4th Year Outreach Clinical Education Program

Adventures of a 4th Year Student: Episode 4 for Daniel Brinchman

This continuing series features 4th year SCCO student, Daniel Brinchman, who is in his second rotation at the VA Hospital in Tucson, Arizona.

Mugshot_TIGHTcroppedby Daniel Brinchman, 4th year SCCO student  

As time moves on, the seasons are changing in the desert. Hot scorching summer days are long gone, replaced by the patchy rainy days known as monsoon season. Believe it or not, the rain in September alone accounts for the average of 10 inches per year here in Tucson, Arizona and is fairly comparable to the arid desert of San Diego I grew up in.

View of Tucson from the mountains to the west of the city...

View of Tucson from the mountains to the west of the city…

Javenlina or peccary

“…you may catch a glimpse of the rare and elusive javelina.”

Tucson is the hometown of the University of Arizona, the Sonoran Dog (to be explained), and a never-ending supply of towering cacti.  If you’re lucky, you may catch a glimpse of the rare and elusive javelina. It’s a cross between a boar and… well… a boar.  They’ve been known to take down humans if they come across us in packs. I really don’t believe it. I mean, Pumba was pretty nice, right?

Patient Care at the VA Hospital, Tucson, AZ

"The VA Hospital in Tucson, site of my 2nd rotation..."

“The VA Hospital in Tucson, site of my 2nd rotation…”

The healthcare, and specifically eye care, provided for the veteran population at the Tucson VA hospital on my rotation here is top-notch.  What’s impressive about the way things run here is that even though the waiting room of 40 seats is constantly brimming full, every single patient receives excellent care.  One patient in particular illustrates this well.

"Wandering the halls of the Veteran's Affairs Hospital..."

“Wandering the halls of the Veteran’s Affairs Hospital…”

On that day I was using my indirect opthalmoscope to do a routine scan of the peripheral retinal tissues on a patient who had come in for an

"... the patient had multiple retinal breaks and subsequent detachments, he was rushed over to ophthalmology to receive immediate surgical laser treatment to prevent a full-on retinal detachment..."

“… the patient had multiple retinal breaks and subsequent detachments, he was rushed over to ophthalmology to receive immediate surgical laser treatment to prevent a full-on retinal detachment…”

updated glasses prescription. VA policy demands that every new patient receive these in-depth screenings due to the higher prevalence of ocular as well as systemic disease in this patient base.  As I scanned the far peripheral sections, I noticed multiple dark/light abnormalities in both eyes.  Within minutes of consulting with my staff doctor for a second opinion, we had a surgeon come over from the ophthalmology department for a third opinion.  After determining that the patient had multiple retinal breaks and subsequent detachments, he was rushed over to ophthalmology to receive immediate surgical laser treatment to prevent a full-on retinal detachment, which is one of the worst conditions because it can cause true blindness.  Having the opportunity to play a role in this sort of quality, efficient system during rotations is beneficial to the aspiring doctor who wishes to work in a hospital setting, a commercial setting, or even private practice.

A Little Local Culture:  The Sonoran Dog 

The Sonoran dog is a Tucson favorite...

The Sonoran dog is a Tucson favorite…Homer Simpson, eat your heart out!

The Sonoran dog is a Tucson favorite. It includes:

  • -Bacon wrapped hot dog in a soft bun
  • -Beans
  • -Grilled onions
  • -Fresh onions
  • -Tomatoes
  • -Mayo
  • -Mustard
  • -Jalapeño sauce
  • -Mushrooms (optional)

    "Are you brave enough to try a Sonoran Dog? If so stop by Guelo Canelo...you won’t regret it."

    “Are you brave enough to try a Sonoran Dog? If so stop by Guelo Canelo…you won’t regret it.”

Are you brave enough to try it?  If so stop by Guelo Canelo if you’re ever down here and take one or two of them on.  You won’t regret it.

That’s all for now friends, talk to you soon.  By the way, if you have any questions about optometry school, application process, or anything else, don’t hesitate to leave a comment and ask.  I’d enjoy hearing from you.

-Daniel Brinchman, SCCO Class of 2014

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