Talking All Things Cardiopulm

Episode 100 of Talking All Things Cardiopulm

• Rachele Burriesci, PT, DPT, CCS, GCS

Happy 100th episode of Talking All Things Cardiopulm!  

My mission from day one was to bring Cardiopulm to the forefront of conversation, to give clinicians tools to use in their own practice and to help bridge the gap between research and the clinician.

I created this podcast, because I felt like it needed to exist. I hope to continue going for as long as I can, to provide value and resources for you.  

If you want to support Talking All Things Cardiopulm, share an episode with a colleague, repost it on your favorite social media platform and/or write a great review!

I appreciate you being here, for listening, for the support and for wanting to be a part of the Cardiopulm conversation!

 

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Rachele Burriesci:

Welcome to Talking All Things Cardiopulm. I am your host, Dr. Rachele Burriesci, physical therapist and board-certified cardiopulmonary clinical specialist. This podcast is designed to discuss heart and lung conditions, treatment, interventions, research, current trends, expert opinions and patient experiences. The goal is to learn, inspire and bring Cardiopulm to the forefront of conversation. Thanks for joining me today and let's get after it. Hello, hello and welcome to the 100th episode of Talking All Things Cardiopalm. I am your host, Dr. Rachele Burriesci. So here we are. We've made it to 100 episodes of literally talking everything in cardiopalm, from blowing out the candles to orthostatic hypotension, to respiratory muscle training and literally everything in between.

Rachele Burriesci:

This podcast has been not only a goal for me, but it was something that I felt needed to exist. One of the frustrations I have in physical therapy and just with cardiopulm in general, is that it's still not as popular as it should be. Cardiopulm is literally the oldest specialty in physical therapy. It's the first specialty created and it is not, you know, the first thing that people think of when they think of physical therapy. So part of this podcast, not only to help educate people who really want to level up their cardiopalm skills, but it's just to continue to bring cardiopalm to the forefront of conversation. It's in my opening statement and it's truly the reason why I created this podcast. I feel like it just needed to exist and I continue to keep on going. I want to keep this going. I want to keep bringing important topics to the forefront. So if you have specific areas, specific diagnoses, clinical questions, send them my way, because all of those things really help trigger the next idea, the next episode, this podcast. Going for as long as we can that is the goal. As long as I'm bringing you value, I am hoping to keep going with this. It's been really fun, right? We've literally talked about everything from diagnosis to intervention to surgical procedures, and I think that's the fun part about cardiopulm Even though it is such a niche area of physical therapy, there is still so much variety and with that comes a lot of different protocols, physiology and if you're in this space or if you're treating patients with these diagnosis and fun fact, if you're treating patients, you are treating people with cardiopalm disorders, and that's really the main point here is that we don't always have to be a specialist in one specific area, but as physical therapists we do have a good amount of general knowledge.

Rachele Burriesci:

And if you're working in a place with a big variety of patients, then this is something that should be in the forefront of your treatment ideas, interventions and even just overall knowledge. I see it more and more in the outpatient setting, where people are seeing patients that are more complex, and with complexity comes cardiopalm issues and even outside of complexity, with exercise training and HIIT training and strengthening. You have to realize that the physiologic response that is occurring has a very big impact on the cardiopalm system and if you are treating patients and not assessing vital signs, for instance, you're doing that patient a disservice and so this isn't you know to say like you're not doing enough. This is really to say we need to be considering this even in our outpatient settings. Even with our sports performance patients, right, everyone has a cardiopulmonary system and if we are literally targeting increasing heart rate, increasing exercise, we should be monitoring that vital sign response. So that's my big piece of my big, you know, piece of this is that everyone's a cardiopulmonary patient, everyone's a cardiopulmonary person, right, and we need to consider the physiologic response with the activity that we are prescribing with our patients.

Rachele Burriesci:

With that being said, I really want to thank you. I want to thank you for being here. I want to thank you for listening. I want to thank you for DMing me and asking questions. I have a couple of people every now and again shoot a text message out. It is me on the other side of that text message. So if you have a question, shoot me a message.

Rachele Burriesci:

It number one helps spur the next topic and also potentially might be part of conversation, of progressing your practice or mine. Right, I learned from you just as much as, hopefully, you're learning from me. So thank you for being here, thank you for listening, thank you for being interested in Cardiopulm, thank you for wanting to level up your knowledge or fine tune things, even if you have great knowledge in this area. It really is so important that you're here and it is 100% appreciated. So if you want to know how you can help me number one reach out. That's first thing. If you have questions, if you have ideas, if you want to hear a different topic, reach out to me. It's very much appreciated and I'm able to give you more value, which is always the goal here.

