Sunday, April 23, 2017

Food Prepping and PA School


Today is April 23rd and in a few shorts months form now (August, 28th) I’ll begin PA School. As many of you may already know, the first semester of PA School in many programs has been said to be one the toughest. Undergrad is over and the pace and level of difficulty is clearly different. During the first semester, the days are long, the challenges are many, and just figuring out how to manage your time can be more difficult than learning the brachial plexus. I guess you could say, the full force of the proverbial fire hydrant can surely be felt.

Knowing that in a few short months the grind will be real, I have been doing some things to prepare for the great adventure that lies ahead and in some ways, preparing in ways that will hopefully help me have some “high yield” learning days. I figure that eating right and exercising are just as important as making sure you read material that you’ll be covering the next day in lecture. One thing I’ve spent some time and money working on is food prepping.

As a very busy graduate student (living on student loans) in the first semester of one of the nation’s top PA programs, time management will be essential. It’ll be just as important that I eat well to fuel my body for the long days that lie ahead, but we all know that going to the grocery store, figuring out what to cook each night, and then putting it into action can be time consuming and result in a quick stop at the Wendy’s drive-thru window for a bag of greasy, high carb supper. To avoid this I have taken some very simple, yet easy steps towards eating healthier, preparing food for the upcoming week, and maximizing my time and minimizing the stresses of figuring out what to do for food each day. One thing I have done is to buy a very nice steamer made by Cuisinart http://amzn.to/2q3NBwn



To pretend I’m already in school, I go to the grocery store on Saturday mornings and buy the groceries I’ll need for the week. I then cook them and put them in containers that are durable Pyrex glass containers with snap-locking lids, to prevent spills. These containers can be microwaved and are very easy to clean in the dishwasher http://amzn.to/2oi5J9v I typically will 
buy from the produce section for my veggies that I steam to go along with meat that I’ll cook. Some vegetables that I have had success with are listed below.

Steamed vegetables:
  • Carrots
  • Zucchini
  • Squash
  • Asparagus
  •  Green beans
  •  Cabbage
  •  Brussel sprouts 
Another dish that is easy to make and one that can be mad in bulk, is a Ziti recipe I got from my Dad’s wife, Susan (which I will include in this blogpost). I make two dishes at a time and freeze one for later. One thing you must be prepared for when food prepping, is how to avoid becoming bored with eating the same dishes over and over. For that reason, it quickly became obvious to me that I’d need to have several recipes in my arsenal that are healthy, cheap, and can be easily made.

If you are considering food prepping for school or just to save time and money, I hope my post will be helpful or at least somewhat inspirational. One thing for sure is this; if I can do it, anyone can….trust me! Lastly, I did some research before I got started and one thing I found to be helpful and completely agree with is, make sure you spend a little extra and get really good storage containers. One blogger wrote that this would be a wise investment, and I couldn’t agree more. It makes the prep easy, storage is neat, heating foods up are a breeze, and most importantly to bachelors like me, the cleanup is a snap.

        







Susan's Ziti Recipe:

Baked Ziti
1 16oz. pkg. ziti pasta (I use mini-penne instead)
2 (26.5 oz.) cans spaghetti sauce (I can’t find this size. I use 2/ 24oz. Classico Tomato Basil       
            Sauce. You can add a little tomato sauce if it seems too thick)
6 oz. sliced Provolone cheese 
6 oz. Mozzarella cheese, shredded
1 ½ cups sour cream (I use fat free or lite)
1 pound lean ground beef
1 onion chopped
Grated Parmesan cheese

Cook pasta according to package direction. Drain.
Brown onion and ground beef over medium heat. Add spaghetti sauce and simmer 15 minutes.
Layer as follows in buttered baking dish. (13x9x2)
½ of ziti
Provolone 
sour cream
½ spaghetti sauce
remaining ziti
Mozzarella cheese
Remaining sauce
Top with Parmesan
Bake at 350 for 30 minutes or until cheese has melted










Tuesday, January 24, 2017

I got in: Now what??

