Wednesday, December 31, 2008

White Is Right

Just came from visiting Voodoo Medicine Man's blog, where he posted some interesting commentary about the bastardization of language:

http://voodoomedicineman.blogspot.com/2008/12/on-bastardization-of-language.html

I agree on many points. It's disgusting how the English language is abused. It seems that folks are using english as a template for new, unfamiliar languages. I cringe when I hear our youth speak; half the time I don't know what they're saying, and what's worse, I get the evil eye for NOT understanding!

It's ironic that we look at minority leaders as those who have "risen above the fray." After all, weren't they born here? Aren't they American citizens by BIRTH, and isn't English the national language? Then, they are EXPECTED to be "masters" of it. This kind of talk infers that we don't expect minorities to speak properly. Sad but true. Furthermore, the conjugation of verbs in a language other than English should not be scrutinized. I'm sure the creators of the Spanish language didn't sit down and say, "Well, let's be sure to choose another word for "take" besides "tomar", because we want to be sure English speakers can understand us when they are translating." The language, obviously, wasn't made for us. It was made for the Spanish speaker. (By the way, the verb for "to drink" is "beber")The English language is riddled with all kinds of idiotic rules that make absolutely no sense. There are three ways to spell the word "there", and depending on the CONTEXT, we all know which one is being used. Tell me, what is the difference between the two?

The bottom line is we have a huge problem with what we are not accustomed to. The majority sets the rules, and everyone is expected to abide by them. Anyone not doing/speaking/dressing/thinking/living/believing/worshipping like the majority is labeled outcast/sinner/misfit/freak/uneducated/poor/WRONG! Poor language skills isn't something that evolved in minority communities. People have been speaking terrible English since the dawn of time, and this behavior affects all people and all socioeconomic brackets. I am surrounded by people of all races and colors, and most of them speak horribly. Race,color and status have nothing to do with it.

Again, I agree with many of the points made in the commentary. However, parts of it are the same old "stereotype" talk that we hear from so many of our friends and family members. It would behoove all of us to take as much time as we have studying, analyzing and critiqueing minority groups, and go analyze and critique the ones who think their standard of living is the right one.

Twilight Zone

Finally, 2009! I for one am happy to say goodbye to 2008. It was a rough road, but we made it, and now we are ready to embark upon what seems to be an exciting year!

Every New Year's we are treated with another marathon of one of my all time favs: The Twilight Zone. Wasn't Rod Sterling an absolute genius? I stopped my my parents' house, and my mom, sister, and I watched at least 3 or 4 episodes. During commercial breaks, we recalled some of our favorites, like Willoughby...and Kick the Can! Good stuff.

Unfortunately, I couldn't stay long...I am scheduled to work tommorow. I'm not upset at all about it; the boss seems to think that I am ready to strike out on my own, and we all get paid time and a half! I'm learning so much just being in the unit. I think I've learned more in the past two days than I learned in all my time at the hellhole. No longer am I afraid to ask what a patients' diagnosis is, or read a chart. I'm EXPECTED to read the chart!

My New Year's resolutions? Too many to count, but I have a few at the top of the list:

To stay fit and healthy
To work hard and learn much at my new job
To save as much money as I can
To spend time with family and friends before I leave for school
To take a much needed vacation with the cop

2009 will be a great year if I can accomplish just a few of those goals. As excited as I am to see 2009 roll around, I have my eyes and heart set on 2010. I can't wait to start studying medicine!

Monday, December 29, 2008

As Expected

Yep...orientation is boring!

There are only three of us taking part in this round of orientation. Out of the three, I'm the only one not in nursing school. One young lady has one semester left to finish, and the young guy just finished his very first quarter. When asked if I was in school, I simply answered, "No."

Everyone seems very, very nice and welcoming, which is refreshing to say the least. Not a single bed is vacant on the floor, and all the patients look awfully ill. I can't wait to get a better look once I hit the floor on Wednesday. Tomorrow morning we report at 6:30 (ouch!), but at least we will get to leave at a decent time. We got so much information thrown at us today: got name badges, covered 5 hours worth of orientation modules, received parking decals, took a tour of the floor, filled out paperwork...it was neverending. I must say, however, that there is a feeling in the hospital that you will not find in LTC. An energy, if you will. I love it. I wonder if that energy disappears during the night shift. Ha...I seriously doubt it.

I learned that my addition to the floor will be an immense help to the young lady who serves as PCT for the ENTIRE floor on the night shift. I'm sure she'll be happy to have an extra set of hands to help out. As for me, the more patients I'm exposed to, the better. There are an awful lot of patients in isolation due to TB. I guess TB will be the first disease I will learn about. Harisson's...here I come!

Sunday, December 28, 2008

Bring It On!

They say changing jobs can be one of the most stressful times in ones life. Not so here! I say bring it on!

I've been giddy all day, just like a popular high school kid returning to school, who hasn't seen her friends all summer. I have my lunch packed, my scrubs ironed, notepad to write important notes, and an assortment of writing pens. What can I say...I like being prepared! I haven't been this excited in a long time. I sure hope I'm not setting myself up for disappointment. Besides, tomorrow is the start of orientation.

Orientation to a healthcare setting, or any new job for that matter, has to be the most boring process ever. You are subjected to an insane amount of paperwork, exchanging of pleasantries and names (I don't know why I attempt to remember names), and watching one boring video after another. Talk about tortue! Half of your job during orientation is staying awake.

No, I'm not terribly excited about orientation, per se. I'm just thrilled to be in the hospital; to be submerged in a sea of doctors and nurses who are willing to impart just a bit of their expertise. I'm telling you, just being in an environment where people actually laugh and smile at one another would be like night and day compared to the hellhole. Being able to learn some pathophysiology, see some cool procedures, and actually participate in codes would be icing on the cake.

The cop is preparing for work. I guess I better see him off. I'll be sure to write about my first day at the new job!

Saturday, December 27, 2008

Why not MD?

Good question. Why not MD?

As Ed Begley said in 12 Angry Men, "There's always one!" As a pre-PA, I've only taken part in one round of interviews for a PA school seat, but I'm sure at every PA interview there's always that one applicant: the snotty overachiever, who thinks he/she is the best thing since sliced bread, who has to boast about where they've studied and where they've traveled, who feels the need to pick the brains of the other applicants simply to feel more superior. Yeah, that one. I remember that one during my interview; he was a hoot. Constantly asking questions that no one wanted to answer. One of those questions was, "So...why not MD." It was totally inappropriate at the time, but I think it's a question that every pre-PA thinks/should think about. Why? Because everyone else will ask you this question, even some ADCOM's. Because knowing the answer to this question solidifies your reason for pursuing a career as a PA.

My high school English teacher taught me never to answer a question with a question, and I admit I was fueling the fire when I responded to "that one," but on both accounts, I couldn't resist when I replied with, "Why MD?" He simply shrugged his shoulders, and soon, the other applicants began detailing why they had chosen otherwise.

For me, it is quite simple. I can do all I ever wanted to, medically, as a PA. For me, having MD behind my name is meaningless. I care nothing about prestige and social status, and I've been in school long enough as it is. I don't feel the need to be in charge all the time. I enjoy the thought of being a dependent practitioner, working with doctors and being an intergral part of the team. My interests lie in getting my hands dirty, working my hours,studying and learning as much as I can, treating my patients, making a decent living doing what enjoy, and going home.

It seems that many people think MD is the end of the line, and those who pursue the career of a midlevel ( I really hate that word) are "settling for less." How absurd. Becoming a PA is not a stepping stone to becoming an MD. It is a career that beautifully compliments that of a doctor. There is no competition between the two. To be honest, I would be foolish not to pursue PA. I get to do all kinds of cool medical stuff, come away with less loan debt than doctors, make a pretty good living, and, get this, I'll have the lateral mobility that very few doctors have. Ya can't beat it, folks. It is the right fit for me!

