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Zach Hits the Boards


ZachPSU

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On 6/20/2020 at 6:03 AM, ZachPSU said:

Also Chris Pratts transformation from his parks and rec body to his marvel body is impressive!  Now if only we all had all day to workout with professional guidance and a personal chef doing our meal planning we could all do it.


Don’t forget the access to steroids :D

 

On 6/20/2020 at 6:03 AM, ZachPSU said:

Yeah it was pretty scary at the moment. It was before Id began any of my PT coursework so now that Im more educated about how resilient the human body is and how to take care of my spine, I feel like it is more of a fun party trick without the trick part. 


Hopefully it never becomes one, “let’s make two vertebrae out of one” ain’t exactly a life-of-the-party type move.


That’s a crazy looking radiograph though.

 

Glad the challenge is going well so far!

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Cowardly Assassin
Training Log | Challenges: Current8th, 7th, 6th, 5th, 4th, 3rd, 2nd, 1st

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On 6/25/2020 at 8:28 AM, Rookie said:

Ohhh no but it sounds like you have been on track so far! I was reminded again by your thread so thanks


 

I've been on and off for the flossing - more off than on lately!  I thought it would be easier but I haven't been consistent enough to imprint it as part of the routine.  I'll get there soon, both of us will!

 

On 6/27/2020 at 7:12 AM, Chesire said:

I. want. that. mat.  I have a thing for giraffes. 

 

Also cadaver class is on my list of "I wish" things.  It can be optional CEU but kind of pricey.   Bodies are so fascinating

 

Amazon has all things :)  Cadaver class was an amazing and humbling experience.  I can't wait to go back in a few years and take it again somewhere, when I have a greater appreciation for it since I will have a few years of clinical practice under my belt, and I won't just be trying to tread water and keep up with what a pterygoid muscle, or what exits the mental foramen, or etc. etc. 

 

12 hours ago, PaulG said:


Don’t forget the access to steroids :D

 

 

Glad the challenge is going well so far!

 

Well, yes, the steroids too probably helped him.  I'm glad I wasn't into fitness or bodybuilding much in college, because college-me would have made some bad decisions about steroids.    Thanks for stopping by!

Training Log/Progress Pics: Harder to Kill

Current Challenge: Zach from Water, to Water

Challenge History: 1 2 3 4 

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Okay - recap time since one week has officially passed.

 

STRENGTH:

  • I will continue with my lifting sessions 3x/week. (Boom.  Nailed it.  Even took time to post some form check videos for deadlifts since GSLP has those built-in.  Might tinker with GSLP a little to swap DL to 2x/week and Squats to 1x)
  • I will bench 215 for three sets of 5 reps. Progress through Greyskull LP without getting distracted by other programs and needless tinkering with workout plan when I should be studying for boards. (See Above - Passed)

 

DEXTERITY:

  • I will complete one yoga session per week.(There, but barely.  I'd like to do this more, but with my son going back to school this week it's not likely.  Maybe for a study break.)
  • I will complete maintenance (foam rolling, ball smashing) for bilateral hamstrings, and left shoulder/left knee twice per week.(I've been bad about this, I've actually ignored my knees and hamstrings entirely and have instead been working on my hips ER and shoulder ER.  There's some crossover with those, I use the Supple Leopard book for my mobility practices but I need to bring my bands upstairs since I run out of time during workouts to do mobility downstairs, but I do get time when I'm just laying on the floor with the toddler)

 

CONSTITUTION:

  • I will floss nightly. (This could go under charisma, but my regular 6 month dental hygiene visit was cancelled due to Big ‘Rona, so I don’t want to be uber-shamed when the next one rolls around) (Welp.  I string together 3-4 days then forget for 3-4, so I'm calling this a partial.  Sometimes I don't remember until I'm already finishing brushing my teeth, and I don't want to floss and not brush after?  Maybe I could floss after brushing and just rinse with some mouthwash, but when I don't remember until I'm already done brushing I just don't feel like brushing again after flossing.)
  • I will make conscious decisions to avoid sugary food. (Vague, but I don’t want to binge ice cream nightly and tell myself I’m bulking.) (Pretty good success here.  Been snacking on almonds at night pretty often, wife still gets into the ice cream pretty often but I hold strong and I feel like I've noticed I fall asleep quicker)

