Archive for tag: masters degree

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.

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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!!!

Week 4?

Week 4. What? How did that happen? Time is absolutely flying.

I feel like one of those time warp photos - you know the ones where someone stands still and everything passes them by 800 miles an hour. Just like this.

I feel like I just can't get everything done fast enough -- that the "to do" list keeps growing and growing, and as soon as I get things checked off, a million are piled up in its place. And yet, things keep getting checked off. We are now officially done filling out college applications for Grey. I've ordered my application for Oregon licensure. I'm nearly halfway done with this last quarter of the master's program, and I start at the VA next week.

I spent the last week, besides doing everything else, reading journal articles. I read 14 articles on various (potentially) controversial topics in nutrition: dairy, egg, whole grain, and meat consumption. It addressed cholesterol and eggs, lactose intolerance, dairy allergy, whole grains and cancer, and several other topics. But even after all of that, it was pro-ingestion. These papers were FULL of statistics. Each one loaded with numbers trying to support its case.

And then I looked at the lists of conflicts and references.

In Journal Club, we were taught to read everything with a critical eye, to see the potential conflicts, and judge the studies accordingly. For everyone that I talked to about these articles, my only comment was -- "Statistics can manipulated to support anything."

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Always read with a critical eye. You never know what information might be valuable, and what might be... 87.

Have an amazing week, Everyone. And if you come across some good studies, feel free to send them my way.

Settling In

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.

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Sunrise in the middle of the showers - Coffee Pot Bayou

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 feedback.

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 exciting.

Have a great week Everybody!

Fueled by Caffeine and Dreams

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 day.

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.

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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.

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Image Source: www.flickr.com/photos/thomas_r/8225164573/

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 party.

Have a Great week, Everybody!!!!

Summertime and the Living Is Easy

Well, that's what Billie Holiday thought. Here in good 'ol' Florida, it's HOT (and also very busy). This is the boys' last week of school; clinic is in full-swing; classes are well underway; and the schedule is getting crazy. I'm 3 weeks away from finals for the Master's program. Schedule changes are tough. I'm still getting used to being in clinic and splitting my time between classes and working.

How was your Memorial Day weekend? Mine was SUPER low key. After Acupuncture on Saturday, I spent time with friends in Tampa, and Sunday and Monday were focused on reading, research, and recovery (the new 3 R's). The Master's has me working on all kinds of stuff. I'm most fascinated, right now, with articles on lifestyle factors and inflammation. Dr. Seaman's classes really focused on some basics of inflammatory cytokines and the biochemistry of the food we eat and what it does to our body. Now I'm at a whole different level of learning with this, and it's REALLY cool. I'm discovering how the same set of cytokines, combined with other hormones use the foods we eat to make things even more complicated. How we think and feel about what's going on in our lives can lead to chronic inflammation, autoimmune disorders, and chronic disease. I'm so glad that I've chosen to study this for the rest of my life.

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Image Source: http://blogs.trb.com/news/opinion/chanlowe/blog/

Right now we have several classes on how we, as physicians, should interact with patients. Whether it's doctor-patient relationships, jurisprudence, or clinical natural medicine -- we're discussing everything from what we're responsible for ethically, to how patients (or potential employers) might perceive us. The latter topic has created a bit of a rift in my life. We were counseled to be careful how much of our personal life we allow the public to see -- specifically, our patients. Do we give patients our phone numbers? Do we friend them on Facebook? Do we give advice out in public? Do we share pictures of ourselves online? The idea behind it incites a lot of fear -- that we'll have stalkers, or share too much that can be used against us, or somehow lose patients because of things we do, say or show.

I don't like this at all. As alternative practitioners, I think we have a little bit more lee-way than others might. Some of us are into some unique areas of study. We are more touchy-feely, and that lends itself to a different type of interaction. They say that we're less likely to get sued because we tend to be more interactive with our patients. So, except for the stalkers, why would we want to withhold that information from those people in our lives every day? I guess it's something that we all have to think about. What do YOU think?

Have a great week everybody. As always, if you have any questions or comments, please feel free to contact me.