Day in the Life {Third Clinical of DPT School}

Whoopsie, I didn’t mean to duck out of here for so long. No excuses to share!

To get back into the swing of things, I think it’s fine time for another “day in the life” post, given that I am over halfway through my third of four clinicals here in physical therapy school. February is also over halfway over, which is somethin’ to chew on. Lent is coming!!

I am currently working four 10-hour days (Mon-Thurs), and each day looks a little different after I leave work, but here is a typical Monday.

a super close up selfie of me on my very first day of clinical (6 weeks ago)

5:40am — Wake up. Kick a leg off the bed, then the other, then (sometimes literally) hit the floor to say a morning offering prayer. Go to the bathroom.

6:00am — Make bed, get changed, and put on a small bit of makeup. Get my lunch box packed.

6:15am — Leave apartment and walk to a farther train station than necessary to get the blood pumping. I like to breathe in the fresh morning air and say a rosary.

6:40am — Arrive at the train station and get on the train.

7:00am — Take a shuttle from the train station to work building.

7:15am — Arrive at work. Change my upper garments because I always sweat walking to the train station.

7:30am — Start pre-charting while eating breakfast. On Mondays, we technically start work at 8:00am, but I like to get there slightly earlier to have more time to chart review and plan for the day.

8:15am — The first slot for seeing a patient. Some days it’s filled, others it’s not.

Occasionally, I’ll scarf down a nut bar if we have a free moment and if I’m really hungry between breakfast and lunch.

12:00pm — Lunch break! Depending on how many notes I need to write, I’ll either stay in my cubicle documenting while eating lunch or take some time to go down to the cafeteria where there is 10x more light and warmth than in the office.

1:00pm — Back to work. Technically, our lunch break is 30 minutes, so half is for actual eating and relaxing. The other half is for documenting.

4:00-5:00 pm — Sometime in here I’ll likely have a snack for the final push of the work day.

5:30pm — No more patients seen after this time, but time to finish up notes and prepare for the next day!

6:30pm — Leave work (if all goes as planned). I’ve been walking from work to the train station instead of waiting for the shuttle, unless it’s already there. It’s another nice way to unwind from work and just enjoy the fresh air (if it’s not raining, that is).

7:00pm — Take the train to the gym. Usually I just sit and stare to let my mind rest. Often will say some prayers. Occasionally I’ll listen to a podcast. John suggested I read a book when I’m commuting, which seems obvious, but I have not done it yet!

7:30pm — Arrive at the gym, change, and do a quick workout. Usually, since it’s quite late already, I do a warmup + 20 minute HIIT workout.

It’s a victory in and of itself for me to get my butt to the gym after a long day, and that’s coming from someone who likes to work out. Holla at everyone who struggles getting to the gym after a long day of work. The gym does not open early enough for me to go before work… but I doubt I’d go at 5am anyway, even if it was open at that time.

The worst part about the gym at this time of day is that many college students are like me and don’t go to the gym before classes; they go AFTER classes are done for the day. So it’s a mad house. Utter mad house. The beauty of a HIIT workout though is that I need limited space, so I usually gather myself in a corner and get to work.

8:30pm — Arrive home and eat dinner! Try to not occupy my mind too much, but maybe FaceTime a friend, maybe text some people.

9:15pm — Shower.

9:30pm — Pack food for the next day.

10:00pm — Soooo…. what I should be doing at this time is winding down, praying, reading, etc. But I often will be texting people or busying myself with pointless things that are unproductive at this hour of the night. But the goal is to be in bed around this time and getting my snooze on.

Recently I’ve been getting to sleep closer to 10:30-10:40pm, for whatever reason. I need to work on cleaning up that nighttime routine, let me tell ya.

That’s about it though! Some variations include bible study on Tuesday nights instead of the gym. Mondays and Wednesdays I start at 8am, Tuesdays and Thursdays at 7:30am. Some nights I get off earlier from work. Wednesdays I’m often tired and don’t make it to the gym. Thursdays I usually try to push through to work out since I have Fridays off. It’s all just a general routine with lots of flexibility, for which I am grateful.

I hope all those who have today off (President’s Day in America) have lots of fun and relaxation! For those like me who are working today, I hope it’s still lots of fun 🙂

So tell me:

What does your daily schedule look like generally?

What do you typically eat for breakfast?

Do you go to the gym before or after work?

Four Things I Pray For Every Work Day

Moves. The gift of movement is something for which I feel more grateful with each passing day. From the times when I don’t have the opportunity to work out to seeing the ways in which my patients struggle with movement, I see each step and workout as a blessed thing. Since it has been quite a few days since my last post, I will highlight only a few of my favorite workouts from this past week.

Last Thursday: Yoga online

Last Friday: Outdoor play time + rock climbing with Janice and a couple more friends!