I think a lot of people wrestle between these two careers because of all the misconceptions. Some think becoming a PA will warrant them no respect from other healthcare professionals. Let's face it, there are lots of doctors/nurses who despise PA's. Some docs feel PA's are moving in on their turf, and some nurses feel they don't have to take orders from PA's. On the whole, though, I think healthcare professionals who are secure in their role, and have no inferiority complexes, realize the value of competent PA's and have great respect for them. Becoming a PA is not settling. For me, it's just plain smart!

Just peruse the vast amount of literature that's out there. PA's are not what they used to be. They are specializing, just as the docs are, and they are making a difference! Patients on the whole are very pleased with the level of care PA's provide. They are performing procedures and working with a level of autonomy that, for some, is mindboggling! It's truly amazing, and I can't wait to be a part of this group of medical practitioners. Pre-Pa's, do your homework. Sit down, and really take a look at the pros and cons of each career path. Outline your goals, and highlight those of greatest importance. Most importantly, be honest with yourself. It makes no sense to take a seat in a PA program when you really desire to become a doctor.


PS: I know there are lots of folks who have already heard "yea" or "nay" in regards to acceptance to PA school. To those of you who are still waiting, good luck!

Merry Christmas and Happy New Year

I know, it's a bit late for the former, but just in time for the latter. I thought I would kill two birds with one stone.

Seriously, I hope you all (is anyone reading this blog?) had a wonderful Christmas, and I hope the New Year brings you happiness and peace of mind. Not much going on 'round these parts. I start my new job in exactly two days. Time surely flies. I'ts been great having time to do all the cleaning/cooking/cuddling that I've been wanting to do for so long. Even the cop got an extra few days off for the holidays. It's been great!

I've been back to the hellhole a few times since quitting. The place feels so unfamiliar, like I never worked there a day in my life. Sure, I recognize the faces, but the place just feels foreign. I stopped by today to bring one of my favorite patients two hefty pieces of cake. I stayed and chatted with her while she ate and moaned, and complimented my cooking. I swear, by the time I left, the cake was all gone. I think I'll go and have a piece of cake myself!

Saturday, December 20, 2008

Down Time

It feels so good to have it...just a little. Especially since Christmas is just around the corner, and my new job begins soon.

I've spent the last two days cleaning up the house. Goodness...what a nasty mess! I got quite a few rooms done before the cop woke up. He is quite impressed, and commented on how nice the house looks. It really does look a lot better. A clean home can conjure up so many wonderful emotions. This house is happy and vibrant once again!

All the paperwork is done for the new job. I am scheduled to begin orientation the week after Christmas. In addition, I have another TB test to take, and I have to be fitted for my respirator mask. Cool! I'm looking forward to working nights and being in a hospital setting. I hope I learn a lot over the next year.

So, the year is winding down. What are my aspirations: to continue learning, finish my degree, work hard and save lots of money, and begin purchasing the things I need for school.

Tuesday, December 16, 2008

Joy

Yesterday was my last day in LTC. The day went by so fast...I felt like I was floating! I found my smile, my energy, my joy for medicine again..even as I was met with frowns, attitudes, and jealousy.

It's amazing how people can envy you when they don't really know you. I had a few coworkers who were sincerely happy for me, but most were not thrilled at all. They spent the whole day avoiding me, rolling their eyes at me, and barking orders at me. Oh well! It's their problem, not mine! I painstakingly said my goodbyes to some of my favorite residents. Ms. Hazel started to cry (that just tore me up), and before I left, she gave me a Christmas gift...and lapel pin that says "Joy."

So, today I was scheduled for the new hire physical exam and screening at my new job! I got poked and prodded a few times and had to pee in a cup. My physical was done by an NP/PA. She inquired about my educational pursuits, and I told her about PA school. She seemed genuinely excited for me and wished me well. She also offered me some great advice! So, it seems like I'm all set to start at the end of the month. I can't wait. I hear working in the hospital as opposed to LTC is like night and day. Bring it on!!!! NOW!

Saturday, December 13, 2008

The Sooner, The Better

Ok, so now I'm leaving the hellhole in exactly two days! I just can't take it anymore.

I have a pretty thick skin. I'm good about standing up for myself, and I can shut anyone down with my sarcasm. In short, I can cut it. But, I can't spend another week in the hellhole. I just can't.

I'm gonna miss the patients dearly. I love them so much!

Wednesday, December 10, 2008

Happy Dance!

Thank God. I'll be leaving the hellhole in exactly one week!

I got the call today that I've been chosen for the PCT job. I can't express how thrilled I am to have a hospital job on an ICU floor. The interview yesterday went extremely well!

Once the formal interview was over, I got a chance to take a tour of the ICU floor. 24 beds total, which houses the sickest patients in the entire hospital! Yes! The floor is comprised of 4 separate units: MICU, SICU, NICU (neuro), and EICU (still don't know what this is all about). I'll be working nights, so I will have 12 patients on every assignment if all beds are full. Walking into an empty patients room made me feel like a kid in a candy store. All the buttons, lights, lines, sounds...I can't wait to work there! I start orientation on the 29th. That means I will in fact have Christmas off this year.

The job of a PCT has grown over the years. PCT's are a fairly new addition to the hospital setting. As the years go by, they are able to do more and more. I've heard of PCT's inserting IV's, foleys, doing EKG's, and even administering meds. Of course, there is some controversy due to scope of practice, and nurses feeling like their turf is being taken by unlicensed personnel. My take! Who cares! A PCT will never be a nurse, just like a nurse will never be a doctor. A doctor can start an IV just like a nurse, but you don't see nurses complaining about that. Everyone wants to be respected for the job they do. In my book, there is room for everyone in healthcare.

My duties will include all the normal CNA stuff, but I will also be responsible for vital signs, glucose finger sticks, running EKG's, and connecting monitors. Hopefully, I can also use my phlebotomy skills, too.

Monday, December 8, 2008

Interview Tomorrow!

Yes! Fnally, I have secured an interview for a hospital-based PCT position in my hometown!

This has been a long time coming. I know, it's not a job offer, but at least I feel like I'm making some progress. Now, all I have to do is sell myself. I really, really want this job. It's time to leave the hell hole.

I think the main reason why I detest my currrent position is because no one wants to teach. Why would they? They have their degrees and certifications. But...a huge part of healthcare is teaching; see one, do one, teach one. No one at my job wants to show you where the bathroom is, let alone allow you to draw blood, or show you how to place a foley. It's terribly frustrating for someone like me who loves to learn, and needs these skills in order to put myself ahead of the game once PA school starts. Also, CNA's are expected to be supermen. We take a patient load of 12+, but are yelled at if things aren't absolutely perfect. Somethings gotta give with numbers like that. I work on the floor with the highest acuity. My assignment consists of patients with severe dementia, cancer, heart failure, renal failure, and MS, with tubes all over the place. This add a challenge to the job that I do enjoy, but it's hard to tend to the needs of 12+ patients who are so, so sick.

The new job sounds great: nice sized facility, pay increase, tuition reimbursement, 11p-7a, and on an ICU floor! Can't beat it. I'm so glad that I took the phlebotomy course last month, and finished learning how to read EKG's. I'm hoping these new skills will help me land the job. I'll keep you posted!

Sunday, December 7, 2008

The ABC's of PA school

What do I know about it? I haven't even started yet, but it seems there is a trend among pre-PA students and many PA-S's. Get the grade, by any means necessary. I know, we live in a competitive world. Only the strong survive. Here in America, our goal is to be the best of the best. We do not settle for less than that, and if by chance we miss the mark, we interpret that as failure.

