Andrew G. East



Tourette's Syndrome



EQ: What's most important for a person with TS to know?



Thursday, September 2, 2010

Service Learning

What's your EQ?
What is most important for a person with TS?


What are your 3 preliminary answers?
Try to be productive as much as possible.
Try different types of medications that your body would prefer.
Avoid caffeine whenever you can, it will worsen the severity of tics.




Service Learning Administration
Kaiser Permanente
I basically study other patients at the hospital, along with my neurologist as my mentor, has me study different neurological disorders through standard issue textbooks. and pamphlets. And goes into depth on what examples of disorders he's witnessed.
Based on what I've learned at the hospital, the most important thing I've learned, is that there are many concepts to consider when dealing with conditions in the field of neurology. The rest is mostly classified...

December 12th
My supervisor instructs me to look up some information ahout Tourette's, and then in turn, he'll allow me to see his next patient. The patient checks in for mild expression of Tourette's. My supervisor tells the patient to try and get active to alleviate his tics.

December 15th
My supervisor tells me he will be going on vaction next week, and that during that time, he'll put me under the instructions of Dr. Luna. We did a few rounds up at the hospital at then checked in back at his office. His next patient tells him about some form of depression, which my supervisor tells him that he should check in with psychology.

March 17th
I'm starting my service learning again, and my supervisor instructs I read about Epillepsy. He let me see about six of his patients today. My supervisor gives me pamphlet about Epillepsy, and say to read it, and look up for info about it, for he's going to quiz me the next day.

March 18th
I check in at Kaiser, and my supervisor allows me to come with him to do his rounds up at the hospital. After he completes his work, I am tested about Epillepsy in his office, giving him a summary about the disorder. We saw some more patients dealing with white inflammation in the brain. I'm then told to read about Multiple Sclerosis and take some notes. He asks what information I've written up, and then I'm releived of Service Learning for today.

March 22nd
I'm greeted at Kaiser with my supervisor sharing his lunch with me, and we have a short discussion about what I learned about Multiple Sclerosis. He debriefs me about the next patient we are about to see, who is checking in for seizures. He tells me to look up at home, what is the difference between a seizure and Epillepsy.

March 24th
I come back telling the difference with my supervisor about Epillepsy and seizures. We check on a patient who is seeing him for some muscular discomfort in his right eye, which my supervisor injects serum in order to treat him.

March 25th
I check in at Kaiser again, and this time, we are going to see if a child is diagnosed for Tourette's Syndrome. After reviewing the patient, he is positive for Tourettes, my supervisor and I give the child and his parent details about the disorder. My supervisor asked me what I noticed in the patients expression of his tics. I gave my opinion about his disorder, and my supervisor said it was correct.

April 5th
I'm with my supervisor who makes his rounds up at the hospital again, and then we are to see a patient in the MR room, where he checks the patients kinetic energy in his knee. He performs some procedure with these pads connected to a EEG.

April 7th
I check in, and find out one of the patients is not going to show up, and that my supervisor has to do some rounds at the hospital again, but they won't allow me to see the patients. So my supervisor puts me in the hands of another instructor for the rest of the day. I see a patient who check in for Parkinson's disease. She check his medical record, and gives him a summary based on what she saw the patients perform during his checkup.

April 14th
I check in at Kaiser, and I feel a little woozy. My supervisor wants to know if I'm able to stay a full shift with him at the neurology department today, which I was able to. One of his patients checked in for some seizures, and my supervisor asks the patien if he can recall any of them within the past couple of months, he didn't have any. His next patients checks in for some Alzheimer's, which my supervisor notices is actually worsening. His only recommendation is to keep his daily dose of medication, and keep doing what he's done to sustain the patient's Alzheimer's.

April 15th
I check in at Kaiser again, for yet another full shift in the neurology department. I see one of my supervisor's patient's for some Muscular Dystrophy. My supervisor then instructs me to read about Musular Dystrophy, and then give him a summary about the disorder. His next patient is a child who checks in for some "seizures", turns out that the child merely fainted.

April 22nd
I see on my supervisor's patients for Tourette's Syndrome, who express a severe form of it. I ask him about how it's like to deal with the disorder, at an older age. My instructor then asks what tics do I notice that he expresses. My supervisor informs me about some of the side effects that come with the medication that he takes. My supervisor's next patient deals with Parkinson's, in which my supervisor asks him to try and walk in the hallway for a review. I then look up some information about Parkinson's Disease. His next patient then checks in for an Alzheimer's diagnosis, which she does check for positive Alzheimer's. My supervisor asks the patient to recite some answers he's given he, in which the test deals with memory.

May 12th
It is my last day over at nuerology, and I see a patient who checked in for Muscular Dystrophy. And the last patient of the day, checks in for some Mental Retardation, and then I left Kaiser with all the goodbyes from the staff.

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