Friday, February 17, 2017

First Human Contact

Hello world! Welcome back!


Coming at you with my second blog post ever, I am here to update you on my life from the past week. I learned a little bit more about the study, but what I mainly learned about was how to work in an office.

Throughout this week, I scheduled the follow-up visits for the patients participating in the First Vitals study. After a patient's initial visit with the doctor where they get a mouth swab and state the drugs that have been giving them trouble, they come in for two follow-up visits. The first one is two weeks after the initial visit and that is the meeting where they receive the results from the mouth swab. Then after that meeting, there is another follow-up meeting which happens 90 days after the initial meeting, so that the patient can take a survey about whether or not the new drug that was recommended to them actually worked better. Since most of the patients who have already participated for the study are ready for their 90 day follow-up, I had to schedule them so that they could complete the study.

First, I became accustomed to the program that the office uses to schedule people which was pretty simple. I had to look at when a patient's next regular appointment was at this office (an appointment for something other than the study), and then schedule a short meeting with a nurse practitioner so that the patient could fill out the post 90 day survey after their regular appointment. So, after working to rearrange a bunch of schedules, I learn that the doctor (Dr. Lalani) did not actually want the survey to be taken on the same day as the patients' other appointments. I do not really know why he wanted it that way, because the way I did it made everything way easier but I digress.

So with this news that I had done everything wrong, I had to make a list of all of the patients who participated in the study and call them so that we could book an appointment with them on an entirely different day. Let me tell you about talking to random people and telling them things that they do not want to hear. It sucks. A lot. The first two patients I called were not very happy. The next seven patients that I called went straight to voice mail. The one saving grace is that I ended the day with a phone call from a very nice woman who was totally understanding so that was cool. I think the key to talking to them is using as many big, complicated words as possible to sound official. I got better at talking to them as I made more and more phone calls and once you hit them with a word like "pharmacogenomics" then they will usually listen. The trick is that you make them think that you know what you are doing.

Well, well, well. Here we are again at the end of another blog post. In short, I would say that this week I learned that I never want to go into customer service. With that eloquent summary, I will once again leave you with a gif that I like. So long!



Oh btw, I did actually get to swab a patient's mouth this week. It was pretty awkward I am not gonna lie. I sat down with Carol and this middle-aged woman who was having problems with her meds. I unsheathed the swab. I stared this woman straight in the eye and stuck her with the swab. And then I just started moving the swab up and down in her mouth, At first, it was gentle. I didn't want to break her face. But then Carol was like "No! You have to really get in there!" So then I started jamming this thing into her gums for like 30 seconds. Both my face and the patient's face were panic-stricken. You could feel the tension in the air. In the wake of the aftermath, I pulled the mouth swab out of her mouth like King Arthur pulling that one sword out of that rock in that one story and I looked back up at her face. I didn't know what to say so I thanked her and apologized at the same time. I'm like "Thanks and sorry for all that". She laughed and we all exited the room. So, yeah. It was kinda weird, but hopefully the next swab will go better.

26 comments:

  1. Jack, rescheduling appointments sounds really rough but it sounds like you got through it alright. But I have to say after reading about your mouth swabbing experience, King Arthur would be proud. That sounded like one of the most intense experiences I've ever read about in my entire life. Was there no one else in the room except you and Carol? I would expect that a physician would be in there to advise you but it sounded like they just threw you in there even though it was your first time.

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    1. Hey Justin! Yeah it was just me, Carol, and the patient. Maybe, technically a physician needed to be present but Carol does everything related to the study, so it would not have really made any difference if one was there. It was awkward but I made it through all right!

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  2. Jack I love everything about this. Phone calls suck, and the mouth swabbing sounds taken out of a dramatic anime scene. I look forward to hearing about whatever mishaps you run into next week.

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    1. Thanks Evan! I look forward to telling you about any mishaps!

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  3. So not a customer service enthusiast nor a future dentist.. You're already learning so much about your future career choice! (That was supposed to be a joke FYI.. I try, I try)

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    1. Haha its all good Alexis, I enjoyed the joke! And yeah I am learning more about what I don't want to do for the rest of my life.

