This semester is relentless

As promised, I'd like to talk about my school schedule a bit. In specific, I'm going to whine about how MUCH there is.

So, in the first week, the schedule seemed pretty manageable. Monday and Thursday are full days but Tuesday and Friday are half days with Wednesday being a variable schedule. (We have our Interprofessional Ethics course, which meets five times, in the afternoon starting next month, and our Experiential Programs class, which largely meets off-campus and on our own schedule, in the mornings.) And with work Sunday, Wednesday, and Friday nights, I thought, this will be hard but not terrible. Well, there aren't any assignments in the first week.

In the second week, things started coming due and we had our first quiz. Still, the load was not terrible, and the Experiential class time was filled with our immunization training, which is very low-level stuff and review of the text we'd read over the summer. In the third week, we had no Skills class because of the Labor Day holiday. But in the fourth week, the tests started coming and Skills started having weekly assignments.

In the fifth week - last week - we were done with the immunization training and ready to start the actual Experiential experience. That was just an orientation lecture, which is no big deal, but from here on out we're expected to spend three hours in our assigned pharmacies each week. That's more to do. This week, we have two exams and a fairly major assignment due Friday. And another exam Monday. And the week after next, the Ethics class starts up. And my wife is due at the end of November. It feels like they're just adding layer after layer to my already over-full plate. I might explode.

Or, I might adjust, and be just fine. I'm consistently amazed at humanity's ability to learn to deal with the tasks placed in front of it. I was talking with a coworker at the casino who got a second job. We both agreed that the more time you commit to things like work and school - basically, the thinner you spread yourself - the more you're able to handle the increased work load. Someone who works 40 hours a week feels like they work a lot. But someone who works 60 hours a week often feels the same way, or even that they have more time available, because they learn to use that free time more efficiently. I don't spend five hours playing video games because I don't have five hours available in a chunk. And I don't think it's a special ability I have. People are always telling me that they don't know how I do it. Well, I don't either, but I do it, and not because I need less sleep than everybody else (that's far from the truth) or because my memory is so good that I never need to study (I definitely do, as witnessed by my first exam score). It's because humans are remarkably adaptable creatures.

So the biggest change in this year's curriculum is a switch in focus. In the first year it's all very fundamental stuff, much of it review or further explanation of required coursework we've seen before. In the second year, the Integrated Organ Systems (IOS) courses become therapeutics-focused. Therapeutics is the branch of pharmacy devoted to managing disease states with drug (and non-drug) therapy. It's not a regurgitation of facts or principles but an application of principles to a specific situation. You not only have to know what drug X does or the side effects of drug Y but which would be the best choice given a patient with condition Z and lab value N. And as you learn more and more organ systems, it gets more and more complicated. Right now all we know is neurotransmitters, the kidneys, and hypertension. By the end of the third year, we'll know the whole body, and the body is not as rigidly segmented as we like to think it is. All the systems interact. You don't have one condition in isolation in almost any patient. So how do you treat diabetes in a patient with impaired kidney function, high blood pressure, hypothyroidism, and crazy cholesterol levels? What if they also get a bacterial infection? I don't know that yet, but a pharmacist does.

Anyway, I feel like I'm learning at an incredible pace. Every week when I go to Kaiser I understand more about more drugs than I did the week before. It's really cool to be a part of that, and to recognize it, as it happens.

And what do you know, this was an incredibly on-topic entry. Did you like it? Don't be afraid to leave feedback, even scathing criticisms, and to ask for more of what you'd like to see.

That whole Monday morning blog thing? Yeah, that's not really happening so much.

There is some irony, I suppose, that I announced Monday morning as the time for my blog posts to come out (after happening to write one every Sunday night for several weeks) and haven't posted one on time since. Well, I'm sorry for that. It did let me know that I actually have some readers, though! Thanks for that, both of you.

