Today I spent an afternoon in a family planning clinic. It turned out to be a gyn heavy day with several Pap smears. It has been a long time since I've done or thought about a pelvic exam so that was a little nerve wracking. But with some review, I felt generally okay. Most were just well woman check ups with a clinical breast exam and a pelvic. We focused very heavily on primary prevention - smoking cessation, nutrition, exercise. Nothing too remarkable, but a new experience.
In my morning clinic at Kaiser, I got to cryo my first actinic keratosis today. It involves using a liquid nitrogen spray to freeze off precancerous skin lesions. Really easy (just point and spray) but quite fun. I also got to see a knee aspiration.
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