Louisville Medicine Volume 65, Issue 7 | Page 35

MEMBERS DR. Who MEMBER SPOTLIGHT RAYMOND ORTHOBER, MD Aaron Burch D r. Raymond Orthober’s medical career was built on a very successful dare. After graduating from the University of Louisville with a degree in psychology, Dr. Orthober was still a long way from knowing his path in life. He was playing guitar in bands around Louisville, always staying near the Highlands neighborhood he called home. “So, my friend dared me to take an EMT class, knowing I had no interest in the human body,” Dr. Orthober recalled. “It was basic CPR, basic stop the bleeding, anatomy and physiology. But, I was unexpectedly and completely transformed by the experience of health care and aiding someone in an emergency situation.” The four-month class led Dr. Orthober to immediately begin a deeper dive into the world of health care. He began an 18-month course sponsored by Jefferson County EMS, back when Jefferson County and Louisville EMS were separate entities, which translated to more responsibility and the abilities necessary to really begin making a difference in an emergency setting. “I was hooked by that point. My roommate wanted to go to med- ical school, so we both enrolled in pre-med classes while I took a job as a paramedic on the street. That’s how I progressed,” he said. The role of paramedic was an exciting one, laden with respon- sibility. Dr. Orthober realized quickly that he must transfer the cognitive skills he’d been learning from the book to the street, and apply them in the heat of the moment. “Everyone achieves that goal at a different speed, but that’s when you know you’ve got it. Things like early defibrillation, good high-quality CPR, being able to splint pulseless extremities, all things that in the first five minutes of patient care can possibly change an outcome days or months later. That’s when you’ve achieved your goal of being a good practitioner of medicine.” In 1996, Dr. Orthober packed for medical school. The destination was Ross University on the Caribbean island of Dominica. While he said the medical school decision was based on necessity, for a man who loves to travel, spending four years in the Caribbean is not a harsh punishment. “I realized this was my opportunity, and I had to completely throw myself in and dedicate 150,000 percent to be successful. There was no other option,” said Dr. Orthober. In 2001, Dr. Orthober returned to Louisville and began a residency in family medicine. Once that was complete, he immediately began a residency in emergency medicine. “I already had a relationship with the department of family med- icine, and I thought that was where my career was going. But, once you’re bitten by emergency medicine, you can’t get rid of it.” Later on, as a UofL professor teaching medical students, Dr. Orthober would describe being an emergency medicine doctor as such: “We’re easily distracted by shiny objects. In the emergency room, I have 50 active patients in all different stages of work-up. My distraction by shiny objects allows me to scan the room and notice that Bed One’s oxygen saturation is a little lower, Bed Three isn’t moving his foot anymore and may be having a stroke, Bed Five’s heartbeat monitor has dipped to 20-something. We have to be distracted by these shiny objects so that we’re able to laser-focus on those early warning signs for a deterioration of patient condition.” In 2005, Dr. Orthober’s residency came to an end. He began working for Norton Healthcare and remained part time faculty at UofL. The real excitement was happening behind the scenes as he responded to an advertisement in the back of an academic journal that simply stated “Want to go to Antarctica? Call this number.” “I thought, ‘Okay, I’ll bite,’ and I’ve been going ever since,” he said. As part of the blossoming Antarctic tourism industry, Dr. Or- thober travels from South America to the Antarctic Peninsula each (continued on page 34) Editor’s Note: Welcome to Louisville Medicine’s member spotlight section, Dr. Who? In the interest of simply getting to know each other as a society of colleagues, we’ll be highlighting random GLMS physicians on a regular basis. If you would like to recommend any GLMS physician member to the Editorial Board for this section, please e-mail [email protected] or call him at 736-6338. DECEMBER 2017 33