if you can’t fly, then run.
If you can’t run, then walk.
If you can’t walk, then crawl.
But by all means, keep moving 👊🏼 • -Martin Luther King Jr.
I honestly have nothing to complain, I’ve learned that wherever life puts me, it’s up to me to keep moving and make the best of it 💕 even though I’m freaking out about my first EOR exam, I’ll just pretend it’s part of the adventure 🌚🌞✌🏼
I sat for hours today at work, at the hair salon, at the gym, trying to find something to say about this day celebrating someone incredible. Martin Luther King Junior's legacy is bigger than all of us. His passion, his mind, and his heart were focused on something greater than himself. He is and will always be my hero.
1 277 hours ago
Giddy about the IT’S-SO-FLUFFY kind of snow ❄️ that was falling quite peacefully all Sunday, only to turn into treacherous two-inch sheets of ice that I slipped on our stairs out to work right on my bum this AM 🤭. Brb currently nursing my sore elbow while cozying up on the couch with some homemade apple crisp & Netflix with my man. 💕 #belowfreezing
Thinking about the sunnier, hotter days filled with delicious foods and 12+ hours of traveling to new places but now all I have is cold hands, likely a vitamin D deficiency, hospital food, 12+ hours in the ER with unsigned charts and trainings I need to do for the hospital. ☀️🌚🏥People, after you graduate, take the longest break ever. Trust me. I took four months off and sometimes I wish I took longer off.
|| C H O O S E ||
Did you have a good day today?!? It’s up to you!!!
Did you start your day with a positive mindset or a negative one? Did you go through the day thinking about all the things that went wrong or “happened to you” or did you consider the things that went well or blessing you’ve experienced today?
We have a choice in how we set our mind throughout the day and I promise if you choose positivity, it’ll be a better day!
Today I’m thankful I got up and took the time to do my workout before work because it always gives me a sense of accomplishment. It feels good starting the day moving my body and taking care of myself before I go to work to take care of others.
Do things that will help you create a positive mindset to start your day and week!
5 269 hours ago
U.S. News & World Report named Physician Assistant the #3 job of 2019 and #1 best healthcare job!! So excited to have started my journey in this amazing profession. 👩🏻⚕️💉
For anyone with questions regarding PCE.....I dabbled as a CNA and Scribe in the ED before I became a medical assistant. I worked full time for a year as an MA. It is supper important to have as many PCE as you can- it makes you stand out! I am also one of the younger students in my cohort **fun fact**. There are men and women in my class with thousands of hours, because for them becoming a PA was a career switch.
2 329 hours ago
Last semester I didn’t have a consistent balance between leisure and study. Everyone tells you how important it is to balance and it’s not until you’re in your first semester that you realize how hard that truly is. One of my goals this semester is to really find balance so that I am able to enjoy my study breaks and make the most out of any free time I could spare. A lot easier said than done but worth shooting for. Time management is everything 🙏🏻 #physicianassistantstudent#paschoolproblems#medschoollife#futurepa
3 549 hours ago
Our latest YouTube videos talks about the main functions of the liver. It’s the 2nd largest organ next to the skin. Also is involved in 500 daily functions in conjunction with other organs in the body.
Main functions include: 1. Breaking down or converting substances during digestion. 2. Extracting Energy 3. Making toxins less harmful to the body with nutrients from the digestive organs.
Check out our YouTube video for a full review.
Link is in the Bio!
2 2510 hours ago
One thing I really see a lot of students struggle with is listening to the heart and lungs. It sounds so simple right? And yet many of your colleagues actually have trouble listening to heart and lung sounds but nobody wants to admit it. Especially towards their last rotation. There are experienced providers that still have trouble listening to heart and lung sounds. Don't be afraid to ask a preceptor to confirm what you've heard. This is the only way you learn. It is better to fail hundreds of times listening to exam sounds while you are a student then to start practicing and still have trouble listening to heart/lung sounds. Practicing listening to your own heart for a normal sound and really try to think about what you are listening to.
6 13210 hours ago
Raise your hand if you took time (even if it was just 10 minutes) for YOURSELF and ditched the books📚 /pressure🤯 and ALL THAT comes with it this weekend!?🙋🏻♀️ 🖐
Well.. I took an evening off from studying/all clinical related responsibilities to go to a [throw back to the 90’s] party! 🎉
I pulled out my old crimper- it left rust on my hair 🤣, lathered on that bright blinding hot pink lipstick 👄, kept on the chokers I was wearing already from the day (still rock my 90’s jewelry), threw on the D.A.R.E shirt and of course styled my hair the only way that was acceptable when I was in elementary (sadly couldn’t find my butterfly 🦋 clips for final touches😭)!
