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ADVANCE for Respiratory Care & Sleep Medicine welcomes you to Respiratory and Sleep Voices: Blogs, part of our Healthcare POV blog and forum community from ADVANCE. Our online community offers interactive blogs written by respiratory care practitioners, sleep techs, and our editorial staff. The blogs will discuss issues related to the field, breaking news, and candid observations. Voice your opinions and submit feedback to the authors through the comment section. To suggest a blog topic, email venge@advanceweb.com.
LATEST POSTS FROM EACH BLOG
November 19, 2009 12:11 PM by Jimmy Thacker of In My Opinion

 

 Well, the first hurdle for the health care reform bill has been jumped. Now, it's more debate, more revisions and more scrutiny. Whether you are for or against the bill, I think you'll agree with me that it's time to do something.

The American health care system is broken. The system is not really a system at all. The term system would imply multiple parts of a bigger piece all work together ...


1 comments  
November 17, 2009 10:41 AM by Kim Curtis of Going into the Beyond... of PAP Therapy

...In the medical field, this is the general rule.

In times past, people never received information about diseases or explanations about treatment modalities.  We went to the doctor with a backache, received a prescription, and just went home and took the pills. We always trusted our doctor and most of the time never posed the question: why?

Now, we know that treatments are much better accepted when ...


 
November 17, 2009 10:28 AM by Roger Berg of Chitchat with the Old Respiratory Codger

Wow, what a week National Respiratory Care Week was! I hope you had as much fun and excitement as my staff and I did during this wonderful week where we have an opportunity to express our appreciation to staff members for the outstanding work they do every day throughout the year.

I started this wonderful and exciting week with a visit to the RT Students at Victor Valley College, Victorville, CA. I presented what ...


 

"You have brains in your head.
You have feet in your shoes
You can steer yourself
any direction you choose.
You're on your own.  And you know what you know.
And YOU are the guy who'll decide where to go."

- Oh, The Places You'll Go!
Dr. Seuss

My first day at work was complete with nervousness, jitters, and excitement. I had met some of my coordinators during the interview process ...


3 comments  
November 12, 2009 7:45 AM by Scott Leonard of From the RC Director’s Chair

We are fast approaching the holiday season, and it is hard to believe it's almost here already. As managers, making the holidays festive for our staff in the workplace should be a common practice.

Not everyone enjoys coming to work during the holiday season, but some warm touches around the department can make working a little bit more enjoyable. Every department should have holiday parties of some sort, both on ...


 
November 11, 2009 2:00 PM by Amy Reavis of Adventures in Breathing

I have pursued continuing education all my life. I graduated with my BA this past September. I regularly read many journals and bulletin boards about sleep. I forget sometimes that not everyone has this unending drive to learn more.

This was evident when I gave a booklet to my techs that would give them 3 CEUs to help meet the 10 required yearly. I left a note with the book asking that it be completed and ...


1 comments  
November 11, 2009 8:15 AM by Jimmy Thacker of In My Opinion

Every veteran is a hero. Whether it is the vet who signed up for the college money or the careerist, each veteran has done his or her part to assure us of the freedoms we so proudly display. Even those freedoms many do not agree with are kept safe by these brave men and women. At a moment's notice, these folks can end up in the heat of combat or just guarding a post somewhere most would never travel to.

So ...


 

A lot of patients who think they can't receive H1N1, seasonal influenza, or other vaccines; can. That's the kicker of new practice parameters on adverse reactions to vaccines released by a joint task force of the American College of Allergy, Asthma, and Immunology and the American Academy of Allergy, Asthma, and Immunology at the ACAAI's annual meeting in Miami Beach.

The new parameters aim to correct common ...


 
November 6, 2009 11:51 AM by Scott Leonard of From the RC Director’s Chair

 Yes, many of you have been wondering about the fears and outcomes of the H1N1 vaccines and what to expect.  I can tell you first hand after seeing more than 2,200 H1N1 vaccines given here what to expect.

First, the vaccine comes in the live virus nasal mist version and the dead virus injection version. As of this writing over 2,200 vaccines of combination have been given without any side effects.

I ...


