Isabella K.

November 20th – January 6th (28.54 hours) –  One meaningful experience that I have had within the past few weeks would be completing my first ever chart prep. Chart prep is the information that each provider uses for the today, and this is created in advance to the patients appointment. The information on these sheets ensures that providers can see what they did before on the patient, and consent sheets before starting the procedure. This is something that is really lengthy and difficult to complete, especially as I am inexperience with this task. I finished the task in time to do all of the other work I needed to, and there were only minimal issues that were brought to my attention. I learned that if I believe in my abilities I will be able to accomplish things effectively. This experience helped me to grow because in the future when it is necessary for me to do chart prep again, I will be fully prepared and hopefully will not make any mistakes.

A time when I needed excessive guidance was when I was completing the chart prep. The chart prep has many intricate details, and even though one of my mentors had created a cheat sheet for me, I still needed clarification for many things. When completing the prep I had to ask about many things, including how to find previous notes that were scanned onto the computer and how to decide which notes and consents to print. Each provider likes to do things a little differently. Some of the people at my office like to receive their information via the Nexttech due to saving paper, while others like to have hand held copies of the patients records and charts. I had to ask Stefanie multiple times to ensure that I did not mess up anyone’s appointment. I had to learn how to do this over a couple lessons and many reviews of my cheat sheet. When Stefanie is busy I will ask Gayle, another Patient Coordinator, because she also knows how to do chart prep the way that the providers desire. My mentors encourage that I ask questions, because it is better to be safe that sorry in every patients case. To figure out my problems I use printed sheets, previous patients as examples, and my coworkers.

I was able to gather the correct information for the chart prep that I was completing. I needed help from my mentor many times, but a few times I was able to figure things out myself. I figured things out by myself by looking at some of the previous patients and deciphering the differences between each. After finally finishing the chart prep I completed it and my mentor checked over it. She explained to me the small details of how to arrange the papers, and to which provider they belong to. Overall I was able to finish in decent amount of time while doing a pretty good job.

This weeks industry specific word is “sternocleidomastoid”. This long word was the highlight of my break. I already knew this word, as I had be studying the muscles around the body. This muscle was one that I presented to my class in anatomy and physiology. This is the word of the week because I was in surgery with Dr. Maloney and Susan watching two different face lifts and blepharoplastys. Each time during surgery I noticed some small striations lateral to the base of the ear, and immediately recognized it as the sternocleidomastoid. I quickly asked the doctor to clarify what I was seeing, and when he reassured me I was correct I was ecstatic. I had seen this muscle before on my rabbit that I am dissecting in class, but it is way differently placed inside the human body. It was truly fascinating to see that muscle on the human body, and that was an experience I never would have had if it was not for this internship.

January 7th – January 14th (0 hours) –  One meaningful experience that I have had within these past couple of weeks would be getting to know Dr. Maloney and Susan a little more. While I was inside of the surgical room I got to know them individually and medically. Each patient is different, some like to converse, while others tend to stay silent. When the patients like to converse we have the best conversations, not only about individual/personal issues, but environmental and governmental concepts. I felt really happy about the whole experience, and I feel like it was really great thing for me to be exposed to. I do not get to spend large amounts of time with Dr. Maloney and when I am in the operating room I get a better sense of his personality and I get to ask so many questions.

An industry specific soft skill that I have obtained from this internship would be customer service skills, and computer skills. This job requires you to understand all of the technology that inside of the office to help run efficiently, and customer service skills because I have to deal with a lot of different types of personalities. My mentor helps me by showing me exactly what to do and how to treat customers. I engage in a large portion of self study, it may take me a while but I do learn many things by trial and error. I can improve my computer skill by spending more time on the computers, and spending more time in the operation rooms/preop- postop rooms. I can help myself by making myself available to learn and try so many new things involving these categories.

I will benefit from these two skills in college because I am hoping to go to school to become a nurse. As a nurse I will need to be able to communicate with the patients in the office, and with my coworkers. In nursing and working inside of a medical office, it will be a requirement that I can learn and have prior knowledge about computers and logging information. I will be able to chart patients information in nursing school/medical school by learning the computer programs to the best of my ability. With good costumer service I will be able to converse and deal with patients of all different variety. I am very excited to improve even further within these areas.

This weeks word is “Greater Auricular Nerve”. This is a word I learned in the procedure room when a patient was cut open. I saw this nerve on the patient , and Dr. Maloney explained to me what it was. This nerve is placed behind the ear and is a sensory nerve. After Dr. Maloney explained this term, I researched it online and found out even more information about the nerve.

