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Brittani and Cameron - Married PAs in GYN and Interventional Radiology!
Episode 2761st November 2024 • The Pre-PA Club • Savanna Perry
00:00:00 01:12:41

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I'm back, and I brought two people I really wanted you to meet.

Brittani and Cameron are married PAs. She's in gynecology, he's in interventional radiology - two specialties that could not look more different from each other. They also became foster parents, which is its own enormous thing to take on while building careers in medicine.

We talk about what it's like going through PA education as a couple. Studying next to someone who's just as exhausted as you are helps. It also means nobody is holding down the rest of your life while you're gone.

Interventional radiology is a specialty almost no pre-PA has heard of, so Cameron explaining what he actually does is worth the listen on its own.

And they're honest about the emotional side of fostering while working demanding jobs. It's not a tidy story, and I appreciate that they didn't make it one.

What we cover:

  • Two PAs, two very different specialties
  • What a gynecology PA does day to day
  • What interventional radiology actually involves
  • Going through PA school as a couple
  • Becoming foster parents alongside medical careers
  • Building a life around two demanding schedules

Resources:

Free PA School Application Timeline: https://www.thepaplatform.com/services/free-application-timeline

PA Program Map: https://www.thepaplatform.com/pa-platform-map

Free Resume Download: https://www.thepaplatform.com/services/free-resume-download

Pre-PA Counseling: https://www.thepaplatform.com/services/pre-pa-counseling

Mentioned in this episode:

CapYear Training

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Transcripts

Speaker A:

So we've been on a bit of a hiatus, eh?

Speaker A:

So, Savannah, I'm a dermatology pa, the creator of the PA platform.

Speaker A:

And to be perfectly honest, I needed a break from the podcast.

Speaker A:

It was not inspiring to me for a while, but I've had so many of you guys asking for it, and I really love getting to connect with our guests.

Speaker A:

So we're back.

Speaker A:

And some of these interviews that you'll hear coming up are ones that we have recorded a while back, but.

Speaker A:

But it feels good to be back.

Speaker A:

Feels good to be recording.

Speaker A:

I'm in a new office.

Speaker A:

We're back in.

Speaker A:

In school.

Speaker A:

Got this first kind of semester down.

Speaker A:

We survived Hurricane Helene in Georgia.

Speaker A:

A lot has happened.

Speaker A:

We had our virtual MapsCon conference last month.

Speaker A:

If you missed that, you can go to mapcon.com to get all the replays for free.

Speaker A:

Highly recommend the admissions panel, by the way.

Speaker A:

But I hope you guys are doing well and that you still want to become PAs, right?

Speaker A:

So this episode that we're jumping back in with is Brittany and Cameron.

Speaker A:

They have coached with us at the PA platform for a long time.

Speaker A:

They are taking a break right now as they have become foster parents.

Speaker A:

And I highly recommend you follow them on Instagram and TikTok.

Speaker A:

They're so funny.

Speaker A:

So they're called Married.

Speaker A:

Married.

Speaker A:

What is it?

Speaker A:

Married pas.

Speaker A:

I gotta look it up.

Speaker A:

But they have an account together and they share so much stuff.

Speaker A:

So it's Married.

Speaker A:

Married to.

Speaker A:

Hold on.

Speaker A:

Married to Pac.

Speaker A:

There you go.

Speaker A:

So definitely, you know, enjoy this episode.

Speaker A:

Go say hey to them.

Speaker A:

They're great.

Speaker A:

And again, it's good to be back.

Speaker A:

We have some cool stuff planned for you for Black Friday and Cyber Monday.

Speaker A:

Make sure you're following us.

Speaker A:

Prepay Academy.

Speaker A:

Our first year was fantastic.

Speaker A:

We'll be doing that again starting in February and just continuing to spread the word about the PA profession and help more people figure it out.

Speaker A:

All right, let's jump in.

Speaker A:

We're back.

Speaker A:

And today's podcast episode has two of my favorite humans, Brittany and Cameron.

Speaker A:

They are both PAs.

Speaker A:

We are going to hear about their journeys, their jobs, and you will laugh.

Speaker A:

I promise you will laugh during this episode.

Speaker A:

Welcome to the Pre PA Club podcast.

Speaker A:

If you want to learn how to become a physician assistant, you're in the right place.

Speaker A:

Place.

Speaker A:

I'm your host, Savannah Perry.

Speaker A:

Let's get to it.

Speaker A:

All right.

Speaker A:

Do you want to do introductions?

Speaker A:

Tell me who you are and why you're here.

Speaker A:

No, I'm just kidding.

Speaker A:

Tell me who you are.

Speaker B:

Okay.

Speaker B:

My name is Brittany.

Speaker B:

I am A PA in Texas, and I work in gynecology.

Speaker C:

I'm Cameron.

Speaker C:

I'm also a PA in Texas.

Speaker C:

What are the chances?

Speaker C:

And I work in interventional radiology.

Speaker B:

And we're married.

Speaker A:

Cool.

Speaker A:

Cool.

Speaker A:

Good to know.

Speaker A:

I know this from Yalls social media and Instagram and just what I've seen, but can you fill me in on your journey?

Speaker A:

Were y' all both pre pa?

Speaker A:

Like, I don't know this.

Speaker A:

How these stories intertwine?

Speaker B:

No.

Speaker B:

So I.

Speaker B:

Okay, so I was.

Speaker B:

As a.

Speaker B:

At a young age, I was.

Speaker B:

My cousin ingrained into me that I needed to go into medicine.

Speaker B:

She was mainly orthopedic surgeon, though.

Speaker B:

Okay.

Speaker B:

She's like, you're gonna be an orthopedic surgeon.

Speaker B:

But then whenever I was 12, I got to see her birth my baby cousin, and that kind of solidified medicine for me moving forward.

Speaker B:

And like, from that point forward, it was women's health.

Speaker B:

From that point on, it never.

Speaker B:

It never really changed.

Speaker B:

Now that baby cousin is 17 years old.

Speaker B:

I was pre med whenever I was an undergrad.

Speaker B:

Go figure.

Speaker B:

At first, I was a biology major.

Speaker B:

Got out of there as fast as I could.

Speaker B:

And then, yeah, I switched to allied health, but I was still pre med at the time.

Speaker B:

So I took all the pre med, prereqs, physics, biochem, O chem 2, all the things.

Speaker B:

And then I did not decide that I wanted to go into the.

Speaker B:

Like, to be a PA until after I had graduated undergrad.

Speaker B:

So after.

Speaker B:

At that point, I was still pre med, and my GPA wasn't.

Speaker B:

I mean, it wasn't bad, but it was 3.6.

Speaker C:

Okay.

Speaker B:

Like, you know, that should probably be higher because my science GPA was lower than my overall gpa.

Speaker B:

So I decided to enroll in a master's course or a master's program at the University at Texas A&M, GIG, EM, Aggies, and I completed that.

Speaker B:

And then in the summer, between graduating undergrad and starting that master's, I, you know, decided to switch to the PA profession, mainly because I didn't know about the PA profession, as a lot of people do not.

Speaker A:

Right.

Speaker B:

And so Cameron had found this interest in the PA profession while in undergrad, and I would go to his meetings and stuff just because we had the same ride home.

Speaker B:

So I would go to his meetings, and I got to learn about the PA profession from that standpoint.

Speaker B:

So I made that decision between undergrad and then starting my master's.

Speaker B:

And that was.

Speaker B:

That was my goal.

Speaker B:

Like, even during my masters.

Speaker B:

And looking back, you know, I probably.

Speaker B:

Instead of doing A Master's.

Speaker B:

Since my gpa, like, wasn't terrible, I probably should have just went and got pce, but, you know, she did both.

Speaker B:

Looking back.

Speaker B:

Looking back.

Speaker A:

There you go.

Speaker A:

It's okay.

Speaker B:

Yeah.

Speaker B:

So I finished my master's, applied to PA School.

Speaker B:

During my master's, it was the.

Speaker B:

My third.

Speaker B:

My second semester in the masters, applied and then got in my first round and I went to UT Health San Antonio.

Speaker B:

Yay.

Speaker B:

Yeah.

Speaker A:

And now you're here doing what you wanted to do, which we'll talk about in a minute.

Speaker C:

Yeah.

Speaker B:

Yeah.

Speaker A:

All right.

Speaker C:

Yeah.

Speaker C:

So aside from being her positive influence to the world of PAs.

Speaker B:

Well, Cameron's.

Speaker A:

Thank you.

Speaker B:

Cameron's story's a little bit different.

Speaker C:

A little?

Speaker C:

Yeah.

Speaker C:

I never knew I was gonna actually go to college at first, and then somehow I wound up at a community college that wanted to accept me, and it was.

Speaker B:

I feel like we gotta.

Speaker B:

Gotta go back.

Speaker C:

What's bad?

Speaker B:

Yeah.

Speaker B:

What was your life goals?

Speaker C:

Well, I originally wanted to get into the military.

Speaker C:

Is that what you're talking about?

Speaker B:

Yeah.

Speaker B:

So Cameron did not have any ambition to go into any sort of extra schooling.

Speaker B:

We actually met in high school.

Speaker B:

Not saying helped him on his.

Speaker B:

His algebra test, but, you know, I may have because he was two years ahead of me, but I was in the same class but pre ap, and so I would help him.

Speaker B:

So Cameron had no, like, ambition.

Speaker C:

Whenever I was trying to get through, that was it.

Speaker B:

Yeah, he was just trying to get into the military because that was kind of his background and his family.

Speaker C:

No Child Left behind was raped until it wasn't.

Speaker C:

So, yeah, I was trying to.

Speaker C:

I thankfully somehow got into a college and started at, like, probably fifth grade math when I got there, and then slowly built back up to what would be college level math.

Speaker C:

And then at that time, I was like, well, I really love football.

Speaker C:

I love sports, I love everything about them.

Speaker C:

I think I want to be a coach.

Speaker C:

So I was kind of like, along that path when I was in my community college phase.

Speaker C:

And then Brittany at that time was obviously doing all of her pre med stuff, and she started shadowing a gynecology doctor, ob, gyne gynecologist, whatever, and was really loving it.

Speaker C:

You know, we're in a relationship, so we're talking about our days, and she's going over this stuff, and I'm like, wow, that sounds, like, really, really cool.

Speaker C:

And so I somehow got into the point where I was, like, watching surgeries on YouTube and, like, I was really interested.

Speaker C:

Interested in things.

Speaker C:

And then I was like, oh, this is kind of interesting.

Speaker C:

And so my, my paths are going down the lines of, well, I think I want to maybe go to med school and see how that path treats me.

Speaker C:

And I was, for whatever reason, extremely lucky.

