Monday, October 18, 2010

Pediatrics in Humboldt



Much to my dismay, I am close to the end of my pediatrics rotation in beautiful Humboldt County. My preceptor is Dr. Ted Humphry from the Open Door Clinic, and I would often shadow Dr. Wirthlin and Dr. Heise when Dr. Humphry was out of the clinic. Having all three of them to myself was amazing- no other students or residents with whom I needed to compete for their attention. It was nice to see their individual methods of blending intuition with medical knowledge. I would go to the clinic every day for outpatient experience, and in the mornings I would make inpatient rounds. I was also called in at all times of the day to watch and eventually participate in C-sections and make rounds on inpatients.

My favorite part of this rotation was when I got to see patients on my own. I would take a brief H&P, report with my assessment to the attending, and then we would go in together to close up the visit. I also wrote SOAP notes after some of them- totaling about 2-3 per day. The only downfall of this rotation was not having Internet access. I had to wait until I got home to work on quizzes. I am going to miss the people of Open Door Pediatrics in McKinleyville and the physicians with whom I rotated. Not only were people courteous and welcoming, but they helped advocate for my ability to learn and participate in patient care.

I will also miss Humboldt County- such a beautiful place with fresh air, a slower feel, and might I say, tons of great food. I will be back, especially since I have much more north coast left to explore!!!

Next stop, SOMA Fall Convention, then OB/Gyn at Arrowhead Regional Medical Center in Colton. So far I have been away from the Bay area for 9 weeks and it won't be another 7 until I can finally call it home base again. I have missed Walter terribly, but thank goodness for g-chat with cameras and the fact that this place is only 5 hours away. We saw each other every weekend of my NMM rotation, and every other weekend during my pediatrics rotation. I thank him for being endlessly patient with me. Thanks for reading- don't hesitate to message me if you have any questions on how to rotate in Humboldt, leave a comment below if you don't have my contact info.

Neuromusculoskeletal Medicine in Humboldt



In case there are any 2nd years who are still actively reading my blog, I wanted to share about my NMM/OMM rotation with Dr. McCaffrey in Humboldt.

She practices OMM at her clinic, called Redwood Osteopathy. She takes PPO/HMO/Medicare patients, and she has the MediCal patients come to the Student Clinic, where you take a history/physical, create an assessment and plan (including treatment), present to Dr. Kate, and then treat. I found it to be exactly like suitcase clinic, but you take care of the visits on your own (unless someone is rotating with you, in which case you could see the pt together if you wanted) If you are uncomfortable doing this on your own right off the bat, you can let her know and she will be happy to have you observe for a couple of visits before you jump into it.

You also help her with the intake and follow-up visits for non-MediCal patients- you take notes onto the computer for her and help her treat, sometimes you go in with the patient and start taking the history/physical and present to her. You'll see 5-8 patients per day,sometimes more! It's good, solid work and I not only learned new
treatment techniques; I experienced continuity of care. Its nice to see how patients do after you treat them! I also feel like my hands have turned on again, if that makes sense- I had not practiced much OMT between May- Aug before the rotation.

Dr. McCaffrey also teaches you about billing/charting/EMR, and how to run your own business. As far as hours are concerned, Tues, Weds, Thurs you are there for about 9 hours each day with a long lunch break, then on Friday its a half day (3 day weekends!). There is a compassionate pain management group that she has students join during their time at the clinic to get an idea of how facilitated groups
work. This is a beautiful group and you might be surprised at how much you learn about yourself and others during the short meeting. The office staff and medical massage therapists who she supervises are very nice and like to share knowledge during in-services. You can also trade OMT/ medical massage with them ;)

I'm still in Humboldt- now rotating with Dr. Humphry, Dr. Wirthlin, and Dr. Heise for inpatient/outpatient peds. I literally have all 3 of them to myself! If you are interested in rural medicine or peds and you want to know more about this rotation just let me know. Dr.Humphry is the director of the Open Door Clinic and loves to teach medical students. It is a very loving, educational environment.

Humboldt is very much in need of people from our generation to come up there to practice since many of the current physicians will be retiring within the next 5-10 years. This is why they really want us to come up there and they make sure we get the special treatment- a good education and friendly interactions.

Monday, August 2, 2010

General Surgery - a short conclusion, after 4 weeks.



As amazing as surgery is, I probably won't become a surgeon. I want to know medicine inside and out, perform the occasional procedure, possibly know how to do a cesarean....but I just don't see myself being a surgeon day in and day out. That said, I want to absorb all the information I can while I am on these rotations so that I can be extremely knowledgeable about when it is appropriate to refer. It is also important to have a good grasp of what my colleagues do, and what my patients will go through when they have surgeries so I can care for them properly before and afterward.

Even if I do not picture myself in particular fields in which I am required to rotate, I'll have fun with it, learn as much as I can, and I'll always be humbled by how much I still don't know. So excited to follow the life-long pursuit of acquiring knowledge-- next up, ten weeks in Eureka (4 OMM, 6 Pediatrics). Will update soon!

Tuesday, July 6, 2010



Success seems to be largely a matter of hanging on after others have let go. -William Feather

Tuesday, June 29, 2010

Callie Moore



http://www.digstation.com/ArtistAlbums.aspx?albumID=ALB000051124

Callie Makes me happy.