One week of classes is in the books. The nature of this program, however, makes it seem like nothing has really been accomplished. So much of the course work is didactic lecture (ungraded), independent reading and study (ungraded), and a few exams (graded). Next Monday is the first exam; we also have weekly quizzes in Skills and our first quiz in Health Care Systems next week. But Skills is pass/fail, so that doesn't feel like a big deal, and the HCS quiz is online, so it doesn't feel like real classwork. There are basically no papers in the first year of pharmacy school (at CU, anyway). That's been a huge adjustment for me. Each of my English classes had a final paper of 10+ pages due, and a lot of my literature classes were discussion-based, not lecture-based. This whole going to class, sitting and listening, and getting no feedback on my comprehension of the material until the exam business is pretty new to me. I'm not complaining - they definitely don't load you up with busy work - just pointing out how different it is.

Either the hammer has yet to fall or this semester is more manageable than last. I'll let you know which when I figure it out. I think I made enough adjustments to my study habits - like staying on campus to study after class instead of going straight home - to have a fair chance of avoiding burnout.

In case you were wondering, this weekend was not so productive. I'm OK with that. I didn't get behind on anything, and I spent some time with friends and extended family that I don't normally have available. Still, it would have been reassuring to be ahead of schedule in something.

For whatever reason, I never shared my struggles with my intern license on this forum. That's odd. Anyway, pharmacy students are granted intern pharmacist licenses while students in order to learn the profession in experiential fashion. Under the supervision of a state-recognized preceptor, these interns can do just about anything that a full pharmacist can do, and the idea is that supervised practice is the best preparation for unsupervised practice. Well, most of my class received their intern licenses about a month after school started. A portion of the class, however, had theirs delayed due to the background check portion of the application. Most of these, including mine, were due to repeat traffic offenses. I had two speeding tickets and a "defective vehicle" charge (standard plea bargain for a careless driving charge that isn't a serious case) from 2000 to 2002, and then another speeding violation in 2006 and another defective vehicle in 2008. Apparently that causes concern that I may not have an appropriate respect for the law. I'm not going to get into the various reasons why that isn't the case with me. All I'm going to say is that I finally got my intern license. This means that if I had time for it in my schedule I could get a job in a pharmacy. I'm going to try to get one in the summer, but right now it would just take me away from my family and get in the way of my school work, so for now it's just a fancy name tag that I can show off at parties.

In an hour, my wife and son land at the airport. They were only gone for three days, but I missed them a lot. It's not that I'm so dependent on my family that I can't function without them for a weekend. I'm just a much better person when they're around. Having someone to come home to makes me come home faster, and having someone to play with makes me do my chores sooner. I wasted a lot of time this weekend. But I am quite nearly a Wii Tennis pro, which ought to count for something.

That's all the news from my otherwise uneventful week. Thanks for stopping by, and keep checking back on Mondays (or Tuesdays, if there isn't one Monday).

Best. Cookies. Ever.

I paid $3.49 for this box of twelve cookies. I think, given that they are limited edition, I got a pretty good deal. Seriously, though, all joking aside, I love these things. I'll gladly pay more than a quarter per cookie. Never mind that a regular box of Oreos is like two bucks for three times that many. If you cover my Oreo in white fudge, I can't pay too much for it. And no, under no circumstances may you have one.

All that complaining about not having any homework must have worked. The day after I posted that entry they posted our first assignment. We go back to school tomorrow, and I'm really looking forward to it. Sort of. I mean, I'm saying farewell to sleep for the next two months, but I feel like I've started forgetting things from last semester. Also, I feel like the first semester was almost a different life. I've been getting into the swing of things at what is still a relatively new job (a job that I love, by the way) and enjoying some time with friends and family. It doesn't feel like I've been a student these past four weeks. People keep asking me how school is going, and I don't know what to say to that. I mean, it's going well, because I haven't been in it for a month, and because all my grades were good, but it's sort of like, "Oh yeah, I'm still in school."

The courses for this semester, in case any of you care, are Principles of Drug Action, Integrated Organ Systems 1 & 2, US Health Care Systems, and the two pass/fail classes that run the length of the program, Professional Skills Development and Experiential Practice. In April we have an interdisciplinary ethics course that will feature students from each of the schools at the medical campus working in small groups. We did an orientation activity with our groups in August, and that was sort of cool. We'll see what tune I'm singing when we add that course in the middle of the semester. I just realized that this semester, P1 Spring, is the lightest load in terms of credit hours in the entire program. So if this semester almost makes me lose my mind, any of the remaining semesters ought to finish me off.

