International Nursing

EKO- a high tech Stethoscope to save lives all over the world! Wow!

By | Health, International Nursing, underserved populations | No Comments
[box]Let’s say you are on the SMYS Mission to Haiti with NO Cardiologist anywhere for a few hundred miles. [/box] 
Your patient presents with dizziness and shortness of breath upon exertion, transient chest pain, and fatigue.  There is a 12 lead EKG available which shows normal sinus rhythm, and no ST elevation, but there is T-wave inversion in the inferior leads. The patient complains of dizziness during the EKG, with no exertion and no dysrhythmia.  He has no pain at the moment.
You hear SOMETHING when you listen to the heart, but you are not sure what it is because you have never heard it before.  You have nothing to compare it to, and neither does anyone else at this remote Haitian outpost.  It is not a normal heart sound, and that is all you can be sure about.
What do you do? 
There is no Cardiologist. Transporting every patient with these symptoms is just not an option.  These people are poor, and emergency care is a precious resource.  For that matter, is this sound an emergency? Is the patient having a bit of atrial fibrillation, but transient and with an overall low burden? Or is there something structurally wrong with the heart? Are those sounds you are hearing the classic auscultatory finding of Mitral Valve Prolapse; a mid-to-late systolic click followed by a late systolic murmur? Does this person need a Cardiac Cath, an ECHO, an aspirin regimen, or a wait-and-see?

You don’t know. How do you find out? Turn to the Eko Core!

So, what is this thing? The Eko Core Digital Stethoscope is the first & only FDA-approved digital stethoscope on the market to let clinicians amplify heart & lung sounds 40X, wirelessly sync to the HIPAA-compliant Eko Mobile App, visualize, record, save sounds, and forward them on for a second opinion. 

Why is it important? The Eko Core Digital Stethoscope is bringing the stethoscope into the 21st century. Now clinicians can hear heart & lungs sounds more clearly, and get support from their team across the hospital or across the globe. The sounds can also be integrated into the EHR and monitored over time for better consistency of care. The Eko Core and Mobile App is being used in cardiology, newborn screenings, pediatric cardiology, teaching, telemedicine, low-resource care, and primary care by clinicians at hundreds of institutions across the country including Harvard, Mayo Clinic, UCSF, and more.

This is what a 21st century stethoscope looks like!

This is what a 21st century stethoscope looks like!

There are two versions of the Eko Core:

    • 1. “Eko Core Attachment” ($199) attaches onto the regular stethoscope you already have! It attaches to almost all known stethoscope brands such as Littmann, Welch Allyn, ADC, and Ultrascope. You can digitize your own stethoscope!
    • 2. “Eko Core Bundle” ($299) includes the Eko Core Attachment pre-attached to a cardiology-grade stethoscope. Just take it out of the box, and it’s ready to go.

Impact on global health: The Eko Core Digital Stethoscope can be used to improve access to specialty care to billions of patients in low-resource countries around the world. Take Haiti, the poorest country in the western hemisphere with the highest rate of maternal & infant mortality. Eko is used by clinicians in rural clinics there as a relatively inexpensive tool for cardiopulmonary screenings and to secure specialist second-opinions. It can even be live-streamed. Recently, a Nurse Practitioner in Haiti used an Eko Stethoscope to wirelessly send heart sounds to a Cardiologist for a consult…who happened to be on a cruise at the time. Check out the article on it here here.  How awesome is that?

And this company is so cool they are partnering with Show Me Your Stethoscope by providing Eko stethoscopes for our Mission Trips!! 

  • And….Visit for more info and use discount code SMYS2016 at checkout! Members get a $15 discount, AND Eko will donate $15 for every order to the SMYS Foundation. 


Apparently people love this thing…. Check out the awards and recognition.

TIME Magazine’s Best Inventions of 2015

New York Times

Washington Post



Let me know if you like it!



smys eko 1

Share this post with friends!
Want More? Click below to follow us!

Bangladesh News!