 
November 6, 2009 8:06 AM by Colleen Mullarkey of ADVANCE Perspective: Sleep

I recently spoke with on NBC 10's dramatic reality weight-loss program, The Biggest LoserHis facility, Advanced Sleep Medicine Services, is the show's official provider for sleep testing.

Many contestants come in weighing 350 or 400 pounds with sleep studies revealing an apnea-hypopnea ...


 
November 5, 2009 1:03 PM by Kristen Ziegler of ADVANCE Perspective: Sleep

You're not alone. So are many of our e-newsletter subscribers.

In our last e-newsletter, I included a link to download another patient handout on Sleep Testing in Your Own Bed (pdf)  in place of the link to this handout. It's one of ten great patient resources in our growing ...


 
November 4, 2009 12:20 PM by Vern Enge of ADVANCE Perspective: Sleep

Where do the sleepiest people in the nation reside? West Virginia, according to the first government study ever to look at state-by-state differences in sleeping patterns.

West Virginia's lack of sleep, about double the national rate, might be a side-effect of health problems like obesity, experts reported. One in five West Virginians reported they did not get a single good night's sleep during the previous month. ...


 
November 4, 2009 12:13 PM by Vern Enge of ADVANCE Perspective: Respiratory Views

Respiratory therapists are generally hard at work in the trenches when it comes time to assess the condition of asthmatics in the ER. But there may be more to the task of treating the patient than simply listening to chest sounds and heart rate, evaluating the patient's color, and administering MDIs or nebulizer treatments.

In the future, therapists might also want to evaluate the patient for neurotic tendencies ...


 
November 4, 2009 11:52 AM by Jimmy Thacker of In My Opinion

Respiratory therapists are some of the brightest, talented, selfless and caring people I know. They work long hours, receive less pay than others with our workload and education, and are grossly underappreciated.

Although we are needed for so many things, we usually end up in a broom closet-sized office somewhere at the end of a hallway located at the furthest point from our patients. We are tasked to do things ...


 
October 30, 2009 2:41 PM by Bj Smith of The Respiratory Resolution

If you're anything like me, you enjoy a good trauma case or a code. Helping patients with breathing treatments, O2 rounds, ambulation, etc. are all great things-- but there's nothing like the rush you get from an emergent situation.

There are so many factors that go into each individual code situation; sometimes it's hard to keep up. In this blog, I'm going to ...


 
October 29, 2009 12:18 PM by Kim Curtis of Going into the Beyond... of PAP Therapy

Most babies sleep better in the car, on top of a dryer or listening to the sound of a heart beat. These noises are sometimes referred to as white noise and they're something we start out as infants craving.

White noise machines and other similar products are recommended by doctors for baby sleep problems, by mothers for their children, by professional people for their offices, and by restless sleepers. We are less ...


 
October 28, 2009 3:17 PM by Jimmy Thacker of In My Opinion

Yesterday, I was privileged to speak at Wentworth Military Academy in Lexington, Mo. The county health department asked me to give my perspective on smoking because I am a former smoker, a veteran and a respiratory therapist.

The kids were attentive, despite a small class size and several boxes of pizza that were waiting for them once I left. While they were licking their chops, I explained to them the types of ...


1 comments  
October 28, 2009 1:53 PM by Stephanie Scarbrough of Peds Place

Respiratory Care Week is the time of year when we get honored for all we contribute to the world of health care. In our pediatric hospital, we tend to have a fun week. From a brownie sundae night, to a smoothie pitch-in, and a Hawaiian themed luau, we celebrated the week in style last year. On Monday, we had a chili cook-off that rivals those in Texas for the strength of the competition.

We also get a gift ...


 
October 28, 2009 12:54 PM by Amy Reavis of Adventures in Breathing

How many times have you heard the saying "do as I say, not as I do?"  Well, that's what I should have been telling patients this week. I try to teach our patients about sleep hygiene.  I talk about sleep routines and bedroom environment and having the pet sleep anywhere but in the bed.  Well, this week I broke all the rules. In the end, I paid the price.

Due to unexpected issues, I had beds booked ...


