Cardiology Rotation

What a fantastic rotation to start off with at the hospital!  The environment in the service has this ambience of low stress.  The doctors are extremely low-key and patient with you.  On average, each student is getting only one case a day, so you don’t feel like your insides are turning to mush with the burden of keeping up with multiple tasks.  If you are like me, I love to slowly inch my way in the water before submerging into its depths.  Baby steps is my safe haven before I’m thrown out in the wild to defend for myself.

I also am glad I took this rotation first because I can appreciate heart and respiration sounds better and apply it to future physical exams.  Now, instead of just finding the heart and getting only the heart rate, I am patiently listening to all the chambers and areas within the heart on the right and left side of the body.  I am also taking the time to feel for the pulse (usually the femoral arteries in both hind limbs) while at the same time listening to the heart to see if the pulse is synchronous with each heartbeat.

A senior student who was working in my rotation said something that was very insightful, and I would love to share it with you:

Think of every rotation like a cycle.  The first week, the doctor will ask you questions, and you will struggle answering them (just make sure to review later).  The second week, you’ve now got your hands dirty and have a better understanding for the given specialty you are currently involved with.  Third week, you are more confident with your answers and techniques. Then BAM.  A new rotation commences, and the cycle repeats itself.

It’s a cool way of approaching a new rotation because it forces you to have more humility.

A new heartworm treatment protocol is now available for veterinarians to use, and it’s found here:               http://www.heartwormtoolkit.com/

Here were other great websites to use while on this rotation that helped me:

http://www.vetmed.ucdavis.edu/vmth/small_animal/cardio_kittleson/cases/cases.htm

http://www.rvc.ac.uk/Review/cardiocases/  (just one case though…)

 

 Here’s what other people had to say about it!

(What was Orientation Day like?)

-Our time to arrive was nice (8:30am). We had instructions emailed to us 3 days before orientation day, and attached to the email was an orientation packet and 17 articles to look over (common things you will see in these patients). All we needed to bring was our stethoscope, pen, and a small notebook. The appointment schedule will be on the board. The discharge instructions for these cases are located in the box just below the board. You are asked to go ahead and sign up for a case on the first day. You are also asked to write your phone numbers on the larger board in the upper right-hand corner.

The doctors chose to have juniors shadow seniors for the first day (won’t be like that when the seniors leave). You go do your Hx first then a tech comes in to do the patient’s BP. Then you present to the resident, she comes with you and does another Hx and gives potential dx test costs before taking the patient back for further exams.

 

(Average Daily hours on duty?)

8AM-5:30PM

 

(What is the attire?  When do you change into scrubs?)

-First Day- One of the seniors told me this. “Usually, on ‘Receiving’ days, where you see appointments and greet the clients, you are supposed to wear business casual with a white coat. On ‘Surgery’ days, where you go to the OR or do procedures, you are supposed to wear scrubs with a white coat. Cardiology is mostly a “receiving” type of rotation, therefore ideally you should wear business casual with a white coat and deal with it if you get peed on.

-Doctors didn’t seem to care in this rotation/ didn’t bring it up

 

(What do doctors/residents/techs constantly harp on?)

-Know where to place the leads! For an Echocardiogram- “white on right” on right side (placed on the footpad) & “smoke over fire” where the black lead is on the left footpad of the forelimb and red on left footpad of the hindlimb

-ECG leads- placed distally to the elbow on both forelimbs are the “newspaper” leads (white on right & black on the left)/ placed distally to the stifles are “Christmas colors”. Patient is placed in right recumbency and the two leads placed on that side on the ground are “snow on the grass” (white on forelimb & green on the hind limb)

 

(What are some struggles to watch out for?)

-When tapping a patient during pericardial effusion, designate someone to always watch the ECG. Any sign of VPCs (ventricular premature complex) running in couplets, triplets, or more, inform the doctor (they will then inject lidocaine via IV). Patient can go into sudden V-tach and die! VERY IMPORTANT!

 

If you had the Cardio elective, keep the ECG sheets. They will give you another ECG packet to work on, so review them

 

(Words of encouragement)

-These doctors/residents/techs are wonderful! Super easygoing and chill. The material of the heart is dense, but they are great teachers who are patient and will do their best to help you get through it.