Speaker C:

And my biology teacher had a married and cousin who was an orthopedic surgeon.

Speaker C:

And I started shadowing him and he was an extremely positive influence.

Speaker C:

Really, really great physician position and was.

Speaker C:

He happened to have two PAs as well.

Speaker C:

And so I was shadowing all of them and I was like, oh, he's like, PA guys are like, they're number two in the surgery.

Speaker C:

They're doing half of the surgery, he's doing the other half.

Speaker C:

This is really gnarly.

Speaker C:

I was kind of curious and so I was started to shadow them.

Speaker C:

And then I got onto the line.

Speaker C:

I was like, oh yeah, this is definitely what I want to do.

Speaker C:

I want to, I want to be a PA rather than a physician.

Speaker C:

Mainly because of the years I thought I was like really far behind.

Speaker C:

Because when I went to college, how old was I?

Speaker B:

Probably 22, I think you start.

Speaker B:

Yeah, I don't think you started college until I was.

Speaker C:

You have to make everything your age.

Speaker C:

So I'm changing it over.

Speaker B:

You started college my sophomore year.

Speaker B:

I was 19.

Speaker B:

So you were 22.

Speaker C:

Okay.

Speaker C:

So I always, for whatever reason was like really far behind.

Speaker C:

I don't want to go to school for 10 plus years and do all the things.

Speaker C:

And probably in some aspect of my brain I was really insecure about like my, my level of smartness.

Speaker C:

So I was like, maybe I'm just not smart enough to do all those things.

Speaker C:

And that was probably a part of it at the very beginning.

Speaker C:

And then whenever I really got onto the path, like I chose my path, my grades started really improving and being really good.

Speaker C:

And I was more on the upward scale rather than the just playing even at the Brittany level.

Speaker C:

And so I was able to eventually overcome some like learning problems and had like testing disabilities and stuff like that.

Speaker C:

And so then I eventually was accepted to UT Southwestern, which is one of the best schools in the state.

Speaker C:

So that was.

Speaker B:

You forgot to say that you transferred.

Speaker C:

Into A. Oh, well, I did go to A and M. Yeah.

Speaker C:

Thankfully somehow I got.

Speaker C:

Which I'm really proud to be an Aggie because I never thought I would ever be, quote, smart enough to go to college.

Speaker C:

So that was a really big accomplishment to me.

Speaker A:

That's amazing.

Speaker A:

I love it.

Speaker B:

So little different backgrounds.

Speaker B:

Yeah.

Speaker A:

That's great though.

Speaker B:

We, we are both first generation college students.

Speaker B:

My dad didn't graduate high school.

Speaker B:

He is in his 70s.

Speaker B:

So that was like just what they did back then.

Speaker B:

Yeah, my mom actually did really, really well in school.

Speaker B:

But then, like, it was just, you know, blue collar thing to just not go to college.

Speaker A:

Right.

Speaker C:

Both my parents went to the military instead.

Speaker C:

So that's where military came from.

Speaker C:

Me.

Speaker A:

Yeah.

Speaker A:

Medicine.

Speaker A:

I love it.

Speaker A:

So wait, were y'.

Speaker A:

All.

Speaker A:

Wait, did you.

Speaker A:

I get so confused by the Texas schools.

Speaker A:

I'm be honest, because there's a lot of them.

Speaker A:

Did y' all go to the same PA program or you didn't?

Speaker C:

No, no, different.

Speaker A:

That's why I thought it was different.

Speaker B:

Yes.

Speaker C:

Six hours.

Speaker A:

Okay.

Speaker A:

The same time or not at the same time?

Speaker B:

We applied in May of:

Speaker B:

May of:

Speaker B:

Okay.

Speaker B:

We applied in:

Speaker B:

Whenever we were applying, I was like, you know, hopefully this is not gonna be an issue for me.

Speaker B:

Like I have like a master's.

Speaker B:

And I was like, you know, they look at you well rounded.

Speaker B:

I don't have the best PCE, but I have a really great GPA on 4.0.

Speaker B:

My master's program.

Speaker B:

I mean, not to like Toot Landhorn, but you know, and then.

Speaker B:

Yeah.

Speaker B:

Yeah.

Speaker B:

And then.

Speaker B:

So we applied in May.

Speaker B:

We both did.

Speaker B:

And I was like, you know, we were already planned.

Speaker B:

This is one of the things that I always tell the people that I advise is that like, you always have to be preparing for the next cycle no matter how great your application is.

Speaker B:

I had a non healthcare job on campus and I was preparing to quit that and then move on to just full time patient care experience afterwards.

Speaker B:

Cameron was already planning to apply to my master's program.

Speaker B:

Like we had.

Speaker B:

We had a plan in place.

Speaker B:

What happened was, is that we thought that I was going to get accepted, no problem.

Speaker B:

And then Cameron might have to, you.

Speaker C:

Know, do the master's program.

Speaker B:

Do the master's program.

Speaker B:

And I got accepted first.

Speaker B:

What happened was.

Speaker A:

Okay.

Speaker B:

What happened was.

Speaker B:

Is that.

Speaker B:

So I got.

Speaker B:

So yes, there are schools that.

Speaker B:

There's several schools in Texas, and Texas is a massive state.

Speaker B:

So I got my interview probably in like July, I think June or July.

Speaker C:

Got the invite.

Speaker B:

I got the.

Speaker B:

Yeah, the interview invite in June or July.

Speaker B:

And I was like, heck yeah.

Speaker B:

Bag secured.

Speaker B:

Let's go.

Speaker B:

And then before my interview, Cameron got his interview invite for UT Southwestern, like.

Speaker C:

Two weeks prior to my.

Speaker C:

To my interview.

Speaker A:

Yes.

Speaker A:

Okay.

Speaker B:

Yes.

Speaker B:

So Cameron got his interview invite later than me.

Speaker B:

Mark that.

Speaker B:

Let that be in the notes.

Speaker B:

Okay.

Speaker B:

He got his interview in about.

Speaker B:

After me, but his interview was before me.

Speaker B:

Interviews for my school and anything about Texas geography is that my interview was at UNT in Fort Worth and then his was in Dallas, so.

Speaker B:

Would have been perfect.

Speaker B:

They're in the same metroplex.

Speaker B:

Would have been a perfect situation.

Speaker B:

Right.

Speaker B:

But Cameron interviewed on a Saturday, and we were napping on Sunday or on Monday because it was the first day of the semester because I was white.

Speaker B:

Takes it.

Speaker B:

Takes it out again, you know.

Speaker A:

Yeah.

Speaker B:

They literally called him during our nap.

Speaker B:

And it was after five.

Speaker C:

Yeah.

Speaker C:

Wasn't expecting that.

Speaker B:

So, yeah, when he called the school.

Speaker C:

Back, I may be called, like at 5:06 or something.

Speaker B:

Yeah.

Speaker C:

Something really early.

Speaker C:

I immediately got the voicemail line of UT Southwestern.

Speaker C:

I was like, what does this mean?

Speaker C:

Like, are they saying they hate me or they saying they like me?

Speaker C:

I don't know.

Speaker A:

You messed up.

Speaker B:

Yeah.

Speaker B:

And.

Speaker B:

Yeah.

Speaker B:

So, like, it was such a cliffhanger that night.

Speaker A:

Yeah.

Speaker A:

It's very nerve wracking.

Speaker B:

Do you.

Speaker B:

Are you excited or.

Speaker A:

Yeah.

Speaker B:

You know, you.

Speaker B:

You can't be until you.

Speaker A:

I would assume I messed up.

Speaker A:

I would assume they, like, needed something.

Speaker A:

They're like, oh, we need a background check.

Speaker A:

Like, we need something from you.

Speaker B:

Yeah.

Speaker B:

Yeah.

Speaker A:

Not that they were calling with goodness.

Speaker A:

Yes.

Speaker B:

I don't.

Speaker B:

How did.

Speaker B:

How did you actually figure out?

Speaker C:

Well, I called.

Speaker C:

I called the program the next day, and I spoke to Isella, which is like one of.

Speaker C:

Now that I know.

Speaker C:

She's like one of the main people for administration.

Speaker C:

And she was like, oh, your last name is Orm.

Speaker C:

Yeah, you got accepted.

Speaker C:

And I was like, what?

Speaker C:

Like, walking around campus, I'm like, are you sure?

Speaker C:

She's like, yeah, you got accepted.

Speaker C:

She's like, extremely, like, no big deal.

Speaker C:

Oh, my God, thank you.

Speaker C:

And so.

Speaker A:

No big deal.

Speaker C:

I, like, told everybody.

Speaker C:

And that same night, day number two, the admissions director called me again, and what was I doing?

Speaker A:

Sleeping.

Speaker B:

Yeah.

Speaker A:

They're like, this is.

Speaker A:

Should we have done this?

Speaker A:

That's okay.

Speaker C:

I was so mad.

Speaker B:

Yeah.

Speaker B:

So.

Speaker B:

So when my interview was a couple weeks later, after he had gotten his acceptance, you can only imagine the immense pressure that I was under.

Speaker A:

Yeah.

Speaker B:

And my sister was, like, thinking about buying a house, like, wherever we went so that we could rent it out from them.

Speaker B:

So she was, like, looking at Zillow being like, this is where y' all are in live type of thing.

Speaker B:

Like, are you playing this out?

Speaker B:

And I was like, I'm the kind of person.

Speaker B:

It's like, no, you can't do that yet, because then when it doesn't work out, you're going to be extremely sad.

Speaker B:

So I was under a Lot of pressure.

Speaker B:

Obviously didn't think I performed poorly, but, God, I really did not like their interview style.

Speaker A:

Okay.

Speaker B:

It's what they call modified mmi.

Speaker B:

And there's like writing portions.

Speaker B:

And I mean, I feel like the face to face was only like 15 minutes, which I really hate interviews like that.

Speaker B:

But so got the call, like maybe a week or not.

Speaker B:

I got the email.

Speaker B:

Didn't get a call.

Speaker B:

I got an email a week or two later at work being like, hey, we were going to inform you, blah, blah, blah, blah, blah.

Speaker B:

So I. Yeah, so I go into my office and I like, cry the whole day because.

Speaker B:

Because life is ruined.

Speaker B:

But I still had an interview for UT Health San Antonio.

Speaker A:

Okay.

Speaker B:

So whenever I.

Speaker B:

And that was in October.

Speaker B:

So this interview I had at UoT was in August or September, and this one was in October.

Speaker B:

And so I was like five hours away from Dallas.

Speaker B:

And so I was like, you know, this is very selfish of me, and I hate saying this now, but honestly, I feel like it worked to my advantage.

Speaker B:

But I walked into that interview kind of being like, you know, if it happens, it happens.

