Christian Espana MD PODCAST

Christian Espana Schmidt
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Christian Espana MD PODCAST

Hello I am Christian Espana Schmidt MD.  During my 25 years of medical career I have lived the change of the medical career.  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 still persists, 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 from scratch the POCUS program in Danbury Hospital and now I have started the POCUS program of CIFC Health a program dedicated exclusively to teach POCUS in the outpatient clinic.  As you can see I already said I teach POCUS, however I am interested very much in other topics in medicine.  I used to call the podcast the Danbury Medical Files,  and you can hear the prior episodes. Of course I will continue to discuss POCUS, however I hope to dive in new topics in medicine.  Welcome to my podcast and I hope you find something of value.  All of the content is not generated with AI, all content is cured and I try to present the evidence behind of my opinions.  The Podcast is mainly for entertainment purposes and my recommendations need to be taken as such.   Welcome again

  1. 05/20/2024

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

    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, ...

    30 min

  2. 05/01/2024

    Hospital Mergers

    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: htt...

    37 min

  3. 04/19/2024

    Three cases in outpatient POCUS

    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 yo...

    26 min

  4. 01/08/2024

    Thoughts about the volume status assessment

    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 lea...

    32 min

  5. 12/13/2023

    Lung Congestion and POCUS

    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 s...

    26 min

  6. 02/22/2023

    Is it safe to perform and teach lung ultrasound?

    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...

    24 min

  7. 02/15/2023

    Black History Month Special. An Interview with Dr. Brenda Ayers MD and her fascinating work towards equity.

    Inequality in healthcare is a recognized problem. I had the privilege of interviewing Brenda Ayers, MD. The head of a task force to decrease and eliminate inequality in NUVANCE-HEALTH. I met Dr. Ayers as the Chief Hospitalist at Vassar Brothers Hospital in Poughkeepsie, New York. Her work in the Nuvance Health Network (Danbury Hospital, which is my employer, is part of this network) is already changing structures and effectively trying to deal with racial dispa...

    32 min

  8. 02/08/2023

    Is auscultation safe?

    This time I am exploring what is written about the efficacy of lung auscultation. I found this interesting meta-analysis and saw the difficulties that the authors went thru to find literature about lung auscultation. Is it safe? We have auscultation for so long right now, however is it really giving results? The article used is below: Arts, L., Lim, E.H.T., van de Ven, P.M. et al. The diagnostic accuracy of lung auscultation in adult patients with acute pulmonary patholo...

    27 min
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    Ratings & Reviews

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    out of 5
    5 Ratings

    About

    Hello I am Christian Espana Schmidt MD.  During my 25 years of medical career I have lived the change of the medical career.  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 still persists, 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 from scratch the POCUS program in Danbury Hospital and now I have started the POCUS program of CIFC Health a program dedicated exclusively to teach POCUS in the outpatient clinic.  As you can see I already said I teach POCUS, however I am interested very much in other topics in medicine.  I used to call the podcast the Danbury Medical Files,  and you can hear the prior episodes. Of course I will continue to discuss POCUS, however I hope to dive in new topics in medicine.  Welcome to my podcast and I hope you find something of value.  All of the content is not generated with AI, all content is cured and I try to present the evidence behind of my opinions.  The Podcast is mainly for entertainment purposes and my recommendations need to be taken as such.   Welcome again

    Information

    • Creator
      Christian Espana Schmidt
    • Years Active
      2022 - 2024
    • Episodes
      18
    • Rating
      Clean
    • Copyright
      © 2024 Christian Espana MD PODCAST
    • Show Website
      Christian Espana MD PODCAST

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