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April 18, 2025 81 mins

Dr. Julie Siemers is a healthcare leader with 40+ years of experience who teaches people how to survive hospital stays and avoid becoming a statistic.


New episodes of Welcome to Wellness every Friday!


Not listening on Spotify? Show notes at:

https://www.ashleydeeley.com/w2w/drjuliesiemers


Episode brought to you by: ApolloNeuro

Episode brought to you by:⁠⁠⁠⁠⁠⁠ VieLight⁠⁠⁠ - ⁠⁠⁠Code: DEELEY10

Episode brought to you by:⁠⁠⁠⁠⁠⁠Dry Farm Wines⁠⁠⁠⁠⁠⁠


8:57: Surviving Your Hospital Stay - book

13:31:  Hospital Hierarchy:

  • Nurse
  • Charge nurse
  • House supervisor
  • Administrator


14:59: CUSS words: Tell your nurse, "I feel..."

  • Concerned
  • Uncomfortable
  • Scared
  • Safety


22:55: The 3 P's

  • Be present
  • Be polite
  • Be persistent


24:39: Find the ranking of hospitals! https://www.hospitalsafetygrade.org/

28:38: Patient left with a retractor insider her body

30:48:  1 out of 4 Medicare patients that enter the hospital have some kind of harm happened to them


34:35: Vital signs

  • Blood pressure: normal is considered to be less than 120/80 mmHg
  • Heart rate: normal resting heart rate is between 60 and 100 beats per minute (bpm)
  • Respiratory rate: this is THE MOST SENSITIVE  and earliest indicator of patient deterioration; normal range is 12 to 20 breaths per minute 


37:24: 80% of nurses don't count respiratory rate

38:51: Blood pressure cuff


40:04: Opioids, Sleep Apnea, and Surgery

44:11: The best thing to do if you need surgery - GET MOVING

  • It boosts blood flow to your extremities, helping prevent deep vein thrombosis (DVT) or blood clots, which often start in the legs. It also supports lung expansion and overall circulation

45:14: Invest in an  incentive spirometer (to ensure you have it after surgery)


47:52: Symptoms of  low or high blood pressure, heart rate, respiratory issues

  • Dizzy
  • Dehydrated
  • Temperature irregularities
  • Heart beat irregularities


55:21: Protocol for a feeding tube

58:08: Medication errors are a top problem in hospitals

58:30: ALWAYS ask for test results/lab results/pathology reports


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