January 15th – January 28th () –  One meaningful experience that I have had within these past few weeks at my internship site would be getting to work by myself. Usually I have to come in, and have someone establish my goals for the day. Usually Stefanie and or Janelle, assist me in finding something productive for me to do. For the past few visits to my site, I have arrived while my main mentor was out at lunch. I decided to take initiative, and begin working on something that I knew could help out my mentor while she was gone. I began filing all of her extra paper work, I started to write the lists of people who needed to be taken care of, and I tried to finish all of the start work to get ahead to help Stefanie. This has turned out very well, and my mentor has begun to leave me specific messages when I come in to get started on things alone. This has shown me that I can be responsible, and also that I can work more independently around the office. This is going to help me when I get out into the work force, as I will need less direction from my superiors to get activities done properly.

This weeks industry specific word would be “consult”. The word consult is not only used by myself on a continuum but by my fellow coworkers. I have known what this word is for a while, but I am just realizing how important it truly is. A consult is something done between either a doctor and patient, and or provider and patient. This is where the patient comes in to find out prices, and overall information about the procedure they desire. I handle a lot of the information for consults, I prepare paper work, and also find consent forms for new patients. I first heard this word when I went into the consult room with Dr. Maloney. Those consults were so academically rich, and helpful to me in understanding the paper work that I am providing.

January 29th – February 11th (6.5 hours) – A meaningful experience that I have had within the past two weeks was an informational phone call with my teacher Mrs. Wahl. My teacher had taken the time to double check my time inputs on my reflection logs and noticed that something was off. It turned out that I had been shorting myself hours by not calculating it properly. After my teacher showed me my mistakes and helped me fix it, I gained a multitude of hours. Not only am I very grateful that she took the time to help me correct my calculations, but she also showed me that I need to make sure I read all directions before something has begun. Thanks to Mrs. Wahl I now know how to calculate the correct amount of hours for my Reflections and also understand becoming more responsible for my own work.

At the beginning of my internship my mentor and my teacher helped me create two very achievable goals to accomplish over the course of the following year. The first goal that I wanted to achieve was to observe some type of procedure where skin was cut open. I had watched so many blood pumping and interesting surgeries via Snapchat and I knew I had to see one in real life. Going into my internship I knew this was the one thing that I desired to do the most, and honestly, this desire played such a role in my determination to make it into the internship. Mrs. Moss, my mentor, always gets me into the procedure room with ease. The first procedure that I witnessed was on September 27th, 2018 and this was a Blepharoplasty. A Blepharoplasty is the lifting of the internal and external skin, which is the fascia, and connective tissue on the superior and inferior parts of the eyelids. The moment I saw Dr. Maloney cut into the skin I knew that I was exactly where I needed to be. Many of my fellow coworkers had warned me about watching the procedures for the first time. Multiple coworkers advised me to bring a chair into the procedure room, as they said everyone gets light headed at some point, this is what they described as the “flight or fight response” to seeing intrusive procedures. Dr. Maloney began working swiftly but carefully to ensure that every part of the patients eyelid was injected with anesthetic. I had never seen anything like it, the eye had grown immensely and almost looked like someone had placed a pair of small swimming goggles under the layer of the skin. With a few small swipes of the scalpel, the patient’s skin was detached from their underlying fascia. Dr. Maloney began cauterizing every vessel and pathway that blood could leak out of, but the smell was so intense. One thing that completely took me by shock was seeing a muscle that I had been studying in anatomy class in real life. During one of the many facelifts that I have been privileged enough to observe, I have seen each individuals “sternocleidomastoid”. This is a muscle placed right behind the ear, and after seeing this muscle I was so in shock that I had lost all track of time. I have never been more excited to sit and watch something for over an hour. I had watched so many procedures on TV and social media, yet I was so excited to finally get to see a surgery from a physical standpoint. There was a moment where I sat there watching the procedure and I was honestly speechless. I did not feel nervous when I observed the surgeries, even when I began to watch 3 ½ hour long facelifts with even more intricacy than a simple eyelid surgery. Every time that I am in the procedure room I feel a sense of belonging, and every smell, from the cauterizing machine to the disinfectant cleaners, becomes more and more familiar. Now that I have been in the procedure room, and have witnessed several surgeries, I feel as if my knowledge has increased abundantly. Later on in the future when I decide to carry my current knowledge and expand it within the medical field, I will be able to adjust to new situations, adjust to uncomfortable situations and learn rapidly. Seeing these procedures has been a very eye opening experience, and I know that I have place in the medical field if that is what I desire.

