Tuesday, December 22, 2009
Christmas break with the Ho Ho Ho Family
Thursday, December 17, 2009
End of one of the best jobs
16 months ago, I started my search for any opportunity that would allow me to gain more healthcare experience. I applied to the local hospitals countless times and to several private practices around town, but could not land a position anywhere. I had minimal experience, and four more months before I began my application process for PA schools. Then one day my prayers were answered when I e-mailed Dr. M's clinic this:
Good day L.C.,My name is Irene Gung, and I received your information from the American Academy of Physician Assistant's website. Unfortunately, I am not a Physician Assistant at this time, but I am aspiring a career in this field. Currently, I am a post-baccalaureate Biology student at Valdosta State University, and I am eagerly searching for an opportunity for more exposure in the healthcare setting.So far, I've shadowed P.A. S at the Moody Air Force Base and after my first day, I knew this is exactly what I want to do. I find the field exciting, challenging and educational. My favorite part about this field is that I know I'll be learning more and more from patient to patient.I've already completed my HIPA certification, shadowed a P.A. and now I am looking for more opportunities to learn about a clinic. I am not searching for a particular position, just anything that would allow me to gain knowledge of the industry. If you would keep my name and contact information on hand for future opportunities, I would greatly appreciate it. Additionally, if you have any advice you could give me, I would love it.Thank you very much for your time and consideration. Below is my contact information.
The following days, I was able to meet the staff at the clinic and Dr. M. Little did I know how much I would be learning there in one year. In one year, I learned how to properly do venipunctures, lab tests, injections, triage and even pulmonary rehabilitation exercises. I gained proficiency in pulmonary diseases such as COPD, asthma, and RLDs; sleep disorders such as sleep apnea and acute diseases through their primary care patients. The best part of my job was that I was allowed to considerably give my direct care and attention to Dr. M's patients. I would listen to why they are in the clinic today; many of whom reported shortness of breath, excessive coughing, or just their routine visit, and I would transcribe them. Towards the end of my career there, I could pretty much predict their diagnosis and plan before Dr. M saw the patient. It was rewarding every single day I worked there, and I'd come home so satisfied with my decision to become a PA.
So, I decided to end my career there early so that I could help my parents retire from their businesses before I start PA school in August. I've asked a friend who I met in one of the healthcare professional organizations at VSU if she would be interested in a position at Dr. M's clinic in order to gain experience before she applies to PA school. She is so super excited about it and I'm thrilled she will be having an opportunity to gain so much experience. I created an introduction manual for her that I hope will hopefully help make her initial period at the clinic as smooth as possible.
I am already sad knowing that I will not be working at the clinic any longer, but I am forever grateful for the experiences that I will be able to carry on in my medical career.
Friday, December 11, 2009
Procrastination
This calls for less procrastination and better time management :)
Wednesday, December 2, 2009
Wigglesworthia and the Tsetse Fly
Tuesday, November 17, 2009
What to do to pass time between undergrad and grad school
- Finding a job in a medical environment
- Helping my parents finally retire
- Traveling
- Taking more healthcare-related classes
Sunday, November 8, 2009
I've learned that if I can't say something nice, then I shouldn't say it at all.
Monday, October 26, 2009
First Time Shooting a Gun
Though I don't see myself ever owning a gun, I thought it would be useful to try practice shooting one today with my brother and Dad. We practiced with two handguns and we brought a shot gun, but I was too scared to even try the shotgun.
Friday, October 16, 2009
Barry University, here I come!
Dear Irene,
Welcome to the Barry family!
Sincerely,
Barry University Physician Assistant Admissions Department
11300 NE 2nd Avenue
Miami Shores, FL 33161
Tuesday, October 13, 2009
Steel's Diamond Dash
Congratulations! You’re now officially a Steel's Diamond Dasher! So, tell us, how does it feel? Now all you need to do is show up, ready to win a diamond ring!
Saturday, October 24that 11:30PM
Food, Fun, Drinks, Snacks, Prizes, Gift Certificates!
Kick-Off: Courthouse lawn at 11:30PM
After Party: City Market at 3:00PM
Monday, October 12, 2009
#2 Best Job in the Nation - P.A.
Robert Wooten is a physician assistant at Forsyth Medical Center in Winston-Salem, N.C. Top 50 rank: 2 Sector: Healthcare What they do: Call it MD lite. Working under the supervision of a doctor, PAs do all tasks involved in routine medical care, such as diagnosing illnesses and assisting in surgery. In most states they can write prescriptions as well. Why it's great: You get the satisfaction of treating patients minus insurance hassles, since PAs have far less administrative responsibility than the typical MD. "I'm part of a team yet have a lot of autonomy," says PA Robert Wooten. You don't have to take on the time or expense of med school and the field is virtually recession-proof, owing to an ongoing shortage of primary-care physicians. PAs are also far cheaper to employ than MDs, so demand is expected to steadily increase as medical facilities try to rein in costs, says Bill Leinweber, CEO of the American Academy of Physician Assistants. And since they don't need as much specialized training as doctors, PAs can switch from, say, geriatrics to emergency care with relative ease. Drawbacks: It's a fairly new profession, so the number of annual job openings is still small. Pre-reqs: A master's degree; 100 hours of training every two years; recertification every six. |
Never Give Up! -- From a CNN article
NARVIK, Norway (CNN) -- Fresh from medical school, Anna BÃ¥genholm chose to do her residency in the Norwegian city of Narvik because of its spectacular mountain slopes. An expert skier, BÃ¥genholm had gone off the trail with two other young doctors on a warm spring afternoon when she fell.