Rachele Burriesci:

Number two if you enjoy what you're hearing, if an episode hits for you, if you learn something, share it with a friend, share it with a colleague. The more people that we can have ears and eyes, the longer I can keep this podcast going. Repost it, right. Traction sharing that's, you know, free to do, but it really helps the content creator, and I'm not just talking about me. If you, you know, free to do, but it really helps the content creator, and I'm not just talking about me. If you, you know, have another podcast that you're listening to or someone that you follow on Instagram and something hits or something like, you're like yes, this, repost it, comment on it. Those are the things that you can do to help creators me, um build traction, um, keep going all of that good stuff. It really does help the algorithm when you're sharing, and that goes for Instagram, that goes for podcasts, that goes for YouTube. Eventually I'll get on Facebook. I haven't quite gotten with that program yet, but it will happen but it will essentially mirror Instagram. But share the information, share with a colleague, something hits, just let somebody else know, and that's how we get these conversations rolling. And last but certainly not least, if you are finding value with this podcast or Instagram or YouTube, drop four stars, write a great review, all of the things that can truly help keep this going. All right. What else we got going?

Rachele Burriesci:

I actually have a couple of things in the making, if you can see behind me. I was going to move this out of my view, but I have everything set up, perfect, so I am not moving it at this moment. I have been doing a whole bunch of videoing this week. This is something that I have had in the old noggin for literally years, so I'm hoping to get a product out, probably mid-May, end of May, but the first people that will have access to said product is actually people who attend the Innovative Documentation Summit. It basically will be a bonus prize, and if you were to A sign up for the Innovative Summit, upgrade to the Power Pass, you are up for grabs for a whole bunch of different bonuses. One of them is my product, and so what I am actually creating is a home exercise program, specific for breathing exercises and delivered in a way that it's used for your patients, so you would be able to, as the clinician, share breathing exercises with your clients and they can follow along with, and so obviously the clinician is part of that piece, but you would actually have the videos ready to go and you'd be able to share them with your clients.

Rachele Burriesci:

So this is something I have wanted to do literally I can't even tell you probably since 2013. Long story, long backstory there. I should have done it right from the get-go. Back then it probably would have been on a DVD type situation and, honestly, it would have been 100% easier. But now the technology has improved for good and bad we literally don't even have a DVD player on most laptops. I can't go that route. So I'm hoping this will be great. I will then eventually do breathing exercises specific for the clinician as more of a teaching sort of video tutorial type deal and hopefully in the very near future probably same timeframe I'm hoping to get some CEUs up and out.

Rachele Burriesci:

I just have been toying with whether I'm going to do it virtual versus in person, versus pre-recorded. I hear both sides of the token. Right, virtual is great because you're not taking off necessarily days for CEUs. You have access. You can pretty much especially the pre-recorded stuff do it on your own time and that, honestly, has been game-changing for me as well. Sometimes you do a virtual event and people can't make it and they end up watching the pre-recording anyway. So there's just some logistics with that.

Rachele Burriesci:

I've also heard everyone zoomed out right, like, how many years have we been in this virtual world, as great as it is in the world of being able to reach so many more people in one time? Able to reach so many more people in one time. People are also, you know, wanting to be in the room, and so that is another potential option. If it is in person, I'll probably start very local in the Kansas City area, and then we'll see what kind of traction we can build and then hopefully reach out in more national type situations. But that might be getting a little bit ahead of myself there.

Rachele Burriesci:

But some CEUs are on the horizon. That is one of the things that most of the audience has asked for is to have more opportunity for CEUs in this type of learning situation be specific to examination techniques and breathing exercises, and the other will be specific to respiratory muscle training. So those things are coming. If that's interesting to you or if you have interest in doing those and you prefer virtual versus pre-recorded, let me know, because all of that stuff is super important for me to know to actually kind of get this up and running. It's where I have been hung up for longer than I probably should have, but there's just some weird stuff with CEUs. I'm not sure if you've ever created a CEU and what that process looks like, but one of the barriers is the state by state CEU requirements and so if we're going virtual, I would like to be able to get as many states approved as possible and so just kind of working through what that looks like.

Rachele Burriesci:

You know there's a learning curve to everything, so once I figure out how to do that, if you have questions, please feel free to come this way or, if you've done it before, reach out. That's always super important information to just be able to kind of get going, so hoping to have those up and out and again, if that's interesting to you and something that you would want to be a part of, let me know, because that's really helpful in knowing if this is going to hit. From the questions I typically get in the DMs, I'm thinking that this is going to be right on pace with what the audience wants, and my goal here is always to deliver value and also make it useful for your current practicing needs right and to be able to optimize your current patients and really level up their functional abilities. And I will tell you, breathing exercises is like one of those things that I use with almost every single acute care patient that I have. Same would be true for home health if I was in that setting. So I think this is going to be a great one. Hopefully it does well and we'll see how it goes With.

Rachele Burriesci:

That being said, when CEUs are finally up and running and I'm promoting, dates, definitely want to be on my newsletter. That'll be the quickest access to me. If you are not currently on my newsletter, sign up below. This is something I have kind of played with different formats. I really haven't, like got into my groove with the newsletter situation only because a lot of the people haven't reached back out when I put out polls for what you want. So sometimes it could be about a new article that has come out, sometimes it's about a patient experience that I had, sometimes it's a case study, sometimes it's just a month in review kind of thing, and then also if I have an event coming up, it's an easy way for me to share those dates with you.