 

(Difficulty Level (1-3)? 1= It’s a breeze/ 3= really difficult workload)

(1)- had 1 case a day, and sometimes had to pair up

 

Through Him!

~Camille

Psalm 34:8
“Taste and see that the LORD is good; blessed is the one who takes refuge in him”

 

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Finals Already!? (Spring Week 3)

Week’s Itinerary= Cardiology, Neurology, and Respiratory Disease Final Exams

The time has come for finals, and it is only the 3rd week of school!  I am still writing to you today, which means I survived through it all 🙂  I only had 2 finals this week, but I am also including my respiratory dz final that was taken the Monday after this week.

Even though I had to prepare for all of these exams, I decided to go to Florida to be a part of a Conference called by NAVC (North American Veterinary Community).  I highly recommend going to this conference at least once during your veterinary career.  Also while in Florida, I got to meet up with my best friend who lives in Florida and go to Islands of Adventures for a day.  It was a wonderful weekend!

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After all of this enjoyment, reality sets back in.  Time to focus!  My first final this week was Cardiology taken on Wednesday.  No midterm was given but only this final, which is 100% of my grade . . . scary thought.  I was nervous, but I still had total peace during my study time.  The information was more clinically relevant than the physiological approach from freshmen year.  My heart was pounding when I heard that the grades were posted, and I found out I got a B!  Thank you Lord!

Neurology was the next final taken on Friday.  It is so difficult to recharge and focus on another course right after taking an exam, but it had to be done.  Fortunately, one of the professors scheduled a review session the day before the final, and it greatly prepared me for the exam.  I strongly encourage going to the review.  I learned so much from that hour that will help me 10 years from now in practice.

Respiratory Dz was the very last final for my core semester.  I was so thrilled to almost be done yet very terrified because I needed to do well.  Fortunately, there were a little more questions provided instead of only 25 questions in the midterm.  Guys, after taking this final, joy bursted out from within me.  I am done taking core classes for the rest of my life!  Even though I have 2 more electives after this, my mind is now preparing itself for clinical rotations beginning in March.  I prayed about whether or not I should still write after each rotation, and I have decided that it will be beneficial to students after me to get a first-hand account for what goes on in the hospital.  Also, we are the first Class to go to the new hospital, so I believe it will be nice to share my experience in this new environment that no other student has been through yet.

Through Him,

~Camille

Habakkuk 2:1-2= “I will take my stand at my watchpost and station myself on the tower, and look out to see what he will say to me, and what I will answer concerning my complaint.  And the Lord answered me: “Write the vision; make it plain on tablets, so he may run who reads it.”

What a Surreal Week (Spring Week 2)

Week’s itinerary= Neurology and Respiratory Disease Midterms

This week has been one of the most surreal experiences of my life.  If anyone has ever taken midterms on the 2nd week of school, please have lunch with me so that we can discuss the insanity of it all.  The Neurology final was taken on Monday, and I actually thought the questions were fair for the most part.  Compared to freshmen year neurology course, this course is taught way better, and it is very engaging.  The test was about 30 questions multiple choice, and the last 4 questions were videos of dogs with various gait abnormalities where you have to decide where the lesion affects the central nervous system.

The format for the respiratory disease was a huge turn off for me.  Only 25 questions for an exam is not fair to me.  I really hope the final will not be this short.  I missed a couple of questions, which quickly brought my grade down.  Also, the material reminded me of taking bacteriology, virology, and parasitology class all over again.  Those were my least favorite classes I took in vet school because all I was doing was memorizing lists of diseases with their diagnostic tests and treatments.  Not a fan.

All right, next week is 2 finals, so I hope to survive this rigorous core semester.

Through Him,

~Camille

John 15:18-19= “If the world hates you, you know that it has hated Me before it hated you. “If you were of the world, the world would love its own; but because you are not of the world, but I chose you out of the world, because of this the world hates you

 

Freedom Awaits! (Week 11)

Week’s Itinerary= Musculoskeletal Final, SA Digestive Final, and Radiology

Guess where I am now . . .

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 Yep! I am at the beach with friends!

