The Danbury Medical Files

Christian Espana Schmidt

Hello, I am Christian Espana Schmidt, MD. During my 25 years of medical career, I have witnessed changes in the medical profession. Starting as a medical student in Guatemala, Central America, where after medical school I completed my internal medicine residency, and then I served in a rural community for 6 years with innovation that persists, I went to New York City, where I repeated another internal medicine residency and was chief resident. My joy for teaching took me to Pensilvania where I learned about Point-of-care ultrasound (POCUS) a revolutionary technique to enhance physical examinations. I proudly started the POCUS program at Danbury Hospital. Now, I am developing the POCUS program of CIFC Health, a program dedicated exclusively to teaching POCUS in the outpatient clinic. As you can see, I already said I teach POCUS; however, I am very interested in other topics in medicine.Of course I will continue to discuss POCUS, however I hope to dive in new topics in medicine.  Welcome to my podcast. I hope you find something of value.   The content is not generated with AI; all content is curated, and I try to present the evidence behind my opinions.  The PodPodcast is mainly for entertainment purposes, and my recommendations need to be taken as such.   Welcome again

  1. 07/23/2025

    The dream of defeating measles

    Send a text In this new episode of the Danbury medical files, I share with you one of the many adventures I had with my dad Dr. Victor Espana Pinetta MD, MPH. I am trying to describe one of the multiple vaccination campaigns that he led in my home country Guatemala. After that, I have a few thoughts about the situation of the measles cases that are piling up in the United States because of lack of vaccination. I dive also on three cases I saw of measles in kids one that led to the permanent brain damage of a girl and her likely dead after the disease.   Hope you find this episode interesting. Also, I hope you find this episode worth to be shared to other non-medical personal. Thank you Thank you for listening; follow us on X (Twitter) @danburymedfiles. Also and easier, follow in Bluesky @pocusguy.bsk.social Leave a review in your favorite app for podcasting. You can suggest topics you would like to hear about. Also I have a new youtube channel #IMPOCUS https://www.youtube.com/channel/UCpzYai7ngGjZ00NOnUozc_w

    43 min

  2. 05/13/2025

    POCUS in the outpatient clinic, my first impressions.

    Send a text In this ad-lib podcast, I explore my first impression of my experience in teaching and using POCUS in the outpatient world. I will try to tell you how this happened, how I feel the program is going, and whether I believe it is useful.  Also, some of my experiences, feats, challenges, and hopes. Hope you like the episode.   Soon, I will have an email for you to give me feedback.   Right now, I do not follow Twitter or X; I do not follow Facebook or Instagram.   I am trying to learn how to use Bluesky.   Thank you again for following the Danbury Medical Files.  More to come.    Thank you for listening; follow us on X (Twitter) @danburymedfiles. Also and easier, follow in Bluesky @pocusguy.bsk.social Leave a review in your favorite app for podcasting. You can suggest topics you would like to hear about. Also I have a new youtube channel #IMPOCUS https://www.youtube.com/channel/UCpzYai7ngGjZ00NOnUozc_w

    22 min

  3. 05/20/2024

    The data breach of the century. How and why your health information is not secure anymore.

    Send a text In our medical career, one of the things that we are thought since we start is importance of privacy in to keep the patience, privacy safe. We even have laws that penalize anyone who shares private information from patients. This is not true when large companies are irresponsible with the way that they treat our medical information. It is also important to have awareness of this problem and many other problems that the healthcare oligopoly is creating to patients, pharmacies and physicians, as well as the taxpayers. In this podcast we explore the data breach of the century and the largest data breach in health care.  Its origins, its impact.  And a call for action from the medical and health care provider community.   Also we again dive in the effects of the imminent monopoly that medicine is having. I featured Dr. Glaucomflecken without his permission, hope he does not mind Here the link to the video https://youtu.be/A-jZ0eVEbxk?si=6U-fHxq4OrtssDOO Thank you for listening; follow us on X (Twitter) @danburymedfiles. Also and easier, follow in Bluesky @pocusguy.bsk.social Leave a review in your favorite app for podcasting. You can suggest topics you would like to hear about. Also I have a new youtube channel #IMPOCUS https://www.youtube.com/channel/UCpzYai7ngGjZ00NOnUozc_w

