In the fall of 2015, I entered into my sophomore year of college starting the Athletic Training program. I was ready to start classes, but was not anticipating classes to be as difficult as they were. The best part of the whole semester was the clinical experience I was able to gain, experience with every fall sport and the hospital with ER and wound care. However, I never studied as much as I should have and never worked as hard. When it came to exam week, I studied like crazy for my exams but put off my comprehensive exam. I made A's on my exams pulling B's in my classes, however when it came to my comprehensive exam I did not pass. I studied all Christmas break and went back to school early to retake my exam. Again, I fell just short of passing meaning, sadly, I could not move on to Clinical 2 and would be on redemption for the next semester until I was able to re-take the comprehensive exam. I was not able to gain any clinical experience, but I reviewed ever week with DC. Spring semester was going amazing, I was 100% focused on school and nothing else. I was on top of all my classes and doing very well with all A's and B's. When final exams started all I did was study and get ready for my comprehensive exam. Everyone helped as much as they could. I went into my exit more scared then ever before, I kept thinking about what happened in the past. I learned the past is in the past we have to except it and move on. Once I felt confident I was ready. I walked in, killed it and... I passed!
I observed Wednesday the 15th of February, Thursday the 16th, as well as April 21st. I was not able to get all 6 hours that first week, however finished them the 21st. I observed with Caitlin and Matt. When I was there I experienced many different rehabs of all ages, as well as workers tests. The different rehabs ranged from shoulder to foot for surgery to instability. The workers tests were testing to see if the patient was able to do the job specific duties in order to complete their job. I learned if I am able to get my masters in OT I do not want to work with older people nor in the hospital system. Younger kids seem so much more outgoing and whiling to try harder unlike older people. I do not want to work in the hospital system because its not as outgoing to colorful like privately owned clinics. I loved being in the different environment with all the different patients, who are not necessarily athletes like here at school.
This week A LOT happened.. starting off on Wednesday with imaging and radiology where I finally finished my hours. I was about to see a tibial plateau fracture with and ACL and meniscal tear, the man has biking, walking his dog and fell off the bike. Unlike before most of the images were of the knee, before it was a mixture of the brain and spine. On Thursday the AT program was able to join ETSU in the cadaver lab. That lab was the second one I had been to. They are one of the coolest things we can see as students because you actually get to experience how the muscles look in real life, unlike in the pictures, the muscles look like turkey and beef jerky. One of my most favorite things was being able to see the aorta down the spine. When thinking about the heart I really thought that the aorta did not traveled that far in the body. We were able to see many different bodies and look inside the joints. We were able to see inside the hip as well as the shoulder and knee. Inside the knee we were able to see the menisci and PCL. Inside a hip was a hole on the top of the femoral head, we thought maybe the man had had a hip replacement, but the student in the lab with us said that it was maybe where a vein commented to the bone for a blood supply. I never thought that the bones had anything connected to them. The cadaver lab is one of the best experiences any students can have because it is the ultimate hands on experience. On Friday, I was able to finish my hours for PT, I was able to experience with a PT whose patients ranged from 9-75. The younger girl was having patella-tracking issues; she warmed up on the bike for 10 minutes then did some strengthening exercises. Next was an older woman about the age of 70, she had a total knee replacement in November and had three weeks left in rehab, she was treated the same as the 9 year old, starting off with the bike. She has doing better but not to 100%, she believed she was at 90%, she was having problems was extension as well as walking with her foot in a natural position. And Finally IT’S BRISTOL BABY! Saturday was not bad we only had two rain delays in the first races and cancelled the second race after around 90 laps due to rain. Then on Sunday, the drivers were not able to get on the track due to rain, they postponed the race until Monday.
I was able to have a meeting with Brianne and DC so I was about to get around 80 masteries this week.