I just can't agree with this mindset when it comes to PA school. Perhaps I'm being a bit naive, but there must be a shift in thinking when one goes from undergradute to graduate studies. It's true, no one can get into PA school with subpar grades. You must attempt to get the highest marks possible in order to secure a seat, and even then, the odds are slim. It's just that competitive. However, once PA school begins, it is no longer about the prestige of good grades, high GPA, and honor roll mention. It is no longer about us, it is about future patients. It is about COMPETENCY! Every exam, every practical lab, every patient encounter, every dissection, every factoid is for the sake of the patient. I don't see why this is so hard to understand. I don't know why so many fight this shift in thinking.

Perhaps we are raised to believe that grades make the person. In college we used to brag about being on the dean's list, or having a 4.0. This mindset should not exist in PA school. Am I saying that grades don't matter. Absolutely not. What I am saying is if students focus more on learning as much as they can for the betterment of their future patient population, the grades will take care of themselves. Isn't medicine about patient care after all?

So, whether the grade is A, B, or C, the student will be successful as long as he or she remembers to focus on becoming the most competent practitioner possible. It seems that younger pre-PA's are the ones hung up over grades, and the older, more worldly pre-PA's/PA-S's focus on competency. There are exceptions to every rule, however. It will be interesting to see if/how my stance changes once I start matriculating. What will be even more interesting is to see how my classmates respond to one another in such a stressful academic setting. Will we be competitive? Will we work as a team? I am hoping for the latter.

Thursday, December 4, 2008

Fitness Freak Extraordinaire!

I had finally decided that I just wasn't cut out for a career in music. I wanted a family, a stable home; I didn't want to live 10 months of the year out of a suitcase. I had dropped out of college two years prior, but I still looked like a college student; I was putting on weight in all the wrong places. So, I decided to join a gym. Walking into the gym was an experience in itself! The music, the brand new equipment, the medicine balls, the huge aerobics floor. I instantly fell in love. I was soon a frequent participant in all of the aerobics classes, and quickly became a front row bunny. I even convinced my mother, who had struggled with her weight for years, to join me. It was our home away from home!

I was no more than a few weeks into my new workout regimen when the owner of the gym approached me after a kickboxing class. She praised me on my diligence and hard work, and told me that I should consider becoming a fitness instructor. She encouraged me to research the profession. I looked up all of the most reputable certifying bodies and decided to go for it! I ordered the study materials, chose a testing date, and got to work. Learning proper body mechanics and exercise anatomy and physiology reignited my passion for the human body. A month later I was a certified fitness instructor. I taught everything: kickboxing, body sculpting, step, hi/lo, abs...everything. I went from having 3 people come to my classes, to having a floor full of participants waiting for me to arrive at the gym. It was wonderful! I felt that I had found my niche.

Being a good fitness instructor requires lots of work; you must stay on top of changes in the industry, constantly create fun, fresh routines, buy new music, and always have lots of energy in every class. Being a great instruction requires all of the above, plus taking your personal fitness seriously. People love training with instructors that look the way they want to look. After a year of teaching aerobics, I was fit and had lots of energy, but my body didn't look the way I wanted it to. I wanted muscle...so, I began bodybuilding. I was instantly hooked. The challenge, the determination, the sacrifice...it was right up my alley. Working out became my life! I exercised for a living, and I trained in my spare time. Later on that same year, I became a certified personal trainer! I was a true professional.

I began training all over town. My clients really challenged me. I had lots of clients who trained strictly for aesthetic purposes, but many of my clients where children who were obese, and middle aged to elderly people who had been sent to me by their doctors for rehabilitation. It's easy to see where most people go wrong with diet and exercise. Those mistakes are easy for a trainer to correct as long as the participant is compliant. It's the rehab clients that offer the most challenge. There is so much to consider: strengths, weaknesses, compensations, atrophy, scar tissue, etc. I loved training these patients and seeing them get stronger and stronger every week. These are the clients that encouraged me to go back to school and pursue a career in medicine. I still work out on a regular basis, but I gave up training and teaching early this year to gain more direct patient care experience. It's been a long, long road so far, and I still have three more years to go, but boy, what a ride! Every step I've taken -the music, the fitness, going back to school- has gotten me to this point. Nontraditional, yes! Boring...absolutely not!

Tuesday, December 2, 2008

Can I Fast-forward Time?

Is it at all possible? I need to be in school...NOW!

The last thing I want is for this blog to turn into a sob story for the next year. I know time will fly by on its own. I guess I'm feeling this way because I hate my job, and I absolutely love being in school.

I've always said I could go to school for the rest of my life! If there were a job that paid people to go to school full time, I would strongly consider it. I love to learn, always have. It's amazing, though, that the more you learn, the more you realize how little you know. I will be back in school next month to finish up my degree and to take the last two prerequisite courses I need. However, I have no interest in the courses I'll be studying. Hopefully working full time and being in school full time will make the year go by faster. Or maybe I can convince the cop to do my coursework for me, so I can go into a self-induced coma and wake up refreshed and rested in preparation for PA school!!!!

Monday, December 1, 2008

You Should Go to Nursing School!

Um, no, I shouldn't. And if I hear this one more time, I think I'll scream!

Why is it that the only career a CNA can aspire to is RN? I just don't get it. There are plenty of healthcare careers to choose from: Physical Therapist, Speech Language Therapist, Physician, Paramedic, Phlebotomist, Radiation Therapist, Xray Technologist, Audiologist, Social Worker....the list goes on and on. But I'm always asked, "Have you ever considered nursing?"

The truth is...I did consider nursing. I considered it because I was being lazy. I knew that becoming a nurse would not afford me the scope of practice that I desired. I wanted to diagnose and treat patients, order, read and interpret labs and xrays. I wanted to prescribe physical therapy and medications. I wanted that scope of practice. So, I began my research. It was then that I discovered the PA profession, but I wasn't sure if I wanted to endure Microbiology, Chemistry, Statistics, etc. In the end I decided to go for it, and I am so glad I did!

There is absolutely nothing wrong with being a nurse. I have a lot of respect for nurses and what they do. What I admire the most is the fact that they are the doers! They get to carry out the orders from the doctors and other practitioners. I want that, but I also want the added responsibility of writing orders, and making decisions. I want to be a doer and a decision maker! And that is being a PA.

I've been thinking a lot about the school that I've chosen to pursue my PA education. I can't be more proud of the decision I've made! The school I'll be attending is not a big name school, nor does it carry a large amount of prestige and recognition. It doesn't have the latest technology-although the technology they do have is nothing to sniff at-and there are no world reknowned faculty members on staff. But...when I walked onto campus I felt at home! The staff is down to earth, funny, sincere, and they all currently practice medicine. The small town feel is right up my alley; the rent is cheap and everything I'll need is just a few minutes down the road. And the best part...the cafeteria is to die for! I'm talking pasta bar, dessert bar, hot sandwiches, cold sandwiches, salad bar, you name it! And, the gym is a dream come true! In exactly one year from today, I will be packing my things and moving hundreds of miles away to pursue this dream that is years in the making. It's almost surreal to think that this is my life. My life!

Sunday, November 30, 2008

Happy Belated Turkey Day!

Happy Thanksgiving to anyone who reads this blog!

I had an eventful one...as usual. We always have huge get togethers during the holidays. I would prefer a quiet, quaint, small gathering, but that just never happens in my family. Just way too many people!

Work was good today. I feel like I did some good. I worked extra hard with one patient in particular. He wore me out! Other than that, there's not much else to talk about today. OHHHHHHHHHHHH!!!!!!!!!!!!!!!