By | Advocacy, Education, Good Works, International Nursing | 4 Comments

I am amazingly excited! I got to speak to Dr Kislu Kabir today.  We have started to hammer out details for the trip, and so far we have talked about the following:

  • He wants 12-20 people and students are welcome.
  • Our main mission in Bangladesh will be education.  Nursing is quite primitive in this country, and their “Minister of Health” (Not the real title, it is essentially the equivalent of our surgeon general) is interested in expanding nursing practice and education.  This is a wonderful opportunity to improve healthcare globally.  Documentation is one of the topics we will teach, as well as some infection control concerns, and hands-on nursing skills.  Specifics are forthcoming.
  • The Bangladeshi Government has contracted with the local police force to escort us from the hospital to our lodgings and back.  They want to make sure we aren’t subject to pickpocketing or the like.
  • Dr Kabir agrees that All nurses are welcome, and nurse educators are ESPECIALLY welcome.  If you are an educator and feel like a mission trip is not in your future, this one is specifically perfect for you!
  • We are building an ongoing connection with this region.  This is our first trip.1923508_1700940056862109_231069368571631479_n


Have you made your profile on HireNurses yet? Don’t assume you cannot afford it.  We feel like we will get quite a bit of support, and we want the very best nurses for the people of Bangladesh.




Love, logo


Share this post with friends!
Want More? Click below to follow us!

Bangladesh, because this is what Nurses do.

By | Good Works, International Nursing | 7 Comments

1923508_1700940056862109_231069368571631479_nWe are accepting applications for our next Mission Trip which will take place in Sylhet, Bangladesh from September 13-September 21, 2016!  Myself and SMYS National Director, Jalil Johnson will absolutely be going on this trip!kislukids4

Our own Dr. Kislu Kabir has arranged our adventure to work with the Bangladeshi people, and to instruct the nurses at a major university hospital to help expand their practice! This is a once in a lifetime chance to improve healthcare internationally.  Dr. Kabir has been with Show Me Your Stethoscope from the beginning, and you may remember our joint fundraiser to provide home nebulizer machines for kids in Bangladesh.  With this fund, we were also able to feed the children at an orphanage.  Dr Kabir’s family operates six clinics in the country that provide healthcare to an underserved population.  His parents and children are also physicians.

Dr Kabir is constantly involved with good works for his people.  Since I have become acquainted with him, I have seen him give away nebulizers to kids, rickshaws to people who orphanagecan now make a living providing transportation in Dhaka, Bangladesh; a sewing machine to a battered woman who will be able to provide for her children, food to an orphanage, and quite frankly, he is also a balm for my soul.  There are few people in this world who put their whole hearts into helping the needy, and giving a hand up rather than a handout if he is able.  I am awed by his generous, unflagging spirit.  When I meet him, I know I will feel like I am simply reuniting with an old friend.

We will fly out of Chicago or New York, because the flights are most affordable from these cities.  Travel to this region can cost in excess of $1500.00 round trip. We have found tickets in the $1100.00 range.  Accommodations have not yet been finalized, but they will be in a hotel in Sylhet.  We will do our best to find a ‘westernized’ facility, but be advised that Bangladesh is a developing nation, and we are not going to be at The Hotel President Wilson. 🙂

Things to know about logo

  • All nursing professionals are welcome.  APN, RN, LPN, and Students. Nurse Educators are especially welcome!
  • We will all fundraise to make the trip as affordable as possible, but you will have to pay something.
  • The trip will require vaccinations, and there are some that are not required, but are advisable.
  • You will need a passport.  Apply NOW. 
  • I suggest travel insurance.
  • Many people in Bangladesh speak English.  It is a required subject from year one in most schools. Do not be afraid of becoming lost. 🙂
  • To apply, you must go to and create a profile, and submit a photo and a bio.  We want to know about your skills, and why you want to go.  Go under jobs, and select the post out of San Francisco.
  • I have asked Dr Kabir to arrange for us to visit the orphanage we helped. Hopefully, this will be possible.  If not, I suggest we visit one closer to Sylhet.  Dr Kabir lives in Dhaka, and the orphanage is near there.
  • Hurry! Seats are extremely limited!


Another chance to show the world your stethoscope.  Because you wanted mission trips 🙂







Share this post with friends!
Want More? Click below to follow us!

Feeding the hungry and nursing the sick, internationally- Nice Stethoscope

By | Good Works, International Nursing | 10 Comments

Show Me Your Stethoscope members have repeatedly shown that they walk the walk. No matter how crazy you make me sometimes.

You may remember this, or you may have donated to the cause.  It happened on Black Friday, 2015. Dr Kislu Kabir mentioned a child who came to his clinic in status 12294733_1058818727502046_905190586228263042_nasthmaticus. He gave the child a nebulizer machine, because his mother would have to work for a month to buy one.

Yes, This beautiful lady would literally have to starve to death to give her son completely necessary medical care.  We should be thankful that kind and generous people like Dr Kabir exist.  I know I am.

