The novel coronavirus, COVID-19, was declared a pandemic this week by the World Health Organization. Christine breaks down the science behind COVID-19 with Tina from Good Nurse Bad Nurse along with possible therapies, and how we can all help to reduce transmission (hint TP stashing isn’t at the top of the list!). Everything discussed was sourced from the CDC, WHO, and research articles accessed from The Lancet’s COVID-19 Resource Centre Information is up to date as of Friday morning 3/13/2020. As always consult your local providers and Departments of Health on any treatments or testing.    Sources:   Clinical Presentation WHO Management Guidelines for Severe COVID19 Cases  https://link.springer.com/article/10.1007/s00109-006-0094-9/figures/1 https://www.thelancet.com/journals/lancet/article/PIIS0140-6736(20)30566-3/fulltexthttps://www.intmedpress.com/servefile.cfm?suid=35d8dc5e-70f4-491f-acad-e35f99be9211 https://academic.oup.com/jac/article/62/3/437/734735#12942592 https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3323075/ https://www.thelancet.com/journals/lancet/article/PIIS0140-6736(20)30566-3/fulltext Subscribe, rate, & review Antidotes, Stories in Medicine wherever you listen to podcasts!   Follow us on social media for updates & join our facebook group for exclusive content Facebook www.facebook.com/antidotespodcast/ Instagram www.instagram.com/antidotespodcast/ Twitter @antidotespod   Want to share your own story? Send us an email at antidotespodcast@gmail.com   Original Music for Antidotes, Stories in Medicine created by Peter Hopkins Check out more of Pete’s music on social media at https://www.petesingsthings.com/ www.instagram.com/pete_sings_things/ www.youtube.com/channel/UCiEniWAPraur5nmlGa2JcVw/videos www.facebook.com/pete.sings.things/   Disclaimer: This podcast is not meant to provide medical advice. Always consult with your own health care professional. Names, locations, times & any other potentially identifying information about cases discussed have been changed to protect privacy. 

Antidotes, Stories in Medicine

COVID-19

People who are drawn to healthcare tend to be amazingly compassionate, resilient, and hardworking, but the path each of us takes to our goals can vary just as much as the types of careers that exist in medicine.  Registered Nurse, Robin, candidly shares how her prior jobs as an exotic dancer & stripper taught her valuable skills that translate unbelievably well to MedSurg nursing and the ICU. After all, dealing with drunk men at a strip club is not much different than handling a combative GSW patient and their rowdy family members; only the shoes are a bit more comfortable.    Subscribe, rate, & review Antidotes, Stories in Medicine wherever you listen to podcasts!   Follow us on social media for updates & join our facebook group for exclusive content Facebook  Instagram Twitter @antidotespod   Want to share your own story? Send us an email at antidotespodcast@gmail.com   Original Music for Antidotes, Stories in Medicine created by Peter Hopkins Check out more of Pete’s music on social media at https://www.petesingsthings.com/ www.instagram.com/pete_sings_things/ www.youtube.com/channel/UCiEniWAPraur5nmlGa2JcVw/videos www.facebook.com/pete.sings.things/ Disclaimer: This podcast is not meant to provide medical advice. Always consult with your own health care professional. Names, locations, times & any other potentially identifying information about cases discussed have been changed to protect privacy. 

