Respiratory Round Up

Welcome to my first in a series called “Respiratory Round Up.

Twenty seven years ago I became a Respiratory Therapist. When I was a child I can remember my own hospital stays with asthma. The ones who seemed to take the most time with me were the respiratory therapist.

I thought it would be unique to ask a group of Respiratory Therapist some questions and publish a round up.

Your probably scratching your head wondering, “What does a Respiratory Therapist do?” The best way for me to describe what an RT does is by an article I found at Respiratory Therapist License. com titled “What Is A Respiratory Therapist”?

Respiratory therapy is best described as the assessment and treatment of patients with both acute and chronic dysfunction of the cardiopulmonary system. Today’s respiratory therapists have demanding responsibilities related to patient care and serve as vital members of the healthcare team.

Everyone who participated were asked the same three questions.

1. What made you decide to become a Respiratory Therapist?

2. How has your experience as an RT helped you in your personal and professional life?

3. What advice would you offer to someone looking at Respiratory Therapy as a career path?

First Up

Scott Dykes RRT

1. I saw that I could make a difference, using my personal experience. I wanted to pay it forward….

2. Helped me by day to day care of patients, and saving lives. Personally, I was my sister’s medical advocate when she was comatose after an MI, with anoxic brain injury.

3. See picture

Second Up

Hayfa Perez, BS, RRT-NPS, SDS

1. The Respiratory field caught my attention when I witnessed a friend on life support. Initially intubated, then trached and unable to be weaned off life support. It was a struggle for all involved in his care- Family, friends, Clinicians and the RRT’s. They struggled with him step by step and always initiated trials with positive reinforcement. At that time, I was not in the medical field and found it overwhelming, yet fascinating. I had the opportunity to speak with some of the RTs there and realized instantly that I wanted to help people live and breathe. I wanted to be able to make a difference. Respiratory Care is a growing field that is blossoming. Many avenues to venture and I ventured happily. Years later, I still love the field and feel passionately about what I do.

2. My experience as an RT has helped me grow as a person- professionally and personally. It’s made me appreciate life and to always remember there are those who have far more struggles than I do. The simple things taken for granted such as breathing, talking, and eating can be the unobtainable dreams for others. I think about that and remind myself how harsh life can be to have such simple pleasures taken away. After so many years the field still amazes me. I still encounter cases that humble me. There is always a case that presents unlike another and reminds me that I have so much more to learn. It also reminds me to have compassion and empathy in my heart.

3. The advice I would give someone looking at Respiratory therapy as a career path is to review first what Respiratory Care is and make sure the field attracts attention. Choosing this career path, one must be focused, study and understand that the decisions made will affect lives. It is not a field to be taken lightly. It is intense, but rewarding. Always be ready, ask questions, follow instructions and directions. Be respectful to patients, preceptors and colleagues. A strong Therapist is built on values and always remember that patient care is priority.


Sheila Hensler, RRT, BS

1. I wanted the excitement of medicine without the nursing responsibility. But I wanted to work directly with patients. Being an RT has given me that.

2. I have had many experiences as an RT, some good, and some not so good. But the one thing that has changed is that I am more confident in both my professional and personal life. A lot of times as an RT, the information I give and the decisions made for a patient require some risk. Being willing to take those risks has created my confidence.

3. There are so many more options now than when I became an RT. It used to be that RT’s worked in hospitals, LTAC’s, PFT’s or home care. Now, there are APRT options, RT’s work with ECMO, and can even be found in physician offices. Aim high. Don’t settle for “just an RT”.


Karrie Mitchell, CRT (No picture was given given to include)

1. Right out of high school in 1995 I was making $10 an hour working for an alarm company, and back then that was good money. I felt like I wasn’t ready for college at that point. I was making more money than a lot of my friends and just didn’t know what I wanted to be when I grew up. After a couple of years, I switched to banking and then I became a Phlebotomist. My mom is a nurse and was always trying to talk me into becoming one and I just didn’t want to. After seven years as a phlebotomist I was told I had topped out my pay scale and wouldn’t make any more money. I was making $12.75 an hour. I went to see my mom at work and she was stressing about not having enough nurses for the weekend. I looked at it and said, screw it I will go to nursing school. I considered several schools and after finding out there was a minimum 2 years wait to get in I got discouraged. I was sitting in the ICU talking to one of the pulmonologists about wanting to go to school and being discouraged and he told me that I should be an RT and not a nurse, because as he put it I wouldn’t have to wipe grown up butts. I still chuckle about that. This conversation took place in May and I started RT school in August, I was 29 at the time. When I graduated and went home to Wyoming I started working at a small mom and pop DME and realized I liked the consistent patient interaction. I moved to a national company with more opportunities about a year later. 10 years later I am a General Manager of a branch and I am the RT.

