jy-3PTxcAJK-VYTpo6o#1

Music:
You're There by The Mini Vandals
All Night by Ikson

Episode 16 of Chief Complaint is here! Today Zach and LJ break down some basic lab tests, and then talk about two common diseases that bring people to the ED, pancreatitis and sepsis. If you've got a question or comment for us, send us an email at chiefcomplaintpod@gmail.com, or tweet us @ChiefPod.

Links:
NurseLabs NCLEX prep: Links
https://nurseslabs.com/nclex-practice-questions/
Rhythm strip from Zach takes the NCLEX question: https://3kj2es3bu4jzhf1ez3lesxx1-wpengine.netdna-ssl.com/wp-content/uploads/2017/02/acls-rhythm-ventricular-fibrillation.jpg

Music:
You're There by The Mini Vandals
All Night by Ikson

Episode 17 of Chief Complaint is here! Today LJ and Zach are joined by special guest Kealie, a new nurse who shares her perspective with our crew. They'll talk about the challenges of being a new nurse, Polycystic Ovary Syndrome (PCOS), and a plan to allow hospital employees to apply their PTO balances to student loan repayment. If you've got a question or comment for us, send us an email at chiefcomplaintpod@gmail.com, or tweet us @ChiefPod.

Links:
PCOS: https://www.mayoclinic.org/diseases-conditions/pcos/diagnosis-treatment/drc-20353443 https://pcoschallenge.org/pcos-awareness-month/
PTO to student loans: https://www.medscape.com/viewarticle/916653?nlid=131010_4622&src=WNL_mdplsnews_190809_mscpedit_nurs&uac=325601EJ&spon=24&impID=2054942&faf=1

Music:
You're There by The Mini Vandals
All Night by Ikson

Episode 18 of Chief Complaint is here! Today, Zach (now officially a nursing student!) and LJ are joined by Kate, an ED colleague and very experienced nurse. In a two segment episode, they tackle issues around being true to yourself at work and how to deal with the reactions that might come from patients when you do, and then move on to cover DNRs and advanced directives. If you've got a question or comment for us, send us an email at chiefcomplaintpod@gmail.com, or tweet us @ChiefPod.

Music:
You're There by The Mini Vandals
All Night by Ikson

Episode 19 of Chief Complaint is here! Today, Zach and LJ talk about the economics of freestanding EDs, UTIs in the elderly, and the next generation NCLEX exam. If you've got a question or comment for us, send us an email at chiefcomplaintpod@gmail.com, or tweet us @ChiefPod.

Links:
Freestanding EDs: https://www.ncbi.nlm.nih.gov/pubmed/30638646
New NCLEX: www.medscape.com/viewarticle/917116

Music:
You're There by The Mini Vandals
All Night by Ikson

Episode 20 of Chief Complaint is here! Today, Zach and LJ cover a true medical emergency in compartment syndrome, talk about staffing and the strategies you can use to maintain it, and then do some Healthcare 101 to go over routes of medication administration. If you've got a question or comment for us, send us an email at chiefcomplaintpod@gmail.com, or tweet us @ChiefPod.

Links:
Staffing: https://www.thenation.com/article/health-care-medicare-nurses/
Compartment Syndrome: https://www.medscape.com/viewarticle/904047

Music:
You're There by The Mini Vandals
All Night by Ikson

Episode 21 of Chief Complaint is here! Today, LJ and Zach are joined by Jesse, a law enforcement officer who talks with them about what it's like to work together with nursing and medical staff, ethical issues around searching patients and pursuing them for arrest while at the hospital, and the questions surrounding marijuana legality. If you've got a question or comment for us, send us an email at chiefcomplaintpod@gmail.com, or tweet us @ChiefPod.

Links:
The Ethics of Law Enforcement in the Inpatient Setting: https://www.sccm.org/Communications/Critical-Connections/Archives/2018/The-Ethics-of-Law-Enforcement-in-the-Inpatient-Set
Utah nurse arrested for refusing to perform a blood draw: https://www.healthaffairs.org/do/10.1377/hblog20180926.69826/full/

Music:
You're There by The Mini Vandals
All Night by Ikson

Episode 22 of Chief Complaint is here! Today, LJ and Zach cover some clinical scoring systems, then discuss the risks that might lead you to give the wrong intervention to the wrong patient, and finally talk a little bit about cybersecurity for medical records. If you've got a question or comment for us, send us an email at chiefcomplaintpod@gmail.com, or tweet us @ChiefPod.