Experiences May Vary

After a bit of a hiatus Antidotes, Stories in Medicine is back featuring Geriatrician & author, Dr. Louise Aronson, MD. Louise shares beautiful stories about aging with Christine from her new book, Elderhood: Redefining Aging, Transforming Medicine, Reimagining Life. The bestselling author- physician discusses how the later part of life can be fullest despite many societal misconceptions and the role of healthcare providers in promoting wellbeing when work may stop, but life certainly continues.  Elderhood: Redefining Aging, Transforming Medicine, Reimagining Life by Dr. Louise Aronson, MD is available at your local bookstore & major retailers such as Barnes & Noble and Amazon Find Louise at https://louisearonson.com/    Subscribe, rate, & review Antidotes, Stories in Medicine wherever you listen to podcasts!   Follow us on social media for updates & join our facebook group for exclusive content Facebook www.facebook.com/antidotespodcast/ Instagram www.instagram.com/antidotespodcast/ Twitter @antidotespod Follow Christine on Twitter @christinethenp     Have a story of your own you would like read on the podcast or want to be interviewed by Christine?  Send us an email at antidotespodcast@gmail.com Original Music for Antidotes, Stories in Medicine created by Peter Hopkins Check out more of Pete’s music on social media at https://www.petesingsthings.com/ www.instagram.com/pete_sings_things/ www.youtube.com/channel/UCiEniWAPraur5nmlGa2JcVw/videos www.facebook.com/pete.sings.things/ Disclaimer: This podcast is not meant to provide medical advice. Always consult with your own health care professional. Names, locations, times & any other potentially identifying information about cases discussed have been changed to protect privacy. 

Stories from Elderhood: Redefining Aging, Transforming Medicine, Reimagining Life

We are back to Inova Loudoun to discuss the innovative FACT*R program which brings blood directly to entrapped trauma patients.  Dr. John Morgan, Operational Medical Director for Loudoun County Combined Fire & Rescue System and Stephanie Boese, RN, MSN, CCRN, TCRN, Trauma Program Manager for Inova Loudoun Hospital discuss the call that prompted the creation of the Field Available Component Transfusion Response and how the program is changing the way ground EMS agencies respond to the most critical traumas.    FACT*R: https://wtop.com/virginia/2019/03/new-fire-and-rescue-program-delivers-blood-trapped-crash-victims/ Inova Loudoun: https://www.inova.org/patient-and-visitor-information/facilities/inova-loudoun-hospital/index.jsp Inova Donor Services: https://www.inovablood.org/ Subscribe, rate, & review Antidotes, Stories in Medicine wherever you listen to podcasts!   Follow us on social media for updates & join our facebook group for exclusive content Facebook www.facebook.com/antidotespodcast/ Instagram www.instagram.com/antidotespodcast/ Twitter @antidotespod Follow Christine on Twitter @christinethenp     Have a story of your own you would like read on the podcast or want to be interviewed by Christine?  Send us an email at antidotespodcast@gmail.com Original Music for Antidotes, Stories in Medicine created by Peter Hopkins Check out more of Pete’s music on social media at https://www.petesingsthings.com/ www.instagram.com/pete_sings_things/ www.youtube.com/channel/UCiEniWAPraur5nmlGa2JcVw/videos www.facebook.com/pete.sings.things/ Disclaimer: This podcast is not meant to provide medical advice. Always consult with your own health care professional. Names, locations, times & any other potentially identifying information about cases discussed have been changed to protect privacy. 

FACT*R

This week we return to the topic of the 2013 Boston Marathon Bombing with Emergency Medicine physician, Dr. Bryan Canterbury. Dr. Canterbury was one of many medical professionals, but only a few ER docs, who ran to the finish line on that sunny April day to treat the hundreds of victims injured after 2 bombs exploded during Boston’s hallowed race. With his typical candor & humility, Dr. Canterbury remarks on the differences between working traumas in the street versus the natural habitat of the ER physician, a well stocked & staffed hospital.   Note:  I would like to correct the name mentioned in the podcast. The man who held the femoral artery of Jeff Bauman is name Carlos Arredondo, a Costa Rican-American and Gold Star Father. Carlos’ son, Marine LCpl Alexander Arredondo, was KIA in Iraq on 25 August 2004. Since then Carlos has worked as a peace activist as well as an advocate for Veteran mental health. He was at the 2013 Boston Marathon finish line to cheer on runners from National Guard Tough Ruck, one of whom was running for his son.  I encourage you to find out more about Carlos Arrendondo https://en.wikipedia.org/wiki/Carlos_Arredondo   Subscribe, rate, & review Antidotes, Stories in Medicine wherever you listen to podcasts!   Follow us on social media for updates & join our facebook group for exclusive content Facebook www.facebook.com/antidotespodcast/ Instagram www.instagram.com/antidotespodcast/ Twitter @antidotespod Follow Christine on Twitter @christinethenp   Have a story of your own you would like read on the podcast or want to be interviewed by Christine? Send us an email at antidotespodcast@gmail.com Original Music for Antidotes, Stories in Medicine created by Peter Hopkins Check out more of Pete’s music on social media at https://www.petesingsthings.com/ www.instagram.com/pete_sings_things/ www.youtube.com/channel/UCiEniWAPraur5nmlGa2JcVw/videos www.facebook.com/pete.sings.things/ Disclaimer: This podcast is not meant to provide medical advice. Always consult with your own health care professional. Names, locations, times & any other potentially identifying information about cases discussed have been changed to protect privacy. 