2. When I was in school everyone would say don’t go into home care you won’t ever gain any skills. I’ve been in home care 10 years and I have gained many skills that I wouldn’t have working in a hospital. I was incredibly lucky to have had a manager for 6 years that let me run the RT department (ok I was the only RT) my way. She let me push for better therapies for my patients and encouraged me to push my own boundaries and learn every aspect of the business. She taught me how to manage a budget and staff and supported me when I didn’t think I was smart enough to do things that were new. When an office within our company needed a manager, she pushed senior management to choose me for the position. Along with the management and RT component of my job I am also the sales person, and because I speak from a clinical background I have found it easy to get doctors to talk to me and work with me and sales was not something I ever thought I would be good at it. But my tiny branch in a tiny town is doing amazing things. I took over a branch that was in the hole and they were talking about closing it and I made it better. I think the thing that I have learned is to never take no for an answer and keep pushing for more.

3. I think the one thing I would say to someone in RT school or considering it is to never discount homecare and think that home care RT’s aren’t real RT’s. Also consider what is important to you, do you want to just treat patients and often not know what happens once they leave the hospital, or do you want to work with them for a long time? I get updates from families about their family member I have taken care of, I get pictures of babies I took care of. It’s a different animal, but it’s not less in any way.


Michael W. Hess, BS, RRT, RPFT

1. I had been fascinated by medicine for a while, but didn’t really feel that medical school would be practical at that point in my life (almost 30 with 2 kids). My wife was a nurse, and I thought that might be a good way to go, and then I discovered the waiting list in our area was about 2 years long. I wanted a career a little more urgently than that, so I looked into respiratory care. The director of our local program was willing to bring me in even though I was missing one pre-req at the time, and I was very grateful for that. I had a vague sense of what RTs did, because one of my kids was a preemie and I had worked at DME office for a year or so doing customer service, but I didn’t really “get” much of it. However, after only a few weeks of the program, I fell in love with the profession, and I never looked back.

2. The journey has been incredibly fulfilling in so many ways. I’ve been fortunate to have various opportunities to see how the healthcare system works from several angles, in both inpatient and outpatient settings. I’ve been able to touch lives and share experiences with people from an incredibly broad cross-section of life, and I’ve learned something from every interaction. In my current role, I’ve seen that every person has a story, and the assumptions we can be quick to make as clinicians are wrong more often than we’d care to admit. Learning to look past preconceptions has, in turn, made me a better parent, a better spouse, and a better advocate for both my profession and the people we care for. Being a respiratory therapist has empowered me to increase both my knowledge (through academics) and wisdom (through experience).

3. What advice would you offer to someone looking at Respiratory Therapy as a career path?
You will get out of this profession almost exactly what you put into it. If you go in with the belief that there are certain limits to our skills or practice, you will never learn to exceed those limits. But the truth is, our field is virtually limitless. More and more RTs are breaking out of the traditional bedside mold, and becoming entrepreneurs, consultants, clinical educators, even CEOs. We are poised to take on an even bigger role in healthcare, but we must be ready to accept the responsibilities that go with that larger profile. That means being ready to take on more education, and to be creative in demonstrating our value. Be ready to probe your own limits, and you’ll learn that they aren’t barriers, but rather mileposts on your journey.

Lastly ME

Alicia Osmera, CRT, RTL

1. As a kid with childhood asthma I watched many RT’s take their time administering my breathing treatments. Also my mother was in and out of the hospital with lung issues when I was younger. One therapist was very rude and in a hurry. He made my mother feel like crap. Like she didn’t even matter. I decided I could make a difference to those in need.

2. Respiratory therapy has given me many experiences. Taught me to be empathetic, courteous, and caring towards others. Professionally I have done many things from trauma, flight transports, pediatrics and more.

3. To those whom maybe considering a career change, I will just say follow your heart, fund a program where you can shadow someone to make sure this homeless profession is for you.

I’d like to thank all of my fellow Respiratory Therapists for participating in my round up.

