I can't believe it's already been a week since I last wrote.
Time at the VA is FLYING by. I'll only be there a couple more weeks
and then I'm back at the student clinic. Six weeks after that is
graduation. I'm having this great realization that graduation is
coming up on me like a freight train. Sometimes I feel like I'm
stuck down on the tracks, and sometimes I'm the one driving.
I'm working feverishly on finishing the master's work. That's
over in about a month. Just in case anyone was thinking about doing
this at the same time as getting your DC, be forewarned: it's a TON
of work -- especially the last quarter. This is not for the
faint-hearted. I honestly can't believe that I've done it. There
are times when I definitely feel like a masochist. It took me 6
quarters (a year and a half), but I'm almost done. Now to get all
of the papers and projects done; that will be a feat.
While I'm working at the VA, I'm finishing up all the paperwork,
volunteering, and other things needed. Last weekend I made a trip
to Sarasota to the American Youth Cup Series I. Apparently the park
where it was hosted, Nathan Benderson Park, is home to a world
class rowing event. In fact, the 2017 rowing championships are
being hosted there. It's a unique facility with a round lake. There
are a number of events coming up there -- including several
additional rowing events, a pentathlon, and a 5k. I'm hoping to
attend a few more of them.
It was a quiet day (no injuries); the weather was chilly and
windy (for Florida). Dr. Guadagno, Dr. Jake LaVere (a distinguished
recent National alumnus), Nick Herrild, and myself braved the
chills to be on hand in case anything should happen. When we
weren't watching the crew members running around or rowing, we were
sharing stories and business information. We had a pretty good time
talking about future business endeavors, practice models,
conferences, and plans.
Here's a wind-blown picture of the 4 of us.
As I continue my time at the VA, I'm seeing what it's like to be
in a completely different model of care. There are things that I've
learned that I know I will carry with me into my future practice,
and others that I know I won't. One thing I really appreciate, and
I touched on this last week, is the willingness to try something
new (or discharge from care) if things are or are not working.
People come in and they get better -- they stop coming in. People
come in and they don't get better -- they stop coming in. It's very
simple. It's ethical practice.
Well, I best stop writing here and get to some of my papers!
I hope that everyone here -- regardless of where you are in the
world, are staying safe and warm.
I'll see you all next week! Have a great one!!!
These are the weeks of dotting i's and crossing t's. How's
everybody doing? Things are moving quickly here. I can't believe
how fast it's going. 85 days. There are 85 days left in my
experience here at National. I honestly never thought I would make
Now marks the chaotic time of resumé preparing, job hunting,
extra courses, licensure exams, and everything else. In addition,
I'm working on a million different projects plus a comprehensive
exam for the master's. *Whew* There's no rest for the weary. The
deadlines keep coming. Appointments are made. Guidelines are
followed. But in a lot of ways, this is uncharted territory. Sure,
I've applied for jobs before -- but not like this. Corporate
America has a completely different way of doing things than
healthcare or small business. The learning curve here is pretty
We're getting back to basics in the clinic. As the 8th Trimester
students come in, we're acclimating to new people and helping them
get their feet wet. They're holding their own. History taking has
never been more important. Each person that handles a chart adds
more information. We've all been working together pretty well --
strengths complimenting strengths. It's nice to work as a team
rather than individuals all the time. Our patients can definitely
be served by a group of talented practitioners.
(Image source: caglecartoons.com)
Today I was given information for a case study. The patient in
my case study was taking 6 medications. Yes, you read that
right--6. It has become the standard that the average number of
medications an elder-person is taking is 3. Most are taking more.
Many are taking medications to combat their medications.
There's definitely something wrong with this. But it reminds me.
A patient was speaking with me during a treatment today. She was
asking me what my philosophy of medicine was. Patients sometimes
believe that we hate all conventional medicine, which may be true
for some practitioners. But anyone that's ever had an infection, or
required surgery, knows that without those tools, we're lacking.
There are alternatives to many things, but sometimes, surgical
procedures are the conservative approach. It's a lot to think
What is it that our patients are going through? What are they
taking (consuming) already? Where can we step in with THE BEST
approach to help our patients? These are really big questions.
Food for thought, perhaps? (That's a whole different topic).
Have a great week, everyone!
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!!!!
• After the DC Degree
• Botanical Medicine
• 1 Year at National
• Marketing Project
• First Week in Student Clinic
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