The Boston Marathon Bombing: The Doctor

It’s our first on-location recording! This week we venture out to Inova Loudoun Hospital in Leesburg, Virginia to hear what happens when critical care medicine meets classical musicianship. Clinical Nurse Specialist, Amanda, & Music Therapist, Ray, took time out of their busy day to explain their original research into how music therapy helps improve pain, anxiety, and so much more for some of the sickest patients in their hospital. Many thanks to Renee’ Brohard, Amanda Golino, MSN, RN, CCRN, CCNS, RN-BC, and Raymond Leone, MMT, MT-BC of Inova Loudoun www.inova.org/ilh   Original research by Amanda & Ray: Golino, A. J., Leone, R., Gollenberg, A., Christopher, C., Stanger, D., Davis, T. M., … Friesen, M. A. (2019). Impact of an active music therapy intervention on intensive care patients. American Journal of Critical Care 28 (1), 48-55. http://bit.ly/ICUMusic   Links to topics discussed in the episode -A Place to Be, music therapy in Virginia- www.aplacetobeva.org -Different Strokes for Different Folks: Choir for people who have suffered strokes http://bit.ly/2w9CCGG -Sound Health https://www.nih.gov/research-training/medical-research-initiatives/sound-health Subscribe, rate, & review Antidotes, Stories in Medicine wherever you listen to podcasts!   Follow us on social media for updates & join our facebook group for exclusive content Facebook www.facebook.com/antidotespodcast/ Instagram www.instagram.com/antidotespodcast/ Twitter @antidotespod Follow Christine on Twitter @christinethenp   Have a story of your own you would like read on the podcast or want to be interviewed by Christine? Send us an email at antidotespodcast@gmail.com Original Music for Antidotes, Stories in Medicine created by Peter Hopkins Check out more of Pete’s music on social media at https://www.petesingsthings.com/ www.instagram.com/pete_sings_things/ www.youtube.com/channel/UCiEniWAPraur5nmlGa2JcVw/videos www.facebook.com/pete.sings.things/ Disclaimer: This podcast is not meant to provide medical advice. Always consult with your own health care professional. Names, locations, times & any other potentially identifying information about cases discussed have been changed to protect privacy. 

An Evidence Based Intervention of Art

Dr. Richard Sagall, founder of the website NeedyMeds.org, joins the show this week to share just some of the incredible services his site offers to help people across the US afford their medication. Dr. Sagall and Christine also discuss skepticism, rising costs in health care, and the ever growing issue of false information in medicine.   Visit www.NeedyMeds.org online or on their app to see even more programs than those discussed in the episode. Subscribe, rate, & review Antidotes, Stories in Medicine wherever you listen to podcasts!   Follow us on social media for updates & join our facebook group for exclusive content Facebook www.facebook.com/antidotespodcast/ Instagram www.instagram.com/antidotespodcast/ Twitter @antidotespod Follow Christine on Twitter @christinethenp   Have a story of your own you would like read on the podcast or want to be interviewed by Christine? Send us an email at antidotespodcast@gmail.com Original Music for Antidotes, Stories in Medicine created by Peter Hopkins Check out more of Pete’s music on social media at   https://www.petesingsthings.com/ www.instagram.com/pete_sings_things/ www.youtube.com/channel/UCiEniWAPraur5nmlGa2JcVw/videos www.facebook.com/pete.sings.things/ Disclaimer: This podcast is not meant to provide medical advice. Always consult with your own health care professional. Names, locations, times & any other potentially identifying information about cases discussed have been changed to protect privacy. 

