Saturday morning reminder to not compare your chapter 1 to someone else’s chapter 20.
As students, especially on rotations, I think it’s so easy to get caught up comparing yourself to other health care professionals who have years of experience. We think that we have to know everything all at once, but remember, medicine is a lifelong learning profession. Someone once told me that she figured it out half way through her rotations that rotations aren’t supposed to be about learning how to do that specific specialties job- it’s about exposure into different fields you maybe haven’t experienced before. It’s important to remember that you’re on your own journey and that journey may be at a different speed that others. All that matters is that you keep moving forward.
Whatever your goals are for next week, I believe in you.
Read below for correct answer
The correct answer is A (Neurology) Sensory symptoms in the limbs such as numbness/ tingling, pins-and-needles, tightness, coldness, or swelling of the limbs or trunk are the most common initial features described in patients with underlying multiple sclerosis (MS). In addition, sensory symptoms are seen in almost every patient throughout the course of their disease at some point, and suggest lesions within the posterior column, dorsal root entry zone, or spinothalamic tract. Furthermore, an intense itching sensation, especially in the cervical dermatomes, which is typically unilateral, is another sensory symptom suggestive of MS.
Incorrect answers and explanations:.
B. While optic neuritis is a highly characteristic symptom suggestive of MS, it is not the most common initial presenting feature . .
C. Multiple different eye movement abnormalities can occur as manifestations of MS, causing diplopia
However, diplopia is not the most common initial presenting feature. .
D. Vertigo is a reported symptom in approximately 30 to 50 % of patients with MS at some point throughout the course of their illness. It is often directly related secondary to the formation of demyelinating plaques in the vestibular pathways. However, once again, vertigo is not the most common initial presenting feature. .
.E. Seizures associated with MS are generally transient and benign , occurring in only 2 to 3 % of patients. Thus, they are an uncommon manifestation of MS throughout the course of the disease, considered to be an atypical feature, and would be a very rare initial presenting feature.
. . #usmle#usmlestepl # usmlestep2 #pastudent#physicianassistant#physicianassistants#palire#medschool#medica ! school #medicine#md#doctors#doctors#ilovemedicine#pa program #paproblems#physicianassistantstudent#familymed#familymedicine#emergencyroom
>According to the World Health Organisation (WHO), approximately 17.7 million people died from cardiovascular disease in 2015, representing 31% of all global deaths. Of these deaths, an estimated 7.4 million were due to coronary heart disease and 6.7 million were due to stroke.
> Basic Life Support (BLS) training is the foundation for saving lives after cardiac arrest and many other life-threatening conditions. #physicianassistantstudent#physicianassociate#physicianassistant
0 2211 hours ago
hehe my face at the end 🙀🙈. Clearly I was shocked this happened. 💎3️⃣2️⃣0️⃣ x2, PR double✨
4 7111 hours ago
When your smiling on the outside but your true colors start busting through after you’ve completed day 5 (55 hours) into your 7 day straight (77 hours) work week. 🤷🏻♀️
9 months post chemotherapy hair growth is coming in hot.🔥
3 14911 hours ago
Baltimore, you’ve been the perfect combo of beautiful, fun and weird af for the last year I’ve been here. Can’t wait to come back and visit for some more ball games and crabs🦀
5 17413 hours ago
Jan 12-13, 2019 in Chicago
Let the games begin!
2 action-packed days of everything you can possibly ask for in an outpatient prep course for all the procedures and skills you will need during clinicals to stand out and GET THAT JOB!
Excellent for NPs and PAs with both nursing CME and CNE to make everyone happy!
Open to any interested learners!
Let's up the game!
For a full list of course details and to register for $499 (get an additional 10% off now until Dec 31 with the coupon code "skilled") Go to skillsonpoint.com or click the link in the bio!!
Thanks for being such dedicated listeners! I appreciate all the reviews, comments and topic suggestions!
The show is 55 episodes in and going strong 💪!
I feel truly fortunate to have you all listening each week!
Thank you! 🙌🏼🙌🏼 I’m planning for 2019 and am so excited! Leave a comment with what you’d like to hear more about next year! 😊😊✔️✔️👇🏾👇🏾
|| S T O R Y ||
From Division 1 #gymnast on a full athletic scholarship, to 15lbs heavier in the middle of #PAschool, to confident, comfortable in my own skin and proud of all my hard work that got me to this point in my journey!
I was a gymnast for 18 years, which meant every day my practice and workout was laid out for me and it was never an option to do it or not, it was a requirement for my day. When I finished gymnastics and I didn’t have to workout I enjoyed it and took a 3 YEAR BREAK from working out, oops!
