In case you're not familiar with the NUHS Florida site, we share
space with St. Petersburg College as part of the University
Partnership Program. This means that NUHS, along with Barry
University, FSU, USF, Case -- Bolton School of Nursing, Cleveland
State University, and a whole bunch of other schools share some
space with us. We don't often use the same classrooms, but we do
have shared hallways and things like that. As part of the
University Partnership Program, NUHS offers free exams and
chiropractic care to all of the University Partnership participants
(including SPC) and their immediate families. Check out
As part of SPC's health initiative,
they've started adding automated blood pressure cuffs to some of their campuses. There are 10 different
campuses in the area for SPC. In order to help us "get the word
out," SPC has invited us to give information to students at these
campuses, regarding blood pressure and cardiovascular health.
Last week, I had the great pleasure of spending a couple of
hours with Dr. Michelle Jourdan and Intern Roshaun Hardy. We must
have talked to a half dozen faculty members, including the provost
at that campus, and also at least a dozen students -- who didn't
know we were there.
There's something magical about seeing someone's face when you
say the words "free healthcare." Many of these students are local,
without health insurance, and have no idea that such a service
exists. I'm hoping we see more of them in the clinic. I think we'd
all be really happy if we were super busy -- but also that we're
providing such a needed service. It was a great session.
Unfortunately, I didn't take any pictures to share with you
There will be more events to share, and more outreach. In fact,
we're participating in SPC's "All College Day" and their "Career
Day" coming up later this month. Should be great! We may even be
doing some presentations to let people know what we're all about.
Who knows? We may end up with some more students because of it!
Grey and I have been looking at colleges. For those that haven't
been following that story -- Grey graduates right after I do, and
has been looking at colleges. I think he has his list narrowed down
to about 6. We'll be writing applications here pretty soon. Some of
the deadlines are in November for next fall! I can't even wrap my
head around that. His front-runner is still the University of
Washington, but we've found a few others that seem to have good
programs he's interested in. We shall see what all pans out.
I'm reconnecting with people I've lost contact with and getting
anxious to start looking for jobs. Boards are in about a month --
which is also hard for me to believe. We're checking off boxes and
crossing things off the list. This might actually happen.
Have a Great Week, Everybody. Stay warm and dry, wherever you
You've got to have a sense of humor in the clinic, because if
you don't, things eventually start to get to you. Demanding staff,
clinicians, and other interns, not to mention patients, have us
running, pretty much the whole time we're there. Some days are
easier than others. We have 4 official treatment rooms, and
sometimes a 5th. When all of the interns are in the office, we have
9 interns (between 8th, 9th, and 10th Tri students). This place
gets packed! Add to that, patients booked every 45 minutes, 90
minutes, or 2 hours! In and out, back and forth, coat on, coat off.
Stethoscope and hands ready.
So lately, we've all been a little bit crazy...just a little.
Tension runs high, especially with the onslaught of paperwork
(praying for EMRs to be implemented soon) and also with frequent
meetings, new patients, and just general life.
I can honestly say, that a few of us have lost it -- and
rightfully so. When things get crazy, it has to come out somehow.
The last couple of days, some of us have been trying really hard,
just to keep it together. Today especially, we've been trying to
find some humor. And so, the idea of practical jokes has been
flying back and forth.
Funny things happen. Our "staff" laptop (that we run forms and
such on) has had migrating pictures on it. At first it was our
esteemed president and one of our co-interns at the Turkey Bowl.
Then it was our dean here at the Florida campus. Currently, it's a
picture of some Chinese take-out (pad tai, I think), following a
meeting about some especially smelly lunch food brought into the
clinic (we still don't know who did it). This week, the debacle has
been about towels. Are the towels in the right bag? Are they
separated from the other laundry? Have they been put away? Are they
folded properly? It got so out of hand that it's become a bit of a
joke among us interns. Today I threatened to go into the rooms and
fold them all into origami towel animals. This of course, may or
may not be funny to some people, but it sure did lighten the load
How'd you like to see one of these on your office visit?
