Personal Narrative: My First OB Clinical

Day four of clinicals was really long. The first patient was scheduled from 8 until 1, he was getting fitted for 4 crowns and an implant crown. When the patient came in he had a horrible odor and looked like he hasn’t taken care of himself in months. I seated him down and the dental assistant just glanced at his teeth and looked at me strangely and whispered come here and look. I look in this old man’s mouth and saw nothing but a brown layer of plaque and calculus build up and it disgusted me. How could someone not take care of their selves? Anyways, we ended up sending him to the hygienist's room next to us and they cleaned his teeth extra good. He came back into the room and Dr. Williams came in and quickly did a check up on his teeth and

I was never a kid that knew who I would become when I grow up. My interests ranged from wanting to become an interior designer to having a strong desire of becoming a pilot. I was often surrounded by healthcare professionals but I never imagined myself striving to become one. Little did I know that I would end up at a stage in my life where I would be sure about pursuing a career in healthcare. Although I have decided on my career path, I have yet to discover a particular field within healthcare that grabs my interest. The RA Internship will help me learn more about medicine and help me find a right field of study through clinical research experience and monthly lectures offered to me as an intern. Though this opportunity I will be able to

My first clinical rotation was at Wasatch physical therapy, an outpatient clinic. At first, it was a little difficult to get used to seeing the higher volume of patients. It was also difficult to get used to all the different names for various exercises that different therapists had. For example “Ball belt,” Which seemed like it could mean just about anything. I got the hang of things and became pretty comfortable by the end. It was a really positive environment. Time seemed to go by quickly since I was always busy with patients and documentations. Eventually, I got to the point where I was given a bit of freedom and was able to handle around 50% of a caseload independently. I treated knees, shoulders, ankles, wrists, and spines. However, I also got to treat a cardiac patient and got to observe one torticollis and a few pelvic floor patients.

My second clinic rotation is internal medicine and I’ve had many encounters, both with patients and colleagues, which have made me pause and reflect. One of those encounters, in particular, will still be on my mind long after I finish typing this reflective journal. The patient at the center of it all is a lady I’ll refer to from here on as “Mrs. Flowers.” Mrs. Flowers is an 81 year old female with dementia and diabetes. She arrived on our unit with a diabetic foot infection that had progressed from a simple toe ulcer to wet gangrene. Over the last 2-3 months, gangrenous changes encompassed the distal half of her left foot. During pre-rounds, our medical team unanimously agreed that we would contact surgery for a consult. At time, it was obvious

Week three in clinical was difficult for me, I had a great experience overall but I hated seeing and holding a baby that had passed away at 21 weeks. To know what the family could possibly be going through was heartbreaking. I wouldn’t exactly know what to do if I was with the patient and her family exactly. I do know that I did place her in the room when she was admitted to triage. I do feel good about seeing the scenario play out, while being a student rather than being in the field alone. Other than that I was able to see the beginning stage of labor as well as a C-section. Everyone was so bent out of shape on making sure I eat and that I don’t faint, but it seriously wasn’t bad. As a matter of fact I was too intrigued with the mother rather

Throughout most of the shift, my nurse preceptor and I were in the patient’s room either evaluating her and the fetus, performing exams, taking vital signs, administering medications and fluids, charting, or reading the fetal monitoring strips. We also kept in regular contact with the physician to keep him up to date on the patient’s status and to receive new orders. We also spent a lot of time talking to the patient, her mother, and her boyfriend. They were concerned for the status of the mother and the baby. We explained to them that both the mother and the baby’s heart rate was high and their goal was to decrease them both. In addition, my nurse preceptor explained how we were administering Tylenol and amoxicillin to reduce the fever and

A unique experience that I had at Norton Women’s and Children’s Hospital was that we also covered labor and delivery and the mother-baby unit. Most of our programming and interventions on these units involved bereavement and grief support, sibling education/support, and memory/legacy making. From my coursework and volunteer experiences at the University of Charleston, South Carolina, I had a solid foundational background with grief and bereavement through our child life courses, our death and dying course, our experiences with Shannon’s Hope, and our experiences with Rainbows. A family is forever changed when there is a loss of a family member, specifically a child (Pearson, 2005). A parents reaction to the death of a child greatly differs

During my time shadowing physicians, I have realized that physicians need to be expert listeners in order to effectively assess a patient and fully understand their problems. I observed that the more a physician actively listens to their patients, patients trust their physician and can openly express any further troubles. My upbringing has given me the ability to be an effective listener. Raised in a quasi-conservative Indian household, I learned to carefully listen to everything my elders have to say. As a physician, I will take advantage of this skill to be an active listener for my patients and be able to better implement the appropriate treatment plans.

