On my break from diligently studying, I was doing a New York Times crossword puzzle. The clue for 38 down was, “Way too weighty.” And the answer? “Obese.” I’m trying to decide if that is a better alternative to telling a patient that they are fat.
So, add that to your words and phrases you will attempt to slip into a patient conversation. I dare ya.
**dani
As we are heading into our first rotation, I wish everyone the best of luck in getting the most out of this entire year! This week has proven to be overwhelming, in the amount of information they unloaded on us for assignments and what-nots.
I feel confident that these experiences will humble me, and I am hopeful that each rotation will remind me that I got into this program for a reason, no matter how many placebo moments I may have.
Here’s to histories and physicals! Don’t forget your HPI: “Would you describe your pain as shart or dull?” Or your Plan of action: “I’m going to write you a prescription for penis-illin, but be wary of the possible side effect of sever vaginal pain in 9-months time.”
I am glad to be heading home, and excited to continue on this path, but I will indeed miss each of you, you are family to me.
Love you guys!
~b
I was just thinking I need to pack for this next week tonight. How many pairs of scrubs do you all think I should pack? And how much trouble would I get into if that is what I wore all week? 🙂 That’s business causal right? Besides, they put me in the OR first and that is what I’ll be wearing anyhow so only seems fair that I should be able to wear that to class too! That’s my opinion anyhow!!!
-Tracy
I don’t know about you all but I haven’t looked at physical exams in…. I don’t even know how long. I was curious to see who might be interested in a physical exam party Monday or Tuesday after class or whatever the heck we have going on.
-Tracy
I was wondering if anyone would be willing to exchange capstone paper reading with me. I want someone to read over it and my husband is not very excited to do that for me. 🙂 I’m not sure why with my extremely exciting topic but he is very hesitant to read it. I am ready and willing to read over anyone’s paper who would like me to and am just checking to see if anyone would be willing to give mine little looksy. Anyone? Anyone?!?!
-You know who I am
P.S. I changed the theme to get us in the mood for next WEEK!! Holy crapola!!!
We have to be back in Spokane in 2 weeks. And we start clinicals in 4 weeks. Holy crap!! I am SO not ready!!
-Tracy
Cardiovascular: 16% of Blueprint
Dilated Cardiomyopathy
1) H&P: rales, elevated JVP, cardiomegaly, S3 gallop rhythm, often murmurs of functional mitral or tricuspid regurgitation, peripheral edema, or ascites. pulsus alternans (variation of amplitude in every other beat on an art-line), pallor, and cyanosis,
2) Lab and diagnostic studies:
-ECG: low voltage, Sinus tachycardia, LBBB, Ventricular or atrial arrhythmias
-CXR: cardiomegaly, pulmonary congestion, Pleural effusions[R>L]
-Doppler Echo: LV dilation, thinning, and global dysfunction
-Stress test: May suggest underlying disease
-MRI: helpful in infiltrative disease
3) Key words/Pathognomonic-
4) Treatment: Not much, stop alcohol, treat hyper/hypothyroidism, acromegaly, pheochromocytoma, treat CHF, Long term anticoagulation, consider bivent pacer, ICD in EF<35%, transplant, immunosuppressive Tx NOT indicated.
5) Pharmacology: Treat CHF; diuretics and beta-blockers, ACE inhibitors, Aldosterone inhibitors
I have to tell you all that I have finally received word about my preceptorship. That I personally found myself. This is the second one that I found but the first one they actually set up for me and not someone else. Hopefully they don’t decide they want to place someone else in Gillette and take this one too. Jackwagons anyhow.
Well, as I am sitting here at work learning all about sleep studies with my good friend Julie, I was just thinking that this coming week is our very last week of online classwork. Isn’t that great news?!?!?! I will be very glad to be done with this crapola. Hang in there. We’re almost done!
-Tracy
I don’t know if you all noticed but Jake and I were discussing the possibility of starting some review for the PANCE stuff after next week just for a little review before clinicals start. His suggestion is to work of the blueprint so start with some cardiology stuff. We could each take a topic, review it ourselves, and then post a review for everyone else on here. That way we are all getting some reviewing in but not having to go through it all in the couple of weeks we actually have off. Because Jake is AWESOME (not a dork), he saved all the power points from Moodle onto an external hard drive. Brilliant idea!! So if we need access to them, we just have to ask our local dealer for them. I’m not sure what he charges yet though! Any thoughts on this?
-Tracy
Just for you, Jake!
paspoke 