...simply said...






counsellingsmounselling

Wednesday, March 28, 2007
Uni has been really really stressful this year. It's not a particularly heavy workload - no more pharmacology! But the assessments are so difficult. (don't u dare ask my grades)

Had my counselling test this afternoon and I'm having such mixed emotions about it. I think I passed, but i think there are so many things I forgot to mention. And I think of more as time goes on. Now I'm doubting if I even passed.

Here's the senarion: 21 year old female comes into the pharmacy asking for emergency contraception. She normally is on the combined oral contraceptive pill, but is on holiday and forgot to bring it with her. She has forgotten 2 pills.

Ok, since her cover is relatively low after missing two pills, I give her the ECP. 2 at one go, come back if vomitting occurs within an hour of taking them. So far so good.



THINGS I FORGOT TO MENTION: (and this shall haunt me for a long time)



1. She is not covered for the rest of her cycle on the ECP

2. Get a pregnancy test done if her period doesn't come as per usual.

3. Go back on the COC as soon as possible

4. She is NOT covered on the COC till after 7 active pills <- OMG this is so important and my pharmacist at work always stresses this. Why oh why oh why did i forget???!!!!!!!

5. Should have mentioned she should consider using a condom if she doesn't have her pills with her.





I did the right thing by giving her the ECP but there are so many counselling points I forgot.



*sobsobsob* I shall go back to being depressed about uni.





Thursday, March 22, 2007
I am tired. I think I am doing too many things. I need a holiday. Things at uni have not been helping - 4th year is not as easy as I thought it would be. Although the course load seems a lot lighter, tests are so tricky! And I am seriously doubting myself - don't wanna stay back in Adelaide doing a whole other year if I flunk this year.

That was just a little whinge. Morning toilet call. Sorry!

oh nooooooooooo.......

Friday, March 09, 2007
Oh gosh oh gosh oh gosh!!!

Work forgot to postpone the recorded dates on 2 of the weeks I was working on my payslip.

Oh gosh oh gosh oh gosh!!!

This means I have officially worked more than 20 hours.

Oh gosh oh gosh oh gosh!!!

This means that if certain government bodies find out, I can get into a lot of trouble

*faints*


WHAT DO I DO???!!!!!!




Mark Jeffery should marry me when he gets back so I will not get kicked out of the country.


*sobsobsobsobsob*

is heaven and hell real?

Tuesday, March 06, 2007
"When we stopped, I opened my eyes, and I was standing on a great road. I didn't know where it lead to. But the first thing that I felt there was thirst. I was really thirsty! I kept telling the angel "I'm thirsty, I'm thirsty" But it was like he didn't even hear me. I started to cry, and when the tears ran down my cheeks, they completely evaporated. There was the smell of sulfur, like burning tires. I tried to cover my nose, but that made it even worse. All my 5 senses were very sensitive. When I tried to cover myself, I could smell the sulfar even more. Also, all those little hairs on my arms, they just disappeared. I felt all the heat, it was very hot.

When I started looking around, I saw people being tormented by demons. There was a lady there suffering, a demon was torturing her. This demon would cut off her head and with his long spear he would stab her everywhere. He didn't care. In her eyes, in here body, in her feet, in here hands, he didn't care. Then he would put her head back on her body and would stab her and stab her. She would cry with screams of agony.

Then I saw another demon, this demon was torturing a young man about the age of 21-23. This man had a chain around his neck, and was standing in front of a pit of fire. This demon would stab him everywhere with a long spear, in his eyes, everywhere. Then the demon would grab him by his hair and with the chains he would throw this man into this pit of fire, then take him back out and would stab him and stab him. This would go on continually, and every time he would go inside that pit, I couldn't hear his screams, but when the demon would take him out, he would scream with agony. I tried to cover my ears because the sound was so horrible, but I could still hear. My hearing was more sensitive.."

from Hell is Real

I had one of my moments, where my whole body shakes and my mind races and I just break down and cry to Jesus because the words shoot straight through my very core. Whether or not you believe in heaven and hell, I know that there are times when I feel the presence of God is so real, be it during worship, or at home alone in my room. This story really moved me because the bible says exactly what she experienced, and she is not the first nor the only person to experience this. And that makes it even more.. real. I don't think I am a very religious person, and I don't push my views onto others but.... if only I could get people to feel the way I feel, what we know and is no longer important. I know that surely there is more to life than just what we can see, hear, touch. I wish that all of us could have some out-of-the-world experience, but maybe all we need is faith.

Spotting Sux

Saturday, March 03, 2007
Yes.. only a week and a day before Mark gets back. Oh I feel so pathetic counting the days till he comes home. The first few days were the worst, then it got better for a couple of weeks, relatively anyway, and now, I feel um.. fed up with him not being around.

Got to speak to him for 20 precious minutes because I had some credit on my capped plan I had to use up before 9th March, so I thought I'd see how he was going. Was so nice to hear his voice! Poor guy was on the train from Bergen in Norway to Stockholm then to Umea.. altogether 24 hours! Ugh..

