Talking All Things Cardiopulm

Time to dust off those cobwebs if you have been in the field for some time, and re-investigate the patient-client management model. Why do you care about this verbiage? Because you will need to overlay the ICF model and the patient-client management model when writing up your MOSC Case.  Although they are separate entities they very much intertwine and share a common theme, with very different wor...

Are you an ABPTs certified specialist? Are you knee-deep in the MOSC or are you not sure where to start?? Join me as I break down the MOSC application. Learn from my early shortcomings and take advantage of the inside tips to take on your application cycle with ease. Organization is key. Let me help lay the groundwork to set you up for success for years to come.   In this episode: Direct qualifica...

Are you a board-certified physical therapy specialist?  Have you started the MOSC process yet? MOSC is the Maintenance of Specialty Certification process utilized by the ABPTS to help PTs re-certify in their specialty area. It’s essentially a portfolio to showcase your competence in your specialty area. Before I go into the ins and outs of the MOSC application I wanted to first tackle the ICF mode...

In this episode Dr. Burriesci discusses the common question about sternal precautions: Is there a Standard?  As simple as this question may seem, there is a ton of nuance and a ton of variation across the country, across hospital systems and across surgeons.  This is then followed up with the question: are these standards to restrictive? Are there other options? Should we be moving away from these...

This episode starts with a little recap from the past week.  The astrological world came in with a vengeance and Dr. B definitely felt the wild energy last week.  We learn more about Remy, the cute pup you will likely see on her IG stories, and the highs, lows and plateaus of training. All is good, just a hiccup in time, a slight low after an appreciated plateau. But as we all know with anything w...

Have you ever had a new job?  Have you ever had an expectation of what the orientation process would look like? Ever expect mentorship and didn’t get it?  Me too! The primary reason I was in search of a residency 4 years into my career, was because I was search of mentorship. I wanted to be challenged, I wanted to be guided, I wanted to be a better mentor. I truly believe mentorship is a progressi...

Have you ever wondered what a cardiopulmonary residency would look like? The pros, the cons, the real insights? Join us today for our candid conversation about residency life, the rigors and the many rewards. I am joined by two mentors from the VA Ann Arbor Residency program, Crystal and Jessica, who share their personal stories of choosing residency, their life within residency and their continue...

It is as simple as that. Assessment is key. Taking vitals is paramount. Get those baseline values, so you know whether your person is tolerating or having an inappropriate response. Join Dr. Rachele Burriesci, as she discusses the importance of vital sign assessment via case examples.’ Interested in Jane? Jane, an all-in-one practice management software with helpful features to power your practice...

RMT (respiratory muscle training) is a simple intervention with a lot of punch.  Dr. Burriesci breaks down the benefits of utilizing an intervention like RMT with patients across the spectrum and with a wide variety of diagnoses. Breath training, specifically, resistance training can have a profound impact on the entire system. Come join me on this episode as we define RMT, MIP, and MEP.  Determin...

Welcome back from CSM, join Dr. Burriesci as she recaps her time at CSM. A dicey start with a near nor'easter, but all faired well as 16,000 people attended CSM in Boston.  Whether you were there to present, learn, or enjoy an ultimate reunion, CSM brings energy and rejuvenation. Switch gears to an objective measure that is sure to show benefit over time. Grip strength! What's the first...

Review a case with Dr. Rachele Burriesci, 76yo male s/p tracheostomy revision on heated humidified air at FiO2 21%.  Join me as we break down fundamental chest exam techniques and findings present in this case.  We will then navigate through breathing exercises and airway clearance techniques that will maximize his overall picture while building rapport and confidence in this patient. Interested i...

Join Dr. Rachele Burriesci as she welcomes you into her dining room to discuss a common question about airway clearance in the hospital setting.   Who is responsible for "chest PT"? Rachele breaks down the nuance of "chest PT" and dissects the potential underlying questions within the question.  She is transparent about possible challenges met when introducing "new" t...

Have you ever worked with a patient with a tracheostomy (trach)? Do you want to feel more comfortable working with this population? Are you worried that you won’t know how to manage the trach itself? Are you not sure what cues to give? Working with this patient population can be one of the most rewarding experiences, but it can also feel very overwhelming if you don’t know what to expect or unders...

In this episode, Dr. Burriesci, breaks down pulmonary arterial hypertension (PAH) via a young 22yo acute care case. We discuss the potential causes of pulmonary HTN,  diagnostic findings and concerns regarding pulmonary hypertension-specific meds. Lastly, we discuss important components of PT treatment in this patient population. In this episode: Discuss PAH pathophysiology Diagnostic criteria for...

Join me on a complex case discussion, as we dive into assessment, intervention and rationale for a patient with COPD, prior amputation and new oxygen needs. In this episode: The acute care patient COPD Pulmonary HTN Possible HF diagnosis Implications of above-knee amputation  Oxygen titration Interested in Jane? Jane, an all-in-one practice management software with helpful features to power your p...

Welcome back and Happy New Year! It was not the start of year that I intended on, but we’re back and trying to get back in the groove.  This episode is specific to a student question, but as always there’s a few clinical pearls for the clinician as well. What is the difference between upper extremity and lower extremity exercise in regards to hemodynamic response? Tune in to find out… In this epis...

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 d...

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 d...

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  Int...

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...

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 pa...

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...

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 gett...

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...

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 explai...