So I asked Dr Kabir if I could send him the cost of a replacement nebulizer.  He generously offered to donate one in my name.

That wasn’t going to happen.

Spontaneously, I asked Show Me Your Stethoscope Members if they would like to participate in a fund raiser to buy nebulizers for Bangladeshi kids who needed them. Dr kislukids5Kabir kindly agreed to accept the money and buy them to distribute.  We donated, he purchased, and kids half a world away got to breathe freely because of you.  

These hare-brained ideas of mine sometimes develop into something awesome, and this one was the best.

There was some money left after he donated the nebulizers. Doc asked me if he could purchase food for an orphanage in Bangladesh with the remainder.  I figured you guys would be ok with that, so I agreed that we would like for him to do this.

When I checked Facebook this morning, I was completely choked up by a post that Dr Kabir tagged me in.  There were pictures of beautiful children, outdoors with sacks of lentils, rice, garlic, and onions, bottles of cooking oil and a sign.  Naturally, all of my

The feels....the feels are in me...

The feels….the feels are in me…

makeup was immediately cried off, but it was worth it.

Your donations fed these gorgeous children.  Healthcare professionals in the US fed Bangladeshi orphans today.  Like we nourish our patient’s souls with our compassion, we have nourished these children’s bodies half a world away.

With our generosity and compassion.

Because that is what we do, don’t we? We heal, we nourish, we care, and we love. Selflessly.

And we did it because we were brought together by a talk show host, a pageant contestant, and a Stethoscope.

I am considering starting a monthly ‘pledge’ of a few dollars each to continue this work and make this orphanage our extended family.  I want us to adopt an entire orphanage.  How nutty is that? Another one of my hare-brained ideas that will no doubt cause our National Director, Jalil Johnson to smack me. 🙂 Because totally spontaneous and I didn’t warn him. BAD JANIE!

I love that we can unite to show the world what we are capable of as nurses. I am so grateful that Dr Kabir gave us this opportunity to show the world our stethoscopes.

And coming soon, another opportunity to show the world our love for others. Bangladesh Mission Trip, tentatively scheduled for early September. Dates and details to come.

See you there.





Share this post with friends!
Want More? Click below to follow us!

Paid Family Leave. How is it possible that we don’t have it?

By | Advocacy, International Nursing | 4 Comments

Most first-world countries have some sort of paid maternity/parental leave.  For that matter, check this out:

  • Haiti has 6 weeks of paid maternity leave.
  • Cuba has 18 weeks of paid leave.
  • SIERRA LEONE has 12 weeks of paid leave. All of these countries pay 100% of wages for this length of time.

And the US has notably ZERO weeks of paid maternity leave.

Multiple studies done all over the world point to increased difficulty with breastfeeding if the mother returns to work too quickly after a birth.  Breastfeeding is shown to reduce infant 1_maternity-leavemortality in dozens of studies.  Google one.  And the US has one of the highest first-world infant mortality rates on the planet.  Coincidence? You know better.

So, the cost of a reasonable amount of maternity leave is more important to your government and your employer than whether or not your baby survives.

If possible it gets even worse than that.

No, it really does.  Stay with me.

One of the members of Show Me Your Stethoscope donated a kidney recently.  Here is a quote:

I just donated a kidney and was forced to exhaust PTO. Even though I didn’t want to use it. My coworkers offered to donate PTO and they were told no. It’s sad. I had to sign papers agreeing that if I had any complications and my leave had to be extended that my position could not be held. 

So a nurse who saved another’s life by being a living donor was treated this way in the United States of America. In 2016. Her coworkers couldn’t donate PTO, and if her selfless act caused health complications, her job could not be held.  It would have cost that hospital exactly nothing to allow coworkers to donate leave.  Zero.  Not even a penny.Medical-Symbol

A HOSPITAL refused to allow this.  For organ donation.  To save a life.

So, the next time you think it isn’t “Right” to unite and work with your fellow nurses for safe staffing, to prevent workplace violence, and even (god forbid) decent salaries, please recall that your employer would rather that your baby died than let you have paid maternity leave.  They would rather a living organ donor choose to not donate a kidney than allowing their coworkers to donate leave. Because if her coworkers max out their leave, they lose it. And the hospital gets to steal it back.

It is about power.

It is about control.

It is about keeping you in your place.

Don’t allow it.





Share this post with friends!
Want More? Click below to follow us!