I hope you enjoyed this and as always……

Gain The Advantage,

Alicia Osmera


 Opportunities Are Always There 

Searching for opportunities to make our lives better seems to be an ongoing thing.

Improving one’s health and wealth are the two biggest ones I see people searching the world wide web for. 

Ideas happen everyday.  Benjamin Franklin invented many useful tools we use today.   How did those opportunities start?  A vision for a brighter future lead to the inventions we all use today. 

Has someone approached you about having a home business and you pop pooed the idea?

Opportunity just knocked at your door!  It was screaming at you “Let me in!”

Was this your last chance to change the world? Make your finances better, improve your health,  spend more time with your family,  finally get free from having a traditional job?  

Which by the way stands for “Just Over Broke”.  

I can’t answer those questions for you.  Only You can.  

Go out and sieze the day.   Make a difference in your life and someone else’s. 

 If and when a next opportunity knocks at your door take a serious look and listen to your intuition.  It may just be what you’ve been looking for.

Gain The Advantage, 

Alicia Osmera 

Happy New Year 2017

Another year behind us and a new one lies infront of us.  I love new beginnings.  A new year brings us just that.

A chance to wipe the slate clean, pick ourselves up, moving forward into a bright new future.

I’m going to breakdown the meaning of all three words.


According to Google happy is a feeling or showing pleasure or contentment. 

How does one show a feeling?  A smile, a post with happy faces, babies, puppies, kittens a favorite teams win.  

When someone says; ” I just want you to be happy” what are they really saying?   Can we be happy without smiling, posting positve and uplifting sayings on social media?

I’ve learned to be content with my life just the way it is.  I may not have big fancy houses, top of the make in motor vehicles and all the material things that people associate with “happiness”.  What I do have is a loving husband, children, grandchildren, family and friends.  That makes me rich in happiness.


New is defined by Google dictonary as not exsiting before; made; introduced, or discovered recently or now for the first time.

Every day brings a new beginning. It is up to us to make it count.


Merriam Webster defines year as

a :  the period of about 3651/4 solar days required for one revolution of the earth around the sunb :  the time required for the apparent sun to return to an arbitrary fixed or moving reference point in the skyc :  the time in which a planet completes a revolution about the sun <two Mercury years>

The whole of life is but a moment of time. It is our duty, therefore to use it, not to misuse it. -Plutarch

How will you use this year to your advantage? 

I wish you all a healthy, positive, prosperious 2017!

As always…..

Gain The Advantage,

Alicia Osmera

Damaging Self Talk 

There is power in the tounge! 

 Think about that statement for just a moment.  

Proverbs 15:1

 A soft answer turneth away wrath: but grievous words stir up anger.

Now that the United States of America’s election is over I’ve heard and seen more anger and hatred that ever before.   What is the point of it all?Running ones mouth, speaking of hate and violence is not what America was founded upon.  

Martin Luther King Jr

was one of the most outspoken and influential people of his time .   Are we as a nation forgetting the most important message he shared with the world ?  

His speeches were not those of “go riot into the streets because you don’t like the outcome of a vote, go forth and beat each other up because you have different values and beliefs “

Oh I’m sure we have all heard or read his “I Have A Dream” speech.  In The 60’s he was ridiculed by his peers for things he said and made fun of.  It was the power of his words that began to change his life and the lives of those that followed him.

The I Have I Dream speech was his most famous; however there were other quotes which are fitting for today’s times.

I refuse to accept the view that mankind is so tragically bound to the starless midnight of racism and war that the bright daybreak of peace and brotherhood can never become a reality… I believe that unarmed truth and unconditional love will have the final word. Martin Luther King, Jr

These are just a few.

Damaging Words

You have power in your words. 

The words we speak bring love, hate, healing, irreparable damage, illnesses, unforgiveness, and forgiveness.

When was the last time you yourself made a positive statement about yourself ?   

Do you tell yourself these things everyday ?   

I am strong ! I am beautiful! 

I show love and receive love!

When we confess positive statements out of our mouth they come to pass.  We may not see them come to forwichen right away.  Years, months or days later we start to believe what we say.  We stand a little taller, push our chest out a little more and walk with confidence knowing we are speaking positive things into the universe, which will come back to us.


Affirmations are one way to train your mind into positive thinking while speaking them out loud . 

I found a great little gem on my Google search.  

What Are Positive Affirmations

Great ideas for you to get started with improving your self talk.

Will you agree to join me in this pledge?  If so please comment I pledge below and feel free to copy this image and share it . 

