Doctor Richard Craig Brown OBGYN has encouraged me to become an osteopathic physician. I recently shadowed Dr. Brown during spring break of my junior year of college. During this week, I observed routine exams, a robotic hysterectomy, an ablation, multiple cesarean sections, and a vaginal birth. My time with Dr. Brown was a very enlightening and educational experience. During this week I saw the positive side of being an osteopathic physician along with the negative.
Dr. Brown had excellent bedside manor. He enthusiastically greeted each patient. He also made it a point to bring something about the patient up in light conversation before their exam. This short conversation lightened the awkward situation between him and his female patients. After his introduction, if his patient was pregnant, he would begin by giving them updates on their progress and inform them of possible obstacles that could affect their child’s health. He was always very encouraging, but also very truthful and honest about each patient’s situation. When he would do the annual exams, he would make it a point to get the patient’s mind off of the exam and on to a subject that was light and enjoyable. In addition to shadowing Dr. Brown in his office, I also had the opportunity to observe him during surgery. I found the surgical procedures to be fascinating. I was amazed at the doctor’s ability to be so precise and accurate using the robot to do a hysterectomy. As Dr. Brown progressed through the
Melvin Fuller is a patient on the medical-surgical unit who was admitted during the previous evening for exacerbation of chronic obstructive pulmonary disease (COPD). He is an 83-year-old widower with two children who both live an hour away. He lives in a small house and is independent in his care. He has a housekeeper who comes in once a week to clean and fix some meals for him. He was brought to the hospital by his son who was visiting. His children visit him at least once a month. Mr. Fuller has COPD and type 2 diabetes. Alicia Brown is a 19-year-old nursing student in her first clinical rotation. She has been assigned to Mr. Fuller for morning care. Alicia enters Mr. Fuller’s room and notices that coffee has been spilled on his bed and
I had to opportunity to shadow Dr. Brooke Winner on December 2, 2016, from the hours of ten o 'clock to two-thirty. She is an OBGYN with her speciality areas being in Minimally Invasive Gynecology, Minimally Invasive Surgery, Obstetrics and Gynecology, Gynecologic Surgery, and Robotic Surgery. Upon entering her office at 1110 Highlands Plaza East, suite #220, I was directed to the second floor where one of the office managers placed me inside of her office, that she shared with another OBGYN, a male, named Dr. Biest. Upon her arrival to meet up with me, she smiled while holding one finger up, and speedily accounted one of her patient’s information into a tape recorder. It was a surreal event to watch.
The leader in the field I chose is Marisa R. Adelman. Dr. Adelman is a womenś health doctor that works as an minimally invasive gynecologic surgery consultant and obstetrician for the institution. Dr. Adelman provides medical and surgical treatments for issue with the baby and mother, she is trained in advanced laparoscopic techniques, as well as the use of the da Vinci robot. Dr. Adelman’s Research interests are in electrosurgical devices and technique, and surgical curriculum development for resident education.
I want to become an osteopathic physician, because osteopathic doctors take the additional strides toward providing their patients with holistic care. Unlike other health care professionals osteopathic doctors try to obtain the most detailed history, starting from the patient’s birth, sometimes even before that. During the history taking
My desire to be an osteopathic physician came after attending an OMM session during my gap years as a research fellow at the NIH. This experience contributed to my interest in osteopathic medicine, as I was intrigued by the musculoskeletal manipulation techniques, and deeply appreciated the hands-on, holistic approach to patient care. I feel strongly that training as an osteopath, will prove invaluable in my career as I work deliver quality treatment to underserved communities.
All the Board-Certified Surgeons at The Surgery Group have many years of training and experience performing minimally invasive, robot-assisted and traditional open surgeries. Due to the number of procedures we have performed, our dedication to providing each patient with superior care and the investment we have made in state-of-the-art equipment, and training, our patient outcomes are typically better than those seen at other surgery centers in the Florida Panhandle.
