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 deliver for her unit. In this episode, Dr. Burriesci chats with Dr. Tina Fields, the Supervisor and D...
Dec 27, 2023•1 hr 16 min
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 deliver for her unit. In this episode, Dr. Burriesci chats with Dr. Tina Fields, the Supervisor and D...
Dec 27, 2023•1 hr 15 min
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 Interested in Jane? Jane, an all-in-one practice management software with helpful features to power your ...
Dec 21, 2023•47 min
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 spurred a thought and common trend in the acute care setting. Are younger patients overlooked? Indepe...
Dec 13, 2023•1 hr 9 min
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 part 2 of 2, so if you missed Part 1, Hard stop, Red Light and Grab Part 1 first. Part 2 wraps up possib...
Nov 16, 2023•1 hr 9 min
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 attempt to read between the lines, give rationale and thought process behind the clinical decisions y...
Nov 09, 2023•1 hr 9 min
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 getting a diagnosis. Justine describes her battle of overcoming the pain of her limb and the resilience ...
Oct 31, 2023•1 hr 9 min
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 can make a difference in a patient's recovery, length of stay, return to independence and education. Sh...
Oct 23, 2023•1 hr 9 min
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 explains what those beginning moments felt like when she was in the emergency room with minimal answers. S...
Oct 16, 2023•1 hr 9 min
In this episode, Dr. Burriesci describes the 4 phases of a cough, ways to assess cough sequencing, and how to implement proper cough techniques into our physical therapy practice to improve overall aerobic conditioning. She guides us through different diagnoses which may impact cough mechanics and how to tailor it for the patient’s needs. These clinical pearls will have your patients implementing good strong effective coughs. 💪🏻 Find me on: IG: @all_things_cardiopulm Threads: @all_things_cardi...
Sep 29, 2023•1 hr 9 min
You could brush your teeth for 28 minutes every Sunday, but would you? It may be more efficient to perform this task in one sitting, but rather we do it every day to continue the cycle of taking care of ourselves. It’s a daily task that has compounding benefits to our overall well-being and health. This same ideology can be applied to nervous system hygiene, keeping our nervous system healthy on a daily basis, so we can manage the highs and lows of our day-to-day lives. In this episode, Dr. Burr...
Sep 21, 2023•1 hr 9 min
Come in!! Rachele is taking us behind the scenes of what it’s like to set-up for sauce (marinara) day. She tells us the adventures of finding a tomato vendor, long hours and walls covered in sauce to make her family’s recipe. She explains the importance of digging through the rotten tomatoes to find the best ones. When you want an outcome, you have to lean into the process. In this episode, Dr. Burriesci defines what stacked breathing is and how to fit it into clinical practice. Just like making...
Sep 07, 2023•37 min
The world around us never settles down and while we understand it to be commonplace, our bodies can sense the rising stress. This impacts our breathing and is known to increase respiratory rate. This increase with rate can also increase the upper chest breathing, making us (and our patients!) be less efficient breathers. So what can we as physical therapists do? Teach our patients how to adequately diaphragmatic breath. In this episode, Dr. Burriesci breaks down the do’s and don’ts of diaphragma...
Aug 30, 2023•48 min
A, B, C, oh wait, ABG? In this episode, Dr. Burriesci hosts Briana Drapp of PT Elevation and teaches the ABC’s of Arterial Blood Gases (ABG’s). Dr. Burriesci explains what PaO2, PaCO2, HCO3 and SaO2 means, why we should care and how to extrapolate the information of each of these numbers into real world, clinical information to benefit our patients. She breaks down the numbers into metabolic vs pulmonary and alkalosis vs acidosis by finding who the “problem child” is. By the end of this episode,...
Aug 16, 2023•39 min
Peripheral Artery Disease (PAD) is a diagnosis that very much resembles coronary artery disease, except the pain occurs in the legs instead of the chest. Treating these patients can be tricky due to the activity limitations they experience. So how can we make a difference in clinic? In this episode, Dr.Burriesci breaks down what PAD is. She explains the risk factors, pathophysiology and how physical therapists can best treat this disease. Traditionally, “no pain, no gain” are words that you will...
Aug 08, 2023•40 min
Have you ever wondered why exercising in the heat feels so much harder? This week on Talking All Things Cardiopulm, we're going to tackle this burning question. With rising temperatures and high humidity, it’s important to understand the body’s response, in order to make informed decisions about our time outdoors and more importantly, exercising in the heat of the day. In this episode, Dr. Burriesci breaks down the body's physiological response to high heat and some important environmental consi...
Aug 02, 2023•53 min
If you’re in healthcare, you understand the range of healthcare literacy among our patients. However, healthcare literacy is not the entire story. The experience of actually being in a healthcare facility accounts for a large portion of a person’s healthcare perspective. Could you imagine entering a facility expecting to discuss your concerns and be heard? But instead, you are met with an impersonal environment where your worries are downplayed. Or if no one took the time to explain what procedu...
Jul 26, 2023•35 min
In this episode, Dr. Burriesci discusses the frustrations with student affiliations. With the help of Webster and the Oxford Dictionary, she breaks down the definition of a student and an intern. She dives into the purpose of clinical affiliations and what they should represent. She explains why facilities should prioritize a systematic approach to student experiences and perhaps even form a dedicated committee to prevent reinventing the wheel each and every time and to make a purposeful learnin...