During those 3 years I had gained 15lbs, I had lost a lot of confidence, I felt extremely self conscious in my clothes (but refusing to buy new clothes bc I wanted to lose the weight), I tried going to the gym but could never stick with it longer than 2 weeks, I thought I could do it on my own but I was wrong.
Then enter my sweet friend @pencilsandplanks who had just started her post-sport fitness journey and I was eyeballing her posts on social media as she was sharing about this amazing program she had done and the incredible transformation she had and the community she was doing it with. After MUCH foot dragging, I finally said YES and my ONLY REGRET is not saying YES sooner!!!
After I said yes, I started achieving my goals because I finally had a community that was supporting me and keeping me accountable everyday. I learned about proper nutrition to fuel my body that was affordable & DOABLE while working a full time schedule for rotations, studying and taking tests!! I kept a consistent workout schedule for the first time since gymnastics. And slowly but surely I lost those 15lbs and got back to my goal weight, but MORE importantly I gained back my confidence, I was comfortable in my own skin again and I was proud of how I looked in any outfit I chose to wear!
If you want to experience your own personal transformation, stop waiting and take action because you won’t regret it!
Another addition of "Your Back Pain Probably Isn't Serious and Doesn't Require an MRI or surgery."⠀
in MOST cases back spasms, pain that comes on that is intense and is worsened by particular movements is not serious. What do I mean by not serious? Something that doesn't require immediate intervention and something that likely will improve with continued movement, exercise, and time. ⠀
I've worked with a lot of people who want to get the MRI, the x-ray, and all the other tests under the sun. Let's say you did get the imaging done, how is that going to help with your treatment? Are you willing to undergo surgery? Unless you have a fracture, a severe herniation that is symptomatic and leading to progressive weakness and loss of sensation, or cancer (incredibly rare), then the course of treatment WILL not change.⠀
It's super frustrating when severe back pain lasts for greater than a few days, and I understand the need and want to find out "what it is." The unfortunate reality is that often times there is no clear answer to why there is severe pain. This is a hard pill to swallow for the person experiencing the pain and for the provider helping guide their client through this process.⠀
So, before you go out and get some imaging or are considering surgery, please send me or another healthcare provider who understands back pain a message so that you can avoid unnecessary and potential harmful interventions.⠀
One more note; sometimes surgery is necessary and people have great outcomes. It's the very small minority who will benefit from this.
5 4121 hours ago
“So tell me why you want to be a PA?” -every interviewer ever
7 22922 hours ago
Hilarious picture by @pagethepa 😂 maybe one day 🤷🏽♂️
138 567222 hours ago
LIFE UPDATE: I can’t stop smiling about the fact that come next spring I will be moving back to Chattanooga to start my NEW JOB as an Emergency Medicine PA!!!! Words aren’t enough to describe the joy and gratefulness I feel to get my dream job and move to my favorite city. The road to get here has not been an easy or perfect one but I am thankful for every challenge as it has shaped me into the person and provider that I am today. Thank you ALL for riding the roller coaster called PA school with me; I know this wouldn’t have been the same without you guys ❤️ •••••••••••••••••••••••••••••••••••••••••••••••••••••••••• It’s the beginning of a new chapter for me; both exciting and terrifying at the same time. No longer am I a student on rotations. My patients depend on ME to make a decision and help them get better. Thankfully I will be working alongside the best PAs and doctors which brings me a great deal of comfort and peace about it. •••••••••••••••••••••••••••••••••••••••••••
25 18322 hours ago
1. Commonplace or unexceptional.⠀
2. Plain or undistinguished.⠀
Living an extraordinary life means taking risks, not being afraid to fail, and getting back up to try again. It means increasing knowledge and experiences in order to continue evolving. ⠀
At the end of the day, you set your definition of success and never let others judgement affect that! Now go live your best life!⠀
What’s your dream life?
I make food disappear. What's your super power?
I love this cafe so so much. @chezgenese ... The name means "a place of new beginnings"... Swipe through to see their vision, printed on the back of every menu. It's definitely worth reading. The food, the atmosphere, and the service are all top-notch. And no tipping allowed. ❤️🧡💛💚💙💜 ~
Eat well and do good, my pretties. No time like the present for a new beginning. 🧜
Friday mornings off are best spent studying in bed with a cup of tea ❤️☕️. .
What are your plans for the weekend?