Gain The Advantage, 

Alicia Osmera 

What Do You Mean It’s Thanksgiving

Every year in the United States of America we have this little holiday called Thanksgiving.  

It’s supposed to be a time of reflection, gathering together with family and friends to be grateful for what one has.

This year marks the fiftieth anniversary of the  Charlie Brown Thanksgiving cartoon.  Watch Charlie Browns Thanksgiving here.
I always loved Charlie Brown and his friends as they try to have a traditional thanksgiving dinner . 

Snoopy does all the cooking.  While Woodstock attempts to assist with the preparations . 

Charlie Brown of course is stuck in his usuall rut of aggravation, undecissiveness that goes along within his little part of life.

His best friend Linus always maintains a positive attitude no matter what is going on.  I loved this cartoon growing up because it shows us that holidays don’t have to be in the normal ways.

Every nationality can come together with one mind.  The mind of thankfulness .  

 What does the word thankful mean?  According to it is a 

feeling or expressing gratitude;


Can Charlie Brown find the things to be grateful for?  I’m not going to spoil it for you just in case you’ve never seen this episode.

Really there are people out there in this great big world that have never seen or heard of Charlie Brown . 

The one thing I will tell you is see that kid at the head of the table? That is Linus.  The positive influence in Charlie’s life.  Always had the one thing to say that make a person think . 


Things I’m thankful for are 

1. YOU – without anyone reading my articles my words would just sit here taking up space never to be seen or shared.

2. God – Okay I know what your thinking .   Why, What. Without my belief in God I don’t know where I’d be today . 

3.  My Husband and Family – I love my family .  They make this journey through life exciting.

4. Friends – We all have friends.  I have a few special ones that help to keep me somewhat level.


Charlie Brown of course ! 

May you have a special Thanksgiving with your loved ones.

Please leave a comment on two things your thankful for.

Gain The Advantage, 

Alicia Osmera 

3 Reasons Why Using Your Products Increase Your Bottom Line

Michael Hyatt says it best

We’re not being selfless when we avoid promoting our product. We’re just undercutting our own mission and creating an opportunity for someone else to take our place.

 As I connect with other network marketer’s I’ve found it more common that people are shy about using and sharing the products they endorse.

1. Belief In Yourself  Do you believe in yourself?   Do you know that you have the abilities to promote your company?

Most people will fail in network marketing because of doubt.  We must believe in our own abilities to sell whatever products people are looking for.

2. Developing Leadership Using and promoting your companies products helps you develope leadership skills.

Promoting and selling helps us to develop leadership skills.  As we communicate with other’s we are honing those skills needed to become a leader.  Look at the top ten sellers in your company.   How did they get where they Are?  They started at the bottom, learning, sharing and now finally the leaders they were destined to be.

3. Promoting Equals Money aren’t you into having a better life?  Why are you a network marketer? What made you believe in this opportunity? 

If we’re excited about something we share it with others.  A new resturant, new food,  new places and products.   Think about this most start up companies happened because one or two people got excited enough to tell one or two more and so on.

Did that make them crazy? No it means they were inspired, intrigued and wanted to share.

Sharing your products with others is the only way to build confidence. If we don’t share then who will?

Don’t miss out on an opportunity because your nervous or scared.  Learn to overcome those feelings and go for it.

Are you struggling with something?  Leave me a note I will help if I can.
Gain The Advantage, 

Alicia Osmera 

Three Day Quote Challenge: Day 3 (oops I missed a day)

I am not perfect just forgiven! 

I was so busy yesterday with the return of my husband home from the hospital I totally spaced out my day 3 of this challenge.

I was nominated by Sweta Ojha to participate in the three-day quote challenge.

Thank you for thinking of me Sweta Ojha.  Please stop by her blog site and check it out.


  • Pen down three quotes for three days
  • Nominate three blogs each day.  The nomination should not be repeated.
  • Thank the person who nominated you.
  • Inform the nominees.


My prayer and hope for you my readers is that I will leave a footprint in your heart for the better.

My nominees are:


These three blogger’s are fellow PAC memeber’s and they always have a positive message to share.

Gain The Advantage!

Alicia Osmera



Raise The Bar Of Your Posts With Pictures

I am a member and expert author on the PAC Community Blog.  This was my post for them.