Links:
The Ethics of Law Enforcement in the Inpatient Setting: https://www.sccm.org/Communications/Critical-Connections/Archives/2018/The-Ethics-of-Law-Enforcement-in-the-Inpatient-Set
Utah nurse arrested for refusing to perform a blood draw: https://www.healthaffairs.org/do/10.1377/hblog20180926.69826/full/

Music:
You're There by The Mini Vandals
All Night by Ikson

Episode 23 of Chief Complaint is here! September is blood cancer awareness month, and so Zach and LJ start off by talking about the three types of blood cancer. They then go on to discuss the lack of inpatient psych beds and how that affects ED overcrowding, and finally discuss the social determinants of health. If you've got a question or comment for us, send us an email at chiefcomplaintpod@gmail.com, or tweet us @ChiefPod.

Links:
Psych hospital fire: www.medscape.com/viewarticle/890510#vp_1
WSJ Op-ed: https://www.wsj.com/articles/take-two-aspirin-and-call-me-by-my-pronouns-11568325291
Inquirer rebuttal: https://www.inquirer.com/health/social-justice-healthcare-medical-education-system-20190914.html
Medscape rebuttal: www.medscape.com/viewarticle/918793

Music:
You're There by The Mini Vandals
All Night by Ikson

Episode 24 is here! LJ is heading out vacation (indeed, she's already gone by the time you're reading this!) so she and Zach sat down for an interview early in the week with Danielle and Brittany, founders of an amazing organization called Nursing Helping Nurses. They're based in Chicago and provide support to nurses and other healthcare workers going through difficult times. They also talk with us about the recent strike and ongoing labor problems at the University of Chicago Hospital. The interview was by phone so the audio isn't perfect, but these two nurses have created a great organization that's well worth your time to check out. Their information is below, enjoy!

Instagram: @nhnfoundation
Website: https://www.nhnfoundation.com/

Music:
You're There by The Mini Vandals
All Night by Ikson

Episode 25 is here! Today Zach and LJ are back to discuss CIWA (clinical institute withdrawal assessment), laws for trauma care, and how to make sure new-to-setting nurses transition successfully from one specialty area to another. Enjoy!

Links:
CIWA: https://thetraumapro.com/2016/06/13/the-ciwa-protocol-demystified/?fbclid=IwAR017y5GWkI5Y9uoc72oQau0o3FhBRgyjSMyo0YKSFhgOVBnFlLcOo5PPPI
Trauma Laws: http://www.regionstrauma.org/blogs/2017-08TraumaMedEd.pdf?fbclid=IwAR0UDFamKzhxLdyAH3S0-tMcp82sFOrf8bQIGIP2XwRqOKVWwONeJnQTz1U
New-to-Setting Nurses: https://www.americannursetoday.com/supporting-clinical-transitions/

Music:
You're There by The Mini Vandals
All Night by Ikson

Episode 26 is here! Today Zach and LJ are joined by special guest John who fills them in on thromboelastography, or TEG. They move on to talk about some STI data from the CDC, and finally cover the case of a nurse from Tennessee who was fired from the hospice company she worked for because she developed cancer. If you have a question you want answered feel free to reach out to us at chiefcomplaintpod@gmail.com, on twitter @ChiefPod, or on instagram @ChiefComplaintPodcast. Enjoy!

Links:
Hospice Nurse: https://www.medscape.com/viewarticle/919607
CDC STI Report: https://www.cdc.gov/nchhstp/newsroom/2019/2018-STD-surveillance-report-press-release.html

Music:
You're There by The Mini Vandals
All Night by Ikson

Episode 27 of Chief Complaint is here! Today LJ and Zach are joined by Greatel, a pediatric transport RN. She shares her experience of caring for kids on the road with us, then we talk about people hawking unlicensed treatments on facebook, and finally we discuss if we've one so far in trying to prevent falls that we're actually hurting patients through immobility. If you have a question you want answered feel free to reach out to us at chiefcomplaintpod@gmail.com, on twitter @ChiefPod, or on instagram @ChiefComplaintPodcast. Enjoy!

