Hey all... It seems so rare that I get on this. I forget about it every now and then. It is way cool that everyone is out there getting all kinds of hands on. I love that we can log on and share our experiences. It sometimes makes me a little jealous... lol, I am in a smaller place and do not see much of the congenital or pediatric stuff. I get a lot of Afib and "murmur" patients. It seems so different than what we hear in school. I like it though. I have done some OR stuff. Several TEE's, cardioversions, treadmill and Dobut stresses. We are constantly busy. I am doing full studies by myself. It is way cool. Oh, a bit of advise that I just got was to slightyly rotate counter clockwise when looking for RARV view. Gotta go now... talk soon>

Extern is... loving something sooo much you'll do it for free for an entire year.

?????????????????????????

Can you guess what this is on a patient presenting with:

Chest Pain

Elevated Troponins

Abnormal EKG

and Clean Coronary Arteries on Cath......

How's everyone doing on extern?! :-)

Hey!! I hope everyone is doing good and learning lots on extern! :-) lol I definitely am! I LOVE my extern here in Boise. It's been soooo hot here the past week (like 106 degrees) but I think I'm finally getting used to this hot weather. Lol I have been on extern for 1 month and have learned soooo much its crazy! I have been involved with bubble studies, difinity, TEE, pediatric echoes, ICU, CCU, 2 code blue cases, and last Tuesday I went into the cath lab and watched an ASD closure. It was AMAZING! :-) I am now scanning inpatients and outpatients and my CI checks my work after I am finished! I feel like I've already learned so much. Also, last Thursday I got to scan my first pediatric echoes in the NICU. A 2 day old baby (with PS) and an 8 hr. baby (with an esophageal hernia). I LOVED scanning the babies! They were adorable lol well I better get going! talk to ya guys soon!

Boy Oh Boy

These past few weeks have been very busy for me. I have been seeing everything and anything that i could possibly see. I have been in peds cases, adult, TEE, ER, Bubble, Definity, and everything else. I am just starting my job as an PRN EKG Tech here in the hospital in addition to the Externship. I am scanning like crazy but i think that i am being quizzed more than i am scanning. I have started running my own TEE's, with supervision of course (cardiologist) :) The techs down here are happy that i have been able to catch on so fast, cause we have been really short these past couple weeks and they really appreciate it when i can take the paperwork and put it in the computer for them, or take a patient back to the room and get them ready for the echo. I have been putting in 11 hour days the past week but this week i have had the pleasure of working 12 hours a day. Gotta Love it :)

Salt Lake has been really hot these past weeks, in the 100's. I am so happy to have an apartment with air conditioning. I was so happy to see the rain today because it cooled off our 105 degree weather today.

Oh another thing that i have found out about dear ol' Utah is that July 24th is a Holiday :) Pioneer Day's celebration is bigger and more extravagant than the 4th of July. Im so happy that i get to see fireworks twice in one month. Plus, down here you can light your fireworks a week before and a week after the holidays, so really i get fireworks all month long:)

Hope everyone is having a fun time on Extern:)

Woo Extern!

Things have been pickin up on externship. Finally getting some scanning time in after mastering their worksheet they turn in to cardiologists. It's a lot of fun to scan pathology. It's sad for the patient, but it really makes me interested. I still enter everything into the computer and take numbers, but they send me ahead to start a lot of inpatient exams, and if it's really busy i'll be sent down to the department to start on outpatients while the other techs finish other exams. I've seen everything from TEE, to stress testing, to surgery, to MRSA patients. I even had to hold an AMS MRSA patient's hand. I took a shower after that one. This week i even get to go see a robotic surgery and we're trying out a bicycle stress echo with contrast injected through the foot. Should be pretty interesting to see how we're going to actually complete that exam (seeing as how the foot is strapped down and completly covered). If anyone's actually reading these how much 3D echo do you use? My CI is working a full volume quantification into the regular protocol after he went to a conference. It's really interesting. :) Anyways, I love extern a lot and am a lot more focused than i could ever be in a classroom environment. Hope everyone's doing well and having a lot of fun!

Kyle

Code Blue in the ER!