This weeks industry specific word is “Micropeel”. A micropeel is a type of in depth face exfoliation where the hairs and dead cells on the face are gently removed and the exposed skin is deeply hydrated. When having a micropeel the size of your pores decreases, the skin become radiant, smooth, and dry skin becomes moisturized. With a micropeel, you can also get a slight chemical peel which would help with hyperpigmentation, fine lines, and textural skin patches. Micropeels are easy and make the face feel so replenished and youthful. I learned this word because I noticed that a lot of the people who come into our office to see our providers, especially Vanessa, and Cynthia, get a form of a micropeel. I learned all this information by reading our brochures on micropeels and also viewing a few micropeel treatments.

February 12th – February 25th (5.47 hours) – This past week I found that it was very hard to keep focus. On the first week at my internship I had a major headache, and found that it was taking me double the time to complete the tasks I normally do. The week after this, I was informed that one of my coworkers would not be in the office any longer, and this coworker was someone who I took direction from every week. I felt a little lost when I began to think of all the help and understanding this person provided for me. That day of work was very intense, and there seemed to be no spot for me, no planned direction. I understand this is going to be a major adjustment for not only me but for my other coworkers, whom I will now be supervised by. Although I am saddened by this friends absence, I am very excited to get to work with new people, and maybe even get to learn different aspects of the Maloney business. This past week has showed me that things can happen, and ultimately change the order of comfortability, but that is not a bad thing all the time. I will take whatever is thrown in my path and I will use it to my advantage, and this is a skill I will be able to use throughout my life, not only in the workforce.

This weeks industry specific word is, “Confidentiality”. This word is a major description of the things that takes place in the office. To ensure patient confidentiality my coworkers and I shred all patient information so no one can take it. We leave notes via paper, and nexttech to ensure patients mail and overall information is not sent to undesired readers. Some patients even prefer that their own spouses do not get any information regarding these matters, they do not know the patients have had Botox, blepharoplasties, BBL’s , breast augmentations, etc. I have learned this word through the steps we take at work, and its implied necessity through nexttech. This is something that is know from the beginning when the HIPAA test is taken.

February 26th – March 11th (5.33 hours) – This week has not been the best for me personally, but within the internship I have been able to meet with and work with new people. Now that I have been at my internship site for a while, I think the people around me are getting more comfortable with me. I wanted to do something meaningful this week, and I wracked my brains to find something that I could offer to the office. I came across our Instagram page , and I realized that it looked quite new. I asked My mentor if she needed help and she was happy that I asked. We sat down for a good hour and just talked about how social media works, and overall how to get our name out on Instagram. Mrs. Moss was very receptive to all the feedback I had for our Instagram, and I finally felt like I could offer something to the prosperity of Maloney Plastic Surgery. I still help with the Instagram and will continue to look for ways to get our offices name out on social media. I learned that I can find a way to be helpful in all different types of scenarios. I also learned that I should use my skills, and my everyday life as an advantage in some situations.

