Monthly Archives: May 2018

Trapper Keeper vs Pee Chee

Can one have enough school supplies? Asking for a friend.
Buying a new binder or set of pens at some point became something that’s fun. #adulting.  Since keeping organized is super important, my collection of colored pens, tabs, sticky post-its, and highlighters has grown to Imelda Marcos proportions. The solution? Fun places to keep all of this stuff. My most recent acquisitions are from Amazon. pen bags small I can throw them in my backpack (aka the abyss) and get to them easily. The cheekier the better, hence the unicorn bag. Unicorns-amirite?! A study group friend was kind enough to get us all notecards cases, which ridiculously enough I had no idea this was even a thing. I now have three. Two for completed flashcards (I can flashcard like no other) and one for blanks. No more plastic baggies! Yay! Hey no judgment, it’s the little things!
Colored pencils, my trusty whiteboard, and Anatomy flashcard set all sit on display in a very special place; our dining room table. I just can’t study at a desk. Not enough room and I refuse to sit against a wall. I need to be able to move, stretch out, and have a window nearby. If I need something to eat or drink, it’s at an arms reach. Plus- all this stuff takes up space. I’d need three desks the size of a Costco food shelf just to sprawl out with all of my books, laptop, lecture notes etc. around me.
I think the stores and Amazon are onto our love of these things though as my friends also like this sort of thing to a certain extent. Now there are coloring books for physiology to help you learn, pre-made flashcard sets with everything labeled and numbered. There are laminated cards on key rings. It’s endless. Remember Trapper Keepers?trapper keepr I blame them. They started this whole mess! You used to get these hideous looking Pee Chee folderspee chee with some absurd graphic of men wearing shorts that are borderline Daisy Dukes and a woman who I assume should be a cheerleader but looks like she’s using a feather duster. Then came Trapper Keeper with their colored folder and fun pop culture themed binders with the velcro closure. Getting one of those felt like Christmas morning. Pen cases with the retractable lid morphed into fun pouches and ballpoint pens to gel pens in a bazillion (that’s a number, trust me) colors.
Amazon is my trusty go to for a lot of this stuff for convenience but also for cost. The only problem is that now I see suggested items in my feed such as cute vintage looking chicken wire storage baskets or the Littmann stethoscope I’ve been eying, constantly popping up. Not cool to keep luring me in Amazon! Just slow your role!
………… Those baskets could effectively hold my pen collection..
 

Modern Medicine

Medicine is one of my loves. It’s constantly evolving, it’s ugly, it’s beautiful, it’s devastating and joyful all at the same time.
Every day I read about some new kind of treatment or procedure that makes me think about how far we’ve come. Just yesterday we talked about reproduction (current topic of study in Anatomy) and it reminded me that the very first trials (for the United States) of uterine transplants are happening at Baylor. One woman has given birth to a healthy baby via this groundbreaking procedure as of last year. Heart and Kidney transplants boggle my mind, but uterine? This is remarkable.
On the other side of that coin there’s face transplants. I’m still trying to get my head wrapped around that one (badumbum). In all seriousness, I get the significance. This will benefit burn victims, victims of assault, or congenital deformities. But do we really want to have Joan Rivers 10th version of her face walking around? I mean… OK, too soon? If you don’t know by now- I prefer to maintain a sense of humor about things. Medicine can be deadly aside from being lifesaving. Perhaps we should omit anything with a permagrin or perplexed expression? Still too soon?
Surgeries are being done laparoscopically to minimize invasive procedures and we even have robotic surgical procedures. I appreciate that every day I can wake up and read about something new happening somewhere in the world that connects us all as humans, whether to extend life, save it, or end it. The right to die is another issue that while controversial, is a medical advancement. I’ll address this separately as I feel it deserves it’s own post.
Babies are born earlier because we have made strides in getting them what they need when born prematurely. Organ donation, transplantation, and even growing new organs from stem cells- will quite literally change the face of our population as we know it. The question is- how will we keep up with it? We’re not wired to be alive this long but we continue to read about the oldest living person celebrating yet another birthday beyond 100 years old, all because of modern medicine. How will this look in 25, 50, or 100 years? Climate change aside, I’m fascinated by this process and excited to continuing to learn as a nurse. Plastic surgery is whole other can of worms. We’ve lost our penchant for aging gracefully and replaced it with whatever gimmicky procedure that costs x amount of dollars to make a quarter bounce off your face and your lips look like flotation devices, will buy you. If that’s your cup of tea- go for it. No judgement. Really. Maybe a little. If you look like Barbie gone wrong..But just a little. . It’s a double edge sword (see what I did there?).
Medicine in all its mad hatter glory, is a beautiful beast. brain spoon small
 

Zoiks!

