How was your week last week? Has everybody recovered from
Halloween? Now we're in the home stretch. It's the start of Week 11
-- time to start thinking about finals and projects and
All I can think about right now is the MARKETING PROJECT! I know
I've mentioned it before -- but to reiterate... We're tasked with
developing a business plan including start-up costs, developing a
marketing calendar, business cards, logo, brochures, website, etc.
It's a LOT of work (and worth a lot of the class). In addition to
all of that, we have to do research on the location where we're
hoping to practice, what type of demographics are there, and
whether we think the area can support our type of
As of right this second, I'm looking at Portland, Oregon. I've
been drawn to the Pacific Northwest for quite a while. I miss the
seasons (but not so much the cold), and everything I've heard about
Portland and surrounding areas, is absolutely amazing. There are
other reasons, of course. One of the biggest ones is the liberal
scope of practice allowed in Oregon -- including obstetrics and
minor surgery (with additional certification of course). The
broader the scope for me -- the better; it's how I intend to
So, in my research adventures, I've found things like: how many
chiropractors are in the area, what the per capita income is, what
the average salary for chiropractors is in the area/state; and what
types of practices are in the area. What I've noticed is that there
seem to be two types of DCs in the area: single practices with
maybe some physical or massage therapy, and single or group
practices focusing on sports medicine. There are a couple of
multi-disciplinary practices, but not many. There are a lot of
sports medicine chiropractic physicians. This is great for me,
because I have no interest in working with sports medicine. And for
those of you that might be thinking about relocating to the
Portland area -- it looks like there's some pretty stiff
I've had to spend a fair amount of time thinking about what all
my practice will offer, what I'm willing to take on as far as
scope, and how many other practitioners I'd like to work with me.
This has the potential to become HUGE. I have always intended to
have a multi-disciplinary practice. The more research I do, the
more practitioners that I want to bring in -- not just
Chiropractic, but Naturopathic, Traditional Chinese Medicine and
Acupuncture, Massage Therapy, and Behavioral Medicine.
At the outset, I'm feeling like we need about 8-10 practitioners
to create the best, most effective type of practice. As wonderful
as these ideas are, the logistics of setting something like this
up, are daunting/enormous. And honestly, this is the kind of thing
that I absolutely hate. You can ask any of my classmates or
professors for my response when we talk about money and billing and
other business management type stuff. The first thing I say is
"Can't I hire someone for that?" They always cringe, tell me that I
need to know it, and keep going.
I feel fairly safe in saying, that this project will probably be
the extent (for the most part) of my forays into business
management. I am learning a ton, but I also acknowledge that my
talents lie elsewhere. First, I'll draw up the budget for equipment
like massage and flexion-distraction tables, band aids, acupuncture
needles, alcohol wipes, cotton balls, phlebotomy equipment, basic
physical therapy equipment, herbs and supplements, office
equipment, waiting room chairs, and silk plants. Then, I'll factor
in things like electricity and Internet service. Yes, I'm in WAY
over my head. I never thought I'd be doing something like this --
just practicing medicine. It takes a lot more than I'd ever
Maybe I should start looking for that business manager
Have an AMAZING week, everybody. I'll let you know how it
It's November! What? Did the time change work for you? I ended
up staying up even later.
This week is the calm before the next storm. We have one more,
big round of exams and projects due next week--including the
Marketing project. This is the culmination of all of my
mind-ramblings of the last couple of months, and the chance to pull
some pie-in-the-sky ideas into my project.
Last week we had a speaker in Marketing that had been on the
show "Shark Tank." Unfortunately, I took pictures for everyone else
and not myself. He spoke about what it was like to start up a
business, some of the struggles associated with it, and some of his
experiences since his business started. I'll go ahead and give a
shout out to him (and his brothers) who own Nardo's Naturals. They
make natural skin care products and they're centered here in St.
The geek botanical person in me was intrigued by some of the
ingredients they use in their products--lots of essential oils and
coconut oil. You absolutely cannot lose with those. And of course
it just reminded me how much I want to include natural products in
my future clinic--which brings me back to the Marketing
When the speaker last week asked us what we wanted our future
practice to be like, I opened my mouth and said something like: "I
want a multi-disciplinary practice with Functional Medicine,
Chiropractic, Naturopathic, Acupuncture, Physical and Massage
Therapy, Well-being classes, and an Herbal and Compounding
Pharmacy." I think his eyes nearly fell out of his head. Big
ambitions, I suppose. I'm not sure what will be more difficult,
setting up the practice, or finding the right people to work with
me. Either way, these plans will be coming together in paper,
brochure, website, and business card form--in the next 10 days.
