good day

Ok so two things

One a Dr who doesn’t do primary care asked me how to treat a patient, and she was serious, it was an ear infection which might be the only think I know how to treat so I answered and she took my recommendation, it was awesome.

Second, I found out that my clinic is just far enough from the main hospital that I get paid to drive there. It is only 20-25 min away, mostly highway, and is about the same driving time as some closer clinics, but its all about the mileage, and I get paid $0.505 a mile.

So if I get 25MPG and gas is like $4 here that is $0.16 per mile, so I am making $0.345 per mile I drive and it is 16 miles so x2 round trip = 32miles x0.345 = $11.04 in profit every Friday, that doesn’t sound like much but… if I work 50times a year that is $552.00 and ill take that. Yay extra unforeseen money.

First day

clinic

So today was the first day of clinic, it was not bad, I think that I will like clinic. The funny thing is that I was informed that I am the only male resident in the peds clinic at canton, so needles to say that for the next three weeks at least I have 3 patients, all 10-13yo males for their school physical exam, I can’t wait.

So clinic went well, I got to present a patient, give my opinion and was not completely wrong. I did have a pt cancel so that was sad but other then that it went well. I'm sure I will have more to come from clinic

Oh and I don’t have to wear that white coat there either.

2+ hours

Today I went to my behavioral clinic and went in to my patients room at like 9:30 and didn’t leave from that room until 12. the last 15-20 min were spent with the attending and the family giving my 15 min summary of the 2+ hour interview.

So what did I do you 2 hours, I talked and listened, this kid is messed up, and there were 4 parents in the room, telling me every fact about this kid as well as the most thorough HPI, PHM, SH, FH, and a 2 page ROS. We will do the physical exam next week, because the child was not in the room, after all it is hard for parents to tell how out of control and scary their kid is when he is in the room.

The best part was the end, so I had just spent 2 hours in a room talking to parents, spent 20min presenting, and then the attending talked to the parents for at lest 5. we walk out of the room and the attending looks at me and tells me that my presentation was one of the best full presentations she has heard, she congratulated me on my summary but then more so told me that the manor of which I did it was perfect, she told me that I did it in a completely nonaccusatory, nonjudgmental way that cant be taught. She also told me that I have already found my nitch and thinks I should go into behavioral medicine. It was the best complement that I have ever received as a Dr. it was awesome.

fat

So here is your health info for the day, statins, or HMG CoA reductase inhibitors, or cholesterol medicine, has been approved for children over 8years old. Why does a 8yo need cholesterol medication, because he/she is fat, why too much intake, not enough out put/ exercise. It is a sad world when a 8yo has to take medicine to lower cholesterol. People are getting problems younger and younger because of the obesity tolerance in America, now that might sound harsh but people, parents just don’t see it as a problem, a well fed child is not necessarily a healthy kid. It just makes me cry on the inside that these kids that have no control in what they eat are starting off so poorly with all these problems, it has been said that this current generation might have a lower life expectancy then their parents.

quote of the day

“How much do your balls weigh”

I just walked up in line at the grocery store when the bagger said this to the teller. Needless to say I laughed out loud because either I walked in on a interesting conversation that was for adult ears only, or I walked in on a conversation at just the right time to maximize humor.

So he smiled looked at the bagger and said, you should probably say bowling balls, then he looked at me and said “we were talking about bowling”

It didn’t matter that much, it was funny

Coolest movie line:

"I love you"

"I know"

student

So I had my first medical student today. Now I have had other medical students follow me but as a student. This was the first time that I had one follow me as a Dr. I have to say it was a little stressful, I mean here is this student on his second month of clinical rotations and he has been entrusted to me, to bestow my very limited knowledge upon. I think that I did well over all, it was interesting because he was the only one with a whit coat on, and the only one with a stethoscope, I guess that shows you all how good of a Dr I am. But any way it went well. I think that I taught him a little and I let him do some of the talking during the interview. I still think that my JPs (junior partners) did a little better but over all I think I feel a little more comfortable having someone follow me because it was not the first time, but it was the first time I was expected to know things. Any way, it will probably happen many more times though out the next few years and I think it should be ok, unless I get a dud. oh i dislike the duds...