Speaker B:

If it doesn't, it doesn't.

Speaker B:

Because I was like, if I get in here, it's gonna suck, and if.

Speaker B:

But if I get in here, it's gonna be great, you know?

Speaker B:

But I was definitely focusing more on the first one.

Speaker B:

For sure.

Speaker A:

Yeah.

Speaker B:

Because we had lived together for five years at this point, and we were about to get married and it just was not gonna be a good situation.

Speaker B:

So I interviewed on a Monday, got a call on Friday, a call this time, not an email saying that I was accepted.

Speaker B:

Oh, I forgot to say, I walked into the interview because I was so, like, whatever happens, happens.

Speaker B:

I was way more relaxed in that interview than I was for unt.

Speaker B:

And that's why I say, I think that that was to my advantage because whenever you're stressed out and anxious in an interview, you say random stuff.

Speaker B:

Also, San Antonio had a really great MMI, like a real MMI, like a.

Speaker B:

A very standard, like, 10 room MMI, which I hated before, loved after.

Speaker B:

But yeah, I kind of went in there just being like, you know, whatever, and it worked to my advantage.

Speaker B:

So here we are.

Speaker A:

Yeah.

Speaker A:

Wait, did y' all apply to the same programs?

Speaker A:

That's just how it worked out.

Speaker C:

Or not?

Speaker B:

Interestingly enough, the two programs that I interviewed at Cameron did not apply to because they had certain prereq requirements that I had from being pre med and Cameron did not have it.

Speaker B:

So biochem was why he did not apply to San Antonio.

Speaker B:

Okay.

Speaker B:

But we were just like.

Speaker B:

So we had done long distance before because we started quote, unquote, dating in high school whenever I was 16 and Cameron was graduated.

Speaker C:

Let's just say that.

Speaker B:

Yeah.

Speaker B:

But he was out of the state, so, you know, nothing could happen.

Speaker B:

So we were long distance for two years.

Speaker B:

So we were like, we're gonna apply wherever.

Speaker B:

It's only for two and a half years, and you do what you need to do.

Speaker C:

Yeah.

Speaker A:

Yeah.

Speaker C:

Freaking hard.

Speaker B:

Yeah.

Speaker C:

I thought I was gonna love it.

Speaker C:

I was like, I'm gonna get Indian food every freaking week.

Speaker C:

Let's go.

Speaker C:

And because at that time, I did.

Speaker B:

I did.

Speaker B:

I. I loved it at that time.

Speaker A:

That's a really funny thing to be excited about.

Speaker B:

He was excited for Indian food and to turn the AC up to, like, 80.

Speaker C:

And I did that one.

Speaker C:

I did that.

Speaker A:

That's really funny.

Speaker C:

I usually slept.

Speaker A:

No, but that's hard.

Speaker A:

Even, like, from, like, alone standpoint, like, you're having to take out living expenses in two different places.

Speaker A:

Like, that's a lot.

Speaker B:

Yeah, yeah.

Speaker B:

No, our loan amount.

Speaker B:

So right now I think we're sitting at, well, you know, interest.

Speaker B:

Started reoccurring, but before it did, we were sitting at, like, 2:20, I think.

Speaker B:

Because I think that if Daddy Biden would have given us our money, it would have gone to under 200.

Speaker A:

Yeah.

Speaker B:

But it didn't.

Speaker B:

So that makes sense for two people.

Speaker A:

Going through PA school.

Speaker A:

I mean, that's.

Speaker B:

Yeah.

Speaker C:

Tuition was not the problem.

Speaker B:

No, I mean, our.

Speaker B:

Our programs are, like, in the top, like, five cheapest programs in the nation.

Speaker B:

So our.

Speaker B:

Our tuition.

Speaker B:

My tuition was only 45K.

Speaker B:

Cameron was, like, between 45 and 50.

Speaker B:

But it's the living expenses that are so expensive.

Speaker B:

I mean, I paid, you know, a cheap.

Speaker B:

A relatively cheap amount for my rent.

Speaker B:

It was 750.

Speaker B:

Cameron was paying like a thousand because he was in Dallas.

Speaker B:

Yeah.

Speaker B:

And then I lived with my sister.

Speaker B:

I did not get that for free.

Speaker B:

I just want to have that on the record.

Speaker B:

I tell people that I live with my sister, and they're like, oh, my God, that's so nice.

Speaker B:

I'm like, it was still cheaper.

Speaker B:

I mean, it was nice.

Speaker B:

Yes, but still cheaper.

Speaker B:

Yeah.

Speaker B:

Yeah.

Speaker A:

So I shamelessly say, I moved in with my parents.

Speaker B:

Yeah, dude, if you can.

Speaker B:

Absolutely.

Speaker B:

Because if you think about it, 750 times 30, what is that?

Speaker B:

Yeah, I mean, that's, like, more than.

Speaker A:

I want to think about.

Speaker B:

That's over.

Speaker B:

That's over 20,000.

Speaker A:

Yeah.

Speaker B:

So, I mean, here, let me do the math.

Speaker A:

Yeah.

Speaker A:

I Moved in with my parents for the first year.

Speaker B:

750 Times.

Speaker B:

30.

Speaker B:

22,500.

Speaker A:

Yeah.

Speaker A:

And that just compounds.

Speaker B:

Yeah.

Speaker A:

So did y' all see each other ever?

Speaker B:

Yeah.

Speaker B:

So whenever we first started school, Cameron.

Speaker B:

Well, we both had an extremely hard time.

Speaker C:

Yeah.

Speaker C:

That first summer was extremely tough.

Speaker B:

Yeah.

Speaker A:

With the academics or the transition or, like, all of it.

Speaker B:

All of it.

Speaker A:

Okay.

Speaker C:

Not living together for the first time ever was tough.

Speaker C:

Figuring, like, just life in general.

Speaker C:

Like, my car battery died.

Speaker C:

Thankfully, I was, like, less than a mile from campus.

Speaker C:

Once I figured that walk out, I was like, this is incredible.

Speaker C:

I walked every single day to school.

Speaker C:

School.

Speaker C:

I never drove.

Speaker C:

Yeah.

Speaker C:

I was able to either walk through school buildings in order to get there or walk to the, like, the on campus bus.

Speaker C:

It was incredibly nice being so close.

Speaker C:

I would never trade that again.

Speaker C:

And then we had.

Speaker B:

So we got married 16 days before PA school started.

Speaker C:

I don't think that matters in this part of things.

Speaker B:

Yeah.

Speaker B:

Did you just see her face?

Speaker B:

That was a bombshell.

Speaker A:

No, that does suck.

Speaker B:

Yeah.

Speaker B:

So we got married 16 days.

Speaker A:

Like, people.

Speaker A:

Like, a lot of people would think they couldn't do that.

Speaker B:

Yeah.

Speaker B:

Yeah.

Speaker B:

So we had to move our wedding twice because.

Speaker B:

And we had a destination wedding, so it wasn't, like, a huge deal to do that.

Speaker B:

But our initial wedding was, like, in the summer because usually PA schools start in the fall.

Speaker B:

Yes.

Speaker B:

And so Cameron got accepted.

Speaker B:

His start date was May 20, so we had to move it up to before that.

Speaker B:

I got accepted.

Speaker B:

My school also started on May 20, but I had a week of orientation before.

Speaker B:

So then we had to move it up even more.

Speaker B:

So, yeah.

Speaker B:

We ended up getting married 16 days before PA school, coming back to Texas, and then going to our separate cities after that.

Speaker B:

And that's just a lot.

Speaker B:

The day that he left was like.

Speaker B:

Because we were in San Antonio and he left to go to Dallas was miserable.

Speaker B:

Miserable.

Speaker B:

And then Memorial Day was shortly after that.

Speaker B:

So I was like, I'm driving to Dallas.

Speaker B:

And the traffic was terrible.

Speaker B:

So here I am just sitting in traffic, like, crying all the way to Dallas.

Speaker B:

Cameron's like, stop crying.

Speaker B:

You can't see the road.

Speaker B:

And I was like, I can't.

Speaker B:

I can't.

Speaker B:

Yeah, that was really tough.

Speaker B:

So.

Speaker B:

And that first weekend, Cameron was like, we're not going to be able to see each other.

Speaker B:

Like.

Speaker C:

Like, when I saw the amount of the schedule, like, the amount of work was in that first summer, I don't think it's possible.

Speaker C:

And thankfully, we found the bus system that went back and forth between San Antonio and Dallas.

Speaker C:

And let me tell you how much nausea I had.

Speaker C:

Like, and I should have, honestly, I was nauseous.

Speaker C:

And studying.

Speaker C:

That's all I had.

Speaker A:

Yeah.

Speaker C:

So it was bad.

Speaker B:

Yeah, I. I liked it.

Speaker B:

I would love to say that I studied, but I didn't.

Speaker C:

Yeah, she had never.

Speaker C:

But you.

Speaker C:

You needed that time to decompress.

Speaker B:

Yeah, yeah, yeah.

Speaker A:

Well, that's.

Speaker A:

That's nice is that you'd have to drive it.

Speaker B:

Yeah, yeah.

Speaker B:

But then also, every time I got on that bus, something happened.

Speaker B:

I know they were late.

Speaker B:

One time, our bus got into a wreck one time, which I was already in distress because I had left my keys, my car keys, at Cameron's house, which also had my house keys on it.

Speaker B:

And my sister was gone for that week, so I couldn't get into my house.

Speaker B:

Then the bus ended up filling up with people, which never happened.

Speaker B:

So here I am crying.

Speaker B:

No chapstick.

Speaker B:

Which, fun fact about me, I'm addicted to chapstick.

Speaker B:

Physically, not mentally.

Speaker B:

Physically.

Speaker A:

It might have something to do with your perioral, to be honest.

Speaker A:

We may need to talk about that.

Speaker B:

Maybe.

Speaker B:

Maybe.

Speaker B:

So.

Speaker B:

Yeah.

Speaker B:

No chapstick, no keys.

Speaker B:

I have a lot of anxiety about staying home alone, like at the house that I lived in in San Antonio.

Speaker B:

So it was just.

Speaker B:

It was terrible.

Speaker B:

Cameron had the best time, though.

Speaker B:

Yeah, the best time.

Speaker C:

I never had a problem on the bus.

Speaker A:

Oh, my gosh.

Speaker B:

Just me.

Speaker B:

Just me.

Speaker C:

A lot of stress about getting there on time and stuff like that.

Speaker B:

But yeah.

Speaker A:

Yeah.

Speaker B:

I mean, I remember going back to, like, how tough PA school was.

Speaker B:

Also another thing that happened was that in undergrad and in my Masters, I had a study method that was like, you put a PowerPoint on one side of your screen and you put a Google Doc on the other, and you just type everything out.