Last night I posted about trying to keep my eyeballs open to study for our big Anatomy 3 exam today on the kidney’s and electrolytes.  I’m usually cautiously optimistic when I leave the classroom after an exam. If I did better than anticipated, it’s a win. Only once did I leave the classroom feeling like John Travolta in Stayin’ Alive. Today was more like Sigourney Weaver creeping around the corner expecting to see an alien. My study group and I concurred that there were more than a few questions we noticed that could have had two correct answers had we not studied at the level we did.
The picture? That’s me in shock. self smallApparently it paid off. Grades posted and I saw an A pop up and I wanted to dance like John again. I was giddy and so was my group, who also did well. We worked HARD on this. Not that we usually don’t but we had forewarning that this was going to be a tough one. Our class is structured as a hybrid. We have two 1hr 20 min lectures a week and only four exams worth 100 points each. Every one of those four counts so there’s not much room for error. You’re accountable to take the material given to you and run with it to learn it however you see fit. It doesn’t work for everyone but after three terms of this,  I couldn’t see having it any other way. After three hours of lecture in a traditional class setting I’d be drooling in a corner with my eyes glazed over.
So tonight, we rest. Finally. No hardcore studying for a couple days then we ramp back up again for what will be our final A & P exam after nearly a year. It’s bittersweet and flying by as quickly as our awesome professor said it would. I’m going to enjoy every last day of this term while I can. Maybe I’ll play some disco music..

Sleep

Sleeping in is not my thing. Contrary to my husband who likes to ease into his day, I wake up and may as well be singing zipadeedoodah and surrounded by whistling birds and singing flowers; ready to go, greet the day, and conquer the world. Since I started back at school a little over a year ago, it’s been balls to the wall studying. For hours. Days straight. I still don’t sleep in but I can tell you that bed never felt so good.
I hesitated to blog. It’s late and all I can think about is studying or allowing my head to hit the pillow. But when I started this I swore I’d be transparent and candid about what this experience is like. It’s exciting and exhausting all at once. My study group and I have been at it non stop preparing for what we know to be one of -if not the most- challenging of our AP exams over the past year. We’ve read the book chapters several times, watched countless videos, drawn pictures, made hundreds of flashcards between us, created Quizlets, jotted notes on our whiteboards, and utilized just about every animation and graphic we can get our hands on to get our heads wrapped around this dense material. When I say dense I mean dense as in pea soup fog. As in a dark stout dense. As in -OK, you get the point. But it’s stuff that requires every brain cell I have to understand it.
This study group is my saving grace. We get each others crazy. We laugh but work our asses off. We study like no other and talk through it while coming up with very inappropriate mnemonics and visuals to help us remember things. This time is invaluable-both the discussions and the lunacy. You have to laugh. The body is an incredible thing when you study it on such a granular level but it’s funny too. Names, functions- there’s humor to be had and we find it one way or another.
I think I’m calling it a night. I’ll blog after my exam for an update. For now I’ll sleep. Oh yeah- sleep. I knew this was going somewhere (see what happens when you don’t get enough?) No sleeping in but sleep has become far more appreciated now that my brain is on overdrive most of the time. I cherish even 15 minutes extra before the alarm goes off or an additional half hour by going to be early. During break between terms, sleeping until 7:00 feels like a vacation. I’ll take it! Goodnight! sleep

