So, today I learned a valuable lesson. Trust in yourself... or Trust myself... or however that would be written. It wouldn't be right for me to rat out my classmate on here, but basically I was screwed over today by a classmate, and it sucked. So from now on, I will only trust myself. If other people are trustworthy, super! I'm excited for that, but I won't expect it.
So, in lieu of making myself feel better, I'm going to continue my ritual I started last night of 30 minute dance parties every night to get exercise and relax. Yesterday, I danced to top 40s rap, tonight 90s swing music. It was fabulous to just escape into the music. It reminded me of high school when I would whirl around in my blue sequined dress for my show choir and be totally at one with everything.
I don't know if everyone knows that about me, I used to be so passionate about singing and dancing. it was my entire life. It wasn't until college that I realized I would never be good enough to make it to broadway and I wasn't content to just be the director behind the scenes, so I switched to medicine.
I am so excited for Christmas this year.. maybe its the Christmas tree in my apartment, or the radio station that plays only Christmas music this time of year... or maybe its the stores I can't even get groceries in because they're so packed... who knows, but its gotten ahold of me this year... I'm actually excited... lol
Tho I have hardly any shopping done... I need to get on that... crap! two weekends before I leave... augh!
Monday, December 10, 2007
Sunday, December 9, 2007
ICE!
So, we got our first ice storm of the season. Its actually kinda pretty, since I don't have to drive in it today. Tomorrow, I'll hate it when i'm driving to work 45 minutes early just so that I can go slow and make it safely. I wanted to show some pictures of my deck, which is covered with ice.
This week in pediatrics, I have started in patient. I was sick for the first half of the week, so that really sucked, but the second part of the week was great. I really enjoyed being on call, mostly because we had a Greys Anatomy party in the residents' lounge with the physican that was on call with me and one of my friends who was on call for internal medicine that night. That was nice. He didn't page me after midnight because the "kids were impossible to talk to so there was no use in me trying to take their history and physicals. lol How nice!
We've had some interesting cases. I saw a 13 year old girl who was 21 weeks (5 months) pregnant. That breaks my heart. I also had a patient who was 2 years old who had an intense fear of men. Anytime I walked in the room, she wanted to be picked up and taken away from the male doctors, nurses and even her father. I felt really bad. But its difficult because I thought that meant something and the doctors totally ignored it, so I guess that means I'm either wrong, or they're jaded. Its just frustrating.
Anyway, Christmas is coming up. I really wish that I had taken two weeks off at Christmas instead of just one. I could use the break. Anyway, next week is the beginning of General Surgery. I heard its a bloodbath, literally and figuratively, so we'll see how it goes.
Sunday, December 2, 2007
Well, so much for the flu mist
well, I have started pediatrics block. Two weeks into, I got the obligatory cold that every medical student gets from runny nosed children who dont cover their coughs. Thats okay tho, I hope that this will strengthen my immune system even more. So far, tho, I've done pretty well for myself. I've managed to convince the doctors that I want to do pediatrics forever, even tho I really don't want to.
Tomorrow, I start inhouse rotations. These will be interesting. I guess these kids will be really sick, so I am hoping that I can handle it. It always makes me really sad to see kids in less than perfect condition.
Hmm in other news, my mom, stepdad and brother drove up here from Florida for Thanksgiving. That was awesome, I really needed that. It was great to have someone to come home to at night, even tho mom rearranged EVERYTHING in my house and I can't find anything now.
We went to the Lights Before Christmas at the Toledo Zoo. It was all of 26 degrees that night, but the lights were absolutely amazing. Just brilliant. I think before my mom froze she enjoyed them too. lol
I started feeling sick on thursday, so I have been sleeping A LOT at night. On friday, the physician offered me a free flumist since I needed to be immunized, and I took it without thinking. Therefore, I was very sick all weekend. my nose just keeps running. But thats okay, at least I had the weekend off!
And I experienced my first rain/sleet/ice/snow fall in Toledo this weekend. I went to dinner with a friend of mine Saturday, and when we walked into the place it wasn't snowing, and when we came out it was. But I spent two years driving on Ice so I didn't think much about it. Well, while we were on a ramp on 75, the cars around me started to hit their brakes, and without thinking I did too. Well I fishtailed bad... i was so scared! I didn't hit anyone or anything (thank GOD!) but I decided that was it for me driving that night. I guess I have to be super careful now, because this isn't Bird Arena, and there's not boards around me saving my butt.
Anyway, thats been my life so far!
