Yesterday was a day filled with poop.
I had my therapeutics workshop and the topic was irritable bowel syndrome and inflammatory bowel disease.
|What I should've told my patient...|
The workshop was at 9 in the morning and it was 10:30 in the morning and I was already done for the day. I came home and I pretty much worked on my patient care plan all day long, then I went for a jog and prayed the rosary while jogging (or at least attempted to because I kept getting distracted) and then I kept working on the patient care plan until two in the morning. Even then, I still wasn't done. Since our preceptor works in the MICU, we got assigned very complicated patients for our patient care plan. My patient was literally on like 35 or 40 different outpatient medications and had about 20 different disease states being only 51 years old. I had to pick three of the most important disease states and evaluate them along with their treatment options and the patient's current treatment and recommend a plan of how I would change this treatment to optimize this patient's care. I learned quite a bit from this project.
|Picture of the new building at Rush...taken with my phone.|
This is the view you get when crossing the bridge from
the parking lot into the hospital.
As always, it was a great learning experience. Since my regular workplace is not a hospital or a clinic but rather a retail pharmacy, I do not see any of the hospital pharmacy stuff and so on these rotations, I try to absorb as much as I can, because hospital practice is a world of a difference from a retail pharmacy practice. Right now I am with a pharmacist that works in the MICU, which is the medical intensive care unit. I cannot even even begin to tell you how much fun I have in the MICU. I just love intensive care medicine and being able to be there at the point where I can help save peoples' lives at those critical points.
#3I used to just want to settle and stick to retail pharmacy since I already have my foot in the door and since the pharmacist job market is very saturated in Chicago (it's basically super duper hard to get jobs unless you move to the Middle-O-Nowhere in South Illinois) but now that I'm on my rotations, my eyes have been opened.
|I cannot even begin to tell you how many times I have heard stories|
that are waaaaay to similar to this one! It happens so often we pretty much know
when a patient's story is made up or when they're telling the truth.
I also have to deal with annoying people that ask what isle the Plan B is and cry when they don't get their birth control pills because the doctor prescribed them a brand that is too expensive.
Or people that ask me 'where the toilet paper be' or if I can ring out the 99 items in their cart because the front checkouts are busy.
|The "dropped my medicine down the toilet" story. CLASSIC.|
In the hospital? None of that! What an epiphany! I don't have to deal with annoying druggies who offend you every chance they get if something doesn't go their way and to fight with insurance companies and to kiss up to the big bosses so they could give me a job when I graduate. (For those of you reading this blog because you're pharmacy students or thinking about being pharmacy students...don't get me wrong...community practice can give you a lot of valuable experience as well and can give you more people interaction...if you're an extroverted type of person and love dealing with people. I am an introvert to the nth power so I prefer living inside of my own head or in front of a computer or a book....and NOT have to be around tons of people).
|Retail pharmacy = answering idiotic phone calls |
and being yelled at for something you have completely no control over.
In the hospital, I actually get to go on rounds with physicians and residents every morning and make valuable medication therapy recommendations to help improve the patients' health and well-being. And I actually get to use the 6 years of pharmacy school (2 years pre-pharm + 4 years pharm) knowledge that I busted my butt to learn versus in community pharmacy, the computer does most of the thinking for me and I just go into autopilot. In community/retail pharmacy, the patient is a customer and I am not a healthcare professional but a clerk - In hospital pharmacy, the patient is our priority and the pharmacist is recognized and respected as a healthcare professional and as a valuable part of the medical team.
#4I have about three or four more hospital rotations coming up within the next year so I'm very excited about the different types of experiences I will have. I will hopefully begin to see where God will be pointing my heart over the next year. Right now I feel a very strong desire to pursue a residency and become a clinical specialty pharmacist at a hospital or outpatient clinic. I have amazing grades but residency programs are very hard to get into so I will see whether there is God's will in that path for me. I believe if there is, then He will have a place for me for a residency. If I don't get into a residency, then clearly it was not God's will ...or maybe I just was not good enough to get into one, and I will not be mad at God or at myself... I will just accept whatever comes because no matter what God always brings good out of every situation.
#5But going back to my experience today I pretty much had to wake up at 5am after going to sleep at 2am because I had to finish up one of my 2 big projects for my rotation: my patient care plan. By 5:30am, I was already on the highway in order to beat the traffic going downtown Chicago and by little after 6 o'clock, I was already at the hospital finishing up my patient care plan and preparing for the day's activities. Our preceptor met us at 7am and gave us time to work up our patients before going on rounds, and then a little past 8 o'clock, we went on rounds in the MICU. It was a very long and exhausting day... I remember looking at the clock and thinking that I've already been there for over eight hours and it is only 2 o'clock. We had a topic discussion on metabolic disorders with our preceptor in the afternoon... after which we were released to go home. I pretty much ate dinner, changed into comfortable clothing, and went right to bed because I was too exhausted after this long day and running on 3 hours of sleep. I am even too tired to type right now so I'm just talking to my Mac and it's converting my words into text...but it's making a whole bunch of errors so I'm going to have to go back and proofread the whole darn thing.
|The picture I took earlier today as we were getting ready for a topic discussion in one of the conference rooms in the MICU. The conference room was glass windows all around so we had a very nice view of Chi-town.|
Since I don't want to ruin the beautiful and joyful spirit of Easter and the upcoming canonizations, I will tell you next week about the experience my friend had on rotation in the emergency department. It's kind of a very controversial topic...so as I said... I will tell you about it next week.
In the end, remember this:
I am so excited and so looking forward to the canonizations this weekend. It's actually my niece's first communion this Saturday so after we come home from the party, I'm probably going to stay up all night and watch the canonization (I think it's broadcast live at 2am). I don't know too much about John XXIII but I ya'll know I absolutely love and adore the hero and patron Saint of my life: John Paul II. I already know I'm going to cry a river watching the canonizations.
Leave some love in the comments!