I started going back to the gym today!!! I'm sooooooo excited; I can't express how much I miss the gym. Before I tell the story of how I got off track, I'd have to tell the story of how I got involved in the gym and the health and fitness industry altogether. Another story for another time!

Tuesday, November 25, 2008

Eyes and Ears Open...Mouth Shut

This is how I operate at work. I've always believed that those who talk a lot miss a lot, and those who are silent see much. I've always been an observer. I like to get my feet wet, adjust to the temperature, then jump in! I've always been a good judge of character. It's always served me well. I know who I can and cannot trust. I got the news of my acceptance to PA school about two months ago. Only two of my coworkers know anything about it. Even the PA that comes in twice a week doesn't know.



I was elated to hear that we had a PA on staff at work! Once I got my acceptance letter, I was even more excited. I planned on asking to shadow her, and I wanted to talk with her about PA experience. I quickly changed my mind once I saw her interaction with fellow coworkers and patients. I'll never forget her lack of bedside manner when listening to the lung sounds of one of my patients. I'll never forget how she laughed as the nurses tried to make fools of me and the other CNA's. And today...today took the cake! A patient was rolling down the hall in her wheelchair as the PA walked by. The patient asked if she was a doctor, to which she quickly replied, "No, I'm a PA." The patient asked what a PA was. Without missing a beat, she replied, "A parking attendant," all while walking towards the nurses station to join the bunch of laughing idiots awaiting her. It made me sick to my stomach.



The PA profession is still very young, and largely unknown. Heck, I only heard of PA's two years ago. I would think any PA, if presented with this scenario, would jump at the chance to explain their role in healthcare. But this PA didn't. Instead she took the opportunity to mock the profession that she associates herself with. Why? Does she wish she were a doctor? I don't know, but I sure wish she were a better representative for the profession. Thank goodness I didn't confide in her about school. She probably would have made me the laughing stock of the nursing home. Keeping your eyes open and your mouth shut sure does pay off.

Monday, November 24, 2008

Carpe Diem

In healthcare, the best part of the job is always the patients. In the nursing home, everyone has their favorites, and even favorites are subject to change depending on the day, the circumstances, or the meds (or lack thereof) being administered!

I love Mr. D! He's the one that drives everyone else crazy with his hollering and screaming, his pinning for his deceased wife, and his incontinence. But I simply adore him! Today was his day on my favorites list. He's a constant favorite for me, because we are a lot alike. Mr. D is an overachiever. He served as a fighter pilot in Vietnam and Korea. He is a business owner. He has an air of assertiveness, but he can be gentle, caring, and kind. He is a wealth of knowledge and wisdom! He knows a lot about a lot!

Today, I had the opportunity to sit down and talk with him. He spoke with me about his life and how he felt he had lost his purpose. He told me that his plans for his life did not align with the plans his family had for him. He said he was frustrated because he in essence had no plans. I gently tried to get him to delve a bit deeper by asking questions. I wanted to know what his plans were, what he wanted to do most, and if he felt like a failure. He said he wanted to travel: South America and Southern France were at the top of his list. He said he was alone, old, and had no plans for the future. He was proud of his accomplishments, yet he wanted more! Still, he kept using the word "plans." For Mr. D, it's not about the desitination, it's about the journey. Simply having a goal in mind, and pursuing that goal, was enough to keep him young, fresh, vibrant...alive!

The most profound thing he said to me was this: "I just long for things that ought to be, that will probably never be." I tried to reassure him. I tried to give him hope. A hopeless man is a dying man.

He then asked me what my plans were. We sat in silence for what seemed like eternity, until I realized that my shift was quickly coming to an end, and I had a few more patients that needed tending to. At the end of the day as I headed for the exit door, I stopped by Mr. D's room to wish him a good evening, and to tell him that I would be back tomorrow. He held my hand and said, "Ok, see ya tomorrow." I walked into work today tired, defeated, frustrated because I hate my job, and at times, my life. I walked out of work dedicated to a new cause: to live each day as if it were my last; to leave lasting impressions on every person I meet; to tell my family and friends every day how much I love them; to be the BEST at all things; to enjoy the PROCESS; to slow down; to remember just how blessed I am; to live, love, and have no regrets!

Carpe Diem.

Saturday, November 22, 2008

Mental Exhaustion

It's one of the greatest feelings...ever. Work always leaves me physically drained, but yesterday I really wanted some sort of mental stimulation. So, I went to a concert performance of John Adam's opera, Dr. Atomic.

Now, I'll be the first to admit my disdain for contemporary classical works. I usually hate them, hands down. But last night, the music, the lyrics, the story, and the singers all came together! It was a lovely performance of a great work. I have no doubt that this work will become standard American repertoire. Perhaps it may take the death of Adams to realize how much of a gem this work is. It usually happens that way. The cast was great save one: Meredith Arwady. I remember she won the MET National Council Auditions some years ago. She was a mess then, and she's a mess now. I question if she is even a contralto. I don't know. It seems like in order to get anywhere these days as a singer, all you have to do is be "different." The funny thing is, there isn't much "difference" between her and many other contemporary singers. I always find myself listening to the legends. Now, those were singers!

The opera began at 8pm sharp. I didn't leave the concert hall until 11:30pm. We just didn't want the show to end. Applause rang out as each singer took their bows. And then, to the suprise of us all, came Mr. John Adams himself walking across the stage! It felt like a historical moment. The opera is about J. Oppenheimer, TheManhattan Project, and the test shot of the first atomic bomb. Instead of coming up with an original libretto, Adams uses popular sonnets and poems to describe the tension, the doubts, and the fear surrouding this secret project. I really enjoyed the ending when the bomb goes off! Wonderful work. I would like to see it again.

I sat still for 3 and a half hours, listening, experiencing, reacting, contemplating. I left the hall exhausted. I am still exhausted. Thank God, I have the weekend off.

Wednesday, November 19, 2008

Hanging in there

Isn't that what life is all about? Doing the best you can, today. Surviving today. Hanging in there until the next opportunity comes around. This is what makes life exciting and unbearable.

I spent my off day doing what I never do...resting! Ah, it was wonderful. I just curled up on the couch with my puppy Lincoln, and we slept the day away. It was pure bliss. Of course, this was after spending the morning searching and applying for a new job. Work, then rest...in that order! I go back to the hellhole tomorrow.

I've been doing a lot of thinking lately. As much as I hate going to work everyday, I do love the job. The job of a CNA is not glamorous. It is as close to the bottom of the barrel as one can get, but I love it. I love the patients, and in spite of the mindless duties I have, I love the work! It's the poisonous atmosphere, the supervisors, and the idiots in white coats that I detest. They ruin it for me. I'm hoping that once I add PA-C to the end of my name, all of this will go away. Or is that unrealistic? Is healthcare the same everywhere? I haven't worked everywhere, but if all facilities are run the way mine is, healthcare is NOT for me. I find myself comparing my facility to the ones I visited when I was shadowing. I...LOVED...SHADOWING! The cameraderie, the ease, the challenge of the workload, the patients; this is why I submitted my PA application. I could see myself working in that environment. I admired those people, yet I can't find a single person like that where I work. It's mind-numbing, and it's frustrating. I think what frustrates me the most is working with supervisors who can barely string a decent English sentence together; who call patients crybabies to their faces; who have no people skills; who only know how to be aggressive rather than assertive. My hope is that climbing up the totem pole will somehow put me above all the BS. That is my hope, as unrealistic as it may seem. Your thoughts?