Tomorrow, I start inhouse rotations. These will be interesting. I guess these kids will be really sick, so I am hoping that I can handle it. It always makes me really sad to see kids in less than perfect condition.
Hmm in other news, my mom, stepdad and brother drove up here from Florida for Thanksgiving. That was awesome, I really needed that. It was great to have someone to come home to at night, even tho mom rearranged EVERYTHING in my house and I can't find anything now.
We went to the Lights Before Christmas at the Toledo Zoo. It was all of 26 degrees that night, but the lights were absolutely amazing. Just brilliant. I think before my mom froze she enjoyed them too. lol
I started feeling sick on thursday, so I have been sleeping A LOT at night. On friday, the physician offered me a free flumist since I needed to be immunized, and I took it without thinking. Therefore, I was very sick all weekend. my nose just keeps running. But thats okay, at least I had the weekend off!
And I experienced my first rain/sleet/ice/snow fall in Toledo this weekend. I went to dinner with a friend of mine Saturday, and when we walked into the place it wasn't snowing, and when we came out it was. But I spent two years driving on Ice so I didn't think much about it. Well, while we were on a ramp on 75, the cars around me started to hit their brakes, and without thinking I did too. Well I fishtailed bad... i was so scared! I didn't hit anyone or anything (thank GOD!) but I decided that was it for me driving that night. I guess I have to be super careful now, because this isn't Bird Arena, and there's not boards around me saving my butt.
Anyway, thats been my life so far!
Saturday, November 17, 2007
Clerkship week 10
It's been a very long time since my first blog. I would like to tell you that in the last 10 weeks, I have gained my confidence back and am blowing through things with killer technique and form.
goal #3: Write more often!
I will say this: the doctor told me never to spend more than 20 minutes looking up something for him ever again. He told me to respect my time as a person and not be a student ALL of the time. This will be hard for me to grasp. Some days I'll study a ton, some days I won't do anything academic at all. The truth is, I still haven't learned how to learn. Or maybe I have but I haven't recognized it in myself yet.
Summary of FP: I did a ton of shoulder injections. I injected an old woman's hip. I am able to fish out the real story from people who lie consistently to their doctors because they just really like talking to me. I don't like patients who don't want to get better. I have learned to read people in mere seconds. I can listen to a history and come up with the three most likely causes of those symptoms, and treat all three things (of course you pick one and go with it for the patient's sake)
Mantra to live by: The three most common causes of cough: Post-nasal drip, Asthma, GERD (memorize this...)
Sometimes, I know more than the doctor, which is a fair statement since the theory is that I just got done learning the most up to date information, whereas he's been out of school for a while.
The other thing I did was round on patients while they were admitted to the hospital. My favorite story about that follows:
I had just finished Didactics on Thursday afternoon (The one day I go to class instead of to work), and I get a phone call from the physician I am working for. "are you done w/ class yet?"
"Yes I just left, I'm driving, whats up?" "i have a patient that you'll be seeing tomorrow. She's dying, you have to save her"
I wanted to say "did i NOT just say I'm driving....?" Nothing like putting the med student under pressure. He went on to explain to me her condition (renal failure), tell me all the things he wanted me to look up, he also asked me to find a formula that might save her life.
He then told me I had to go to an office function that night at a bar, and socialize, before I could look anything up.
I went, had dinner, didn't drink, excused myself by 8 pm, went home and watched Greys and looked up all the answers.
Not only did I have the answers he was looking for, but I apparently went above and beyond the call of duty with my research. The lady turned out to be just fine (you can all relax now), and I learned that one can never be too prepared.
The last day was very sad. They bought me a present, gave me a card, and a ton of hugs. It was also very hectic, as everyone was leaving early to go to the Boston Red Sox/Cleveland Indians game. I've never thought of Cleveland as a "hop-skip and a jump" away, but its only 2 hours.
I got Honors in family practice.
At the end of family practice, I had a little bit of confidence, a huge white coat that weighed easily 20-30 lbs, and had lost 15 lbs. Go me!
~~~~Side note~~~~
I mentioned before that sometimes I can see in other people's apartments. This became an issue during FP. One morning, it was very dark out, and I was up making coffee before work, and I was looking out my window. It was like 5:30 AM so no one else was awake in my apartment complex, and I was looking at the stars. All of the sudden, a light flicked on, and there, directly across from me, through my window and theirs, were two naked figures. An couple in their late 40s had just woken up and forgotten to either A) put clothes on or B) close their blinds. It was horrible. I pulled my blinds very quickly and then later told my landlord to go discuss w/ them privacy. They moved out a week later.