Speaker B:

And then once you're done typing that out, you print it out and then study from it.

Speaker B:

And by the time the paper crinkles a certain way, that's how you know that you're ready.

Speaker A:

Yeah, I like that.

Speaker A:

I'm similar.

Speaker B:

So when I got to PA school, I don't know if you know this, but that you can't do that.

Speaker A:

Yeah, there's not time.

Speaker B:

No, there's not time.

Speaker B:

And there's a lot of pictures.

Speaker B:

So I quickly, quickly had to realize that I could.

Speaker B:

I tried to put it like a group together to be like, hey, you do this lecture, I'll do this lecture.

Speaker B:

It fell apart very quickly.

Speaker B:

I don't think it ever got off the ground.

Speaker C:

And then I was like, Tried something with cooking, too.

Speaker B:

Yeah.

Speaker B:

And so I. I'll get intentions.

Speaker B:

I had to.

Speaker B:

I had to learn how to study directly from the PowerPoint, which was extremely difficult for me.

Speaker C:

But I introduced you to that.

Speaker C:

I told you that.

Speaker C:

And you said, there's no way.

Speaker C:

I can't do that.

Speaker A:

You have to.

Speaker C:

Got no choice.

Speaker C:

That's the only way to study.

Speaker B:

But y' all probably couldn't even study.

Speaker A:

Together necessarily, because a lot of programs don't go curriculum wise at the same time.

Speaker B:

They weren't one moment in particular that I remember.

Speaker B:

It was like, I think the second week of PA school, and one of my favorite, actually, my favorite professor came up to me and was like, how are you doing, Brittany?

Speaker B:

And I literally looked at him with this, like, blank, fake smile face.

Speaker B:

And I could feel the tears, like, welling up behind me.

Speaker B:

And I was like, I need to go to the bathroom.

Speaker B:

And I, like, went to the bathroom and just, like, had a good little cry session there.

Speaker B:

And, yeah, I went back to him and I said, stop asking us how we're doing.

Speaker B:

We are not okay.

Speaker B:

We're not.

Speaker B:

So every time.

Speaker B:

Every time, like, a new class would start at my school, I. I get, like, so much anxiety from it.

Speaker B:

Like, just secondhand anxiety.

Speaker A:

I feel like that's a universal experience in school, is like that moment when at some point someone, whether it's faculty or another student or family.

Speaker A:

For me, it was like, all three at some point were like, how are you doing?

Speaker A:

And I was like, not good, not good.

Speaker A:

Like, I remember when we went to a small group session, and it was me and three other girls in my class and my favorite teacher, and it was our teacher for that section, and she was teaching us ortho.

Speaker A:

It was like towards the end of the day, the first Clin Med semester, and she was like, guys, how did.

Speaker A:

How's it going?

Speaker A:

What y' all like, Y' all studying going well?

Speaker A:

And I was like, no.

Speaker A:

I was like, last night I sat at the table and cried like, no, it's not.

Speaker A:

And then everyone else in my group was like, me too.

Speaker B:

Yeah, yeah.

Speaker A:

And this is where we're at.

Speaker B:

Yeah, yeah.

Speaker C:

You realize, like, everybody's kind of handling PA school a little bit differently.

Speaker C:

You're all kind of roughed up by PA school, but some people are able to put on a better front than others.

Speaker C:

But, like, when we would start talking with each other about it, be like, oh, no, yeah, I'm on antidepressants.

Speaker A:

Like, this is not good.

Speaker C:

A ton of our.

Speaker C:

My class.

Speaker C:

And I think maybe Your class too.

Speaker C:

But a ton of us were on antidepressants that had never been before.

Speaker B:

Yeah, I mean, you know, I. I did not start.

Speaker B:

So Lexa.

Speaker B:

Lexa, AKA Lexapro, is my best friend.

Speaker B:

Friend.

Speaker A:

I've seen you post on Instagram and it's so funny.

Speaker B:

Yeah.

Speaker B:

So I made it through all of Didactic not being on any sort of anti depression, anti anxiety medication.

Speaker B:

I went to the student counseling center a couple times, you know, cried my face off.

Speaker C:

Never really talked in the sessions, just cried.

Speaker B:

And then really what, what broke me was clinicals, which everybody says clinicals get so much better and easier.

Speaker B:

Right.

Speaker B:

Which is true, but different.

Speaker B:

What they don't tell you is that there's a change.

Speaker B:

So there's going to be a complete change in your study methods from didactic to under.

Speaker B:

I had mastered didactic.

Speaker B:

I'd mastered it again, not to my own heart, but I got a 4.0 in PA school.

Speaker B:

Yeah, thanks.

Speaker B:

So I had mastered didactic.

Speaker B:

And then going into clinicals, it is a whole new ball game.

Speaker B:

And there is no PowerPoint to study from.

Speaker B:

You have to find your own materials to study from.

Speaker B:

And I just remember that first weekend crying so much that my eyes were like, almost swollen shut.

Speaker B:

Because I was like, I was chilling that first week, I was chillin.

Speaker B:

And then we.

Speaker B:

I got together with my PA school friends and they were like, freaking out and I was like, why are y' all freaking out?

Speaker B:

And then I finally looked at my internal medicine, like, topic list and I.

Speaker A:

Was like, is that your first one?

Speaker B:

Yeah.

Speaker B:

And I looked at that topic list and I was like, oh.

Speaker B:

And then I started crying.

Speaker B:

That's fine.

Speaker B:

And so after I didn't get to start my Lexapro, though, until I literally got the prescription, like, the day before my eor, but I was like, I'm not going to start it before my eor.

Speaker B:

So I started it the day of my eor.

Speaker C:

Like, but you got propanol.

Speaker B:

I did get propanol.

Speaker B:

I did take that.

Speaker A:

Yeah.

Speaker B:

So, yeah, me and Lexa have been together for three years now.

Speaker B:

We're best friends.

Speaker B:

And let me.

Speaker B:

Let me tell you the difference that I was from my first EOR to my second EOR just 28 days later was.

Speaker B:

And my second E was emergency medicine.

Speaker B:

O hard.

Speaker B:

Oh.

Speaker B:

And the world of difference between those two days was incredible.

Speaker B:

And so I always like to, like, especially when I'm talking to my patients now and I'm talking about anxiety and stuff, I tell them that story.

Speaker B:

Because if I would have started my Lexapro in Didactic, I probably wouldn't have hated PA School so much.

Speaker B:

Yeah.

Speaker B:

And I tried telling you I had different experience.

Speaker A:

Yeah.

Speaker B:

Yeah.

Speaker B:

But Cameron had more depression.

Speaker C:

Oh.

Speaker C:

Yeah.

Speaker C:

I was pretty depressed.

Speaker A:

Because you missed Brittany.

Speaker C:

Yeah.

Speaker B:

Yeah.

Speaker A:

And you were in PA school.

Speaker B:

Yeah.

Speaker B:

He was on Wellbutrin.

Speaker C:

Yeah.

Speaker A:

It's just a tough.

Speaker A:

I think the biggest thing is that, well, luckily y' all had each other, but, like, no one else understands, and that is also difficult.

Speaker A:

Like, the people that you're in class with understand, but, like, they also have their own stuff going on and can only support each other to a certain extent.

Speaker B:

Yeah.

Speaker B:

And let me tell you, my friends put on a good front.

Speaker B:

They did.

Speaker B:

I know they were stressed.

Speaker B:

Yeah.

Speaker B:

Like, when we studied together, we were all anxious.

Speaker B:

But, like, my friend Shelby in general, she always just seems so chill.

Speaker C:

Yeah.

Speaker B:

So.

Speaker A:

Yeah.

Speaker B:

And that's just her personality.

Speaker B:

But I was like, are you.

Speaker B:

Are you.

Speaker B:

Am I supposed to be like, you what?

Speaker B:

Why am I over here and you're over here?

Speaker B:

I don't understand.

Speaker A:

I was right in the middle, but I had a super chill friend.

Speaker A:

And then I had a not super chill friend.

Speaker A:

And so I was kind of like the teeter totter, like, in the middle of, like, you should be more worried and you need to chill out more.

Speaker A:

No, you can't know every detail in every book.

Speaker A:

Like, that's not possible.

Speaker A:

So we gotta reframe this.

Speaker B:

Yeah.

Speaker A:

But you over here, I need to you to worry a little bit more.

Speaker A:

And that's the interesting about PA school, too, is, like, you get every personality.

Speaker A:

I feel like it's this, like, little melting pot of a class.

Speaker B:

You really do.

Speaker B:

But kind of how I combated my anxiety in PA school is killing myself, like, studying until 10pm every night, like, and just wake up the next day and do it over again.

Speaker B:

Because my anxiety is when I get to a test and I don't know the answers to several questions, and that's when it kicks in.

Speaker B:

So I knew in order to prevent that, I needed to kill myself in order to get there.

Speaker A:

But do you feel like that was helpful or do you feel like.

Speaker B:

No.

Speaker C:

Okay.

Speaker A:

Okay.

Speaker A:

Because I did that too.

Speaker A:

My first two semesters.

Speaker A:

That was me.

Speaker A:

I'm, like, literally falling asleep in my bed with my book hitting my face.

Speaker B:

Yeah.

Speaker A:

And then going into probably third semester, like, I almost remember the day.

Speaker A:

I actually do remember the day because I was living at home with my parents, and they said, hey, do you want to go get Mexican for dinner?

Speaker A:

And I would, like, looked at them, and I Was like, are you crazy?

Speaker A:

I was like, I have to study.

Speaker A:

No.

Speaker A:

And they're like, you also need to eat, but, like, we'll bring you dinner.

Speaker A:

And after they left, I was kind of like, wait, I do.

Speaker A:

You're right.

Speaker A:

Like, at some point, I am gonna have to eat dinner.

Speaker A:

And, yes, I can study while I eat dinner, but, like, for us to run up the road and get food and come back, it would take, at most, probably 45 minutes.

Speaker B:

Yeah.

Speaker B:

Yeah.

Speaker B:

Also, you're, like, falling asleep studying.

Speaker B:

That's not.

Speaker A:

It's not effective.

Speaker B:

Yeah.

Speaker B:

No.

Speaker A:

And that's why I was like, will this 45 minutes be the difference in me, like, passing a pass, or will it be the difference in maybe me getting one question right?

Speaker A:

And then after that, I was like, oh, okay, maybe I should take some breaks and not, I mean, do this.

Speaker B:

I honestly wish that I would have gotten a B early on so that I wasn't competing with myself, because really, that's what it was.

Speaker B:

It's like, I made it this long.

Speaker B:

I can't.

Speaker B:

I can't go messing that streak up.

