This semester I have been wrapping up the odds and ends of my undergraduate degree. One of the very last things for me to experience before graduation was an internship, which I landed at a University of Michigan branch hospital called MidMichigan Health in Midland. During this internship I had the opportunity to experience rotations in Cardiac Rehab, Pulmonary Rehab, and Stress Testing. Its been a long, challenging and extremely rewarding 600 hours over 15 weeks, and I wouldn’t exchange this learning opportunity for anything.
Cardiac Rehab- This rotation was the primary focus of my undergraduate degree and thus the most predominate part of my internship. Often, Exercise Physiologist describe Cardiac Rehab as a sort of physical therapy for a patient’s heart. When a patient undergoes an open heart procedure, heart transplant, heart attack, stent, valve replacement, or other heart related events it usually leaves the patient weak and fearful. Through Cardiac rehab we walk patients through personalized exercises and educational plans to strengthen their heart and help them gain back their confidence to become healthy and active again.
Pulmonary Rehab- This type of therapy treats patients with lung diseases such as lung cancer, COPD, cystic fibrosis etc. Since almost all lung related diseased are incurable, the only hope for a patient is to receive a lung transplant. To maintain quality of life for these patients while waiting for a transplant, coming to pulmonary rehab is the best option. Patients report more energy and clearer breathing after exercise treatments and educational sessions on how to cope with their disease. For some patients, getting on the transplant list will never be an option whether that be beacuase of age or other medical issues, but it is still important for them to come to Pulmonary Rehab to be as healthy as they can for as long as they can.
Stress Testing- This part of my internship revolves around diagnostic testing for cardiologists. When a doctor has suspicion of a heart issue/condition in their patient, they refer them to get a stress test. There are a couple different types of stress test that the cardiovascular department runs, and that I have learned to administer. Whether the test involves running on the treadmill, an echocardiogram, or injecting the patient with a nuclear isotope, many things can be learned from these tests. With the testing information doctors decide what medications to administer, what surgeries to preform, or further tests that need to be run.
My Experience
Each of my three rotations at MidMichigan Health have taught me so much. I feel well versed in cardiovascular/ pulmonary health, as well as patient care. Although I could write pages upon pages of stories, memories, and lessons learned, I will share my largest take aways from this internship:
- Confidence and ability are directly related– When patients come to cardiac rehab they are typically scared and weary to do any sort of physical activity post traumatic heart issue/surgery. With encouragement and care I have seen patients excel and do things more strenuous and physically challenging activities than what they were doing BEFORE the heart issue. This is because the program slowly build patients up, step by step, to a much larger task so that patients gain strength and confidence along the way. Often I hear things like “I haven’t done that in 15+ years and now I can do it again!” or “I’ve always wanted to be able to do that, and now I actually can at 80 year old”
- Community. Community. COMMUNITY!!!- Something I certainly forget is that as we age (especially into 70yrs or older) friends become more and more scarce. The elderly loose friendship because their lack of transportation, physical inability to get out of the house, or even death. Therefore, when patients come to cardiac/pulmonary rehab they find new friends and a support group because they all share a common purpose: getting better after a serious health issue. Patients are usually in the program 3 times a week for about 12 weeks with the same people, so they end up all getting close and having a blast together. The community built inside of the facility stretches far outside its walls.
- YOU are the professional– On this internship I have learned 3 distinct roles in my rotations, but I have also learned to fill hundreds of other roles (that are not defined in my internship contract). To my patients I went from the professional who knew about cardiopulmonary health to the professional who traded recipes, the professional that talked about fishing and boating, the professional that changed hearing aid batteries, the professional who gives hugs etc. I’ve certainly learned that being a medical professional is far more than what we learn in the classroom and THAT is actually what makes the job work every minute.