Links:
Falls: https://khn.org/news/fear-of-falling-how-hospitals-do-even-more-harm-by-keeping-patients-in-bed/
Facebook cures: https://amp.businessinsider.com/in-closed-facebook-groups-pushing-unproven-treatments-2019-8?r=US&IR=T&__twitter_impression=true&fbclid=IwAR30L-h82rE1jnYxfeFOfmSzhPNqUOo4LEGVsTusN3g7fNVod7D50eC9GOE

Music:
You're There by The Mini Vandals
All Night by Ikson

Episode 28 of Chief Complaint is here! Today Zach and LJ are joined by Andrew, a paramedic and former ED tech. He and LJ talk about LJ's experience riding along with him on the ambulance, then we move on to the CRASH-3 study of TXA (tranexamic acid) in traumatic brain injury, and finally we talk about aid in dying, and the case of Belgian paralympian Marieke Vervoort. If you have a question you want answered feel free to reach out to us at chiefcomplaintpod@gmail.com, on twitter @ChiefPod, or on instagram @ChiefComplaintPodcast. Enjoy!

Links:
Vervoot: https://www.reuters.com/article/us-belgium-euthanasia-vervoort/belgian-paralympian-dies-by-euthanasia-aged-40-idUSKBN1X21BL
TXA: https://www.thelancet.com/journals/lancet/article/PIIS0140-6736(19)32233-0/fulltext#sec1
First10EM post about TXA: https://first10em.com/crash-3/

Music:
You're There by The Mini Vandals
All Night by Ikson

Episode 29 is here! With LJ on the road heading for her new travelling assignment, Zach is joined by ED RN Beth! Beth serves on her hospitals committee that handles Second Victim Syndrome, the idea that providers are victimized by adverse outcomes along with patients. She and Zach have a length conversation about this topic, we hope you enjoy it and please let us know what you think and what you've experienced in this realm! Email us at chiefcomplainpod@gmail.com, tweet at us @ChiefPod, and find us on Instagram @ChiefComplaintPodcast. Enjoy!

References:
Chan, S. T., Khong, P. C. B., & Wang, W. (2017). Psychological responses, coping and supporting needs of healthcare professionals as second victims. International nursing review, 64(2), 242-262.

Wu, A. W. (2000). Medical error: the second victim: the doctor who makes the mistake needs help too. BMJ: British Medical Journal, 320(7237), 726

Scott, S. D., Hirschinger, L. E., Cox, K. R., McCoig, M., Brandt, J., & Hall, L. W. (2009). The natural history of recovery for the healthcare provider “second victim” after adverse patient events. BMJ Quality & Safety, 18(5), 325-330.

Music:
You're There by The Mini Vandals
All Night by Ikson

Welcome to another Chief Complaint Short Stay! In this quick episode, LJ talks about her new job as a travel nurse, having moved across the country to work in a new ED. She and Zach will be back together next week, until then take care!

Episode 30 of Chief Complaint is here! Today Zach and LJ conduct their first episode remotely! First off, LJ updates us on her new travelling gig, then she and Zach discuss a case she had of a man with Chagas disease, and finally they go over a great ICU initiative called the 3 Wishes Program. If you have a question you want answered feel free to reach out to us at chiefcomplaintpod@gmail.com, on twitter @ChiefPod, or on instagram @ChiefComplaintPodcast. Enjoy!

Links:
Links
3 Wishes Program: https://www.medscape.com/viewarticle/921096 https://annals.org/aim/article-abstract/2755629/compassionate-end-life-care-mixed-methods-multisite-evaluation-3-wishes?searchresult=1

Music:
You're There by The Mini Vandals
All Night by Ikson

Our Thanksgiving episode is here! With the holiday celebrations going on, Zach and LJ couldn't get together to record one, so instead Zach brings you a short stay about what he's thankful for. We hope you're having a wonderful thanksgiving wherever you are, and we'll see you next week for another full length episode. Happy thanksgiving everyone!

Music:
You're There by The Mini Vandals
All Night by Ikson

Episode 31 of Chief Complaint is here! Today Zach and LJ are joined by Meghan, an ED and pediatric nurse, who shares her expertise on HIE, or hypoxic-ischemic encephalopathy. Then they discuss travel nursing, it's pros and cons and if it's right for you. Finally, Meghan gives Zach a hand on 3 more NCLEX questions. If you have a question you want answered feel free to reach out to us at chiefcomplaintpod@gmail.com, on twitter @ChiefPod, or on instagram @ChiefComplaintPodcast. Enjoy!

Music:
You're There by The Mini Vandals
All Night by Ikson

A rebroadcast of our most popular episode is here. Zach and LJ are joined by special guest k8, and they discuss what issues around being true to yourself at work and how to deal with the reactions that might come from patients when you do, and then move on to cover DNRs and advanced directives. If you've got a question or comment for us, send us an email at chiefcomplaintpod@gmail.com, tweet us @ChiefPod, or find us on Instagram @ChiefComplaintPodcast. See you next week for a brand new episode!