 

INTELLIGENCE:

  • I WILL ROCK THE SHIT OUT OF BOARDS. (Okay, this was my big one for this challenge and despite breaking things down day-by-day, I'm already behind and its week 1.  Transferring from stay-at-home-dad back into student mindspace was more difficult than I thought.  I took a break on Thursday and did a bunch of job applications/filling out my candidate profile in their portals for the major hospital chains and a few other groups in this area.  Friday I took a break and did some yard work and did play a few games.  I regret it now because I'm starting my neuromuscular week, which is an area where I am hot and cold, and I still have some musculoskeletal diagnoses to get familiar with.  I will do better this week.)
  • Take the practice tests on my schedule to identify areas of remediation or improvement. (2 weeks until first practice test.)

 

WISDOM:

  • I will build awareness of when I am feeling stress and pause those moments to decompress before acting or speaking. (In general, I want to feel less likely to lose my shit when my toddler wants to practice scissors on legal documents, or when the dog stops walking directly in front of me in a planned assassination attempt). (I've been doing better with this.  Aside from when hes in the bathroom, the most frustrating time with my toddler is definitely when I'm getting him ready for bed, and I've found myself taking a deep breath, closing my eyes, and sometimes he does it along with me and it helps both of us. I have a long fuse and my wife says I have the patientce of a saint so I'm not likely to blow my cool, but it feels nice to snuff the spark on the fuse anyway.)

 

CHARISMA:

  • I will reach out to a friend I haven’t heard from lately once per week to see how they are doing (I can rotate this among friends).(Does reaching out to my old boss from 4 years ago count?  Needed to secure a non-physical therapy related work reference for one of those job apps)
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Training Log/Progress Pics: Harder to Kill

Current Challenge: Zach from Water, to Water

Challenge History: 1 2 3 4 

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Okay.  This will be a better week.

 

Today on the list, as we move into Neuromuscular and I try to make up what I had leftover from Musculoskeletal here and there

 

  • Anatomy of the Brain
  • APGAR
  • Apraxia
  • ASIA Impairment Scale
  • Autonomic nervous system
  • Balance
  • Bobath
  • Brachial Plexus
  • Brunnstrom's stages of recovery
  • Central Nervous System
  • Communication
  • Cranial Nerves
  • Deep tendon reflexes
  • Dermatomes
  • Diagnostic Testing
  • Glasgow Coma Scale

 

 

 

Training Log/Progress Pics: Harder to Kill

Current Challenge: Zach from Water, to Water

Challenge History: 1 2 3 4 

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Yesterday was good study-wise, toddler had a rough first day back to day-care, coming down off a high of getting lots of attention here at home from the parents and grandparents frequently visiting.  This morning was a tough drop-off for him too, but he will get back into the routine.

 

Today's agenda:

  • Limbic System
  • Mental status
  • Motor Learning
  • Myotomes
  • Neurmouscular pharma
  • normal development
  • Perceptual Training
  • Peripheral nervous system 
  • Proprioceptive neuromuscular facilitation (PNF) (Fuck these in particular :) )
  • Rancho Los Amigos Cognitive Functioning Scale
  • Reflexes
  • Sensation
  • Somatic Nervous system
  • Spasticity
  • spinal cord level of lesion and functional outcomes
  • spinal tracts
  • synergy patterns
  • upper vs. lower motor neuron disease
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Training Log/Progress Pics: Harder to Kill

Current Challenge: Zach from Water, to Water

Challenge History: 1 2 3 4 

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Okay, big day today before 2 lighter days to end the week.  "Fun" things though, some of the neuropathologies.

