They are their cutest when asleep
Thursday, July 14, 2011
Library time
I've just been into the hospital library to borrow Grey's Anatomy for Students and Netter's Atlas of Anatomy to supplement my Moore and Dalley's Clinical Anatomy. I now feel like I need to own all three.
Wednesday, July 13, 2011
Disheartening
Today I spoke to a fellow classmate who told me he's on the scholarship for getting two HDs (>90%) in a row. As long as he maintains his grades, he'll get free tuition for a year (or 5 modules). Wow. I thought they were almost impossible to get. He also works full-time. I emailed him and asked him to let me into his secret, but, while waiting for the reply, I already know the answer. I'm sure he just studies more than I do. He said he reads anything and everything he can get his hands on. I'm not sure I'd retain that much. I'm impressed by his stamina.
I'm pretty happy with how much I've achieved today. I've thoroughly reviewed the relevant biochemistry and microbiology for the term. I'm now working my way back through the case studies. Things are starting to sink in, and it's nice when you re-read something for the 3rd or 4th time and all of a sudden you brain just goes "oh that's easy" and it opens up room for more complex detail. This is my theory.
Today it's the first case study - rheumatoid arthritis. First half of learning issues - anatomy of joints, biochemistry of synovial fluid and connective tissue, autoimmune response, and chronic inflammation.
Well I must get back to it.
I'm pretty happy with how much I've achieved today. I've thoroughly reviewed the relevant biochemistry and microbiology for the term. I'm now working my way back through the case studies. Things are starting to sink in, and it's nice when you re-read something for the 3rd or 4th time and all of a sudden you brain just goes "oh that's easy" and it opens up room for more complex detail. This is my theory.
Today it's the first case study - rheumatoid arthritis. First half of learning issues - anatomy of joints, biochemistry of synovial fluid and connective tissue, autoimmune response, and chronic inflammation.
Well I must get back to it.
Tuesday, July 12, 2011
Good day for studying
We were supposed to be doing the student presentations today but there was a technical issue and the lecturer couldn't log on. The students stayed in the virtual classroom a while a had a chat which was nice as we hardly ever get to do that. Peer-peer bonding is nice.
My closest class mate this term lives 2000km from me! Sometimes I feel like those 1950's really remote school students in the Australian outback that used to have their lessons by short-wave radio in their homes.
I've now done with my case studies. I have one quiz to do this week (hard) and the presentation to give (easy). I have 14 days now until the end of term exam, 6 of those days are without work and 5 if you take out the one I'm doing MoH duties on.
My study plan is to revise First Aid for the USMLE Step 1 musculoskeletal chapter today (plus find, tag, and revise additional sections relevant to this term ie osteomyelitis is under microbiology). Then revise one case every two days making sure to cover off all learning objectives (as outlines at the front of each case). Additionally, do at least 10 USMLE World QBank questions per day and at least 3 AMC MCQ questions per day.
For revision I'll combine the case study notes with my Kaplan notes and core textbooks.
I have one day as buffer.
I'll probably only get to revise for 3 hours a day on the days I'm working.
Other resources I will probably use are Wikipedia (I'm big enough to admit it), Doctors In Training Solid Pharmacology lectures, and Almost a Doctor revision notes, flash cards, and mind maps.
So, today, FA.....
(Just remembered other annoying things on my to-do list.... realising 14 days wont translate into much actual revision time...... slight wave of overwhelment coming over me..... trying to stay calm.... might go watch relaxation DVD first.......)
Monday, July 11, 2011
Relaxation and dealing with stress and anxiety
As if it wasn't obvious from the pattern of my recent posts, but I have been suffering from a fair bit of stress lately and that has started to creep over into the realm of anxiety. I completely blame my job, and more specifically the on-call roster, and also myself for working too much. I do enjoy the stress. If I'm not pushing myself I feel bored. I don't think you need to be a doctor to figure out this might not be entirely healthy.
I like to chill-out too, though. Preferably on a beach with a cocktail that is served in a coconut with a straw and one of those little umbrellas. I also like to sleep a lot. And I love my bubble-baths and TV. I've often considered putting a TV in my bathroom above the bath.
But my anxiety was starting to affect my composure and ability to study this week. I was feeling too on-edge to absorb anything and I didn't even want to think about studying. I had even gotten to that point where nothing seemed to be going right. I even stubbed my toe and bumped my funny bone.
It's kind of embarrassing to admit all this and as a med student I don't want anyone to think I can't hack it or I don't have what it takes. But it would also be portraying a false image to pretend that med students and doctors are perfect, robot-like identities that don't succumb to human emotions. I hate people who are fake.
Anyway, fortunately for me but not for them, I am not the only one I know going through this so I was put onto this great DVD by Glenn Harrold.