Music:
You're There by The Mini Vandals
All Night by Ikson

Episode 32 is here! LJ and Zach get together today to talk about the efficacy (or lack thereof) of workplace wellness programs, the state of maternal healthcare in Texas, and a new segment, the news roundup! If you've got a question or comment for us, send us an email at chiefcomplaintpod@gmail.com, tweet us @ChiefPod, or find us on Instagram @ChiefComplaintPodcast. See you next week for a brand new episode!

Links:
Wellness program: https://jamanetwork.com/journals/jama/fullarticle/2730614?guestAccessKey=f67976b4-63b8-4369-983f-196774f9404e&utm_source=For_The_Media&utm_medium=referral&utm_campaign=ftm_links&utm_content=tfl&utm_term=041619
Pregnant and Uninsured: https://www.vox.com/science-and-health/2019/12/6/20995227/women-health-care-maternal-mortality-insurance-texas?fbclid=IwAR39hm-YnyYS8dH3KwwO_m-VoROyJwDn1upJBVtDxXrA-Vvh7RVlEjyaBmY
Chicago nurse killed: https://nurse.org/articles/frank-aguilar-nurse-killed-by-chicago-gang/
NYSNA agreement with NYC: https://www1.nyc.gov/office-of-the-mayor/news/616-19/mayor-de-blasio-new-york-state-nurses-association-contract-agreement
Nurse Imposter: https://www.timesnews.net/Local/2019/12/16/Impostor-nurse-charged-with-fraud-identity-theft.html?ci=stream&lp=1&p=1

Music:
You're There by The Mini Vandals
All Night by Ikson
News Sting by Kevin McCleod (incompetech.com)

Episode 33 is here! LJ and Zach are back in the studio together to discuss the dreaded Q word, then an article in the New York Times by Dr. Gina Siddiqui about an overnight shift in the ED, and finally another news roundup! If you've got a question or comment for us, send us an email at chiefcomplaintpod@gmail.com, tweet us @ChiefPod, or find us on Instagram @ChiefComplaintPodcast. See you next week for a brand new episode!

Links:
The Q Word: https://www.bmj.com/content/367/bmj.l6446?fbclid=IwAR1Xu28zfiwlcjagZv9D8RNXAZ0yUEaA6xTQKTGkDx6bP2-ZctwzQX1cgNI
Doctors Diary: https://www.nytimes.com/2019/12/16/health/emergency-room-medicine.html
Sickle Cell drugs: https://www.medscape.com/viewarticle/921815
https://www.medscape.com/viewarticle/921458
Moffitt resignations: https://www.medscape.com/viewarticle/922947
Marijuana bowel health: https://www.medscape.com/viewarticle/922841

Music:
You're There by The Mini Vandals
All Night by Ikson
News Sting by Kevin McCleod (incompetech.com)

Episode 34 is here! LJ and Zach are here with the first episode of the new decade! They talk about Catholic hospitals, a study of what happens to people after they survive an opioid overdose, and finish with another news roundup. If you've got a question or comment for us, send us an email at chiefcomplaintpod@gmail.com, tweet us @ChiefPod, or find us on Instagram @ChiefComplaintPodcast. See you next week for a brand new episode!

Links:
Catholic Hospitals: https://fivethirtyeight.com/features/why-religious-health-care-restrictions-often-take-patients-by-surprise/
Opioid Mortality: https://www.annemergmed.com/article/S0196-0644(19)30343-9/fulltext
Philippines Coconut Wine Poisoning: https://www.usatoday.com/story/news/world/2019/12/24/philippines-coconut-wine-lambanog-poisonings-least-11-dead-hundreds-sickened/2743366001/
Texas nurse shooting: https://www.houstonchronicle.com/news/houston-texas/houston/article/Nurse-killed-by-stray-bullet-during-New-Year-s-14943880.php
Year of the Nurse: https://news.un.org/en/story/2020/01/1054531
Music:
You're There by The Mini Vandals
All Night by Ikson
News Sting by Kevin McCleod (incompetech.com)

Episode 35 is here! Today Zach and LJ bring back the Chief Complaint segment and talk about DKA, then discuss an article in the New York Times about EHRs and paperwork burden, and finally talk about a chatbot that is helping people triage themselves. If you've got a question or comment for us, send us an email at chiefcomplaintpod@gmail.com, tweet us @ChiefPod, or find us on Instagram @ChiefComplaintPodcast. See you next week for a brand new episode!

