Monday, April 20, 2009
Rotation - V, VII
It is not easy getting up at 5:00am to make it to a location across campus by 6:00am, but it is possible. I know because I have done it before. It’s true. The simplicity of the Wellness Center is probably what I love most about it. Last semester (Fall 2008), it took a long time for me to see the relevance in all of this; it just felt like something was missing. But when it all comes down to it, the stuff they (strength coaches) do is just as equally important to what we (athletic trainers) do, but, in its own way. It became clear to me I don’t have to be as well-versed in the terminology or technique as the strength coaches, and vice versa, but it wouldn’t hurt to know a little bit, or give an effort to learn. So, I did.
The first thing I did was I took notice of which teams came in for workouts, and their beginning-to-end time, the intensity dynamics of their workouts, the specific body parts that were being focused on, and how well that translated into their success on their respective playing fields. This is a lot for 6:30am, and probably comes as no surprise why I found there to be no relation. But what I did find was athletes do not like to waste time, and they like to be challenged. How is that relevant to athletic training?
Well since I live on-campus and am in a position of authority in the residence halls, as a result, I talk to my residents, most of which happen to be athletes, and they like to know about their bodies. Most importantly, they want to know how they can tell if the treatment they are being prescribed is actually working. To hear the athletes’ thoughts were interesting because few actually questioned the effectiveness of the modalities treatments, while none questioned lifting weights. However, some noted their ability to exercise/practice/work out more efficiently was a result of the treatment they received from the Athletic Trainers. Go figure.
The bottom line is, you will not find the Wellness Center on many students’ lists of all-time favorite rotations, but there is a lot one can take from their two week stay. The tidbit of information I got may not seem significant, but in fact, it 1) gave me some valuable insight that will help me with an angle I’m taking in my Upper Extremity Evaluation course, and 2) provides another set of questions that is relevant when taking an injured athletes’ history.
Monday, April 13, 2009
Rotation VI
The health clinic rotation was very beneficial in the sense that it allowed me to put my history-taking skills to test. My time was spent checking-in patients, most of whom were students, and taking vitals. From there, I would place them in designated doctor’s office depending on what they were there for; for example if they were there for female-related issues, physical examinations, blood work, or a simple check up.
What I liked from the very first moment is the nurses gave me an informal orientation about what to expect and what things I can do, and cannot do, and where to go if I had any concerns. There was no underestimation or condescending questioning about my abilities to perform, only expectations and offerings to help if needed. From that moment, I knew this would be a fantastic rotation. Everyone in the health clinic was fun to be around from the doctors, the nurses, office staff, and even the nursing students, unlike some other rotations where everyone seems to want to ‘one-up’ each other, which creates less cooperation and more competition. Here, no one had anything to prove, and I liked that.
Having McMichael there also added to the easiness, because, simply by chance, he dealt with more patients that required lab testing, blood work, etc. done, so when I would get a case, I could just ask him instead of asking the nurses. I like environments where we can use each other as resources instead of always asking the instructor/CI first. And besides, the nurses picked on him all the time haha
There were a variety of conditions I saw from a broken foot, to prescription refills, to what was the biggest abscess I have ever seen (picture or person) on a young woman’s axillary fold. Contrary to what most believe, I did not have one patient there for STD/STI related-reasons, unless they just were not comfortable telling that to me, in the two weeks I was there. The easiest patients to take history’s on were those who suffered orthopedic related injuries, which there were quite a few, and I gradually learned to ask really good questions with the cold/flu/sore-throat population. The hardest patients to take a history on were the three individuals who wanted consultation about the depressive symptoms they were experiencing. Being that is a sensitive subject, I tried to make those ones as quick as possible for the patient and myself.
Another unique aspect of this rotation was the fact I lived on-campus, and there were a good number of times when patients recognized me, and I recognized them. Being a Community Assistant in the residence halls, the most awkward moment came when one of my residents came in, and I tried to avoid bringing it up during the history, but she brought it up so I played along. I was just happy it didn’t make her uncomfortable.
This rotation was very socially and educationally pleasing. The time spent here was so long but it seemed brief because of the fun and interesting stuff to do. I am sure the women in the front office did have something to do with that, also.
Thursday, March 26, 2009
East Texas loves Dilla


Monday, March 23, 2009
Rotation - IV
The ER is an enjoyable clinical rotation because it is as close to real-time action as we are going to get during our first year. Arguably the Physician Assistant rotations are comparable, but the ER and ambulance gets the edge, in terms of real-time involvement and interaction, while the PA rotations are beneficial because of the practical knowledge gained, and its immediate use in the classroom.
I personally find the ambulance ride-outs to be more pleasant than the ER. Watching the EMT’s work is quite fascinating. In some ways it is similar to the work of an Athletic Trainer, in their abilities to process situations and the information being given to them, decision making, and communication with patients through question asking.