From the Editor,

This is Alicia’s first published article on the PAC Community Blog! After many drafts we finally have a finished post. What’s important to note here is PAC helps new bloggers, as well as seasoned ones, to hone their blogging skills. Writing is a big one to master – if it ever is. It’s an ongoing skill that is constantly revisited and explored. PAC gives new bloggers, like Alicia, the opportunity to enhance their writing skills, experience as a blogger and what’s involved, and writing for the PAC Community Blog.  We all start somewhere and we only get better at what we do through experience. Congratulations Alicia!  We look forward to more posts from you!
Lesly Federici

A  picture is worth a thousand words …

We’ve all heard that saying before.  However, is it true when it comes to writing your blog?

Pictures tell stories …

Images bring a certain essence to what the writer is trying to convey to their readers.

Articles with images get 94% more views.  Visual stimulation grabs the reader’s attention and draws them into the article.  A large percentage of the brain is dedicated to visual processing.  When we see a picture we analyze it within a very short period of time, knowing the meaning and scenario within it immediately.

Five Reasons to Consider Using Pictures

  1. Pictures grab the reader’s attention and helps them commit to reading the content.
  2. Rests the eyes from reading.
  3. Gives your readers a memorable experience.
  4. Images communicate information to readers faster than words.
  5. Images add VALUE!  They add valuable SEO (search engine optimization) traffic to your site because the images displayed in search results relate to the images within your blog post.



SEO  (Search Engine Optimization), is the process of generating traffic through keyword searches by people seeking a particular topic.

Images are easy to find and use. Using your own images are best because of copyright laws.  Obtaining images for your site gives that personal touch and flare to your website.

5 Sites For Picture Images

 Flickr  this site is owned by Flickr offers 1,000 GB of free photo storage.  They will help you automatically backup your entire collection.

PicsArt  allows you the ability to edit photos, share and store them.

Free images  provides over 2.4 billion pictures you can use (some you can use for a small fee.

 Public Domain  ( is a repository for free public domain images. Download high quality – HD photos or upload your own. Make money from your hobby, gain popularity and improve your photographic and graphic skills.

Lastly you can always use Google Search Engine  . Just be careful as you search not to use copyrighted pictures without permission.

PicsArt is a great application to use for editing and adding quotes and your own signature to your images. It’s easy and convenient for you to use.

Some audiences prefer to view written content then visual images. Some audiences are interested in more visual images then written content, and that’s okay.

Both styles assist the reader in offering both quality and value. Work on improving your skills, and don’t be afraid to get help from an outside professional who can give your blog the extra sprucing up it lacks.  What is the goal that you’re trying to achieve with your audience?

There are many ways to engage with your readers. Images and writing – the most valuable type of content driving marketers to use.

Imagine  the photographs in your mind, then search for the right one which will add meaning to your article.  Colorful photographs such as red, yellow,  purple draw more attention to your readers eyes.

Be creative

Don’t be afraid to let your creativity flow in your posting and keep the images coming.

Alicia Osmera



One word will kill the  chances of ever finding success in network marketing.


Disbelief  is defined as  the 1. Inability or refusal to accept that something is true or real 2. Lack of faith in something. *Webster’s Dictionary

Doubting  in yourself is going to hold you back and take you down a long and winding road! This is one reason all of the top successful network marketers tell us to work on self improvement.  Work on a positive mindset, be around successful and positive  influences because they will give you the ability to produce the successful results you’re seeking.

For example someone has offered you an unbelievable opportunity.  Yet you have seen all of the documentation, seen videos, talked to other people in the business and yet you still disbelieve “this one of a kind opportunity” exists.

In the book –  Napoleon Hill’s Keys to Success: The 17 Principles of Personal Achievement book there is a blurp about overcoming disbelief.   In this book he highlights three easy steps to obtain overcoming disbelief.

  1. Express a definite desire for the achievement of a purpose, and relate it to one or more of the basic human motives.
  2. Create a definite and specific plan for attaining that desire.
  3. Start acting on that plan, putting every conscious effort  behind it.

Reading books like Napoleon Hill’s Keys to Success: The Principles of Personal Achievement,  How To Think And Grow Rich will aid in developing the proper techniques and mindset to gain success.

The more we clear our minds from the negativity filters, the better we become with believing we have the ability to accomplish the goals that we have set aside.  Clear your mind of all negative thoughts of poverty, unsuccessfulness, fear, regrets, and take the necessary steps to build your faith level up where it needs to be to achieve the success you seek.

Gain The Advantage!