Here I am in week eight, and I have no idea where the time has
gone. This week marked the start of midterms with Clinical Natural
Medicine and Dermatology exams.
Clinical Natural Medicine is comprised of weekly case studies in
which I need to come up with differential diagnoses, treatment
plans, and any other health concerns the patient may be facing. The
exam was a similar format with a series of case studies that I
needed to figure out lab tests, diagnoses, medical imaging, and
possible treatments that would work for that patient. The
Dermatology midterm consisted of mostly images of different skin
conditions followed by treatments for those conditions.
I only have one more midterm next week in my Jurisprudence
class, and after that I'm finished with midterms. That is such a
large change from midterms in past trimesters, where it seemed to
be a never-ending month long marathon of exams.
I was duty intern in Student Clinic this week. Duty intern is a
rotation that each intern needs to do twice each trimester. During
this rotation, you are in charge of checking patients into their
treatment rooms and keeping the clinician informed on when patients
arrive, if they don't show, and when they are finished with
treatment. You also have duties around the rest of clinic including
doing laundry, stocking rooms, and prepping for the next shift.
This week was also very historic with Prop 8 and the Defense of
Marriage Act both being struck down by the United States Supreme
Court. The statement "Equal Justice Under the Law" that sits above
the entrance of the Supreme Court was finally upheld for lesbian
and gay couples in the U.S. As a gay man and a man lucky enough to
have a loving partner of many years, these decisions were very
As a very exciting end to the week, we joined in the Chicago
Pride celebration and parade on Sunday with good friends. The city
of Chicago had record numbers; over one million people graced the
streets of the Uptown and Lakeview neighborhoods for the parade. It
was very neat to see the mixing pot of people there to show support
for the LGBT community, celebrate, and show their true colors.
In Ethical Business Management class this week, we had a guest
speaker talk to us about clinical psychology. Dr. David M. Gursky
has his PhD in psychology and has over 20 years of experience in
the field. The main focus of the talk was being open to any kind of
pysch issues that our patients may have in the future, and knowing
what issues can be dealt with in the office, and which need to be
referred out for specialized care.
Patients tend to be more open with chiropractic or other
alternative medicine physicians because we focus on the entire
person, focus on the patient in their environment, and because of
the treatment setting. The treatment setting in most chiropractic
offices has patients gowned for physical examination/treatment,
requires physical contact, and induces physical relaxation, all of
which sets the stage for patient openness. Some issues that
patients might bring up with you include marital dysfunction,
anxiety, interpersonal issues, fears, stress, etc. Since well-being
is a combination of physical, mental and emotional health, it is
very important to help your patients with these psychological
issues as well as their musculoskeletal complaints, or refer them
to a counselor who can.
Again, during my downtime this week in class and clinic, I am
continuing my reading of Dr. Vasquez's textbook Migraine
Headaches, Hypothyroidism, and Fibromyalgia. I finished the
chapter on classification, diagnosis, and treatment of headaches. I
won't bore you with the hairy details on the types of headaches and
treatment, but there were some great treatments that Dr. Vasquez
Food triggers are the cause of many headaches, especially
migraines, and by pinpointing these triggers via a food/headache
diary you are able to remove them to remain headache-free. Some
common triggers include red wine, aged cheeses, sardines, sausage,
and foods containing monosodium glutamate (MSG). These triggers
contain tyramine, nitrites or other neuroexcitatory substances that
start the cascade toward a headache.
Another big cause of headaches is nutritional deficiencies that
are so common among Americans today. The standard American diet
(S.A.D.) is composed of red meat, sugary
foods, and refined
grains. The S.A.D. is severely lacking in a lot of the
nutrients, vitamins, and minerals that your body needs daily. Some
major things to supplement with to avoid headaches are magnesium,
CoQ10, fish oil, vitamin D, and riboflavin. Other treatment options
include myofascial trigger point work, chiropractic manipulative
therapy, acupuncture, and oxygen therapy.
My partner and I
This week marks the start of June, which is LGBT Pride Month.
Here's a little history of this important month: Lesbian,
Gay, Bisexual and Transgender Pride Month is currently celebrated
each year in the month of June to honor the 1969 Stonewall riots in
Manhattan. The Stonewall riots were a tipping point for the Gay
Liberation Movement in the United States. In the United States, the
last Sunday in June was initially celebrated as "Gay Pride Day,"
but the actual day was flexible. In major cities across the nation
the "day" soon grew to encompass a month-long series of events.
Today, celebrations include pride parades, picnics, parties,
workshops, symposia, and concerts, which attract millions of
participants around the world. Memorials are held during this month
for those members of the community who have been lost to hate
crimes or HIV/AIDS. The purpose of the commemorative month is to
recognize the impact that lesbian, gay, bisexual, and transgender
individuals have had on history locally, nationally and
internationally. My partner and I will be heading to Milwaukee,
Wisconsin, this weekend to join in this wonderful celebration with
close friends and family.
• First Patients and Jurisprudence Class
• Ideas for the Future
• Part IV Board Exams
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