Within my internship I have been able to accomplish so many different goals, and be introduced to things that I did not expect to observe. Each and every week I have observed and helped with different activities and procedures. Throughout this journey I have been able to complete two goals, the second one I will be describing thoroughly within this proceeding story. My second goal was to observe a pre and post op of the same person, and this is because I wanted to see the effect that cosmetics has on someone’s personality and body. I have found that this field has many ups and down, and truly is an amazing platform to help people feel more confident. It is very helpful for the people who work in Dr. Maloneys office to be able to connect to each patient and empathize with the challenges they have. I had the ability to observe a patients journey to comfortability, and I was able to connect with this patient throughout. On the days of March 11th, and 21st, I sat in on a preoperative and postoperative consult with a patient who had received a much needed Mastopexy (breast reduction). The patient was very pleasant when I first met her, and I noticed how uncomfortable she was with her breast size. It made me extremely happy that I was finally getting to watch someone who truly needed a surgery to better the quality of their life. She complained multiple times that she has had extreme difficulty in finding a comfortable and even remotely attractive type of bra. After we left the consultation room I was very eager to see her after her surgery and I could tell she and her family were even more ready. This patient came in on the 21st to have the doctor look at her sutures and have her drains removed to allow for better and quicker healing. When I walked in the room the air felt so much lighter, she was more than half the breast size she was when I first met her. She took off her wraps, and although you could see she was in pain, I could instantly tell she felt so much better. The breast tissue was healing amazingly which can sometimes be a big problem for women post mastopexy. Once she found out that everything was perfect and looking perfectly normal, the patient was very relieved. The patient was very adamant that she wanted her drains out due to their uncomfortability, so one of Dr. Maloney’s assistants Christina came in and began cutting them. Christina first took a small pair of sheers and cut the the suture holding the tube in place. Then on the count of three she began to pull the drain out the side of the woman’s breast. I have seen the tube placed into a surgical area, but never taken out, and this tube was kind of repulsing. The tube seemed very small when it was inserted into her body, but in actuality it was roughly 15 inches long. After the removal of the drains the patient, their mother, me, and Christina chatted and wrapped the patient backup to prevent extreme bruising and clotting. The patient and I talked a little bit about how hard it is to live with a larger bust, the struggle of not finding a bra that fits comfortably, running or doing any type of vigorous exercise, and finding cute articles of clothing to wear. I am so glad that I got to witness this patient go through something so life altering. It made me so happy to see her go from sad and hopeless to refreshed and determined. Overall I would say that the finalized product, even before healing all the way, was extremely proportionate and appealing. This experience has changed how I view cosmetics, for once I can see there are times when surgery is absolutely necessary and should be encouraged. I no longer feel that cosmetics is slightly a waste of time, because it brings so many people happiness, and what could be more reassuring that someone’s happiness. There is always going to be people who abuse the system of cosmetics, but ideally this should not over shine the fact that so many people are better off with the use of cosmetic procedures. I do plan to continue on in the field of medicine, and I hope to be going to nursing school. If one day I realize that I want to be a surgeon, and or any kind of nurse in this cosmetic and reconstructive field, I can have that opportunity. I am very grateful for all that I have been able to encounter and learn, and I cannot wait to learn even more about medicine.

This weeks industry specific word is, “Allergan”. Allergan is a company that provides not only Maloney Plastic Surgery with a lot of the products they use, but a lot of the overall cosmetic surgeons all over the United States. Allergan is one of the companies we get our breast implants from. I learned this word when I was explaining Instagram to Mrs. Moss and she suggested using the hashtag of Allergan due to the fact that we use their materials in our office everyday.

March 12th – March 25th (5.42 hours) –  One meaningful experience that I have been able to be apart of within the internship program is seeing multiple preoperative and postoperative consultations. One appointment in particular seemed to be the most interesting for me. When looking at cosmetic surgery, we tend to only see the good because that is what is highlighted the most. In fact there are plenty of cases that turn out with challenges. I saw a prime example of this when a woman came in with big black and discolored balls along the placement of the previous drain tube. I saw this patient get her face lift to begin with, and she had a decent amount of skin and tissue removed, but her face was full enough that it was more pulling than taking away. This procedure I viewed was roughly 2 months prior, and when she walked into the office I recognized her right away. After consulting with her and seeing how upset these lumps had made her, Dr. Maloney took her into the procedure room and started to make incisions on the black balls and drain them. Where a dark brownish yellow liquid came out. I presumed that this was a mixture of coagulated blood, infection, and leftover anesthetic from her procedure. This was a truly eyeopening experience that left me with supportive arguments towards my SEP. Although those black infections will probably subside they will leave a lasting impression on the woman who had them. What I learned was that there is not always 100 percent certainty that a procedure is going to turn out great. I realized most importantly that in life you truly have to work with perfect accuracy or terrible things can happen, and that goes for life and for the medical field. I do not know if I have necessarily grown from this, but I can express how it has changed my mindset.

This weeks industry specific word is, “Vectra” this is an industry specific word because this is something we use for patients wanting to have surgeries, specifically procedures such as rhinoplasty, breast augmentations and abdominoplasties. What this machine does is it creates a 3D digital model of the patient and allows for Dr. Maloney to physically show the patient what the alterations that they are asking for will look like. For example a women wanting to increase the volume of her breasts by putting in a larger implant will be shown her exact breast from a frontal/coronal, lateral, and slanted view to get the full affect of the change. I have known about the vectra machine since my first day in office, but I am starting to see the use of it a lot more especially when I am inside consultations.

March 26th – April 8th (3.5 hours) –  One meaningful experience I have had this week would be finding an alternative way to complete my work efficiently but faster than usual. Me and Cristina were tasked with scanning a large sum of old charts onto the computer. Usually this takes all day due to the fact that it has to be scanned individually, then assigned to each patient, and running back and forth to the printer is not ideal. Cristina had the idea to call me from the printer and as she scanned them into the computer I would find them on Nexttech and place their pages in their profile. This saved a lot of time, and worked to make things more effective. We finished this task in roughly an hour and 20 min. Although we were not completely done with the folders, all that was needed now was to go through and label the files. This was a really good idea, and I think it might be something we do from now on to save time. I thought that not only was it a really good way for me to connect with Cristina, but it showed me that you can be creative, and ingenious when it comes to work. I am constantly going to be looking for a new way to make things better and faster to improve work quality and quantity.