This week was not as productive as I would have wished but I was able to get some things done. This week was a little crazy, I was placed with Imaging/ Radiology and I had emailed them on Sunday. She was not able to get back to me until Tuesday, which threw me off a little for clinical. This week started Easter break on Friday, meaning we did not have class. Yay going home! I was able to get into the imaging on Wednesday night from 3:45 to 9:30.
We started off the night with an older man that had a potential stroke and ended off the night with a woman who had a stroke. Looking through their images was very neat, being able to see the actual black spot where the oxygen was cut off from her brain. The first man was very unresponsive, however he did not have any spots from his images. The range of patients was very large; we scanned a variety of things from a hand to a brain and a shoulder. The most interesting part of the night was an older man in his 60’s, he was having shoulder pain, and his doctor ordered MRI images. The shoulder takes about 30 minutes in the machine. When the man walked into the room he immediately looked into the tube then looked at the tech and said “no way”, there was no way he was going in the tube. He sat on the bed asking a bunch of questions, like how far in he was going to go and how long he would be in the tube. They were able to show him how far in he was going to go and he freaked out even more. He came out and said “no way!” He then asked if he could have his wife in the room with him, she was able to stand as his feet. After about an hour, his wife finally convinced him into going in. He shook, THE WHOLE TIME!!! I loved being able to experience imaging; however I don’t think I would be able to sit in a dark room 11 hours a day! I can’t sit still for more then an hour; I would be jumping around the room by lunch. I was there for 5 hours and 45 minutes, so I need 15 more minutes of clinical experience and need 20 more minutes at the PT clinic. So I will be getting that done this week.
As I said at the start, this week was a little slow and hectic so I was not able to get any more attempts or masteries. However I should be able to get back on track after Tuesday. After my presentation and paper are turned in for Gen Med and GWIC.
Also here is the picture from Nick’s National meet from last week.
This week was a little more exciting then the other because I got to be around the one sport I love more then any other, track! I have ran track/ cross country since I was in the sixth grade. I’m not sure what it is that makes me love it so much, maybe because of all the injuries that come along with running or maybe the fact that it’s a one athlete sport; where you don’t have to have a team to participate. The track meet wasn’t until Saturday, so I had to make it through a whole week of school first. Brittany and I were able to go to PH on Tuesday when there wasn’t much going on. We were able to get a lot of masteries done that day though, but that’s all we got to do. It was a pretty slow week because of the build up for the track meet on Saturday.
This week was a pretty exciting week for my family (mostly my little brother). Nick, my little brother, made it to nationals for swimming, where he was swimming the 200 yard breaststroke and 100 yard breaststroke. I couldn’t have been more proud of him; he swam very well even if he was not the happiest with his swims. That was only short course nationals, now he still has long course, where I expect him to swim even better. Once I got back to school, I only had to make it other day before the big track meet. On Saturday, we arrived at 8:30, the meet did not begin until 9:30-10ish, they first started with the field events. They were planning to begin the running events at 12:30, however the meet was running very far behind. The running events did not start until 1:30 and were not very well organized. We walked on the where the athletes check in for their races and asked if they needed any help. I helped them organize and make it more efficient for the athletes to get their numbers faster. Once the running events finally started, the favorite event to watch was up first, the hurdles. The hurdles are my favorite because of all the people who fall on their faces. Nothing exciting happened until the second to last event of the day the boys 3200, a boy fell of the track while running and inverted his ankle. I was able to do an eval on the boy. He was not very happy with himself for falling off of the track and having to stop running, so he really did not want to talk to me much. Once I finally got him to take of his ankle compression wrap and sock I was able to tell he had a grade 1 ankle sprain, nothing serious. We told him to ice and take an easy… This week is going to be a little different because I have imaging!
This week I was able to get 20 masteries and about 70 attempts to add for my book.
This week was a little hectic, however I would like to start off with saying I was able to gain over 50 attempts in my clinical book as well as over 10 masteries. I started meeting with Brianne weekly so I will not only be able to go over things in my book but also start doing test strips for my exit exam in a month. I received the masteries with Bre during clinical experience, while waiting to go out to baseball and soccer.