Ode to Callas

Callas,

From the very start I fell in love with you,
I fell in love with your artistry, your passion, your fire,
Your mastery of music, your fearlessness,
but most of all your willingness to be vulnerable.
Music can be all encompassing.
It can mesmerize you,
and make of you what it wants you to be,
It can leave you breathless, hopeless, loveless,
It can make you feel that you own the world,
It is lovely and frightnening all at once.
There must be millions of emotions that exist,
Through your voice, your spirit,
I feel I am able to experience each and every one.
I thank you for living, breathing, and bleeding music.
Thank you for doing what I was too afraid to do.
Thank you for your selflessness,
(to be an artist of your caliber, you must be selfless),
Thank you for sacrificing all that you loved,
so that you could give the world the gift of music.
I am eternally grateful.

Saturday, November 15, 2008

Progress

I remember shadowing with Holly early on in my quest to become a Physician Assistant. I had just begun submitting applications, and I was feeling the pressure. I remember telling her how happy I would be once I got accepted, because I wouldn't have to worry about anything anymore. I will never forget what her response was: "No. Once you get your acceptance letter, there will be other things to worry about. Financial aid, relocating, finishing prerequisite courses, gaining healthcare experience...there will always be something to worry about." Boy, was she right!

So, I successfully completed my phlebotomy training course yesterday, and left the clinic looking like a blood donor. Both arms were bandaged. I got stuck 5 times, and got to stick 5 times. It was exhilarating; I have never done any type of invasive procedure before. Out of the 5 times I stuck someone, I got a flashback 2 times, I think. The last time I attempted the vacutainer method, I got a full vile of blood, and I did it all by myself! Talk about a rush. Now, that was just blood drawing. I can't imagine how I will feel when I get to do my first injection, or my first surgery. I have definitely made the right career choice! It feels good to have this skill under my belt, but I am a long way from mastery. My goal now is to find employment where I can use this skill on a daily basis. Practice makes perfect!

I'm also very happy that I am making progress as it pertains to earning my degree. I finally spoke to the powers that be today, and we have a clear goal set to finish this thing once and for all. The best news is I will not be required to relocate. I can complete the requirements right here in my hometown. By the end of spring I should be a college graduate. It's been a long time coming!

Sunday, November 9, 2008

PA school starts next year, right?

If you were to look in my apartment, you would think I started PA school months ago. The house is covered in books, notes, notepads, pens, and highlighters. The cop thinks I'm crazy. What he doesn't realize is that PA school indeed starts right now!

I've never had a problem with organization, planning, discipline, and good old fashioned hard work! I know I will need these skills, and many more, in order to succeed in school. It's important that I take the year that I have and use it to my advantage. I have a mental outline of what I need to accomplish within that timeframe:

1. Finish my degree: I can do this one of two ways. Either transfer the credits or go back to my alma mater and spend a sememster there. I would prefer the former, but at this point, NOTHING is gonna stop me from getting that worthless, useless piece of paper.

2. Finish my last two prerequisite courses: both are chemistry courses. I think I will do just fine with this.

3. Gain meaningful healthcare experience: I have 500+ hours under my belt so far, but as you all know, my goal is to work in a hospital setting where I can utilize my critical thinking skills and learn simple procedures.

4. Learn as many simple procedures on my own in the meantime: Any courses I can take to learn skills will be a huge benefit to me (ie. phlebotomy next Friday!!!!!)

5. Learn to read simple Chest radiographs: I LOVE reading xrays. To me, this is a really important goal. I want to be able to look at a shadow and tell if it's abnormal or not...then go from there.

6. Learn how to read EKG's: Yes...this was something that was suggested to me. Once you have a really solid reference, EKG's make a whole lot of sense. Not too difficult. Once you know the basics, it's all about reading often so you don't loose the skill.


Not too bad, huh? I want to talk a little about numbers 5 and 6.

I've already mentioned a great website that I use extensively to learn the basics of chest radiography (learningradiology.com). From this site alone, I have learned to see simple things-pnuemothorax, pleural effusion, cardiomegaly, pneumonia, fractures, etc. There are lots of other sources that I use. Looking at lots and lots of xrays is the only way to learn abnormal from normal. I've only touched the tip of the iceberg. And now for EKG's!

These are fun, fun, fun! I got the world renowned book by Dubin yesterday. I'm almost halfway through the book...it's really that easy to read (not the EKG's, the book itself). It's broken down into simple chapters that anyone who has basic reading comprehension can understand. I think some people believe the book is too simplified, and takes away from the mystery surrounding the reading of EKG's. I don't agree. I'm the kind of person who likes to break things down to 2 +2=4...and I must know why! If I don't know why, it doesn't make sense. I think what I appreciate about this book so far is the emphasis on understanding the material rather than memorization. If you are interested in recognizing what the rhythms look like, there are plenty of books that are written that way. If you want to understand why the rhythms look the way they do, get Dubin's book.

Would I recommend this for other pre-PA students. Not at all! Everyone learns differently. These skills, and many more, will be necessary on a daily basis. I've always known that I wanted to work in the ED, and that is why I feel these paticular skills are necessary for me to familiarize myself with. Someone who is interested in nephrology may be interested in studying KUB's. Tailor your learning goals, remembering that PA's are trained as generalists first! I think the goals listed above are more than enough to keep me ahead of the game without overdoing it. Now, if I had bought that yellow Lange book I saw, that would have been another story! Just flipping through that text made my head spin. It's amazing...for every thing we learn, there are 100 things we have yet to learn.

Friday, November 7, 2008

TGIF

Another busy day at work! I'm so glad to be off this weekend. Hopefully I can force myself to stay home and rest. Who am I kidding? That's probably not going to happen.

Wednesday, November 5, 2008

Being the Guinea Pig

Hey, guess what?
















OBAMA!!!!!

So, I finally registered for the phlebotomy course today. Next Friday, I will spend 6 hours being poked and prodded by strangers who have never drawn blood, ever. I'm assuming that I will leave the seminar looking like a meth addict! Let's hope the instructors are good, and that all of us just end up having a knack for finding the vein and drawing the blood with minimal pain!!

My goal going into PA school is to know as much as possible. That means, acquire as much knowledge and clinical skill as I can. From IV insertion to simple dressing changes, my goal is to learn these fundamental skills so when I get to PA school, I can spend my time focusing on more intricate procedures and clinical details. I am always doing searches for websites that can help me in this. Last week I found this site, learningradiology.com. Fantastic spot for beginners who are not familiar with radiographic imaging and diagnosis. There is even a student section! I've always liked looking at radiographs, but now at least I have some knowledge of what to look for and in what order. Even as a pre PA student, my heart stops momentarily while I am taking the quizzes. One mistake, one misdiagnosis can mean the difference between life and death, between being a licensed practitioner and being jobless. Medicine is so much fun!

Congrats, Obama!

Today feels different. Feels akward, new, fresh, frightening. Come January 2009, we will have a black man in the highest office of the land. My God, I can't believe this is happening.

I have no words to express what I am feeling right now. I am elated that Obama has won this election. However, I can't even begin to imagine the hardships that are to come for him and his family. Let's face it, this world ain't pretty. This country has never been pretty and probably never will be. We love to walk around in our suits and scrubs like everything is smooth sailing, like this country was founded on moral values and honorable ideals. NEWS FLASH: This country's history is as nasty as it gets. Racism/White Supremacy is what founded this country, and persists today. Yes, it does! Obama being elected President does not change this at all.

Why is it that America feels the right to 'clean house' for every other country, but fails to see the mess we have right here within our borders? Why do we deem democracy a necessity for other countries when we barely have it here? We are a suffering nation. We need help. "Minorities" in this country are dying in every sense of the word, but billions of dollars are sent to Africa. Africa is a rich nation...why do they need our money? Because we are robbing them blind! I'm rambling, I know, but these things and many others come to mind when I think about how filthy this country is. I voted for Obama, not because I feel he is the next coming of Christ. I voted for him, because I swore if McCain won this election, I was moving out of this country. To me, Obama is the better of the two. Do I feel he will make drastic changes for the working class? I don't know...he is a politician. Moreover, he is a puppet, like all presidents are. He will only do what he is allowed to do by the powers that be. The same powers that keep the working class working, and the rich rich. The same powers that recognize that keeping the minorities of the world hopeless and self hating is the key to survival. We desperately need change. We needed change 400 years ago. The time has come to put this country on the right track. I do hope Obama is the right man for the job.