Needy Meds

Six years after the Boston Marathon Bombing Christine speaks with someone who experienced it, her father. George shares what that day was like & what Boston Marathon means for the runners who participate every year, including the spirit & sense of community that was not broken despite the actions of two terrorists on April 15, 2013.   Subscribe, rate, & review Antidotes, Stories in Medicine wherever you listen to podcasts!   Follow us on social media for updates & join our facebook group for exclusive content Facebook www.facebook.com/antidotespodcast/ Instagram www.instagram.com/antidotespodcast/ Twitter @antidotespod Follow Christine on Twitter @christinethenp   Have a story of your own you would like read on the podcast or want to be interviewed by Christine? Send us an email at antidotespodcast@gmail.com Original Music for Antidotes, Stories in Medicine created by Peter Hopkins Check out more of Pete’s music on social media at   https://www.petesingsthings.com/ www.instagram.com/pete_sings_things/ www.youtube.com/channel/UCiEniWAPraur5nmlGa2JcVw/videos www.facebook.com/pete.sings.things/ Disclaimer: This podcast is not meant to provide medical advice. Always consult with your own health care professional. Names, locations, times & any other potentially identifying information about cases discussed have been changed to protect privacy. 

The Boston Marathon Bombing: The Runner

This week we stay on the topic of medicine, but the species is a bit different as we delve into veterinary medicine with UK equine vet Naomi Mellor. While some of the terms & concepts may be similar, Naomi proves the old adage, “a whole different animal” really rings true when treating horses compared to humans. Find Naomi’s podcast, Smashing the Ceiling wherever you listen to Antidotes, Stories in Medicine and on social media at Instagram @smashingtheceiling Facebook https://www.facebook.com/smashingtheceiling/ Subscribe, rate, & review Antidotes, Stories in Medicine wherever you listen to podcasts!   Follow us on social media for updates & join our facebook group for exclusive content Facebook www.facebook.com/antidotespodcast/ Instagram www.instagram.com/antidotespodcast/ Twitter @antidotespod Follow Christine on Twitter @christinethenp   Have a story of your own you would like read on the podcast or want to be interviewed by Christine? Send us an email at antidotespodcast@gmail.com Original Music for Antidotes, Stories in Medicine created by Peter Hopkins Check out more of Pete’s music on social media at https://www.petesingsthings.com/ www.instagram.com/pete_sings_things/ www.youtube.com/channel/UCiEniWAPraur5nmlGa2JcVw/videos www.facebook.com/pete.sings.things/   Disclaimer: This podcast is not meant to provide medical advice. Always consult with your own health care professional. Names, locations, times & any other potentially identifying information about cases discussed have been changed to protect privacy. 

A Whole Different Animal

Affectionately dubbed ‘The Combat Midwife’ by the over 10,000 US Army combat medics she has taught throughout the years, Jess, a Certified Professional Midwife, Paramedic, & EMS educator, joins the podcast this week to share tales of catching babies & teaching US service members the best in pre-hospital casualty care.   Follow Jess on instagram @combatmidwife Subscribe, rate, & review Antidotes, Stories in Medicine wherever you listen to podcasts!   Follow us on social media for updates & join our facebook group for exclusive content Facebook www.facebook.com/antidotespodcast/ Instagram www.instagram.com/antidotespodcast/ Twitter @antidotespod Follow Christine on Twitter @christinethenp   Have a story of your own you would like read on the podcast or want to be interviewed by Christine? Send us an email at antidotespodcast@gmail.com Original Music for Antidotes, Stories in Medicine created by fellow Army Medic Peter Hopkins Check out more of Pete’s music on social media at   https://www.petesingsthings.com/ www.instagram.com/pete_sings_things/ www.youtube.com/channel/UCiEniWAPraur5nmlGa2JcVw/videos www.facebook.com/pete.sings.things/ Disclaimer: This podcast is not meant to provide medical advice. Always consult with your own health care professional. Names, locations, times & any other potentially identifying information about cases discussed have been changed to protect privacy. 