I feel as if this internship has provided me with such an amazing opportunity to realize not only things about myself but about how I fit into the world. When I came into this internship I was scared to enter into the professional world, and I was scared that I may find that I am not cut out for the medical field. This experience has been full of enrichment, but if I had to pinpoint two aspects of growth within myself it would be my ability to keep professional, and my overall ability to learn quickly. Although I am still working vigorously to improve my professional communication skills, I feel as if I have come a long way from being a child who was the patient to having to speak as an adult to patients. I have a much easier time speaking to my fellow coworkers and I have grown strong connections with the people that I work with. Throughout this year I have had to learn systems, orders, and the overall the running of the office. I learned that to keep an office running it needs to be ran smoothly, and attentively. Although I did get a lot of guidance I feel as if I had to and wanted to learn things by trial and error. I am glad that I have been able to observe my abilities over time grow, and also show me where I still need to improve. In the future I hope to be able to speak to strangers in the professional field, and customers, with fluidity and confidence.

There is a lot of things that can be done to improving your time within the internship. There are some key things that will help you evolve professionally within your site, and improving yourself within the class. One thing to remember is confidence is key, and to have faith in your abilities. At the same time, it should be very important to you that you stay flexible, and be able to change behaviors and learn new ones fairly fast. Asking a lot of questions, and not being afraid to do so will make your opportunities to learn expand, and help to allow for a better understanding of your surroundings. These are all things that can help you when you decide to spend a year in a foreign office that is more professional than a person is probably used to. This internship has been very fun, but it does teach you responsibility and there are some things that could make a person’s experience improve. A way to improve your experience is learning to take responsibility for your own faults and mistake, because you’re human your allowed to do so. Personally I would suggest to find a site closer to your school, and or closer to your home, because not only is it a lot of money but it does take up a lot of time when you have to drive far to your site. Last thing I would suggest would be to do as many of your reflection logs a couple days prior to their due date, because they tend to sneak up on you, and this is especially bad when SEP comes around. This experience is worth every aspect positive and negative and I think that everyone should have this opportunity.

This weeks industry specific word is “Vanquish”. Vanquish is a procedure we offer at Maloney Plastic Surgery that helps to practically melt away fat. It is not a weight loss program, but it does help to slim and shape the body. This machine is a non-surgical fat removal that works by using radio frequency to target the fatty layer of skin on the abdomen, and has recently been approved for the thigh area. The fat cells become cleared through areas known as lymphatic channels. we then use a machine called the Z-Wave which is used to freeze the fat cells so that they can not replenish themselves and grow back. I learned this word and this information today when I was doing chart prep with Cristina. I then went home and did some personal research after she gave me the basic info that I needed.

April 9th – April 22nd (7 hours) – One meaningful experience that I had within my final weeks at work would be saying goodbye to everyone. I had such an amazing time working at Maloney Plastic Surgery and I learned so much about myself. Saying goodbye to everyone did not feel right, and I wish I could go back every week still. I am extremely happy of the connections I made throughout this year, and I know that I will be able to count on my mentor and the people I worked with to help me even further along in my career. I felt so sad leaving, and I have learned how to receive information fast, understand medical lingo, and so much more. I am going to miss the people at Maloney Plastic Surgery, and I will be staying in touch with them!

This weeks industry specific word is “Kybella”. Kybella is a type of injectable inserted under the chin to remove and melt fat. I learned this word by talking to my fellow worker Cristina, and hearing about patients receiving this treatment.

July 20th – August 13th (6.5 hours) – Advancing in the office has been quick and rich, as my mentors have made sure I am interested and working hard. One meaningful experience I have had so far is, learning that mistakes are acceptable. I learned that although the medical field and this position require the closet thing to perfection, its reasonable to accept failure. My mentors have taught me in a short time that I am not perfect, but with time and practice I can better myself to be more perfect than I currently am. I am very grateful to have mentors that understand how It feel to be new, and can empathize with me. Along with grateful, I am very excited to be able to not only learn new things but learn from my mistakes. In no way am I done growing in this area, but this little bit of encouragement has helped me to better understand my place in the office.