The clinic that I am doing my clinical rotation is a small family medical office with one physician assistant and one doctor. It is located in Collier County Naples, Florida. Naples is considered as one of the richest city in Florida with a diverse ethnic group like Caucasian, African America, Asian, Latinos, Haitian, and much more. They see any patients start from 6 years old. Most of the patients who come to the clinic don’t have a medical insurance. They are self-paid. My preceptor is a professor of physician assistant at Nova University in Florida over 20 years.

The sharp scratch of pencil lead sprinting across thick layers of paper, rapid rustles of flipping pages, and the neurotic tapping of pens on hard wooden desk surfaces are sounds that I grew very accustomed to during my junior year of high school. I was taking a class called Clinical Rotations, which allowed me to rotate through different units at two major San Antonio hospitals. Being constantly surrounded by illness, chaos, and frigid sterility wore heavily on my angst-ridden, seventeen year old self. But despite the stressful surroundings and slightly depressing aura, it was during these rotations that I met someone who truly changed my life.

I have had multiple clinical practices, however, out of all the experiences during my shifts, there is one particular event that holds great meaning for me. This event happened on my fifth clinical day of this semester, which was the day I first dealt with two clients.

My OB clinical rotation day at Tri-City Health Center comprised of a slow day at first, then busy day towards the end. I feel lucky to experience my OB rotation at Tri-City Health Center this Tuesday. Tri-City Health Center is a clinic that serves the community by promoting optimal health to patients and provide preventive measures to eliminate diseases. During my rotation at this clinic, I learned that Tri-City serves a wide variety of patients without regard to financial position, ethnicity, and sexual orientation. In my rotation at Tri-City, I spend the day at Suite D which is their OB and women’s health clinic where I met their wonderful staff. Dr. Martinez was the only doctor in the clinic at the time and she was accompanied by two medical assistants (MA).

My first week went really well! I was definately both nervous and excited on the first day. I was nervous because I wasn't sure how the clinic would run and I quickly learned that it is a very fast paced clinic. My CI sees patients every 15 minutes and he is both the only PT there and the owner of the clinic. I have been learning a lot about PT treatments as well as the buisness side of the PT clinic. He has a lot of PT aides that help with exercises and setting patients up with ice and stim ect. The fast paced clinic was definately something I had to get used to. I was a little overwhelmed when we would just start with a patient and a new patient would walk in the door. However, there is a very good flow in the clinic and everyone is always

My Clinical Instructor is Laura Homan at Winter Pediatric Therapy. She works with kid from all ages between infant to adolescent, because this is a pediatric clinic. The types of clients she treats are variety, such as Autism, Down’s syndrome, ADHD, Developmental Delay, Epilepsy, and Gene Mutation. She used a lot of toys from games, puzzles, musical toys, colorful objects, different shapes, and texture blocks to get the attention and participation of her clients. She has been working at this clinic since March of 2016. She has always wanted to work with kid. She wanted to be a teacher at first, but heard about Occupational Therapy in college. So she decided to go for Occupational Therapy program. She fell in love with it when she went for

The beginning of 2016 I had been talking to this boy named Rodney and we had been getting really serious with other about being in a relationship. April came and my mother did like the fact that I was staying with him; she wanted me to get on birth control because she didn’t want me to have any babies yet. I agreed to the birth control there were many to choose from I was scared of needle so I didn’t do it that way , I took the easy way and got the patch. With the patch you wear it for three weeks and the fourth week you have your period. Later that month Rodney took me to prom and we had so much fun with each other. We were really in a relationship by then, May is here now and I have just turned the Big 18. That means I