I was sent down to the ER to do a stat echo... the technologist was coming down to met me shortly after he finished a follow-up difinity study, he wanted me to get it started. When I checked my order in the chart I noticed that she was DNR. Her indication was CHF with a history of a recent MI. Well, her LV function wasn't very good and her EF was in the 30's... the ordering cardiologist stepped in while I was scanning and asked how it looked, I explained the LV function and showed her what I had. She noted that it didn't look very good. She left and I continued to scan. The tech watching over me showed up and as I was showing him the images I was getting she went asystole and coded! Her EF immediately dropped down to about 10% Everyone rushed in but since she was DNR they pushed a few drugs and tried to get a rhythm. It was pretty intense but I was cool as a cucumber. The cardiologist jokingly gave me a hard time asking what I did and another ER doc responded that I was pushing too hard :) (I definitely wasn't) It was pretty crazy to watch her heart slow down and pretty much stop, her apex was the only wall segment even trying to contract.

Anywho, everything is really fun here, they trust me to do studies by myself so I am doing full echo's and the write ups, while they just check... I'm pretty sure I should just get signed off on regular 2D stuff :)

Hand cramps & Happiness

It's great to hear how excited everyone is about their first week of extern. We are really out there spreading our wings. :) I'm hoping that as you read this that you too have ice on your arm & hand as I do. Super sore from scanning sooo much, but I'm loving the pain.

Needless to say I've been staying super busy at UCDMC. I've been doing only in-patients. Basically I complete the Parasternal long and short portions of the exam and then the tech I'm with for the day does the rest. I've been getting used to my new Phillips, its really user friendly and has some amazing functions. We just got a new GE Vivid VE and I can't wait to use it next week :). We don't do any history or phy eval on our patients so two of my columns are completely blank but it sure does make my job easier, lol. But I do have 30 completed exams and I've scanned on all of them.

I hardly ever see a normal echo. Every patient has some kind of pathology. Today I got to scan an aortic aneurysm that measured 4.9... WOW. It was the coolest thing I've ever seen, but I felt bad for the patient because he couldn't even speak English (That happens a lot at UCDMC). We see tons of AS and MR. Effusions are super common also. I've already been fighting the bulge with some patients. Many 400 and 500lbs patients :(, after Ive been pushing with all my force I feel as though my hand might fall off. We usually end up using definity on those patients. And the cool thing is we get to make the call if we want to use contrast and we inject it too. I have yet to get my hand stuck under a pancake boob but I feel that its coming in the near future.

I absolutely love everyone in my department. We have many different personalities and different styles of scanning. Some of the ladies have 30 years of experience and some are new graduates. I'm really hoping I will get hired on because they feel like family already. The cardiologists are amazing and very welcoming. Today I got invited to a lunch conference with them (I am very honored). I'm starting to teach one of the fellows how to scan... who would think that I would teach something to a doctor, weird, but super cool.

Well, I better get to bed and get some quality rest, I've been getting up at the crack of dawn all week and I cant wait to sleep-in tomorrow morning. :D

-Ash G

Day 3 at Renown!

I've been doing a ton! My ci has barely spent an hour with me but I've been super busy with all of the techs in the echo/vascular lab. Anna and I get to spend quite a bit of our time together in between scanning(lunch breaks and write-ups). My first two days I did all of the patient set up. Bringing back the outpatients and asking about why they are there(symptoms and history), hooking them up to the ecg and taking preliminary images for the tech.

Today was a lot more exciting because I got to do two exams completely by myself. The tech watched and made sure my images and measurements were up to her standards. She kept saying how perfect I was doing and how impressed she was :D

I scanned an in patient with a history of near syncopal episodes. When I scanned her psax@ao I found a large mass in her RVOT. I pointed at it with the tech watching over me, she said "uh huh" but apparently she didn't notice what I was pointing at, she thought I was pointing at "junk" in the pericardium(apparently possibly coagulated fluid from a prior infection). So when we were going over the exam later back in the lab I asked her what she thought it was. And she hadn't even noticed it. She was quite bothered that she missed something that big because we only got it in that one view so we could 100% say that it was a mass. We asked around the lab though and everyone agreed that there was definitely something in the RVOT. We added a note to the cardiologist that a TEE was recommended. I'm interested to follow up on that patient because one of the tech said she had something similar last week in a different patient and it turned out to be cancer.