Boy, I sure have my work cut out for me. I don't have anything
finalized, except the ideas, which have been floating around in my
head for quite a while. When I get it all done, I'll share it with
you guys. I have no idea where all it will go.
I hope everybody had a Happy and Safe Halloween. On Wednesday of
last week, MoPal (Motion Palpation) hosted a Halloween potluck. We
had some great costumes. My tri's very own Lexxi (dressed as Ms.
Pacman) and Dave (dressed as Walter White from "Breaking Bad")
stole the show and won best costumes. This is where the pictures
for this week hail from. It was nice to see so many people get
together and be festive.
I, for one, am glad that most of the candy is gone. No more
temptation. I have a small handful left. I'll feed it to the kids
and make them run around the neighborhood about 80 times--and then
brush their teeth. We have a few weeks to behave ourselves before
Thanksgiving--which really should be renamed to something that
involves "gluttonous intake of food and falling asleep on the
couch." It looks, though, like we might actually have a Fall/Winter
here this year. The temperature has been erratic and sometimes cold
and sometimes hot--but it's more acting like it's trying on the
cold for size. Layer. That's my recommendation. Today I'm wearing
flip-flops and a sweater. Go figure. That's Florida.
Have an amazing week everyone. May your feet be warm, and your
sleep be plentiful. Remember to take a little bit of time out for
yourself this week. It's important.
Do you have your costume yet? Are you going trick or
It's that time of year again and my mind wanders back to the
smell of fallen leaves and the colors of the trees. It's a time of
pumpkins, little kids wearing plastic masks (at least when I was
growing up), and hyperactivity from too much sugar. Many of the
neighborhoods around here do a TON of decorating for Halloween.
You'd think it was Christmas, with all the lights and
Someday I'll do all of this stuff again. I used to go all out
with decorations for every holiday. There's one house in the
Crescent Lake neighborhood (where these pictures were taken) that
gives away polished stones and wishes. It's pretty cool.
Tell me the truth. How much candy have you eaten already? I
always try to make it through the season without eating any
Halloween candy. Sometimes it works; sometimes it doesn't. There's
been candy floating around at school already. I think this year
qualifies as a failed evasion. I'll try to keep it from going
further downhill. It might not be that bad. Of course, trying to
combat it with the gym and some otherwise healthy eating will be a
definite must. I'm on it!
The temperature has dropped temporarily, which makes it "chilly"
(upper 50s-60s) at night and not quite as hot during the day. I
understand that it's only temporary, as it's supposed to be in the
mid-80s by the middle of the week. This is the time of year when I
realize I have absolutely no "warm" clothes. None whatsoever. I
have to stop myself from going shopping to buy these things--as the
cold snaps are USUALLY only temporary and don't "stick" until late
December/January and stop by mid-February. Layering is helpful. I
must admit that seeing my fellow students in the interactive
sessions in Lombard walk into class in their coats and sweaters
makes me both sad and glad that I'm someplace warm.
How did midterms go? We have one more on Wednesday and I think
we're done for a couple of weeks. We have several right before
Thanksgiving again--big projects and exams. I can't believe how
quickly it's all gone by! It'll be Christmas before we know it. I'm
not going to lie--last week was tough. I think it might have been
one of the toughest midterm weeks I remember having. Three
radiology exams in one week do not make for a low-stress life. This
week should be more low key.
So, if you were trick or treating in Crescent Lake, and stopped
by the Fairy's house--what would your wish be? Think about it, and
get back to me.
Experimental Pumpkin Brain Surgery
Have an amazing, responsible candy-eating Halloween Week. And if
you dress up, send me a picture. Maybe I'll dress up and post
one--or maybe not.
OK, I realize it's midterms and probably not that happy of a
week, but remember--we're now over halfway done with this tri. At
the very least, we're checking off boxes and meeting milestones.
That alone, is an accomplishment.
Also for those that just received board scores back,
Congratulations. Just getting to this point is a HUGE
It's a big week down here for Tri 6. Those taking an elective
(not me) have 6 exams. The rest of us have 5. Three of those exams
are for different radiology courses--which are admittedly not my
forte. Sometimes all the radiopaque and radiolucent areas look like
blobs, swirls, and blurs, rather than tumors, cysts, and sclerosis.
I'll do what I can. Sometimes that's all we can do. Do what we can
and hope for the best. Maybe by the end of my education, I'll be
conditioned to be prepared for the amount of exams at midterms and
finals. Right now though, it's still a shock. I would much rather
have one exam a week. Wait. Let me think about that some more.