This week was a little slow for clinical experience off cite so I was able to do some experience on campus. On Thursday, we were over at Patrick Henry High School, where we were experiencing baseball and soccer. The events did not start until 5, so as I said above we will able to get some attempts in our clinical books. As we were walking out to baseball the head track coach walked up to us with one of his athletes, she was holding her forehead. He said, “As they were using the medicine balls, someone threw the ball while she was not looking, hit her and she hit her head on the ground.” We then began an eval to see if she could have a possible concussion. We asked questions about how she was feeling, where exactly her pain was, and then checked her eye reaction. She was in pain right on the spot where she hit her head, which did not worry us as much as if she said it was all around her whole head. While we were evaling her I realized she was not really out of it and was responding pretty fast to everything we were asking her. Bre pulled her for the rest of the day and told her that if she had any symptoms appear in the next 24 hours to see her in the morning or have her mother call her. Once we finished with her, we walked down to the baseball field; we stayed with them until the second half of the soccer game started. Soccer ended up beating Battle 4 to 1. On Friday I was able to experience with football as well as Saturday. Just so I was able to get a couple more hours for the week so I am not getting behind with my hours. One thing I love most about experiencing with football is all of the taping and treatment opportunities. I am looking forward to this wee because there is a big track meet on Saturday at PH, yay a whole day of clinical experience with track!!
This week was the start to all of the spring sports in high school, meaning the fun was about to begin. We started off the week at Battle, where we had a varsity men’s soccer game starting at 5. We got to Battle at 3:30 so we were able to do some clinic coverage before the game. At about 4:30 we drove over to the soccer fields, which are located in the back of Sugar Hollow Park. As we were driving up we saw some soccer players down on the practice field with their shirts off, it quickly came to our heads, “did they cancel the game and not tell us?” After we parked we realized that we had parked next to the referee for the game. We asked him if he knew anything about the game being changed, he simply answered with “I wasn’t informed of anything like that.” Bre went up to the coach that was with the team on the practice field and asked why no one was here; he said that they had to cancel the game because the fields were too wet. After that we just headed back to Emory. The next day that I was able to get clinical experience was Wednesday; we were at PH for a load of events including baseball, softball, and soccer. We first started off in the clinic, where Bre reserved a phone call, it was the Holston Track coach, he had a boy that was running with a metal object between his legs and cut open his inner thigh and part of his “manhood” he said the cut looked deep enough for stiches but he wanted to talk to Bre first. She told him to send him to the hospital because he probably needs a tetanus shot. After that call we went out to baseball, in the middle of the game Bre received a call from the track coach saying there was a girl jumper who had jumped and landed odd that was complaining of a knee injury. We were rushed up to the track by the head AD where we saw a girl sitting in the pit, I thought it was her right knee that was injured, however when we started talking to her we found out it was the left knee, she had jumped and hyperextended her knee, her muscles were guarding and tight which is where she was getting the pain from., Bre told her to ice and take and easy for the rest of the day. After returning to the baseball game they ended up winning by one in an extra inning. Then we drove up to soccer where the second half just started, however it went back very fast, they ended up loosing by one. After the soccer game we drove back over to the softball fields and finished out the night with a disappointing lose 10-0.
I did not receive any masteries this week, however I will be setting up meetings with DC to start reviews for my exit exam.
This week was a little more exciting then the past three weeks, where there was not much of anything going on with the sports teams at the high schools. On Monday, we were at Patrick Henry; we were in the clinic for most of the time working on our packets waiting for the baseball scrimmage to start. But once the game started we were able to go out and watch from the dugout. This was our first time doing anything with baseball, however we have seen most of these boys before. Some of the boys played basketball and some of them wrestled, so I was more confortable now then when we first began because we were able to build some relationships with the players, get to know them, their conditions, and their names. It was a boring day for baseball, with no injuries and a kind of gloomy day out.