Sunday, June 20, 2010

2010 SDN Scholarship in Community and Preventive Medicine



http://www.studentdoctor.net/2010/06/robyn-young-awarded-2010-sdn-scholarship-in-community-and-preventive-medicine/

I donated a large fraction of my scholarship money to the South Vallejo Free Clinic project by purchasing glucometers, test strips and lancets for the clinic (will deliver within the next week). Things are really getting off the ground and I hope to remain involved for years to come, when I am away on rotations/ residency. I know this will develop into a valuable center for the Vallejo community with everyone's help.

Here is my scholarship essay:

Describe the work you have done in the field of community medicine and your future career plan.

Deepak Chopra, M.D. has said,” Everyone has a purpose in life… a unique gift or special talent to give to others. And when we blend this unique talent to service others, we experience the ecstasy and exultation of our own spirit, which is the ultimate goal of all goals.” I believe my unique gift is the ability to recognize and bring out the healing potential of individuals and groups of people. As a physician, I will use my passion for preventive medicine to bring heath care professionals together in a community clinic setting. The ultimate goal of this teamwork will be to empower patients with the tools they need to heal themselves and their community.

My experience with community medicine began as a volunteer at an undergraduate clinic for the homeless called The Willow Project in Sacramento. As a health screener, I got to listen to the clients’ unique stories and health concerns. A majority of our clients would present with poorly controlled hypertension and diabetes; two very preventable conditions which lead to serious complications if they are not treated. Clients would explain that they lack access to healthy food, sometimes just eating what they can find, or what the food banks give them. With my limited role and an even more limited amount of time, I would take five minutes to explain the importance of nutrition and exercise to clients. Eventually, I realized that I could make even more of a difference if I helped create opportunities for them to eat well.

After learning of our clients’ lack of access to nutritious food, I joined a group of advocates called Food Not Bombs, and helped collect healthy, nutritious, vegan-vegetarian food from participating restaurants and markets. With this food we cooked creative, multiple-entree meals and served them to the community as often as we could. People would come to eat, and we would discuss current issues that affect their community as well as listen to each individual's story. We encouraged the community to be conscious of waste production and to value collective, creative cooking. I realized that it is more powerful to show the community that food is medicine, rather than to just tell them about proper nutrition. To this day, I am still an active in community cooking. Our patrons remind me of my clients at Willow Clinic when they tell me that they have changed their life style and feel healthier after participating in our meals.

In addition to cooking, I continue serving the community by coordinating an OMT station at Suitcase Clinic in Berkeley. Every Tuesday, the undergraduate suitcase team provides a two-hour clinic and safe space for the Bay Area homeless community. Clients can sign up for foot washing, shaving, clothes and food, medical care, eye care, legal council, and many other services. I coordinate the effort of Touro osteopathic medical students working in pairs to do H&P's and treat a total of ten clients. As we treat our clients, we teach them muscle energy techniques that they can do on their own. This empowers clients to take charge of their health and helps maintain the changes we have made with our osteopathic manipulative treatments. At Suitcase Clinic, I have gained unique exposure to the bay area homeless community, listening to their stories and examining their physical and mental status. I am now very well versed on the public health services offered in the Bay Area, as I am constantly advocating for clients to receive the help they need.

Being a communal cook and health clinic volunteer has ignited a spark within me to continue serving the community with a public health perspective. As I complete my medical education and obtain my license to practice family medicine and OMM, I want to start giving back to the community where I started my medical education, Touro University – Mare Island. Touro is located in Vallejo, one of the most impoverished cities in California. The city lacks resources and money to provide an adequate police force and education system. As our university has become more established over the past ten years, we have increased the number of colleges and the diverse variety of students and professionals in Vallejo proper. I want to utilize the minds and energy of these eager students and professionals to create a space in Vallejo that promotes the health and overall wellbeing of underserved individuals.

My plan is to recruit public health volunteers, medical students, pharmacy students, and a team of rotating physicians who can dedicate four hours each night of the work week to seeing clients in a free community clinic. The goal will be to teach clients about health maintenance, give referrals, and connect them with local resources. The community center will provide programs that reinforce the six areas of wellness, which are physical, mental, spiritual, occupational, social, and intellectual. We can create space for a communal kitchen with dinner served each day, community member-lead yoga and exercise classes, an OMT clinic run by Touro Students, health education workshops, peer facilitated support groups, and meditation classes. This community project can become a reality with grants, fundraising, and dedication by the Touro University and Vallejo community. We have already established a facility for a free clinic this year. I look forward to the creation of a supportive center in Vallejo that can successfully promote preventive health practices among the entire community.

Just as the human body is a unit, each part working to maintain homeostasis, so are our communities. I believe I can help the citizens of Vallejo realize their unique roles in the greater health of the community, and reinforce their capacity to heal through education and preventative action. As our community center gains momentum, the idea can be passed along and implemented in many other rural cities. It will be the highest honor to dedicate the rest of my life to helping patients and their communities realize their healing potential.

Friday, June 18, 2010



“A doctor’s mission should not be just to prevent death, but to improve the quality of life. That’s why when you treat a disease, you win, you lose, but when you treat a person, I guarantee you win, no matter what the outcome.”
- Dr. Patch Adams

The picture above was painted by Alex Grey, a favorite artist of many of my professors and physicians around the world.