 
October 28, 2009 12:12 PM by Vern Enge of ADVANCE Perspective: Sleep

While polysomnographers center much of their attention to detecting sleep apnea, especially among more rotund patients, increased duties sometimes center on prevention of other diseases.

For example, an inadequate amount of nightly sleep on a recurring basis may help fuel the development of diabetes, according to the results of a study in the Journal of Clinical Endocrinology and Metabolism.

That ...


 
October 28, 2009 12:07 PM by Vern Enge of ADVANCE Perspective: Respiratory Views

Health care is expected to remain a bright spot in the current recessionary job market, according to several key indicators. This does not seem to mean, however, everything is rosy in health care overall today.

Recession has done some serious damage to the industry, causing patients to put off  treatments leading to layoffs of staff in some locations and creating credit crunches that have forced some facilities ...


 
October 26, 2009 1:33 PM by Bj Smith of The Respiratory Resolution

"Real leaders are ordinary people with extraordinary determination" -Unknown

We are all born ordinary. We're all genetically the same, more or less. However, not everyone's intentions and drive are the same.

When I was nearing the end of my stay as a respiratory student at Laurel Business ...


 
October 23, 2009 10:18 AM by Roger Berg of Chitchat with the Old Respiratory Codger

We all know that our profession can and is very stressful at times.  This Respiratory Care Week, you might want to give your staff the Respiratory Care Survival Kit:

RESPIRATORY CARE SURVIVAL KIT

1 Lifesaver - to thank you for the lives you save every day

1 Paper clip - to help you hold things together

1 Tootsie roll - to remind you of the important ...


 
October 23, 2009 9:53 AM by Roger Berg of Chitchat with the Old Respiratory Codger

What will the Respiratory Therapy profession be like in 2025?  My crystal ball is broken, so your guess is as good as mine. 

A colleague of mine made these predictions:

In the year 2025:
 
Small volume nebs will no longer be given due to increased risk of infection from air-born diseases. DPI takes the lead with MDI following.
 
Ventilators will have biofeedback from the ...


2 comments  
October 22, 2009 2:43 PM by Scott Leonard of From the RC Director’s Chair

If there is one thing I learned in my six years as an administrator at a Florida east coast hospital center, it was to stock up on supplies prior to hurricane season. Every year around May, we would load up on disposables.

The one thing we created that worked out great for our department was a "hurricane cart."  This was a large, tall crash cart that was stocked with hand-helds, cannulas, masks, regulators, ...


1 comments  

ABOUT OUR BLOGS

Scott Leonard explores effective management and mentoring techniques that can improve any department.

It's a whole new world when your preferred patients are weighed in grams. Here's the place to come if you are interested in the world of pediatrics!

A therapist since age 17, Jimmy Thacker shares his thoughts on anything and everything respiratory.

The ADVANCE staff follows the top stories impacting upper-level decision-makers in respiratory care and sleep medicine.

In his ten years leading Ridgecrest Regional Hospital's Cardiopulmonary Services and Telemedicine Department, Roger L.Berg, PhD, RRT-NPS, has discovered the many challenges and rewards of respiratory care. Here, he'll share his experience; explore current themes in patient care, staff motivation, changing technology; and help respiratory care department managers find happiness and value in their career.



Going head-first into the profession of respiratory care is quite an experience. Follow this chronicle as one student makes the transformation from graduating student to respiratory professional.

ADVANCE editors consider the latest sleep news, including insights and discoveries, industry issues, practice guidelines, and conference highlights.

Just the thought of small spaces and confining devices makes Kim Curtis anxious. So when she was diagnosed with sleep apnea, she had many problems adjusting to PAP therapy. As a sleep technologist, she knew she wasn't alone.

Here, she'll share the tips, tricks, and personal experiences she uses as a CPAP educator to help patients overcome the challenges and better understand the anxiety related to before, between, and beyond PAP therapy.



Adventures in Breathing will give us the chance to look at some of the fun and adventures we have helping our patients and each other deal with these changes.

As a new grad entering the professional world of respiratory care, Jamie Margolis doesn't have all of the answers. But she is finding that she knows more than she realizes.

Join her experience of transitioning from student to professional.