Brittany and I were getting ready to leave for Battle for a soccer scrimmage, when all the sudden my car just decided to turn on all of the lights on the dashboard, so I was not able to go to Battle. That happening worked out in my favor, I was able to go into Patrick Henry on Wednesday, where all of the fun happened.
When I got to Patrick Henry, within the first 10 minutes and young girl, 14 years old, had hit her hand on a locker in the softball locker room. I began an evaluation with a bunch of questions, asking what happened, how it happened, if it had happened before, and where the most pain was. She pointed to her third metacarpal and also had pain in her thumb, she complained about having numbness in her fingers as well. I began to palpate and test range of motion where she was extremely jumpy and looked to be in a lot of pain. After ROM I did two compression tests, where both came back positive. After testing Bre explain to the girl that it would be best for her to go get an x-ray because we believe that she may have fractured her bone. She is growing which means her bones are also very fragile where they can easily be broken. After we finished and gave her ice we went out to the baseball field for another scrimmage, it was sunny and almost blinding. When the game began the PH boys where in the field, as I watched in the first inning I could tell they could not see the ball coming at them because the sun was directly in their eyes, after Burton got three outs the score was 3-0 Burton. However once PH was up to bat the Burton boys quickly realized the difficulty with trying to see the ball. After the first inning was over the PH boys had gone up 8-3. Because it was a scrimmage we left after the first inning at 6 o’clock.
This week was a little harder to get attempts with sports games starting up, although I was able get my first actual eval of the year. YAY SPRING BREAK!!
This week has been like the past three weeks, being with high school, they are on a dead period were they are not having games and very few practices. However this week was the start of games. But at Emory since we didn’t get a load of snow we got a tornado, which didn’t happen.. the weather man was wrong.. We were experiencing Wednesday and Thursday. However Wednesday was the day the tornado was suppose to came through. We did not get a tornado, but we did get A LOT of rain. With the chance of the tornado and the high winds, they schools only had a half day, which cancelled all after school events. Then on Thursday, we were traveling to Battle high school for a soccer scrimmage.. which got cancelled due to all the rain flooding the fields. We were only able to do clinic work. However, doing clinic coverage we are able to work in a books a lot, I was able to achieve 12 more masteries. Achieving those masteries helped me get back to achieving my goals. After Thursday I was only able to get 2 hours and 30 minutes, which did not meet the 5 hour minimum limit for the week. I was able to talk to Melissa and clinically experience in the clinic at Emory on Friday… for the first time in a year… CRAZY. I was a little nervous going into the clinic because it had been so long I was worried I wouldn’t know how to do anything. However, I was able to review with Bre on Thursday, which helped me feel more comfortable. Friday felt like normal, almost like I hadn’t stopped experiencing. I was able to help with a couple rehabs: Chloe, ACL, Asia, ACL, Austin, ACL, and Creighton, labrum tear.
This week, was a lot easier then normal to achieve masteries due to the sports teams not having games yet, being in the clinic, we are able to sit and review without people coming in constantly. I was able to achieve 12 more masteries, which is still behind, but this week I should be able to get more because there are not any sports events yet, so we will be in the clinic.
Clinical question: why is kinesiology tape not allowed in high school swimming without a doctor’s note?
My Advisory committee is made up of Hannah Clementson for my AT Advisor, Brianne for my Faculty Advisor and I was hoping to ask Dr. Muncy, who is KT tape certified, for my content expert. I chose to do this question because, when I was at home in New Bern, I was a stroke and turn judge for the location high school. In the handbook that we are given at the begin of the session, they stated that a swimmer is only allowed to have kinesiology tape on their body if they have a doctor’s note stating why it is needed and the places that the tape will be placed. The most confusing part about this question, that I ask, is why is it not allowed? Any person can go to Wal-Mart and buy kinesiology tape and place it wherever they would like.