What happened that day in 1999 changed her life and has redefined what is possible in cases of accidental hypothermia.
Bågenholm slid down a steep, icy gully and ended up submerged head first in a hole in the ice in a mostly frozen stream. Only her skis and Telemark boots and bindings protruded from the thick, opaque ice. As the 29-year-old struggled, her friends Marie Falkenberg and Torvind Næsheim began a frantic effort to free her, made impossible by a torrent of frigid spring runoff pouring over them into the hole where their friend was submerged.
They called for help, starting a chain of events that is now part of medical literature and local lore.
BÃ¥rd Mikkalsen, a police lieutenant in Narvik at the time, took the call.
"I realized this was really a serious case," said Mikkalsen, who has since retired. He scrambled a pair of rescue teams in Narvik, one from the top of the mountain, the other from the bottom. He also contacted the nearest rescue team in Bodø, nearly 200 miles away, but the Sea King helicopter had already left to transport a sick child.
"I told the operator, 'You must send the helicopter to here, and you have only one minute to decide it. You have to call me back. The time is running out.' " The dispatcher turned the helicopter around.
Heading the rescue party from the top of the mountain, Ketil Singstad skied as fast as he could in the wet springtime snow to the spot where BÃ¥genholm remained trapped under the ice.
Singstad said he and others tied a rope to her feet and tried unsuccessfully to pull her free, and the snow shovel and small saw they had brought were no match for the thick ice. Then he saw another rescuer heading up the mountain with a pointed gardening shovel.
Using that tool, rescuers cut a hole downhill from BÃ¥genholm and pulled her through the opening. She had been under the ice for about 80 minutes.
"I thought we were taking a friend, dead, out of the water," Singstad recalled.
Bågenholm's ski companions, both doctors, began CPR and continued until the rescue helicopter arrived. The emergency crew winched Bågenholm up to the hovering chopper, giving her CPR and squeezing air into her sodden lungs as they made the hourlong flight to the University Hospital of North Norway in Tromsø.
Dr. Mads Gilbert, head of emergency medicine at the hospital, was waiting on the helipad.
"She has completely dilated pupils. She is ashen, flaxen white. She's wet. She's ice cold when I touch her skin, and she looks absolutely dead," Gilbert said. "On the ECG [electrocardiogram], which the doctor on the helicopter has connected her to, there is a completely flat line. Like you could have drawn it with a ruler. No signs of life whatsoever. And the decision was made. We will not declare her dead until she is warm and dead."
Health Library
Gilbert and the waiting team at the hospital were hoping the CPR that BÃ¥genholm received after being pulled from the stream had provided enough oxygen to her chilled brain. When it's cold, the brain needs far less oxygen than it does at normal temperature, 98.6 degrees (37 Celsius), and BÃ¥genholm was definitely cold. Her body temperature was just 56 degrees Fahrenheit (13.7 degrees Celsius). No one had ever been that cold for that long and survived.
Rushed to Operating Room 11 at the hospital, surgeons rerouted BÃ¥genholm's blood through a heart-lung machine and slowly warmed it. More than three hours after her heart stopped, Gilbert recalled watching the video probe of BÃ¥genholm's heart.
"It was standing completely still. No movement. I just saw some little shivering. No fibrillation. And suddenly it contracted. Pssh," Gilbert said, squeezing his fists to mimic a beating heart. "And there was a pause and pssh. A second contraction." Gilbert tears up at the memory.
Bågenholm was alive, but months of recovery lay ahead. Paralyzed for almost a year until her damaged nerves healed, Bågenholm today is a radiologist at the hospital where she was saved. She has returned toskiing and other sports. She and Næsheim began dating in the years since the accident and now live together.
BÃ¥genholm remembers nothing of the accident and adds that the event did not change her life.
"I'm not so emotional. I'm more practical, I think," she says.
Her case history made the prestigious British medical journal, The Lancet, and stands as a challenge to doctors confronted with victims of severe hypothermia.
Næsheim, who is an anesthesiologist at the University Hospital of North Norway and is on the helicopter emergency medical team there, says the lesson from Bågenholm's case is clear.
"It's the three important things about emergency medicine, which is never give up, never give up, never give up. Because there's always hope."
The shovel that broke through the ice remains on the mountainside in Narvik, hanging from a tree next to the stream as a testament to the possible.
Sunday, October 11, 2009
Bartender?
Sunday, October 4, 2009
Fun photo shoot!
