Wednesday, November 3, 2010

Almost 3 weeks In

I have been employed as a PA for nearly 3 weeks now. I still don't have my license though thanks to the bumbling bureaucrats in charge of licenses here. My company has had me shadowing my supervising physician since I started but they are getting antsy and I am getting bored.

The Occ Med practice I work at sees a lot a trauma because one of our big clients is a meat packing plant. They take cattle from the feed lot to packaging. As a result we see a fair amount of lacerations, hand, wrist and shoulder injuries, and more than a few crush injuries including forklift injuries. We see other patients in other occupations like office workers, health care providers and numerous blue collar occupations. We saw a concrete finisher who got too close to a power line with his float pole and was electrocuted. He lost a portion of one foot and needed a skin graft on the other. Another day we saw four forklift crush injuries that were all pretty nasty.

The breakdown of the types of patients I have seen are:
50% orthopedics
20% neurological
15% trauma/urgent care
15% DOT and employer physicals

There are more than a few patients who are faking or playing up their injuries in hopes of getting some big payout from the insurance companies but most just want to go back to their $12/hr job hacking apart a cow or driving their truck.