The way I figure it, life is way too short to stress about stuff
like this. Maybe some people would find that a little glib, but too
many things happen that are far bigger than takeout boxes and the
proper handling of towels. I'm often heard saying, "There are days
when I can choose to laugh or to cry. Most days I prefer to laugh."
Today was one of those days.
So, with that in mind, dear Friends, have an amazing week! Do
something fun. Make light of something that's being taken too
seriously. Laughter is, most definitely, the best medicine.
Do you ever feel like there aren't enough hours in the day? Or
how you got to the end of the day when it all flew by so fast? This
is what it feels like, when I'm busy. The days when I have 3
patients in the clinic (which is the most I've had so far) seem to
fly. There's barely enough time to get all of the paperwork done:
chief complaint, history of present illness... I find that on those
days, it feels like maybe 2-3 hours have passed, and then the shift
is over. How did that happen?
There are a million things that I want to go over with patients.
I take LONG histories; really long ones. I ask questions that
nobody ever asks (and often have to spend time explaining why I'm
asking them). This piece of information is important for that. I
need to know that so I can tailor it for them so I can help them
get better. It never fails. Of course, it's hard to go through all
of that, feel like I haven't left something out, and still get
Of course, one of the great downsides to asking all of those
questions is having to write down all of those notes. I write books
in my patient files. In a way, I feel sorry for my clinician having
to read all of these notes, and then on the other hand, I like
A chalkboard used by Nobel Peace Prize winner Linus
Clinic is cooking along. I have a few regular patients, and new
patients coming in here and there. My favorites will always be
those with complex problems, especially functional ones. These
patients need so much more time. Their appointments seem to go by
even faster than the more simple ones. What changes can we make?
Are there things that can be changed? What are the parameters that
we're working with? So many questions, so little time to ask and
Research is ongoing. I'm trying to squeeze in articles when I
can, or when I have any free time. Right now I'm reading one about
xenobiotics and autoimmune disorders. Sometimes I think my head
will explode, or at least want to bang it into the wall when I
can't remember what a specific interleukin does (even though I've
looked it up 9,000 times already). Really I just love it, and can
see why people go into research full time. Although, the
application of it is exciting in and of itself. If only I could
know "everything." Of course we'd find new things to learn and
explore, and learn that things that we knew before were completely
and totally wrong, and have to learn them all over again -
differently. I guess that's why we're scientists.
The photo above is from one of Linus Pauling's chalkboards. If
you're not familiar with Linus Pauling, he was the only person to
be awarded two unshared Nobel Peace Prizes. He was a brilliant
chemist/biochemist and activist, and completely changed the way we
think about human biochemistry. He was a huge advocate of
"orthomolecular medicine" (which we now know as functional
medicine), vitamin therapies, and supplementation. I'm absolutely
fascinated by his work, and have had one of his books sitting on my
bookshelf for many months. If only I had the time to read it.
OK, Everybody, go learn something really cool (and then tell me
about it so I can learn too). But in case you're burnt out and
don't want to learn anything, enjoy some Moose yoga. I wish I could
stretch some of my patients out like that!
Have a Great Week, Everybody!!!!
It has rained, literally every day for over a week. It's Summer
time in Florida. I guess that's to be expected. Personally, I find
the rain a little bit depressing. BUT, the temperature has dropped
and that has been absolutely lovely. Autumn in Florida is always a
little touch and go. I say we have 2 seasons here: Summer, and not
quite Summer. While the leaves don't change, sometimes the
temperature does shift, and it eventually stops raining.
Sunrise in the middle of the showers - Coffee Pot
We're getting back into the swing of things after boards, and
settling into the tri. It's so weird not having classes. Part of me
feels like I must be skipping things, or somehow not showing up --
that I should be studying for a quiz or doing a project or
presentation -- but I don't have any to do. It's just bizarre.
Of course I still have work to do for the Master's program, but
that's a lot less involved than going to classes all day, every
day. Speaking of the Master's...I just finished finals for another
quarter there. I have only 2 left; 2 quarters left, and less than 2
trimesters left here. I honestly can't believe it. I'm not sure
whether I believed it would never happen, or that it just seemed so
far away that it was out of my realm of comprehension.