Truthfully, as an undergraduate I knew very little about the osteopathic profession. In 2013, however, I began working as a medical scribe with Dr. Ghaffari-Greene, DO, in the Sibley ER and she opened my eyes to the beauty of osteopathic medicine. Thanks to Dr. Ghaffari-Greene, and a number of other osteopathic physicians in the ER, I have come to understand what osteopathic medicine is all about. Three years after my first exposure to the osteopathic profession, I continue to be motivated to become an osteopathic physician for many reasons. These include the following:
Though, Nancy Warren, a certified genetic counselor and the program director of Bay Path Universities Genetic Counseling Master’s program developed the Genetic Counseling Toolkit (2011) which describes the BATHE technique; a type of behavioral charting. The BATHE technique is typically utilized by physicians, but is a great resource for nurses. BATHE is a mnemonic for questions that can be valuable when nurses are attempting to determine primary health concerns, which aids in proper referrals. This interaction also cultivates trust, easing patient fears and concerns about sharing information which may be relevant to proper care. B is for background; “What is going on in your life?” This provokes the reason for the visit. A is for Affect: (feelings) “How do you feel about it?” or “What is your mood?” lets the patient label their existing emotional state. T is for Trouble: “What troubles you most about the situation?” directs the conversation to be more focused, which leads to and reveals the relevance of the ailment, or incident. H is for Handle: “What helps you handle the situation?” provides an evaluation of functioning and offers a course for intervention. E is for Empathy: “This must be very difficult for you” or “Many people would feel as you do” validates the patient’s feelings and offers emotional
As I entered Mrs. Brown’s room I introduce myself, my role and the reason of being there and asked her how she would like me to address to her. Being supervised by the RN I asked for an informed consent prior to commencing a focused holistic assessment and then I asked what would be a good time for me to come back. I did recall from a handover that Mrs. Brown has a Clexane which
“Hey there” John looked over his shoulder at the smiling face of his new coworker. John greeted him as hallway smiled back not wanting to talk since he had woken up at 5:00am that morning. He quickly dashed over to his office and switched on his computer. He thought about the nine years of intensive study that he had to go through. The loud ringing of his pager interrupted his thoughts. He answered a few nurses difficult questions about what medicines to prescribe what to do with a few difficult patients. He placed his phone down a little nervous wondering if he had just killed someone by prescribing the wrong medicine. He grabbed his clipboard, jacket and stethoscope and went to go meet his first patient. “Mrs. Anderson, how are
The purpose of this journal is to reflect on my experience and skills gained during my clinical placement at Ben Taub Hospital. On my first clinical day, I was excited and nervous at the same time. My first placement was in the PREOP/PACU area. I was assigned to help a patient who had been in the PACU area going on 2 days. Normally, once the patient comes from surgery they are only in the PACU area for a short period of time before they are discharged home or given a bed in another area of the hospital. This particular patient still had not received an assignment for a bed. The physicians would make their rounds to come check on him daily. The patient was a 28-year-old Hispanic male, non-English speaking, he had a hemicolectomy. He had a NG tube, urinary Foley catheter, and a wound vac. My preceptor had just clocked in and she needed to check on the patient’s vitals and notes from the previous nurse. Once she introduced me to the patient and explained while I was there, she then asked me to check his vitals. (Vital signs indicate the body’s ability to regulate body temperature, maintain blood flow, and oxygenate body tissues. Vital signs are important indicators of a client’s overall health status (Hogan, 2014). I froze for a quick second. I have practiced taking vitals numerous of times and I knew I could do it correctly. I started with the temperature first, when I was quickly corrected on a major mistake I had made by my preceptor. I HAD FORGOT TO WASH MY HANDS and PUT
Technology is transforming the medical field with the design of robotic devices and multifaceted imaging. Even though these developments have made operations much less invasive, robotic systems have their own disadvantages that prevent them from replacing surgeons all together. Minimally Invasive Surgery (MIS) is a broad notion encompassing a lot of common procedures that existed prior to the introduction of robots. It refers to general procedures that keep away from long cuts by entering the body through small, usually about 1cm, entry incisions, through which surgeons use long-handled instruments to operate on tissue inside the body. Such operations are directed by viewing equipment and, therefore, do not automatically need the use of a robot. Yet, it is not incorrect to say that computer-assisted and robotic surgeries are categories that fall under minimally invasive surgery (Robotic Surgery, n.d.).
After I got the assignment, I met my nurse, introduced myself and took the report of the patient. I went in my patient room and introduced myself. I took patient vitals and documented it. With Professor Zentis I did physical assessment. Her fundus was firm and midline 2 fingers below the umbilicus. The patient had scent lochia rubra. Mrs. M has 6year old daughter and concerned that she is not sure the right positions to feed baby. She also had incision pain
My experience during the surgery rotation was a good experience and interesting. The most interesting of them all was the hysterectomy procedure. The procedure was done by a robot, which I found intriguing. What I learned about this procedure is that it requires an abundant amount of team work; one task can not be performed or done without the help of someone else. I also learned that everyone has a responsibility. What I also found interesting was that the patient did not have to be cut open for the removal of the uterus. I was surprised at how small the uterus and ovaries really are. The reason for the procedure was stated that the patient was having problems with pain and heaving bleeding from their uterus. The procedure lasted around thirty
The medical field has revolutionized the health and well being of society. Throughout the decades, the medical field has been through sweeping changes that leave society astonished. It seems like each year that passes by, there is a new technological advancement that modernizes the medical field. Not only do these advancements modernize medicine, but they in return aid doctors, nurses, and specialists by improving their effectiveness within the field. About ten years ago, the da Vinci Surgical System was introduced to hospitals and the medical field, in general because the FDA had finally approved the system within the United States (Dunkin). The da Vinci Surgical System, also known basically as robotic surgery, introduced the use of a