This week in clinical, the high school is still in the dead period, which means there is not much clinically going on during the week. This week, we were able to get a lot of attempts as well as clinic time in. We had a sheet due this coming week with 42 taping, wrapping, and bracing jobs on it. During clinical we will able to complete all of those tape jobs with the exception of things that were not in the clinic at Patrick Henry High School, which I was able to do with Taylor Hale and DC. After doing all of those taping, wrapping and bracing jobs I feel a lot more confident in the clinic and with my clinical skills, after having a year off from clinical.
With being a year ahead in classes from the sophomore class, I am in Gen Med, which discusses common medical conditions. This week in Med Term chapter 5, it goes over medical conditions for the heart, which is what we have been discussing in Gen Med. So seeing those terms again does not only help with memorization but also helping me study for a Gen Med test this week.
With all of the taping, wrapping and bracing jobs I was able to complete six more attempts as well as 6 masteries. I am falling a little behind but plan on working very hard before spring break to catch back up with attempts and masteries.
This week in clinical was not very exciting, with winter sports over both the high schools had very little going on. However, I was placed at the physical therapy clinic this week, Mountain States Rehab. I was able to go Wednesday and Thursday. I was able to experience a bunch of shoulder rehabs and chronic back pain evaluations. I met a lot of really nice and energetic people. On Wednesday, I met and a woman who was in rehab to attempted to regain strength and function of her hands. She was not only in physical therapy but also occupational therapy, which is what I would like to go into. However, this woman was not a fan of occupational therapy, mostly the therapist herself. The woman claimed that they did the same thing every day she came, putting pegs in holes on a board. Once I finish my undergrad in athletic training I would like to go on to be a pediatric occupational therapist.
The older gentleman was one I was looking forward to meeting, however he fell and was unable to make it to therapy that day, so I didn’t get to hear all the fun stories that everyone has talked about. The most exciting day was defiantly Thursday because I was able to watch something most students don’t. Pre- job health screens, where the applicant is tested on job related scenario, for example a man was being testing for a paramedic position had to be able to carry a body and put it on a table the height of an ambulance and be able to push and pull the body across the table. They were also tested for their health to ensure that they were able to physically do the job. I was able to see two men go through, one was applying for a paramedic position and the other was applying for a pipeline position. The job specific scenarios change with the different jobs, so both of those guys tests were the same in ways but totally different. Towards the end of the day I also met a man that reminded me so much of my grandfather, a man that never stops going and doesn’t let injuries get in the way. This man has had a knee replacement, hip replacement, and just had his ankle realigned. When he was in high school he sprained his ankle and never allowed it to fully recover, so as he has aged he has walked more and more on the lateral side of his ankle, almost to where he was walking on his lateral malleolus. He had his surgery in December and only has two weeks left in his boot. Once he took his boot off we could see his knee was internally rotated and his foot was internally rotated which caused he to walk on the outer part of his foot only. He was trying his best to walk straight and was making process.
I was not able to get any more attempts this week but hope to get back on track this week.
This week was the most exciting week yet. First, was with Patrick Henry Basketball, two days back to back, which exhausted the players. The most exciting part about this week was the 1A regional wrestling tournament.
To start off the week, Tuesday was the rescheduled basketball games at Patrick Henry. The JV boys started off the night, before the game one of the boys came to the Athletic Training room. He asked to have a scab on his knee wrapped because he was worried about it opening during the game. During halftime, he walked up to me with his white legging covered in blood, I was able to wipe all the blood out re-wrap his knee and get him back on the court before the second half started. One of the most exciting parts about both of the basketball games was a varsity boy that had all the indications of marfan syndrome. He was extremely tall, however only the bottom half, from his waist down and his extremities (fingers and toes) were long. After learning about it in Gen Med, it was really exciting to possibly see the condition in real life, and if not see something where the signs were present.