    30 min

  4. 05/01/2024

    Hospital Mergers

    Send a text In this episode I am discussing the effects of hospital and healthcare systems mergers.  I have tried to place a vast amount of information in a few minutes.   I hope this will be of your interest and will be good information.  Lastly, a call for action from all the physician community.  We need to participate more, sadly participating more can be risky, however, in the current times not participating will be more detrimental for our profession.  Here some links: https://www.kff.org/health-costs/issue-brief/ten-things-to-know-about-consolidation-in-health-care-provider-markets/ https://www.aha.org/aha-search?search_api_fulltext=hospital+mergers https://pubmed.ncbi.nlm.nih.gov/35157040/ https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6170097/ Thank you for listening; follow us on X (Twitter) @danburymedfiles. Also and easier, follow in Bluesky @pocusguy.bsk.social Leave a review in your favorite app for podcasting. You can suggest topics you would like to hear about. Also I have a new youtube channel #IMPOCUS https://www.youtube.com/channel/UCpzYai7ngGjZ00NOnUozc_w

    37 min

  5. 04/19/2024

    Three cases in outpatient POCUS

    Send a text In this episode of the Danbury Medial Files, I talk about three patients where POCUS was used successfully in the outpatient clinic.  I also talk about lidocaine side effects, anxiety as a common side effect of procedures. A second case of abdominal pain and a two minutes diagnosis with POCUS. A third case in avoiding a readmission.  Hopefully you find this interesting and entertaining.  Hit us on X if you want to hear about other topics.  Follow the channel in youtube #IMPOCUS https://www.youtube.com/channel/UCpzYai7ngGjZ00NOnUozc_w Some reading https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8399637/ https://www.sciencedirect.com/science/article/pii/S2211816013001683 https://bmcprimcare.biomedcentral.com/articles/10.1186/s12875-021-01459-z Thank you for listening; follow us on X (Twitter) @danburymedfiles. Also and easier, follow in Bluesky @pocusguy.bsk.social Leave a review in your favorite app for podcasting. You can suggest topics you would like to hear about. Also I have a new youtube channel #IMPOCUS https://www.youtube.com/channel/UCpzYai7ngGjZ00NOnUozc_w

    26 min

  6. 01/08/2024

    Thoughts about the volume status assessment

    Send a text Erratum:  I called VExUS volume excess ultrasound, and is venous excess ultrasound.  Also I said the flow of the portal vein should be 20 to 30 mmHg, however is 20 to 30 cm/sec.   Happy new year!  This is the first episode of the Danbury Medical Files in the 2024.  I talked about volume status, volume status is complex and deserves at least a book chapter, however, I tried to summarize the most important parts and make the case to use point of care ultrasound and learn more about the different option that POCUS has for us.   Hope you have a great year again.   Thank you for listening.   Please leave a review in any app you use for podcasting.   Thank you for listening; follow us on X (Twitter) @danburymedfiles. Also and easier, follow in Bluesky @pocusguy.bsk.social Leave a review in your favorite app for podcasting. You can suggest topics you would like to hear about. Also I have a new youtube channel #IMPOCUS https://www.youtube.com/channel/UCpzYai7ngGjZ00NOnUozc_w

    32 min

  7. 12/13/2023

    Lung Congestion and POCUS

    Send a text I stopped podcasting early this year because of personal problems. I will try to keep up the next year, however, I wanted to do a final episode in 2023.  Thank you to my residents for always bringing to my attention topics that could be of benefit.   How do we know if POCUS B lines are pulmonary edema? What are the forces that are responsible for pulmonary edema? What are the factors that protect the lungs from pulmonary edema? Why we should do POCUS in patients with CHF? What are stress B lines? Hope this is a good episode to end the year.   Thank you for listening; follow us on X (Twitter) @danburymedfiles. Also and easier, follow in Bluesky @pocusguy.bsk.social Leave a review in your favorite app for podcasting. You can suggest topics you would like to hear about. Also I have a new youtube channel #IMPOCUS https://www.youtube.com/channel/UCpzYai7ngGjZ00NOnUozc_w

    26 min

  8. 02/22/2023

    Is it safe to perform and teach lung ultrasound?