Also, I met my neighbor downstairs. I thought it would be nice to have a friend, so we decided to go to a bar together that friday. He introduced me as his GIRLFRIEND. I'd known him 3 days! Then he proceeded to call me every day (or text me if I didn't answer... and I never answered) and then he started to know things about my apartment he shouldn't. I'd never let him in before, he'd never even been to the door when i was home. He started telling me what i was having for dinner, or asking to borrow things I had in my hand. It creeped me out.
Finally, one night I came home around 11:30 PM, I had been out with family, and I creeped into the apartment. I tiptoed upstairs, having already silenced my phone. I slowly opened and closed my door, just to make sure he couldn't hear that I was there. I looked at my silenced phone and I had a text message from the creeper. "Little louder, I almost didn't hear you come in..." WHOA! so I called the police. Then I told him off and told him to leave me alone (on the advice of the police officers.) I haven't heard from him anymore, but I did see him outside once gazing into my 3rd floor apartment window from the parking lot. CREEPY!
~~~~~~~~ end of side note
My next rotation was Urban Medicine. This rotation is supposed to be family practice, but in an inner-city location.
Almost all of these patients don't have insurance, have been kicked out of other practices for either no showing or drug seeking, and are as stereotypically ghetto as Flava-Flav's tv show.
The first shocking patient I had was a drug seeker. She was in her late 50s. She had back pain. She walked with a walker, and she had just been booted from her previous physician for skipping too many appointments. Our office policy is that we do not give out narcotics on the first visit. She kept asking "but doctor, what should I do for my pain?" but refused to see a pain management specialist. It was frustrating.
Then I saw a 16 year old girl with her grandmother. The sixteen year old was pregnant. Her grandmother was so excited for it. I dont' know where the mother was. I didn't ask. Usually you dont' see the moms, just the grandmother/granddaughter combo.
These were recurring patients. Not the actual same patient, but the same patient profiles.
Some good lines from the office:
"Thank you Jesus for my tylenol 3s"
"ma'am we want you to record your blood sugars..." "But doctor, I can't read or write"
"well I think my smoking 2 packs a day causes my breathing problems, which causes me to use my albuterol inhaler more frequently, but I can't afford the 4 dollar perscription at walmart because I'm spending so much on my cigarettes" *D'oh*
I saw a man for ED (erectile dysfunction). He was morbidly obese. I"m not sure that he'd seen his penis in the last few years, let alone know if it was "able to get up" or not. When he began to discuss his condition, I asked politely if he wanted me to leave (because some men are not proud to have this sort of problem) and he told me I could stay. Then when the resident I was working with that day said we needed to do an exam, the man just dropped his pants in front of me. I just backed away and let the resident earn his money. lol That was crazy.
The third week of Urban Medicine, I got to work in-house (within the hospital). This was a lot more fun. We saw whatever patients were there already or admitted over night (usually between 0-2). Then we would just hang out and study all day. On the third day we got word that there was to be a delivery that evening. So we waited around all day, and at about 5 pm, I got to see a baby enter this world. It was amazing! That was probably the best moment of this rotation. I couldn't believe I got to see a baby born.
Overall, it was just more family practice, but a different patient population all together. The trickiest part of this rotation was that you presented to a different resident/attending combo every single day or half day. The resident you were assigned to changed every 1/2 day, while the attending changed daily. This made consistency an issue. I was afraid that because the attending that graded me only saw me on a few occasions that she wouldn't know me well enough. But that wasn't true, they do discuss us, and she told me I was working at the level of an intern or resident (just as Dr Workman asked me to), and told me I did great.
I got Honors in Urban Medicine.
So, now I'm back in Athens for a weekend, taking an escape from the world I'm not used to back to the world I love and know. It's great to be home. After six years of Athens, I just think it will take time for me to adjust to Toledo. I'm just not familiar with it yet. But I think that will come with experience and time. At any rate, I'm alive, and so far mostly unscathed.
I start Pediatrics on Monday... which should be good since in general, I don't like kids... lol
Have a great weekend! GO BUCKS and GO BOBCATS!
goal #3: Write more often!
I will say this: the doctor told me never to spend more than 20 minutes looking up something for him ever again. He told me to respect my time as a person and not be a student ALL of the time. This will be hard for me to grasp. Some days I'll study a ton, some days I won't do anything academic at all. The truth is, I still haven't learned how to learn. Or maybe I have but I haven't recognized it in myself yet.