If you actually like reading this blog (I'd be surprised, but who knows), my brother is doing a similar thing only he's doing a semester abroad in Montpellier, France. Also, he's a better writer than me with more interesting things to say. Here's a link.

Tonight I'm going to get a full night's sleep, wake up early and eat breakfast, and pack a delicious lunch. Last semester our days were short but they managed this by pretty much eliminating breaks from our day. This time we get a lunch break every day but it means that class runs longer. I don't know which way I'm going to like better. Probably the one that let me come home for an afternoon nap last semester, but you can't overestimate the value of a little break.

This coming weekend my wife is visiting her friend in Texas. I wish I could go with them. I don't like going to bed alone, and I never get enough sleep when I do. I like to think that I'll be able to focus and knuckle down and get ahead on some studying, but I think I'll probably just get nice and caught up on my Wii playing when all is said and done.

I think that's enough for today. Thanks for stopping by, and come back soon.

It's almost December already

This sign appears on the Anschutz Medical Campus between the north and south wings of Education Building 2. I think it's hilarious. Not even the illustrative stick man wants to go see the dentist.

The semester is winding down! We don't have any more academic sessions in Skills. Finals start in like two weeks. Most classes have one exam remaining. There is no class Thursday or Friday. I'm almost certainly going to pass the term.

In fact, I have a good chance to make a 3.5 GPA or higher. That's exciting to me, given the struggles I've shared in this forum. I wonder if this is my own ego talking, or if maybe my readers feel the same way. Almost like, "Aw, look at li'l Buffalo Pharmer... he's come so far!" Well, I think having this outlet has helped, so even if you don't feel like you contributed to my success, you did. Thank you.

Thanksgiving is my favorite holiday. It's pretty much the only one that still means what it's supposed to mean. And Labor Day, maybe. But Thanksgiving is, and has always been, a day to get together with family, feast on some fantastic food, and be thankful for all the blessings in your life. Christ is gone from Christmas, and definitely gone from Easter. Memorial Day is a day to get drunk. So is St. Patrick's Day, although that may be more appropriate. Fourth of July? Drinking holiday. New Year's? That shouldn't even be a holiday. I'm still not clear about what we're supposed to celebrate on that one. MLK? Sweet, a day off! Halloween? Let's dress all skanky AND get drunk! You see my point. Thanksgiving remains true to its roots. I like that.

I think that's all I have right now. The Nuggets look pretty good, don't they? Yeah, they do. Thanks for stopping by, and come back soon.

Well this all blew up in a hurry

A lot has happened since I last posted.

We got a house. It's in Thornton, which is closer to several of our friends and also (a little) closer to school for me. It's also not much further from work. It's a great balance, and it's a lot smaller payment than we used to have. That was the entire object of this move, after all. We're getting a nice house of the same size in a good neighborhood for something like $70,000 less than we sold the old one for. And if the real estate market turns around like everyone says it will, that house will go way up in value. So that's all good news.

Now the loan approval is tricky. In the last month we've seen business levels at work drop from near-record highs (largely due to the novelty of 24-hour gaming and higher bet limits) to all-time record lows. My paychecks are half of what they used to be, and still going down. I believe we'll recover, and if we don't I'll find a different job to get the bills paid, but the loan underwriters may not agree with me. So at this point I feel like I'm holding my breath and hoping. I should find out at some point this week, which is good, since we have to be out of our house by the 26th. (If you live in Denver and want to help me move, that'll be the morning of the 24th.)