Tuesday, November 4, 2008

Nobama and McCan't

So, which one will it be? Well, in about 7 hours or so, the whole world will know who the next President of the United States will be. I have to admit, I'm getting pretty excited!

I stood in line last Thursday for 5 hours...yes, 5 hours...just to cast my vote. It's amazing what kind of conversations one can have with strangers when there is nothing better to do. I met this nice young lady. She and I talked the time away! By the time I cast my vote, my feet were killing me. For some reason, I had the bright idea to wear heels that day! Well, at least I looked halfway decent.

I usually come here to vent my frustrations with work, but I had a really good day today. I was efficient, friendly, helpful, and I was given kudos for my work ethic! The highlight of my day was talking to Mr. D, a dementia patient on my floor. He is the sweetest man, but he gets confused easily, and is always looking for a way out of the building. I approached him while he was attempting one of his escapes:

Me: Mr. D, what's going on?

D: Nothing, I'm just trying to get out of here.

Me: Why would you want to do that? You tell me what you want to do and I will help you do it, ok?

D: Ok. Well, help me get out of here.

Me. Out? You can't go out. What's out there that you need?

D: Freedom.



If that doesn't give you pause, nothing will.

Wednesday, October 29, 2008

Resting on My Laurels

Rest? What in the world is that?

I wouldn't consider myself a Type A kind of person, but I do have Type A tendencies. I am a multitasker. I like having multiple things going on at once. I thrive in 'organized chaos' environments. I am a can-do type of person!

I don't like the idea of rest. As much as I crave it after a long work week, I usually spend my off days trying to find something to do. And not just some thing...it has to be productive: cooking, cleaning, reading, learning. As my mother would say, I'm always searching for something. How would she know? Probably because she and I are identical in nature!

So, what's my latest project? Phlebotomy! Yes, I have decided to take a phlebotomy course at a local training center. There is no one at my job who is willing to teach me, and this is one of the many skills I should master before starting PA school. So, in two weeks I can add phlebotomist to my short list of credentials! I'm hoping that my CNA/Phleb certifications can land me a job in a hospital setting. That will afford me the opportunity to really get some clinical skills under my belt.

Monday, October 27, 2008

It's Officially Official

As the saying goes, always get it in writing! Well, I did! I finally got my acceptance letter in the mail today! All those feelings are coming back again. It's unreal that this time next year, I will be packing and moving to a new city, all by myself, where I know no one. It's interesting to also think that perhaps two months into my stay, I will have made close, lifelong friends. Everyone says your classmates in PA school become your family away from home. I really look forward to that.

Vindication

Ah...feels good to be home. I have a great evening planned: dinner with a cup of hot tea, and Grey's Anatomy Season 5! I know, I know, but when you've spent the last few years taking prerequisite courses for PA school, you don't have the luxury of watching too much television.

So, I'm at work...working, minding my business, when the social worker comes down my hall to give a guest a tour of our facility. She's doing her very best to impress the guest. As she makes her way down the hall, she stops in front of one of my patients:

Social Worker: "SLP, should this lady be drinking her shake without a straw? You need to go ask the nurse if she can drink this with a straw. We don't want her to choke."

Me: "Well, Mrs. Green is on thickened liquids, and patients on thickened liquids should not drink with straws."

SW: "Well, go ask the nurse 'cause we don't need her to be chokin'."

Me: "OK."

So, I make my way to the nurses' station, all the while rolling my eyes and wondering why she tried to make a fool of me in front of company. I find my nurse, straw in hand:

Me: "Is it ok to have Mrs. Green drinking with a straw. The social worker wanted me to ask."

Nurse (the one I can barely stomach because she will smile in your face and talk about you behind your back): "Well, remember, patients on thickened liquids should not drink with straws. It causes them to cough and can lead to aspiration."

Me: "Right. That's what I thought."

As I turn to walk away, the nurse calls me to come back:

Nurse: "You know, I've been meaning to tell you-well, you know, there is nothing wrong with being a CNA, but I really think you have what it takes to be a wonderful nurse. I've been watching you and you're so observant with the patients, and you need to do whatever you can to go back to nursing school. You would make an excellent...well...I can't believe I'm getting emotional about this...yeah, you would make a great nurse."

Me: "Thank you, Nurse."

Where the hell did this come from? I don't play games with people. You know if I like you, and you know if I don't. There is no way she can think I like her, respect her, or admire her. These words of 'encouragement' were coming from a woman who has praised me to my face, but blamed me for messing up to the DON. This is the woman who told me I needed to "step up my game." This is the nurse who rides me all day, and criticizes every thing I do.

If she only knew. If she only knew!

Friday, October 24, 2008

More Rain

I spent the last hour at work laughing with Ms. Mavis-the 100 year-old firecracker-about how she killed two rats in her dorm room back in college! To look into this woman's eyes is to go back in time! She always has great stories to tell...and if you've been reading this so far, you know I love stories! It was just the kind of ending to my day that I needed, because it started out horribly: only myself and one other CNA on the floor with about 45 patients and no nurses in sight to help. Sure, they can tell you what you need to be doing, but don't count on them to pitch in when times get rough. The mood inside the nursing home echoed the one outside: cold, dreary, and wet. I'm so glad to be home...and I have the weekend off!

Wednesday, October 22, 2008

Playing Hookie

So...day before yesterday I played hookie from work, spent the whole day with the cop, and had a great time! Sometimes, you just need to play hookie!

It's strange; i've been married for a little over a year, and it feels like much longer than that. I guess that's how marriage goes. The ups and the downs...all of it is part of the game, and each challenge makes the marriage stronger. I'm so blessed to have the cop...to have him choose ME! Insane.

Our new admit, WB, is the sweetest, cutest woman! I don't know exactly what's wrong with her, except she is aphasic, severely contracted and emaciated, and has involuntary tremors. I had the pleasure of feeding her yesterday. It was like feeding a newborn baby. I was in awe of her! It pains me sometimes that I am not able to fully communicate with my patients, either because of language barriers or illness. I often wonder who they are, and what they were when they were young, vibrant members of society. I have so many questions to ask them. I want to take walks down memory lane with them, and experience their lives, their passions, their dreams. Everyone has a story! Hearing and sharing stories is by far the best part about being a medical professional.

Saturday, October 18, 2008

Loss

Today was one of the best days I've had at work in a long time. The weekday supervisors were off, the nurses allowed you to do your job, and everyone worked together as a team. Why can't every day at work be like this?

Today I found out that we lost a patient on my floor yesterday. JT was a sweet woman; never bossy or demanding. Always low maintenance. She was a bit of a cynic, perhaps because of her condition. She had end stage heart disease, unbeknownst to me and the other CNA's, and was on hospice care. We all knew she wouldn't be with us for long, but I didn't know what she would be dying from, nor did I know she would leave us so soon. She had only been with us for about a month.

When I passed by her bed today, it was empty...neatly made. I knew something was wrong because JT NEVER got out of bed. It broke my heart to hear of her demise. Life is so precious, and we all take it for granted.

Friday, October 17, 2008

Here we go again

So...just got off the phone with my home institution. Yeah, the university I attended over 6 years ago. They are still in the business of giving people the run-around.