Summary of FP: I did a ton of shoulder injections. I injected an old woman's hip. I am able to fish out the real story from people who lie consistently to their doctors because they just really like talking to me. I don't like patients who don't want to get better. I have learned to read people in mere seconds. I can listen to a history and come up with the three most likely causes of those symptoms, and treat all three things (of course you pick one and go with it for the patient's sake)
Mantra to live by: The three most common causes of cough: Post-nasal drip, Asthma, GERD (memorize this...)
Sometimes, I know more than the doctor, which is a fair statement since the theory is that I just got done learning the most up to date information, whereas he's been out of school for a while.
The other thing I did was round on patients while they were admitted to the hospital. My favorite story about that follows:
I had just finished Didactics on Thursday afternoon (The one day I go to class instead of to work), and I get a phone call from the physician I am working for. "are you done w/ class yet?"
"Yes I just left, I'm driving, whats up?" "i have a patient that you'll be seeing tomorrow. She's dying, you have to save her"
I wanted to say "did i NOT just say I'm driving....?" Nothing like putting the med student under pressure. He went on to explain to me her condition (renal failure), tell me all the things he wanted me to look up, he also asked me to find a formula that might save her life.
He then told me I had to go to an office function that night at a bar, and socialize, before I could look anything up.
I went, had dinner, didn't drink, excused myself by 8 pm, went home and watched Greys and looked up all the answers.
Not only did I have the answers he was looking for, but I apparently went above and beyond the call of duty with my research. The lady turned out to be just fine (you can all relax now), and I learned that one can never be too prepared.
The last day was very sad. They bought me a present, gave me a card, and a ton of hugs. It was also very hectic, as everyone was leaving early to go to the Boston Red Sox/Cleveland Indians game. I've never thought of Cleveland as a "hop-skip and a jump" away, but its only 2 hours.
I got Honors in family practice.
At the end of family practice, I had a little bit of confidence, a huge white coat that weighed easily 20-30 lbs, and had lost 15 lbs. Go me!
~~~~Side note~~~~
I mentioned before that sometimes I can see in other people's apartments. This became an issue during FP. One morning, it was very dark out, and I was up making coffee before work, and I was looking out my window. It was like 5:30 AM so no one else was awake in my apartment complex, and I was looking at the stars. All of the sudden, a light flicked on, and there, directly across from me, through my window and theirs, were two naked figures. An couple in their late 40s had just woken up and forgotten to either A) put clothes on or B) close their blinds. It was horrible. I pulled my blinds very quickly and then later told my landlord to go discuss w/ them privacy. They moved out a week later.
Also, I met my neighbor downstairs. I thought it would be nice to have a friend, so we decided to go to a bar together that friday. He introduced me as his GIRLFRIEND. I'd known him 3 days! Then he proceeded to call me every day (or text me if I didn't answer... and I never answered) and then he started to know things about my apartment he shouldn't. I'd never let him in before, he'd never even been to the door when i was home. He started telling me what i was having for dinner, or asking to borrow things I had in my hand. It creeped me out.
Finally, one night I came home around 11:30 PM, I had been out with family, and I creeped into the apartment. I tiptoed upstairs, having already silenced my phone. I slowly opened and closed my door, just to make sure he couldn't hear that I was there. I looked at my silenced phone and I had a text message from the creeper. "Little louder, I almost didn't hear you come in..." WHOA! so I called the police. Then I told him off and told him to leave me alone (on the advice of the police officers.) I haven't heard from him anymore, but I did see him outside once gazing into my 3rd floor apartment window from the parking lot. CREEPY!
~~~~~~~~ end of side note
My next rotation was Urban Medicine. This rotation is supposed to be family practice, but in an inner-city location.
Almost all of these patients don't have insurance, have been kicked out of other practices for either no showing or drug seeking, and are as stereotypically ghetto as Flava-Flav's tv show.
The first shocking patient I had was a drug seeker. She was in her late 50s. She had back pain. She walked with a walker, and she had just been booted from her previous physician for skipping too many appointments. Our office policy is that we do not give out narcotics on the first visit. She kept asking "but doctor, what should I do for my pain?" but refused to see a pain management specialist. It was frustrating.
Then I saw a 16 year old girl with her grandmother. The sixteen year old was pregnant. Her grandmother was so excited for it. I dont' know where the mother was. I didn't ask. Usually you dont' see the moms, just the grandmother/granddaughter combo.
These were recurring patients. Not the actual same patient, but the same patient profiles.
