After I finish my degree as a Family Nurse Practitioner,
After I finish my degree as a Family Nurse Practitioner,
You are working in the internal medicine clinic of a large teaching hospital. Today your first patient is 70-year-old J.M, a man who has been coming to the clinic for several years for management of CAD and HTN. A cardiac catheterization done a year ago showed 50% stenosis of the circumflex coronary artery. He has had episodes of dizziness for the past 6 months and orthostatic hypotension, shoulder discomfort, and decreased exercise tolerance for the past 2 months. On his last clinic visit 3 weeks ago, a CXR showed cardiomegaly and a 12-lead ECG showed sinus tachycardia with left bundle branch block. You review his morning blood work and initial assessment.…
The documentary, Escape Fire: The Fight to Rescue American Healthcare, criticizes the current healthcare system designed for profit maximization, a physician’s dilemma between financial incentives and professionalism, and quick fixes rather than prevention of illness. The U.S. government spends $2.7 trillion annually on healthcare, and pharmaceutical drugs account for $300 billion, almost as much as the rest of the world combined (Escape Fire). The mindset that drugs are the only appropriate way to treat disease is invalid. Physician salaries are driven by the number of treatments and drugs that are prescribed and administered. The U.S. healthcare system is a business model where economic…
In the poem named Man on a Fire Escape, written by Edward Hirsch, the author presents a unique eye-opening experience when a devastating tragedy arises. Throughout, the poem Man on a Fire Escape, Edward Hirsch uses third person point of view as if he is addressing his poem to someone. Furthermore, the poem slowly reveals the mass chaos and destruction of a fire outbreak that engulfs everything in its path. On the contrary, towards the end of the poem, after witnessing all the mayhem everything was back to normal as if the fire did not happen. Edward Hirsch uses lexis, literary devices, and his poetry to illustrate to his audience that poetry is never-ending because poetry will always portray “the true voice of feeling.” (QUOTE).…
Klaidman, S. (2010). Coronary: A True Story of Medicine Gone Awry. New York: Simon &…
No one knows when disease will strike, care outcomes, and the quality of treatment. Proper information is mandatory in health care decision making, because without it, greater severities can occur. There is also the issue of physicians and hospitals receiving payment for their services rather than the quality of care they provide. A hospital may be paid for a surgery on a patient with an ACL tear, but if that surgery goes wrong and they’re paid again for another procedure, than there is something terribly wrong. This example reminds me of the documentary Escape Fire: The Fight to Rescue American Healthcare. One aspect of the documentary sheds light on how primary care physicians are the most underpaid physicians in medicine today. Primary care physicians are the first responders when a patient is sick or is concerned about his or her health, so why is it that they are the most underpaid in the health care community? Physicians have a moral obligation to provide the best possible care they can and they are obligated to treat the whole patient. If physicians carry the attitude of being as productive as possible in order to get paid more by Medicare and Medicaid, then patients will not receive the quality of care they deserve. Herzlinger’s book is one that has opened my eyes to the corruption and almost evilness of our current healthcare system, and has allowed me to think critically about how I can contribute to health care reform. I exclaim that it is a must read for anyone interested in the improvement of the quality and efficiency of our health care…
The documentary Escape Fire: The Fight to Rescue American Healthcare explains the numerous controversies in our healthcare system and where the system is going if it follows the same footsteps it has been taking for the past decade. Throughout the documentary there are many hosts in which they all give their personal insight on the American Healthcare System and how the system is failing and on the verge to a catastrophic breakdown. All of the hosts gathered their data through personal research that they did on the system and from working in their perspective fields over the years and just seeing the trends the healthcare system is taking and going towards.…
First, that one time country doctor has been replaced with a team of nurses and specialists that each provides a unique service using advanced technological equipment. Hospitals that were once a place for patients with…
When contemplating the roles and values of the nurse practitioner it is necessary for the student to first exam the career path and scope of the nurse practitioner. Nurse practitioners are registered nurses who have advanced education and training in a health care setting. They are practitioners with advanced degrees such as a Master of Science in nursing and are licensed as registered nurses who have practiced as a registered nurse for a minimum of at least two years. Most nurse practitioners early in their course work will identify a specialty area of nursing that they have an interest in doing research in. Determination of this specific area is usually influenced by what area of nursing the student has experience working in as a registered nurse. Other times, it is influenced by the illness of someone close to them or a family member. Cardiac health and transplantation is an area that this student wishes to pursue as a specialty area. My interest has been piqued by personal experience in this area with a family member. This student believes that this specialty area values the health and well-being of all mankind and that research is rewarded as a basis for providing new and upcoming trends in this specialty area. Through early detection and treatment of cardiac related illness, healthcare…
These surgeons usually work in the hospital, some work in teaching hospitals so they can train them to be cardiac surgeons. Operating rooms are bright and clean. They always have a working team in there, they do not work alone. There schedule for this occupation is very hard. They work long and odd hours doing their job. On-call surgeons can be called in at anytime for emergencies of patients. I do not think I’d like this schedule time, but I would like doing this job and the money that comes along with it. (Timmons, Environment for a Cardiothoracic Surgeon)…
The film “Escape Fire” is a documentary that breaks down the American healthcare system and gives an insight on information that most people may not know or have access to. The movie is primarily about promoting health and prevention of disease while describing how the healthcare system works financially, morally and how we as patients fit into the whole ordeal. It also shows us how United States veterans receive care and coping mechanisms that are not just for soldiers of war, but for everyone, such as acupuncture, meditation, and yoga. Health professionals tell how changing your lifestyle and behaviors can reverse heart disease, prevent illness such as diabetes and cancer, and have a positive impact on your everyday living with nothing but…
My interest in medicine started during my year of service in AmeriCorps at International Community School. During the year of service, I have encountered several students who needed to get checkups and their physical pains evaluated but lack the resources and insurance. I am surprised in an urban setting such as the greater Atlanta area, how there are so many people who need to see a doctor but do not have access to proper health care. My goal as an aspiring doctor is to practice in an underserved community. I would consider it a great privilege to give back and serve to those in need.…
The Unites States has created a healthcare system that has become extremely uniform and homogenous. The lack of diversity in health care professions has caused an unequal quality of care among many who present something different to the table. As an African-American male in the health arena, I plan to not only improve the quality of care for all, but I will inspire the younger generation, particularly those of minority races and ethnicities, to obtain careers in health care.…
When I was a young child, I witnessed my sister receiving stitches on her head. We were jumping on my bed when she fell and hit her head on the headboard. I was inspired by the medical professionals who treated her. Although this was a traumatic experience, it helped shape my aspiration to help others. Serving and improving the lives of others is a fundamental duty that I believe should be a part of everyone’s personal mission. Working in healthcare is the path that I discovered as an ideal way to accomplish this goal of service. In particular, I intend to eventually become an anesthesiologist where I will assist patients during medical procedures.…
Educators teach and lead their students to success. In a similar manner, internal medicine will give me the opportunity to empower my patients to be in control of their health. I am certain that I would not be satisfied with the pursuit of anything other than internal medicine as a career when skills I have acquired during my clinical training could have a much more visceral application in understanding and alleviating real distress experienced by people daily. As my interest in internal medicine was deepening, I better understood the applications my character and personal experience could have in this field. I recognized the extent of effective communication with patients from diverse backgrounds. My personal experiences have helped me to…
vital for me to know that I will have an impact on many patient’s lives.…