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Saving Lives Podcast: Critical Care w/eddyjoemd is a podcast that reviews evidence-based strategies to care for the critically ill patient in the Intensive Care Unit and other topics in Medicine. It is hosted by Eddy Joe Gutierrez, MD, a board-certified critical care physician. In each episode, Dr. Gutierrez discusses the latest research and best practices in Intensive Care Medicine. He also shares his own insights and experiences as an Intensivist/Critical Care physician. The podcast is des ...
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In this episode, Eddy Joe delves into the intensive care management of brain-dead donors, based on a recent article from Intensive Care Medicine. Learn about hemodynamic support, endocrine treatment, and respiratory management strategies to optimize organ procurement. Tune in for an in-depth discussion on improving donor organ viability while maint…
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In this episode of the Saving Lives Podcast, we examine a groundbreaking 2017 study comparing vasopressin and norepinephrine for treating vasoplegic shock after cardiac surgery. We explore the study's compelling results, how vasopressin outperformed norepinephrine in reducing severe complications, and the potential implications for clinical practic…
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In this episode of the Saving Lives Podcast, we discuss the comprehensive review of frailty assessment tools in critically ill older adults. Learn about the Clinical Frailty Scale and how these tools can influence clinical practice and patient outcomes. Tune in for insights on improving care for the elderly in ICU settings. The Vasopressor & Inotro…
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The Vasopressor & Inotrope Handbook I have written "The Vasopressor & Inotrope Handbook: A Practical Guide for Healthcare Professionals," a must-read for anyone caring for critically ill patients (check out the reviews)! You have several options to get a physical copy while supporting my endeavors. If you're in the US, you can order ⁠A SIGNED & PER…
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What are the outcomes in patients who suffer in-hospital cardiac arrest based on the duration of the code? This podcast episode covers a retrospective cohort study that analyzed this. The Vasopressor & Inotrope Handbook I have written "The Vasopressor & Inotrope Handbook: A Practical Guide for Healthcare Professionals," a must-read for anyone carin…
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In this episode, we explore a groundbreaking study on the cost-effectiveness of artificial intelligence (AI) in managing mechanically ventilated ICU patients. Discover how AI can improve patient outcomes, reduce hospital stays, and enhance decision-making in critical care settings. Tune in to learn about AI's potential to revolutionize ICU care and…
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In this episode of The Saving Lives Podcast, we delve into the intricate subject of advance directives in the intensive care setting. Titled "Deciphering the Complex World of Advance Directives in ICU Care: Challenges and Solutions," the episode explores the historical background, implementation challenges, and the impact of advance directives on p…
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In this episode of The Saving Lives Podcast, we explore the innovative MitraClip system, a less invasive treatment for mitral regurgitation. The discussion covers the device's evolution, its impact on patient outcomes, and the challenges and complications associated with its use. The Vasopressor & Inotrope Handbook: ⁠⁠⁠⁠⁠Amazon Affiliate Link⁠⁠⁠⁠⁠ …
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In this episode of The Saving Lives Podcast, we delve into the compelling findings of a recent review on the adverse effects of physical restraint use in ICUs. We discuss the paradoxical nature of restraints, designed for patient safety but linked to significant complications, including skin injuries, delirium, PTSD, and more. Understanding the lim…
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In this episode of The Saving Lives Podcast, we dive into a compelling study from the Annals of Intensive Care, exploring the prevalence and impact of hyperdynamic left ventricular systolic function in septic patients. Unpacking the findings, we discuss how this condition influences mortality rates and what it means for clinical practice in intensi…
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This episode delves into the 2024 update on corticosteroid guidelines for critically ill patients with sepsis, ARDS, and community-acquired pneumonia. We break down the recommendations, evidence, and clinical implications of this crucial guidance for healthcare providers. The Vasopressor & Inotrope Handbook: ⁠⁠⁠⁠Amazon Affiliate Link⁠⁠⁠⁠ (I will ea…
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In this episode, we delve into the groundbreaking study "Influence of therapeutic plasma exchange treatment on short-term mortality of critically ill adult patients with sepsis-induced organ dysfunction." We explore how Therapeutic Plasma Exchange (TPE) could revolutionize the treatment of sepsis, a condition notoriously difficult to manage. The ep…
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In this episode of The Saving Lives Podcast, "Integrating Palliative Care in the ICU: Enhancing Quality of Life," host EddyJoe discusses the article 'Palliative Care in Intensive Care' from 'Intensive Care Medicine.' The episode examines how palliative care improves patient quality of life and reduces ICU stays, highlighting its role beyond end-of-…
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In this episode, we delve into the groundbreaking DAMIS trial, exploring the impact of sublingual microcirculation assessment on treatment decisions for ICU patients with shock. We discuss the methodology, findings, and implications of this extensive multicenter study, offering insights into how real-time microcirculatory data influences clinical o…
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The Vasopressor & Inotrope Handbook: Amazon Affiliate Link (I will earn an extra small commission) and Signed Copies. Show Notes: eddyjoemd.com/asymptomatic-catheter-related-thrombosis/ Explore the often-overlooked issue of asymptomatic catheter-related thrombosis (CRT) in ICU patients on The Saving Lives Podcast. This episode delves into a reveali…
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This episode delves into the pivotal EuRIDICE randomized clinical trial published in Critical Care in 2023. This episode provides an in-depth analysis of the trial's findings on using haloperidol in managing delirium among critically ill adults in the ICU. We'll explore the implications of these results for clinicians and the broader healthcare com…
