I know it's been quite a while since I've posted anything. A lot has happened since back in July, but I just haven't had time to make any updates and honestly... I'm really good at procrastinating, but not so good at catching up. All of these points should have been their own post, but I realllllly want to start blogging the present! Warning ~ you're about to experience a blogging explosion!
1. Finished R3 - Emergency Medicine
My ER rotation consisted of 6 weeks of 12 hour night shifts. The ER is challenging and exciting because you never know what's coming through those doors. The PA's at my ER location were responsible for running the Express Care center as well as working in the main ER. As the patients are triaged, they get placed on the board and the PA's and Doctors take their pick. The function of the PA was usually to care for the less acute patients while the doctor managed any critical cases. I'm a hands on person, so my favorite part was sewing up lacerations - fingers, faces, arms, legs, you name it... someone probably cut it. It wasn't a glorious task, but satisfying non-the-less! I also had the opportunity to be involved in the trauma alerts which was also very exciting and terrifying! My first trauma was an elderly man who fell from a tree stand and layed in the woods for 8 hours. While the PA held his lower leg, I got to reset the poor man's nasty [protruding bone] ankle fracture. Overall ~ such a great experience!
My dislikes of the ER were the long, night shifts (in which I had to sleep all the daylight hours away) and the frequent flyers [drug seekers]. I could definitely do without either of those.
2. Finished R4 - Pediatrics
I was sheltered and fed by the Ventre family for this rotation ~ and they were amazing hosts =)!
The first few days of this rotation were quite challenging and I gained a new respect for
Pediatricians! I consider[ed] myself to be pretty good with kids. However,
that all goes out the window when you have to put your otoscope (that tomahawk looking thing) into their ears and gag them with a wooden stick (unflavored). The newborns and
infants were my favorite group - little
movement, no talking, and for the most part no crying. The hardest part about this age (especially when sick) is reassuring the parents. Parents... people... go to the doctor for an antibiotic. No one is thrilled to hear that they just need to take the Tylenol they already have in their cupboard at home and wait it out.
The 2-4 year old group was my biggest challenge! It wasn't uncommon to open the door and have a child screaming just at the site of me... not a good start. Time to pull out the tricks! Drawing faces on tongue depressors, tongue depressor puppets, filling their hands with tongue depressors... Hahaha! Come on... I didn't have much to work with. The worst part was when the tricks didn't work and I had to resort to plan B - the me/parent/grandparent hold down. I hated to do it and in the beginning I pulled the "I won't force it now, you know... since the doctor is going to check him/her too." And then... one day my preceptor said to me "who is responsible for examining this child and making a diagnosis?" Ugh... "I am," I said. Then she says, "you must do what it takes to complete the exam." From then on, I did what it took and even received several compliments from parents (and a few hugs from kiddos!) <--- which made it all worth it!
3. Anniversary Trip to the Finger Lakes
Scott and I celebrated our 2nd Anniversary in October! We both love the beauty of fall, especially during prime leaf peeping season.
We started our trip in Corning, NY at the glass museum and then headed to Watkin's Glen to hike the park.
Then we did our own wine tour of Lake Seneca! We started off stopping very frequently - like every 5 miles - but quickly realized we wouldn't be legal to drive the rest of the trip at that rate.
We stayed the night at a really cute bed & breakfast called The Chapman House in Geneva, NY. We hadn't made a reservation, so we were lucky to find such a great place that would allow us to stay one night - and with Ellie too! The owners were so nice and made a delicious Egg's Benedict breakfast!
Can't you just picture Scott bathing in this old, claw-foot tub? Haha... Just kidding! There was also a walk-in shower at the other end.
One of our favorites was Three Bothers Winery. There were 3 Wineries and a
Brewery on the same property and each had their own theme. Bagg Dare was a Cajun Bayou theme ~ too funny not to love!
Ellie loved the trip too! She's such a great traveler and loved all the stops/hikes/meeting new people! 
We clearly had a great time ~ and will be drinking a lot of wine over the next year...
4. Gettysburg Day Trip
It's been such a long time since I've been to Gettysburg and it was another fall trip that was on my bucket list. And Scott loves history, especially local history, so he was definitely up for a battlefield tour! We also talked my parents in to joining us...
Of course you can't visit Gettysburg without a little reenactment...
5. Finished R5 - Internal Medicine
I think I learned the most [textbook information] on this rotation, but if I had to rate it... it would have been my least favorite so far. We had lecture/teaching sessions several times a day through the Penn State Hershey program, so I definitely learned a ton in that regard. I was located at the VA and I just didn't enjoy caring for the particular diseases that I saw day after day - COPD, pneumonia, cellulitis/diabetic complications, alcohol withdrawal, etc. I also put in some long hours at this rotation. I would go in early (6:30ish) to round on my patients individually and start my notes, and then after my other team members did the same we would discuss the patients and then round as a team. The afternoons consisted of finishing notes, lectures, and taking new admissions on our "on call" days. So I would typically head home around 5 or 7 depending on the day... which left me just enough time to eat and cram in some school work before bed. It wasn't a bad rotation - it just lacked excitement and personal interest. I'm sure my dislike for the rotation also had a lot to do with my impatience and readiness to finally move home!
6. I moved back home [finally]!
It was a loooooong 7 months... filled with enough anxiety, nerves, awkward moments, and stress to kill a herd of elephants! I was really going strong at the beginning, but towards the end... it was pure survival -- light at the end of the tunnel mode. Lucky for me, I have a great group of friends going through the same thing which helped to keep me going. And my support from home couldn't have been any better! Lots of encouragement from family, especially from my parents and Scott's parents. Scott and Ellie held down the house very well -- and spent countless hours listening about my days and sometimes just sitting on the other end of the phone. There's something to be said about just living in the same house ~ you don't even need to talk all the time, just being there is enough. Needless to say, I'm so grateful to be home for the remainder of my rotations and I look forward to starting a semi-normal life! =)
Despite the overwhelmingly stressful aspect, it has also been a very humbling experience. I've surprised myself so far with how much I know, and I've also realized the amount that I have left to learn. It truly is a life-long learning career. Hmmmm... who signed me up for this?! It will all be worth it in the end....
Next Up...
3 month Family Practice Rotation --> Graduation in May --> National Certification Exam -->
Real Life
Real Life
~ Lacie