But it's hard to feel sorry for someone who had his first sober day 3 weeks into his trip. =P

A close friend just told me that she made out with her crush from Form One. How cute! Haha.. good old school days. What I would give to repeat all my primary and secondary school days. Wouldn't change too much. I would change some things in retrospection, but I know that under the exact same circumstances, I would probably do what I did then. Haha..

People at work are upset I will be leaving for Perth. I don't know what they expect, that I will be doing my traineeship there? I suppose that if I wanted the easiest option, I would really look at doing it there. But I feel there is not much more I could learn. As it is I am the multi-functional pharmacy assistant who can do everything from dispensing to stock-taking.

Speaking of which, we had a really tough case at my pharmacy today. A girl came in and said that she was on a triphasic pill, but she wasn't happy because she was spotting. Yes, she has spoken to her doctor but she thinks that all the doctors she's seen don't know what theyare talking about. Lol... Matthew, my pharmacist asked me to come and listen and see if I could contribute. Her story was that she naturally has a hormone imbalance which is why she needs the Pill. She doesn't normally spot when she's not on the Pill, but she was getting really moody, and she said that her spotting was yellow-brown. Digging some more, she said that she was getting a bit of diarrhea as well, due to stress. So, to cut a 20 minute counselling session short, I found out that she has tried a variety of pills, most didn't work for her. And her spotting usually occurs not long after her diarrhea. Her diarrhea is also triggered by fatty foods, spicy foods and alcohol. And she's been on the tri-phasic for 6 months. It's quite cool cause Matthew let me do most of the talking, haha, also because he was going through his books trying to find out what the protocol is for spotting and what it's really caused by. My 'theory' was that her diarrhea was affecting the enterohepatic cycling and lowering the estrogen levels. Because the estrogen levels no longer balanced out the progsterone, it was causing breakthrough bleeds. So we told her to continue with the triphasic for 1 more month, but avoid all the diarrhea triggers to see if that was what was causing the spotting, and it was still happening, maybe try Monofeme 50 with the higher dose of estrogen. And it seemed she thought that breakthrough bleeding meant she was ovulating .. lol.. that's funny. So we cleared that up. And of course suggested on getting that discharge checked out although it isn't funny-smelling or very unusual for her.

Sorry if that sounded like a whole lot of jargon to some people. Will be interesting to fellow pharmacy students I suppose. What would you have done??

It was a lot of fun, actually. I felt so honoured cause Matthew later said that he valued my contribution, he thought it was really good and I asked a lot of good questions. Waaaahhh.. =) Made my week!

So basically if I keep doing things like this, I won't need a traineeship at Marden Amcal. Hahaha.. Well I just think that it's too easy cause I know the staff, the customers, the software, I can find things in my pharmacy with my eyes closed. Hehe..

Ok, have to type out some notes! We're learning about Mental Health now, it's really fascinating.

Love love, all!

Idiocracy

Thursday, March 01, 2007
Yesterday I had idiosyncratic headache, today it's idiosyncratic tiredness. Was feeling tired and generally grumpy (idiosyncratic grumpyness?) although I had a good nights' sleep and a nice evening with Caromy.

Was such a blurcase today. I meant to send a message about Caromy to Mark, but ended up sending it to Caromy!!!!



O_o



Oopppsssss.. But luckily it was nothing bad, just telling him I went out for a coffee with her and had a long chat with her about stuff.


Hehe..


Anyway, uni is not as full-on this semester in a full-on kinda way. Haha.. I'm confusing myself too. 2nd year was shit, so much to learn, and so much uninteresting stuff. 3rd year was good, with lots of pharmacy-related stuff, but a lot to know and remember. 4th year... I dunno.... everyone keeps telling us how difficult it is and how everything is squashed into 2 months, but I'm not really feeling it.

But I've been working a lot. It's pretty mentally exhausting work as well, working at the uni. I used to think that working at campus central was so easy, so much fun. But there are so many things to a simple 'customer service' type position, and I'm being asked to do things I wasn't trained for. But good thing I'm a fast learner (and a modest one.. haha). So I've gone to helping students enrol to making ID cards to checking enrolments to knowing which form is for what to learning to process overrides to retrieving phone messages to answering calls. Wahahaa.. By lunchtime, I'm exhausted. I have to repeat so many things "What do I do after enrolling?" "Do I get my ID card here?" "Where is PM-06?" It is fun to talk that much all the time, but by the end of the day my words run into each other, my sentences are all jumbled up and if English wasn't my first language, I'd be speaking something else!


We're learning about Mental Disorders at uni. Very interesting, but lots to learn. I'm glad I'm not going to be a psychiatrist, although I'm sure I'll see plenty of crazy people in my profession. I have yet to meet someone with Turretts Syndrome though. Lol..


Going out to PJ O' Brien's tonight, I don't know what for. Talking to Caromy is making me crave a Girls' Night Out (and sparkling red) again! Gotta take a shower and get ready now!


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