目前分類:Clinical Rotation (4)

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我的最後一個實習在Swedish Covenant Hospital的outpatient ortho,總共要實習13週。

這邊的工作環境算還不錯,空間夠大,器材夠多,每45分鐘看一個病人,跟台灣比起來算輕鬆多了。

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A lot of patients in outpatient neuro are diabetic. It's not surprising because a lot of them are here because of stroke. And most common causes of stroke are all the cardiac risk factors such as hypertension, obesity, sedentary lifestyle, etc. 

So what I want to say... to myself, is that watch your patients' response to exercise very carefully.

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很快倒數第二個實習已經過了兩週,也漸漸開始適應Cleveland的生活。
這一站的實習在outpatient neuro,老實說neuro的臨床並不是我很有興趣的,但不可否認,PT對這類病人真的非常之重要。

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Patient 1 Vestibular

Today was a short day. My CI let me treat two of her patients. One was a 87 year old lay who complained of spinning. The diagnosis is still unclear. Hallpike dix test was positive for both R and L, but there was no nystagmus seen on either side, which may be due to Meclizine she is taking. Patient reported that spinning was more severe with L Hallpike, so we decided to treat her L side first. 

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