I had a wonderful time with my people and it was exactly what I needed!🙌🏻 REMEMBER TO FUEL YOUR TANK BABES! You simply cannot run on empty.. you also need passion and enjoyment in your life... the little things matter and they do add up.
Take that hour off. Go for that walk. Enjoy that ice cream cone. 🍦Take that half hour nap. 💤 RECHARGE YOURSELF. In order to give life to your patients.. you also must be full of life 😘❤️
Do not feel guilty for making yourself a priority.. there is only one of you..you only get to live once: so be present and live for NOW. Find that balance and ENJOY IT☺️!
8 18110 hours ago
Pericarditis is the inflammation of the pericardium. Pericardium is a double walled sac that surrounds the heart and this sac contains pericardial fluid.
Pericardial fluid is important because it anchors the heart, protects the heart from infection, keeps the heart from over expanding if patient has fluid overload and lubricates the heart while it beats
Causes of Pericarditis include: Viral illness (Coxsackie B virus), Post MI (known as Dressler's syndrome), Trauma (RTA or knife wound), Surgery, Uraemic Pericarditis (when urea levels are high which irritates the pericardial sac cause inflammation), Autoimmune conditions like SLE or Rheumatoid Arthritis.
Pericardial effusion and in life threatening cases - Cardiac Tamponade which has classic Becks Triad of Hypotension, muffled heart sounds and distended JVP as well as tachycardia and Pulsus parodoxus (which is when person breathes in, systolic blood pressure drops by more than 10 mmHg). Also ECG shows Electrical alternans where QRS complexes are different heights !
1 1310 hours ago
Day 1 of Rotations ✅
Today was a lot of fun. Got to see a lot of cases and scrub in on an abdominoplasty (tummy tuck). I was able to help with closing, and did deep dermal sutures and subcuticular sutures ✂️which was really awesome. The scrub tech and doctors were so helpful and amazing
In my pockets, I have my @medelita_gram Notebook and pen to take any notes, as well as my pocket EMRA antibiotic guide. Have not needed the antibiotic guide yet... but doesn’t hurt to have. ——-
Wearing #danielwellington Rose gold watch in size 32. Get yours for 15% off with code TIFFANYWPA #ad
For the rest of the day I will be reading up on nevus’ and how to classify and describe them! Excited for my second day tomorrow 🙌 ——-
Comment below what your day looked like 👇❤️
🌟 GIVEAWAY TIME!! 🌟
This is my first giveaway and I’m so excited to have teamed up with @simvivomedical and @pajourney to give away TWO suture boards!! These suture kits are amazing! They are much bigger than most suture boards and come with everything you need to get started. If you are just learning they also offer video tutorials. I honestly wish I would’ve known something like this existed back in didactic year when they taught us how to suture!
1.) follow me, @simvivomedical and @pajourney
2.) tag 3 friends (more tags= more entries)
3.) share on your story
Giveaway will end in 48 hours!!
58 10710 hours ago
New blog post out today!
I knew, of course, that he had piles of MCAT books and medical school applications at his desk. I knew what it meant. I could already see him pouring his soul into studying for a score to get him into a medical school that wasn’t on the other side of the country. He borrowed my rusted Chevy Cavalier, the one I put $3 of gas into at a time, to drive to his test one morning, and looking back on it, I have no idea how else he would’ve gotten there. After his scores came back began the applications. He scrounged money from his college job at a sandwich shop to send out everything he had: his scores, his resumes, his cover letters, his letters of recommendation. He used every last dime in his bank account. I remember his explanations of how this was his dream. How his papa would have been so proud.
To read it all (and you should!) visit my blog at married to doctors(dot) com
2 4210 hours ago
How would you Pre-PAs & PA Students like to WIN a FREE 30 minute counseling session?? My counseling sessions are meant to help you, guide you, & give you the tools you need on your journey to becoming a #physicianassistant ⠀
For a chance to win a free 30 minutes, simply follow these instructions...⠀
👉 Click the link in my profile⠀
👉 Visit The Posh PA Blog⠀
👉 Subscribe at the bottom!⠀
That’s all!! February 1st I will draw at random a person who is subscribed as the winner!! GOOD LUCK!!⠀
How I get my mind right on a Monday. Any day of the week a nice yoga flow will get me refreshed and centered. Especially important for the bush week coming ahead. Happy Monday all ☺️
2 2711 hours ago
A serene place
1 2712 hours ago
“Rise in mindfulness & intention.
