Tuesday, August 25, 2009

Approaching the end.

I'm honestly lost for words (well not literally) but I feel like I physically cannot express how bizarre and frustrated and scared and confused I feel right now. I'm approaching the end of my career as a student and beginning my career as a PA. I have my graduation this friday and I couldn't be more afraid. Primarily because it marks the fact that I cannot turn back nor can I postpone the real world any longer. I think I'm experiencing the emotions of someone who just graduated from undergrad - but I managed to avoid it because I went straight to grad school (which was the best decision ever... it puts off everything scary for a couple more years).

I'm moving to Yuma to be a part of something that I think with rock my world. The physician group really cares about their patients and want to give them better care - that is where I step in. I'm excited to be a part of something patient centered. Plus the doctors all seem really great.

I think I'm beginning to rediscover "God". I'm not sure what that means right now which is why I use quotations marks. I'm beginning to embark on a journey of self discovery and spirituality and I think I might be onto something. Things are slow moving but I think I'm gonna make some headway on what I think about God and Jesus and all things spiritual. I mean, its not that I have lost faith - I'm just trying to revamp it and figure myself out in the process.

Things are happening - hopefully I'll survive when things stop happening so fast.


Monday, August 3, 2009

Where the wild things are...

Ok, so here's the scoop. I'm on my last rotations. MY LAST CLINICAL ROTATION EVER! I am totally freaked out and the real world is coming at me and gaining speed. I'm a complete mess and my heartburn has gotten worse and I think I need an endoscopy. Alas, I think I'll live.
Currently...
I'm looking for a job - a fruitless experiment in emailing hundreds of people who never get back to you. You shouldn't try it if you dont have to.
I'm getting my tonsils out in 11 days. I think its going to hurt.
I'm studying for the boards... a 6 hours test which is going to be hard on purpose.
I'm learning how to be a normal person - go on dates and make small talk without talking about medicine. Its quite hard.
I'm working on a speech for graduation and its going to be corny. I'm not sure how to fix that.
I'm about to take a ton of recycling. Lets save the world!

In the past...
Ok, so I left off at my second rotation. The next one was Psychiatry. Which was totally fun and goofy. I worked in Benson and the people were great and the hours were short and many times I got called and told not to come in because there were barely any patients. Psychiatry will be great for you. Its normally great hours and a breeze because it is very limited in scope. You just need to know your Axis diagnoses and your antipsychotics. The rotations went generally well with no hiccups. It was a nice vacation. Just make sure you dont turn into an idiot and forget all your general medicine stuff.
Moving on... My next rotations was dermatology. Which was good and bad. I love derm and I think its fascinating. The doctor was a bitch sometimes though. It made me sad because she was so stressed out that she couldn't treat anyone like a human being. She was so wealthy and so miserable that I felt like it was such a waste. Derm is general good to practice your suturing and doing all of the biopsies and stuff. My doctor was very conservative and she didn't let me do much but it was still a good experience overall. I'm glad I dont have to deal with it anymore but I think derm should be required for everyone. It was also good because I was at home and got to spend time with my parents. I would recommend it.

Ok, so fast forward to the worst rotation ever. So I started blogging on my ER rotation, which was excellent, and I think I have covered every rotations except for one... the most infamous of all time. My elective rotation at a county hospital burn unit. Word to the wise... dont waste an elective on something that you could potentially hate. Screen your elective rotations wisely. I happened to get lucky most of the time but this one I didn't. I didn't blog during this rotations because I was so angry all the time that I wanted to punch someone right in the mouth. I started to blog once but decided it was too inflammatory and slanderous so I didn't post it. The burn rotation was miserable for many reasons. 1 - One of the PA's there was a total bitch who was also the worst teacher ever and was totally miserable herself. I heard that she used to be a fun person and now she hates her life so she makes everyone else's miserable as well. 2 - Teaching hospitals suck for PA students because dealing with residents is the worst thing ever. They are rude and miserable and cocky SOB's (for the most part) and I hated being around them. 3- Miserable and mean staff = miserable rotation 4- being on the bottom of a very tall totem pole makes you feel like crap more often then not. All in all I give the rotation a thumbs down but I did learn what I needed to learn to manage burns appropriately so all wasnt lost.

Well, I feel like I'm closing a little chapter of my life by summarizing pretty much everything I could about PA school. The blog isn't done but it feels good to not have much more material to write about concerning clinical rotations...