Speaker A:

Now, how many people have asked how.

Speaker A:

What your PA school GPA was, like, professionally?

Speaker B:

None.

Speaker A:

Exactly right.

Speaker B:

And that's.

Speaker B:

And that's.

Speaker B:

That's what I tell people.

Speaker B:

It's a cool bragging point.

Speaker B:

I will say it is.

Speaker A:

I'm proud of you.

Speaker B:

But it's also professionally not.

Speaker A:

Doesn't matter.

Speaker B:

So when I talk to people, I tell them, like, yes, I got, like.

Speaker B:

Because they always ask me, like, was PA school hard for you?

Speaker B:

And then they'll be like, what's your.

Speaker B:

What was your gpa?

Speaker B:

And I'll be like, okay, wait, this is not a fair question because my GPA was a 4.0.

Speaker B:

Because I literally didn't do anything.

Speaker B:

And I don't suggest that.

Speaker A:

Don't do it.

Speaker B:

So.

Speaker B:

Yeah.

Speaker A:

Well, I'm going to tell you something that will probably make you mad or sad, but.

Speaker A:

So I didn't have standardized EORs.

Speaker A:

They started the year after me.

Speaker A:

So we just had the ones that my school came up with.

Speaker B:

Yeah.

Speaker A:

So I don't think ours were nearly what yours were.

Speaker B:

I mean, that doesn't make me mad.

Speaker A:

Yeah.

Speaker A:

I just feel bad, like, because I, like, they were.

Speaker A:

Ours were hard.

Speaker A:

I mean, every test is hard, but, like, the ones now, like, they are really rough.

Speaker A:

Especially, like, I've heard internal medicine, emergency medicine, like, those big ones that just have everything.

Speaker B:

Yeah.

Speaker A:

Yeah.

Speaker C:

I found my faculty tests to be way harder than any other test I took in PA school because I really leaned on the fact that they had had hundreds of people read that test question.

Speaker C:

My faculty, my cardiology test, she wrote those questions the day before, and they were trash.

Speaker C:

And they make sense.

Speaker C:

And you would have so many questions where they'd be like, yeah, there's like 30% of y' all that didn't get that one right, which is high, but we think it still is fine, so we're gonna accept it.

Speaker C:

And I'm just like, it's a problem.

Speaker C:

That's not fair.

Speaker C:

And there's a reason why 30% of the class chose this one answer.

Speaker C:

Because you told us that that was a thing during the lecture, and I can pull up the freaking notes to prove it.

Speaker C:

And there was a question, not even cardiology, but I remember it.

Speaker C:

And they had never told us that DDAVP is also the drug called Desmopressin.

Speaker C:

They never told us that.

Speaker B:

Hashtag trauma.

Speaker C:

And every single lecture they called it ddavp.

Speaker C:

No idea what that stands for.

Speaker C:

Not a clue.

Speaker C:

But I know the other name for it is Desmopressid, because I took Kaplan testing and I tortured myself with her questions that she never even looked at.

Speaker C:

And I got that question right, but I was like, there's no way anybody else had here should know that unless they looked up other names for ddavp.

Speaker C:

I was so mad and so many people got it wrong, but they still counted it as like a legit question.

Speaker B:

But you know who didn't get it wrong?

Speaker B:

You.

Speaker A:

You.

Speaker A:

Good job.

Speaker C:

Yeah, I really.

Speaker C:

I thought every single other test besides maybe the gynecology EOR was.

Speaker C:

Or OB GYN was extremely easy.

Speaker C:

I was never worried about failing besides the Gyne one.

Speaker C:

That was it.

Speaker A:

Well, I felt very prepared for boards.

Speaker B:

Yeah, I. I wholeheartedly believed I had failed my first EOR, mainly because I had a whole 2 hour panic attack throughout the entire thing.

Speaker C:

Yeah.

Speaker B:

And that's when.

Speaker B:

Yeah, that's when I.

Speaker B:

My friend Lexa entered my life that night.

Speaker B:

So.

Speaker B:

But see, here's the thing about Cameron, is that he doesn't have anxiety.

Speaker B:

He had depression.

Speaker A:

Yeah.

Speaker C:

My anxiety was cured by my testing.

Speaker C:

My testing allowances that.

Speaker C:

So my anxiety got cured by that.

Speaker B:

What do you, what do you mean by your testing allowances?

Speaker C:

I had extended time during testing, which allowed me time to have many panic attacks during a test.

Speaker C:

But then I could work my way through it and be like, oh, I'm just going to say skip this after my 2 to 3 minute session of like, I don't know anything.

Speaker C:

And then I just move on.

Speaker C:

So that allowed me to have that time.

Speaker C:

There was times where I used a full two and a half hours.

Speaker B:

Cameron.

Speaker B:

So here's the thing is that Cameron was never anxious for his tests.

Speaker C:

Yeah.

Speaker B:

To where like I would literally.

Speaker B:

No, I would wake up at like on test days I would wake up at 4am, go to Chick Fil A. Chick Fil A was not even open yet.

Speaker B:

So wait in their drive through and then get Chick Fil A, go to the library.

Speaker B:

Eyes super heavy, super itchy because they're so tired and just like look over everything before the exam just one more time.

Speaker B:

But Cameron like did not, did not have that.

Speaker B:

And so when he says that he wasn't anxious for any of his EORs, just know that doesn't come like from the same place.

Speaker C:

It's a different place.

Speaker B:

And I definitely do think that the PAEA is that who makes them so far, I don't know.

Speaker B:

I don't even know.

Speaker B:

Yeah.

Speaker B:

So I think PAEA makes the eors.

Speaker B:

And I will tell you that our clinical director who like administered the EORs for us, scared the crap out of us.

Speaker B:

She was like, it's so hard.

Speaker B:

So many people fail.

Speaker B:

Be prepared, do not, like, do not take it lightly.

Speaker B:

And so I think everyone ended up.

Speaker B:

I wouldn't necessarily saying over prepared, but I definitely do think studying for all of the EORs, like from a PAEA standpoint and having the topic list helped so much when, when going to take the pants because, you know, I had a lot of, I wouldn't say confidence because I was never confident in myself, but I didn't have as much anxiety going into the pants because I already take.

Speaker B:

I had been preparing this for this for the past 30 months.

Speaker B:

Like I, I took an EOR at the end of every single rotation and we had 15 of them.

Speaker B:

So I took 15 EORs and then I was like, that, that should be enough.

Speaker C:

Yeah.

Speaker A:

Yeah.

Speaker A:

And you felt ready.

Speaker B:

Yeah.

Speaker A:

As ready as you could be.

Speaker B:

Yeah.

Speaker C:

Watch your cumulative exam at the end,.

Speaker B:

Which nobody tells you about now.

Speaker B:

Do I still have dreams about me having to take the pants now even though I haven't done any studying for it?

Speaker C:

Yeah.

Speaker B:

Yes.

Speaker A:

Really?

Speaker B:

Almost every week.

Speaker A:

I had a dream recently, a very vivid dream that I, at this point in my life, decided to go back to PA school to see what it was like again.

Speaker A:

So I, I applied.

Speaker A:

I'm working as a Durham PA still.

Speaker A:

This doesn't logistically make sense.

Speaker A:

And I like went to class the first day and I like went to class and sat down and they started and I was like, why am I.

Speaker A:

Here.

Speaker A:

Why am I doing this again?

Speaker A:

Yeah, I don't know why.

Speaker B:

Like, yeah, yeah, I've definitely done that.

Speaker C:

Like, mine's more like high school.

Speaker C:

Like, sitting back down in high school in a math class, and I'm like, why?

Speaker C:

I don't need to be here, but I have a test.

Speaker C:

I have to take it.

Speaker B:

From high school.

Speaker B:

I was in drill team when I was in high school.

Speaker B:

Yeah.

Speaker B:

But I quit because there was conflicting things between student council and I was just more into student council.

Speaker B:

And I still have dreams that I, like, rejoined at this stage in my life and don't know the dances, but they're.

Speaker B:

They're expecting me to go dance.

Speaker B:

And I don't know where that comes from.

Speaker B:

Some sort of trauma in my life, but that one happens pretty often, too.

Speaker A:

These have to mean something.

Speaker A:

That's funny.

Speaker B:

Yeah.

Speaker A:

All right.

Speaker A:

I don't want to take too much of yalls time, but I do want to hear about your job, so.

Speaker B:

Okay.

Speaker A:

Because.

Speaker A:

Well, number one, I'll be perfectly honest, I don't know what you do in interventional radiology.

Speaker B:

That's fair.

Speaker B:

That's fair.

Speaker B:

Because I don't know that I do.

Speaker A:

Number two, everyone wants to go into gynecology or things they do.

Speaker A:

And everyone wants to, quote, deliver babies.

Speaker A:

So I'd love to hear your thoughts on that as a PA in gynecology.

Speaker B:

Yeah.

Speaker B:

Who do you want to go first?

Speaker A:

Whoever.

Speaker B:

So I only do gynecology.

Speaker B:

I don't do OB.

Speaker B:

And that is not specific to PAs, though, because in PA school, the PA that I was with did both OB and GYN, but she didn't deliver babies.

Speaker B:

She was purely clinic.

Speaker B:

Now, I will say I am a person of repetition, and that is where I'm comfortable.

Speaker B:

And that is a lot of what my job does.

Speaker B:

And Cameron's is the complete opposite of that.

Speaker B:

So I work in a clinic Monday through Friday.

Speaker B:

I see a lot of annuals, a lot of them, you know, okay, go ahead and put your hands up in the air like you just don't care.

Speaker B:

I'm gonna do your breast exam.

Speaker B:

That kind of thing.

Speaker B:

Now, what I like about that is I'm getting to the point now to where I'm seeing patients.

Speaker B:

I. I know them, or at least I.

Speaker B:

When I look back, I'm like, oh, I've seen them before because I have such a terrible memory, but.

Speaker B:

Or, you know, and those people that I do know, you know, usually it's not for a good reason, you know, So I see.

Speaker B:

I'm getting to that point now where I'M seeing people over and over again and it's fun because one thing that I do and that I, I said that I would do from a long time ago was that I make little notes in their chart about what we talked about that time and then I bring it up again and then they're like, you have such a good memory.

Speaker B:

And I'm like, no, I don't.

Speaker B:

Yeah.

Speaker B:

Yeah.

Speaker B:

I mean I, I cannot remember faces and I cannot remember names, but I can remember the entire story that we talked about the last time that I was with you.

Speaker B:

And that's why I'm so big into telling stories and personal statements because that's, that is really what makes things stick.

Speaker B:

But anyways, so I see a lot of annuals.

Speaker B:

My favorite part about my job is that I.

