Challenges all round

Hi,
Hope everyone is managing to get through their placements ok. This past week has been interesting at my Cardio placement as we have had a change over in supervisors-we have one for a few days and then another person for the other days. The challenging aspect of this has been adapting yourself to suit each supervisor as they are both quite different. One supervisor had us for the first week and was therefore more confident in letting us go and treat patients independently while the newer supervisor is much more regimented and wanted us to consult back to them much more frequently. While I understand this helps them to understand if we are capable, it takes up more of your available time. It highlights how when constantly dealing with people, we are going to have to change our approach to situations quite regularly!!

Also, just another thought to consider-had a patient come in to have a valve replacement but their co-morbidities were almost as much of a concern as the heart surgery!! This patient has type 2 diabetes, haemachromotosis, below knee amputation AND Parkinsons!! So the dilemma…how to ambulate to clear his lungs with BKA plus prosthesis but with Parkinsons-needless to say, a challenge!!
Have a good week.