Degrees

College was an automatic after high school as it is for many students. Even though I loved science and medicine, I hadn’t yet honed in on what direction to go within the field. So as any new student would do, I began working on my pre-requisites at a local community college. I wasn’t very inspired, hadn’t yet developed good study habits, or realized the value of a good study group. Hindsight…
So as you can imagine, my grades weren’t all that and a bag of chips. I did OK, excelled in some areas but those that I struggled with didn’t get me very far. I ended up entering the work force full time only to return to school two more times before committing full time as I am now.
Yesterday I met with an advisor to ask how close I would be to an Associates in General Studies prior to entering the nursing program. Next spring I’ll have completed enough credits to earn it. I was floored. After all these years (I graduated high school in 1991) I will finally have a degree. It’s an Associates. Nothing earth shattering. But it’s a degree that I worked for and chipped away at a little at a time as life happened around me. Something clicked the second time I returned. I was invested. Other motivated, science minded people were the ones I’d immediately gravitate to. Studying long hours and developing routines became the norm. My grades began to reflect my newly developed habits.
My study group , the hundreds of flashcards and Quizlet questions entered to use the app, the drawings, and active discussions with others have all lead to this small victory. It’s an Associates but it’s put more wind in my sails as I approach the coming months in which I apply into the nursing program and hope to access a place in the next graduating class. My point? Keep pushing forward, even if it’s one tiny wave at a time.

Hospital Stays

I’d like to know who designed those? I mean who sat around a table and discussed the pros of your backside flapping in the wind as you walk down a hall? Don’t even try to turn over in a bed in one of those things or you’ll dislocated an arm.
In a day when patient privacy is front and center, it boggles my mind that these haven’t changed much. I’ve had quite a few hospital stays; more than I care to count. One nurse kindly suggested I put an extra one on backward as a “robe” so I wouldn’t be exposed. I get needing to have access during procedures or room checks, but come on. We can put a man on the moon but we still have “moon” everyone as we walk by them?
Hospital toothbrushes. Let’s discuss those. For the cost you pay for an overnight stay you’d think you’d at least get one with more than a few bristles on it. Staying in a sterile room with the constant buzzing and ringing of alarms and whooshes of the machines makes for a pretty invasive environment. You can’t sleep. Someone always has the TV volume up to 90 so the people in the next zipcode can hear it. There are those nurses (you know who you are) that insist on turning every light on in the room to draw your blood while a rare few come in quietly and apologize for waking you. Suddenly the little things matter the most.
I once had a nurse offer me ice cream. I didn’t want anything else but for some odd reason it sounded really good. I perked up. It wasn’t the cup of ice milk that comes with a wooden thing resembling a spoon. They went to the cafeteria and got me Dryer’s Ice Cream. It was like the clouds parted and choir began to sing.
During one stay I had to get potassium via IV. Let me tell you- it’s painful. VERY painful. It burned so badly. They reduced the rate and while it helped, it still burned. A kind nurse walked in, cracked open a hotpack and stuck it where the IV was in my hand (I had too many blood draws at that point to get a good place in my arms), and gauze taped it to stay put. Instant relief. I wondered, why everyone was not in on this secret? Suddenly this became tolerable.
It doesn’t take much to make what can be a pretty awful experience, a little better. The nurses I encountered during my stays were all over the board in terms of what I could call “good”. Some looked pained to be taking care of me while others popped in quickly and fluffed my pillows and straightened up my bedding for me while I was in the bathroom. Fluffed my pillows and straightened up my bedding.  Just a small gesture that made everything in that moment, better. This is the nurse I want to be. The one that is attentive, even after a long shift,  and many patient room lights later -manages to treat me like I’m their only patient.

No Study Saturday

I want to start a new hashtag, #nostudysaturday. Anyone else feel “guilty” when they walk away from their study regimen? It’s a weird feeling I mean we can get up in the morning and choose to watch cat videos all day or we can spend the weekend enjoying the sunshine and hiking or hanging out with friends and family.
Yesterday we did just that. Ya know what? It felt pretty damn good. I wasn’t buried in videos trying to get my head wrapped around a physiological process or calculating math problems. This is what my previous 10 days had looked like. My brain started to glaze over and I was near requiring toothpicks to keep my eye lids open.
Yesterday we sat outside, visited with family, and took in as much fresh air and sunshine as possible. The studying will always be there and the next exam around the corner. Each weekend I try to split up my study time and outdoor/ have fun time. Today it’s going to be around 80 degrees and sunny. I plan to take advantage of it and get out but then hit the books later in the day. What I’m finding is that it’s about balance. In the winter if it’s cold and nasty out it’s a lot easier to write off a day spent with my books but on days like today it’s easy to get distracted and harder to walk away. Walk away. Just do it. Even if just for a few hours. Your brain and body will thank you for it later. You’ll feel recharged.
I plan to start drawing out the kidney and a nephron along with all of the structures and physiological processes that are involved and will post about that this week and include some pictures on instagram (mycupishalfful). Until then, cheers to those cat videos or a good run or bike ride!
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Cuts Like a Knife