I am so thrilled that my core classes are finally over.  This week consisted of no sleep and eating delicious junk food as I took my last three final exams.  Monday was Musculoskeletal, and I was a little nervous for this one.  For one, it was the only final out of all the classes to be cumulative, and this final is 50% of our grade (hate this!).  It was all multiple choice between three professors with three different personalities.  You could tell which professor was kinder than the others based on their questions.

SA Digestive Final (not cumulative) was challenging,, but I surprisingly enjoyed taking it.  It made me feel like a doctor where I had to read a case and make very important decisions that will best help the patient.  It can be tricky because some of the questions can be subjective, but the professors are trying to prepare us to make decisions for ourselves instead of just memorizing information on slides.  I really appreciate that type of learning.

My last final, Radiology (not cumulative), was the day right after taking SA Digestive.  I was determined to learn all of that information before taking the exam.  I did not fail!  I managed to get a B (will take it in a heartbeat).

I feel so at peace now that I am done with everything.  Thank you for listening to my struggles and triumphs this semester.  Next is electives, so you won’t hear from me until December.  Can’t wait to share my adventures with you all soon!

Here are more pictures from my trip!

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Fish chowder by the campfire followed by smores and jacuzzi action!

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Uh oh!!  Yeah. . . on our way back from our trip, I experienced another freak accident that involved another animal.  We hit a deer!  It was quite a scary experience, but I am so glad none of us got hurt except for my friend’s totaled car 😦  Why do these animals keep wanting to hurt me!?  Honestly and surprisingly, my pit bull attack was way scarier than this because this car crash happened so quickly, and I didn’t see anything (just the impact, smoke from the blown airbags, and not knowing where we would stop and end up at was the only scary thing).

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Through Him,

~Camille

Psalm 34:17-20

“When the righteous cry for help, the Lord hears and delivers them out of all their troubles. The Lord is near to the brokenhearted and saves the crushed in spirit. Many are the afflictions of the righteous, but the Lord delivers him out of them all. He keeps all his bones; not one of them is broken.”

Finals Commence (Week 10)

Week’s itinerary= LA Digestive Final, Theriogenology Final

I finally made it to finals . . . what a journey!  The experience honestly felt as though I had been taking finals since the third week of school the way every week has been so intense.  So, here is how the last 2 weeks of what my core classes will look like:  this week is 2 finals (LA Digestive and Theriogenology (Animal Reproductive Medicine), and next week is 3 finals (Musculoskeletal, SA Digestive, and Radiology).

Last week, all of my exams and quizzes were completed last Thursday, so I had what I deemed a sufficient amount of time to begin studying for my finals this week since my first final began on Wednesday.  As a whole, I thoroughly enjoyed learning about the GI tract in horses, cows, sheep, and goats.  It was not as difficult as I thought it would be.  For this exam (not cumulative), there was a take-home portion (case-based short answers) regarding fluid therapy for sick patients and an in-class portion (multiple choice) regarding diseases of the liver and diarrhea issues.  Some of the material for the in-class exam portion did remind me of studying for bacteriology, virology, and parasitology all over again because of the lists of diseases from these critters we have to be concerned about.  I managed to do well in that class.

The last final for this week, theriogenology (not cumulative), was taken on Friday.  This time we had to learn about stallion, dog, and cat reproduction.  The material I was studying for was so organized and engaging.  However, they made the final only 25 questions like the 3rd exam we took.  I do not like this at all because there is not enough questions to buffer my grade.  The questions were also very challenging and picky again.  I hope I did well (Update:  Did fine!)

This past weekend, I took part in “AthHalf”, which is a half marathon (13.1 miles) celebrating music and art here in Athens.  I was inspired to run this marathon because a classmate of mine who lost 50 pounds decided to run this marathon.  After the 10th mile, I was ready to collapse and go to sleep.  My knees and ankles felt like they were going to dislocate, but it was all worth it! 🙂

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Here is me with church members my Bible study group are a part of.  I was able to finish in around 2:15:00.

One more week to go!

Through Him,

~Camille

2 Timothy 4:7= “I have fought the good fight, I have finished the race, I have kept the faith.”

Surprisingly Not That Bad (Week 9)

Week’s Itinerary= SA Digestive Quizzes #3 and 4, Pathology Pre-Test

This week was honestly not that bad!  We had a quiz or exam every day, but the experience was nowhere as stressful as the previous weeks.

