Class of 2016....how ya doing?

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I had 1 ultrasound question. But it was an obvious one. Also some rads questions but mostly those I could answer off presentation.

Toxicology questions were all fairly obvious. And not by picture. I started studying in July by doing a couple questions here and there and reading some of the power pages. I did not buy any resources outside of VetPrep (i'm sure it would be similar with Zuku). A friend of mine had the Mosby books for equine and I got through maybe 100 pages before I gave up on that plan.
 
dyachei said:
I had 1 ultrasound question. But it was an obvious one. Also some rads questions but mostly those I could answer off presentation.

Toxicology questions were all fairly obvious. And not by picture. I started studying in July by doing a couple questions here and there and reading some of the power pages. I did not buy any resources outside of VetPrep (i'm sure it would be similar with Zuku). A friend of mine had the Mosby books for equine and I got through maybe 100 pages before I gave up on that plan.
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Definitely not planning on getting excess stuff. I have VetPrep and the bf has Zuku so he and I are going to share the flashcards. I also have the NAVLE review stuff from vin which does like the top 20 for each species so I'm hoping I'll be okay.
 
Ophtho is crazy crazy busy compared to some of the other services, but I'm seeing some fabulous eyeball cases and I'm really glad I managed to fit this block back into my schedule. Also they see both equine and small animal cases, which means I have a painfully adorable horse inpatient who just wants to lick me to death. 😍
 
All this talk of NAVLE and VetPrep...I forced myself to log on (had to reset my password) and go through some questions (according to VetPrep, I've done 0% :woot: ) and ended up feeling more depressed than I had prior to the question answering binge.

Note to self: continue with procrastination. I will feel less fraudulent and in a state of blissful ignorance.
 
that redhead said:
NAVLE was ~30% pig questions. No joke.
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Those percentages are whackadaisical. I swear I had wayyyyyy more exotics questions than are supposed to be there.

But yes.... Yes, lots of swine.
 
I am enjoying my current rotation. Yes, I feel like an idiot most of the time, but I am getting to see some interesting things and I feel like I am really learning. The hours can be long sometimes, I am never there less than 12 hours, but I am busy the entire time so it isn't like other rotations where you are twiddling your thumbs and staring at a computer all day doing nothing.
 
When you call a client and they go, "I gave my pet x drug, is that ok? Will that interfere with the medications you just put her on?".....

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When you get super offensive comments on one of your evals that contradicts every one of the other evals you've gotten thus far. And they said nothing to me when I asked what I could do better at midblocks. Oh well. I'm over it. Just stupid.
 
I'm just done with today. No specific reasons and nothing bad happened. Just exhausted and have finished 2nd breakfast like a half hour ago and on round 2 of a 20 oz coffee.
 
DVMDream said:
When you call a client and they go, "I gave my pet x drug, is that ok? Will that interfere with the medications you just put her on?".....

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Or the cousin to this: "I'm convinced that the medication you put Fluffy on made her vomit/agitated/have diarrhea/summon demonic spirits/develop green polka dots, so I just stopped giving it a week ago. Now she's having the same problem again."
 
Coquette22 said:
Or the cousin to this: "I'm convinced that the medication you put Fluffy on made her vomit/agitated/have diarrhea/summon demonic spirits/develop green polka dots, so I just stopped giving it a week ago. Now she's having the same problem again."
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"My cat just peed A LOT."
"I just gave it 100cc SQ fluids...and warned you she might have to pee more..."
 
Coquette22 said:
Or the cousin to this: "I'm convinced that the medication you put Fluffy on made her vomit/agitated/have diarrhea/summon demonic spirits/develop green polka dots, so I just stopped giving it a week ago. Now she's having the same problem again."
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this is my favorite.

I have a client who thinks her dog has allergies to cephalexin because it gave her diarrhea. She has a skin infection and we wanted to medicate, so we put her on a different antibiotic at her request. She's upset with us because we didnt offer convenia (would have been over $100 worth of it and the dog is supposedly allergic to a med in that family) and because we wouldn't give her metronidazole in addition for the diarrhea the antibiotic *might* cause. We did offer her probiotics since she was worried about it. That just wasnt good enough. and she's going to ask another vet for metronidazole.
 
Minor bitching:
On the ophtho rotation I'm on, they usually let students do enucleations and other small eyelid surgeries. They told us this at the beginning, and I have multiple classmates that got to do one or more surgeries. Well... we've had FIVE enucleations so far, and nobody has done more than a bit of suturing. Every time the resident is like "well this is difficult because x disease process...." or "well this is the first one so I want people to see..." and it's really getting old. Seriously - do you think in practice that we're going to be taking out pristine, non-pathological eyes? Is there ever a better time to do a difficult surgery than when there's a freaking boarded ophthalmologist available to help? Don't say "hey you're going to have the chance to do surgeries!" and talk about how this is totes something we can do in private practice and then not let us do anything. Urgh.

In other news, every time I have to be excited about getting the chance to do some tiny suturing I remember why I have a lot of rotations away from the school...
 
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Super sad to be done with primary care. I really liked this rotation. Tremendous case load. I learned a ton and got to see a lot of great medicine cases. I really enjoyed working with this group of classmates. Our main clinician was also super helpful and down to earth, and we actually had casual life conversations. Oh well...on to ophtho..
 
