The actual graduation day....

Here are a few pics of the day.  Jas and the kids came up (quite a feat with 2 under the age of 3...!) and Lauren and Brad came, too. Very nice to have the support.  And the white coat....

Gary F and I- while he LOOKS serious, it's just an act....
Proud of him!

And the proof that I was some sort of something somewhere 

Finally!

Lots of initials huh?

Brit and Mike

Ana was super well behaved

 And now, onto other things!

Surgery

So, as I said in the previous post, I am in surgery.  I am surprised to say that I love the ED part most of all. I mentioned before that I had considered a residency in ED- one focused on Rural medicine that is in NY. I kind of dropped the thought off of my local radar, just because A)money-I need to make some of that green stuff and the sooner the better! and B) thinking that not having the continuity of patient care might limit my enjoyment.

 Nope. Not so. It's actually good- I can care, and deeply care, about getting the patient better enough to get them to the next step of their recovery and that is good. I love the intensity, the need to bring all aspects of my (limited) training to the forepart of my brain, balancing the medicine, surgical aspects in the resus bay. I of course am watching and learning right now. But, my head is swimming with thoughts.  

So, the thought of the residency is back. Strongly. I think it might be great. I think I might like it. And since nothing else has really grabbed me yet during rotations, maybe this is it. Stay tuned.

I also admit feeling like I have not learned nearly enough thus far in my rotations. Not nearly enough. I also admit that I wanted to be at UMMC for many of my rotations. Thus far, I have gotten none of them. Zero. I miss the U, miss the environment that that place provides. There were endless opportunities to learn there- endless. I miss that a lot. I also miss the caring that the U seems to have at the center. I am not seeing that out in the "real" world, and I find that sad.

So help me GOD....If I see/hear of another person slamming a NG tube down someone, without lube, and hurricane spray--forgetting lido-jelly even for a moment as a possible assist-and then wonder why the patient was so miserable and refusing another NG tube, I wish the NG curse on them some day. Because when I asked, I was told "it takes too much time".  Oh boy...If I were not a student, and somehow could mention what I really thought, they'd get an earful.  Say whatever you want, it's the wrong thing to do.


I have seen several surgeries but none of the usual suspects...no appy, lapchole, bowel obs for me! Nope, was in on a massive lac to the back of the neck where the C-spine was...right... there...and the clot that had formed was as big as a small baby. I kid you not. I have seen orbit repair with screws, plates, mesh. I have seen more I and D's- seemingly the bread and butter of surgery-forget hernias! I have seen an exploration of an orbit from a possible self-inflicted GSW...I'll tell that story at another date. 


I have learned a lot I admit. Most of what I have learned is this: 

• Who you work with is as important as what you're doing
• Driving over an hour to work is plain and simple NOT for me
• I need to be someplace where patient centered care is at the fore-front at all times
• I need to be someplace where you're striving to always be better, so the patients get better
• I need to always be able to learn, to push past what I get and enter into areas that I feel lost and need the compass of those wiser than me to survive and thrive
• Saying I don't know is okay as long as you make sure you will know soon

Till later. I have a hot date with First Aid and Surgery Recall, never mind Casefiles!

A thank you

to all that were kind enough to mentor me during this process.  I realize that this was an invasion of your work day, time away from getting your job done efficiently. I realize that with each patient that came in the door, you realized, as did I, that my being there was an invasion of their lives- their most private lives. In this, I must also that the patients that accepted me and allowed me to eavesdrop into their visit.

By allowing someone to shadow, to experience what the real word of being a PA, you have given a gift both to the future PA but also to the profession. It is not surprising that it's a requirement to shadow a PA for acceptance into most programs. The day to day life of each PA and their particular area of practice is vastly different from each other. By looking at each particular PA I shadowed and what their careers entailed, I was able to see the possibilities for my own career, and honestly, give me some "oomph" in the rather tedious process of pre-reqs.

I had wonderful PA's to shadow. I sat in on  morning rounds, grand rounds, the weekly trauma meetings, and cardio-thoracic meetings. I was in the hospital, in clinics, in private offices and in the Student Health center. I saw a lot- stitches, a very interesting I & D, burns,  a freshy pregnant woman, a first pelvic, numerous UTI's,  skeletal issues, and things I just had never thought of- how does someone get something stuck in their ear? Especially if they are over the age of six?

So, thank you. Thank you for your time, your advice, your support. Thank you for offering an ear and saying "if you need anything, just drop on email!" Thanks for the tips on surviving school, for the copies of notes taken, for the books passed on. Thanks for taking your time, both for and with me, but for the profession itself.