Commit that what you absorb today will be nourishing to your mind, body & soul.
Be mindful of your interactions.
Keep them kind, stress free & loving.
Understand that your journey today may not be the easiest; nevertheless, vow to make it intentional.
Practice peace while enjoying the present moment.
We are in charge of our joy.”
~ @alex_elle 🌿
This is one of my favorite affirmations, I hope this finds those who needed to hear this today — coming to the end of a 3 day weekend; I hope you did something for YOU! 💫✨
Before PA school started I was looking forward to GI & was hoping that I wouldn’t be disappointed to find out I didn’t like it as much as I thought I wanted to learn it. Well, I like it A LOT! So much that Im digging in that patho book for all the details. I also discovered last semester that I enjoyed NEURO. I didn’t see that coming. Haha. What have you learned about yourself throughout PA school? Do tell. :) #PAschool#paschoollife#physicianassistantstudent
Hello & welcome to my page 💋 I’m starting my instagram a little late, but better late than never!!💁🏻♀️ Quick update to get y’all up to speed: my name is Amy I’m 22 years old and I just started PA school at Keiser two weeks ago. •
Okay y’all the stress is ~DEFINITELY~ starting to kick in (my eye has been twitching on and off for the past 5ish days now lol). My first exam is in a week from today in Anatomy. I also have a physiology and micro bio exam next week too. Wish me luck !! xox
Okay, breathe & listen up 🌿 Honesty Hour going down ⬇️
Remember didactic? How can we forget...lol. Everyone said it would be so much “easier” when you get to clinicals, you’d have so much more free time, and you’ll figure out exactly which field you want to practice in 👩🏻⚕️
Let me be real with you right now: it’s ALL hard. Not all of us know where we want to practice quite yet, and we are still taking it day by day (sometimes hours by hour). BUT, it’s a marathon we’re going to finish.
Didactic is challenging because you can never do enough to be the MOST prepared for an exam or practical. This is a mentally exhausting year. BUT, you have free time and you get to see your PA-S friends daily (hope you like them 😉).
Clinical year is hard because you get a little bit of imposter syndrome mixed in with free labor and a touch of (okay a lot of) doubt that you’re well prepared after didactic. BUT, you’re making connections, figuring out what you do and DON’T like, and you’re even closer to that PA-C.
Sharing this because I’m midway through my clinical year, and I never want to portray that PA school is a walk in the park, and that paying to work 60+ hours a week is glamorous. YES, it’s freaking awesome to have the privilege of playing a part in caring for a patient, earning a graduate degree, and getting to share that with y’all.
I’ve said it before and I’ll say it again. Being in PA school is awesome and the PA profession is literally the BEST healthcare profession (yup yup, #1! And, #3 in jobs overall!). BUT, I have to let you know that this privilege doesn’t come without an immense amount of sacrifice: besides the time and money, there’s a huge mental and physical sacrifice that goes on as well, and no one tells you that.
So, I’m telling you that. Take care of yourself before and during school. Put yourself first instead of that extra hour of studying (shout out to my girl @adrienneford_ ), and treat yo self! PA school is a constant balancing act, and you want to make it to the end (aka that PA-C) still loving it for the reasons you started.💛
Okay, so there’s my honesty hour. Stay mindful of your needs, and keep YOU in mind! YOU can do this!⚡️
53 366316 hours ago
It's #Motivation4MedicineMonday and it's so important to always be thinking of ways to help your future self. Whether it's reconnecting with someone or asking someone to study with you before a test or joining a new cause, the choices we make now can help us enormously later.
As an undergraduate student, I tried to get many and varied experiences in order to help myself when I eventually applied to PA school. I wrote for my school newspaper, started an environmental project to reduce plastic straw waste, volunteered at a vaccination clinic, and interned at a publishing company, to name a few. I did a lot of medicine-related activities, but I also did plenty of things that had absolutely nothing to do with being a PA, but they still helped me grow as a person. In these months leading up to starting my PA program, I hope to do everything I can to gear up for this adventure ✌
It’s 14 degrees outside so all I wanna do is lay in bed and drink some warm coffee ☕️ donut flavored of course 🤗 but this leg day was with getting up and out of bed for! Bookmark for later so you don’t walk into the gym without a plan! No rest needed and PUSH YO SELF 👏🏼⠀
4 rounds ⠀
12 wide goblet squats⠀
12 toe touch DB RDL⠀
4 rounds ⠀
20 walking lunges⠀
25 walking RDL *push through your heel*⠀
4 rounds ⠀
12 Single leg split squat ⠀
12 hip thrusts on leg extension machine ⠀
5 rounds ⠀
12 leg extension ⠀
12 single leg hamstring curl⠀
4 rounds ⠀
12 leg press low and narrow ⠀
12 cable squats ⠀
Finisher (not filmed)⠀
5 rounds for speed ⠀
25 Russian twists with medicine ball⠀
12 sit up with medicine ball⠀
8 single leg pistal squats with TRX ⠀
10 squats with medicine ball throw on wall
3 4817 hours ago
I’ve been down and out the last few days but feeling better and ready to let you in on a little secret I’ve been working on!! Be sure to follow me on twitter if you don’t already..and stay tuned here for the big announcement!! #surprisesurprise#markyourcalendars#theposhpa
. . .