Later on today, we had a patient that needed a bubble study. She was post-stroke and we needed to rule out a PFO or ASD. The tech was so impressed with my scanning that instead of calling up another tech to help her she had me do the imaging while she pushed the agitated saline. It was amazing and I did a really good job getting images. Plus the pt did not have a PFO or ASD so we were able to rule that out. I finished the rest of the exam while the tech watched and made sure I did everything right.

All in all things have been really exciting and fun. Everyone I work with loves to included me and teach me. I already feel like I'm improving immensely and it is only day 3!

I'm Exhausted!

So I just survived my second day :) I rode my bike to work, wiped the sweat from my forehead, changed into my scrubs and started scanning! I scanned yesterday too, one of the tech's handed me the probe and said, "show me what you can do." Then he drilled me on tons of stuff and I had major mental overload. I've seen one pediatric patient, two open-heart surgeries, two ER cases, one code blue, and a whole lot of ICU patients. I've scanned a cancer patient as well. I've seen stress, TEE, and saline injections. I wheel the machines everywhere in this really confusing hospital and am introduced to tons of people that I can't for the life of me remember! It's been really fun though :) I come home, talk to people on the phone, work-out, eat and sleep. I'm too tired to do anything else lol. Anyway, that's my experience so far. Hope all of yours are great too!

Wally World and Fresh Free Coffee, oh yeah and some AI too, who could ask for more?

After hitting the snooze a couple times and getting up early I thought about getting me some Dutch Brothers, but figured.. NAW, I'll just drink the day old coffee and head to Wally World to pick up a notebook. I figured if I am going to make it today, I might as well see if I can make it like I would any other day. I have been so nervous for this day. I mean today is the beginning of me being what I want to be when I grow up. No turning back and no whimping out, but man this place is humid and every building is hot inside, and I sweat like a pig already... while walking around Wallys trying to find that dang school section, I almost stopped and started looking at stuff until I realized how much I really did hate it there and just needed a notebook, because go figure I forgot.... at that moment I would do anything to avoid going to the hospital. Its like getting ready for Tanyas tests, you know you need to study, but you start chores, craft projects, dying your hair, etc etc anything but studying... but what is a girl to do... so I parked the jeep and started the walk to the hospital during the best day of the Summer here so far, and I realized something... if I can make it through Wally world on day old coffee at 7:30 in the morning, then anything is possible :) So I went to work a little nervous had the tour and got to observe 3 echos today. They have Echos all day, which makes me happy, don't do TEEs too much, but have several a month and several pacemaker placements that I'll be going to. I'll also be observing some nuc med studies and nuc med stress tests, I can't wait to see how their myocardial perfusion studies are done... my CI just got back from back surgery, but the girl (all girls in my dept) that will be helping me is REALLY good, so that excites me. I am a little nervous to deal with the patients, they REALLY want to know what is wrong with them.... but I made it, and what was even better about the whole day, I can use my meal card at the coffee shop so looks like I moved up in the world today in more ways than one :) I hope you all are enjoying your experiences, I literally thought of you all today at some point :)

My first days as a paperwork slave

Hey everyone! Glad to see people are settled and are having a great time on extern. :)
I was a little worried at first because i wasn't sure how friendly the staff would be at a hospital like Good Sam, but everyone is so nice. They're always smiling and love their jobs. I haven't had any time scanning yet, mostly just filling out my paperwork, and filling out the worksheet for the tech i'm shadowing that day. It keeps me entertained though and feeling important. Lol. I took some blood pressures today too. I'd write more but i'm going in early tomorrow to watch a surgery. Should be good fun.

What a Crazy Day!