The Combat Midwife

Bonus!  Firefighter Dan from the episode “Why We Do It” returns to share what it was like finish the stair climb, thank everyone who donated & update us on how EMT school is going! Listen to the end to find out how you can win a signed copy of Dr. Jonathan Howard’s book, Cognitive Errors & Diagnostic Mistakes. Subscribe, rate, & review Antidotes, Stories in Medicine wherever you listen to podcasts!   Follow us on social media for updates & join our facebook group for exclusive content Facebook www.facebook.com/antidotespodcast/ Instagram www.instagram.com/antidotespodcast/ Twitter @antidotespod Follow Christine on Twitter @christinethenp   Have a story of your own you would like read on the podcast or want to be interviewed by Christine? Send us an email at antidotespodcast@gmail.com Original Music for Antidotes, Stories in Medicine created by Peter Hopkins Check out more of Pete’s music on social media at   https://www.petesingsthings.com/ www.instagram.com/pete_sings_things/ www.youtube.com/channel/UCiEniWAPraur5nmlGa2JcVw/videos www.facebook.com/pete.sings.things/ Disclaimer: This podcast is not meant to provide medical advice. Always consult with your own health care professional. Names, locations, times & any other potentially identifying information about cases discussed have been changed to protect privacy. 

Firefighter Dan Update

Storytelling is a powerful part of human culture as clearly evidenced by the power of podcasts particularly this one, which focuses on medical anecdotes to both entertain & inform. However, the emotional response of anecdotes can be used to spread misinformation & create harm when used to contradict evidence based medicine by anti-vaccine or so called “alternative medicine” advocates. Lucky for us, Dr. Jonathon Howard, a neurologist & psychiatrist, who has written a book on critical thinking & cognitive biases in medicine joins the podcast this week to explain why are brains like stories & how that can be used against us.   Books Referenced in this episode: Cognitive Errors & Diagnostic Mistakes: A Case-Based Guide To Critical Thinking in Medicine by Dr. Jonathon Howard, MD https://www.springer.com/us/book/9783319932231   The Man Who Mistook His Wife for a Hat by Dr. Oliver Sacks, MD   Nostrums and quackery; articles on the nostrum evil and quackery, Compiled by the Journal of the American Medical Association https://archive.org/details/nostrumsquackery00amerrich   Dollars for Docs Website https://projects.propublica.org/docdollars/   Subscribe, rate, & review Antidotes, Stories in Medicine wherever you listen to podcasts!   Follow us on social media for updates & join our facebook group for exclusive content Facebook www.facebook.com/antidotespodcast/ Instagram www.instagram.com/antidotespodcast/ Twitter @antidotespod Follow Christine on Twitter @christinethenp   Have a story of your own you would like read on the podcast or want to be interviewed by Christine? Send us an email at antidotespodcast@gmail.com Original Music for Antidotes, Stories in Medicine created by Peter Hopkins Check out more of Pete’s music on social media at https://www.petesingsthings.com/ www.instagram.com/pete_sings_things/ www.youtube.com/channel/UCiEniWAPraur5nmlGa2JcVw/videos www.facebook.com/pete.sings.things/ Disclaimer: This podcast is not meant to provide medical advice. Always consult with your own health care professional. Names, locations, times & any other potentially identifying information about cases discussed have been changed to protect privacy. 

