{"id":3331,"date":"2022-07-19T15:10:42","date_gmt":"2022-07-19T19:10:42","guid":{"rendered":"https:\/\/blogs.nejm.org\/general-medicine\/?p=3331"},"modified":"2022-07-19T15:10:42","modified_gmt":"2022-07-19T19:10:42","slug":"adventures-of-family-medicine-clinic-days","status":"publish","type":"post","link":"https:\/\/blogs.nejm.org\/general-medicine\/index.php\/2022\/07\/adventures-of-family-medicine-clinic-days\/","title":{"rendered":"Adventures of Family Medicine Clinic Days"},"content":{"rendered":"\r\n
\"Mikita<\/a>

Dr. Arora is a Family Medicine resident at McLaren Oakland Hospital in Pontiac, MI.<\/p><\/div>\r\n

\"group<\/a>

Tuesday Clinic as a PGY-2 with Dr. Kelly Mason (APD), Dr. Hima Chopra, Dr. Mark Schury (PD), me, and Dr. Whitney Fron<\/p><\/div>\r\n

Family Medicine Continuity Care Clinic\u00a0<\/strong><\/h3>\r\n

Wow! I cannot believe it\u2019s my final year of residency. I am currently a 3rd-year Family Medicine Resident at McLaren Oakland Hospital in Pontiac, MI. Our clinic is a nonprofit, federally qualified health center and an accredited patient center medical home. Our target population is the medically underserved in an urban setting. The patients who come to our clinic are very sick. Many of them haven\u2019t seen a doctor in years. If they do see a physician, most of them are noncompliant. Their problem list is sometimes 8\u00a0 to 10 assessments deep. Their problems have to be addressed at every visit, because either they are critical or you don\u2019t know if you will ever see them again.<\/p>\r\n

We provide them with lots of resources: access to a nutritionist, shelter, or counseling and rehab programs. The environment that my program director, Dr. Mark Schury, and associate program director, Dr. Kelly Mason, have created is very supportive and a magnificent one to train in. As a third-year resident, I have two clinic days and see as many as 16 to 18 patients per clinic day. These interactions with my patients have opened my eyes in numerous ways.<\/p>\r\n

 <\/p>\r\n

\"\"<\/a>

Tuesday Clinic as an Intern with \u00a0my co-residents Dr. Hima Chopra and Dr. Julie Adamo<\/p><\/div>\r\n

Clinic Patient Adventure<\/strong><\/h3>\r\n

One of my very first clinic patients impacted my training tremendously. She has helped me grow into the physician I am today. When I first met, her health was already deteriorating, and she was very noncompliant with medical advice. In August of my intern year, I remember telling her, \u201cHey, you are drowning in your body\u2019s fluid. You need to go to the hospital. There isn\u2019t much I can do for you here anymore.\u201d She would tell me how she hated the hospital and did not want to go. Finally, 6 months later, I was able to convince her to go to the hospital.

During that hospital stay, I went to visit her, because our hospital did not allow outside visitors due to COVID restrictions. I remember how happy and grateful she was to see me. We were chatting and having such a good time. Suddenly, our conversation was interrupted by the internal medicine attending. He asked her a simple question, \u201cWhat do you eat every day?\u201d Her response was \u201cRamen noodles and sometimes eggs.\u201d The attending stated, \u201cThat explains everything,\u201d and walked out. My heart sank. This was my clinic patient, and I did not know she did not have access to food. I had never even asked her what she ate.<\/p>\r\n

During the past 2 years, I had seen her at the clinic whenever she came in, and she had shared her life stories with me. I had become her confidant. As family medicine physicians, we form bonds with our patients, which turn into lifelong relationships. Our patients trust us with their health. We listen to their problems and help solve them. However, we cannot fix a problem that we are unaware of. And I never asked her what she ate.