Links:
NYT article on paperwork: https://www.nytimes.com/2019/12/31/opinion/doctors-nurses-and-the-paperwork-crisis-that-could-unite-them.html
Chatbot Triage: https://jamanetwork.com/journals/jamanetworkopen/fullarticle/2757995
https://www.medscape.com/viewarticle/923185

Music:
You're There by The Mini Vandals
All Night by Ikson
News Sting by Kevin McCleod (incompetech.com)

Episode 36 is here! Today Zach and LJ are joined by k8 Walton (in their second appearance on the show) and Mariah Clark, RNs at the University of Wisconsin Hospital who are helping to lead the effort currently underway to unionize the nursing workforce. They have a lengthy discussion about why they're doing it, what its been like, and how other nurses can make a similar effort. They finish up with Zach takes the NCLEX, can he be perfect again? Tune in and find out!

Music:
You're There by The Mini Vandals
All Night by Ikson
News Sting by Kevin McCleod (incompetech.com)

Episode 37 is here! LJ and Zach dive into some varied topics today, first talking about myxedema coma, then the coronavirus outbreak in China, and finally another news roundup in which they answer the all important question, should you be allowed to bring a turkey on an airplane? If you've got a question or comment for us, send us an email at chiefcomplaintpod@gmail.com, tweet us @ChiefPod, or find us on Instagram @ChiefComplaintPodcast. See you next week for a brand new episode!

Links:
Coronavirus: https://www.nytimes.com/2020/01/24/world/asia/china-coronavirus.html
Paraguayan President: https://www.medscape.com/viewarticle/924060
Airline Support Animals: https://www.reuters.com/article/us-usa-airlines-pets/no-turkeys-no-possums-us-to-let-airlines-limit-service-animals-on-planes-to-trained-dogs-idUSKBN1ZL22K
Radiology and Lead Aprons: https://www.medscape.com/viewarticle/924205#vp_2

Music:
You're There by The Mini Vandals
All Night by Ikson
News Sting by Kevin McCleod (incompetech.com)

Episode 38 is here! Today LJ and Zach are joined by guest host Rachel, and RN who has made the move from a general medicine floor to hem/onc. Find out what that change has been like for her and what she'd recommend to people going through the same. Then they talk about an article on KevinMD called "Are physicians allowed to be human?", and finally it's another news roundup. If you've got a question or comment for us, send us an email at chiefcomplaintpod@gmail.com, tweet us @ChiefPod, or find us on Instagram @ChiefComplaintPodcast. See you next week for a brand new episode!

Links:
KevinMD: https://www.kevinmd.com/blog/2020/01/are-physicians-allowed-to-be-human.html
T-Cell: https://www.msn.com/en-gb/news/uknews/immune-cell-which-kills-most-cancers-discovered-by-accident-by-british-scientists-in-major-breakthrough/ar-BBZ9jk4?fbclid=IwAR1sLQJolUDo8BhlTQcmei8VIm_wIXCVh7aheCUN7YrCs6fQeoybVvCQ29g
Nurses on strike: https://komonews.com/news/local/7800-swedish-nurses-staff-kick-off-3-day-strike
EHR kickback: https://www.medscape.com/viewarticle/924533

Music:
You're There by The Mini Vandals
All Night by Ikson
News Sting by Kevin McCleod (incompetech.com)

Episode 39 is here! Today Zach and LJ discuss whether we should always be doing CPR in the very elderly, then they talk about a new Tamiflu study and if this drug is really valuable, and finally they take on the patient room Whiteboard. If you've got a question or comment for us, send us an email at chiefcomplaintpod@gmail.com, tweet us @ChiefPod, or find us on Instagram @ChiefComplaintPodcast. See you next week for a brand new episode!

Links:
CPR, By Default: https://www.nytimes.com/2020/01/31/health/cpr-elderly.html
Tamiflu: https://first10em.com/tamiflu-doesnt-work/
Whiteboards: https://www.journalofhospitalmedicine.com/jhospmed/article/127377/patient-whiteboards-hospital-setting

Music:
You're There by The Mini Vandals
All Night by Ikson
News Sting by Kevin McCleod (incompetech.com)

Episode 40 is here! Thanks for joining us after our week away, LJ is on the mend and she and Zach get together this week to talk about bipolar disorder vs schizophrenia, a KevinMD article about nurses being treated like hotel workers, and finally what to do when you think a colleague is not meeting the standard of care. If you've got a question or comment for us, send us an email at chiefcomplaintpod@gmail.com, tweet us @ChiefPod, or find us on Instagram @ChiefComplaintPodcast. See you next week for a brand new episode!

