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NP & PA Student Blog

Addressing Patient Psychosocial Issues
April 8, 2013 8:56 AM by Olga Trouskova
My first encounter with homelessness was while living in Ecuador. Homelessness there is pervasive and hard to miss. It is present on most street corners and does not discriminate, affecting both old and young; it is quite merciless and ruthless. I remember Read More...
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Lessons Learned in my Clinical Year
March 11, 2013 1:26 PM by Olga Trouskova
Graduation day is just around the corner (but who is counting?), so I've decided to reflect back on the "lessons learned" during my clinical year of PA school. It has been a challenging and rewarding experience for me. There have been ups and downs; both Read More...
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Smells as a Diagnostic Clue
February 25, 2013 1:48 PM by Caroline Pilgrim
Consider this post "part II" in response to faithful reader of our student blog, Mark Behar of Milwaukee, Wisconsin. His comment challenged me to follow up on the use of odors and smells to diagnose, or at least give us clues to how best to treat our Read More...
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Embracing Old Age
February 11, 2013 12:10 PM by Olga Trouskova
The other day, I came across a poem that was written by an older man who was living in a nursing home. It is a touching poem, so I've decided to share it with you. Although the poem addresses nurses specifically, I believe that its message is to everyone, Read More...
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My "Smeducation" in Patient Smells
January 28, 2013 12:30 PM by Caroline Pilgrim
If I could give any future medical student advice about the ER, my three most important words would be: Vicks Vapor Rub. When I first entered the ER, I was prepared to be jaded, but I was not prepared for the smells: abscesses, STDs, rotten teeth, body Read More...
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Patient Non-Compliance
January 14, 2013 9:28 AM by Olga Trouskova
"Mr. Lee" is a 35-year old Asian male with HTN, HLP and DMII who had s/p stent placement in his LAD two years ago. He has stopped taking simvastatin, lisinopril, Metformin and aspirin, does not exercise, continues to smoke, and does not check his blood Read More...
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Ghost Stories
January 8, 2013 11:36 AM by Terrance Clarke
I am sitting in a building erected in a decade when buildings were square and walls could never be thick enough. Brown ivy climbs a brick exterior white-washed so many times that it seems smooth. The old steel radiators chitter like a multitude of sparrows Read More...
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Become the Eight Percent
December 27, 2012 4:01 PM by Caroline Pilgrim
Was it losing weight? Spending more time with your family? Dragging your body to the gym? Reading more books? When's the last year you set a new year's resolution? And how far did you get before you broke it? And why are you so discouraged about trying Read More...
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The Importance of Medication Lists
December 17, 2012 11:29 AM by Olga Trouskova
During my first rotation in family medicine, we had a patient present to the clinic with a random collection of symptoms that seemed to come and go with no particular pattern. She had been experiencing sweating, dizziness, nausea and shock-like sensations Read More...
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My First Patient Death
November 19, 2012 10:07 AM by Olga Trouskova
"ED personnel to the stabilization room in 5 minutes." This is a common overhead page in the ED where we treat patients with serious MVA injuries, gunshot wounds, cardiac arrest, respiratory failure, or altered mental status. As a student, my responsibility Read More...
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Death With Dignity?
November 12, 2012 10:15 AM by Terrance Clarke
"Suicide is so frowned upon in this society, but honestly, life isn't for everybody. It's sad when kids kill themselves 'cause they didn't really give it a chance, but life is like a movie: if you've sat through more than half of it and it sucked every Read More...
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Painting a Clinical Picture
October 29, 2012 8:09 AM by Stacey Snodgrass
There have been times in my nursing career when I have put the pieces of a clinical picture together only to see something entirely different than the treating physician. The picture I would see was not based only on the lab work, or clinical manifestations Read More...
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The Power of Touch
October 22, 2012 9:31 AM by Olga Trouskova
"Jim" is a 66-year-old male with traumatic brain injury (TBI) with personality, cognitive, and behavioral deficits secondary to this injury. He had become a familiar face at our psychiatric unit because of his numerous previous admissions for the inability Read More...
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Mistaken Identity
September 24, 2012 9:58 AM by Olga Trouskova
As I entered the patient's room, I introduced myself and asked if her name was "Sarah." She said "yes," nodding in my direction with a welcoming smile. Prior to entering the patient's room, I had diligently reviewed the chart. She was 93 and had been Read More...
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A Time to Talk
September 10, 2012 4:55 AM by Caroline Pilgrim
When a friend calls to me from the road And slows his horse to a meaning walk, I don't stand still and look around On all the hills I haven't hoed, And shout from where I am, What is it? No, not as there is a time to talk. I thrust my hoe in the mellow Read More...
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