So my last post was during a very frustrating game of phone ping-pong with the Oregon Medical Board and the United States Postal Service. End result was that my "missing" registration form that I mailed in was finally found...and thank goodness, because I was about to drive up to Portland and look for the damn piece of mail myself!
On a happier note, I really like my job so far. I finally saw some patients "on my own" today (rotation style: I went in first followed by the regular PA). She said she agreed with all my findings and diagnoses, and seemed impressed that I could actually see most TM's clearly despite squirmy kiddos with lots of ear wax. I didn't realize how much I missed seeing patients!! I had a blast talking to the parents and making funny faces at the kids. I still have a lot of medicine to learn, and some forgotten medicine to remember, but the love is still there, and that is the most important thing.
On a less happy note, I get heartburn now....way too often. Thinking of starting myself on a daily OTC H2 blocker or PPI. What a bother.
Random.
Jen
Friday, September 25, 2009
Would you like some cheese with that WHINE?
Posted by Jen B. at 10:55 PM 0 comments
Licensing and Credentialing SUCK
Holy moly the Oregon Medical Board needs some serious re-vamping. A million days later, I should be getting my official license number today. Now, it isn't that the delay is completely the board's fault (my fantastic supervising MD failed his questionnaire the first time) but come on...I overnight mailed my registration paperwork and apparently the lady on the phone says it STILL takes two days AFTER they receive it to process it. TWO DAYS. It cannot possibly take two days to open an envelope, take my money and check me off a list. (edit: the lady at the board just called me back...they haven't even received my registration form yet...wtf?!?! Damn post office).
Anyway, licensing is such a big deal because my credentialing paperwork cannot be turned in until I officially have a license number. Apparently credentialing (getting my name in to the insurance companies so they will cover the services I provide) takes FOREVER, meaning that it will be FOREVER before I can see patients on my own (which we are still hoping will happen Oct 5th, but it is now looking doubtful).
For the last four days (and today) I've been shadowing with a bunch of different providers throughout the practice. Monday was all day with my supervising MD at the Redmond office, which is really nice, the Tuesday was at the West Bend clinic with one MD in the morning and another in the afternoon. Wednesday and yesterday was at the East Bend office with a similar schedule (two docs each day) and today I am finally with a PA for my whole shift (and it is an evening shift to boot!).
Mostly everything has been going very smoothly. The licensing crap is the most frustrating, followed by some IT issues (I have an email address...but can't get to it?). The medicine is good...I'm less afraid that I will kill a child at this point, but still very wary. The day tends to be split 50/50 with well child checks and sick visits. Yesterday I saw so many 6 month old well visits that I was able to memorize one of the doc's "spiels." I've also memorized the recommendations for seasonal and H1N1 influenza. Every single parents asks about the swine flu at every visit. Seriously. 100%.
Anyway, time to get in the shower and get to work....and track down my registration form.
Jen
Posted by Jen B. at 11:04 AM 0 comments
Saturday, September 12, 2009
Stuff
A lot has happened in the past two weeks, but I'll briefly recap the important stuff:
I took the boards (passed)
I got a job at a peds clinic in Bend
I moved to Bend
Funny how life always seems to work out...I was terrified of not getting a job, and now I've gotten one that I really think I'm going to LOVE! My first day will be Sept 21...I'll shadow MD's for a week, then mid-levels for a week, then the 3rd week I see patients on a 1/2 schedule (each appt twice as long) and then the 4th week, it's sink or swim! Learning all I need to know to be a good pediatric practitioner wont be easy, but I'm totally up for the challenge!
Living in Bend is awesome. We have a great house we are renting that is close enough to the Old Mill District and downtown that we can ride our bikes to almost anything! CJ and I have both been on vacation the whole last week so we spent it exploring and hiking and riding bikes, and it's been great! I do dread the thought of the freezing cold winters, but I'm sure I'll get used to it.
So, for now, I'm on vacation before starting work...spending some time in Seattle with family and friends, and remembering why I love this city so much. Back to Bend next week....
Jen
Posted by Jen B. at 7:49 AM 0 comments
Saturday, August 22, 2009
Smudge cells = chronic lymphocytic leukemia
My schedule for the next few days:
Tomorrow (my 26th birthday): Study. McKenzie's at 11am until 5 or 6, then sushi with CJ at Todai, where you eat for free on your birthday. Brilliant.
Monday: Study in the AM, leave at 1pm to drive to Bend for a 5pm interview at a small internal medicine clinic. Drive back to Portland right afterward.
Tuesday: Get up, drive to my dad's in Seattle. Study.
Wednesday: Study.
Thursday: PANCE. Have one drink. Drive back down to Portland.
Friday: Drive to Bend to shadow for a few hours at the peds clinic. Drive back that day.
Saturday: CJ and I are throwing ourselves a going away party (yes, you're invited).
Sunday: Sleep, be hungover, eat, relax.
Next week....???? I HAVE TO get to Seattle for some actual FUN time with my family and friends. I am starving for some Sea-town love.
Yes, I'm nervous. Yes, I wish I had more time to study. No, I won't postpone the test. Why? Because I can do this. I know I can. I am going to channel the little engine that could and just push through.