Speaker B:

Everybody knows women's health as a female going into a gynecology appointment is uncomfortable.

Speaker B:

Everybody knows it.

Speaker B:

Right.

Speaker B:

I've been putting off my pap for a while now.

Speaker B:

You know, probably shouldn't, but I have been.

Speaker B:

It's uncomfortable and I know that.

Speaker B:

But what I love most about my job is that I have the personality where if somebody comes in, I have a smile on my face the entire time.

Speaker B:

I will make it the funnest visit that you've had in a very long time and I will make you comfortable and I will listen to you.

Speaker B:

Whatever you're saying, I will listen to you and I will have a conversation to where we will get to the end of the visit and you'll be like, that wasn't bad at all because we were talking the entire time.

Speaker B:

And so what I love about my job is that I can be someone who makes a situation fun even though it's supposed to be uncomfortable.

Speaker A:

Yeah.

Speaker B:

And I really love seeing like the 21 year olds because I get to shape their entire perspective of women, women's health, like their life moving forward.

Speaker B:

So those are probably my favorite visits.

Speaker B:

That and my Lexapro visit.

Speaker B:

But yes, I work Monday through Friday, 8:30 to 5 and then on Fridays I work 8 to 3 ish.

Speaker C:

What's your extra time?

Speaker B:

I see about 20 patients a day.

Speaker B:

What are you talking.

Speaker C:

You don't leave at 5 o' clock every day.

Speaker B:

I usually leave at like 5:30 cuz I'm clearing out my box.

Speaker C:

Yes, you have a box that you have to clear out which is toxic.

Speaker C:

I don't got.

Speaker B:

Oh, you don't have a box.

Speaker B:

That's why he's saying that.

Speaker A:

I don't know if I have a box.

Speaker A:

Like an inbox.

Speaker C:

Yeah, yeah.

Speaker C:

Like, results that could.

Speaker B:

Biopsies and stuff.

Speaker A:

Yeah, yeah, yeah.

Speaker A:

I. I do it.

Speaker A:

You.

Speaker A:

I usually do mine first thing in the morning.

Speaker B:

I just do mine throughout the whole day and then.

Speaker A:

Yeah, throughout the day.

Speaker B:

Yeah.

Speaker B:

And then if I still have some in the evening, then I'll go ahead and I'll finish it out, you know, get the ones out that I can.

Speaker A:

Yeah.

Speaker B:

For ones that I have to use my brain.

Speaker B:

I'm like, we'll save that for tomorrow.

Speaker B:

Yeah, yeah, yeah.

Speaker B:

So that's what My days.

Speaker B:

It's very.

Speaker B:

It's very, like, repetitive.

Speaker B:

And I see the same people every day, and I love that.

Speaker B:

I love it.

Speaker C:

Yeah.

Speaker C:

I don't like.

Speaker A:

I love that you found that perfect match job for you.

Speaker B:

Yeah, yeah, yeah.

Speaker B:

Oh, but I will say that I do have a person in my class who does deliver babies.

Speaker C:

Yeah.

Speaker A:

Okay.

Speaker A:

But in Georgia, PAs cannot.

Speaker A:

Are not allowed to deliver babies.

Speaker B:

Oh, really?

Speaker A:

Only midwives.

Speaker B:

Yeah.

Speaker C:

Nurse practitioners?

Speaker B:

No, midwives.

Speaker A:

No.

Speaker A:

They would have to, like, specifically have nurse.

Speaker B:

Women's health.

Speaker B:

Nurse practitioners are pulling purely clinical.

Speaker B:

Purely.

Speaker C:

So could a surgical nurse practitioner.

Speaker B:

Would that be acute?

Speaker A:

Not in Georgia.

Speaker B:

Yeah, but PAs can deliver babies in Texas, but it's pretty rare because the midwives, the residents, the physicians take over.

Speaker B:

But she works in a rural setting, so.

Speaker A:

Okay.

Speaker C:

What's her name?

Speaker C:

Ashlyn.

Speaker A:

Huh.

Speaker C:

She works in our area, and she delivers Ashlyn bone with Janet.

Speaker B:

Oh, yeah.

Speaker C:

So, anyways, I work in the little black box called interventional radiology, which a lot of people say, so interventional.

Speaker A:

Does it have to do with cardiology, or am I wrong?

Speaker C:

There is interventional cardiology.

Speaker C:

There is some radiologists which do that, yes.

Speaker C:

But that would be kind of like another subspecialty within interventional radiology.

Speaker C:

Like, there's neuro interventional radiologists, which do stroke cases, thrombectomies, carotid, and up, essentially, plus all the other interventional radiology stuff.

Speaker C:

So as a PA in interventional radiology, the way I see my role is to be like, a little vacuum that sucks up all the baby cases so that my docs can do the big cases.

Speaker B:

I really don't like that you say that.

Speaker C:

That's the way I see Michael.

Speaker C:

It's not your story.

Speaker B:

It's fine.

Speaker A:

So you don't like that?

Speaker B:

No, because, you know, people will be like.

Speaker B:

And I hate when they say this, like, in their interview, in their mock interviews, or in their personal statements.

Speaker B:

Is that like.

Speaker B:

Yeah, so the pac, like, the easy cases, so that the doctors can see the big cases.

Speaker B:

And I'm like, I mean, true to, like, some extent, but, like, not in all settings.

Speaker B:

It just.

Speaker B:

It's just like.

Speaker B:

I feel like it's like bringing down what you do when you say that.

Speaker C:

I mean, I don't see it like that.

Speaker A:

That's interesting.

Speaker A:

I get what you're saying.

Speaker A:

I. I think I wouldn't necessarily like it.

Speaker A:

It, like, what you're saying, Brittany, in, like, an interview setting from a student, but I get what you're like, because I. I say something similar.

Speaker A:

Like when people are like, oh, do you, like, assist the doctor?

Speaker A:

I'm like, yeah, I let her take more vacations.

Speaker A:

Like, that's my job.

Speaker A:

That's why I'm there.

Speaker A:

I guess part of what I really do see my job is, like, make her life easier, whatever that looks like, and.

Speaker C:

And my docs realize that their lives are easier.

Speaker C:

Every single interventionist that works with PAS says, I would not be able to do what I do without you.

Speaker C:

They're able to read more diagnostic images.

Speaker C:

They can do a CT scan in the same, like, five CT scans in the same time that I can do 20 procedures.

Speaker C:

But they wouldn't have been able to do those.

Speaker C:

And let me tell you, those CT scans pay way more than a little paracentesis or thyroid or even a line placement.

Speaker C:

So they truly appreciate it.

Speaker C:

And, like, the way that I see it most is we just started the PAs, started at a new hospital, and we've not been at this one before, but our docs have, and they had been there for probably two or three years requesting PAs to help.

Speaker C:

And the company's like, you don't have enough.

Speaker C:

You don't got enough cases or patients for us to be able to give them to you.

Speaker C:

So they're like, yes, we do.

Speaker C:

Yes, we do.

Speaker C:

And when we came in there, the highest RVUs, because now we gauge RVUs, which is essentially like the points at which your cases count.

Speaker C:

And if you have so many RVUs, then they pay so much, blah, blah, blah.

Speaker C:

And so the RVUs at our biggest hospital was 2,500.

Speaker C:

This hospital now has:

Speaker C:

The next hospital has:

Speaker C:

So that's.

Speaker C:

There's a big jump there.

Speaker C:

But it's a lot of.

Speaker C:

It's a lot of points that this hospital gets.

Speaker C:

And our physicians that work there are like, this is incredible.

Speaker C:

That doesn't even count what the docs do.

Speaker C:

That's just what the PAs are doing in that hospital, which is a lot.

Speaker C:

And so they're like, first, the diagnostic docs that we're having to do something called fluoroscopy, which is essentially you swallow contrast, or we put contrast somewhere in the body and we take pictures of it.

Speaker C:

They're like, they hate that part of their job.

Speaker C:

A lot of them really don't like it.

Speaker B:

So do you?

Speaker C:

I dislike it, yes.

Speaker C:

But it's still semi interesting.

Speaker C:

But they really hate it.

Speaker C:

And they're like, thank you.

Speaker C:

Thank you for being here.

Speaker C:

Thank you for doing this enema or this esophagram, whatever.

Speaker C:

They really like it.

Speaker C:

So I do a lot of different cases.

Speaker C:

So the thing that is different in my job, like, I may go months without doing a certain type of procedure, and then I'm like, expected to be able to, oh, now this procedure dropped onto the board and it's quote, a PA case.

Speaker C:

So I will do it.

Speaker C:

Like the other day I did a.

Speaker C:

A feeding tube exchange, except for it's.

Speaker C:

It's a.

Speaker C:

It's a J tube, so it goes deeper down into the small bowel.

Speaker C:

And I hadn't done a J tube exchange in a long time.

Speaker C:

I'd done G tubes but not a J tube.

Speaker C:

And so I was doing this case and was like, trying to remember the steps.

Speaker C:

And the biggest thing in interventional radiology is don't lose your access.

Speaker C:

It's important that once you have access, you try to always have it because you may not be able to get it again.

Speaker C:

And I lost access.

Speaker C:

And so me and the, the rad tech that I was working with were trying to get access back again.

Speaker C:

But it's like, I really like that.

Speaker C:

Part of my job is I do a lot of different things I may not have done in a while.

Speaker C:

And then I might go do rounding and then I might go downstairs and help with fluoroscopy.

Speaker C:

So depending upon where I'm at, I work either 7:30 to 4:30 or 8 to 4:30.

Speaker C:

But usually I could be done by 4:00 o' clock and leave.

Speaker B:

Yeah.

Speaker A:

And you're doing mostly procedures, huh?

Speaker A:

You do mostly procedures?

Speaker C:

It's a.

Speaker C:

It's a.

Speaker C:

It depends upon where you're at.

Speaker C:

So that newest location, we do all three, we do rounding, fluoroscopy, and procedures.

Speaker C:

And so like this last Friday, I did a ton of light place line placements into the neck.

Speaker C:

I did some biopsies, I did drainages, and then I did rounding on, like, five different people that we had seen the prior day.

Speaker B:

So since Cameron is no longer in training, he's going to several locations now.

Speaker B:

But whenever he was at his initial location at, like, their training hospital, every day, he would have, like, A different, like I'm on IR2 today and IR2 is the rounding team, but tomorrow I'm on IR1 and that's the procedure team.

Speaker B:

And then the next day I'm on fluoro, so I'll be doing Fluoro.

Speaker B:

And then if they're like ever is like a lull or anything, then they can go help other people.

Speaker C:

And at that hospital, which is our training hospital, it's very sectionalized so usually one team doesn't have to help the other team.

Speaker C:

And it's a, it's a really good learning basis.

