humbling moment.

So....... I LEGITIMATELY lost to my ASIA D C6 SCI patient in Wii Balance today. a humbling experience to say the least.

I'm hungry all day

Hi kids!!!! Is it weird that I miss school? I really thought I would never say that. So I'm at Sports and Spine in Plano with Danny, and we pretty much own the place. JK, no but really. My CI, Kendra, is the coolest CI ever. I think we would be bff's if she didn't have to be my boss-man. Oh, and yeah, I know what everyone means about the getting into "PT Shape". Dang, I didn't know that if I wanted to work at Tom Domino's clinic that I would have to eat peas 2X/day and run 5 miles plus "lift" everyday at lunch. Seriously though, all of the guys work-out like pretty much every day. I on the other hand glance at the clock every ten minutes to see if it is lunch-time yet. I freaking starve there! When you wake up at 5 am to get to Plano by 6:45, you kinda want to eat your hand. So yeah, I love it there though. I haven't done anything too embarrassing yet...but hence I said "yet". Take care. I miss you guys!

Diff Diag

So, seeing a lady in her 60's with back and leg pain who can barely walk and has a positive Babinski bilaterally and a serious Marie Fioux bilaterally. When sitting or lying she will involunarily flex up one LE, especially if stretching. It started 2 years ago and she saw a neurologist recently that said she was FINE! My CI called her PCP who just wanted to refer her back to the same neurologist. Thankfully, the patient insisted on an MRI which she should get this week or next. Kinda scared to hear what they find.

Then, seeing a sweet little lady with M.S. post laminectomy who told me on Tues that she finally got her bladder back that morning....didn't know it wasn't there to begin with but yay! Then on Thursday when we see her she says she has bad back pain and "numbness in her seat, inside and out." So, being the curious george I am , when I was stretching her I asked how well her baldder was doing since Tuesday...we've bonded...and she says not as well. Then I ask her about her numbness again and she describes it as being in the area a saddle would be. And to top it off, she's never had this problem before. Mention it to my CI who basically says lets wait to see if it is consistent for a few days. I'm like, is this a Red Flag call the docotor moment or a Red Flag rush to the ER moment, or a yellow flag let's wait and watch it moment??!

Reminder, I'm in an outpatient clinic. Differential Diag is haunting me.

Paslay

awkard moment....what Dr. P. Smith did not warn us about

okay.. so today I was helping an elderly man do exercises .. and I had to teach him glut sets. So I explain to him how to do them and he starts to do the exercise. He then says... this reminds me of my honeymoon!!!!!!!!!! I just sorta laughed and said oh.. ok... I could feel my face get so red!! Anyways my clinical is going well.. I did my first full eval today and it could have gone WAY better.... but practice makes perfect I guess.. :) miss all of yall!!!

My first...

My patient couldn't lift his leg, do heel slides, or ab/adduction because of pain but the chart didn't say anything about LE issues...so my mind starts to do the algorithms and problem solving to figure out where the "pain generator" is. That's when I looked down and saw....SCROTAL EDEMA!!! Dr. Querry never taught us the "WHY" of this one. Thank you, that is all...whoa

Sincerely,
Scarred for Life

Love the hustla'

"My agility dog is better than your honor student" and "Hustler 4 life...hustlin' since birth." Is anybody else jealous that they don't own shirts that say such thought provoking quotes?....I'm just saying. I freakin love the patients I work with.

Whats up Everyone...

Week 1:
Let me start out by saying that I had the hardest time remembering my gmail password so that I could participate in the blogging....
Diabetic toes, amputated limbs, MRSA, lymphedema x 2, filled wound vac, dementia, abdominal abcesses, tons of ackward intoductions to doctors, and on top of it all I dumped a pitcher of ice water on the other guy in my patient's room(funny but embarrassing). Got to do a wound care round with the nurses on Friday...wow its three older ladies with guts of steel who take care of all wounds in the main building. I think Julie called ahead and mentioned how much I like to look at stage 4 sacral pressure ulcers and puss dripping chronic diabetic heels right before lunch time. For some reason the nurses thought that this would be the perfect appetizer! On top of it all I seem to caught between a orthopedic conflict with the Physical Therapist's and Kinesiotherapist's, yes KT!?! They see all the ortho pts and do not like student PT's looking over their shoulders to see their hip/knee/ankle pts or touching their goniometers, and playing with the modalities...BIG NO NO!. But, so far the VA has been pretty cool and very different experience, the facilities are pretty up to date, and clinic has everything a car, kitchen, bedroom, and driving similator. Did I mention that I get my own desk with computer and swivel chair.....HOLLA!