 

  • Alzheimer's Disease
  • Amyotrophic Lateral Sclerosis
  • Carpal Tunnel Syndrome
  • Central Cord Syndrome
  • Cerebral Palsy
  • Cerebrovascular Accident
  • Down Syndrome
  • Duchenne Muscular Dystrophy
  • Erb's Palsy
  • Guillain-Barre Syndrome
  • Huntington's Disease
  • Multiple Sclerosis
  • Parkinson's Disease
  • Sciatica- secondary to herniated disk
  • Spina Bifida - Myelomeningocele
  • Spinal Cord Injury - Complete C7 Tetraplegia
  • SCI - Complete L3 Paraplegia
  • Thoracic Outlet Syndrome
  • Traumatic Brain Injury
  • Vestibular Disorders
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Training Log/Progress Pics: Harder to Kill

Current Challenge: Zach from Water, to Water

Challenge History: 1 2 3 4 

Link to post
20 hours ago, Neeko said:

Neurology is fun. I'm actually working on that subject at the moment for one of my RN classes!

 

I hated neurology in the classroom.  Then one of my clinicals was in an MRU at the main local hospital where most strokes go.  Helping people who just had a stroke re-learn how to walk was a powerful experience.  I love the practical side of neuro now, but I still hate the anatomy.  This week being my neuro week, the diagnoses yesterday and today were good/quick/natural to me.  But, damned if I can get spinal tracts/components of the different systems in the brain down.  Oh, and PNF's :D  I can *do* most of them, but I can't articulate them well in writing.  I'm a tactile learner.  Good thing the boards are multiple choice.

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Training Log/Progress Pics: Harder to Kill

Current Challenge: Zach from Water, to Water

Challenge History: 1 2 3 4 

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So today ended up sucking.  Toddlers daycare is closed today for the 4th holiday but they had no signage to indicate that (hardly any room for signs with the 91001424 signs about COVID policies on all the doors).  So, I am on toddler duty today and hes a little under the weather so he's extra trying today.  Wife is also sick and tried to go get a COVID test but first the reservation didn't work and they sent her home cause they said she wasn't in the system, but told her to come back anytime later in the day, she went back and the only lady who can do it was on lunch for 2 hours?  So, we are quarantining until we know for sure whats going on because we're in an area of New York that's been doing better and we don't want to cause a spike at his daycare which just reopened.  So, that also means I won't get my Monday/Tuesday/Possibly all of next week in studying since I'll be watching the household.  Kind of sucks, but I know everyones health is the bigger picture.  Still, not passing boards would mean I can't take them again until October which would suckkkkkk big time.  

 

Doing what I can to study flash cards in breaks I get in the day, but toddler's nap is shit from not feeling well.  Adios.

Training Log/Progress Pics: Harder to Kill

Current Challenge: Zach from Water, to Water

Challenge History: 1 2 3 4 

Link to post

Week 3 Recap

 

STRENGTH:

  • I will continue with my lifting sessions 3x/week. (Nailing this.  Form looking good, weight steadily increasing.)
  • I will bench 215 for three sets of 5 reps. Progress through Greyskull LP without getting distracted by other programs and needless tinkering with workout plan when I should be studying for boards. (Achieving.)

 

DEXTERITY:

  • I will complete one yoga session per week.(Okay, it's kids yoga with my kid, but it is way faster paced transitions between poses than I'm used to and it keeps me on my toes.  Doing this 2-3x/week for 2 20 minutes videos or so.
  • I will complete maintenance (foam rolling, ball smashing) for bilateral hamstrings, and left shoulder/left knee twice per week.(I've been bad about this, I've actually ignored my knees and hamstrings entirely and have instead been working on my hips ER and shoulder ER.  There's some crossover with those, I use the Supple Leopard book for my mobility practices but I need to bring my bands upstairs since I run out of time during workouts to do mobility downstairs, but I do get time when I'm just laying on the floor with the toddler -- literally no change in this since last week)

 

CONSTITUTION:

  • I will floss nightly. (This could go under charisma, but my regular 6 month dental hygiene visit was cancelled due to Big ‘Rona, so I don’t want to be uber-shamed when the next one rolls around) (I've gotten pretty bad about this)
  • I will make conscious decisions to avoid sugary food. (Vague, but I don’t want to binge ice cream nightly and tell myself I’m bulking.) (Still doing well here.  Avoiding ice cream, eating nuts and having tea.  And that's the tea.)