Anecdotes on Biases & Quackery

While kids are at school their health & wellbeing is watched over by a handful of diligent nurses who juggle a multitude of roles to fulfill the needs of public health, mental health, addiction counseling, emergency medicine, career counseling, & preventive medicine. Tessa, one of three school nurses for a district of 3,500 student ages 5- 21, shares what just a tiny part of what her job is like to helps kids stay healthy as they grow up in American public schools. Subscribe, rate, & review Antidotes, Stories in Medicine wherever you listen to podcasts!   Follow us on social media for updates & join our facebook group for exclusive content Facebook www.facebook.com/antidotespodcast/ Instagram www.instagram.com/antidotespodcast/ Twitter @antidotespod Follow Christine on Twitter @christinethenp   Have a story of your own you would like read on the podcast or want to be interviewed by Christine? Send us an email at antidotespodcast@gmail.com Original Music for Antidotes, Stories in Medicine created by Peter Hopkins Check out more of Pete’s music on social media at   https://www.petesingsthings.com/ www.instagram.com/pete_sings_things/ www.youtube.com/channel/UCiEniWAPraur5nmlGa2JcVw/videos www.facebook.com/pete.sings.things/ Disclaimer: This podcast is not meant to provide medical advice. Always consult with your own health care professional. Names, locations, times & any other potentially identifying information about cases discussed have been changed to protect privacy. 

The School Nurse

Who has checked the organ donor box on their driver’s license form? Is there a little heart nestled somewhere among the essential stats that make up your identity? If so, have you ever considered what it would be like to donate your organs or what about need an organ? When Elissa found herself suddenly herself needing a heart after a viral infection in her early 20s, someone who had checked that box allowed her to be able to share the incredible story with us today.   Check out Elissa’s Yoga instagram @eoyoga   Subscribe, rate, & review Antidotes, Stories in Medicine wherever you listen to podcasts!   Follow us on social media for updates & join our facebook group for exclusive content Facebook www.facebook.com/antidotespodcast/ Instagram www.instagram.com/antidotespodcast/ Twitter @antidotespod Follow Christine on Twitter @christinethenp   Have a story of your own you would like read on the podcast or want to be interviewed by Christine? Send us an email at antidotespodcast@gmail.com Original Music for Antidotes, Stories in Medicine created by Peter Hopkins Check out more of Pete’s music on social media at   https://www.petesingsthings.com/ www.instagram.com/pete_sings_things/ www.youtube.com/channel/UCiEniWAPraur5nmlGa2JcVw/videos www.facebook.com/pete.sings.things/ Disclaimer: This podcast is not meant to provide medical advice. Always consult with your own health care professional. Names, locations, times & any other potentially identifying information about cases discussed have been changed to protect privacy. 

A Brief Dip Into Death

Break time is over & this week features Kim, an Emergency Room travel nurse from the fantastic podcast People Are Wild, to share to some insights into medicine picked up from years of crisscrossing the country by way of trauma bays. Christine & Kim discuss everything from the most absurd footwear in acute care to how even prime time TV can’t get as wild as real ER stories.   Check out People Are Wild on twitter @peoplearewild    Subscribe, rate, & review Antidotes, Stories in Medicine wherever you listen to podcasts!   Follow us on social media for updates & join our facebook group for exclusive content Facebook www.facebook.com/antidotespodcast/ Instagram www.instagram.com/antidotespodcast/ Twitter @antidotespod Follow Christine on Twitter @christinethenp   Have a story of your own you would like read on the podcast or want to be interviewed by Christine? Send us an email at antidotespodcast@gmail.com Original Music for Antidotes, Stories in Medicine created by Peter Hopkins Check out more of Pete’s music on social media at   https://www.petesingsthings.com/ www.instagram.com/pete_sings_things/ www.youtube.com/channel/UCiEniWAPraur5nmlGa2JcVw/videos www.facebook.com/pete.sings.things/ Disclaimer: This podcast is not meant to provide medical advice. Always consult with your own health care professional. Names, locations, times & any other potentially identifying information about cases discussed have been changed to protect privacy. 

Foreign Bodies Are Wild

How each of us practices medicine is uniquely shaped by our experiences. Christine, a nurse practitioner as well as former EMT & Army medic, speaks with medical professionals from all specializations across the globe about the stories that have influenced how they practice medicine. Paramedics, nurses, doctors, & more recount tales that range from funny to wild to profoundly moving, but no matter the role, culture, or country, all are working to make humanity better any way they can.

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Antidotes, Stories in Medicine

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