Today was my new NP student’s first day of clinical placement with me–and actually his first NP clinical placement ever. Good thing we started with a community healthtastic marathon. In 6 hours we saw 2 new patients who both had cocaine-induced heart attacks and hypertension, 2 other patients requesting narcotic refills, a patient with severe anxiety who claimed that the paroxetine “almost killed me as soon as I took it” but the xanax from her previous doctor “worked perfectly,” a woman with psychotic tendencies requesting “all my medications, because I just got mad and threw them all in the trash 2 weeks ago,” a man with Hep C, cirrhosis and ascites, and a woman who declined to let the male student observe her pap smear (but ,oddly, let her 5 year old daughter take pictures of her on her cell phone during her breast exam). That’s right, NP student, one day this will all be yours! Get ready for it.
Welcome to your new career January 15, 2010