I had the opportunity to do my internal medicine rotation at New York Presbyterian Queens. During this rotation I was exposed to a large variety of diseases. I had the opportunity to practice new techniques. I removed a central line for the first time, and learned the possible complications associated with placing central lines in various locations. I also improved on my ABG draws skills. I was exposed to a situation in which a new physician assistant did everything he can to help a patient, but due to issues with the system he was unable to help the patient. This was very difficult for the PA to observe. This gave me insight into some of the challenges that come along with practicing medicine. I also had the opportunity to spend a week on the stroke team, which greatly increased my knowledge of strokes and how they are managed. One particular stroke that stuck with me was a patient who went off of Aspirin for a week and then had a stroke which caused them to have both Wernekie and Broca’s aphasia. Her daughter was devastated by the situation. I watched as the experienced clinicians shared the bad news and counselled the daughter on what to expect and what she should do. I learned a lot about counselling patients from this story. I also realized the patient and her daughter didn’t realize how important the Aspirin was. This taught me the importance of clearly explaining to a patient why you are putting them on a particular medicine and the importance of using teach back to make sure the patient understands. I hope this never happens to my patients, and I will try to use this experience to motivate me to make sure I always explain everything to my patients.