I really dislike when clients ask questions and the clinician turns to you and says "oh,well, jamr0ckin can answer that" when it is an obscure question that you haven't really discussed. It makes me look stupid in front of the owner and doesn't instill any confidence in myself or in the owner for students. Am I the only one who is really annoyed by that?
 
Jamr0ckin said:
I really dislike when clients ask questions and the clinician turns to you and says "oh,well, jamr0ckin can answer that" when it is an obscure question that you haven't really discussed. It makes me look stupid in front of the owner and doesn't instill any confidence in myself or in the owner for students. Am I the only one who is really annoyed by that?
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Your clinicians sound kind of mean! I've never had any of ours do that to me... honestly, if there's a "big kid" in the room with the client, I'm usually just hovering or occasionally chiming in with details. Most of my client communication has been without any sort of direct supervision.
 
Trilt said:
Your clinicians sound kind of mean! I've never had any of ours do that to me... honestly, if there's a "big kid" in the room with the client, I'm usually just hovering or occasionally chiming in with details. Most of my client communication has been without any sort of direct supervision.
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Same here. Usually I just give up dates on how the pet is doing during their hospital stay or am responsible for discharging them. I haven't had to do any of the big conversations. Exotics has had me doing more of it though.
 
Jamr0ckin said:
I really dislike when clients ask questions and the clinician turns to you and says "oh,well, jamr0ckin can answer that" when it is an obscure question that you haven't really discussed. It makes me look stupid in front of the owner and doesn't instill any confidence in myself or in the owner for students. Am I the only one who is really annoyed by that?
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Maybe the clinician didn't know the answer, either, and was stalling for time to think. 🙂

Trilt said:
Your clinicians sound kind of mean! I've never had any of ours do that to me... honestly, if there's a "big kid" in the room with the client, I'm usually just hovering or occasionally chiming in with details. Most of my client communication has been without any sort of direct supervision.
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Wow. They used to do it to us all the time. I mean, not in a mean way, but our clinicians - especially on ER or surgery, it felt like - would go with us, but would have us drive the interaction with the client quite frequently. I feel like that's important for advancing a student's skills.

And, as your fourth year progresses, things change. By the time you hit your last rotation, many clinicians won't even bother going with you to talk to the client. It's a progressive thing as you gain knowledge and comfort, and I presume that clinicians gauge it off of how much you seem to understand the case when you talk to them about it. At least, that was my experience.
 
LetItSnow said:
Maybe the clinician didn't know the answer, either, and was stalling for time to think. 🙂



Wow. They used to do it to us all the time. I mean, not in a mean way, but our clinicians - especially on ER or surgery, it felt like - would go with us, but would have us drive the interaction with the client quite frequently. I feel like that's important for advancing a student's skills.

And, as your fourth year progresses, things change. By the time you hit your last rotation, many clinicians won't even bother going with you to talk to the client. It's a progressive thing as you gain knowledge and comfort, and I presume that clinicians gauge it off of how much you seem to understand the case when you talk to them about it. At least, that was my experience.
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Odd, most of my communication with clients is on my own without a clinician in the room. Sometimes I wish they were around so that I would know if I was answering questions properly or whatever, but they aren't in there. We go in alone, do our exam, discuss with the client, then they go in do their exam, talk with the client and then we proceed from there. Discharges are done with the student going over most of it and then the clinician just coming in to touch upon a few additional things or to show radiographs/CT/MRI, etc.
 
DVMDream said:
Odd, most of my communication with clients is on my own without a clinician in the room. Sometimes I wish they were around so that I would know if I was answering questions properly or whatever, but they aren't in there. We go in alone, do our exam, discuss with the client, then they go in do their exam, talk with the client and then we proceed from there. Discharges are done with the student going over most of it and then the clinician just coming in to touch upon a few additional things or to show radiographs/CT/MRI, etc.
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We usually saw clients first alone. Then we'd round with the clinician. Then the two of us would go back in. Just like you described. But as the year went on, more and more the clinicians shifted the communication burden to me; whether it was for the assessment/recommendation prior to diagnostics/therapy, or the discharge discussion. I didn't really pick up on it at the time until I suddenly realized I had just gone an entire ER shift without a clinician talking face to face with any of my clients.

It's good for you to not know the answer AND not have the clinician in the room, because it's going to happen after school, too.
 
LetItSnow said:
We usually saw clients first alone. Then we'd round with the clinician. Then the two of us would go back in. Just like you described. But as the year went on, more and more the clinicians shifted the communication burden to me; whether it was for the assessment/recommendation prior to diagnostics/therapy, or the discharge discussion. I didn't really pick up on it at the time until I suddenly realized I had just gone an entire ER shift without a clinician talking face to face with any of my clients.

It's good for you to not know the answer AND not have the clinician in the room, because it's going to happen after school, too.
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I see what you are saying now.

Yeah, I don't mind not knowing the answer and the clinician not being there. Has already happened many times. I am just honest with the client and then go find an answer for them. I guess I just don't see a big deal in "not knowing".... :shrug:
 
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