Sarah’s Blog

I’m back…

November 8th, 2008

I know you have all missed me while I’ve been away, but don’t worry I’m back.  This past six weeks I’ve been in Morenci, AZ doing my ER rotation at the Gila Health Resources Urgent Care.  Morenci is a mining community, owned by Freeport Mining Industries.  The GHR is operated at the need of FMI.

This is a view from the UC entrance.  My clinical day varied with common problems, i.g., sore throat, ear aches, to intense symptoms, e.g., chest pain with left arm numbness or massive crush injuries.  Since it is a mining community half of the patients we saw in the UC were work related accidents.  I was exposed to many different things, but I still found lacerations and open wounds to be the most intriguing.  I know that’s gross to some.  Sorry.

A high school friend, Kim Woods, has moved with her husband, Josh Sant, and family to Morenci.  Josh works in HR for FMI.  I spent a few nights gabbing away at their house.  I didn’t get out much so I usually overstayed my welcome, but enjoyed the conversation.  

When I had time to head home, I liked to go visit JP, Mary Ann, Max, and Ian.  

A couple of weekends I stayed in Morenci.  I did some cooking, and horseback riding, and visiting friends in Safford and Tuscan.  It was sure fun!  I’ll post the pictures if I can figure out how to make my blog work with them.  

I’m glad to be back in Mesa, and sleeping in my own bed again.  

HAPPY BIRTHDAY TO AMIE, TOO!!  I HOPE YOU HAD A FUN DAY.  LOVE YOU!

 

 

This is what it’s all about!

October 8th, 2008
I just had my first real exposure to emergency medicine.  I told the staff here in Morenci that I really want to get the full experience while I’m here since it’s the only ER rotation I get.  The paramedics were called out for a MVA with a motorcycle and I went along.  The scene wasn’t looking good - the pt was unresponsive, crushed left side, major head damage, alcohol.  We checked the ABC’s, stabilized the neck, splinted up what was left of the arm, got the pt on the gurney and into the ambulance.  We then started the IV, hooked the pt up to a monitor, then intubated and began bagging, as we headed to the helicoptor pad.  Let’s just say it was intense!  My adrenaline is definitely pumping and I don’t know how I’m supposed to fall asleep now.  Exciting isn’t the right word, but more so than the typical ear ache or sore throat that I’ve been seeing.  Surprisingly, I was rather calm while on the ride and helping out.  It brings a new meaning to emergency for me.  Typically my day is rather slow - seeing common complaints (sore throat, anxiety, small laceration).  I have seen pts with a PE, juvenille arthritis, and Angelman’s Syndrome.

Computer problems…

September 30th, 2008

Recently I have had a few set backs with my computer, so I had to refresh it while cleaning everything off my computer.  That means that I lost all my links, so if you want me to stay updated on your life via blog, please send me the link again.

One down, seven to go!

September 30th, 2008

My first rotation is already completed.  I can’t believe how fast it flew by.  I sure enjoyed my six weeks of OB/GYN learning I received at Today’s Women’s Health Specialists.  My doctors, Watters, Purohit, Frausto, and Boag, all taught me different things because they each had their own teaching style.  I love being in the clinic and out of the classroom.  I was very nervous to start talking with patients, and try to figure out all their problems and give them answers, but learned how to focus in on what is most important for that visit.  I learned more about the female reproductive system, how it functions and what’s the normal aging process.  I saw lots, but my most favorite part was being in the Operating Room.  Even though, I was yelled at every time, I loved scrubbing in and getting to participate in the surgery.  The whole birthing process wasn’t really my favorite.  It was interesting to see a few times, but definitely not a fan of vaginal deliveires.  I enjoyed cesarean sections and watching the doctor pull the baby out, pass the kid over to the nurse, bring the uterus out to piece it back together, and then put everything back into place.  I did enjoy watching the newborn assessment because by that time the baby looked normal.  Overall, I felt like it was a great rotation to start off with because it was system focused.  The majority of other problems were referred back to the PCP.

Yesterday I made my trek to Morenci, AZ.  I left a little later that I had planned on, and got into town about 1030pm.  It was a lot of windy roads through the reservation between Globe and Safford, but it helped me stay awake.  I pulled into Morenci with no expectations.  It’s quite the place.  It’s small like Delta, where I grew up, with 4,000 people living in Freestone Mining Industry homes.  This town is owned by the mine.  The housing structure is different, but works.  I will take pictures of the town soon.  I came around back of the Gila Healthcare to the Urgent Care.  I ran the bell, and two nice men came and let me in.  Right away they were excited it was there because they had a patient they wanted me to see.  It was a young boy about 7 years old complaining of ear pain.  I looked in both ears and could see that their was some bulging and effusion in the left ear.  I also listened to his heart which was a different, but normal rhythm.  As he takes a breath in his heart rate speeds up, and then when he blows out it slows down with a slight pop.  It was cool to be able recognize something abnormal from the usual normalities.  After all the excitement of getting the prescription for Amoxicillin figured out, they finally showed me where my room was.  Yes, I am living in the clinic/hospital for the six weeks while I am up here.  Here’s a few great shots of my new living quarters.

VIew from my room

Far side view of my room.

Bathroom

Bed shot I’ve got quite the place!  Today was my first day working in Emergency Medicine.  I didn’t want to do an ER because I am terrified at all the trauma they see there, and opted for the Urgent Care.  It was actually pretty busy, the staff said.  I saw probably 20 patients with and without the doctor (she saw more!).  I felt like it was a good experience for a first day.  I really liked that you saw the patient, treated the problem, and sent them on their way with a follow up with their PCP.  I saw an eye laceration, viral vasculitis causing joint pain and diffuse rash, a couple of broken fingers, hematuria, among a few things, and I even placed my first IV.  I think this is going to be a great rotation.  The staff is very helpful, I get to make my own schedule, and pretty much they are willing to let me do whatever I feel comfortable doing (to some degree).  I think I will get to help in a lot of procedures and they even said that I could go out on the paramedic rides.  I’m going to learn a lot here!  It is definitely a rural town where everyone knows everyones business.  But it seems like a good little community.  I am looking forward to meeting up with Kim Woods Sant from high school, and visiting with her family as well.

Already on to rotation number two.  I’m surprised at how much I like being in the clinic.  I think this year is going to fly by, and before you know it, I’m going to be practicing.  I hope I get the experience I need before then.

Baby Shower

September 30th, 2008

I dragged Rachel along... Indian food was the enticement

Me with Kelsey

I didn't win this one, but I did win Bingo!

One of the doctor’s, Dr. Purohit, I worked with this past rotation is having twins.  She had a celebration baby shower for her twins at her house in Chandler.  Here are a couple of pictures from the party, and games we played.  Kelsey (in the blue) is one of the students that I worked with.  We had some good times together.  I bribed Rachel into coming because I knew they were having Indian food.  But they wanted to have appetizers and games before the dinner.  Rachel was babysitting for JP and Mary Ann’s, so she left before the Indian food.  And then I caught a ride over with Kelsey and her husband, Joe.

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