    Send a text Hey everyone.  This is a follow-up chapter from the prior one, exploring how safe it is to auscultate a patient.  Also, how useful. This time I try to make the case that it is safe and also useful.  Follow me in this POCUS journey in the second season of the Danbury Medical Files.  Below I leave some interesting articles if you feel like checking.  Picano E, Scali MC, Ciampi Q, Lichtenstein D. Lung Ultrasound for the Cardiologist. JACC Cardiovasc Imaging. 2018 Nov;11(11):1692-1705. doi: 10.1016/j.jcmg.2018.06.023. PMID: 30409330. Mumoli N, Vitale J, Giorgi-Pierfranceschi M, Cresci A, Cei M, Basile V, Brondi B, Russo E, Giuntini L, Masi L, Cocciolo M, Dentali F. Accuracy of Nurse-Performed Lung Ultrasound in Patients With Acute Dyspnea: A Prospective Observational Study. Medicine (Baltimore). 2016 Mar;95(9):e2925. doi: 10.1097/MD.0000000000002925. PMID: 26945396; PMCID: PMC4782880. Lim JS, Lee S, Do HH, Oh KH. Can Limited Education of Lung Ultrasound Be Conducted to Medical Students Properly? A Pilot Study. Biomed Res Int. 2017;2017:8147075. doi: 10.1155/2017/8147075. Epub 2017 Mar 28. PMID: 28459070; PMCID: PMC5387807. Espana Schmidt, C. ., & Alam, W. . (2021). Point of Care Ultrasound during the Medical Teaching Rounds in the COVID-19 Era -The Hospitalist Perspective-. Medical Science and Discovery, 8(4), 198–202. https://doi.org/10.36472/msd.v8i4.510 Thank you for listening; follow us on X (Twitter) @danburymedfiles. Also and easier, follow in Bluesky @pocusguy.bsk.social Leave a review in your favorite app for podcasting. You can suggest topics you would like to hear about. Also I have a new youtube channel #IMPOCUS https://www.youtube.com/channel/UCpzYai7ngGjZ00NOnUozc_w

    24 min
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Ratings & Reviews

5
out of 5
5 Ratings

About

Hello, I am Christian Espana Schmidt, MD. During my 25 years of medical career, I have witnessed changes in the medical profession. Starting as a medical student in Guatemala, Central America, where after medical school I completed my internal medicine residency, and then I served in a rural community for 6 years with innovation that persists, I went to New York City, where I repeated another internal medicine residency and was chief resident. My joy for teaching took me to Pensilvania where I learned about Point-of-care ultrasound (POCUS) a revolutionary technique to enhance physical examinations. I proudly started the POCUS program at Danbury Hospital. Now, I am developing the POCUS program of CIFC Health, a program dedicated exclusively to teaching POCUS in the outpatient clinic. As you can see, I already said I teach POCUS; however, I am very interested in other topics in medicine.Of course I will continue to discuss POCUS, however I hope to dive in new topics in medicine.  Welcome to my podcast. I hope you find something of value.   The content is not generated with AI; all content is curated, and I try to present the evidence behind my opinions.  The PodPodcast is mainly for entertainment purposes, and my recommendations need to be taken as such.   Welcome again

Information

  • Creator
    Christian Espana Schmidt
  • Years Active
    2022 - 2025
  • Episodes
    19
  • Rating
    Clean
  • Copyright
    © 2026 The Danbury Medical Files
  • Show Website
    The Danbury Medical Files