Today was my first day and it was so crazy! Salem hospital is SO much bigger than any hospital I've ever been in and was getting lost and confused constantly. Definetly saw yeast in a boob today and after wiping it off I got to scan her...lucky me :) I also observed a TEE study with saline contrast today for a 26 year old patient who had a stoke, it was both sad and a little exciting. During this procedure the particular cardiologist I guess is a little impatient during TEE's and has a tendency to put the probe down while the patient is still pretty awake, because of that I had to hold the girls arm so that she didn't take a swing at the nurses face. Other than that I saw and got to scan a little on some inpatients in ICU. The hospitals computer system is confusing beyond belief so I am the most worried about learning how to use that.

I am commuting to Salem, it takes me an hour but luckily it is a beautiful drive. I miss you all
and hope everyone will have as much fun as I did today!

Loving Life in Sacramento

So I've been busy setting up the house here in Sac. Things are going great, our house is super cute but the neighborhood is kinda sketchy. Sometimes "professional women" stand our street corner and conduct their business. lol. But the house is close to the hospital and all the freeways so I'll put up with a little late night entertainment.
The trip down here was such an adventure. I got in a car accident right before we got to Sac. Some lady hit me at 60 Mph. But thankfully I'm okay. I hurt my ankle and I've been walking around on crutches for the past week, tomorrow I will not be bringing my crutches to work with me. My car on the other hand needs some attention. Hopefully it will be getting fixed here soon. It's still drivable but doesn't look to cute.
Tonight I went to my 1st SEVS (Sacramento Echo & Vascular Society) meeting. A peds cardiologist gave a lecture on Tetralogy of Fallot. It was really interesting and fun. I got to meet all the Echo techs from all over the city. These meetings are every other month so they will be good for my education hours.
Well, hope everyone is ready for tomorrow morning. It's time to start a new chapter in our life's. Good luck :)

Well I am officially in Coos Bay, no more trips back home for graduations or court :) I really do like it here. My house is amazing and it is close to everything, even god forsaken walmart, but most importantly it is close to the beach ! As much as I don't miss Klamath Falls and I am ready to go to work, I do miss school a little and have been very bored, even though I am setting up a house, taking care of the girls, and one has pneumonia! I am still VERY bored. I have been to the hospital and it is very nice. The people here are awesome and I have toured the whole department and they are excited for me to start! I also experienced the hospital when I took Taylor to the emergency room. They saw her within 10 minutes (nurse) and took her vitals right away, which by the way her heart rate was 153. She also got a room right away and we were in and out in less than an hour!!!! On top of that we got a follow up call the next morning from a nurse who answered my questions and gave me her own personal phone number! I can't wait to be at a place that cares about their patients like that! Besides that, my move wasn't as exciting as some of the long travelers, but we'll see what is in store....

The Last Frontier

Hi Everyone!
I'm so happy to hear your Extern stories and glad we're connecting on the blog! Well, I'm in ALASKA. My dad started driving my jetta up with everything I could pack into it on June 14th. He picked up his brother from his flight in Seattle and they continued to make the long journey together. Meanwhile, I was spending time with my mom, grandparents, boyfriend, and puppies :) The first part of the trip was fun, they did a lot of site-seeing, but the second half was just road and trees until Anchorage. They saw bison, goats, buffalo, moose, and every kind of bear! Including a grizzly enjoying the intestines of a dead bison, yuck. And they took the risk of stopping a taking a picture of a nearby grizzly and her cub, yikes! They arrived in Anchorage on June 19th and started searching for apartments for me. Let me tell ya, it was SCARY!! Everything is ridiculously expensive here and nobody seems to want to take care of their apartments, hmmmm. We were in a pickle. Not only that, but we had banked on a furnished place and couldn't seem to find any. Which was probably a good thing because I can only imagine how disgusting the furniture would be. We were about to put down a deposit for a shabby place close to the hospital, when we tried a phone call to one more place. It turned out that this was one of the places Sarah from DMS was looking into as well. I went and checked it out and it is AMAZING!! Beautiful leather furniture, a new kitchen, flat screen tv, cable, wireless internet, all utilities included, and a maid comes in every 2 weeks to clean! So, I'll be living with Sarah in this two bedroom castle and I'm very happy :) We meet with the lady today to finalize it! Since then, we've been exploring The Last Frontier, and it's been fun. Yesterday I saw a Moose and her Calf for the first time! It was really cool. Anchorage is WAY bigger than Klamath Falls and has tons to offer. The city itself is the size of the state of Delaware! Anyway, I move in to my new apartment on Thursday night and I start work at the gorgeous Providence Medical Center on July 6th. Wish me luck!

