The ZDoggMD Show

A front-line critical care doc talks about why preserving quality of life AFTER an ICU stay matters...a LOT.Dr. Wes Ely's book, Every Deep-Drawn Breath, is available now. Check out the Critical Illness, Brain Dysfunction, and Survivorship (CIBS) Center here. Here's our other episodes with Dr. Ely.Transcript, video and more: https://zdoggmd.com/wes-ely-3/Topics & Timecodes:0:00 Intro7:06 Importance of family in ICU care, especially with cultural/language issues13:08 Testimonial injustice, the A2F Bundle, and a billionaire in the ICU17:17 COVID & nurse burnout20:13 Caring nonjudgmentally for patients regardless of their vaccine choices24:56 The ethics of fetal stem cell lines in vaccine development (and some surprising truth)28:30 Therapeutics analysis: ivermectin, JAK inhibitors, baricitinib38:50 Allowing ourselves to feel with our patients, the importance of respecting faith paths46:31 ICU delirium may damage higher cognitive systems and leave emotion intact (elephant and rider/system 1 and system 2)54:19 The harm of excessive sedation and delirium as a predictor of death58:53 PASC, Post-Acute Sequelae of COVID (AKA Long COVID)01:03:48 Managing delirium and early mobilization in the ICU01:09:37 Self-forgiveness, shame in medicine, and closing thoughtsVideo archive, audio podcast, music parodies, Supporter Tribe membership, merch, social media, and email: https://lnk.bio/zdoggmdSupport us with a 1-time donation and get a personal email thank you from me: paypal.me/zdoggmdMore about Dr. Z: zdoggmd.com/about-z Learn more about your ad choices. Visit megaphone.fm/adchoices

New preprint data suggests prior COVID infection generates fantastic immunity. Can we talk about that? What it means for vaccines, mandates, and more.Here’s a Science summary of the latest information on “natural immunity” vs. vaccines and a combination of the two.Full video with transcript.Video archive, audio podcast, music parodies, Supporter Tribe membership, merch, social media, and email: https://lnk.bio/zdoggmdSupport us with a 1-time donation and get a personal email thank you from me: paypal.me/zdoggmdMore about Dr. Z: zdoggmd.com/about-z Learn more about your ad choices. Visit megaphone.fm/adchoices

A filmmaker and an emergency physician (who almost died of COVID) teamed up to create a powerful VR time capsule for the pandemic. Is this the future of public health education?You can watch the Inside COVID-19 documentary using an Oculus Quest VR headset here. Here’s a link to the trailer. If you don’t have an Oculus, you can watch a 2d rendered version here. If you have a non-Oculus headset or are watching using the YouTube app on a phone, here’s a cool way to watch. And check out WisdomVR here.Video: https://zdoggmd.com/inside-covid19/Video archive, audio podcast, music parodies, Supporter Tribe membership, merch, social media, and email: https://lnk.bio/zdoggmdSupport us with a 1-time donation and get a personal email thank you from me: paypal.me/zdoggmdMore about Dr. Z: zdoggmd.com/about-z Learn more about your ad choices. Visit megaphone.fm/adchoices

Paul, 37, had elderly parents, an ER nurse wife, and young children, and he had good questions about COVID vaccines. Then everything changed.This is his story.And here's a piece we did on whether you should get vaccinated now. Video & Transcript HereVideo archive, audio podcast, music parodies, Supporter Tribe membership, merch, social media, and email: https://lnk.bio/zdoggmdSupport us with a 1-time donation and get a personal email thank you from me: paypal.me/zdoggmdMore about Dr. Z: zdoggmd.com/about-z Learn more about your ad choices. Visit megaphone.fm/adchoices

We should be ENCOURAGING and answering vaccine questions, not shaming the people asking them. Here are three big vaccination myths, explained. Transcript, video podcast, links: zdoggmd.com/3-vaccine-myths Your support keeps us independent and mild-to-moderately awesome: https://zdoggmd.com/supporters Show, podcast, music, support, shop, social media, and email: https://lnk.bio/zdoggmd Learn more about your ad choices. Visit megaphone.fm/adchoices

Here’s what FDA approval of Pfizer’s mRNA vaccine means, why its name is so stupid, the concept of psychological reactance, vaccine “hesitancy” and more, previously LIVE.Here’s an interesting piece on psychological reactance and vaccines. Here’s my interview with Paul Offit on vaccines. Here’s how mRNA vaccines work. Here’s my show on vaccine breakthrough infections. And here’s a show on turning COVID into an endemic common cold. Full video with transcript.Video archive, audio podcast, music parodies, Supporter Tribe membership, merch, social media, and email: https://lnk.bio/zdoggmdSupport us with a 1-time donation and get a personal email thank you from me: paypal.me/zdoggmdMore about Dr. Z: zdoggmd.com/about-z Learn more about your ad choices. Visit megaphone.fm/adchoices

There’s a good chance this pandemic can be transformed into an endemic common cold, safely and relatively quickly. Here’s some science.Here’s the research piece on coronavirus immunity dynamics that I cited. And here’s a blurb on Iceland’s vaccinated breakthrough surge. Here’s my Iceland video from some months back.Full video with transcript.Video archive, audio podcast, music parodies, Supporter Tribe membership, merch, social media, and email: https://lnk.bio/zdoggmdSupport us with a 1-time donation and get a personal email thank you from me: paypal.me/zdoggmdMore about Dr. Z: zdoggmd.com/about-z Learn more about your ad choices. Visit megaphone.fm/adchoices

Vaccine breakthrough infections, Moderna vs Pfizer waning immunity, boosters for the elderly, and more.Here’s the Intelligencer article I referenced by Dave Wallace-Wells with Dr. Michael Mina. And here’s a post-show live discussion I did on Locals (you can sign up for a free account to watch).Video and Transcript HereVideo archive, audio podcast, music parodies, Supporter Tribe membership, merch, social media, and email: https://lnk.bio/zdoggmdSupport us with a 1-time donation and get a personal email thank you from me: paypal.me/zdoggmdMore about Dr. Z: zdoggmd.com/about-z Learn more about your ad choices. Visit megaphone.fm/adchoices

Previously LIVE Q+A on awakening, meditation, the nature of thought, emotion, non-dual realization, and unfiltered reality. Easy stuff 😂Here's Dr. Angelo DiLullo's website with links to his book, Awake: It's Your Turn and more info. And here's all our other episodes with Angelo, with links to the book and more. Full video here.Video archive, audio podcast, music parodies, Supporter Tribe membership, merch, social media, and email: https://lnk.bio/zdoggmdSupport us with a 1-time donation and get a personal email thank you from me: paypal.me/zdoggmdMore about Dr. Z: zdoggmd.com/about-z Learn more about your ad choices. Visit megaphone.fm/adchoices

A deep dive into the risk/benefit of vaccination vs. "natural" COVID infection at this delta-driven stage.We talk mask and vaccine mandates, how variants work, natural immunity, an alt-middle approach to sensemaking, and more, originally LIVE.Video and transcript here.Video archive, audio podcast, music parodies, Supporter Tribe membership, merch, social media, and email: https://lnk.bio/zdoggmdSupport us with a 1-time donation and get a personal email thank you from me: paypal.me/zdoggmdMore about Dr. Z: zdoggmd.com/about-z Learn more about your ad choices. Visit megaphone.fm/adchoices