The best part about the week without a doubt was the wrestling tournament with so many experiences! To start the day, a bunch of nosebleeds, some real and some forced. Then the excitement began during the semi-finals. Starting with a girl, from Holston, on Friday during her first match she was elbowed in the mouth and had to take a medical forfeit for her second match. This medical forfeit put her behind for Saturday. She was taken to the hospital where the doctor put on a brace (as strong as a cast) on her first three teeth. She made it through her first round on Saturday with just a little bit of blood. Then during her second match, fighting for third, in the last five seconds she was elbowed again, but was able to finish the match. After the match was done I rushed over to her and quickly realized her tooth was pushed back even farther. We walked over to Bre where she was already talking to her mother, we were able to get her ice and put gauze in her mouth. We were able to stop the bleeding and able to get a pretty awesome picture. Her dentist was on his way to the meet to watch his grandson and she was able to see him. He was able to explain to her the chances of her loosing that tooth and what she needs to do to keep it alive. Brit and I were able to talk to him and learn a little bit about how an emergency situation is handled with teeth.
The last match of the semi-finals was the heavy weight. One of the boys picked up the other and threw him down and his knee took a pretty hard blow. Brit and Bre ran out but the boy had already taken off part of his singlet, which disqualified him before they even got to him. The boy’s father was not happy about him going down and being disqualified. The other wrestler helped him out of the gym and to a bench in the hallway. We were asked to go out and look at his knee because he was still in a lot of pain. Bre took his history and he claimed that all his pain was on his MCL. Bre began tests where she quickly realized his ACL was fine but his MCL was gone. His knee didn’t stop during valgus stress test.
Finally, the best part of the day was an ethical dilemma. In one of the last rounds a wrestler wearing two shoulder braces, one compression and one shoulder stabilizer, was disqualified. During the match his shoulder came out of socket, inferiorly, his coach went up to him shook it up and down then pushed it back in, then he went back in. Then about 30 seconds later it happened again and then for a third time ten seconds later. However, after a third medical timeout a player is disqualified. Is it ethical for the coach to put his shoulder back? NO, hospital!!
During this week I was able to get two more attempts but no masteries yet.
This week was another week of refreshing, taping and bracing, allowing me to get a couple more attempts toward masteries. First taping a thumb and wrist, preventing abduction. Then hip spica, hip flexor strain, pulling hip into flexion preventing hyperextension. Finally, buddy taping, a player sprained finger, preventing abduction.
In clinical, I experienced my first wresting match… I was very intrigued the whole time, mostly because there was a girl wresting and kicking butt. I was ready to learn about a sport I had never experienced before, I asked so many questions, I think Bre was ready to get rid of me. The first match I was experiencing was held at Patrick Henry High School and there were four teams in total: Patrick Henry, Holston, Rural Retreat, and Chilhowie. From all the stories I had heard about wresting and injuries I was ready to experience some, however…. Nothing.. no epistaxis or anything. I was ready to experience my next meet though, which was two days later. The wresting conference meet, about 8 different schools, with only one nosebleed the whole time. However, during the nosebleed he walked all over the meet and I got the chance to run around three different times and clean up blood. There were 10 girls that participated in the conference meet, so again I was very intrigued, and I could never do what those girls do. When finals rolled around one of Patrick Henry’s boys beat a boy from Castlewood and that Castlewood mama wasn’t very happy about her son losing so she shouted at a child half her age for the rest of the meet (2 hours). Finally, on Friday we were at Battle for four basketball games. Starting off with the JV girls’ game, I noticed a girl on the bench in a boot and realized I it was the player from last week who had an inversion ankle sprain. I asked why she was in a boot and she proceeded to tell me that she had gone to the doctor because she was still in a lot of pain and very swollen. I asked to look at her foot, it was insanely swollen and discolored, a week and a half later, I didn’t understand, not only was it her lateral ankle but her planter fascia and up her lateral lower leg. The doctor was unable to take x-rays due to all the swelling in her foot, so until the swelling goes down we are unsure of what her injury is. After both the JV games we went in the locker room to tape up a couple players and looked for one player on the other team that we needed to keep an eye on. She was the whole reason we were at Battle rather then Patrick Henry, she has an extreme latex allergy and is she comes in contact with latex she goes into anaphylactic shock, however she did not play the whole game. This week will be very exciting with the Virginia wrestling regional meet Friday and Saturday!
