Wednesday, May 21, 2008

How were midterms?

For those of you who had their midterms? How 'bout them CPI's? I can't wait until they're online, so I can write them faster. Midterms were great, I got some excellent feedback and compliments, so I'm ready to wrap things up in two weeks! Got 3/4 of my inservice done and will definitely be ready for them. I was able to go to a symposium (saw Indeera there), which was very helpful and we got a great book for sensory integration that has been helpful in treating some of my kids. I basically have 4 kids that I'm treating exclusively and I did a real live IEP / evaluation today and I've been able to call orthotists, doctors and speak to parents.

Overall, all is well. This a lot of ammunition for my interview for the Board of Ed next month, so I hope they pick me this year!!

Hope all is well you folks. See you in June!

Wednesday, May 14, 2008

Anyone else have to do article reviews every week?


Damn,
I gotta do a critically appraised topic review each week. The form for which could be found at otcats.com. Is it just me?
On top of the case study and the inservice topic, I gotta do a CAT each week...

Saturday, May 10, 2008

Clarification:

If you guys want to keep this here as our own personal venting ground, cool. It'll stay up no matter what. But if you have any formal issues, or would also like to show Dr. Hansen what an awesome student you are, then you can submit to the discussion on Blackboard too!

I believe they call this a Win-win sitch.

OK. on to week two! of 6. midterms next week folks! (except for you 8 weekers)
So what happened this week, my CI is comfortable with me treating basically everyone on his caseload. It's small so I don't feel overwhelmed. I'm probably seeing 4-5 kids in 1/2 sessions a day. I've done a few evaluations, which at first took two sessions, but I've gotten pretty good w/ them but I do have to watch my time. The writing up of evaluations are long b/c again, the translating them into plain speak is arduous. But i've done some mock IEP's and my CI says all my documentation has been up to par...so no worries.

Can't complain about the hours either.

I have to say, compared to work--this is a vacation! I play all day, get to do a group class on thursday--can you say "dodgeball"?

alright, CPI due next week. hopefully, i'll get to do a real live evaluation, i just have to make some calls and then right up a real IEP as well!! woo hoo!!

hope you guys are doin' well. enjoy the weekend!!

Friday, May 9, 2008

Week two down, six more to go!


Friday. The close of another week on the pediatrics affiliation. Had a couple other conferences and rounds with the MDs, talked about private practice issues, differential diagnoses, wheelchair and equipment issues; surprisingly, those docs turned out to be a bunch of friendly and informative groups of fellows.
Phrase of the week: OCCAM'S RAZOR. (look it up)
Started taking a lead role in patient treatment planning this week, jumping out of the nest, cutting that cord... whatever analogy you wish to insert here. Sometimes I feel like a dog on a leash. I feel like I know what to do, but I'm just waiting to be let loose on the floors. Other times, I feel lost in all the issues of treatment and planning and rationalization, that I get overwhelmed, but my instructor is great and gives me a hint whenever I feel shaky.

I hope you all are getting the itch to go out and do your own thing.
Get independent.
Start making your own decisions.
Stop looking to your CI for all the answers.
Start acting like a professional therapist.
Get'er done!

We're Moving...To Blackboard!!

Alright guys, as per Dr. Hansen, please continue our discussions under the designated folder on Blackboard under BCE I.

So it is written, so it shall be done.

Thursday, May 8, 2008

Aggregate grief: what happens when a bunch of your patients die.

In addition to all the other types of pediatric patients I've been seeing, I've been working with hematology/oncology patients also, and something happened so moving, we all had to have a meeting for it.
Psychology, Social Work, the attending MDs, Child Life Advocacy, Rehab....
All the services got together to....
talk about their feelings.

Recently, we had a slew of patients 'passing away', or 'expiring', or in simple terms, 'dying'. (whatever your preferred nomenclature would be) In my opinion, you work in an oncology ward, you'd expect a couple to go that way. But it was interesting to listen how everyone felt, different viewpoints, feeling guilt, remorse, sadness... that the patient they tended to for months, was no longer around. Especially if it's multiple cases in one week. Thus, aggregate grief.
How do you grieve for one patient, but almost immediately have to turn off those feelings to treat another patient on the oncology floor? Interesting question, yes?

Lesson learned: no matter how much or how many times you treat a patient, be professional, be objective, and don't get attached. If you can't deal with it and continue to function on your job, you need to find a new line of work.
My opinion.

ventilators; can someone chime in?

ventilators

Yvonne C. Nguyen to kochoa, me
show details 11:00 PM (6 hours ago)
Reply

Hello:
Only if you have some time, Can you try to find a big picture of a
ventilator showing all setings? or give me ideas.I did try google but
the pictures are very small.
Thanks
Yvonne
Reply
Reply to all
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paul to Yvonne, me
show details 11:03 PM (6 hours ago)
Reply

wow,
there's only like, a jillion zillion different brands and models out there.
don't worry about knowing how to set those damn things.
just know one thing...
where the "mute alarm" button is.
that is all.

and then get your CI to tell you.