Links:
Nurses as hotel workers: https://www.kevinmd.com/blog/2020/01/nurses-are-sick-of-being-treated-like-hotel-workers.html

Music:
You're There by The Mini Vandals
All Night by Ikson
News Sting by Kevin McCleod (incompetech.com)

Episode 41 is here! Zach and LJ get together to talk about another ZDoggMD rant, this time regarding the Epic EHR system, then they cover an article from US News and World Report about the increasing prevalence of liver disease in young people, and finally they talk about SVT in children. Chief Complaint will be off next week for spring break, we'll see you in two weeks time! If you've got a question or comment for us, send us an email at chiefcomplaintpod@gmail.com, tweet us @ChiefPod, or find us on Instagram @ChiefComplaintPodcast. See you next week for a brand new episode!

Links:
ZDoggMD on Epic: https://www.youtube.com/watch?v=qoQs162YwWY
USNews on alcohol related disease: https://www.usnews.com/news/healthiest-communities/articles/2020-02-25/alcohol-is-killing-younger-adults-at-an-increasing-rate

Music:
You're There by The Mini Vandals
All Night by Ikson
News Sting by Kevin McCleod (incompetech.com)

Episode 42 is finally here! LJ and Zach are back on to talk about COVID-19 and how it's impacting our healthcare system. It's a wide-ranging discussion that is not over yet, but will be continued in part 2. So please, if you've got a question or comment for us, send us an email at chiefcomplaintpod@gmail.com, tweet us @ChiefPod, or find us on Instagram @ChiefComplaintPodcast. See you next week for a brand new episode!

Music:
You're There by The Mini Vandals
All Night by Ikson
KLAS ATIS clip from LiveATC.net

Episode 43 is here, and it's our one year podcasting anniversary! Today LJ and Zach celebrate one year of Chief Complaint by finishing off their discussion of COVID-19, and talking about an article on the KevinMD blog by Desiree La Charite about the experience of having to watch her father suffer from COVID-19, without being able to be there with him. If you've got a question or comment for us, send us an email at chiefcomplaintpod@gmail.com, tweet us @ChiefPod, or find us on Instagram @ChiefComplaintPodcast. See you next week for a brand new episode!

Links:
MD's father with COVID-19: https://www.kevinmd.com/blog/2020/03/covid-19-time-is-the-one-thing-we-can-never-get-back.html

Music:
You're There by The Mini Vandals
All Night by Ikson

Episode 44 is here! Today Zach and LJ are joined by special guest Laura, a float pool RN who gives us her expertise on what it's like to work without a home unit. They also talk about hospital emergency preparedness; the good, the bad, and the ugly. Enjoy!

Music:
You're There by The Mini Vandals
All Night by Ikson

Episode 45 is here! Today, LJ and Zach are joined by ED RN Meghan, as they spend an episode talking about obstetrical emergencies and precipitous labor. Meghan shares the tale of a particularly precipitous delivery that she attended, and then gang goes for gold on Zach takes the NCLEX, as LJ has devised not 3 but 4 devious questions. Do Zach and Meghan have what it takes to defeat the test? Tune in and find out!

Music:
You're There by The Mini Vandals
All Night by Ikson

Episode 46 is here! Today Zach and LJ talk about layoffs of healthcare workers, antibiotic stewarship, and hospital efforts to keep doctors and nurses from speaking out. Enjoy!

Links:
Censorship: https://www.theatlantic.com/ideas/archive/2020/04/why-are-hospitals-censoring-doctors-and-nurses/609766/
Antibiotics: https://www.medscape.com/viewarticle/915906
Layoffs: https://www.theguardian.com/us-news/2020/apr/14/healthcare-job-cuts-coronavirus-worker-layoffs

Music:
You're There by The Mini Vandals
All Night by Ikson

Episode 47 is here! Today Zach and LJ talk about what happens when a healthcare worker suffers an exposure on the job, then they'll cover some quack COVID-19 remedies, and finally they talk about magic mushrooms and their potential to treat PTSD. Enjoy!

