Last week was a challenge, not only in that it's a new rotation with a new team who all have to get used to one another, but also because none of them really knew anything about PAs or PA education. So, I sat them down at lunch and answered all of their questions. They had some misconceptions ("you don't take call, right?" "you have much less responsibility, such as not having to work on the weekends"), but all that took was some gentle correction. All week I saw their eyes widen as I relayed my knowledge about certain subjects. Then again, they're talking to someone who has a neverending thirst for knowledge, especially when it comes to physiology. But, in all fairness, I have to admit that much of what I knew in front of them came from my recent teachers (and a bit from you too, Ms. O).
Today we worked with an attending in Transplant Nephrology, and I mean this man is a D.O.C.T.O.R. Brilliant. All I could do was hang on his every word. He had us all come down to the pathology labs where the Pathology M.D. took us through the biopsy slides in detail, using large digital wall screens that are connected to their microscopy equipment. I was just in awe the entire time; they pointed out the glomeruli, the nephrons, the pathology, the immune response. It turned out that the patient has borderline transplant rejection (4 years ago), but the organ is still working well enough that there is hopefully time to change some meds and improve the situation.
Other than that, we just continued on with our patient care, monitoring labs and meds, changing labs and meds, ordering procedures, performing procedures, consulting with surgery/infectious disease/CAT/MRI/cardiology/GI constantly. Busy busy.
Now I'm home, I've had some soup and put my feet up for a few minutes, and it's time to fill my water bottle with some vitaminwater and head back to the library for a few hours of study. Then it's up at 6 for ... Tuesday! :)
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