Guest guest Posted August 1, 2006 Report Posted August 1, 2006 So I have 4S and am dealing pretty well with it. Here's a problem I've recently encountered that I just don't know how I'll handle. I'm studying in the field of healthcare, and one of the things I have to learn and will have to perform throughout my career are physical assessments. This involves assessment of the thyroid gland... which involves swallowing. To assess the thyroid, you have to put your hands on a person's throat and have them swallow... you have to look and feel for abnormalities while they are doing this. AUGHHHHHHHHHHHH!!!!!! Swallowing is my main trigger sound. How can I do this? How can I do this every day until I retire? I hate the sound AND sight of people chewing and swallowing. I can't even think about how it would FEEL! UGHHHHHH! I'm tempted to just cut that whole part out of my physical assessment routine, but, that would be extremely negligent. Any suggestions? I don't really expect any, but I wanted to vent about this to people who would understand. On another note, I had my first car crash the other day. I was in the car with a friend who was drinking a milkshake, and I needed to turn on the radio to mask the sound... you can probably see where this is going. I looked down for a split second to press the scan button, and the guy in front of me stopped... me, not so much. Thankfully everyone's fine except my car, and thus my bank account, which was already not fine to begin with. So, be careful folks, don't let anyone else drink while you drive. ~ Quote
Guest guest Posted August 2, 2006 Report Posted August 2, 2006 I am relatively sure that we could fill up a large volume with the stories of people here who have literally structured their entire working lives around 4S. And restructured, and constructed, and arranged, accomodated, shifted, changed, quit, and simply abandoned in the end.........due to 4S. I am nor sure what aspect of healthcare you are going into, but if you are examining people I would assume you are studying to be a physician or a nurse, or PA, or medical assistant. There are many work settings in health care where people never get near a thyroid. I don't! Ears, only, please. OTOH, you can also attempt to create a little gap in your thinking- anticipating-reacting in those brief moments, where you GO into your fingertips and OUT of your ears. Also you do not have to hear to do this part of the exam, you could stick your stethoscope in your ears with the listener in the pocket, which will grate and growl nicely and distract your ears. In the long run, this may just fade into the picture if you can really focus on the human being sitting in front of you, allowing you to lay your hands on their body, and worried about some aspect of their own health and well being. Ot it may not. Then you can make intelligent changes (work in a urology clinic, they don't go near the neck). Marsha Quote
Guest guest Posted August 2, 2006 Report Posted August 2, 2006 Thanks for the advice Marsha, I like the stethescope idea... I can't really get around the thyroid exams in my career, so I guess I'll just have to cope! I'm still thinking seriously about your sound therapy treatment, but I worry that having the units in my ear will actually prevent me from being able to plug them if I need to suddenly. Any thoughts on that? ~ > > I am relatively sure that we could fill up a large volume with the > stories of people here who have literally structured their entire > working lives around 4S. And restructured, and constructed, and > arranged, accomodated, shifted, changed, quit, and simply abandoned > in the end.........due to 4S. > > I am nor sure what aspect of healthcare you are going into, but if > you are examining people I would assume you are studying to be a > physician or a nurse, or PA, or medical assistant. There are many > work settings in health care where people never get near a thyroid. > > I don't! Ears, only, please. > > OTOH, you can also attempt to create a little gap in your thinking- > anticipating-reacting in those brief moments, where you GO into your > fingertips and OUT of your ears. Also you do not have to hear to do > this part of the exam, you could stick your stethoscope in your ears > with the listener in the pocket, which will grate and growl nicely > and distract your ears. > > In the long run, this may just fade into the picture if you can > really focus on the human being sitting in front of you, allowing you > to lay your hands on their body, and worried about some aspect of > their own health and well being. > > Ot it may not. > > Then you can make intelligent changes (work in a urology clinic, they > don't go near the neck). > > Marsha > Quote
Guest guest Posted August 2, 2006 Report Posted August 2, 2006 > > Thanks for the advice Marsha, I like the stethescope idea... I > can't really get around the thyroid exams in my career, so I guess > I'll just have to cope! I'm still thinking seriously about your > sound therapy treatment, but I worry that having the units in my ear > will actually prevent me from being able to plug them if I need to > suddenly. Any thoughts on that? > > ~ Yes I think that might be a real challenge to hear all those complex heart tones with the white noise going. I have had this trouble before when treating MDs and nurses, PA, or NPs, etc. then what we do is more, focus on the time out of the exam room time, try to stimulate the ears during the 'off' time and so on........we have to focus on the ambient noise for example, and use the non working time to use full stimulation and desensitization. It is very challenging work, to say the least. Marsha Quote
Guest guest Posted August 8, 2006 Report Posted August 8, 2006 I just want to say that I sympathise completely. I have been very lucky not to crash my car so far with a husband who loves chomping fruit while we are driving. We have the choice between slurpy peaches or crunchy apples, or we can really push the boat out and have slurpy cherries with the added bonus of the ptui sound as the stones are spat out of the window. I sing .......... very very loudly, I sing. BB - Elise > > > > Thanks for the advice Marsha, I like the stethescope idea... I > > can't really get around the thyroid exams in my career, so I guess > > I'll just have to cope! I'm still thinking seriously about your > > sound therapy treatment, but I worry that having the units in my ear > > will actually prevent me from being able to plug them if I need to > > suddenly. Any thoughts on that? > > > > ~ > Yes I think that might be a real challenge to hear all those complex > heart tones with the white noise going. I have had this trouble > before when treating MDs and nurses, PA, or NPs, etc. then what we do > is more, focus on the time out of the exam room time, try to stimulate > the ears during the 'off' time and so on........we have to focus on > the ambient noise for example, and use the non working time to use > full stimulation and desensitization. > > It is very challenging work, to say the least. > > Marsha > Quote
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