Some good lines from the office:
"Thank you Jesus for my tylenol 3s"
"ma'am we want you to record your blood sugars..." "But doctor, I can't read or write"
"well I think my smoking 2 packs a day causes my breathing problems, which causes me to use my albuterol inhaler more frequently, but I can't afford the 4 dollar perscription at walmart because I'm spending so much on my cigarettes" *D'oh*
I saw a man for ED (erectile dysfunction). He was morbidly obese. I"m not sure that he'd seen his penis in the last few years, let alone know if it was "able to get up" or not. When he began to discuss his condition, I asked politely if he wanted me to leave (because some men are not proud to have this sort of problem) and he told me I could stay. Then when the resident I was working with that day said we needed to do an exam, the man just dropped his pants in front of me. I just backed away and let the resident earn his money. lol That was crazy.
The third week of Urban Medicine, I got to work in-house (within the hospital). This was a lot more fun. We saw whatever patients were there already or admitted over night (usually between 0-2). Then we would just hang out and study all day. On the third day we got word that there was to be a delivery that evening. So we waited around all day, and at about 5 pm, I got to see a baby enter this world. It was amazing! That was probably the best moment of this rotation. I couldn't believe I got to see a baby born.
Overall, it was just more family practice, but a different patient population all together. The trickiest part of this rotation was that you presented to a different resident/attending combo every single day or half day. The resident you were assigned to changed every 1/2 day, while the attending changed daily. This made consistency an issue. I was afraid that because the attending that graded me only saw me on a few occasions that she wouldn't know me well enough. But that wasn't true, they do discuss us, and she told me I was working at the level of an intern or resident (just as Dr Workman asked me to), and told me I did great.
I got Honors in Urban Medicine.
So, now I'm back in Athens for a weekend, taking an escape from the world I'm not used to back to the world I love and know. It's great to be home. After six years of Athens, I just think it will take time for me to adjust to Toledo. I'm just not familiar with it yet. But I think that will come with experience and time. At any rate, I'm alive, and so far mostly unscathed.
I start Pediatrics on Monday... which should be good since in general, I don't like kids... lol
Have a great weekend! GO BUCKS and GO BOBCATS!
Monday, September 10, 2007
So here I go!
Imagine, going to school without taking a book bag, packing a lunch, seeing your best friend or knowing when you would get to go home. That was school for me today. I'm a third year medical student. Today I began my first rotation, Family Practice.
I didn't have to take any giant binders or even my laptop with me, and forget those stupid notecards (dont' go far guys, I'll be needing you very soon...), it was just me, my white coat, stethoscope, and what I'd managed to cram into my head in the past two years, because seriously, the first four (AKA undergrad) don't count because I didn't learn a THING there to help me out yet!
The day started out okay. I didn't have to be at the office at some ungodly hour. She said to show up a little before ten. I thought I could handle that. I got up at 7:30 AM just incase. (ever the OCD med student). I took a shower, reflected on what I knew about life, what I didn't know about medicine, how overweight I looked in my clothes, how Dr Workman and his staff probably wouldn't care, how I cared anyway... forgot to eat breakfast until about nine. So far.. I was glad I got up at 7:30.
About nine I realized I needed to get ready to leave. I wanted to arrive early (the eager med student, ever early ever wanting to learn, wanting that honors mark, shows up early, early is on time as you know...) Walk to my car the first time. Realize I dont' know how to get there. Run back up to mapquest it one more time (I had done this before but was convinced of a better way... ) in route, left my ink pen on the desk... BIG MISTAKE ROOKIE MED STUDENT!!! Go back to the car... realize I don't have my cell phone... run back up again... its now 9:40.... good thing I got up 2 hours early... imagine when my day starts at 7 AM later this week...
I start to drive there. I have never lived in an area with so much railroad transportation. I crossed six tracks.... SIX at once. with NO markings as to when trains were coming or going... I sat there for 10 minutes praying to God Himself that He might wave me across.... finally I gunned it.... I did this each time I crossed the tracks.... this happened 3 more times.
I got to the hospital unscathed. The people there were amazing. My preceptor told me he expects me to be working at a level way above what I am. I told him I dont' even know what that means. I think he thinks I'm funny... I hope he doesn't think I'm an idiot.
Its interesting, a few years back I used to be so confident in myself. Medschool stripped me of that. I no longer think I am worthy of anything and I think I am terrible at everything. I can't even make sentences that are worth saying out loud most of the time.
Personal goal numero uno: If it isn't worth saying, just stay silent & make what I say mean something.
I should have probably made a goal up there sooner about getting ready in under 2 hours... I can get ready in 45 minutes... Today was special... Day one is always special...
