Running Barefoot

The New York City Marathon is upon us, and we have an extra hour in the day, so why not read a little about running! Here's the #1 most-emailed article from the NY Times, as well as some addition links.

Resident’s Blog: PGY-2 Begins

The idea for this blog was born on one of many conference calls we have with fellow members of the college while brainstorming of ways we can help the medical students to get a flavor of what Physiatry is all about. So starting at the very beginning of the PM&R residency seemed to be the most appropriate and since I am a new PGY-2 at NYU medical center PM&R program, I volunteered to start this blog about my experience as I am going through my training.  I will try to put new posts up at least twice a month and welcome your comments and questions.  That being said, off we go.

I can’t believe it has already been one month since I started at NYU but the time flies when you are enjoying what you are doing. I still remember the first day worrying about starting on the Cardiac Rehab floor as my very first rotation. As a fourth year medical student I rotated through MSK, SCI and stroke rehab floors but never cardiac. Nonetheless, by now I had the internship experience of dealing with CHFs, MIs and the likes. So how different could it be? It’s not, BUT yet it is. The medical management part of CHF and arrhythmia is similar but the approach and the goals of the complete care plan are different. Now that the patient is past the acute stage of her disease, we have to work on resolving her functional limitations secondary to it. This involves a 360 degree multidisciplinary approach of the physiatrist working closely with nurses, physical and occupational therapists, a psychologist, nutritionist and a social worker. Interestingly enough, I never fully appreciated the full importance of the multidisciplinary meetings as a student as I do now that I am a resident.  If you feel the same, it will definitely change for you as well once you are in your residency.

What came as a surprise to me was the very first lecture I got from my attending on exercise physiology. That brought back painful flashbacks from the biochemistry lectures but at the same time put the Krebs cycle in a completely different prospective that directly applied to the planning of our patients’ care. Suddenly understanding aerobic vs. anaerobic metabolism became so much more relevant. It is very important to make sure that patients suffering from heart disease don’t exercise beyond their anaerobic threshold since this will lead to lactic acid build up and ultimately ischemia.  Now that you have a bit of a flavor for cardiac rehab, I encourage you to read more on the subject.  Specifically look up the Fick’s equation and try to make sense of it. After years of playing sports and going to the gym, I feel that only now I truly understand what determines the level of fitness in a person.

In my next post, I’ll talk more about my daily experience on the cardiac floor and the other educational activities in the program. Until then, study hard but make sure to get some exercise in as well to keep your heart healthy.

Regards,

Alex

Author Bio: Alex Levchenko is a PGY-2 in PM&R residency program at NYU Medical Center. He received his medical degree at the New York College of Osteopathic Medicine and his bachelor’s degree from New York University.  He has been an active member of AOCPMR since 2008 and served as Vice President of the AOCPMR Student Council in his last year of medical school.

Student Member Profile: Jeana Lyn Shelley

Name: Jeana Lyn Shelley
Undergraduate: Evangel University, Springfield, MO
Medical School: Des Moines University College of Osteopathic Medicine (Iowa); DO-13

Q: What first attracted you to Physical Medicine & Rehabilitation?
A: I shadowed a PM&R physician and thought his practice was a perfect combination of osteopathic manual manipulation and neurology (two of my top interests).  I then attended the AOCPMR Student Conference in April 2011 which emphasized the different procedures commonly performed in PM&R and the importance of putting your hands on your patients for efficiently diagnosing and treating.

Q: Do you practice a specific specialty?
A: I am a third year medical student at Des Moines University.

Q: Why did you join AOCPMR?
A: I joined AOCPMR to become more involved with the specialty and get more information about PM&R while I am still in medical school.  Also, PM&R emphasizes holistic medicine.

Q: What do you love about belonging to AOCPMR?
A: AOCPMR feels like a large family – everyone is encouraging to one another.  Also, I won a free hotel stay for the AOCPMR Student Conference from AOCPMR!

Q: What do you like to do in your free time?
A: I love watching movies with my husband, playing with my two dogs and my cat, reading and working out.

Student Member Profile: Jon Benfied

Name: Jon Benfield

Undergraduate: Brigham Young University Provo, UT

Medical School: Midwestern University Arizona College of Osteopathic Medicine Glendale, AZ

 

Q: What first attracted you to Physical Medicine & Rehabilitation?

A: The combination of orthopedics, neurology and musculoskeletal medicine and the variety of subspecialties one can pursue after a PM&R residency.

 

Q: Do you practice a specific specialty?

A: No. Currently, I’m a fourth year medical school student looking to match to a well rounded PM&R program. I’m genuinely interested in all aspects of PM&R but I do particularly like musculoskeletal disease and spinal injuries.

 

Q: Why did you join AOCPMR?

A: It was a group of physicians who took time to explain the field to me and answer my questions. This grew into a mutual mentorship/friendship with a number of them. In essence, it has become a professional home for me. Also, I enjoy the AOCPMR’s ability to grow, build and problem solve from a team approach. It gives its physicians, residents and students a sense of responsibility, ownership and pride in the project and college.

 

Q: What do you love about belonging to AOCPMR?

A: It’s the perfect mixture of professionalism and camaraderie between everyone involved. It’s just a great group of people who enjoy what they do and each other.

 

Q: What do you like to do in your free time?

A: What’s that? Most of my free time is spent with my spouse or family. We like trying a lot of new restaurants or getting out into the mountains for a weekend of hiking and camping. Personal free time training for endurance events, watching sports and learning how to cook. These are all just great ways to relax and enjoy life.