Speaker C:

Like we have probably five new PAs that are going to be onboarding over the next eight months or so.

Speaker C:

And so they'll be mainly at that hospital doing all the learning stuff.

Speaker C:

And my company is really great.

Speaker C:

Like when they say like you're going to have one year of learning, it's not like, oh, we're actually going to throw you into the wolves in two months.

Speaker C:

It's a true learning basis.

Speaker C:

And I feel like our company does a really good job trying to value us and make us feel valued most of the time they're a company still, but they do a really good job of helping the PAs when they need it.

Speaker C:

And we have a really receptive supervisor who's also a PA as well.

Speaker C:

And we all really like each other.

Speaker C:

All the PAs work really well.

Speaker C:

We're not gunning for some of each other and like trying to like, I don't know, steal cases and stuff like that.

Speaker C:

We do a pretty good job helping.

Speaker C:

We do a lot of like in individual get togethers and stuff like that.

Speaker C:

So it was fun.

Speaker B:

I forgot to say, I'm the only PA in my practice.

Speaker C:

True that.

Speaker C:

Which is what they say, right?

Speaker C:

Don't be the first pa. And they, you were.

Speaker A:

Do they have NPS or just.

Speaker A:

No, like you're, you're.

Speaker B:

So we have like, I, I, I should know these numbers by now, but we, I think we have like six physicians and then me and then we used to have a nurse practitioner but she left in September.

Speaker C:

She'd been there for a while.

Speaker B:

Yeah, she'd been there for 17 years.

Speaker B:

And then we have midwives with three midwives.

Speaker B:

But me and Kristen, the NP, we were the same thing.

Speaker B:

We were clinic only.

Speaker B:

Everybody else, the midwives and the docs have like a call day and a post call day.

Speaker B:

But yeah, I'm the only PA in the office, so.

Speaker A:

Interesting.

Speaker A:

That's the one thing I love about our profession is like we're all three PAs and our jobs are completely different.

Speaker A:

Like, we have the same title, but we do not do any of the things.

Speaker A:

Things.

Speaker B:

Yeah.

Speaker B:

Yeah.

Speaker B:

Then also, like, if I didn't want to work in gynecology anymore, my second interest, far from first, but second interest, was peeds.

Speaker B:

So, okay, like, if I, you know, was like, I really don't like this repetition, I could go work in peds.

Speaker B:

But peds is also repetitive, so I think everything.

Speaker A:

Like, I think I've decided everything kind of is.

Speaker C:

Yeah, yeah, that's.

Speaker C:

So that's my thing was like, I don't want to repetition, like, day to day.

Speaker C:

Right.

Speaker C:

And so, yeah, thankfully, I was able to talk to my supervisor about that.

Speaker C:

And I am currently credentialed, I think, at four or five different hospitals.

Speaker C:

So, like, next week, I'm at three of those five hospitals.

Speaker C:

So it's pretty.

Speaker B:

I would hate that.

Speaker C:

And I love it because I get to see all different people every single day.

Speaker B:

See, I am an extroverted introvert.

Speaker B:

And so if I am in a situation to where I am, like, I'm having to meet new people or be with people I haven't seen in a while, it.

Speaker B:

I'm like, pull back.

Speaker B:

But if I'm, like, with the same people every day, I'm like, what's up, Dr. Shimer?

Speaker A:

Hey.

Speaker B:

Like, I'm like, the personality in our office.

Speaker A:

I can see that, Brittany.

Speaker A:

I can see that.

Speaker B:

Yeah.

Speaker B:

But if I had to go to three different hospitals in one week,.

Speaker C:

That.

Speaker A:

Would be a lot.

Speaker A:

Yeah.

Speaker A:

See, I. I don't think I'm a hospital person.

Speaker A:

No, that's what I decided.

Speaker A:

Like, I'm.

Speaker A:

That's just, like, not my setting.

Speaker A:

I would be fine if I had to do it, but, like, it wouldn't be my preference ever.

Speaker B:

I'm glad you would.

Speaker B:

I wouldn't be.

Speaker A:

Like.

Speaker A:

So I.

Speaker A:

So here's my thing.

Speaker A:

I love an or.

Speaker A:

Like, if I could do general surgery and, like, just be in an OR and not have, like, the schedule of general surgery and the call and all that.

Speaker A:

Like, I was all the.

Speaker A:

Yeah.

Speaker B:

Like.

Speaker A:

But if.

Speaker A:

But like, that's where derm.

Speaker A:

You know, I still get to do procedures, but it's not that.

Speaker A:

But, yeah, my.

Speaker A:

And then my second.

Speaker A:

If I didn't do derm, I'd either general surgery or endocrinology would be my second, which I.

Speaker A:

So here's the thing.

Speaker A:

Here's the thing.

Speaker A:

So I hated it in PA school.

Speaker A:

I hated it.

Speaker A:

Like, that was.

Speaker A:

That was my least favorite section of didactic.

Speaker A:

So because of that, I was.

Speaker A:

When I was choosing rotations, our internal.

Speaker B:

One of those people.

Speaker A:

You got to split it.

Speaker A:

And so I went and I did an endocrine rotation, and I loved it.

Speaker A:

I was like, this makes no sense, because I hate this, but now I love this.

Speaker A:

And so I just like.

Speaker A:

And honestly, I had a terrible preceptor.

Speaker A:

Like, I did not like him at all.

Speaker A:

But just actually doing endocrine, I enjoyed so much.

Speaker A:

And so if.

Speaker A:

Isn't that so weird, though?

Speaker B:

I mean, when people would say, like, yeah, do your electives and what you didn't do well in.

Speaker B:

In didactic, I'm like, I would never do a cardio rotation in my life.

Speaker B:

Keep me away from the heart.

Speaker B:

I probably should have a substantial amount, you know, from the heart to, you know, where I need to be.

Speaker B:

That's a pretty good.

Speaker B:

I'm good.

Speaker B:

Yeah, I'm good.

Speaker C:

You'd be a pediatric.

Speaker B:

I could be.

Speaker B:

I could be a foot pa, But.

Speaker A:

I see way too many feet in my job.

Speaker C:

I'm sure you do.

Speaker B:

Yeah.

Speaker B:

Yeah.

Speaker B:

I send a lot of vulvar moles to you.

Speaker B:

I send a lot of hair thinning acne.

Speaker B:

Yeah, yeah, yeah.

Speaker A:

We.

Speaker A:

That.

Speaker A:

Yeah, we do get a lot of those referrals.

Speaker B:

Yeah.

Speaker B:

But then it makes me think, do you take your dermatoscope and get in there?

Speaker A:

What if you sent me a vulnerable.

Speaker B:

Yeah, yeah.

Speaker A:

So here's the thing.

Speaker A:

And that's.

Speaker A:

That's the thing.

Speaker A:

Like, if it.

Speaker A:

If it is external, like, I can see it.

Speaker B:

Yeah.

Speaker A:

Sometimes people come and they're like, I have this, like, internal mole, and I'm like, I don't.

Speaker A:

Like, I literally can't.

Speaker B:

I don't have the tools to see more.

Speaker A:

Yeah.

Speaker A:

And so.

Speaker A:

And.

Speaker A:

And that's, you know, a few certain people that will send that to us, and we're like, hey, like, we just aren't really equipped for that.

Speaker B:

Yeah.

Speaker A:

Sorry.

Speaker A:

I will tell you, the first.

Speaker A:

The first biopsy I ever did on a vulvar mole, the patient that was also the first patient who ever passed out on me, like, right in the middle, like, just out.

Speaker A:

And at least she didn't have.

Speaker A:

And it was also, like, I was fairly new.

Speaker A:

I'd only been practicing for maybe, like, six, eight months.

Speaker A:

And I, like, went to my doctor, and I was like, hey, like, I've never done this type of biopsy before.

Speaker A:

Like, what do I need to do?

Speaker A:

Just like, it's fine.

Speaker A:

Just do it normal like you always would.

Speaker A:

Like, just a little punch.

Speaker A:

It's fine.

Speaker A:

And I was like, okay.

Speaker A:

And then the patient passes out, and I'm like, never Doing this again.

Speaker A:

Oh, my gosh.

Speaker C:

External rub.

Speaker C:

Here we go.

Speaker A:

Now it's fine.

Speaker A:

Now it's fine.

Speaker B:

She was already laying down.

Speaker A:

Yeah, she was laying down, but, like, eyes rolling back.

Speaker A:

Like, it wasn't good, but I was like.

Speaker A:

And then I was like, in the middle of it, I was like, I just gotta finish this.

Speaker A:

Like, y' all fanner.

Speaker A:

Y' all talk to her.

Speaker A:

Like, get her awake.

Speaker A:

But like, yeah, I got it finished.

Speaker B:

Well, now you gotta close up that little hole you just put there.

Speaker A:

Yep, that's what we did.

Speaker C:

So she was awake.

Speaker A:

Yeah, yeah, she was very happy with me, but it's fine.

Speaker B:

You're just trying to save her life.

Speaker A:

And then they wonder why I keep my rooms on, like, 68 degrees.

Speaker A:

I'm like, gotta.

Speaker A:

It's gotta stay cool in here.

Speaker A:

Everybody's gonna pass out on me.

Speaker B:

I have an extra fan, so anytime anybody gets, like, I feel woozy.

Speaker B:

I'm like, get my fan.

Speaker A:

Yeah, I'm feeling a little hot.

Speaker A:

I'm like, yeah, lay back.

Speaker B:

I got peanut butter crackers.

Speaker A:

We got a Coke and a straw.

Speaker A:

Yep.

Speaker A:

Yeah.

Speaker A:

Fun, fun times in medicine.

Speaker C:

Yeah, I.

Speaker C:

Only one person passed out, but they.

Speaker C:

They hadn't drinking fluids in days, so that was a good reason.

Speaker C:

So I just held on to the little fluoroscopy machine and we went back down.

Speaker B:

I've never had anyone pass out on me.

Speaker B:

Nauseous?

Speaker B:

Yes.

Speaker B:

But knock on wood.

Speaker B:

Usually the people that pass out are the people who.

Speaker B:

And are.

Speaker B:

In lab.

Speaker B:

We have a special whistle system.

Speaker B:

So Ms. Betty has a whistle that she blows whenever somebody is starting to pass out.

Speaker B:

And then the providers will go up there and make sure, like, yeah, I.

Speaker A:

We have quite.

Speaker A:

We have quite a few, honestly, with.

Speaker A:

I mean, biopsies and procedures.

Speaker B:

The one time I vasobagal was in.

Speaker A:

Durham, like, watching it or like, on you watching it?

Speaker C:

Yeah.

Speaker A:

Okay.