14 10823 hours ago
Every morning when it feels too early to even be considered morning. Too cold to even slip my foot out of bed. Too tired to even face the sunrise, my mind always visualizes this moment. The moment where one day I will read the Physician Assistant oath. The moment I put on the white coat that has tears, yawns, frustrated wrinkles, stress and proudness sewn into each thread. The moment that I realize- all this work, was worth it. And that is when I get up and seize the day. Happy Friday everyone 💫💛 #pursingpa#physicianassistant#physicianassistantstudent#learngrow#whitecoatceramony#oath
Yesterday, a few students from Emory’s Class of 2020 participated in a panel at University of Georgia to speak to their Pre-PA members about PA student life! Thank you for allowing us the opportunity to come and speak with your students! @prepaatuga (left to right: Daniel Kliner, William Jackson, and Tyler Alexander)
Start today, repeat tomorrow. This is how I started my journey to PA school. When I started, I thought the whole thing from A to Z will take 3 years. But the program that I was going to attend closed down and now 4.5 years passed and I sent my first application this cycle. When I look back I realized The only benefit of going back to school was self advancement and if I am able to finish PA school then it was worth it. Other than That I don’t think it was a wise decision to Spend a lot of money for all this. And I was not able to work since real estate is not a easy job and it needs full attention, you can’t mix it with science 🧫 courses. I know at the end when I become a PA it’s worth it because it was my dream to become a PA. I had a choice to not continue when the program that I planned to attend was closed, however, I was lucky to be able to continue since I have my family to support me. Most of the time we have to settle because we don’t have money to continue and that’s the hard part. When I moved twenty years ago from Iran I was studying electronic engineering but due to lack of fund I could not continue my education. For twenty years deep down I was hoping to have a time and money to persuade my dream of going back to school. Finally I did it and I graduated with GPA of 3.97 but I still want to become a PA. I know I will become a PA when the time is right. I don’t know when that would be but I’m sure it will happen. #futurepa#futurephysicianassistant#mentalhealth#physicianassociate#pediatricdentistry#pediatricnurse#medicalstudent#coupleinmedicine#mamasinschool#mamasinmedicine#momsinschool#momsinmedicine#physicianassistantstudent#caspa#capa#aapa#physicanassistantsschoolinterview
There are days where I feel like I'm holding onto a trochlear nerve. I would start my morning on a high, but as the day progresses, I would become increasingly pessimistic about everything. As much as I try to avoid my negative thoughts, I would still find myself on a slippery slope. Lately, it's been challenging to change my "I can't" to "I can..." ⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀ ⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀ ⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀
Currently, I feel fine and am well - still all smiles here and there. I'm just hitting you with my feels. Lol. ⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀ ⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀ ⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀
To end this post on a lighter note, here's a fun fact: I "borrowed" my brother's Jansport backpack and have been using it ever since my freshman year in college to now. I don't think I'll be returning it any time soon. Heh 🤪.
Can't make it this weekend? NBD. Join us at the I Hotel in CU on December 1st and learn to #suturelikearockstar!
▪️ Limited to 30 seats
▪️ Perfect for RNs, APNs, PAs, or MDs who suture in an outpatient or procedural area
▪️OR grade equipment
▪️8 approved contact hours
▪️Suturing trainer for home use
Link in profile.
~~~~~~~~~~~~~~~~~~~~~~ List of content:
Importance and role of APRNs and PAs in suturing.
Objectives reviewed and equipment discussed, pre-test.
Suturing instrumentation and tying with instruments.
Suture types and the needles that accompany them.
Needle driving, suturing, and knot tying selection relevant to tissue layers and proper wound closure.