Jul 18, 2023•39 min
In this Episode: - Benefits of Jane - How I use Jane - How to show skill in your documentation - Documenting exam findings - Articulating your assessment Interested in Jane? Jane, is an all-in-one practice management software with helpful features to power your practice. Head to jane.app/burriesci to book a personalized demo. Don't forget, you can use the code CARDIOPULM1MO at the time of sign-up for a 1-month grace period applied to your new account Join my main newsletter: https://allthingscar...
Jul 12, 2023•52 min
Join my main newsletter: https://allthingscardiopulm.ck.page/9bb2730421 Want to sign up for a mentoring call with Dr. Burriesci? Sign up here: https://www.allthingscardiopulm.com/mentoring Find me on: IG: @all_things_cardiopulm Threads: @all_things_cardiopulm Website: www.allthingscardiopulm.com Twitter: @allcardiopulm Linked-In: Rachele Burriesci Text at 913-308-4494
Jul 05, 2023•36 min
A garden produces vegetables and fruit all summer long and while that feels like it happens overnight, that’s not true. Gardens take time, nutrients, sunlight and the proper environment to grow and flourish in the best way each individual plant can. In this episode, Dr. Burriesci plants the idea that personal growth is a game of patience, hard work behind the scenes, and some dropped leaves before we flower. There’s no overnight success. When growing our own gardens we need to learn how to adapt...
Jun 14, 2023•43 min
Do you know that flutter in your heart or when your heart skips a beat because you have had too much caffeine for the day? That’s called a premature ventricular contraction (PVC) and most of the time, it is benign. But when does that change? In this episode, Dr. Burriesci unravels the mystery behind PVC’s as they appear on an electrocardiogram (EKG) and dlve into how physical therapists can play a pivotal role in managing PVC’s. She explains how PT’s can identify, address and what can exacerbate...
May 24, 2023•23 min
If you only had access to one PT tool or device for your eval and/or treatment session what would it be? In this episode, Dr. Burriesci delves into the item she’d (likely) bring to a desert island, a pulse oximeter. She explains the invaluable information that can come from this device and it’s not specifically O2 related. Yes a pulse ox will give you a quick read on oxygen and heart rate, and yes there are common causes for inaccuracies, but what else is it inadvertently telling you? Listen in ...
May 17, 2023•20 min
In this episode, Dr. Burriesci chats about how necessary it is to advocate for our own profession and sometimes that can be as simple as wearing your damn stethoscope. Although this episode is not specifically promoting wearing your stethoscope and it’s definitely not about shaming you for not wearing one, it’s actually about recognizing our role in supporting each other. It’s all about elevating our profession while also educating other professionals and patients about what we are capable of do...
Apr 26, 2023•18 min
As part of the healthcare team, Physical Therapists help investigate what symptoms our patients may be experiencing and help facilitate better motion and positioning to help them find relief from their symptoms. In this episode, Dr. Burriesci reviews a recent patient case of pericarditis and the possible manifestations of this diagnosis. She explains what symptoms and presentations we may see from this patient population so we can be prepared when we assess our patients. She educates the patient...
Apr 19, 2023•26 min
When we think of a cardiac patient, who’s had heart surgery, we think of an older adult. They could be anywhere from slightly deconditioned to very deconditioned, which means it could impact how much physical activity they can handle. But, what if that’s just a stereotype? In this episode, Dr. Burriesci starts by introducing Dr. Kyle Brunelle and his passion for lifting, hiking, jujitsu and breathwork. In 2020, he started a physical therapy business, Renegade Performance, with his wife. He is th...
Apr 05, 2023•1 hr
Have you been a clinician for a few years and wonder what’s next in your career? Do you think about what more you could be doing or do you have a special interest in a specific population, but you’re unclear what it takes to work with them? A residency is maybe the next step. However, it can feel overwhelming to think about uprooting your life to move, taking a pay cut or even finding the why behind the big life change. In this episode, Dr Burriesci breaks down the three main roads to becoming a...
Mar 30, 2023•36 min
We hear that words matter, but could the words we say as clinicians be impacting our patient’s results? It could be! In this episode, Dr. Burriesci chats about Pursed Lip Breathing (PLB) as an intervention for patients with an Emphysema diagnosis, anxiety or post-exercise. This intervention is extremely popular and easy to perform, but the traditional cue of “blow out the candle” is often misused. We want to give our patients a different cue that is mindful of the 1 second inhale to 2 second exh...
Mar 22, 2023•17 min
You get a breathing exercise, you get a breathing exercise, everyone gets breathing exercises (even your orthopedic patients)! In this episode, Dr. Burriesci educates on the importance of utilizing breathing exercises and how they can be incorporated into patient sessions, across the spectrum. She explains that almost every patient/client can benefit from breathing exercises and that there are specific breathing exercises that can be used to help each diagnosis. But the benefits of using breathi...
Mar 19, 2023•27 min
We know Heart Failure (HF) is a diagnosis that does not occur overnight, rather it occurs due to years and years of stress placed on the heart. Resulting in years and years of management and likely hospital admissions and readmissions. As clinicians, we have to understand our patient’s diagnoses to help guide their therapy and give them the tools to set them up for success. We should implement strategies that can help manage the progression of the disease process and better yet let's start earli...
Mar 11, 2023•40 min