Had a true appy this weekend. Brief overview of HPI: pain started umbilical last night, associated with chills, pain slowly moved to RLQ and intensified, now worse with any movement and causing nausea and vomiting. Physical exam: pain at McBurney’s** point, worse with rebound, guards, and pain referred to RLQ with palpation of left (+ Rovsings). Pain in abdomen with heel tap. Honestly I thought it was too perfect to be true, so I bumped the bed “accidentally” and she winced. Then came labs: no leukocytosis, no fever (but she took Motrin sooo)... I CT’d anyways instead of US because I felt pretty darn sure. There it was: mildly dilated appendix with surrounding fat stranding consistent with mild appendicitis. Caught it early, went to surgery within two hours, saw the surgery resident next day and he goes “that definitely was an angry appendix, nice catch!” Everyone was doubting it because her white count was normal, saying, “it’s probably mesenteric lymphadenitis”. NOPE. Angry appendix. 😋
. . .
Meet Kim Frank, PA-S!
Kim chose Valparaiso University because it seemed like "the perfect fit." She chose PA because "it allows autonomy while also enabling more in-depth patient care and a good home-work life balance."
Kim is also the president of VUPASS and is currently on the MLK Celebration committee board (Happy MLK DAY!). 📚
0 5118 hours ago
⭐️Dermatographism⭐️ *a relatively common skin condition that causes welts or a localized hive-like reaction when the skin is rubbed, pressure applied, or bumped. *you may also know this as “skin writing” as you can see in the picture the patient can usually draw on themselves only to have a hive a few seconds later. *the patient above actually had a photo of her stomach when her kitten walked across her and she had perfect kitten paw hives😺
(Patient gave permission to use these photos)
While cause is not completely known, histamine is the main chemical released by mast cells when skin is stroked.
1 3218 hours ago
Well, so how much can you learn from the urine color? From the level of dehydration, ongoing disease to the intake of certain medications to acute conditions... Repost @rishimd “Urine color is often under-appreciated as one of many considerations in working up a patients clinical status (especially in the intensive care unit). “Highlighter” yellow urine is often seen in patients on B vitamin complexes (it’s a water soluble vitamin and your body doesn’t need 1,000% of the daily requirement, lol), red/brown urine can be related to hemoglobin/myoglobin breakdown (hemolysis, rhabdo, etc.), orange urine is often seen in patients on rifampin (an antibiotic) or phenazopyridine (an analgesic dye for the GU tract), and of course “purple urine in porphyria.” 🤓👨🏽⚕️
Green urine is a rare but often benign sign in many intensive care units (ICUs) which I’ve most commonly seen caused by the intraoperative administration of methylene blue for refractory vasoplegia and rarely after propofol usage (due to phenol-based metabolites). It’s important to remember that in the latter case, the presence of green urine does not mean renal function is impaired or propofol is inadequately metabolized (in fact, its metabolism EXCEEDS that of the hepatic metabolism since propofol can ALSO be broken down in the lungs, kidneys, etc.). Other causes for green urine include other dyes (ie, indigo-blue), long-standing obstructive jaundice, infections (ie, Pseudomonas), and other medications (TCAs, H2 blockers, NSAIDs). 😷💉🏥
Tag a friend who should know about urine discoloration”. #medicine#urinecolor#greenurine#icu#patient#prepa#prephysicianassistant#physicianassistant#physicianassistantstudent#physicianassistantinthemaking#physicianassociate#medicalstudent#medstudent#studymedicine#science#futureofmedicine#lovemedicine
0 2218 hours ago
Success is in the air, Leo 🦁✨
Idk about you guys but I’m super into the law of attraction and astrology (if you haven’t noticed lol). Last night was our Leo total lunar eclipse and full supermoon! Everything I’ve been reading says we should feel the effects for the next two weeks. So even if you’re not a Leo, write and set your intentions!! Whether it be to get that job you’ve always wanted, get into PA school, or get those 6-pack abs. Now is the time to manifest!