"Anyone want to join my photo party this Friday evening downtown Valdosta? I need some fun models for a photo shoot. You know you wanna! :)"
Tuesday, September 29, 2009
Self Defense Class
- Defend myself from any attackers
- Punch them in the nose/chin with my palm
- Swing heavy men off me in case they attack me from behind
- Kick them in the groin, shin, knee or stomach
- Knock the intruder away in case they're choking me
Sunday, September 20, 2009
Starting a Family
This past Saturday, I went to a high school friend's baby shower and realized that she was having her 4th baby's baby shower. Then, I started thinking about how old my mom was when she had me (her 3rd daughter) and it was around my age right now.
Friday, September 18, 2009
First Acceptance!
I got my first acceptance letter into a PA program this afternoon through e-mail, and I instantly felt relief! Now I can finally rest at night, go to Jamaica for Kenny and Chen’s wedding and make plans for next August’s move to Miami!
Dear Irene Gung:
Congratulations! We are happy to inform you that you have been provisionally accepted to Barry University’s Graduate Physician Assistant program for the Fall 2010 term at the Miami Shores campus.
We invite you to accept our offer of admission. The next important step is to begin the process of Enrollment. Barry University requires a non-refundable deposit of $1000.00 which will be applied toward your tuition and fees. Payment of the first $500 installment is due within the next 5 business days. The second installment of $500 is due 30 business days after the first deposit.
To secure your spot in the class, which will be guaranteed if we receive your deposit by the deadline and provided all provisions of your acceptance have been met before or by matriculation. Enrollment in Barry University’s Graduate Physician Assistant program is very limited. Once our class has been filled, we cannot guarantee any further seats in the class. The deposit will be returned to you if it is received after our class has reached capacity.
We think you will find, as other students do, that you days here at Barry will be very rewarding. We look forward to having you as a part of our program.
Tuesday, September 15, 2009
Friday, September 11, 2009
First PA School Interview -- Bary University
- Share with us a little about where you’re from, where you graduated from, if you have a higher degree than a bachelors, and your clinical experience.
- “Oh, you’ve volunteered at the free clinic? Name some of the people you’ve worked with. Do you know Dr. X? Do you know Dr. Y? Do you know Dr. Z?” Man, these are some serious put-you-on-the-spot questions!
- Why do you want to become a PA?
- What do you want to attend Barry University?
- Why do you want to become a PA?
- Why do you choose Barry?
- Where do you see yourself in the field of medicine 10 years from now?
- Out of all the PAs you came in contact with, which one was the happiest? (that was my favorite interview question)
- If you were accepted into Barry’s PA program, what would be one of your weaknesses?
Friday, September 4, 2009
Happy Birthday!
Weekend makeover
St. Maarten / Sint Martin
Friday, August 21, 2009
First PA School Interview Invitation!
Friday, July 17, 2009
Doctors without Borders
Thursday, July 2, 2009
It was worth a try...
Tuesday, June 23, 2009
Tuesday, June 16, 2009
"Irene was the name of my Aunt"
Monday, June 15, 2009
Bowel movements
Thursday, June 11, 2009
Speedy Gonzalez Valdez
"Prostate is smooth, non-tender with brown-yellowish stool, nasal mucosa congestion in left nostril, wax built up in the left tympanic membrane!"
....."??? you got all that in one minute, Dr. V?? When did you do the prostate examination??"
I think Dr. V has x-ray vision, and he's able to see every ailment the patient has by the second he walks in the room. Each time he leaves the room, patients start forming a "I-love-Dr.-V" fan club. They start asking where he works, where they can find him, and even what his cell phone number is. I don't know what it is, but they sure do love him.
Monday, June 1, 2009
First experience in Pediatrics
Friday, May 29, 2009
Rectal Examinations
After getting my face straightened back to normal, I reached for the cabinet and retrieved some medium sized glooves and proceeded on to putting them on my nervous hands. Suddenly, Dr. M and his patient started laughing, and a huge feeling of relief rushed over me. I laughed along thinking, "Whew! And, darn, I missed the opportunity to do my first rectal examination!"
After Dr. M finished the examination, I continued with interviewing the next patient and I reported back to Dr. M. He then explained to me the "correct" way of performing a rectal examination.
Thursday, May 28, 2009
First Post
- I'm back in undergraduate school at Valdosta State University, majoring in Biology. Previously matriculated at Georgia Tech for a bachelors in Management science, then on to a Masters in Business Administration in my hometown of Valdosta at Valdosta State University. Though I do not anticipate obtaining a Biology degree, I am still taking classes for a major in Biology so that I can meet the pre-requisites for most PA programs.
- Currently volunteering at a pulmonary clinic as a student intern/transcriptionist under Dr. M who specializes in Pulmonology and Sleep Apneas.
- I am in the process of preparing my applications for PA school
- Taking Biochemistry during Maymester (which is a killer)
- Plan on taking Human Anatomy and Physiology II during regular Summer term.
- PA S - Moody Air Force Base Family Practice clinic
- PA MC - South Georgia Orthopedics
- Observed orthopedic surgeries at Smith Northview Hospital including arthroscopies, total knee replacements, carpel tunnel releases, trigger finger releases, and rotator cuff re-attachment with PA MC and Dr. C.
- Observed Dr. Mc tackle five lap bands in one afternoon.
- Shadowed Dr. A at South Georgia Medical Center as he works the grave yard shift at the Emergency Room.