Monday, August 09, 2010

Continuing edu-vacation v.2010 part 1

NewFNP is so excited to be away from clinic for a week. Why is taking care of people so exhausting? (And rewarding, of course, but still exhausting!)


In the last week, the clinic was absolutely overloaded with patients, both in volume and acuity. A chief complaint of lab results twice revealed patients with GFRs in the teens. A chief complaint of staple removal revealed a young woman needing the staples removed from the incision in her wrist where she had tried to kill herself. Three likely cancers. One repeat teen pregnancy.

NewFNP is now lounging poolside, beverage at hand, chic new Pixie hairdo getting lots of compliments. She is at CME and she is recharging her batteries. She is somewhat concerned that her batteries need recharging after a mere four months back in full-time community health practice. She does, however, know that one thing that will always recharge newFNP's batteries, aside from J. Crew cashmere and coddington platform suede heels, is a (possibly) inadvertently hilarious comment at CME.

In discussing the newest ACOG pap screening guidelines, an OB/GYN and head of newFNP's state family planning program mentioned that one need never perform pap screening in a woman with a vaginal cuff after complete hysterectomy for non-malignant concerns. He then noted, "This one has been slow to penetrate into clinical practice."

Really? Really? Slow to penetrate, huh? As BostonFNP's dad once said, learning without laughter is like a day without sunshine. NewFNP's day was full of sunshine with that one.

Bring on the double entendres, the dorky medical jokes, and the alcoholic beverages. Because newFNP is on edu-vacation!

3 comments:

npsusan said...

Reminds me of the clinical presentation at the seafood restaurant and the subject was BV!!

NP Odyssey said...

Recharging your batteries is a good thing.

Whatever it takes on a personal level, just relax.

Or if needed let loose and have some fun with no remorse for what happens. It is an educational form, but a get together forum as well :)

Anonymous said...

If I went by the guidelines for the pap smear screenings, I myself, would not be here at this time. No real history, regular paps-- then one year bam.. gotcha.. Had to deliver my last child via c-section due to so much cervix removed, the mechanism for dilation is gone.. Well hell, they were amazed I got pregnant in the first place.. I have a year left to graduating the FNP program here at SU and love your posts.. Still trying to figure out where my place in the world will be... UGH... Thanks, Lynda