Today I dissected a kidney. During the last half of class I wandered over to the back of the classroom and selected a cow kidney from the tray. They looked like chicken breasts and even felt like chicken breast when I held it to cut into it. It even cut like chicken breast….But let me tell you they sure didn’t smell like anything that came from a chicken. I was smelling that an hour after I exited the class.
Dissection days are my favorite. You get to see what you’ve been studying and bring it to life as it works inside your body versus focusing on a still photo.  We saw the pyramids where there are millions of nephrons. I geeked out. I’ll admit it. Even took a picture. No selfie though. That was reserved for the heart. See my instagram for that photo (mycupishalfful_).
Every day I am amazed (yes I realize this is a somewhat overused word but I couldn’t think of another word of equal value) at how the body works and how many moving pieces come into play without even thinking about it. The kidneys do not disappoint here. I’m not saying I want to be a specialist in this field or anything. I’ll take a hard pass there. It is fascinating though.
I’ve given some thought about donating my body to science when the time comes. Dealing with death is not a cheerful subject but it’s reality and the fact that we waste thousands on what we bury people in for materials that aren’t always biodegradable got me thinking about it.  This is how people learn in medicine and there’s nothing compared to seeing the real deal when it comes to the human body. If I’m excited about a cow kidney, imagine a medical student working with a real human cadaver to learn about each system and organ!
Death is a funny thing. We treat it with kid gloves here in this country unlike some others. We don’t really talk about it much, we eat our feelings, go to a showroom to pick out a box the cost of a cadillac lined with the most hideous fabric you’ve ever seen, to bury our loved ones and make funeral potatoes. There’s nothing wrong with funeral potatoes. I love them! Try them- just look on Pinterest.  The other stuff seems to be as excessive as our food portions. I’ve seen some options such as having your body made into a record (as in vinyl, but not..) or even planted as a tree. I always thought it would be strange to not have a given place to visit a loved one but truly that’s not them. It’s a body. Mourning a loss or celebrating a life can be done anywhere.  I’m really not trying to get all existential here. Just food for thought.
I’ve digressed. Dissections are pretty cool and I’m sad that this is my final class in the Anatomy and Physiology series but know that once I’m actively in the RN program (I apply in January) I’ll learn so much more. For now I’ll relish in the moment and try and forget about the hideous smell of the chick..I mean kidney. Bon Appetit!

Rest and Recharge

After our last exam  on digestion, I decided it was time for a rest and recharge period. It’s so tough to do. I mean yeah it’s a choice and I need to be cognizant of when my body is trying to tell me it needs a break but it’s not easy. These classes require consistent study time. These are hefty topics. I got an A on this last exam because I spent countless hours studying, drawing, and talking through the processes with my study group. Yesterday the school was closed for whatever reason (teacher inservice somethingorother whah whah whah..) so I began watching a video on our next topic- the kidneys. Then stopped. Today we hiked. Now I’m finishing the video and taking some notes, then I’ll take a rest break.
Rest and recharging are just as important as study time. It allows you to regroup, think more clearly, and maintain some semblance of sanity through all this information that’s pouring into your head. I don’t know what works for you but walking, biking, hiking, even stopping to look for new music invigorates me. When I find my eyes glazing over and that I’m having to redo my notes or reread things, it’s time to step away from the computer and take a break, even if brief.
Sometimes I’ll put some music on and make flashcards to be studied later. At least it adds a bit of fun. Some people cram and are damn good at it. I need to chew on it. Ponder it. See it, draw it, talk through it to fully understand the physiological processes. While I wish I could get our cat Bowie in on it, he only seems interested in “helping” by eating my papers or sitting on them staring at me. I’ll stick to drawing and watching videos. BowiePic