-Kayleigh the Alaskan

Greetings from Texas! (or should I say..HOWDY!)

Glad to hear that ppl have made it to their destinations!!! I finally made the long road trip to Dallas. With A LOT of fun on the way...Vegas was amazing, seeing the Grand canyon and Hoover Damm was awesome too..I'll post some pics on facebook for everyone to see :)
Anywho, my "community" that I live in is full of ppl my age, its great. There are pool parties at the country club over the weekends that are CRAZZZZY! haha. My studio is getting all set up, but I must say, putting together all the furniture from IKEA is really a pain in my rear! I will be starting at Baylor on Thursday and I just can't believe the time has come already...it feels like yesterday we were doing our draw! haha. Hope everyone is settling in and enjoying their last few days of Summer. GOOD LUCK TO EVERYBODY &&&&&& HAPPY 4TH!!!!!!!!!!!!!!!!!!!!!!!!! :DDDD

Hey everyone!! So I'm finally all set up in Boise and I love it so far!! :-) its been like 97 degrees here all week and I'm trying to get used to the heat! Lol but we're going camping this weekend with some friends about 30 miles from Boise so I'm excited for that :-) And I'm starting at St. Lukes July 6th so I cant wait!! Well I better get going! Hope to talk to everyone soon!!

Ready Set GO!

Well yal, its almost time for externship. U of U hospital let me come in for a "Test/Preview" day last week and right off the bat I was quizzed about views and anatomy. I thought that I was just going to be signing some paperwork, but little did I know I would actually be watching some exams (good thing I showed up in scrubs). My first exam was my first pediatric exam. I was so sad when we found the baby had 2 VSDs. A little hint to keep babies cooperative during an exam, ask the nurse for glucose and a binkie. It comes in a little syringe and just dab it on the binkie and it puts them straight to sleep. AMAZING :)

I think im going to like extern and Salt Lake City!
PS: My apartment complex has a POOL and HOT TUB :)

Well... I made it to RENO!!! Our new place in Sparks is nearly set up, still a ton of organizing to do :) I did a little snooping at Renown Medical Center with the fam... it looks amazing! Brand new, nice and shiny and a ton of beautiful artwork. I can't wait to get started! But until then I am enjoying my last little bit of freedom. Hope everyone is having a pleasant move away from Klambama!

<3>
Kimberly Mae

OMG.... We are done with school!!! Glad that portion is over as I am sure the rest of you are! I cannot wait to start at Prov. Hopefully this blog thing will keep up and we can check out how everyone is doing out there...

Talk soon,

Amanda

Pictures

Hi Everyone!
Thank you so much for participating in this awesome blog :) As you may have noticed, I've edited our picture slideshow. It is a lot easier to add photos via picasa web albums through google, but I can only upload the albums separately and they're kinda small. . . Which slideshow do you like better? The old one or the new ones??

Kayleigh... did you invite JaNae? Cause we should definitely get her on her :)

This page is awesome, thank you for setting it all up. Im also not very experienced with this, and hopefully I'm writing in the right place for this to be posted...oh well!! I hope everyone uses this blog page to keep in touch. I know for a few of us keeping in touch my computer may be the only way we have connection to friends and family! :/
I hope everyone is super excited to be going on extern and hope we can all focus and finish out these last few days of class...I know its been hard for me to do so! :)

Thanks for making this blog, now I don't have to get a facebook page!

Hey Kayleigh... I made it :D I haven't blogged either so it will take me a bit to get used to it but I think I figured out how to post something. We will see if this shows up :3 Can't wait to get out of here!

First Post

Hello fellow echo students!
I hope you figured out all of my blog instructions lol. This is my first blogger experience and I was a little confused. But now I think I'm getting the hang of it. Check everything out on the site, the calendar, pictures, etc. What do you like, dislike? Is there more I should add? I'd like everyone's input. If you have more pictures (sophomores) I'd love to add them to our slideshow.