Links:
Psilocybin: https://www.marijuanamoment.net/oregon-campaigns-to-legalize-psilocybin-mushrooms-and-decriminalize-drugs-team-up-to-qualify-for-ballot/?fbclid=IwAR20-aip5TRUu421N_tHAWtgXFYOhNdi6jZG_ZYj6q6XKqLCdPCYLGX0nyc
https://www.prnewswire.com/news-releases/could-this-be-the-medical-breakthrough-for-the-next-decade-301051217.html?fbclid=IwAR3gx10OKd-E5P-u1CmuaaMghp-U8WZkMYKP47AhemFjJ8ZVeB2TwCanOsQ
FDA: https://www.fda.gov/consumers/health-fraud-scams/fraudulent-coronavirus-disease-2019-covid-19-products

Music:
You're There by The Mini Vandals
All Night by Ikson

Episode 48 is here! Today LJ and Zach talk orthopedic emergencies, they give you a COVID-19 update, and then discuss nursing leadership. Enjoy!

Music:
You're There by The Mini Vandals
All Night by Ikson

Episode 49 is here! Today Zach and LJ talk about hazardous drugs and how to handle them, standing orders vs specific orders, and Guillain-Barre syndrome. Then Zach faces some cardiac questions on the NCLEX. Can he rebound from his 1-for-3 performance last week? Tune in to find out!

Music:
You're There by The Mini Vandals
All Night by Ikson

Episode 50 is here! Hard to believe we've made it to a half-century of episodes, but today Zach and LJ are back on to discuss a listener question regarding travel nursing, and then they cover vintage medical equipment. Enjoy!

Links:
Iron Lung: https://people.com/health/polio-survivor-last-3-people-use-iron-lung/
Bail funds: https://bailfunds.github.io/
ACLU: https://action.aclu.org/give/now

Music:
You're There by The Mini Vandals
All Night by Ikson

Episode 51 is here! Today Zach and LJ are joined by Ethan Moses, part of the team at openventilator.io working on designing an entirely open-sourced ventilator. What does that mean, how does it work, and how can you help? Tune in to find out! This is a long as the conversation with Ethan goes just over an hour, but it's well worth it. Enjoy!

Links:
Project site: www.openventilator.io
Openventilator.io video: https://www.youtube.com/watch?v=AecHnt-CF5k

Music:
You're There by The Mini Vandals
All Night by Ikson

Episode 52 is here! Today LJ and Zach get back together to discuss the WHO and the consequences of the US withdrawing from it, then they talk about some downstream effects of COVID-19, and finally talk about bad clinical experiences. Enjoy!

Music:
You're There by The Mini Vandals
All Night by Ikson

Episode 53 is here! Today Zach and LJ join up to talk about Remdesivir, its expense and its evidence base, unusual paths that people take to get their MD, and finally they have a special guest in the final segment. Enjoy!

Links:
Mother and Daughter MDs: https://www.medscape.com/viewarticle/932195
MLB MD: https://www.medscape.com/viewarticle/929117
Mechanic to MD: https://www.medscape.com/viewarticle/917708
Remdesivir pricing: https://www.statnews.com/2020/06/29/gilead-announces-remdesivir-price-covid-19/
Remdesivir study: https://www.nejm.org/doi/full/10.1056/NEJMoa2007764
ICER Analysis: https://icer-review.org/announcements/updated_icer-covid_models_june_24/

Music:
You're There by The Mini Vandals
All Night by Ikson

Episode 54 is here! Today LJ and Zach talk about moral injury in the context of the current pandemic, heat emergencies, and do a COVID-19 news roundup. Enjoy!

Links:
Moral Injury: https://elemental.medium.com/the-ptsd-like-affliction-thats-traumatizing-health-care-workers-1864be616086
Coronavirus roundup: https://floridacovidaction.files.wordpress.com/2020/07/carsyn-leigh.pdf
https://www.cnbc.com/2020/07/16/us-coronavirus-data-has-already-disappeared-after-trump-administration-shifted-control-from-cdc-to-hhs.html
https://www.nbcnews.com/news/us-news/georgia-gov-brian-kemp-bans-local-governments-mandating-masks-n1234046

Music:
You're There by The Mini Vandals
All Night by Ikson
News Sting by Kevin McCleod (incompetech.com)

Episode 55 is here! Today Zach and LJ are joined by returning guest Meghan, who joined us back on episode 31. The gang talks about professionalism and a bizarre study that triggered the hashtag #medbikini, and then they go over the MD/RN relationship, and how we can try and improve it. Enjoy!

Links:
Professionalism study: https://www.jvascsurg.org/article/S0741-5214(19)32587-X/pdf?fbclid=IwAR3esPZ0P3EW7_75BSko2cXjqGT58nyg9tevqMCJoR1Ka2c-YwxbdGlGcuU

Music:
You're There by The Mini Vandals
All Night by Ikson

Episode 56 is here! Today, LJ and Zach talk about a pair of op-eds, one in The Atlantic and another in the Washington Post, urging teachers to return to the classroom. Is this a good idea? Then LJ has a special graduation surprise for Zach, who finished up his BSN last week Friday! Enjoy!