I've been accepted to PA school. However, I have been accepted provisionally, meaning there are certain requirements that must be met before I can attend. Finishing my degree is one of those provisions. I have been trying to finish this degree for over 4 years, and every time I try there seems to be a brick wall in my way. Why is it so hard to transfer credits from one place to another? Why do universities look down on community college courses? Why does this have to be so hard?

I have two options: either be allowed to take the one course I need to graduate here at home, or uproot, move miles away from home, and attend school at my home institution. As upset and frustrated as I am, I cannot let anything stand in the way of me and PA school.

Rainy Day

It's scheduled to rain all day today...I should've expected something to go wrong.

So...I arrive to shadow at the hospital, and after waiting one hour I'm told that she is out sick! Talk about a let down. I was really, really looking forward to seeing her. So, I drove home, in the rain, upset and frustrated. I go back to work tomorrow. I really needed to be in the hospital today watching Holly exam patients; talking with her about PA school and what to expect. I needed that fix to keep me going. We are set to reschedule our meeting sometime soon, so at least I have that to look forward to.

Wednesday, October 15, 2008

The Musician: Part 2

I returned home from school with a desire to sing...anywhere! I needed stage experience, so I began auditioning at all the venues in my area. I even traveled to different parts of the state to audition for a few orchestras. I landed some great jobs as a green professional, but all that singing with no guidance led to vocal demise. I eventually was unable to sustain a note. I decided to pay Ms. B a visit, and she quickly realigned my voice! I began visiting with her more frequently to keep my voice in place.

As the voice became more consistent, I began to get gutsy. I hired a high school choir to perform with me, I held Christmas recitals, and I did joint recitals with colleagues. I auditioned and was accepted into a small, local opera company. My musical skills were improving greatly, and it showed. I soon was invited to perform in what would be my orchestral debut. Talk about cloud nine1 In retrospect, I was mediocre at best, but at the time I felt like I was really on my way. It was at this time that I began to give opera and recital work my total attention in preparation for national and international auditions. I would practice everyday, study scores, go to coaching sessions, you name it. Then, my feelings for music changed. Music became a job. I looked to it to give me sustenance and financial support. I looked at it as my livelyhood. It became emotionally draining, and it wasn't fun like it used to be.

Music is an all-consuming artform. It takes every bit of energy out of you. If you devote yourself to it, it is impossible to devote yourself to anything else. This was the problem I had. I would eat, sleep and live music, but my interests in family, health and fitness, and medicine all fell by the wayside. I could not find balance...and if you cannot give music 100 percent of yourself all the time, you need to find something else to do. I knew that I wanted to revisit my love for medicine, and I knew I wanted to get married and have a family. I decided to put music on the backburner until I had achieved my personal/academic/professional goals.

Tuesday, October 14, 2008

It's Official!

*****Newsflash*****

I absolutely, totally, completely hate my job!

I've heard for years how nurses are overworked and underpaid. Well, I'm not a nurse, but I do know that CNA's are some of the hardest working healthcare professionals there are...and the pay is pathetic. Today I had 15 patients to care for. I ran up and down the floor all day, only had a twenty minute break, and was still told that there was something else I had neglected to do. Duh! I wonder why...maybe it's because I'm being overworked!

I wish it were easier to find a hospital based position, or a private office position. I'm currently looking for ways to land that type of job. I need a position that will give me a fair workload. I need a staff that likes to teach. I need a position that will better prepare me for PA school. This nursing home stuff isn't working for me anymore.

Monday, October 13, 2008

Typical Monday

So, I arrived home, and was instantly greeted with the smell of New York Strip steak and polenta. Yum! The cop cooked...thank God. If it were left up to me, we would have starved tonight.

Today was a good day at work. No call outs, all hands on deck, and Jack wasn't there to shout orders at us. Jack is the nurse who thinks he's a doctor. I can't stand it when people have God complexes. What makes them think that the rest of the world is dumb as a box of rocks? I love the patients that I work with. They are a joy! However, I don't feel challenged at all at my job. I guess I'm not supposed to feel that way. It's about getting the work done as fast as you possibly can. Very little mental stimulation, and no critical thinking required. It's driving me crazy!

I've been trying to decide whether or not to tell my coworkers about my acceptance to PA school. I remember reading a thread somewhere about a nurse who had been accepted to medical school. When she shared the news with her colleagues, she got various responses. Some were sincerely happy for her, while others were jealous. As bad as I want to shout from the rooftops that I am going to PA school in one year, I know I will not get the support I am looking for from my colleagues. I could easily see the "jealousy" thing happening to me, and that would make working conditions much worse.

Now that I know I'm going to be attending PA school, shadowing has taken on a much more important role in my life. I've been shadowing consistently since the beginning of the year. My favorite PA to shadow is Holly. She works with a Liver Transplant team. I have never seen such a cohesive group of medical professionals in my life. The PA's are treated as PA's...not medical assistants or scut workers. They practice medicine! I've made an appointment to shadow with Holly this Friday! I'm so excited. This is just the thing I need to get closer to feeling like a true professional...closer to feeling like a PA! I'll be sure to write about it.

Sunday, October 12, 2008

Reflections

It's a peaceful Sunday morning here: partly cloudy with a mild breeze. It reminds of my first trip to Italy.

I was 19 years old at the time. Trips abroad always begin the moment you step foot on the plane. It's like traveling through a time warp. I remember flying over the Atlantic Ocean at night, looking out of my window and seeing nothing but blackness. It was invigorating! I had never been outside of the US, and here I was, 19 years old, getting paid to sing in a foreign land. Those...were...the...days! I remember the wonderful greeting we got at the airport, and the 4 hour bus ride to the hotel...and the meal that awaited us! You have never had pasta until you've had the real thing. I know I gained at least 5 pounds on that trip!

I remember getting up early to have breakfast: croissants with jam, select cheeses, juice. I lived to eat breakfast every morning. It was my rite of passage! I would get dressed, meet Rachel in the lobby, and together we would head to the center of town and hit every shop in sight. I remember all the gifts I bought for my family. At night we all would get dressed and head to whatever venue we were performing in. We sang everywhere: museums, concert halls, churches, outdoor stages, the Vatican. The concerts were always standing room...always. People would lean against the walls and sit on the floors to hear us. I was still young and naive at the time, and had yet to understand what I had become a part of. I remember one concert in particular. The church was breathtaking, filled to capacity. The spirit was flowing freely, and we all were in great voice. Every song we sang was in English. By the end of the concert, every single Italian in the front row was in tears. Silent sniffles and sobs echoed throughout the hall. It was as if they knew exactly what we were singing about. They did! Music is the universal language.

What I remember most is walking the cobblestone streets in the countryside, picking flowers, watching cats nap in the window, seeing lovers share cups of coffee at the corner cafe, inhaling the smell of freshly baked bread, watching the sun rise and the outdoor merchants set up shop, and...siesta. What a life! Here is where I found peace, joy, contentment, relaxation...God. Now that I am older, I am amazed I had such an opportunity so early in life. It all came and went so quickly that at times I wonder if it ever happened at all. Who am I that I would be chosen to live this life? I am truly blessed.

Saturday, October 11, 2008

The Cop

I celebrated my one year wedding anniversary in September. We really didn't do much, because I was too busy preparing to travel 10 hours north to my PA school interview. So I packed, and he watched television...and that was how we celebrated! My husband is the perfect guy for me. He has been a source of support from day one. He is smart, insanely funny, silly, strong (and in great shape, might I add), and yes...he's a cop!

He's been a cop for two years now. Absolutely loves the job, but the stress of dealing with everyone else's problems every day takes its toll sometimes. Frankly, I just don't see how he does it, although when you think of it, being a cop is similar to being a PA in many ways. He is one of the hardest workers I know. I admire his work ethic, his commitment, and his dedication. He will be a great father when the time comes. He's already a great husband! So, when I mention "the cop" in future posts, you guys will know exactly who I'm talking about!