Saturday: Lower body

  • Squats (warmup ➔ 1×8 at 135# ➔ 1×5 at 155# ➔ 3×3 at 165# ➔ 4×4 at 155#)
  • 3 rounds: 12 KBS + concentric to eccentric deadlift to squat jump x10

Monday: HIIT workout (30 sec work/30 sec rest x 4 rounds)

  • Dumbbell burpee to push press
  • Bent over dumbbell rows
  • Bear crawl plank to kick through
  • Wall balls
  • Plank jack climbers / crossing mountain climbers

Yesterday: Upper body

  • Pull-up practice with and without band // 15 second flexed arm hangs
  • 8 devil presses + 10-12 dumbbell chest press on ball
  • Wall walks focusing on weight shifting in handstand position
  • 10 TRX rows + 6-8 dips
  • 12 scorpion ball planks / 8 ball pike to pushup + 40 double unders

10 hours. That’s how much sleep I got last night because I have been terrible at getting at least 7 hours of sleep for the past couple weeks months. I went to sleep at 8pm like a baby, and oh how I wish I could do that every night.

Chipotle rice. Last Saturday a few friends and I helped out another friend with her high school retreat at the church where she is a youth minister. Most importantly, the theme was forgiveness, and it was beautiful to see so many high schoolers respond to God’s Mercy that night. Second most importantly, I discovered how much I really love Chipotle’s lime cilantro rice. I know it’s old news at this point, but DANG that is some buttery flavorful goodness. I took home some leftovers and enjoyed every last bite of it this week.

Brunch and generosity. Also last weekend, I grabbed brunch at Cafe Landwer with my friend Sabrina, and it was just lovely. I had shakshuka with halloumi cheese and the best bread. She had a breakfast platter that included tastes of lots of little dishes. We both didn’t know each other very well before the brunch, but we ended hoping to catch up again soon.

What struck me was her generosity in treating me to brunch (and an Uber from one crowded brunch place to another). She is a young, relatively new grad who could probably be frugal like the rest of us, but she realized her position of having a job and my position of still being a student with zero income, and she without a question treated me to brunch. It’s small and logical, but I felt that the gesture was filled with so much love and consideration. Thank you, Sabrina!

Four things. It’s been a busy but good week at clinical, but the current and impending challenges of becoming the best new grad PT I can be is a little daunting. Since my first clinical in summer of 2018, I have prayed for two things: honesty and humility. I wanted to be very honest in what I knew and did not know, in what I needed from my clinical instructor, and in who I was as a clinician and a person. All while being humble in accepting criticism and in failing at times.

Since the start of this third clinical, I have prayed for an additional two graces: clarity and competence. As I am approaching my doctorate, it’s not just about passing to the next step of my education; it’s about exceeding expectations to give my patients the very best care possible. I know I need to be clear and intentional about what I do for treatment and why, and it needs to be backed by solid evidence and clinical reasoning.

Honesty, humility, clarity, and competence. My H’s and C’s. It all seems obvious, but they don’t come easily all the time, so I pray for them.

So tell me:

What was your favorite workout this past week?

Do you like Chipotle rice?

What is a kind gesture that stood out to you this week?

Do you have a daily prayer / mantra to get you through the work week?

Two Women Helping Me to Be a Better Woman

Moves. A super quick upper body workout before class (I got to the gym fairly late).

  • 4×15 TRX rows, 3×8-10 body weight dips
  • 3×6-8 lat pulldowns (I did one set of pistols but discovered that my left leg was smoked just from carrying all my weight lol)
  • 3×8-10 horizontal rows
  • 1×10 plank walkout to elbow plank to push-up (from @daniellegertner)

One passionate and courageous woman. I am blessed to have many friends who are extraordinary women in different ways. I am convinced that God placed every one of them in my life for a distinct purpose, to help me grow and vice versa.

One of these women is my friend, Elayne, a fellow DPT student and lover of all things health and happiness. Her passion and courage in everything she does is unlike anyone’s I’ve known (closely) in my life. She is currently doing a project on diversity in the PT/healthcare world and eradication of unjust biases in society.

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throwback to first year of PT school studying medication suffixes

Yesterday in class we were discussing healthcare provider bias towards people who are obese, and the way she presented her research findings was awesome. I truly felt like I was being called higher to reflect on how I view others either implicitly or explicitly. Elayne is never afraid to call people to betterment, and she works hard to know what she’s talking about, and then she talks about it well. I was challenged in the best way not only to self-assess my biases (as both a PT-to-be and as a Catholic Christian), but also to likewise find passion and courage to call others higher for the sake of what is good and true.

One empathetic woman. Last night I cooked and ate dinner with my friend, Kelsey, a fellow Catholic friend and lover of all things beautiful. We cooked some Italian chicken (i.e., dumped Italian seasoning onto chopped chicken breasts), peppery parmesan quinoa, and roasted veggies and ate it all in bowls and talked for hours.

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throwback to Christmastime 3 years ago

Kelsey and I discovered that we have been experiencing a lot of the same internal struggles and realizations, and how wonderful it was to have shared our experiences vulnerably and to leave knowing that we are not alone. It was a night filled with empathy, awe, laughter and prayer, and I was inspired to continue rejoicing in God in the little moments and to have childlike faith.

