This week in clinic, I helped with a patient with a very
interesting presentation. The patient came in complaining of low
back pain that radiated down her leg all the way to her feet. Any
transitional movements increased the pain. The pain was described
as sharp and stabbing with numbness and tingling in her feet.
Bending forward or activities like coughing or sneezing would also
increase the symptoms.
All of these symptoms are a classic presentation of patient with
intervertebral disc problems. Therefore, our treatment began with a
McKenzie low back evaluation, which showed that extension would
help the patient. So, we started the patient with repeated, supine
back press-ups, which went well the first time. During the second
set of the exercises, the pain became very severe again and could
not be completed. From this point forward, we decided that pure
distraction (without flexion or extension) of the lumbar spine and
cold packs would be the best option while the patient was so
By the end of the treatment, we were able to get the pain down
significantly, but transitional movements still aggravated the
symptoms. So, we had the patient come in the next day so we could
continue treatment. The patient stated that the pain had decreased
significantly, and that there were no longer numbness and tingling
in the feet. That day we continued with the lumbar distraction and
cold packs, since the patient was still very acute. By the end of
the second treatment, we had the patient's pain down significantly
with no more radiation into the legs.
Saturday evening, Rob and I threw our Halloween Noir party. All
the guests were supposed to wear black and enjoy spooky music,
food, and drinks. Several of my fellow ninth trimester interns were
able to join in the fun including: Candace Gesicki, RJ Burr,
Jerrica Sweetnich, Ryan Meehan, and Bryan Robinett (all shown in
End of Week High
The week ended on a very high note. Exam scores were finally
posted for the September boards. I passed Part II, III, and
Physiotherapy Board Exams!! It's a very great feeling to have that
behind me. Now I only have Part IV to take in November, and then I
am finished with exams.
It's a holiday week, which means shortened class and clinic
week. A short week apparently does not mean that it will be an easy
week. Monday consisted of a full patient load and a surprise add-on
patient right at the end of the day. On Tuesday, I had my final
midterm in my Jurisprudence class. Wednesday was also a heavy
patient load, and then the race home to pack up the car and get on
the road before the heavy holiday traffic hit.
For the holiday weekend, I rented a house in Saugatuck,
Michigan, with six friends. We arrived Wednesday evening and
checked out the house, which we all pretty much decided is haunted.
Scattered throughout the house are creepy things like an old
antique organ, dolls with the eyes that seem to follow you around
the room, books of ghost stories (most likely involving our house),
an ornate lady's make-up mirror that was shattered, stained glass
windows, vintage pill box hats in a couple of the rooms, and
strange noises all the time.
The best part was that we ran into friends of the owners of the
house who informed us that the house is haunted, and that we should
avoid the basement. The good news is we all survived and I am here
blogging about it now.
The goal of my holiday weekend was relaxation and fun with my
fellow housemates. On Wednesday evening we went to dinner in
downtown Douglas at an amazing restaurant called "Everyday People",
followed by meet-and-greet drinks at The Dunes Resort. Thursday,
which was Independence Day, was a marathon of a day. We had a big
breakfast at the house and then started our prep for the "Tea"
Dance. For those of you who do not know what a "Tea" Dance is, it's
a mid-day happy hour with fun music and dancing as the focus of the
day. When the dancing concluded, we grabbed some food and watched
the fireworks above the patio. The marathon of a day concluded back
at The Dunes with Kelly Carey an amazing Jazz/Cabaret
With Thursday being a very long day, Friday called for some much
needed relaxing at the beach. Let me tell you, the eastern side of
Lake Michigan is so beautiful. The lakefront is a series of
beaches, bluffs and sand dunes, each more picturesque than the
next. On Saturday morning, we decided we would check out more of
the sights with a dune buggy tour. The tour was really interesting
and had some really amazing views of the landscape and Lake
Michigan. The tour guide informed us that at the base of any of the
dunes can be any stationary object that would stop the sand and
over hundreds of years form these giant sand dunes. Another
interesting fact was that at the top of some of the dunes we saw
these trees coming out, and he informed us that it's actually one
giant tree that sprouts roots higher and higher up the dune to stay
The remainder of the weekend consisted of consisted of some bike
rides, checking out some local restaurants, movies, and bonding
with our housemates. Sadly, I was the first to leave Sunday morning
due to a busy Monday, but the holiday weekend was so much fun.
Counting down the days until the next holiday.
• First Patients and Jurisprudence Class
• Ideas for the Future
• Part IV Board Exams
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