It is a relaxation DVD that uses hypnosis and I have to say it works a treat. Actually, I went through all this before I went to Samoa last year, and then again when I came back from Samoa. Before I went to Samoa I emailed the accommodation to make sure they had a DVD player as I got so dependant on this DVD. I tried my friend's Valium once and it only made me have worse rebound symptoms. Excercise is great too, and eating Low GI, but this DVD is like my Valium. I probaby don't have to mention to avoid caffeine and alcohol. I also read my Dalai Lama book (in the bath) and the first chapter is on stress and also helped. I feel SOooooo much better today.
The quiz last night - I did it, felt confident,..... then got 0%! I nearly died (this was before I did my hypnosis). I thought "No friggin way. I know I got these right". I then realised what might have happened - I had let the timer run out without pressing the "submit" button. Seems so obvious now, but I was thinking that if I didn't press submit, and let my timer run out, then it would just accept my last answers (which is a MCQ bullet-point format). I emailed the curriculum coordinator and he sorted it all out. I got 100%!!! I also then asked him to look at my 2nd quiz, and, sure enough, I was supposed to get 80%!!! So for my quizzes so far I have go 95% correct. One more to go... Hopefully it will end up being an easy 30 marks for the module.
Things are starting to turn around.
Sunday, July 10, 2011
A day in the life of
I just got home from work. I'm on-call tonight. I stayed back about an hour and a half to do a handover as our branch manager is going off on leave and someone else is taking over. She has just come back off leave so there was lots to go over before I went home, and I'm the Health and Safety Rep, so thereare a few things we have in the works atm.
We were busy again today. Ever since we moved to this new despatching system our workload has increased by about 50%. That's about 3-4 hours a day of downtime I've lost now. We were out late again last night until 4am on a call-out. My dog is about to disown me.
But that's ok, I don't mind working for my wage, it just calls for an adjustment in my schedule. I'll probably do less overtime now on my days off so that's where I'll pick up the hours to study. However, my roster is 5-on/5-off so one week I'll have heaps of time and the next week barely any.
Nevertheless, the show must go on.
I'm now about to login and attempt my terrifying weekly quiz. I've just opened the books for a quick refresher as it is for the gout case I finished a week ago. I have my pager and portable radio and luckily these quizzes only go for 5 minutes (timed) so if I get a call-out now I'll be ok to complete it.
My stress and anxiety was good all day until I remembered this quiz. Now it has gone off the scales again. As my adrenaline levels don't seem to go back to zero at all, it just takes one minor stressor and I'm off the charts. It happens every time my pager beeps, or I think about the potential of getting a cardiac arrest as I haven't done one now for over a year (being in a rural area and on-call by the time we get to people they are usually past possible resuscitation). Anyway, this anxiety thing happened at about this time last year and it finally went away.... when I went on leave.
Saturday, July 9, 2011
Osho and getting over myself
So I've come to the point where I just can't handle my own crappy mood anymore. I just have to get over myself. Sure I'm tired, sure I have a lot of stress at work, but that can be neutralised with the right mindset.
I get Osho.com things sent to my Facebook. Today's came at just the right time. I heard a saying once: "When the student is ready the teacher will appear". Today I was ready. It's not a new theory or philosophy, its more about remembering to be conscious of one's own mindset, remembering to try and "witness" the mad monkey of the mind rather than getting swept along with it, and remembering that mind and consciousness are separate things. The consciousness is the real "I" (or soul, if you like) and the mind is something different, as is the body.
Here's an excerpt from today's Osho teaching;
The whole Eastern methodology can be reduced to one word: witnessing. The whole Western methodology can be reduced to one thing: analyzing. Analyzing, you go round and round. Witnessing, you simply get out of the circle. - Osho
(Nb: Dont't get too wrapped up on East vs West - it's just a generalisation.)
And here's the Buddhist Four Nobel Truths (which I really need to print out and put on my wall or tattoo on my hand);
Thankfully, points 3 and 4 exist. I think the first 3 points are universal, but the forth is probably left up to interpretation. Not everyone needs to practice a Bodhisattva's life to rise above suffering, in my opinion. But generally, the Eightfold path describes the "middle-way" theory which is closely aligned to the Western saying "everything in moderation" and also is studded with acting ethically and with integrity and, of course the most important cornerstone of Buddhism, "mindfulness" which includes the practice of meditation.
----------------
Last night was the tipping point. Stress at work+++ and I just thought to myself "this can't go on. I can't change the system. I just have to deal with it". When I started in the job I wasn't so focused on how things "should" be. I just went along with it, did the jobs I got despatched to, did my bit, took them to the nearest ED, and that was that. Now I've been in the job 3.5 years I see things, faults, all the time.
Patient such-and-such that waited too long for an ambulance thanks so reasons x, y, and z, who's myocardium died, and now is a cardiac cripple. Patient so-and-so that was misdiagnosed because facility x is set up like a hospital but really doesn't have the appropriate facilities and the doctor that was on-call didn't bother to see the patient in-person but gave instructions to the nurse over the phone. And what about the patient that got left at home because the paramedic got too confident with their diagnosing abilities and decided to go on probability diagnosis and not look foolish at the ED than rule out that 1% Red Flag diagnosis which ended up nearly killing the patient.