These are just two of the many women in my life who call me to be better, and thank God for that.

So tell me:

Who in your life has called you to greatness and excellence? In what ways?

The Great and Small Things I Learned {Summer Clinical #2}

Sometimes I forget I have a blog.

But I lounged around yesterday for about an hour just scrolling through blogs that I follow on my Feedly like I used to during my high school leisure days… ahhhh. It was lovely, and I remembered that I like to blog too HAHA.

I’ve given a glimpse of how this summer has been in STL. Now that I am back home in New York / Boston, the reflective mindset has started to settle a bit. Ergo, it is time for another edition of “Great and Small Things I Learned.”

How to even begin summarizing the oodles of things I learned in the hospital!?

I worked with a physical therapist on the medicine floor of Barnes Jewish Hospital. This means we saw patients who have pretty much any and every comorbidity under the sun and who were admitted for a reason that is not primarily neurological, cardiopulmonary, or orthopedic. For example, I saw a lot of patients admitted for falls, sepsis, altered mental status, acute kidney injuries, hypoglycemia, hypertensive emergencies, acute onset of weakness from metabolic causes… etc… I guess.

Communication

50% of patients wanted nothing to do with physical therapy. De-escalating situations with  patients who had altered mental status or who were agitated at the time was a big skill to learn, but by the end of the clinical, almost no amount of sass or yelling could faze me.

Empathy and Listening

Requirements in the healthcare field. In the first few weeks of clinical, it was easy to be stressed and preoccupied over my performance as a student PT, so I had to remind myself that this job is about the patient in front of me, and the patient is hurting, often in more ways than one. Listening and motivational interviewing are always helpful.

Integrity, Honesty and Moving Forward

I made plenty of mistakes during clinical, but some were bigger than others. Thankfully, none of the mistakes resulted in anyone’s injury, but I learned some valuable lessons the hard way, that’s for sure. I had to practice integrity and timely honesty about my mistakes, and furthermore, I had to move forward and continue in confidence after all was said and done. My clinical instructor (who was amazing!) counseled me that letting my mistakes get to my head does not serve anyone well.

Neuromuscular Connection

The trendy/granola term for this is “mind-muscle connection,” I think. THINKING about what I want my muscles to do and how fast I want them to it during a workout has helped with increasing strength. There’s literature about it out there… I’m not going to go find it right now. But intentionality in life is important, and working out ain’t an exception! As Dwayne “The Rock” Johnson would say, “FOCUS!!!”

To “Just Be”

Moving onto matters outside of the hospital, I am grateful to say that I made several great friends through the young adult group at the St. Louis Cathedral Basilica. So many people took me (and Janice) under their wings and welcomed us into their community with love and generosity that were just astounding. People cooked for us, drove us around, invited us to watch the sunrise with them on a hill in the park, took us grocery/thrift store shopping, helped me babysit my cousins, toured us through the art museum, swing danced with us, prayed with and for us…

In so many of these great times, my friend Maria would call it “just being” — putting the phone down (even though I’d still snap a photo or two for posterity/the blog, ya know) and soaking in the moment, whatever it is, however mundane it may be. To “just be” with pals in fellowship and faith through the everyday and not-so-everyday things, and to do it all joyfully.

My heart misses all of our friends back there. They were so f r e e. Free and secure in their love for Christ which showed so evidently and made me want to love God more.

They made St. Louis home away from home. So did Janice, my roomie! She’d tuck me in almost every night (upon her offer) LOL. We shared a lot of ups and downs together this summer, and I am grateful for her being a dear friend through it all.

Don’t Give Up on Prayer

It can be hard to maintain a consistent prayer life with a 9-5 (or in my case, a 7-4:30) job, not so much because I don’t have time, but because brain energy is limitedddd at the end of the day. Prayer takes mental energy and attention that admittedly I don’t want to give when I get home from a long day of work + going to the gym. And I failed many days and did not prioritize prayer, but I learned to fight the good fight and never give up on it. Start anew the next day. Whether you meditate, pray, do some reading for personal development, do it, man. Probably in the morning before you’re wiped out from the day. Which means you (I) have to sleep early, which is difficult at times… But God is worthy of our love, the best we can give.

I could go on for ages and pages about my time in STL, but these are enough words for now. Thank you for reading along if you’ve made it this far.

At home now, I am doing at least 20x less work/activity and I am at least 20x MORE tired. I love being with the fam though ♥︎

Off to a camping trip with Boston friends this weekend!

P.S. Tori Kelly’s new album is FIRE.

So tell me:

What are some things you’ve learned this summer?

What are your plans this weekend?

 

VLOG: A Day Off in St. Louis

Greetings!

Long time, no vlog. Not gonna lie, I filmed this vlog almost a month ago, and somehow I had not gotten around to editing and publishing it until today. However, a day off still looks quite like this one anyway.

Enjoy!

So tell me:

Do you like runny egg yolks?

What is your favorite meat marinade?

What are you grateful for today?