My time there was diversified with various events happening from kids playing with fireworks, heart attacks, to a double homicide, which I tearfully missed. The Monday I was there had already been a quiet day, and it just continued through the night, which according to the men and women there was a “good thing.” We began with a few transfers, where the ambulance provides complimentary rides back home for discharged patients. We traveled some distance to the outskirts of town and instead of heading back to central station (Nacogdoches Memorial); we stayed at the South Station Firehouse where I got the chance to hang with some firemen. They noticed my SFA Sports Medicine shirt and we talked about…yep, you guessed it, SFA Sports.
The following day, there was a new EMT who had just found out he passed his licensing/certification (?) which made him a full-EMT, if that is the correct term, so he was being congratulated and being given a hard time from the veterans of the group. After all the excitement and energy subdued, there was a call about a woman, who according to the EMT’s was a “regular,” experiencing severe chest pains and thought to be having a heart attack. As we approached the housing community where she lived, the ambulance stopped as we had to wait for the police escort into the facility. I thought that was interesting as someone could be dying at the moment, yet, our safety doesn’t trump hers, but is just as important. There may be other reasons as to why that is, which I talked with the EMT about later that evening, but I didn’t think too much into it. They basically gave me the explanation that since there are sometimes a lot of children around, especially with there being a middle school next door, they tend to cut the sirens and hopefully preventing a crowd from gathering, and the police helps with that effort. Gotcha! They later joked about the projects being not as scary as some other parts of East Texas. This is when one of the EMT’s proceeds to tell me about the small-town communities off the loop, where the locals don’t wear shoes, and have been known to walk around on all-fours. The EMT’s continued to say, “Now in those places, we definitely need the police escorts!” When we got back to the ER, the woman was treated for ulcers on her hands and problems unrelated to heart attack signs and symptoms.
The very next day was the much-heard double homicide involving four men in what seemed to be a bad drug deal. The EMT’s gave me all the details and were very distinct in their descriptions. I am unsure if I would have wanted to witness that, but the story was definitely intriguing as this one man was outnumbered and took on three other armed men. The EMT’s speculated whether the victim was a former soldier of some sorts, because the fashion in which he took out one of the other men, and because of the army-issued weapons and knives that were found at the scene. It must have been a wild sight.
Overall, this was a very fun rotation. I think the best way to sum it up is with the words of most of the EMTs, “you just really never know.” I think I learned more about people and interaction than practical and useful stuff directly related to Athletic Training.
Saturday, March 14, 2009
25 Random Things....yada yada ya
Tuesday, March 10, 2009
This one is for Dilla
Sunday, March 8, 2009
Rotation III - Softball
Sunday, February 22, 2009
Rotation II -
Friday, February 13, 2009
New pieces!!!
Monday, February 9, 2009
Rotation 1 - Men's Basketball
My first clinical experience for spring 2009 was Men's Basketball (MBB). Having this as my first rotation could not have been better! The Athletic Trainer in charge of basketball is Troyce Solley. The Level II is Dustin. I find it hard to believe there is a better clinical experience. This rotation fills a void that can't be replaced, especially for the things I look for the most in quality experiences...
1. Educational opportunity - Stop for a second and think! In this type of environment, the only reason you do these things is to hopefully learn! Now, I am a patient man, but I personally do not see the point in doing meaningless things if there is no opportunity for growth. With that in thought, MBB was the ideal rotation because Troyce does an excellent job of combining just the right amount of instruction and involvement. He sets reasonable expectations and grants you just enough freedom that you do not feel confined to any strict set of rules. Although there are not many injuries that occur in basketball compared to the various contact sports, there were still plenty of chances to check for learning. I had the pleasure of sitting through explanations and demonstrations about special topics like pain tolerance, and hear views on what sets apart one particular player from another.
2. Involvement - I never once felt alone during this clinical experience. Troyce and Dustin both managed to find time to make sure I knew what was going on. I think this may just be a by-product of their personalities, but if it isn't, they did an excellent job of not dumbing-down any aspect of treatments, practice/game setup, rehab, or anything related to daily operations.
3. Teachable Moments - Although there were no new major injuries, the ongoing treatments of old injuries were just as good to be a source of learning. I feel there was not ever a moment where I did not know what was being done in terms of treatment, updates and changes in treatments, player conditions, and introductions to new methods being tried.
4. Environment - The coaches and players on the team truly respect what the athletic trainers do, and are grateful for the service they provide. The players say "please" and "thank you," and they also fulfill their responsibilities of informing the staff of their progress during rehab or post-injury. From my observation, I think this is a derivation of Troyce and Dustin treating and speaking to the players like adults, and not talking them down. The respect definitely shows.
This clinical experience is definitely a quality experience. MBB ranks #2 on my list of best clinical rotations so far. It will be tough to beat. And not to mention, the team went 3-0 with my presence.
Wednesday, January 21, 2009
Please excuse me while I become a PROfessional
Tuesday, January 13, 2009
Introducing...Bruce
Monday, January 12, 2009
From that, to this...New diggs
Sunday, January 4, 2009
Jean Ringo, I will NEVER forget you - NEVER!
Thursday, January 1, 2009
USF Champions Remembered

Now gone, Sen. Claiborne Pell
Sunday, December 28, 2008
Personal Carmeli pieces
Saturday, December 27, 2008
Carmeli *Live*
