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Friday, July 24, 2009

ONE ROTATION DOWN, TEN TO GO!

YAY! I have officially finished my first rotation. It is amazing how much you can learn in one month. I plan to take everything I learned in cardiology with me to my next rotation, internal medicine. I am happy to say I got a great evaluation and the Dr. told me I would be an asset to any clinic or hospital I plan to work at. He also said he would be happy to give me a recommendation if I wanted one later on.

My next rotation is in Bay City. I am moving out on Sunday. I am happy that I will be working regular clinic hours and I will be able to come home every weekend. This past rotation I worked 7am to 8 or 9pm, so 8-5 sounds nice. I will also be able to go back and study and work on my paper. I did not feel that I had time to study this past month because I felt sleep was more important!

Everything is going great with Lance. I actually got to go to his work and eat lunch with him. His boss told me that he is doing such a great job and he seemed proud of Lance and the things Lance had done in this past year. I am proud of him too!

Everything is going great. I enjoy interacting with patients and my first rotation proved to me that I have definately picked the right career for me!

Amy

Saturday, July 11, 2009

Cardio

Another week of cardiology is done. I am learning a lot, but at times I still feel clueless. I still see patients by myself and report to the physician. I read stacks of EKGs, and at least he is impressed with my EKG reading skills. I have to work on my presentation that I will give in less than 2 weeks. I chose to do my presentation on Atrial Fibrillation because I have seen a couple of patients with it. We were on-call this weekend, but when I called in he said that I didn't need to be there, so I get the weekend off. I am still working from 7 am until 8 or 9pm. I decided I should wear a pedometer and see how far I walk in one day. I probably walk twice as far as needed because I get lost! haha. It would be easier if we only went to one hospital, but we go to two different ones with the cath lab on different floors in each and I get them mixed up.
I only see Lance one hour in the morning when we are both getting ready for our day, and then an hour at night before bed. It has been kinda hard on us. We have to log in the patients we see that day, so I spend some time doing that. I have not been able to study, and that is hard on me. I feel like I could learn so much more if I could read more about the diseases and conditions I see. Next month I will be living in Bay City and I think I am working in a clinic so hopefully I will have plenty of time to study in the evenings.
-Amy

Friday, July 3, 2009

Absolute Exhaustion

I just finished my first week of my first clinical rotation. I have already learned to much. I am with a cardiologist. I show up at 7am at Clear Lake hospital and see patients, then around 11am we go to his office and see patients until around 6pm. We then go into Mainland hospital and see patients until 8-9pm. On the very first day I did not eat breakfast because I was nervous. It was so busy I only had half of a sandwich for lunch and by the time I got home around 9:30 I was so tired I just wanted to go to bed. So all ate the whole day was half a sandwich. I have been eating breakfast before I leave since then.

The very first patient the cardiologists gives me the chart and says, "here you go." I thought he would at least show me how he likes things done. I see the patient, do a history and physical, look up everything about the patient in the computer and come up with the assesment and plan for the patient. The doctor just signs off on my work.

I have got to help in cardioversion, heard every single murmur, bruits, done EKGS, interpreted stacks of EKGs, seen stents and pacemakers placed.
I am also learning about more drugs than we learned about in pharmacology and when to prescribe them.

Overall, I am enjoying my first rotation, but I am SO exhausted from the hours.
Lance took a picture on my first day. My pockets were stuffed with little books to help me out. I will have to post it when I have access to his camera.

AMY

Thursday, June 18, 2009

DONE WITH DIDACTIC YEAR!

I just took my last exam of didactic year! yay! I then marched up to my professor's office and turned in our research proposal! Now, I hope I don't cry on my first day of rotations. I am to call the doctor I am with at 6:00 the morning of the first day and ask which hospital to meet him at! I am excited that I (we) have made it to this point. I feel like I know SO much, yet at the same time I feel that I have SO much more to learn.

This past weekend we flew to El Paso to visit Lance's grandmother. We painted the garage doors and some columns on the front of her house so she can sell her house. Lance said he had many good memories in her house and was sad that she was selling it. We ate lots of tamales, chicos tacos, enchiladas, and Lance had lots of menudo. We got back late on Sunday and picked Maggie up. We missed Maggie while we were gone.

Tomorrow we are heading to Longview. My mom had surgery and is recovering so I am going to see if there is anything she needs. Also, we hope to visit my grandparents. I don't know how crazy things will be clinical year and I don't know the next time we will be able to see any of our grandparents.

Lance and I have been reflecting alot lately and have come to the conclusion that we are very proud of the life we are building together. I can think of a better person to be my partner through life!

Later,
Amy

Monday, June 8, 2009

summer fun

This past weekend we went to Tomball to swim and attend a graduation party for some friends of Lances. Sunday we went to church and the headed to Galveston to look at the sandcastles. They were neat. I think I could get used to the summer schedule for PA school. Before I know it I will be freaking out on rotations.

This weekend we are flying to El Paso to visit Lance's grandma.
I have an exam Friday before we leave. Hopefully that goes well.
I am trying to finish this research before we leave because the presentation and paper are due when we get back. I am having trouble filling out the IRB form in order for UTMB to approve us for research. It is alot of explaining yourself!

This morning I won a $50 off $100 purchase at Old Navy. I then refreshed the page so I could look for the coupon I really wanted, the $75 off $100 purchase. Little did I know that refreshing the page caused me to lose the coupon. By the time I could go back for the coupon I just lost, they were all gone!! Old Navy has this game you play every week to try and win these coupons. People stayed up all night waiting for the game to come up, and I just happened to be on the page at the time it opened this morning. I can't believe I had the coveted coupon and lost it that easily. Oh well, I guess half of the fun is in the hunt!
-Amy

Wednesday, May 27, 2009

random

Summer session is flying by! I really need to get going on my research. The proposal and presentation is due in a couple of weeks.

We drove lots this past weekend and plan to stay here for this coming up weekend. Maggie is happy to be back at home, too!

Lance has been working late this week. It figures that the week I am home from school early, Lance has to work late. oh well, I guess that's how it goes sometimes.

Pretty random post today. I just figured I needed to update the blog.

-Amy

Wednesday, May 20, 2009

San Antonio pictures

Pictures of our amazing trip to San Antonio! First stop= Buc-ee's. This gas station and more has the cleanest bathrooms you have ever seen! They even have alcohol gel as you exit the stall, before you get to the sink to wash your hands!

We made it to the beautiful hill country of Texas!

Lance looks REALLY relaxed!


Being goofy




After our amazing dinner at sunset. I wish I got pictures at the dinner.



Chilling on our 'balcony' drinking champagne and eating chocolate covered strawberries.






Enjoying our vacation!






This is on our hike Saturday morning.





Smile Lance.















We had to put the camera in a tree and put on the timer. Lance couldn't run fast enough!!!







He made it this time. I wish someone was there to take our picture because it was beautiful!




We then went to the riverwalk and walked past the Alamo.









Sunset Saturday night.



In love.



Best breakfast in the world! We didn't want to go home!

We can't wait to plan another weekend trip. I wouldn't mind going back to San Antonio!
In other news, I had my skills exam today. I now can put a catheter in you keeping sterility, need an NG tube? I'll put it in. How about a TB test, tetanus shot, or an insulin injection? I got ya covered. We also had to clean wounds. Can you believe on the very fist day of PA school we were sticking each other in the arm trying to draw blood???? That was a very memorable experience!
Wedding in Dallas this weekend, then staying the night in Longview.
Until then,
Amy