 

INTELLIGENCE:

  • I WILL ROCK THE SHIT OUT OF BOARDS. (Okay, I've been up and down with this again.  I lost a day last week (Friday) because of my kids daycare suddenly being closed.  Now this week the whole family is sick and we are all quarantined waiting the results of the COVID tests.  Pretty positive we should be negative because none of us have the hallmark fever, but we all have a nasty sore throat, dry cough, etc.  So right now I am preparing to study but my toddler just ripped a page out of my cardiopulm section.  Yay me.  Next week we are taking a week long trip out of state to my parents.  I should be able to study, they know I will need to, but we will see how that shakes out.  I'll have a practice test under my belt so I'll either be feeling pretty confident or freaking the absolute fuck out.)
  • Take the practice tests on my schedule to identify areas of remediation or improvement. (Practice test this Friday whether I'm ready or not.)

 

WISDOM:

  • I will build awareness of when I am feeling stress and pause those moments to decompress before acting or speaking. (In general, I want to feel less likely to lose my shit when my toddler wants to practice scissors on legal documents, or when the dog stops walking directly in front of me in a planned assassination attempt). (Can this quarantine/insanity just fucking end?  I'm trying really hard here.  I'm a very patient and calm person but holy hell, this house is driving me crazy.)

 

CHARISMA:

  • I will reach out to a friend I haven’t heard from lately once per week to see how they are doing (I can rotate this among friends).(I feel pretty bad saying I couldn't find time when it just takes 30 seconds to hammer out a text.  I even know which friend I should reach out to.  Gonna do it now but can't give myself credit for last week.)

Training Log/Progress Pics: Harder to Kill

Current Challenge: Zach from Water, to Water

Challenge History: 1 2 3 4 

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Onward to Cardiopulm.  I HATE cardiopulm.  

 

  • Anatomy of the Heart
  • Anatomy of the Lungs
  • Arterial blood gases (get fucked)
  • Blood Pressure
  • Breath sounds-voice sounds
  • Breathing exercises
  • Cardiac cycle
  • Cardiac pharmacology (fml)
  • Cardiac rehabilitation
  • Cough enhancement techniques
  • Diagnostic tools for cardiac dysfunction
  • Electrocardiogram
  • Exercise participation
  • Exercise prescription
  • Heart rate

Training Log/Progress Pics: Harder to Kill

Current Challenge: Zach from Water, to Water

Challenge History: 1 2 3 4 

Link to post

Not a great day yesterday -- with the whole house being sick I don't get a dedicated time or space to study, so I just ran out of time.  Hit Cardiac pharma and ran out of steam.  Piles on to today, so... leftovers:

  • Cardiac pharmacology (fml)
  • Cardiac rehabilitation
  • Cough enhancement techniques
  • Diagnostic tools for cardiac dysfunction
  • Electrocardiogram
  • Exercise participation
  • Exercise prescription
  • Heart rate

Plus

  • Heart sounds
  • Laboratory values
  • Metabolic equivalents
  • Peripheral pulses
  • Postural drainage
  • Pulmonary function tests
  • Pulmonary pharmacology
  • RPE scales
  • Relaxation techniques
  • Respiration Rate
  • Risk factors for cardiac disease
  • Sputum analysis (could do this in any garbage can in the house right now)
  • Suctioning
  • Target Heart Rate

Training Log/Progress Pics: Harder to Kill

Current Challenge: Zach from Water, to Water

Challenge History: 1 2 3 4 

Link to post

Hoping you get those negative results very soon.  Sick still sucks, but the stress of wondering has got to be terrible.  But did you succeed in not flipping when your toddler tore you cardiopulm notes?  Given all that life is throwing your way, I'd say you allowed some leeway even if you did flip a bit.  just a little flip?  Is that a flop? 