This week I have accomplished 17 attempts on the cervical spine, I was able to sit in on Brianne’s upper class and go over special tests. I am really glad I was able to sit in on that class because I wasn’t able to remember all the special tests in order to become proficient. Once I sat in on that class, everything came back to me, and it was much clearer and I understood them again!
This week, almost the same as last week, wasn’t very exciting. However, it started off very exciting with a lot of clinical experience. First starting on Monday with four basketball games at Battle High School, in the JV girls’ game, in the first half two girls went down. The first girl from Battle fell and inverted her ankle and within seconds there was swelling already the size of a golf ball. We were able to get ice on her ankle within five minutes and were able to limit the swelling. However, she was out for the rest of the game, which she was not happy about and neither was her father. Once we got back to our seats and sat down the second girl came up to me from the other team and said, “My coach told me to have you guys look at my hands, I can’t move them.” I started to do a function test to see what the problem was then quickly noticed she was completely unable to move her left hand, whether or not she was guarding or the injury was that serious I was unsure. I started to palpate and then realized there was a big hole where the lunate should be, compared bilaterally and we decided that by her lose of function and deformities she had a dislocation and sent her to the hospital. I still do not know what exactly was wrong. After the JV girls game, nothing clinically interesting happened other then getting ice bags for players after the games.
On Tuesday night, we had four more games but that night at Patrick Henry High School. Again, not as clinically exciting as the JV game the night before. The most exciting part about that night was definitely the puppy a guy was carrying around with him the whole night, because who doesn’t love puppies?! Other then getting a couple ice bags for players nothing clinical exciting happened to me that night. With a big week and lots of clinical experience this coming week, I’m hoping that a lot of clinical excitement will come out of this week.
For this semester, spring 2017, my goals are purely to not procrastinate. My first out of five goals is, accomplish 15- 25 attempts each week. With my clinical placement off campus at mainly Patrick Henry High School and John S. Battle High School with occasionally traveling to other high schools in Southwest Virginia; attempts in my clinical book will become consistent. My second goal is, I would like to achieve at least 14 masteries every week starting next week January 23- 29. My third goal is to improve on my evaluation skills. I believe that by finishing at least two evals/ practice evals a week for upper I will be able to accomplish that goal. After being on remediation during spring semester of 2016 and taking a semester off, I am out of practice with evals. I would like to be able to do evals without a worry of messing up by the end of the semester. My fourth goal is, is to become proficient in concussion testing by spring break. by practicing testing weekly. With spring sports such as, baseball, softball, and soccer; it is very common for head injuries. The practice that I will have mastered will help with the concussion testing being done on the student athletes. My fifth and final goal is to become become proficient in lower injury diagnoses by March 1st. While taking a semester off, I was unable to clinically experience injuries as if I was at school. With being placed off campus and working with high schools games and practices, I will become more consistent with clinical experience while doing hours at the same time everyday. This week was not as exciting as my first week with Bre. My first week was exciting because I was back doing the thing I love, working with athletes (and under an AMAZING athletic trainer). This week we only had one day of basketball games with practice every other day. The biggest thing I learned this week is that I cannot let anyone over step me, I need to stand up for myself. During the very last game of the night, one of the PH boys basketball players came up to Bre, Brittany, and I during half time needing to get blood off the back of his jersey and off his arm. After wiping the blood off we noticed he did not have a cut, After halftime one of the Twin Valley players came up to us with a opened scab needing it to be wrapped. Bre handed me a wrap with a pad on the wrap, I started to wrap the players elbow and the coach that was with the player snatched the wrap out of my hand and started wrapping it himself. Then asked me if he could just tear the wrap, which if properly trained in taping you know you need to use the whole wrap. I took the wrap back and finished it myself. The player went back to play after being wrapped and was able to finish the game. That was the clinical excitement I had experienced this past week.