Speaker A:

So when I did the first time I ever saw.

Speaker A:

The first time I saw a punch biopsy, I was in college shadowing.

Speaker A:

And you just don't expect it to be as deep as it is and all that.

Speaker A:

And then the.

Speaker A:

The PA looked at me, and she was like, you need to sit down.

Speaker A:

And I was like, yep, Yes, I do.

Speaker B:

Yes, ma'.

Speaker B:

Am.

Speaker A:

I'm glad she said that.

Speaker B:

No, mine was a cystic section, like, on the shoulder.

Speaker B:

And, you know, you can excise any cysts anywhere on the body, and I'd be fine.

Speaker B:

But just the shoulder, where there's, like, not a whole lot of tissue there and, like, weird scraping noises.

Speaker B:

That's what got me And I. I mean, I. I've watched knee replacements.

Speaker B:

I've watched C sections.

Speaker B:

I have seen barbaric stuff.

Speaker B:

And.

Speaker B:

And that.

Speaker B:

I was like.

Speaker B:

All I could think of was like, just a PA like, you know, just a PA at.

Speaker B:

Just a PA on Instagram.

Speaker B:

She's a surgery pa, so she's like, if you're gonna pass out, leave.

Speaker B:

Do not be a second patient in the room.

Speaker B:

And so, like, my butt was sweating.

Speaker B:

I was starting to get, like, cold, but I was sweating.

Speaker B:

I was starting to get nauseous.

Speaker B:

I was like, I need to get out of here.

Speaker B:

I need to get out here.

Speaker B:

And I was like.

Speaker B:

But I was like, don't be a little b. Brittany, don't be.

Speaker B:

Don't be a little.

Speaker A:

No, you gotta get out.

Speaker B:

Yeah.

Speaker B:

But I was like, get out.

Speaker B:

Get out.

Speaker B:

And I was like, I'm gonna go sit out here.

Speaker B:

And I, like, went and sat in a chair, and my preceptor, like, walks around the corner because he was not in that procedure.

Speaker B:

And he was like, oh, you were very white.

Speaker B:

And I was like, yeah, not feeling the best.

Speaker B:

And then that night, I was staying at my cousin's house for that rotation, and I was like, I need to wash my pants.

Speaker B:

I got sweat all up in my booty.

Speaker B:

It was not a good situation.

Speaker B:

It was not good.

Speaker A:

That's.

Speaker A:

Everybody has their, like, thing.

Speaker A:

And I think if you see it enough, you get immune to it.

Speaker A:

But, yeah, that's how I am with ortho stuff.

Speaker A:

Like, bones I don't do.

Speaker A:

And I had the exact same experience on a ER rotation.

Speaker A:

A kid had broken both of his arm bones, and they had him sedated.

Speaker A:

And the doctor was like, here, come feel it.

Speaker A:

You need to recreate the injury to set it.

Speaker A:

And he, like, made me feel it and move it around.

Speaker A:

And my vision just started, like, going.

Speaker A:

I could feel it.

Speaker A:

And I was like, ah.

Speaker A:

Like.

Speaker A:

And I was like, I'm gonna go.

Speaker A:

And so I walked out, and, like, at that point, like, couldn't see just stars.

Speaker A:

And I was.

Speaker A:

I sat down in the nurse's station, like, in a chair.

Speaker A:

And they came out, and they're like, you look like a sheet.

Speaker B:

Yep.

Speaker A:

I was about to hit the floor.

Speaker A:

Yep.

Speaker B:

Isn't it?

Speaker A:

Don't do that to me.

Speaker A:

And then my preceptor was like, yeah, er's not you.

Speaker A:

And I was like, okay, I don't.

Speaker C:

Think that means that I really hate critical things.

Speaker A:

I don't either.

Speaker A:

But he.

Speaker A:

He was very, like, blunt and straightforward, and he was just like, I mean,.

Speaker B:

I could totally do derm.

Speaker B:

Totally.

Speaker B:

Yeah.

Speaker A:

You.

Speaker B:

I mean, yeah, totally.

Speaker B:

But, like, maybe excisions on shoulders.

Speaker B:

I would give that to Savannah.

Speaker B:

Well, well.

Speaker A:

So, like, the PI work with, she won't do any cysts, really?

Speaker A:

So she won't do.

Speaker A:

Yeah, she doesn't do any cyst excisions.

Speaker A:

Like, she just doesn't like them.

Speaker A:

That's fine.

Speaker A:

And then the other PA that works with us doesn't do any excisions at all.

Speaker B:

So do you do excisions?

Speaker A:

I love them.

Speaker A:

Like, I would be fine doing all of that.

Speaker B:

Yeah, well, the.

Speaker B:

The.

Speaker B:

The precept.

Speaker B:

So I did a derm rotation, and the PAs didn't do excisions.

Speaker A:

Yeah.

Speaker B:

So I didn't know if that was, like.

Speaker A:

It just.

Speaker A:

It's practice.

Speaker A:

Depends.

Speaker A:

So my old practice, I didn't do them very much, but I did a lot more cosmetics.

Speaker A:

And then this office, I do a lot more surgical cases and less cosmetics.

Speaker B:

Yeah.

Speaker A:

So nice.

Speaker A:

Which is my.

Speaker A:

My preference.

Speaker B:

Yeah.

Speaker C:

Yeah,.

Speaker B:

Yeah.

Speaker B:

On the last day of my derm rotation, I saw this gray, and you probably call them something different, but blackhead on this person's back.

Speaker B:

And I was like.

Speaker B:

I was telling my preceptor that I wanted to get these things so bad.

Speaker B:

Like, he was like, oh, nope, gotta suggest an excision for that because you gotta get the whole sack out.

Speaker B:

What?

Speaker A:

Oh, yeah, yeah.

Speaker A:

Candy strain it.

Speaker B:

Yeah.

Speaker B:

And the last I, like, pointed out to him, I was like.

Speaker B:

And then he's like, you know, you got a.

Speaker B:

A pretty big open condom on the back of.

Speaker B:

On your back.

Speaker B:

Do you want us to get that for you?

Speaker B:

And I was like.

Speaker B:

And so I got.

Speaker B:

I got it out.

Speaker B:

And I even got a sack out, too.

Speaker A:

Good job.

Speaker B:

Yeah, it was a.

Speaker B:

It was quite.

Speaker A:

Derm's.

Speaker A:

Very rewarding.

Speaker B:

Yes.

Speaker A:

When you, like, fix.

Speaker A:

Fix it or get it or whatever.

Speaker B:

Got that.

Speaker A:

I got that.

Speaker C:

Yeah.

Speaker B:

Huh.

Speaker B:

Yeah.

Speaker B:

And sometimes, I mean, I'm sure you see it with, like, hs, like, in the groin and stuff.

Speaker B:

Yeah.

Speaker A:

We get a lot of those referrals from you.

Speaker B:

Yes.

Speaker B:

Yes.

Speaker B:

That is also another one that I send to you.

Speaker A:

Yeah.

Speaker B:

Because they'll be.

Speaker B:

They'll be like, I get these bumps all over me.

Speaker C:

And I'm like, yeah, that's a disease process there.

Speaker A:

It is.

Speaker B:

Luckily.

Speaker A:

Luckily.

Speaker A:

Thankfully, we have more options now.

Speaker C:

Yeah.

Speaker C:

I've seen some commercials out there.

Speaker A:

Yeah.

Speaker A:

Because when I started, like, we just didn't really have much more antibiotics.

Speaker C:

Right.

Speaker C:

Like, essentially.

Speaker A:

Yeah.

Speaker A:

Antibiotics, topicals, sometimes hormonal therapy will help some, but, like, it.

Speaker A:

Yeah.

Speaker A:

Now there.

Speaker A:

There are some medicines that do better.

Speaker A:

And then really, like, even surgery doesn't help.

Speaker A:

Often can cause some problems.

Speaker C:

Scarring on top of scarring, really.

Speaker A:

Yep, exactly.

Speaker A:

And so, yeah, it's.

Speaker A:

It like that.

Speaker A:

That's a tough one.

Speaker A:

That.

Speaker A:

That's the hard part about derm is there are so many things that, like, we don't have a reason for, like why it happened or why somebody has it.

Speaker B:

Yeah.

Speaker A:

And we don't have a cure.

Speaker A:

So it's just a lot of conversations about that.

Speaker A:

Yeah.

Speaker B:

I always tell people I can't tell you what you do have, but I can tell you what you don't have.

Speaker A:

Yeah.

Speaker A:

There's a lot of that and figuring out that.

Speaker A:

So.

Speaker A:

Yeah.

Speaker A:

But it's fun.

Speaker A:

I'm not planning on going anywhere.

Speaker A:

Like, my.

Speaker A:

My job.

Speaker B:

Yeah.

Speaker B:

Yeah.

Speaker B:

You also have one of those coveted jobs.

Speaker A:

I do.

Speaker A:

And I have a fantastic office and practice that is just, like, crazy flexible and kind and.

Speaker A:

Yeah.

Speaker A:

I like, as long as y' all have me, I will be here.

Speaker A:

Yeah.

Speaker B:

That's awesome.

Speaker B:

That's kind of how I feel about mine.

Speaker C:

I feel really happy every day that I'm like, I somehow landed this great job with great pay, really good benefits, and they're actually willing to teach me everything that I need to know, and they're not gonna force me.

Speaker C:

Like, what?

Speaker A:

And, well, that's the thing.

Speaker A:

Like, I think all of us have great job.

Speaker A:

Like, it's like, you hear a lot of complaints about jobs, but, like, we're here to say, like, they're also.

Speaker C:

Yeah.

Speaker A:

Great jobs.

Speaker B:

Yeah.

Speaker A:

Out there.

Speaker B:

Yeah.

Speaker B:

I think also, though, you have to be adaptable.

Speaker A:

Yeah.

Speaker A:

Yeah, I agree with that.

Speaker B:

Yeah.

Speaker B:

But I really do like my job, so I think it was a good place for, like, new grads.

Speaker B:

Really good price for new grads because we have.

Speaker B:

What did I say?

Speaker B:

Six doctors.

Speaker B:

I don't know if that's accurate.

Speaker A:

A lot of people to learn.

Speaker B:

Yeah.

Speaker B:

Yeah.

Speaker B:

And, like, I'm constantly surrounded by people, so I always had somebody to ask questions to whenever I had to.

Speaker A:

I'm lucky to have you.

Speaker B:

Oh, thank you.

Speaker A:

Well, y' all are great to talk to.

Speaker A:

This is gonna be, like, one of my favorite episodes ever.

Speaker C:

Glad to help.

Speaker C:

We like it.

Speaker B:

Yeah.

Speaker A:

I feel like y' all should have your own podcast.

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