Recently, she was hospitalized again. When I went to see her, she was a zombie. Her nurse told she had overdosed on hydromorphone. I thought to myself, \u201cWhere did she even get it?\u201d So I looked up her name in the Michigan Automatic Prescription System. She had told me she was taking Norco, prescribed by her pain management doctor. However, I did not know that she was also being prescribed hydromorphone. She had left out the other pain medications she was taking.\u00a0

<\/p>\r\n

\"Dr.<\/a>

Matching Scrubs by chance with my husband Dr. Hamish Arora as PGY-3!<\/p><\/div>\r\n

What I Learned from this Patient\u00a0<\/strong><\/h3>\r\n
    \r\n
  1. \r\n
      \r\n
    1. One of the greatest lessons that I learned from her was\u00a0asking the right questions<\/em>. If you don\u2019t ask the questions in a certain way, you will not get the answers you need. The answers are there, but you need know how to find them.<\/em><\/li>\r\n
    2. Food insecurity is a healthcare problem.<\/em>\u00a0If your patients don\u2019t have access to healthy foods, then they will continue to be sick from eating processed food. My goal is to create access within the community through a community service project. More to follow in a future post!<\/li>\r\n
    3. Communication among providers is the key to providing excellent patient care.<\/li>\r\n<\/ol>\r\n<\/li>\r\n<\/ol>\r\n

       <\/p>\r\n

        \r\n
      • The\u00a0power of the physician is the ability to heal,<\/em>\u00a0but sometimes it\u2019s the\u00a0patients who really heal us<\/em><\/strong>.<\/li>\r\n<\/ul>\r\n

        It\u2019s our job to educate the patients, but they are ones teaching us something new every day.<\/p>\r\n

         <\/p>\r\n","protected":false},"excerpt":{"rendered":"

        Family Medicine Continuity Care Clinic\u00a0 Wow! I cannot believe it\u2019s my final year of residency. I am currently a 3rd-year Family Medicine Resident at McLaren Oakland Hospital in Pontiac, MI. Our clinic is a nonprofit, federally qualified health center and an accredited patient center medical home. Our target population is the medically underserved in an […]<\/p>\n","protected":false},"author":1313,"featured_media":3335,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[2,3],"tags":[1021,1694,19,1691,1695,1693,1692,27,31,37],"class_list":["post-3331","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-about-residency","category-cases-and-rounds","tag-advocacy","tag-clinic-days","tag-communication","tag-family-medicine-residency","tag-fm-clinic","tag-food-insecurity","tag-healing","tag-healthy-choices","tag-patient-care","tag-resident-experience"],"yoast_head":"\nAdventures of Family Medicine Clinic Days - Insights on Residency Training<\/title>\n<meta name=\"description\" content=\"Dr. Arora talks about her days in the Family Medicine clinic, and how her patients have taught her about asking the right questions.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/blogs.nejm.org\/general-medicine\/index.php\/2022\/07\/adventures-of-family-medicine-clinic-days\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Adventures of Family Medicine Clinic Days\" \/>\n<meta property=\"og:description\" content=\"Dr. Arora talks about her days in the Family Medicine clinic, and how her patients have taught her about asking the right questions.\" \/>\n<meta property=\"og:url\" content=\"https:\/\/blogs.nejm.org\/general-medicine\/index.php\/2022\/07\/adventures-of-family-medicine-clinic-days\/\" \/>\n<meta property=\"og:site_name\" content=\"Insights on Residency Training\" \/>\n<meta property=\"article:published_time\" content=\"2022-07-19T19:10:42+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/blogs.nejm.org\/general-medicine\/wp-content\/uploads\/sites\/4\/2022\/07\/Hima-Julie-Mikita-scaled.jpg\" \/>\n\t<meta property=\"og:image:width\" content=\"2560\" \/>\n\t<meta property=\"og:image:height\" content=\"1920\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/jpeg\" \/>\n<meta name=\"author\" content=\"Mikita Arora, MD\" \/>\n<meta name=\"twitter:label1\" content=\"Written by\" \/>\n\t<meta name=\"twitter:data1\" content=\"Mikita Arora, MD\" \/>\n\t<meta name=\"twitter:label2\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data2\" content=\"5 minutes\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\/\/schema.org\",\"@graph\":[{\"@type\":\"WebPage\",\"@id\":\"https:\/\/blogs.nejm.org\/general-medicine\/index.php\/2022\/07\/adventures-of-family-medicine-clinic-days\/\",\"url\":\"https:\/\/blogs.nejm.org\/general-medicine\/index.php\/2022\/07\/adventures-of-family-medicine-clinic-days\/\",\"name\":\"Adventures of Family Medicine Clinic Days - 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