 and really take this opportunity to kind of accelerate my learning, put all this effort in, just leave everything out on the court, really leave everything out there and work as hard as I possibly can without getting sick again. Just work as hard as I can and learn as much as I can while this kind of like tsunami of patience is crashing on me. Morning guys, my name is Boris. I'm a board certified physician assistant working in internal medicine and also medically supervised weight loss. And if you're new to my channel, welcome. Thank you for watching this video. But this video is actually more for people who watch my videos consistently. I know it's kind of a shrinking number because I've been changing the topics of my videos lately, kind of going away from PA school and more towards what I'm actually really passionate about, which is overall health, mental, spiritual, physical, emotional, all that stuff. And I know it's kind of vague. I'm actually still searching for what I want the channel to be about. And I'm also searching for that consistency. And that's actually the topic of this video, which is basically excuses, excuses, why I haven't posted in the last couple of weeks, why I may be kind of sporadic for the next few weeks, but then I will get that consistency back. And so basically, it's just kind of an update into my life, how it is, you know, three months into practice as a physician assistant. And so just between you and me, here's what's going on. It's February right now. So kind of like middle end of February. And I started this job in the end of November, November 29th, actually. And at first, it was mostly just training. So I was on the physician schedule at one supervising physician, he owns the practice. So I was on his schedule, I was working one-on-one with him, just kind of seeing his patients as much as I could handle. And then when I had questions, I would ask him and I would present the case and present the treatment plan to him. And he would say, you know, good job, or here's what I would do different. And it was basically just like that every single day, as he was training me to transition from basically being a student, you know, a PA student to an actual practicing clinician. And that was the first two months of my employment there. Now then after that, after that two-month training period, I actually went out on my own with my own schedule, my own patients. Now, the reason that happened so quickly is because I actually did one of my rotations, my last rotation in PA school with this physician. I knew I wanted to work with him. I knew I was going to accept the job with him. So I actually set it up in such a way that I had my rotation, one of my last rotation in school with him. So I actually spent five weeks working with him, training with him as a rotation student. So we basically used that time as my training period. So I basically had more than a month of training already with him on the EMR, on how things work in that office. Basically, I already felt at home in that office. So that month, combined with the two months that I was trained, basically gave me more than three full months of training. So when I went out on my own, I felt more or less ready to provide basic care to not very complicated patients. So for that first week or so that I was out on my own, maybe the first two weeks, that's kind of how it was. They basically gave me between five and eight patients a day, sometimes a little more. And it was mostly simple folks, follow-ups, people that I've seen already in the past. So I knew what was going on with them. And it was still overwhelming. It was still really difficult. And I actually did spend the entire eight, nine, sometimes more hours per day working on those five to eight patients, second guessing myself sometimes, not being super confident, calling the doctor a lot, asking if I was doing things right. As you would expect from a brand new provider who doesn't want to screw up, doesn't want to get a patient hurt, doesn't want to risk their license and their physician's license, just being careful as a brand new provider, as I hope any of you would be. And that's how it was for the first two weeks. Then everything changed. And the reason everything changed is we actually kind of abruptly, kind of short notice, we lost one of our providers. And so all the patients that were scheduled to see this provider, this PA that we had, suddenly had nobody to see. And the doctor already sees a ton of patients, like he can absorb some of them, but he can't absorb all of them. So suddenly my schedule went from like five to eight patients that I was already having a little trouble with, to like 12 to 17 patients every single day. And that's mostly this week that happened like that happened at the beginning middle of last week. And now, of course, this week, it's just like full bore, you know, 12 to 17 patients, possibly even more. Now, of course, two to three of them might not show up, maybe even four or five of them might not show up, but they all might show up. Like yesterday, they all showed up. And what that's forcing me to do, because between you and me the first time this happened, I was like, I almost had like a mental breakdown. I worked myself into a frenzy. I barely sat down, barely had a bathroom break. I didn't eat lunch. I stayed like two and a half hours late just like trying to get these charts done. Like it was a shock to my system. And then the next day, actually two days later, I actually got sick because I just stressed myself out so much. And I think somebody was coughing at the office and I just I caught whatever they had. And I don't know, it just got bad. I got really sick for like a day, but I recovered pretty quickly. But basically it's because I just I got so stressed out, so overwhelmed. Because I didn't just want to see these 12 to 17 patients, I wanted to do everything right with every one of these patients. So if somebody was coming in for even a pretty simple follow up like a blood pressure check, I still spent like an hour, hour and a half reading all their documents, all their specialist consults, imaging their labs from like the last few months, like I really wanted to get a really good picture of everybody coming in to see me. Every single thing happening with every single person coming in to see me. And I'm realizing that's just not sustainable. If it's their health assessment, their annual physical, absolutely, I need to know everything that's been going on for the last few months, absolutely everything that I could do for them. But if it's just a simple follow up, I'm learning how to kind of hedge that a little bit and make sure that it's safe, make sure that I know all the major and important things going on with the patient, but not go like crazy and just research every possible thing that I can. I hope that makes sense. For those of you who practice, you know exactly what I'm talking about. Those of you who are students, you might not really understand yet. But basically, since I'm here at the office and I've got to go and I'm sure I've got a full schedule today, basically, here's what's going on. My schedule got crazy. All of a sudden, it took a few days to really adjust and I'm definitely not fully adjusted, but I am feeling more comfortable with the workload, with what's going on and what I basically have to do as a new provider. And it's definitely taking all of me. I'm really not having much time for anything else, definitely not having a whole lot of time for like scripting videos, making videos, thinking about what I even want to say in videos because all I do, all I can do is just think about what I want to do at work, what I have to do at work. And for at least the first few weeks while I'm adjusting to this pace and adjusting to all these new patients who I don't even know, that's just what it's going to be. So I might not be able to focus on this channel nearly as much as I want to and trust me, I want to. I really want to post two times a week and get consistent for at least a solid year to see if I can get this message out there and see if I can get the YouTube algorithm to actually recommend this new content that I'm making and see if people actually want to hear what I'm saying. I think that a lot of you probably do. I'm just not being so hopefully you guys understand that explanation. It's basically my excuse for why I haven't been consistent and why I'm not going to be able to post as much as I'd like to, maybe for the next few weeks just because this stuff is really picking up at work. I don't want to let the doctor down. I don't want to let the practice down. I really want to put some effort in. I really want to put out and really take this opportunity to kind of accelerate my learning, put all this effort in, just leave everything out on the court, really leave everything out there and work as hard as I possibly can without getting sick again. Just work as hard as I can and learn as much as I can while this kind of like tsunami of patience is crashing on me. It is a little overwhelming. It's nothing that I can't handle now and I'm handling it better and better every day and I know that at the end of the day I'll be a better, more efficient, more capable provider much more quickly than I would have. Maybe I'll get to the point where I would have been in like a year in like six months because things are getting that hard and I'm not going to shrink from the challenge. That's what's going to happen. All right guys, I'll see you in the next video.