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  4. Hey Jack,
    Your allusion to Excalibur is funny. What kind of questions are asked on the survey? Also, are there any benefits for the patients taking the surveys on a different day? Good luck on the next week!

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    1. Hey Srishti! Thanks! The kinds of questions that are asked are basically the kind of data that needs to be collected for the study so like the kind of drugs that they have been taking and the issues/illnesses that have not been solved by those drugs.

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  5. Hi Jack! I'm not gonna lie, I laughed really hard at your mouth-swabbing struggles. Are you going to ask Dr. Lalani why the surveys needed to be taken on another day? I can't wait to read more!

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    1. Hey Dhanya! I am so glad that you liked my story! I think the reason that he wanted the surveys to be on a separate day is just that there would not be as much time to go over the PGX results if the appointments were on the same day and some patients need more time because they have multiple drugs that have not been working for them.

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  6. I feel you Jack, I really do. I work as a receptionist part-time, but I usually receive calls from people already angry, not give them calls that anger them! It sounds just as horrible by proxy as I'm sure it felt in person. As always, you're snarky asides about the doctor are amazing, and very down-to-earth. What I'd like to know is would you be interested in doing another cheek swab, or would you want some official training first?

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    1. Hey Dalton! I'm glad that there is someone out there who understands my pain! The cheek swab does not really require any formal training per se, so I think its just a matter of getting used to doing that kind of medical stuff that might be uncomfortable but necessary for the patient. I would be open to do another cheek swab. I might get another interesting story out of it!

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  7. Hi again Jack! I'm curious if you guys could just e-mail the survey for convenience or do the patients need to be at the office for it?

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    1. Hey Zak! I think the reason that they do the survey in-person is that usually the patient has a lot of questions so its just easier to do it in person. Also, its probably more confidential to do it in-person rather than over email.

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  8. Hey jack, it is great to see that your project is going by well, even through some stressful moments. Keep up your good humor, and I hope that your project goes by well. Thanks for reading.

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    1. Thanks Sam! I hope my posts are enjoyable to read. I will try to keep them that way!

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  9. Hi Jack. Loved reading about your experience swabbing a person's mouth. I was also wondering what happens after the 90 day follow up if the drug that was recommended didn't have an effect on the patient and if they are recommended a new drug or if the process has to start all over again. Thanks and can't wait to read more.

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    1. Hey Anisha! Great question! So, if the recommended drug does not work better than the previous drugs, then I think they just have to consult with their general practice doctor and try another alternative. I don't think they can do the study twice.

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  10. I am glad you are learning what it is like to be working in the real world, interacting with various people etc...A sense of humor like yours is essential. Looking forward to next few weeks of your project and hearing more details.

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    1. Thanks Dr. Sahu! I look forward to sharing every new experience in my blog posts!

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  11. That's super cool Jack! I'm so glad you're getting to learn what the workplace is like! Do you happen to know what scheduling software you're using?

    Congrats on making calls to strangers and being kind to get solid responses! Have an awesome week!

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    1. Hey Lauren! The office that I am in uses a website called Harris CareTracker. It organizes everything pretty neatly. Thanks for all of the positive feedback!

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  12. Hi Jack! It's good that you've done the dirty work and organized those patients appointments. It must have been uncomfortable but you definitely took it like a champ. Also this project has helped you know what not to do as a career in the future. Hope things will be even greater next week!

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    1. Thanks Spencer! I am glad that I am finally learning what I do not want to go into so that I can actually narrow my interests. I'll try to make the best out of all the future uncomfortable situations!

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  13. This was a very entertaining post to say the least. I am glad you are receiving some hands on experience, and dealing with a little controversy. You are the perfect person to turn an awkward moment into a positive one. Will you be participating in these follow up meetings? I am very curious how the patients respond to their new treatments/medications.

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    1. Hey Mr. Carey! It all kind of depends on how the scheduling works out whether I will be there when a patient comes in but if one does come in while I am on-site then I may be able to observe while the patient is given the survey. Stay tuned for more awkward moments in the future! I will try to turn them into positive experiences!

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