Yesterday I took the last exam in Science Foundations I. That class is done. I will pass it, although not with an A. That's OK. Your GPA doesn't show up on your pharmacy license. I'm thinking I'll probably have a B in the course. It feels good to have finished something already. That was quick, wasn't it? Tomorrow is the final exam for Principles of Drug Information. I've already earned a C in that class (if I skip the final) so no worries there. The potential sad news is that we could lose people from our class this week. Actually, I think they let you finish the semester first, but you can't continue in the curriculum if you have one F or two Ds, or a GPA below 2.0. So anyone who fails one of those classes, or gets a D in each of them, it's no more pharmacy school for that student. I don't want to see my class shrink. We've already dropped from 161 to 158 students (I don't really know what happened to those three, but they were gone after the first week - probably accepted somewhere else or realized that pharmacy school wasn't the way for them) and I know we'll lose some more along the way, but it still breaks my heart to see someone put in that much work (and tuition money!) just to fail out.

The ethics committee met for the first time last week. I can't discuss anything that was said in the meeting, but it looks like it's going to be a busy year for us. I dig it.

How about those Bears? That week 1 loss was a little bit of a fluke there, but JAY CUTLER is lighting it up. Now imagine what he could do if he had some real receivers! Maybe the Bears can sign Brandon Marshall in the off season, or trade for Calvin Johnson.

It was cool to see the Rockies make the playoffs. It was heartbreaking to see No-clutch Troy Tulowitzki make the last out of two home games with runners on first and second. But the Rockies are for real, and everyone important is under contract, and if ownership forks over a little bit of money in the off-season, the Rockies will contend for the National League West next year. We can talk about the Cubs later. I like to stick with a winner.

And thankfully, basketball season is soon upon us. I'm sure the Nuggeys will be a frequent topic for me in the near future. Plus, I'd like to see more of those cool NBA ads on my blog. They look more professional than the little text ads that pop up normally.

We've been calling this week "hell week." We had two tests (Science Foundations I, Law) yesterday, one tomorrow (Drug Info), and one Thursday (Professional Skills Development). My case gets especially fun because I had a training class (Advanced Customer Service) at work yesterday and I get to go in to pick my new, less money-making schedule this afternoon. So that's two of my days off that I go up to Black Hawk for instead. I'm going to make a total of nearly 22 dollars for those two days. That will at least cover my gas for the trip. I'll have to make sure I stop off at the Golden Gates casino to enter their football pick-ems contest. It pays $250 to the weekly winner, and I was close two weeks ago (13-1, but three people were 14-0).

I don't really want to overload you any more at this point. I'll try to get a picture of the new house up and talk a bit more about it next time. Thanks for reading, and come back soon.

Figures

This is what I get for trying to manage my life. I had worked it all out so that I could spend Monday and Tuesday evenings chilling and hanging with my family and friends, respectively, provided I devoted all of Wednesday to homework and studying for the quiz in the morning. I probably didn't budget that time quite right, but it would have meant for a late-but-not-too-late night tonight. Unless.

At 6:30 this evening, right as we were heating up dinner, Xander started vomiting. We're not sure if it's a delayed reaction to Monday's immunizations or a reaction to the soy yogurt that he tried for the first time, but it was pretty bad. He's thrown up after shots before, but this time was a lot more severe than anything we'd seen before, and it didn't stop. He was miserable, and he started to get clammy and a little out of it. We ended up at the Children's Hospital Urgent Care an hour and a half later. It's 11:30 now and we're getting discharged, finally. They couldn't say for sure what caused the vomiting, but they were able to make it stop and get him rehydrated, so it looks like the storm has passed. That was a scary few hours.

And now it'll be midnight or later before I get home, and I have a quiz at 8 a.m. that I haven't studied for. Sometimes we need a little dose of humility in our lives. God had to step in and remind me that I'm not in control, and that procrastination is not the best policy. I'm just glad Xander is OK. I can do a day on limited sleep (especially with the help of my good friend Starbuck) and I'd much rather fail the quiz and have a healthy baby than the alternative.

In other news, the spellchecker man thinks "rehydrated" is not a word. It also thinks "spellchecker" is not a word. While I'm on rabbit trails, where did the name Starbucks come from? Is it from Melville? I might have to look into that.

They're letting us go home now, and I need to study. Thanks for stopping by, and come back soon.

P.S.: It's October.