I hope to learn an unlimited amount of new skills while being in this program, but one specific thing I would like to improve is my ability to focus on a certain task until satisfied with the outcome. Ways I can improve myself within this area is working and pushing myself to continue on a job. I can set up an individual reward system that will encourage me to complete all work that I have started. Another thing I would like to learn is how to completely remember medical terms and this would be best learnt by my mentor Lindsey Moss. I tend to notice that she can pick up and recognize medical terminology very quickly, this is due to her experience in the field, and time committed to obtaining this information. By focusing on the information I’ve been informed about and retaining the specific details that make all the difference I can achieve my goals.

I have already learned many things not only about myself, but the program, and the field of my internship. One thing I have learned from my time in the program would be that I may have to struggle a little by this year. Admittedly I added a lot onto my plate this year and have not been able to find the perfect balance between all of my classes and my personal life. This is a good challenge for me to have, as it will prepare me for college and many other challenges in my life. One professional aspect I have learned about myself is that I am a very personable person, meaning I understand people. I have gotten along with all of the people around and inside of my internship site, including some patients. I think not only will this aspect of my personality flourish in this environment, but my professionalism will be tested and perfected.

August 14th – August 27th (9.35 hours) – Within my time in the program I have already learned so much, especially about the medical industry. Although I have only begun to work on the computers and utilize the systems, only now do I realize how much goes into one small consultation. The medical records we use online such as NextTech, and Brilliant Distinctions, holds an absorbent amount of information. Normally, I m assisting someone, and or they are helping me in the office. Last week, Mrs. Moss and Mrs. Margarita were very busy, so I was helping the patient coordinator, Mrs. Stefanie. We had begun new patient packets and I was still slightly unfamiliar with the system, but Mrs. Stefanie encouraged that I do the work on my own, and on top of that fill out patient points. I was very nervous, but also very excited and genuinely appreciative that they entrusted me to do this task alone. I was very proud of myself, because not only did I finish all of this weeks patient packets, but some from the week ahead. I learned even better how to use the system, and find my way around challenges. This experience really showed me how well perseverance and dedication can work together fluently. Im excited to achieve even more things with my mentor and alone in this program.

August 28th – September 10th (6.5 hours) – One meaning full experience that I have had in the internship program would be that I have begun to become close to the people that I work with. I have found good, and caring people at and around the office of Maloney Plastic Surgery. I enjoy coming into work each week, and understand that if I needed something from my coworkers I could easily ask. Particularly I have become closer to Stefanie, who is the patient coordinator, we have shared personal stories and become accustom to the way each other work. I appreciate all that she is showing me and it has made a big difference in my comfort-ability in the office. Overall I feel as if I am going to learn many things from my coworkers, medical and personal. As I continue in this program I hope to better understand my superiors on a personal and relate-able level.

At my internship site it is expected to dress in blue/navy scrubs, and keep your self looking professional and friendly. This atmosphere seems like it would consist of only serious behavior, but there is a sense of comfortableness, and lightness about the office. At Maloney’s office, the staff including myself is expected to perform the tasks given to them when they are given. This creates a much more ordered structure in the office to allow fluidity through the day. Many of the things we do during the course of a work day is to prepare for the following days and or weeks. My coworkers are constantly running around but having fun at the office. Overall it is a great environment to work in.

I am actively working to better fit into the run of the office that I have joined through this program. Although they have made the quick transition very simple and very nice, they understand that I am still learning. Coming into this office I instantly felt like I belonged here, not only because I loved the occupation but the people were outgoing like me. One thing I need to continue to working on in order to progress in this industry is communication, but the medical communication aspect. I am used to talking to adults, but not specifically adults who know an enormous amount of information. Sometimes talking to my coworkers and or doctor Maloney I get a little nervous. The longer I am at this office the more manageable my nerves will become, they may even dissipate.

I came across the term BBL inside of small magazine like book that was inside of the office I work out of each week. I had begun to read it, thinking it was going to talk about something that has to do with Brazilian Butt Lifts. I am very interested in this aspect of cosmetics, and had nothing to do for a little while. I quickly learned two types of BBL and this was the Broadband light laser treatment. This is a laser that passes over the skin using wavelengths and light to remove scars, blemishes, and pigmentation problems specifically around the face. Looking at these before and after pictures inside of the book I was astonished, the laser does absolutely amazing work. This is more cosmetic and less surgical which makes it a more desire-able choice to the customers.

