Public programs require certain kinds of documentation that are not taught in school. They do not follow SOAP format. They defy logic. They are copious. They took up a lot of newFNP's time today.
NewFNP has to confess that she unloaded so many compaints to a fellow new FNP tonight that she have little left to share. A synopsis: 5 patients, all Spanish speaking and one requiring a corneal transplant as far as newFNP can tell. With 5 patients, who can really complain?
An aside: to those interested in the national debate regarding universal coverage versus health savings accounts, there is an intersting article in the New Yorker this week. Malcolm Gladwell examines the concept of moral hazard and how it plays into the Bush plan for health care. He looks at its underlying theory and offers some arguments against it. It's worth checking out if you aren't super interested in getting an MPH but would like to have some insight into our national health care fiasco, er -- debate. http://www.newyorker.com/fact/content/articles/050829fa_fact
On tomorrow's agenda: pediatric well visits. Ah, the sweet, sweet world of squirming babies, defying newFNP's attempts to visualize their pearly TMs. She can't wait. They are sweet, those babies, but why do they hate to show their TMs?
Things newFNP learned today:
1) Seb derm - on an infant, you can use baby shampoo. Leave it on for a couple of minutes and then give it a massaging scrub that you would tip $10 for in a Soho salon. Tenacious seb derm in an infant? Give it a little 1% hydrocortisone for a week. Don't go crazy though! We all know the pitfalls of the topical steroid on fresh baby skin.
2) NewFNP hearts ePocrates. Shameless, she knows, and they don't even pay her. But bless them.
3) Bring snacks. That is no joke.