Archive for tag: clinic

Gone in a Flash!

I *blinked*... and then it was gone. I couldn't even begin to tell you what's happened over the last week. I took a comprehensive final over a year and half's material, volunteered at an event, did a bunch more master's work, and I don't even remember what else.

Work in the clinic was a little slow last week due to SPC students being on spring break. We squeezed in a few patient visits, though, and I had some interesting cases. There was one in particular, a woman with a pretty complex history of stroke among other things. I love the variety. You absolutely never know what you're going to see each day.

2015-03-19_run

We had a pretty good-sized crew to go down to Sarasota last Saturday. We worked alongside Dr. Arick at the Sarasota-Bradenton ITU Triathlon. We had several hundred 16- to 19-year-old triathletes participating in swim-bike-run at Nathan Benderson Park.

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Joe Hicks, Julia Harter, Leslie Jacobi, Dave Aiello, and I did a ton of soft tissue work on several injured, non-rehabbed athletes. There were several that had continued training through some pretty tough injuries. It seems like many of these teenagers have coaches that push them really hard, but don't attend to their injuries once it happens.

2015-03-19_swim

Julia Harter participated in the Seminole City Fire Truck pull for the Kiwanas. They raise money for vocational school scholarships for kids. Dr. Jaya Prakash heads up a lot of events with them. Dr. Carlo Gaudagno was also at event. Our team won first place for "mixed adults" and garnered a trophy!

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(L-R) Julia Harter, Alex Gubco, Brandon Alexander, Fan Yang, and Dr. Guadagno

That's about it from me. I finish the master's program this week. Everything should be done on Friday. I honestly can't quite grasp it. Here's hoping that this week goes by quickly - but not too quickly.

Have a great week, everybody!!!!

Time Is Flying

Boy did last week fly by! I finished up my time at the VA, participated in the Loop the Lake Doggie Bones 5k, and wrote 3 papers (among other things). Actually, this whole trimester has flown by. I can't believe I'll only be writing with you all for a few more weeks.

The last month at the VA has been CRAZY! Our volume of patients was pretty high. In my last week, we saw 11 patients in just a few hours. I'm grateful for the experience there. I was definitely exposed to things that I likely would have never seen. I had the chance to use a multi-disciplinary EMR system that absolutely blew my mind. Imagine putting 20+ specialties into one system, having access to ALL films, bloodwork, lab reports, physician notes, and pharmaceuticals in one record. It was awesome! It allowed me to go through more records in a few minutes, than I could have in hours otherwise.

I had the chance to work with some pretty complex problems. Some of the patients had severe systemic metabolic problems. It was interesting (and sad) to see the "end result" of what happens when health isn't maintained. There were some good reminders for me there -- and definitely opportunities. Chiropractic and Functional Medicine are most definitely needed within that system. There's so much good we can do!

2015-03-17_event

On Saturday, I joined Dr. Fava and Dr. Gambina at the Loop the Lake Doggie Bones 5k -- which was actually a cycling and running event, a walk, and a dog walk all in one day. We must have had 500 athletes there in one capacity or another (and it seemed like even more dogs). Seeing all the super high tech bikes made me want to ride again -- although I can't tell you when was the last time I rode. Dr. Fava and Dr. Gambina are extremely talented sports chiropractors, and I was able to observe some intense Graston work, as well as see some different stretching techniques. It was a good event. There weren't any crashes or major injuries, but we did have a few cramps and pulled muscles.

There's a triathlon this weekend that I'm hoping to attend at the same location. Several of the interns are going. We should be seeing quite a few patients. I can't wait! I'm finishing up the master's program at UWS. I have only 9 days left until the last of the final exams are finished. I honestly can't believe it's over. It's really gone so unbelievably fast. Last week I wrote 2 position papers and a research paper on Vitamin D and Metabolic Syndrome. I must have read 25 articles, and found teasers for at least a dozen more on peripheral topics like vitamin D's influence on autoimmune disorders (which will definitely be a topic of mine for the future). All of the papers were well received - as far as I know. I don't think that I have any more to write -- which also makes me a little sad. It looks like I'll have to publish in the future, just to get my writing "fix."

We have less than 6 weeks left in the trimester. It'll go by even faster. Everyone is making plans for graduation -- to travel to Lombard and walk the stage. It all seems so surreal, but it's really, finally happening.

See you all next week!!!!

Time is Flying By

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.

2015-02-20_row

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.

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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!!!

85 Days

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 it!

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 steep.

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.

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(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 about.

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!

Getting the Word Out

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 UPC.

2014-10-15_bpAs 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 all.

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. *Crossing fingers.*

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 are.