This morning I joined my fellow family med classmates (I'm still used to saying 'surgery' classmates) for orientation before heading off to my assigned clinic. It's a small JPS clinic that's really a huge portable building; when you walk, you can feel people's footsteps beneath your feet. My preceptor, Dr. R, is pretty friendly. He made it clear from the start that he's not out to make me feel like crap, that I'm there to learn, and asked me what I hoped to get out of the rotation. He also said he was going to give me mini-assignments: topics to research at night and then talk about with him in the morning. My topic for tonight: neonatal jaundice. Hopefully I still have that jaundice packet from Driscoll...
About 80-90% of the patients we saw today were Hispanic, with half of those not knowing how to speak English (including a 20-year-old who's been here for three years). Today was also a pedi-predominate day; for school district reasons most kids were given the day off, so their moms brought them to see the doctor. Lots of kids and babies with fever, congestion, and cough. One or two kids had flu, and it was pretty obvious in the way they just sat on the table not moving. When a kid turns down stickers, you know they're sick. I've forgotten a lot of things I learned in peds (i.e. when to give certain vaccinations), but I think I'll get it all back on this rotation.
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