I have finished 3 weeks at Wythe County Community Hospital. I’m still enjoying it. Most of the patients I see actually come to the outpatient rehab unit. My supervisor and I have seen a few patients in the hospital.
We see a large variety of patients in the rehab unit. So far the age range is about 16 months to 85 years. A lot of the patients come in for swallowing treatment. We place small electrodes on the neck or face which provide electrical stimulation to the muscles. This helps strengthen the muscles. The toddler and school age children are there for articulation, language, or auditory processing. The two children under 2 have trouble with swallowing, so we do oral motor exercises with them. There are several voice patients as well. Usually, voice patients are few and far between, but I’ve gotten some good experience with them. One had a total laryngectomy (where muscles, bone, and cartilage from the epiglottis to the trachea are removed so there aren’t any vocal folds to use for speech) and uses an electrolarynx. Another has one vocal fold that is very weak and doesn’t move much. Another patient (a preacher) just had cysts removed from his vocal folds so we are teaching him how to use his voice correctly. There are also a few patients who have aphasia as the result of a stroke.
Two of the most interesting patients are both in their 80s. The one was a medical doctor who was still practicing until he had his stroke. He is so sweet and is making a lot of progress, although he can’t really say much yet.
The other patient is there for a swallowing disorder. He has been putting his food in a blender and eating it that way for 10-15 years! The first time I saw him he was given some fruit to eat. He had eaten some and then said he was finished. My supervisor didn’t think he had swallowed very much for the amount he had eaten, so she had him open his mouth. Sure enough, he hadn’t really eaten any of the fruit. He had pocketed it all in his cheeks. He said he didn’t want us to feel bad because he couldn’t eat it, so he stuffed it in his cheeks and was going to spit it out after he left. Apparently he does this around other people. Aside from that story, he is a funny man and makes me laugh.
So far things at the hospital have been pretty slow. We’ve done several modified swallow studies where food is coated with barium and the patient swallows this food while an x-ray is taken. We watch the x-ray to see how the food is swallowed and if any of it goes into the airway. We’ve also seen 3 patients admitted to the hospital. So far I’ve just watched my supervisor evaluate those 3 patients.
I still have most of the summer to go for my externship. Hopefully I will continue to enjoy it even though I don’t care for the long drive (45 min one way). I’ll try to periodically update any interesting stories throughout the summer.