He was so proud to hear that I got accepted to PA school. He was the first person I called from the parking lot at my job! I was pacing back and forth, up and down...I'm sure my coworkers thought I was crazy. I know he is proud of me, but I don't think he realizes just how stressful a time it will be for the both of us.

We have already decided that when I go to school, he will stay behind. As much as I would like him by my side, I want him to stay here. There are no words that can describe just how supportive this man has been. Applying to PA school is EXPENSIVE and TIME CONSUMING. All the courses I've taken, the studying, the two hour communte to and from school, GAS prices, the CNA certification course, the final exams, the application fees, the interview preparation...he's endured all of this with me, and has been supportive all along! Staying behind will give him the opportunity to focus on his dreams and his goals. He deserves it. Besides, we will get to see each other every now and then. I don't know if every married couple could do it like this, but we will be just fine!

After Shock

It feels so good to have two consecutive days off work. My feet need the rest! I'm still pinching myself to see if I'll wake up from this "dream" I'm in. Did I really speak to the Admissions Coordinator, and did he really say I had been granted acceptance to PA school? Is this some kind of sick practical joke, or did I pull a fast one on a lot of people?

The vast majority of readers will understand what I'm talking about, but others may be wondering why I haven't fallen off cloud nine yet. Applying to PA school is not like applying to other programs where getting in is pretty much guaranteed. For instance, one wouldn't have to apply to 10+ schools to get into a good English program. Take my school, for example (which I will reveal at some point): they received over 700 applications. Out of those 700+ applicants, only 150 were interviewed. From those 150, 30 are given seats in the program. Yes...30. This scenario is the same across the country at almost every single PA program. I believe there are now 141 programs in the US.

The typical applicant is a college graduate with approximately 3 years of direct patient care. GPA's can range from 3.0 to 4.0. Think typical overachiever, Type A personality, straight A student. In addition to a great academic resume, one must possess excellent interpersonal and communication skills. This is why the interview can make or break you. It is not uncommon for applicants to apply to 8, 12, 20 schools.....and still be denied entry; it's simply that competitive. I wouldn't say my resume is standard: I'm 28 years old (a bit older than most of my competition), still completing my undergrad degree (most of my younger counterparts already have degrees), and my grades are above average. Yet, I have been accepted to the only school I have applied to, the first time, during my first application cycle. Unbelievable! It's amazing, because I felt an affinity to this particular school long before I set foot on campus. I could see myself there, and I felt home there during the interview. It was as if I knew I would be accepted, even though all the literature and statistics said otherwise.

What sets me apart from the other applicants? This was a question that was asked of me during my interview. My answer: "Everyone who applies to PA school has drive, determination, and a passion for this profession. I think what seperates me from all other applicants is my background. Music has taught me so much and has given me so much. It has afforded me the opportunity to travel and familiarize myself with the differences between races, cultures, and ethnic backgrounds. This will serve me well as a practitioner. I used to kick myself for dropping out of college with one class left to complete my degree, but now I understand what an integral part that played in developing the person I am today. I am grateful for the path I have taken. It has made me a better person, and I know it will make me a better Physician Assistant." I finally feel like all the pieces of my life are coming together. I feel like I finally know where I am headed. It's a great feeling.

Thursday, October 9, 2008

The Musician: Part 1

I never dreamed that I would pursue a career as a musician. I had made up my mind at age 8 to follow the footsteps of one of my idols, Dr. Ben Carson, and become a neurologist. I entered college (the first time) as a pre med/biology major. I left college as a vocal performance major!

Polar opposites, right? Well, not for me! I've always been a little off...

I can't really say I discovered my vocal talents. I don't even know how my major switched from pre med to music. In retrospect, all I know for sure is that I ended up exactly where I needed to be: the right University, the right voice teacher, the right piano teacher, the right opportunities. Divine intervention! By the end of my freshman year, I was a true blue music major, a member of the University Choir, and among a handful of selected singers chosen to perform in one of the world's most renowned singing groups. I was always going somewhere. One week we would be in Kentucky, the next California. I spent my spring breaks in New York City, and my summers in Spain, Italy, or in a recording studio. Those were the days! Music became everything to me. All my friends were musicians, and most of what we did involved music. It was in college where I was introduced to opera and art song. I credit my voice teacher, Ms. B, for this. From the beginning she instilled in me a respect for this music. I became her disciple. Whatever she told me to sing, I sang. Whoever she told me to listen to, I did. I remember spending late nights in the practice rooms singing and perfecting my craft. It wasn't that I had faith in my talent. Ms. B believed in me, and that's all that mattered. I would study the scores of the classics I looked forward to singing one day: Die Zauberflote, La Traviata, La Sonnambula. I listened to every record I could get my hands on. When I left college, I left in pursuit of a career as opera singer extraordinaire!

Reality sets in

I did it! I've done the impossible; I've beaten the odds. I've been accepted to PA school!

These are the thoughts that ran through my mind last night as I lay awake in bed. I haven't been this fired up in a long time. Getting into PA school is not an easy feat, let alone getting in the first time you apply at the first school you apply to. I am truly blessed. In retrospect, I have really earned this. I have always tried to be as modest as possible, but the truth is I worked my butt off to get into school. Anyone pursuing a seat in a PA program has worked extremely hard. All the science courses, the phonecalls, the follow up phonecalls, the shadowing, the parking fees, gaining healthcare experience, asking for letters of recommendation, meeting application deadlines, making flight and hotel accomodations for interviews....it is overwhelming. But boy, is it all worth it!

I work at a long term care facility as a CNA. I wouldn't call it the best direct patient care experience one could get, but it has certainly taught me the value of humility and service, both of which are necessary in healthcare. I have met some phenomenal people: former homemakers, authors, linguists, gemologists, nurses. Each patient has a story to tell, and I try to absorb as much as I can. Today when I walked into the building, everyone and everything looked different. I had a pep in my step and a cheesy grin on my face. Even coworkers who irritate me daily could not steal my joy! I simply focused on my patients, and kept reminding myself that one day, instead of being limited to dressing and feeding them, I will have the skills and training to diagnose and treat their illnesses. Simply amazing! Moreover, I don't have to wait a year to begin my PA education. It began years ago, when I first stepped foot onto a college campus. And it continues today. Every book I read, every lecture I hear, every patient I advocate for, every day that I live...all of it is a part of this journey to competence! Simply put, being a PA is not enough. I want to be the best!

Wednesday, October 8, 2008

Introduction

My journey from music to medicine began about two years ago. My faith in my musical talents was beginning to dwindle, and I was growing weary of the fitness profession. I wanted and needed a change; I needed a career that would allow me to make positive impressions on the lives of others, and pose daily challenges. So, I turned to my first love...medicine. After sifting through the numerous healthcare careers available, I came across the Physician Assistant profession, and was instantly intrigued. The more I read, the more I knew this was the career for me. And here I am, one year away from embarking on my journey to becoming a certified, competent Physician Assistant.

I have created this blog for many reasons. It will serve first and foremost as a resource for those who are interested in pursuing a career as a PA. There are loads of blogs out there written for and by student doctors, but very few for pre-PA/PA students. I also would like to use this blog to demonstrate that PA students come from all walks of life. I am not what one would consider a typical PA school applicant! Finally, this blog will be a place where I can come and vent my frustrations and concerns.

I have one year before PA school begins, and I need all the time I can get. Relocating plans, completing my degree, finishing prerequisite courses, and gaining valuable patient care experience will keep me busy and focused. I look forward to telling my story, and reading and responding to comments. That is, of course, if anyone happens to stumble upon this blog. Happy reading!