This past fall my husband had several hospitalizations, culminating with the planned re-admission for surgery which we thought would pretty much clear up his recent problems. The day of surgery, we had no clue that his surgery would take over 7 hours, and end in him being placed in the ICU. But even then, I was positive that it was just overnight after a prolonged aesthetic. It wasn’t, it was the start of a two week nightmare that found me floundering. While I work a a very large Academic Medical center, Palliative Medicine is still in its infancy. So our Service consists of me and my NP( and of course SW and Pastoral Care). At the end of the first week, knowing my husband’s feeling about life prolonging care, I began to get concerned about who would I look to, if I needed advocacy as the patient’s wife? I called Pal 4 Med. I don’t recall the name of the doctor who spoke to me, listened to me cry, and provided both solace and suggestions, but she was great! And she called back several days later, too. I was able to think more clearly and make some plans. I even was able to suck up the courage to take my boards . Yes, he was still on the vent on Nov 16th, when the exam were administered, and my brain was Swiss cheese, but the testing center was only 2 miles from the hospital and my sons stayed with him, while, I played with the computer.
In an effort to keep you on the edge of your seat, I am finally posting my last summary of Board Review Course – day three! Of course the delay has nothing to do with the craziness of my life and the concept we refer to as life-work tight rope walking. Balance is a bit … Read moreBoards Just Around the Corner
The second day was just as intense as the first- fabulous speakers and a review of important information. Here are some pearls from the second day of AAHPM board review course: Dyspnea: (Vincent Jay Vanston) -Total Dyspnea has 4 domains: Physical, Psychological, Interpersonal, Existential -Must address all domains to adequately control Dyspnea -When possible and … Read moreDay Two of Intensive Review…
Some hospice and palliative care programs are helping physicians in their communities to qualify for board certification in hospice and palliative medicine (HPM), offering “practice pathway” opportunities to accumulate necessary hours of caring for patients while learning the medical subspecialty on the job.
Lifelong learning is imperative in the medical profession- especially for physicians. Then, every 10 years this knowledge is tested by the American Board of Medical Specialty to assess one’s foundation of knowledge. I understand tests are important, yet rarely have I found them fun and exciting. For me, every board exam causes stress and high … Read moreSix month countdown to the HPM Boards!