Monday, January 11, 2016

Day 1 of clinic

Sunday was a pretty relaxing day spent in a small beach/surf town 1 hour away
We got to experience the food, shops, and beach.  One dollar fresh made empanadas while sitting in the sand were phenomenal 
The group spend the last night before clinic began getting to know each other.  We have really meshed well but you could sense some anxiety about clinic beginning 

The walk to the clinic was about 15 minutes but today we took a truck to bring all of the donations

When we arrived 3 patients were already waiting outside ready for us
We quickly got unpacked, organized our supplies, and split into two groups.
Each consisting of a group leader, someone who spoke Spanish and both years of PT students

From 8 to 1:30 our group evaluated and treated 5 patients and the other group completed the same amount.
After lunch we saw another 4 patients per group until 530
We had a wide range of patients from age to diagnosis and functional level
The youngest patient seen today wa s 8 months old with slow developmental progress and hypotonic. All the way up to a 90 year old man with severe bilateral knee Osteoarthritis which has severely limited his function.
The focus for me today was to let the students get used to asking questions, struggling with the process, but also thinking critically.
They all did a great job applying what they have learned and know to really
Make an impact today.

To see first year students thinking critically and interact with a patient with confidence and poise in a new situation and different language was phenomenal.

For myself it was great to apply the residency training I received with UVA-Healthsouth. The evaluation and thought process really streamlined the treatment plan and helped me to feel confident that if I can only see a patient one time I am giving them the best care and long term plans that I possibly can.

It was very different to sit back and have more of a teaching role with the students. At first it was very hard but as the day went on I enjoyed the experience a lot. None of the students have learned about the spine so I get to treat all of these patients while still showing skills to the students 

The most rewarding patient interaction today for myself was a 34 year old male with a report of a disc compression injury two years ago. He no longer works as a fisherman or plays soccer due to his pain. His symptoms stayed very local to his back but he was very afraid to move and had severe cramps with each motion.
We spent time talking about his back and really worked on movement patterns and how positive the motions were for him.
After the talking, motor planning, joint mobilization, and exercises he left with full motions, 1/10 pain, and will be playing soccer between now and Friday when we see him again.
It is hard to see such great in session changes with an evaluation and even harder in a different culture and language so it was great to experience.

As a group we had a great reflection and sum up of the day



Excited for day 2!!!








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