The master's program is going fairly well. There's a LOT of
work, but I'm learning a tremendous amount. One of the most
difficult tasks was trying to redesign and interpret the functional
medicine tree--which basically outlines all the factors involved in
considering a patient and their conditions. I ended up redrawing
the entire tree and turning it into more of a schematic, adding a
bunch of stuff in there. It's not pretty, but I'll include that
here for your perusal. Let me know what you think. I'm definitely
open to feedback. Did I leave anything out?
(Click image for full size version.)
That's it from me. Good luck with midterms and everything else
you have going on. We'll see you next week. You'll be fine.
Everything's gonna be fine.
This is one of those times when writing the blog is tough,
because I can't remember all of the things I've done over the last
week! I'm to the point where I'm keeping daily lists so things
don't fall through the cracks. There's just so much to do and so
much to study for.
Last week I had 2 exams, and this coming week, 2 exams and 2
quizzes. Next week (brace yourself), there are 5 exams. I've always
wondered why we do things this way. Five exams in one week are too
many. It's just as if it were finals. But, here we are.
I was able to join some of my classmates out on Friday night. It
seems that a good time was had by all. We were able to meet some of
the first trimester folks that I'd missed from the First Tri Mixer.
They all seem really great. One of the drawbacks to the way our
campus is set up here is that the students are spread out to four
different places. We have the basic science students in one
location, the clinical science students in another, and the interns
in two different clinic locations. So, once someone crosses over
into a different area, we don't always see each other again--unless
we make an effort to do so. So that's why the mixers and impromptu
get-togethers are really important. It gives us a chance to meet
some of the other students from different locations.
I like how cohesive our group is in particular. I've mentioned
this before, but we really do become somewhat of a family. After
all, we spend five days a week, together, ALL day. If we don't love
or hate each other by the end, there's something wrong. Those that
have joined our original four members have been welcome additions.
And of course we miss those that have left us--whether they
transferred campuses to Lombard, or decided to slow down. Most of
my original class is now in the same building. It's good to see
them every day again. I've missed them.
As if I didn't have enough going on, last week, I started the
Master's Degree in Human Nutrition and Functional Medicine through
the University of Western States. The program is all online and we
have students from literally all over the world. The program there
is a wonderful complement to the program here. Since my goal is to
have an integrative, functional medicine practice, it's a great fit
for me. My goal is to complete the master's about the same time I
finish here at National. I'll let you all know how that's
Time management and prioritizing are absolutely key to
maintaining some semblance of sanity with all this coursework. I'm
not sure I'm there yet--but I'm working on it. Of course, anyone
that knows me knows that I'm at least partly insane, so I must have
lost something somewhere. Calendars, schedules, lists, planning,
and keeping track of everything that has to be done is extremely
important. On top of that, checking all of those things off the
list is extremely fulfilling. I have to remember to ONLY put things
on the list that HAVE to be done--no lofty ambitions, week-long
projects, or 5-year goals. My lists sometimes get out of
control--admittedly, and sometimes they end up with the weirdest,
most random thoughts written on them--like philosophical questions.
And THAT could go anywhere. :)
(Image source: redlandrambles.wordpress.com)
I took a few minutes out of studying on Saturday to go to a
ROOTS seed and plant share event. We grew a lot of our own food
when I was growing up, and as I've had space, have tried to do the
same off and on. Now that I have some yard space, I'm working on it
again. Let me just say that this event was absolutely amazing.
People from the local area bring seeds they've collected,
cuttings, plants, trees--you name it--and they just give it away. I
took some Aloe seeds that my plant had put out last year. I'd been
saving them for quite a while. I honestly didn't even know that
Aloe seeded; I'd only seen people plant Aloe by cutting. The Aloe
plant that produced the seed was gifted to me a few years ago from
a fellow student, so it only seemed fitting that I gift its
progeny. In return, I was gifted pumpkin seeds, stevia seeds,
loofah seeds, and heirloom squash seeds. I was hoping for loofah,
but couldn't believe how much was there!?! A lady tried to send me
home with a bag full of about 500 seeds! People were so generous.
I'm eternally grateful, and hopefully my garden will be booming
here in a couple of weeks. Since I've never had a fall garden
before, I have no idea what to expect. We shall see.
Happy Studying and Organizing everyone! Have a great week!
• After the DC Degree
• Botanical Medicine
• 1 Year at National
• Marketing Project
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