Rachele Burriesci:

So coming up actually in about a week and a half is the Innovative Documentation Summit. This is going to be held on May 6th, 7th and 8th. It is a three-day virtual event. All of the lectures are pre-recorded for ease of technology. If you've ever done multiple lectures live on Zoom, it can be a little bit hectic when you glitch out, so this kind of helps set everyone up for success. The audience is for PTs, ots and student PTs and student OTs. There's literally 20 experts lined up for 20 different topics. This is a real powerhouse lineup. There is a lot of variety in lectures available, everything from dizziness to concussion protocols to cardiopalm.

Rachele Burriesci:

I'll be giving away my probably my four top strategies that I use throughout clients and again in acute care and in my mobile practice. Pelvic health is on there, Different functional activities from a balanced perspective. So like just a lot of cool, innovative, fresh techniques. And the other big piece of this summit is actually to provide defensible documentation. So not only are you going to get some fresh ideas for treatment interventions, you're also going to get some tips and tricks for documentation, and since that's always such a bear in the world of physical or occupational therapy, having those tips and tricks are always welcome, right?

Rachele Burriesci:

So this is going to be an awesome event. It's free, right? So when you sign up, it's a free sign up. You'll have access to day of event for 24 hours, all the recordings, recordings. But in order to receive CEUs and or to have access for one year, you can upgrade to the PowerPass and so once you kind of click in, it'll streamline you to upgrade to the PowerPass if you want to get CEUs for your time as well as actually access for a year, so you'll be able to revisit these lectures as well as take your time getting through it right. Three days packed full, unless you have that time off, will probably be a little bit of an overload. So the one year kind of gives you the time to really take your time, pick the ones you want, maybe re-listen. So I think it's going to be an awesome event. If you sign up for the Power Pass, you also have opportunities to win all types of bonuses. There'll be some giveaways, so just a little extra incentive to go to the Power Pass as well and anything else. I think that was like my big tip for that.

Rachele Burriesci:

So May 6th, 7th and 8th this is an event hosted by the Note Ninjas. They're an awesome PTOT duo and so they put together this awesome summit. I'm so happy to be a part of it, and so I would love for you to be a part of it too. What else do I got there? I think that was my last bit on the Innovative Summit, so my again, my giveaway is actually going to be that home exercise program. I have about 20 breathing exercises in video format. There will also be a download so that your patients can literally just follow along.

Rachele Burriesci:

And then my last little plug is if you are interested in one-on-one virtual mentoring, I host virtual mentoring. Again, it's one-on-one, based on your schedule. If you're looking to specialize in cardiopulm, I actually host a mentorship where I give a discounted rate and also, I think I have 25 lectures that I build out for the year in order to help prepare you for the CCS. So if you're looking to specialize in cardiopulm and you're not wanting to do a residency and you don't feel confident enough to do it on your own and you want a little guidance or a lot of guidance, I am very happy to assist you with that.

Rachele Burriesci:

This is right around the time that, if you're starting to specialize, that you need to get going. So I don't have the date in front of me, but it's usually June, july that the application is due to actually sit to take the exam, and this is the time that you want to start mentoring. I would say like May, june is the latest to go, and the reason is is you have to be able to put in an application for a specific case, kind of demonstrate that you're already seeing these patients and then have about. I guess we're probably around six to eight months I don't know. I have to do that math right now till the exam, and so you take the exam in the following March. So if you are looking to specialize in cardiopulmonary, I have taken one person through completely who has passed her CCS, and then I actually had a second mentee who was not sitting for the CCS. He was actually a new faculty and so we did a very similar type setup, but the mentoring sessions were more specific to teaching than to sitting for the exam. So the benefit of working with someone is actually to specialize it to your needs, right. We can cater to your learning style and for whatever situation you're planning for If you're not looking to specialize and you don't have a mentor, or you want some assistance, some guidance in complex cases, especially if you're a new grad or you know, when I was looking to specialize, one of the things that I was looking for was mentorship.

Rachele Burriesci:

That was one of the number one reasons why I went into residency. This is one of those ways to get that opportunity without having to uproot your life and move across the country. You can stay in a comfortable in your you know the place that you're comfortable where you live. You can keep the job that you're comfortable where you live. You can keep the job that you're currently working at and level up those skills with that patient population. So just some pros to doing individualized mentoring for that.

Rachele Burriesci:

Yeah, so that's what I have for you right now. I'm hoping to have some things kind of laid out on my website. So if you ever have any questions or if you're interested in having me host at your facility, just let me know and we can get something like that arranged. Especially once I have these CEUs going. That'll make it a little bit easier to actually provide CEUs for your staff. But if you have any questions, if you have any topics that you're interested in, please let me know and I would be happy to talk all things Cardiopalm with you. So I hope you all have a wonderful day, thank you, thank you, thank you. Thank you for being here. I am so grateful that you spend your time listening to Cardio Palm and spending it with me, so I hope you'll have a wonderful day and whatever you have to do, get after it.

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