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3 hours ago, Chesire said:

Hoping you get those negative results very soon.  Sick still sucks, but the stress of wondering has got to be terrible.  But did you succeed in not flipping when your toddler tore you cardiopulm notes?  Given all that life is throwing your way, I'd say you allowed some leeway even if you did flip a bit.  just a little flip?  Is that a flop? 

 

Here's hoping too.  Today is the beginning of the 5-day window, if we are counting saturday and sunday, which I'd imagine those days count as crazy as the testing backlog is right now.  Saw a story on the news last night though that some states, particularly those exploding right now, are 2-3 weeks wait for a test result(which at that point, what're we gaining from the knowledge of the result anyway?).

 

I managed to not flip.  Fortunately it wasn't a section I am in hard need of review, and letting him color on it appeased him for 5 minutes or so, which is pretty good by toddler standards I think.  I have really been craving some ice cream at night though, but I know I usually feel like garbage after I eat a sugar bomb like that so I'm holding off and staying strong.

Training Log/Progress Pics: Harder to Kill

Current Challenge: Zach from Water, to Water

Challenge History: 1 2 3 4 

Link to post

I think I caught up some ground yesterday.  Here's today's leftovers from yesterday:

  • Relaxation techniques
  • Respiration Rate
  • Risk factors for cardiac disease
  • Sputum analysis (could do this in any garbage can in the house right now)
  • Suctioning
  • Target Heart Rate

Plus the following disorders/diagnoses:

  • Congestive Heart Failure
  • Cystic Fibrosis
  • Emphysema
  • Myocardial Infarction
  • Peripheral Vascular Disease
  • Restrictive Lung Disease
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Training Log/Progress Pics: Harder to Kill

Current Challenge: Zach from Water, to Water

Challenge History: 1 2 3 4 

Link to post

Okay guys, took the practice test today.  Mixed feelings.  Some data porn to follow from my results page.  I am essentially teetering right on the passing mark today.  That's good, I guess since I will be taking it in 2 weeks and have that time to pad weak areas (g*ddamn Cardiopulm).  However, with all the other craziness going on, I need to zen myself the f out and really hunker down on this.  I will be here significantly less, but I will keep some updates rolling!  Appreciate the good vibes and I will check in on your challenges too.

 

Total Score and breakdown by professional item area:

Spoiler

image.thumb.png.649a2fe9c789a5b3538de25a1c41c8a5.png

 

 

Score breakdown by subject area (Cardiopulm is not red here because hearts and blood share that color in most pictures, it's red because I was terribad at it):

Spoiler

image.thumb.png.015c10a4577110c2a0bdf542f6c2f6aa.png

 

 

Finally, scores by section of the test (interesting because I was dragging during the 3rd and 5th sections and it shows.  Didn't realize I was on fire in the 4th though! lol

Spoiler

image.thumb.png.2d84fdbae322acec1383242bc1eb9ef7.png

 

Training Log/Progress Pics: Harder to Kill

Current Challenge: Zach from Water, to Water

Challenge History: 1 2 3 4 

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Are the boards the sort of test where score matters, or even score in each area, or is it the sort that is ultimately pass/fail? 

 

Either way you just about rocking the shit out of them (per your goal) even with that g*ddamn Cardiopulm.   You've got two weeks.  Buckle down, mister!  Buckle down the toddler, too!  Skip that, bad idea.  Enthusiasm took hold there for a second.

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Indeed, thanks for checking in.  My practice tests have been on the border each time I've taken them, so I've been buckled down and studying hard, otherwise distancing myself from all forms of distractions!  The big day is next Wednesday, positive vibes appreciated!

  • Like 1

Training Log/Progress Pics: Harder to Kill

Current Challenge: Zach from Water, to Water

Challenge History: 1 2 3 4 

Link to post

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