I know I will be hard at work these next two weeks and can’t wait to share the results. Happy Monday everyone!
I’m BACK! 👋🏼
After a relaxing break full of surprises (tbt to seeing one of my besties and getting engaged to my main squeeze💍), I’m here with a recap of my OBGYN rotation! Here we go! ⬇️
✔️HOURS: 6:30-5 M-F, one day until 7 pm, one week of nights 7-7
▪️C-sections (usually in at least one a da)
▪️Abmormal uterine bleeding
✔️SKILLS TO KNOW/PRACTICE: two-handed knots (an absolute MUST & learn with dominant and non-dominant hand), suturing, pelvic exams, blood draws, foley placement/removal, ultrasounds
✔️EOR studying: PPP, Smarty PANCE blueprints & practice exams, Exam Master (best for questions!), and Rosh Review (least favorite resource for this EOR, but found helpful for others!)
🌟Favorite cases: C-sections (they happen so quickly!!)
🌟What I wish I saw more of: breast care (this was not part of our rotation unfortunately, but WAS on the exam)
🌟Most emotional case (subjectively personal): 22 week abortion
🌟Best part of the rotation: the team was by far the best team I’ve worked with so far on my rotations. Thoroughly impressed with their knowledge and skill! Loved learning from them. Having a supportive and willing-to-teach group of mentors makes all the difference in rotations and jobs!
🌟Do I see myself working in OBGYN: yes! 👶🏻👶🏽🌸
There you have it - a recap from my FAVORITE rotation thus far! I hope you found this helpful and hopefully you’re looking forward to YOUR OBGYN rotation too!
🌟Remember:🌟 what you put into it is what you get out of it. Have a good attitude, be willing to help, and try to learn what you can, and you’ll succeed!
Tune into TONIGHT for a STORY with more details (which I’ll save to my highlights)! .
Happy Sunday, everyone! ☀️
It’s been almost one month since the last day of our clinical rotations. A whirlwind of activities have happened in the last few weeks including our final thesis presentations, PACKRAT exam, graduation, the holidays and welcoming in the new year. ⠀ ⠀ ⠀ ⠀
PA training, like many other medical and allied health programs, is indeed a marathon. Anyone who has been through any of these tracks knows the length and dedication they require. PA school is unique in that we fire through the curriculum and clinical skills of the marathon at a sprinters pace, stopping only to eat, sleep, and drain bladder. This doesn’t mean that we get a free pass and aren’t required to know and be competent in the material, not by any stretch of the imagination. ⠀
We have to maintain strong GPAs, demonstrate competence in clinical rotations, and pass rigorous testing and OSCEs. Most of us don’t get summer vacation or extended periods of time off, we pound through material and content for 24-30 months without hardly any breaks. It’s exponentially tougher for those who take on the responsibility of leadership and extracurricular involvement.
There’s not much time to slow down. Since graduation, I’ve done nothing but rest, catch up with friends and family, and breathe. The past 30 months have been nothing short of brutal and easily the most challenging feat I’ve completed in my life thus far. It’s going to take some time to reflect on this experience and really feel like it’s over with.
For me, this is a special accomplishment because of how many hurdles and hoops I’ve had to jump through, how long I’ve been chasing this dream of working in healthcare, how much sacrifice it has taken. It was especially challenging being a “career-changer,” having to go back and complete essentially a 2nd undergrad degree in the hard sciences after coming from the performing arts world.
The past ten years have been a roller coaster, but I’m glad I went through it. Adversity builds character and the time has challenged me and shaped me into the person I am today. I now have all of that experience in my arsenal and have a bag full of tricks as I enter into the next step of my journey as a PA.
128 40746:50 PM Jan 6, 2019
IT HAPPENED! ✔️
Through the chaos of graduation, spending a weekend with family + loved ones, & then topping it all off with my first review course immediately after - I can finally say school is out FOREVER & I’M A PHYSICIAN ASSISTANT! 🙌🏼🍾🥂
Life is definitely feeling surreal at the moment and cramming for the #PANCE is a v. real thing, so tackling board certifications is next on my list and then I may reveal just exactly where I’ll be headed in the coming months 🤫👩🏻⚕️ - @withashleykay
20 12895 days ago
Even if it makes a patient angry, this is why we don’t write antibiotics every time a person comes in with the sniffles. #terrifying