What can I be doing to prepare??? 

Congrats!! You've worked hard, you’ve done well on all the courses leading up to PA school, you’ve done your community service and you totally aced the PA interview. Now, you’ve been notified that you have been accepted and you’re awash with excitement and gratitude……..Now what?!?!

I find myself asking this same question and have decided to blog a little about it. If you’ve read my “about me” section, you already know that I have the great advantage of having been there (PA School) before. But, as I once again find myself about to start PA School at one of the top programs in the nation, my prior experience is by no means a reason to not be preparing and thinking ahead about the many things I need to be working on to make sure I have an easy transition to graduate school.

Entering into a top PA program, or any program for that matter, may be one of the toughest, most challenging (yet gratifying experiences) one has ever encountered. To that end, it would serve you well to plan ahead and be proactive in you approach to this journey. So after a search of the Internet, I wanted to share with you a couple of links to some very helpful suggestions from those who have already been there and can speak from experience.




I hope you will find the above links as helpful as I have.

Good luck!

Wednesday, November 16, 2016

Bridging The Gap: PA's in Critical Care

Since its inception, PA’s have been bridging the gap in healthcare. In fact, the role of the PA is to expand and increase access to care for those who otherwise might not get seen in a timely manner, or not seen at all.  After all, that was the basis for implementing PA’s fifty years ago. This is most true in underserved area’s like small counties where PA’s have always filled the gap, but the gap is also being filled in an area that very much interests me; critical care.

One of the many things that attract me to the field of PA medicine is the diverse field of medicine in which PA’s can see and treat patients, while still being supervised by a physician. In other words, I like the diversity PA’s enjoy. Since I have worked as a respiratory therapist for the last two decades, primarily in adult critical care, I feel pretty strongly that that’s where I’ll end up once I become a PA. I realize I need to keep an open mind as I begin the PA program this coming Fall, but in the end, it is critical care that I am really gravitating towards.
Since I have a predilection for the intensity, challenge, and diversity that critical care offers (along with familiarity), I’ve often wondered how MD’s view PA’s (and other advanced practice providers) as they pertain to critical care. I have especially wondered about MD’s in training, which may have to compete or share with PA’s for procedures. I currently work at an academic medical center and know that jockeying for procedures can create conflict amongst those on a team. However, many ICU’s have incorporated teaching teams and non-teaching teams in the ICU. The separation of these teams within a particular ICU seems to have made great inroads at reducing such conflict.
Another issue that is present in the academic ICU, is a gap in physician coverage that has been created with the implementation of work-hour restrictions. The Accreditation Council for Graduate Medical Education (AGGME) implemented these restrictions in 2003. With the imposed work-hour restrictions, there has been a real gap placed on workflow and manpower in labor-intensive areas of care, like what is standard in the ICU setting. With this gap, PA’s have been able to successfully fill the void. But…how are PA’s being perceived in this setting?

According to the first article listed below, advanced practice providers (APP’s) are viewed by most residents as either having a “positive” impact or a neutral impact on their overall ICU experience. As a person that is looking to work in an ICU setting after PA school, and possibly at an academic center, it is nice to know that PA’s and NP’s are viewed in this manner. So, for someone like me who is seriously contemplating a career as a PA working in the ICU, knowing that this is a place I can successfully hang my hat is nothing short of exhilarating and exciting to contemplate.

Impact of advanced practice providers (nurse practitioners and physician assistants) on surgical residents' critical care experience
Kahn SA, Davis SA, Banes CT, Dennis BM, May AK, Gunter OD.
J Surg Res. 2015 Nov;199(1):7-12. doi: 10.1016/j.jss.2015.05.036.
PMID: 26173380

Tsai PI. J Surg Res. 2015 Nov;199(1):13-4. doi: 10.1016/j.jss.2015.08.033. No abstract available.

PMID: 26456354