Happy One Year Anniversary (to me)!

Today marks a special day in my physical therapy career... I have been my company for one full year! I cannot even believe that I have been a practicing physical therapist for ONE YEAR! I often think back on my time in school and praise the Lord above I am no longer in classes. Right now, if I were in school, I would be in neuro class.

I feel like I have learned a lot in one year and that I have a lot more to learn as I grow as a physical therapist. Working for my company has been great and stressful all at the same time. But, I'm looking forward to what the future will bring.

Here are ten things I've learned in the past year:

1. When you get a straight forward patient case, be thankful; they do NOT come often.

2. No matter how much you try to get "buy in" there are just some patients that aren't going to buy what you are selling, and that doesn't make you a bad physical therapist

3. You will get people better that you thought you could never get better; and vice versa... You will not get people better that you thought you could get better.

4. You'll find that the most rewarding part of your job is when you can laugh with a patient.

5. Your coworkers will drive you insane from time to time; it's not always sunshine and happiness.

6. You will learn to love the patients that are difficult to love.

7. When you think that you cannot do one more thing, you'll do ten more and impress yourself with your own multi-tasking skills.

8. You may want to quit, and that's OK, everyone has job related stresses.

9. You will learn that it is finally OK to take care of yourself and have hobbies, instead of reading your notes all night.

10. You will learn that yes, after all the questions and doubts, you did make the right choice!

The New Grad Blues

Ok, so... Here it goes... I have the new grad blues. I think this is normal... Or at least, I keep meeting with my former advisor from PT school (what a great opportunity that she can continue to be my mentor!) and she makes me feel this way. I had all these aspirations and "life will be so much better when..." moments, so to be honest I feel a little let down. Things aren't really panning out the way I had foreseen in my dreams.

Without sounding like a big baby, just take this with a grain of salt. The reason (well not the only one...) that I chose the job I did was because I had a clinical rotation there and it wasn't overly busy. The environment was slower than most OP clinics and of course, the pulmonary and cardiac rehab was a huge pull for me... However, since I started we have been blowing the doors off the clinic with so many new referrals. In fact, in April I saw the most patients a PT has seen *ever* in one month at the clinic. This is great for experience, great for keeping the day moving fast, but awful for my personal health. I am literally being run into the ground, sometimes needing to stay until 9pm at night to finish everything that I need to do... It's like I'm starting to get burnt out and I have literally just begun.

I know that OP clinics are busy, I get it. (Like I said, not trying to be a baby... although, this is my blog so I can say what I want!) But, I wouldn't be in OP if it wasn't for this particular company and their cardiopulmonary aspect. I'm starting to worry that perhaps this isn't the setting for me. I know that if I were to leave my current position (as in some day, like when I'm ready to move forward with my career) I wouldn't really want to take my base knowledge of orthopedics and head to another OP clinic. It's just not me. There are plenty of people who love ortho and that is fantastic. And I am loving the well-rounded experience I am getting right now, but it's not something I'm going to specialize in later on in my career. Additionally, I am a bit worried about my base knowledge I'm gaining in cardiopulmonary. This is something I have great interest in but I am trying to be realistic about my options for moving forward in this specialized area. I'm not so sure that there are that many opportunities for someone who wants to focus purely on cardiopulmonary.

So, this newfound doubt plus the overwhelming stress of literally doing nothing but work/sleep has me feeling blue. In fact, it has me feeling like maybe I shouldn't have gone to PT school at all. I love my patients and I love patient care and I love most things about my job, but the stress is too much. I just feel like I am being pushed so much for being a new grad. I mean, I'm seeing as many (and sometimes more!) patients a day as my mentor/boss who has almost 20 years of experience. It's just daunting. I'm not asking someone to pat me on the back and baby me, but for crying out loud - I. Am. Exhausted.

Yes, you do need to do research after graduating ;)

(But, it's so much more fun!)

So, I got some exciting news that I am going to be taking the lead in revamping our cardiac rehabilitation program at my job. This is great for a few reasons:

1. I *LOVE* cardiac patients, cardiac pathologies, cardiac responses to exercise; I love the heart!

2. Up until this point the cardiac patients have been performing a modified version of the pulmonary program, which isn't "wrong" per say, but it is also not the best we can be doing for these patients

3. I am excited to use my creativity and new knowledge to change the face of this program and then hopefully help market my company and make us a larger player in this field in the area

So, this weekend I found a couple of articles from the American Heart Association on their core components and guidelines, as well as some performance measures for cardiac rehab. I'm hoping to read through those articles later today and then also look back on my school notes and in my textbooks to remind myself of all the important things that should be considered when dealing with a cardiac patient.

I'm so excited to be able to have this opportunity, with a patient population I'm very passionate about... I know I just posted last time about the stress test that I completed, and the reason for that is that I have a congenital heart issue. Thankfully, it doesn't limit my ability to do anything, but it has made me very interested and passionate for the cardiac world. And, I feel I'm in a unique situation where I can maybe relate (a little!) to my patients.

I'm also drooling over the AACPR's textbook on Cardiac Rehab, but it's also $60. I'm going to email my cardiopulmonary professor and my boss to see if we have a copy of this anywhere that I could borrow, before I consider buying it... I don't want to overwhelm myself with information, but I think it could be helpful.

I am also planning on becoming a member of the AACPR because I feel like there is a ton of information on there that would be beneficial. My cardiopulmonary professor and the respiratory therapist are both members (in our area) and it seems like it has been useful for them, so I'm debating on when to join.

So, things are feeling very exciting and also a nerve-wracking, but as I investigate, I'll be sure to post some good cardiac rehab information! :)