Our 10th trimester mentor, Jen, is making plans for graduation.
Yesterday we were talking about hotels and plane tickets and how
soon graduation is. It was a bit of a wake-up call.
A bunch of us have been doing some outreach with the clinic. SPC
has had a blood pressure initiative going. They're installing
automated blood pressure cuffs in many of their facilities. It's
helpful for people to keep track of their blood pressure. We've
been explaining normal ranges and what people can do to not only
keep track, but also to improve.
Julia, Dave, Ricky, Leslie, and Jen have gone, some twice, and
given a talk and been on hand to help. I'm excited. I get to go in
2 weeks. We'll see what happens. There's been some good
Everyone is talking about where we go from here. People are
making plans for shadowing, extra seminars, special licensure
requirements, etc. Events are taking place. It's really
Have a great week Everybody!
I'm recovering from near brain-death. In case you missed it,
last weekend (Friday, Saturday, and Sunday) a group of us took
boards: Physiotherapy, Part II, and Part III. I wish I could say it
was 3 days full of fun-filled magical awesomeness, but I think you
guys know me well enough to know I'd be lying through my teeth.
We all survived the weekend, in large part due to the support we
gave each other. Julia was my right-hand this weekend. She made me
study when I didn't want to, go over questions, and made sure I got
out of the hotel room on time (and didn't get lost too badly
getting back and forth from the hotel). Ricky and Alid were the
humor for the weekend. The four of us (including Julia) and two of
Alid's friends from Palmer, went for dinner after PT. I honestly
thought we would be kicked out of the restaurant, we were laughing
so hard. It was just what I needed to keep me going another
It was great to see the smiling faces of people we've taken
tests with before from other schools, and also of each other. Kind
words of encouragement were given by so many. Leslie, Bryan, Julia,
Alid, Theresa, Ricky, Roshaun, and Dave: My huge thanks to you guys
for keeping me going this past weekend -- even if you didn't
realize that's what you were doing.
Image Source: www.etsy.com/listing/181470539/
It was a weekend fueled by caffeine and lack of sleep. We
learned how little sleep we could survive on, how many questions we
could answer in a short period of time, and how much caffeine was
required to take an exam at 7:00 a.m. We were laughing at each
other and our test-taking strategies, how long it took to finish
certain exams, and how much we were stressing about something
really and truly out of our control.
Boards are interesting, because you've been studying for them
all along. There's really nothing to "cram" for, and yet we cram
every time. Of course, it doesn't hurt to refresh memory on what
we've not seen for a couple of years even. Part I, last year, was a
test of the basic sciences. While these were more clinical, the
basic science stuff just doesn't go away. There's always something
that didn't get covered, that we haven't heard before, or that
we've never seen. There are questions on every test that make no
sense, and like all standardized test, more than enough
opportunities to overthink something. I've always been baffled at
how any exam in medicine can be made into a "Multiple Guess" test
-- when everything we do in medicine is completely essay.
But, we survive. No! We endure. And however the scores come out,
they come out. We'll take them as they come.
In other news, clinic is in full swing. At the HEC NUHS Student
Clinic, we are BUSY. We've been seeing sports physicals and regular
patients -- several every day. As the term gets underway for the
SPC students, we'll be seeing less of some sports physicals, and
more of others. I believe we're serving at least 3 different sports
teams now -- so there will be no shortage there.
I'm finishing up a quarter for the Master's program at UWS.
Finals are this week. Hard to come back and tackle that after last
week. But I'm SO looking forward to two weeks off with no pressing
studies. Next quarter with them starts in a few weeks with Sports
Nutrition and Fitness, Gastrointestinal Imbalances, and
Oxidative/Reductive Dynamics and Energy Production. Sounds like a
Have a Great week, Everybody!!!!
• After the DC Degree
• Botanical Medicine
• 1 Year at National
• Marketing Project
• First Week in Student Clinic
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