Simple interrupted stitch
Horizontal mattress stitch
Vertical mattress stitch
Figure of eight stitch (4 types)
Simple running suture line
Running horizontal mattress suture line
Running vertical mattress suture line
Running locking suture line
Modified versions of running suture lines
Running subcuticular stitch
Punch biopsy techniques
Skin stapler insertion and removal
Review of skills, post-evaluations, question and answer session
Made some exciting purchases this week! Our book list was finally released, and some of my orders finally came in. I cannot wait to actually delve into these books and start learning! Anyone else just love getting school supplies/books? Or is it just me 💁🏻♀️🤓
Find your flow... 🤷🏽♀️🤷🏽♀️ While in school I was always told, be consistent with your physical exam and assessment of patient charts... I understood that but never really found my flow during clinical cause based on the speciality and provider I worked with, they wanted things done there way. I can finally say I do it my way now! 🔻
Before I see each patient, I fill out patient identifiers, allergies, vital signs, pmhx, surgical, and look up any pertinent information in their chart (especially if they’ve had a recent visit, have extensive history, or had frequent visits to the ED) this helps me go in with a story, rather than clueless! 🔻
This little mini notebook comes with me everywhere, it includes my differential, my treatment plans (how I will take care of my patient ) any other pending orders etc that need to be placed or things I need to reassess etc! It’s a lifesaver especially so early on when it’s easy to miss small yet important things. Having this notebook also helps me gather my thoughts before I speak with my attending about my patients and during sign off! 🔻
As for physical exam I do a HEENT, cardio, resp, abdominal and strength test on each of my patients, regardless of their symptoms and that’s my flow! 😬
I’d be lying if I told you guys these past two months have been easy. There have been times where I wake up in the morning teary eyed cause each day is difficult, yet, I’m learning a ton! It’s all part of the process :) #physicianassistantstudent#palife#medicine#emergencymedicine#medical#physicianassistant
Here’s to the greatest accomplishment of my life. Here’s to the amazing group of ladies who raised tons of money, and decided I was worthy enough to create something meaningful with it. Here’s to the 305 classes I’ve taught that reached 920 families, the 410 individual family appointments, and the overall 1,778 referrals in the last year and a half. Not to mention the blood, sweat, and tears that went into making all those interactions happen.
Here’s to the kiddos who accomplished the goals we set together, the kids who ate more fruits and veggies, drank more water, exercised more, and maybe if we were lucky dropped their BMI in the process. Here’s to the original 5 pediatric offices that made it all possible, and here’s to the 5 or 6 more who have sustained and continue to grow it. Here’s to everyone that welcomed the dorky girl with a big fat smile into their office every single morning like she was part of their core team too.
But above all, here’s to MY core team that made my life and job fun every single day. Here’s to the people I forced to give me food labels and to try my snacks. Here’s to the paper airplanes, the potlucks, the silly photos on my cube, and the dress ups that made me so happy. Here’s to the people that supported me not only in the office, but in my endeavors outside the office too. Here’s to two amazing supervisors and two great directors, who gave me absolute freedom to design and grow this into what it became. Here’s to the interviews, the magazines, the Youtube Videos, and BLUE PLATES!
And last but not least, here’s to the people that turned into some of the best friends I’ve ever had. The people that reminded me I should always keep that big fat smile on my face every single day. The people that told me I could do it, when all I wanted to do was give up and cry—the people that have always believed in me. I will miss you all dearly, but also who are we kidding if we act like we won’t ever see each other again. Only LOSERS never see each other again.💖
Guys!!! I started my family medicine rotation this week and wooow it’s just so different from the hectic schedule that I had for obgyn! I really did love my women’s health rotation though - definitely a fave so far. The only downside to my FM rotation is that I have to get up at 5am everyday for an hour commute via train... and I am NOT a morning person.😴 I got to play with liquid nitrogen though and that was pretty cool 🤷🏻♀️ Can’t believe that I’m halfway through clinical year already!
Sticks and stones won’t break my bones 🦴
Had 4 cases today and it’s snowing outside❄️
I’ve been waiting days to share this with you ⬇️
I PASSED my general surgery EOR, but DANG. 😅 That was one of the most challenging exams I’ve ever taken 🙈. I followed the EOR blueprints, studied from a study guide, used RoshReview and Smarty Pance and still I walked out of that exam pretty very unsure about how I did. I didn’t feel like I could share any feelings with you about the exam on Friday until I knew how it went. Needless to say, I’m so relieved to have passed! Thank you all for sending good vibes my way - I definitely needed it!
In BIGGER, more EXCITING NEWS: I start a rotation tomorrow that I’ve been looking forward to since before starting PA school - I am even doing an extra rotation in it as one of my electives!
It’s: OBGYN! We start on L&D for the first couple of weeks, a week of nights, then the last couple weeks of gynecology. Onto another month of crazy hours, but I’m so freaking excited y’all! As always, if you have any tips and/or suggestions for resources please let me know! 🙌🏼
Hope everyone is having a great weekend. Tune in this evening for a recap on my general surgery rotation (IG story)! 💉💉🔪🔪
84 29655 days ago
Double tap if you'd tap that
...spinal tap that is-
So much fun practicing lumbar punctures/spinal taps this morning in neuro lab. All I have to say is that is one looonnnng needle 😳 -
We also got to practice comatose neurological exams on one another to determine their neurological function. -
Neuro lab today was definitely a good one 🙌🏼 have you ever performed a spinal tap?! Share your stories below !