Links:
https://www.washingtonpost.com/opinions/covid-19-isnt-going-anywhere-so-schools-must-reopen/2020/08/07/8f2c2cde-d8e2-11ea-aff6-220dd3a14741_story.htm
https://www.theatlantic.com/ideas/archive/2020/08/im-nurse-teachers-should-do-their-jobs-like-i-did/614902/

Music:
You're There by The Mini Vandals
All Night by Ikson

Episode 57 is finally here! Today is a bit of a personal episode, as Zach talks about taking the actual NCLEX, and also having a baby! LJ gives us the rundown on her new travel gig, and then we adjourn until next week. Enjoy!

Music:
You're There by The Mini Vandals
All Night by Ikson

Episode 58 is here! Today LJ and Zach get together to discuss massive transfusion protocols, an explosive story about ICE abuses and the ethical issues surrounding working with law enforcement, as well as some of the stranger aspects of the NCLEX. Enjoy!

Links:
BBC ICE Story: https://www.bbc.com/news/world-us-canada-54160638
David Eckert: https://www.cnn.com/2014/01/16/justice/new-mexico-search-settlement/index.html
ACEP: https://www.acepnow.com/article/must-emergency-physician-comply-body-cavity-search-warrant/?singlepage=1&theme=print-friendly
ANA Ethics: https://www.nursingworld.org/coe-view-only

Music:
You're There by The Mini Vandals
All Night by Ikson

Episode 59 is here! Today LJ and Zach have a short, light-hearted episode for you, they talk about hospital color codes (what is a code brown? the answer may surprise you!) and then hospital awards. They'll be debuting a new segment next week to replace Zach takes the NCLEX, enjoy!

Music:
You're There by The Mini Vandals
All Night by Ikson

Episode 60 is here! Today Zach and LJ are joined by Kealie for her second appearance. Kealie came on the show back on episode 17 to talk about being a new nurse, and she's back to talk about what her career is like one year later. Then the gang discusses ethics in communicating with patients, loved ones, and colleagues. Finally, a new segment to replace Zach takes the NCLEX is unveiled. Enjoy!

Music:
You're There by The Mini Vandals
All Night by Ikson

Episode 62 is here! Apologies that episode 61 never came around, there was an audio issue that couldn't be resolved. Today, Zach and LJ discuss the surge in COVID cases and what it means for hospitals and the people that work in them. Then, LJ interviews special guest Ajin about what it's like be an RN in the OR. Finally, Zach and LJ give each other questions from the Certified Perioperative Nurse exam. Can they join Ajin in the OR? Stay tuned to find out!

Links:
Grand Forks Herald - COVID surge: https://www.grandforksherald.com/newsmd/coronavirus/6753876-With-North-Dakota-hospitals-at-100-capacity-Burgum-announces-COVID-positive-nurses-can-stay-at-work

Music:
You're There by The Mini Vandals
All Night by Ikson

Episode 63 is (finally) here! After a long, long time away, LJ and Zach are back with an episode discussing LJ's recent travel assignment out west, and they're joined by returning guest Beth! This is a long and free-form discussion of everything that goes along with working at a place that has many, many sick COVID-19 patients, we hope you enjoy it. Stay tuned for the final segment in which Beth and LJ guess the names of...snow plows? Enjoy!

Music:
You're There by The Mini Vandals
All Night by Ikson

Episode 64 is here! Zach and LJ get back together to talk about nurse staffing ratios and what they mean, the COVID vaccine and its rollout and adoption, and finally they ask each some questions about nursing itself. Enjoy!

Music:
You're There by The Mini Vandals
All Night by Ikson

Welcome to the first episode of Chief Complaint! Experienced RN LJ and pre-nursing student Zach are here to give you the low down on patient care, nursing practice, and professional issues. Today we cover the potential nurse's strike in NYC, issues of staffing more generally, and talk a little bit about triage. Finally, LJ poses 3 NCLEX questions for Zach to answer. If you have questions you want answered, send us an email at ChiefComplaintPod@gmail.com, or send us a tweet @ www.twitter.com/chiefpod. Talk to you soon!

Gothamist article:
http://gothamist.com/2019/03/20/nurses_strike_nyc.php

Music:
You're There by The Mini Vandals
All Night by Ikson