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1-year old Ava Morawski and mom Katie join Joe & Will in the booth! Ava was diagnosed with a brain tumor (typical teratoid/rhabdoid tumor) She had started vomiting and exhibiting developmental delays as well as a rapidly enlarging head circumference. They got a CT scan which revealed the tumor. Ava was transported to Boston Children's for surgery a…
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Deborah B. Goldberg is the Massachusetts State Treasurer and Receiver General. In that role she is responsible for the state’s cash and debt management, unclaimed property, and chairs state boards and commissions, including the Massachusetts School Building Authority, the Pension Reserves Investment Management Board, the State Board of Retirement, …
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July of 2017, Laurie noticed a lump on the right side of her stomach but didn’t think much of it until her husband noticed it too. He advised her to see her primary care physician and she ended up going the next day. After the initial visit, she was then sent in for CT scan because her blood work results raised concern. The scan revealed a tumor on…
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After blood work results revealed a low white blood cell count, Deidre was referred to a hematologist/oncologist. They ruled out an autoimmune disorder as the potential cause, but discovered SMM, a pre-blood cancer. From there, she met with Dr. Ghobrial at the Center for Prevention of Progression at Dana-Farber in July of 2022 and learned about an …
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Grace was diagnosed with acute lymphoblastic leukemia (ALL) in October 2022. She had always been full of spunk and energy, ready to perform a song and dance at the drop of a hat. Her parents noticed that she had been particularly tired and lethargic, which wasn't her usual self. They thought she might have mono or Lyme disease, so they took her to …
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After difficulty breathing, Megan subsequently tested positive for COVID, which doctors initially thought was the cause of her symptoms. But her oxygen saturation, or the balance of oxygen in her blood, remained low, so she underwent additional testing. Then, a chest x-ray revealed two liters of fluid in her lungs. After a fusion biopsy, she was of…
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Marline was diagnosed with invasive ductal carcinoma, a type of breast cancer. Marline always had regular mammographs. But after the birth of son, she continued to lactate, she shared with the doctors, and they continued to monitor and noted that she had dense breasts. After Marline's nephew jumped on her and landed on her right breast, she said sh…
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In 2012, Barry noticed some swelling on his neck, so he made an appointment to see his primary care physician. An x-ray and CT scan lead to follow-up appointments with various specialists until he was diagnosed with Stage 3B non-small cell lung cancer. Barry was initially going to get treatment at another institution but stopped at Dana-Farber to g…
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Mary Lee went to her PCP following leg and back pain she was experiencing in June 2017. It was initially chalked up as possibly sciatica, but when the pain persisted, she went to an orthopedic surgeon, and a subsequent MRI revealed cancer. Her doctors said her cancer was stage 4 and recommended she come to Dana-Farber. Types and length of treatment…
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Following some discomfort, Natalia underwent a colonoscopy in February of 2022. She was officially diagnosed with colon cancer after the procedure. Her doctors also believed that the cancer may be hereditary in nature because Natalia’s mother had uterine cancer. Additional genetic testing also confirmed that she had Lynch Syndrome, a genetic condit…
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Magnolia joined Dana-Farber in 2007 and currently serves as the Vice President of Community Health. In this role, she is charged with helping the Institute carry out its community benefits mission through the delivery of evidence-based cancer prevention, screening, and early detection programs. Magnolia and her team work with city and state health …
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Elevated PSA (prostate specific antigen levels) lead to Henry undergoing a biopsy, which revealed stage IV prostate cancer. He was officially diagnosed on August 13, 2021. He went to the doctor after getting a hemorrhoid while offshore fishing. His primary care doctor was the one who suggested also checking his PSA levels as a routine matter of car…
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In early March of 2018, at age 58, Roger Miller went to a local doctor’s office in Maine for outpatient surgery. He’d been putting off getting what he’d thought was a cyst removed from the back of his head. Miller, who at the time was working as a maritime consultant, wasn’t all that worried. He and his wife, Lisa, had just returned from backcountr…
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Robert Haddad, Chief, Division of Head and Neck Oncology, Dana-Farber Dr. Haddad received his MD Degree from St. Joseph University French School of Medicine in Beirut. He completed his residency in internal medicine at St Luke's Roosevelt Medical Center in New York City, and completed a fellowship in hematology oncology at the University of Marylan…
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Jigar Raythatha (Ray-tha-tha), 46, glioma, Lexington, with Kinnary (wife) and Patrick Wen, MD, Director, Center for Neuro-Oncology, Dana-Farber After two weeks of an unresolved headache, Jigar’s doctor ordered an urgent brain MRI, which revealed some abnormal findings. To get a definitive diagnosis, doctors would need to access his brain, so Jigar …
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Michael Casey, APRN-BC, FN, Nurse Practitioner, Gastrointestinal Oncology, Dana-Farber Michael Casey, APRN-BC, FNP is a nurse practitioner in Gastrointestinal Oncology at Dana-Farber Cancer Institute. He is also the director of the Advanced Practice Nursing department and co-chair of Dana-Farber’s Ethics Committee, as well as a member of the Americ…
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Christine Duncan, MD, Medical Director of Clinical Research and Clinical Development, Gene Therapy Program, Boston Children's Hospital Med school in Chicago; Internship and Residency at Boston Children's Hospital; Pediatric Hematology/Oncology Fellowship at DFCI; just celebrated being at the Farber for 20 years. · Director of Clinical Research and …
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Dana Mohrlein, 35, astrocytoma, Niantic CT, with David Reardon, MD Clinical Director, Center of Neuro-Oncology, Dana-Farber In college, Dana thought she may have vertigo because of all her headaches, but after a seizure at her first security job, she learned she needed emergency brain surgery. After surgery at her local hospital, she pursued a seco…
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