Nothing else.
Jen
Posted by Jen B. at 8:39 PM 0 comments
Monday, August 17, 2009
TItle Change
I changed my blog title as "Fifteen Months To Freedom" was no longer applicable...
Posted by Jen B. at 4:13 PM 0 comments
Friday, August 7, 2009
Another New Chapter (another picture essay)
I have really enjoyed the last few chapters of my life:
College chapter: I probably had more fun at college than you're supposed to. I got to live with my best friend, learn about stuff I was actually interested in, try all sorts of new things, and of course, party, party, party. I was adventurous and carefree, and it was wonderful. Of course there were some growing pains, heartbreaks and other life lessons, but they paled in comparison to the fun I had. Truly, the best years of my life.
Post-College chapter: I left my carefree world, and entered the real world....harshly. I got a crappy job with crappy pay, and lived in some VERY crappy apartments, but I was also starting my life with CJ, and that softened my world.
I learned that landlords can be terrible people, rent is not always based on the actual value of the property, and that life is very, very expensive. Especially when you live in Seattle. I also learned, however, that CJ and I made a great team, and that I had some wonderful friends who were always quick to invite me to sushi or happy hour, just so we could gossip and forget our woes for an hour or two.
PA School chapter: It was what I'd been waiting for, finally, I'd been accepted. I was ready to learn my craft. I was so hungry for knowledge, and PA school did not disappoint. There were dead bodies to poke at, midnight study sessions and days I was so mentally exhausted that I had to take a nap on the exam table in the breakout rooms, (so what if I missed another boring Schnabel lecture?!?) The greatest part was the camaraderie...we were all in this boat together, and we were determined to get through it together. We were competitive, but mostly with ourselves, not each other. Study guides were emailed to everyone, spontaneous tutoring sessions arose out of nowhere and when it came time to leave on rotations, we supported each other in every way possible.

Which brings me to part 2 of PA school: I was so scared. SOOOO scared. The nauseous on a daily basis, grinding my teeth at night, kind of scared. I faced challenge after challenge, and spent so many weeks away from anyone I knew. There were some miserable days, crocodile tears and wistful phone calls home, but there were also victories and crazy fun times that were unexpected, and those are what I really remember. I have to thank Curtis for his "call a PA student day" phone calls...I remember feeling so alone in Havre, Montana, getting one of those phone calls, and feeling so much closer to home.
And every PPS, it was like nothing had changed, except I couldn't believe how smart all of my classmates had gotten, and I hoped I was keeping up. Suddenly, I realize that our next August trip to the Forest Grove campus will be our last...and this time we are getting our real white coats. Even as I type it, I don't believe it.
The NEXT chapter.
I don't know what else to call it...the Bend chapter? The career chapter? The getting-married chapter? All I know is, I have a wedding date set for 11 months from now, two interviews for physician assistant jobs, and tonight, CJ and I are leaving to Bend to find our next home. It's overwhelming. It's fantastic. I had visualized myself going to PA school since I was 17...but I had never quite gotten around to picturing what would happen after. Now, the future is opening up to me, and things are uncertain, and new, and it is again an adventure. It could all go horribly wrong, but it never has before, so I have to imagine that it is all going to be perfectly right. I've worked hard to get here. I've finished my schooling completely. I'm primed to reap the fruits of my labor. Of course I'd feel better if I had a job offer nailed down, but compared to how I felt last week, I'm just thrilled an employer called me back, nonetheless to have two interviews.
I think of how far I've come, and the only thing I can really think of is how many people helped me get here. My family, foremost. CJ. My best friends in Seattle, and my new best friends here in Oregon. My professors, preceptors, their nurses and support staff, and a few other random people who have helped me along the way, like the nice guy who towed me out of a snow bank when I spun my car going over Blewitt pass at night, the cop in Montana who didn't give me a ticket for speeding because she liked PAs so much, (even the cop in South Dakota who gave me a ticket anyway, but was nice about it). Then there are the people I've lived with: Michelle in Oakridge, Oregon, who not only let me rent a room from her, but gossiped and drank vodka tonics with me nightly, and invited me to Bunko with her friends.
Sarah, the MD student who ended up stuck in Havre, Montana with me, and let me drag her around town for some company.
Amanda and Sabrina, who not only let me share their house for 4 months in Coeur d'Alene, Idaho, but taught me to drive in the snow, let me join their social circle, and became two of the best friends I've ever known.
Melody in Brewster, Washington, who let me rent a room from her without knowing who the hell I was, and made me a cup of tea the first night I got there because she knew I'd had a rough drive.
The Gerberdings in South Dakota who were more hospitable than any family ever has been, gave me my first taste of pheasant and venison, and let me tag along to the kids' recitals and practices as if I were another member of the family. And finally, Tonya, Janell Gerberding's zestful medical assistant, who took it upon herself to make sure I had a good time in South Dakota, and succeeded!
I have been blessed. Perhaps this next chapter should be about giving some of that goodness back to the world.
Bring it on.
Posted by Jen B. at 9:06 AM 1 comments