September 11th – September 24th (6.85 hours) – One meaningful experience I have had very recently is becoming closer to my mentor. She had noticed many times that my mother drove me and had to stay in the parking lot for the 3-4 hours that I was there. Mrs. Moss, kindly offered to drive me half way or more to meet my mother after work. She has and continues to make herself available to relieve my mother of staying in the parking lot. Although I have not taken Mrs. Moss up on the offer, it has greatly affected how happy I am at Maloney Plastic Surgery. I finally feel that I am becoming a part of the family at the office. Overall I am glad that Mrs. Moss has become my mentor, and I am so excited to continue to working in this office.

I was inside of my work room and I was filling out brilliant distinctions when I noticed only people with Botox got points. I was wondering what types of Botox there were, so I looked around the room to find the answers. That is when I found a slip that told me all about the different kinds of Botox, and what they were used for. The terms I learned were, Juvederm, Voluma, Restylane, Lyft, and Silk. These are all types of fillers, used to fill in the nasal-labial folds (by the mouth and nose) , and also enhance the lips and cheekbones.

September 25th – October 8th (36.7 hours) – One meaningful experience that I have had within the last two weeks would be, seeing my very first procedure at the office. At my meeting with Mrs. Polivchak, and Mrs. Moss, we discussed goals for myself, this being one of them. This reflection is more of an uplifting and exciting experience rather than something I learned from, although I learned many new techniques and a little about different stitches. The procedure that I watched was an upper blepharoplasty, and what I saw was amazing and surprisingly quick. I am very happy that I got to experience this procedure live, as I am always watching it over my phone. I continue to hope that I will get to experience many more of these operations. being in the room during the procedure showed me that the cosmetic and reconstructive field is something that I am very interested in, and It allowed me to envision myself as the doctor performing the surgery.

At my internship site all forms of communication are appropriate, depending on the situation. Most of the time the office is full and busy, and my coworkers including myself are running around the office. Certain things need to be approved by other coworkers, and sometimes it can be nice to receive confirmation and concrete reasoning to a situation. A quick phone call to the office of another coworker can save a person from having to run all around to either find them, or just ask a simple question that could easily be answered over the phone. Texting between coworkers is dependent on how close those two people are, and how deep their intimate relationship is as friends. Many of my fellow coworkers, text each other if it is something more personal, and or if it is something just between the two people. Email is definitely appropriate with something long, and over the computer. Some of the things we do here at Maloney Plastic Surgery are online, as we do as many things possible to save trees and be environmental. The things are easier stored this way, and also make it easy to attach a file to the email and send it off. The most common form that I use at my site, would be face to face. I like to get physical confirmation on the things that I do to make sure I am doing it to the best of my ability.

I am very comfortable talking to most of my coworkers, of course there are some instances where conversation does not flow naturally. I expect myself to, over the year, become more familiar with everyone in the office, and begin to talk to them professionally and casually. For almost all of the questions I have throughout the day at my internship site, I immediately ask someone who I believe can answer them. If I am inside of a post-op and or pre-op, I wait and hold my specific questions until we leave the room out of respect for the patient. During procedures it is a little easier to ask what is happening, but even then most of my questions are saved until the end of the procedure. I have written down a few questions when talking to my multiple mentors, and have asked them once they were done explaining, to overall better my understanding. When I am not at the office with my mentors/coworkers, I email them to confirm appointments, talk about any questions I have in regards to anything, and overall communicate over email.

A word that I have learned recently would be the term “capsulectomy”. I learned this word when I was looking through the schedule in next-tech. When I saw this and had never seen it prior, I asked my coworkers what it was. A capsulectomy is the removal of scar tissue and hard tissue around a breast implant. This happens and is more common in women who have had breast implants for 15-20 years. Although, it has been seen in women who have had recent breast augmentations, for example, under and over a years worth of time.

October 9th – October 22nd (3 hours) – One meaningful experience that I have had recently would be unfortunately getting sick. I got sick the day before I went to my internship site, and this was not planned obviously. Although I had not been sick before, I had known what to do , which was email my mentor Mrs. Moss a day before preferably. I did this and eventually got an email back that had basically said it was perfectly fine if I did not show up, and that she was glad I did not bring the sickness to the office. Not only was I glad that I was able to not go to the internship site, but I was appreciative that I had been able to bank a huge amount of hours from the weeks prior. I had gotten to see procedures and do many things for whole days at a time. Mrs. Moss and my coworkers are very flexible and help me deal with not only personal but internship/school related set backs. This has not only helped me to better understand the process of informing a superior of sickness in the adult world, but showing me that I can make valuable connections with mentors and coworkers.