Without violating any hippa /hippo whatever rules... I will say this... I got to take stitches out today and I was nervous to do it. I know that I will look back on this.. probably in less than 6 weeks and laugh about that... but the sheer responsibility of someone's health care in any form in my hands was mindblowing. Then later I learned that OMT is actually a "procedure" that we must log. I think I am going to be logging a LOT of OMT in my time with my doc. Thats one of the reasons I asked to work with him in the first place... he's from Kirksville, he's an expert...
but to equate OMT to abdominal aortic aneurysm repair as new-innovations does... is WRONG!
enough said.
I got off work around 5:15 or so tonight. and I have minus about an hour and a half been researching things that the fine doc has asked me to look up... I haven't done much reading of them, but i've done a lot of quality research.
Gol numero dos: Learn to read as I research; it will save time
alright, I think thats good enough for day one. I can't write about patients in an open forum, and I dont' really have anything else I can write on here publically.
Oh, random, living in a complex comment... sometimes I see into other people's apartments... I dont' mean to, and I really don't want to, but I do... and i see them working out... and I cheer them on from my apartment.
I didn't have to take any giant binders or even my laptop with me, and forget those stupid notecards (dont' go far guys, I'll be needing you very soon...), it was just me, my white coat, stethoscope, and what I'd managed to cram into my head in the past two years, because seriously, the first four (AKA undergrad) don't count because I didn't learn a THING there to help me out yet!
The day started out okay. I didn't have to be at the office at some ungodly hour. She said to show up a little before ten. I thought I could handle that. I got up at 7:30 AM just incase. (ever the OCD med student). I took a shower, reflected on what I knew about life, what I didn't know about medicine, how overweight I looked in my clothes, how Dr Workman and his staff probably wouldn't care, how I cared anyway... forgot to eat breakfast until about nine. So far.. I was glad I got up at 7:30.
About nine I realized I needed to get ready to leave. I wanted to arrive early (the eager med student, ever early ever wanting to learn, wanting that honors mark, shows up early, early is on time as you know...) Walk to my car the first time. Realize I dont' know how to get there. Run back up to mapquest it one more time (I had done this before but was convinced of a better way... ) in route, left my ink pen on the desk... BIG MISTAKE ROOKIE MED STUDENT!!! Go back to the car... realize I don't have my cell phone... run back up again... its now 9:40.... good thing I got up 2 hours early... imagine when my day starts at 7 AM later this week...
I start to drive there. I have never lived in an area with so much railroad transportation. I crossed six tracks.... SIX at once. with NO markings as to when trains were coming or going... I sat there for 10 minutes praying to God Himself that He might wave me across.... finally I gunned it.... I did this each time I crossed the tracks.... this happened 3 more times.
I got to the hospital unscathed. The people there were amazing. My preceptor told me he expects me to be working at a level way above what I am. I told him I dont' even know what that means. I think he thinks I'm funny... I hope he doesn't think I'm an idiot.
Its interesting, a few years back I used to be so confident in myself. Medschool stripped me of that. I no longer think I am worthy of anything and I think I am terrible at everything. I can't even make sentences that are worth saying out loud most of the time.
Personal goal numero uno: If it isn't worth saying, just stay silent & make what I say mean something.
I should have probably made a goal up there sooner about getting ready in under 2 hours... I can get ready in 45 minutes... Today was special... Day one is always special...
Without violating any hippa /hippo whatever rules... I will say this... I got to take stitches out today and I was nervous to do it. I know that I will look back on this.. probably in less than 6 weeks and laugh about that... but the sheer responsibility of someone's health care in any form in my hands was mindblowing. Then later I learned that OMT is actually a "procedure" that we must log. I think I am going to be logging a LOT of OMT in my time with my doc. Thats one of the reasons I asked to work with him in the first place... he's from Kirksville, he's an expert...
but to equate OMT to abdominal aortic aneurysm repair as new-innovations does... is WRONG!
enough said.
I got off work around 5:15 or so tonight. and I have minus about an hour and a half been researching things that the fine doc has asked me to look up... I haven't done much reading of them, but i've done a lot of quality research.
Gol numero dos: Learn to read as I research; it will save time
alright, I think thats good enough for day one. I can't write about patients in an open forum, and I dont' really have anything else I can write on here publically.
Oh, random, living in a complex comment... sometimes I see into other people's apartments... I dont' mean to, and I really don't want to, but I do... and i see them working out... and I cheer them on from my apartment.
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