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We have carved deep into the second half of my first year as
a professional physician assistant. This is the perfect time for a Quarterly
Check-Up to examine some of the biggest lessons over the last three months
We learned that our
patient's beliefs can trump the strongest medicine and that our acceptance
of those beliefs makes us better ...
Students: You'll learn there are good preceptors,
bad preceptors and then there are physicians who inspire, often because of a
single incident. Last weekend I was inspired.
I am on inpatient pediatrics and late Saturday
afternoon we learned about a little baby whose white blood cell count was high
and the pediatrician had sent this baby ...
Since graduation, I've had plenty of reminders - good and bad - that I am no longer a student. There is the ''PA-C'' behind my name and my shiny new state license. A paycheck arrives every two weeks like an airplane dropping supplies on a desert island. And, of course, I now hold myself to an even higher professional standard.
While these ...
I had a student ask me
recently if I had a dermatoscope and if I could show her how to use it. The
answer was simple enough. No, I don't need one. This of course led to the
logical question...Why? This blog post was inspired by this exchange.
The simplest answer to
this question is that if I see something that looks abnormal, I biopsy it. ...
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 odor, mildewed t-shirts, alcoholics, chain smokers,
drug-addicts, and diarrhea diapers, to ...
I recently attended an aesthetics conference in south
Florida. There were many great speakers- seasoned cosmetic surgeons and
dermatologists, successful CEOs, and highly-acclaimed skin care
specialists. Aside from learning about new and improved aesthetic
technologies and techniques, a specific speaker enlightened me before he ...
Over the past month I have had some very challenging
patients. I will often question, why and how did someone end up here at the
correctional facility? I believe it is better I do not know. Actually, it is
none of my business; it keeps the care unbiased and pure and it does not impact
how I treat them. If one of the inmates upsets the ...
''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
to take care of himself. He was found covered in his own waste in an apartment
There was a disturbing incident
that occurred a few weeks ago. I also look at this experience as an eye-opener
for me. I have long come to this realization, but it was never more evident
than when the incident happened. First, let me start off by stating, prior to my
opportunity to work in corrections, I was judgmental and biased and I ...
Last week I read an article and now I find that I just can't get it off my mind. It announced a new government ''project'' initiated by the Agency for Healthcare Research and Quality. The agency is seeking approval from the White House to begin setting up a system for consumers to report ''medical mistakes'' and ''unsafe practices.'' The purpose ...