APPEs at Wind River Wyoming

Yellowstone National Park is one of those places that has to be seen to be believed, and believed to be seen. Yellowstone was discovered by the famous mountain man,  John  Colter, in the winter of 1808. The stories he told of the beautiful hot springs and geysers that were active in the dead of winter seemed too unbelievable to his colleagues, causing them to name, what is now Yellowstone, as Colter’s Hell. There aren’t as many picturesque mountain vistas to look at from Yellowstone NP as there are from Grand Teton or Glacier NP. But don’t let that discourage you as Yellowstone has its own unique beauty.  John  and I enjoyed Yellowstone so much we took two trips to see it.  The Grand Prismatic spring and the other beautiful hot springs, colored so uniquely by thermophilic bacteria, are some of the most incredible sights that one can imagine. You may hear some say that once you’ve seen one geyser, you’ve seen them all. Which may be true for some but for me each g...

     Clinic weeks 4-5 gave us valuable interprofessional experience.    Ben and I were tasked with preparing a short presentation about changes to the CDC STI treatment guidelines to deliver to the medical staff at the Arapahoe Clinic.    We presented these updates to the medical staff on Thursday morning of our penultimate week in Wyoming, which was followed by a lively discussion between the medical providers about their opinion on the new treatments.    The modifications to the guidelines included a regimen for chlamydial infection that required more adherence from the patient and counseling from the pharmacist, but they did not seem concerned about switching a one dose regimen to a weeklong regimen to eradicate infection.    We later ran into a doctor at the Riverton clinic and got to pick his brain about his opinion on the guidelines, his comfort with staking patients to more complex antibiotic regimens, testing for bacterial e...