The SA digestive quizzes were again tedious to study for, but very informative.  The professor helped us with one of them by uploading her power point slides with the same quiz material.  I highly recommend studying that before tackling the required textbook reading.

This was my last chance to try and successfully pass the next pathology pre-test. I didn’t pass the last one, and remember you need to pass with a 90 or better in order to not take the real exam.  The material for this exam was beastly and not fun to look over sometimes.  The focus was on pathological features for brain and central nervous system disorders, and I had to plow through a ton of material to get ready. Fortunately, I passed by getting 90 percent of the answers right!  The professor was surprisingly nice with her questions this time.  Thank goodness.  This meant I did not have to worry about taking the exam on Friday, so I hope my other classmates did well that day.

This past weekend, I went back home to help my aunt in Atlanta with a business project that Microsoft has been backing since this past summer. Her program is called “Global Education Consultant Group” and it aims to help students who are high school seniors or college freshmen interested in STEAM careers (Science + Technology +Engineering + Arts [newly added] +Mathematics).  Here is her website:

http://drelainebryan.com/services/gecg-microsoft-fall-stem-program/

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I helped my aunt with photography and met some of the students she’s working with. They are eager to learn how to become leaders in their field of study and to learn how to communicate and network their way into good jobs, or maybe even creating their own businesses.

If you’re a young person who fits this description, check out the website. Students in this program have met not only college recruiters, but learned how music promotion works from the managers who manages Usher’s career. Next month Jovita Moore, a news anchor at Atlanta’s channel 2, will meet with them.

I was glad to lend a hand with this great project.

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Here is my aunt, Elaine Bryan, discussing the program

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Here is one of the students who took part in the program last summer and is now an ambassador for my aunt’s company.  She created the new logo for my aunt’s foundation.  She is also interested in going to Pharmacy School and hopes to be an anesthesiologist.  Wow!

Through Him,

~Camille

Ephesians 4:29 ” Let no corrupt communication proceed out of your mouth, but that which is good to the use of edifying, that it may minister grace unto the hearers.”

Time to Prove Myself (Week 8)

Week’s Itinerary= SA Digestive Quiz #2, Basic Surgery Final Exam, Science Research Symposium

Even through all this madness, I am doing surprisingly well with my grades.  I am beginning to find a balance where I am not being blown this way or that by my surroundings. I am staying the course that God has graciously provided for me. In past semesters, I would occasionally be discouraged by professors, classmates, or even anything I saw displeasing in my environment. But now, I am beginning to stop worrying about every little thing that bothers my heart and spirit. Never let anything in your path discourage you from achieving your goals.

Small animal (SA) digestive quizzes are hard and adequate preparation takes up so much of my time.  We were asked to read two scientific articles about liver disease syndromes and the possible role of nutraceuticals (nutrition supplements that may act as medicines) for treating liver problems. Together, this assignment was more than 20 pages of pure intellectual dryness, assigned at the same time as studying for our surgery final.

Fortunately, reviewing for surgery was not that bad.  The final asked for short answers and was divided into surgery and anesthesia sections, just like the quizzes we’ve been taking. My advice is to review all the lectures and videos, and you should be fine.

Georgia Veterinary Scholars Program (GVSP) participants were required to present at UGA’s Vet School symposium this week. We presented our summer research findings to our peers and professors at the school, and not to an audience of basic scientists as we did before and honestly I was a lot less nervous.  My main goal was to make my talk as fun and engaging as I could, so that anyone could understand the experiments I did.

So I watched the audience carefully while I was talking. Some people smiled and nodded at the right times, but then I looked at others where their eyes were glazed over. Seeing that, I realized that I can’t make everyone understand what I’m trying to say. At least not yet.  My research included challenging material, and I now appreciate what professors go through during lectures.

You can learn more about my GVSP experiments in my post called “The Best of Summer”.

Through Him,

~Camille

Isaiah 30:41 “but they who wait for the Lord shall renew their strength; they shall mount up with wings like eagles; they shall run and not be weary; they shall walk and not faint.”