One word that I have learned within this weeks log was the word “otoplasty”. I learned this word, when I was filing paperwork in my coworkers bins. She has many types of words down there, but this word caught my attention. I did not ask the coworkers what this word meant because there was an extra slip that is usually handed to the patients obtaining the procedure, I read that and learned many things about the procedure. Otoplasty is a type of procedure that enhances, minimize and restores the ear. This procedure has been done in our office before, and is a procedure that uses the crooks and folds of the ears to tighten, and reshape the ears as needed.

October 23rd – November 5th (3.48 hours) – One meaningful experience that I have had within the last two weeks would be making a mistake on new patient packets. I had made a stretch mistake, and tried to be a little less reliant on my many mentors, and I learned that it is not a bad thing to have your work double checked. From this mistake, me and my mentor have therefore created a much more successful process to ensure that our work is double checked while still being efficient. I create all of the new patient packets for my mentor, I put in the information that I believe needs to be inside of their individual folder. I then put this all inside of its mailing folders and address it to the correct people. I leave the packet unglued, and allow my mentor to check the information in each folder, and then we glue them together, and weight them for their mailing stamp. I as well as my coworkers think that this is a much better way to go about perfecting the new patient packets, and I am very appreciative that we could come to this solution.

A time when I interacted with someone who was not my mentor would be the day that I followed around a multitude of people over break. I followed Cynthia to her many laser and BBL treatment patients. I then followed around Doctor Maloney to some of his post and pre-ops, along with some procedures. My mentor initiated the conversation between me and my other coworkers, and engaged with us all throughout the day. Our conversations were about the procedures themselves, and the circumstances of the office. We talked face to face, and although some of the conversations were brief, I learned an a lot of information in those two days.

A word that I recently learned would be “visceral fat”. I found this word when I was looking through a patients profile, to find information for their brilliant distinctions. This women had a previous note within their note section describing what type of fat she had, and what Dr. Maloney could do to get rid of it, if he even could. As I read on I found those words and decided to quickly look it up. I found that visceral fat is body fat stored within the abdominal cavity, and is stored around a number of important organs. Examples of this fat is around the pancreas, the liver, and the intestines.

November 6th – November 19th (6.3 hours) – One meaningful experience that I have had within these past couple of weeks would be finishing almost all of the brilliant distinctions for Botox week, and being able to remember the complete process for doing so. I really appreciate all of the work that has been put in to making sure I understand how things work inside of our office. I am getting to a point where I am understanding how to complete things, and decipher the meaning of numbers and wording inside of our programs. I am super excited to learn even more things about our systems, so that I can help as much as possible every time I go into my internship site. This meaningful experience has helped me to better understand that with a little bit of work, I can pick things up quickly and efficiently. Although I have improved within the aspect of learning things quickly, I realize that I can work on fixing the redundant mistakes I make by creating notes to myself for future reference.

For the majority of this year, I have had a steady work day of every Wednesday from 2-5 pm. I came into my internship understanding that I could only come on Wednesdays, unless it was over a break, in which I could bank several extra hours. With my mentors leniency, we quickly came to a great schedule, where I could come as early as possible on Wednesdays, and I could even stay till 6 if it was needed. I believe that they would say that I do stick to the schedule and I even work my vacation days around my work days, so I do not miss an exorbitant amount of office hours. To personally succeed within my internship, I try to ask questions and do the things I am supposed to days before it is due. I have occasionally made mistakes, such as missing this reflection log, but I am working toward not missing anything else for this internship. I do not think I would have been able to do the amount of hours that I did, if my mentor was not as flexible and kind as she is, and I am so thankful I am able to work with the people I do each Wednesday.

I have tried very hard this year to juggle all of the things that I am supposed to do for my internship, school, and home tasks. I usually try my best to complete all of my work for school , during school and or as soon as I get home. My internship work is left with my mentor, days before it is due, and my reflection logs are usually completed a day or two in advance. My goal for the end of this year is to find the perfect balance for myself to complete all of the things that are necessary within my daily life. I have missed a reflection log turn in date, and that was due to my lack of checking my calendar. I am improving this by adding vibrations, and notifications to my calendar schedule, so that I do not miss another deadline.

The industry specific vocabulary word this week would be “unit”. This is a measurement of the amount of Botox that is given to a person either in bulk and or small sections. I learned this on my way home with my fellow coworker Susan. She described to me what this was, and how each one of our providers in office, sells it at different prices. The average price is around 12 dollars, give or take a little. The providers have gone down to about 9 dollars when they have their specials. This draws in many people, and it keeps regulars coming back for the deals.