I can't get stressed out about these things. But I guess if I'm going to try and live by the Eightfold path I need to try and contribute to bettering the system. I know I can't fix it completely.
How can I do this? This may call on all my wisdom and creativity. Stay tuned.
I get Osho.com things sent to my Facebook. Today's came at just the right time. I heard a saying once: "When the student is ready the teacher will appear". Today I was ready. It's not a new theory or philosophy, its more about remembering to be conscious of one's own mindset, remembering to try and "witness" the mad monkey of the mind rather than getting swept along with it, and remembering that mind and consciousness are separate things. The consciousness is the real "I" (or soul, if you like) and the mind is something different, as is the body.
Here's an excerpt from today's Osho teaching;
The whole Eastern methodology can be reduced to one word: witnessing. The whole Western methodology can be reduced to one thing: analyzing. Analyzing, you go round and round. Witnessing, you simply get out of the circle. - Osho
(Nb: Dont't get too wrapped up on East vs West - it's just a generalisation.)
And here's the Buddhist Four Nobel Truths (which I really need to print out and put on my wall or tattoo on my hand);
- Life means suffering
- The origin of suffering is attachment
- The cessation of suffering is attainable
- The path to cessation of suffering (the Eightfold path)
Thankfully, points 3 and 4 exist. I think the first 3 points are universal, but the forth is probably left up to interpretation. Not everyone needs to practice a Bodhisattva's life to rise above suffering, in my opinion. But generally, the Eightfold path describes the "middle-way" theory which is closely aligned to the Western saying "everything in moderation" and also is studded with acting ethically and with integrity and, of course the most important cornerstone of Buddhism, "mindfulness" which includes the practice of meditation.
----------------
Last night was the tipping point. Stress at work+++ and I just thought to myself "this can't go on. I can't change the system. I just have to deal with it". When I started in the job I wasn't so focused on how things "should" be. I just went along with it, did the jobs I got despatched to, did my bit, took them to the nearest ED, and that was that. Now I've been in the job 3.5 years I see things, faults, all the time.
Patient such-and-such that waited too long for an ambulance thanks so reasons x, y, and z, who's myocardium died, and now is a cardiac cripple. Patient so-and-so that was misdiagnosed because facility x is set up like a hospital but really doesn't have the appropriate facilities and the doctor that was on-call didn't bother to see the patient in-person but gave instructions to the nurse over the phone. And what about the patient that got left at home because the paramedic got too confident with their diagnosing abilities and decided to go on probability diagnosis and not look foolish at the ED than rule out that 1% Red Flag diagnosis which ended up nearly killing the patient.
I can't get stressed out about these things. But I guess if I'm going to try and live by the Eightfold path I need to try and contribute to bettering the system. I know I can't fix it completely.
How can I do this? This may call on all my wisdom and creativity. Stay tuned.
Friday, July 8, 2011
Med school annoyances
Sometimes my med school really annoys me. Not because of the learning material or lecturers, but because of stupid administrative errors.
I get that there are a million different time zones for different students - but get your act together. Med school is confusing enough without constantly moving the goal posts, giving conflicting information, restricting flexibility in a distance education unit, and then accusing the students of being stupid for raising issues of merit instead of admitting you stuffed up.
Really annoyed right now.
Here is an exact example:
".....final exams will be administered following completion of the module (i.e., "week 9"). The exam will be open from 1 am - 11 pm Pacific Time."
Um, hello. What day of the week of week 9? And isn't that part of the USA now in Pacific Daylight Time (I only know that from Googling Pacific Time as stupid me thought it might be the time Samoa is on seeing as Samoa is in the Pacific and where my med school is located)? And when did I have to start converting time from USA to my time when everything else is in Apia time (where the school is based in Samoa, rather than the curriculum coordinator in the US) or what about UTC on Greenwich meantime? There is only one US student in my class, one Kiwi, two Aussies, and four Samoans. But, no, we'll work off YOUR time seeing as you are in the centre of the known universe.
So after a bit of Sherlock Holmes work I believe I've deduced that (I think) my final term exam will be on Monday the 25th July from 6pm to 4pm the next day. Luckily, I have that day off. In the past terms we've had two weeks to book a session at the testing centre in the big (capital) city closest to our homes. Now it's to be online at home. Can anyone spell "loop-hole"?
When my presentation is is another story..... I thought it was next week (Week 7) but the website where everything is listed says it's Week 8. I'm going with week 7. I'm now reduced to relying on gut instinct.
Maybe from their point-of-view it's simple. But when you're thousands of miles (or should I say kilometres) apart from everyone else, information needs to be accurate, timely, and reliable.
Too much to ask?
Most probably.
I get that there are a million different time zones for different students - but get your act together. Med school is confusing enough without constantly moving the goal posts, giving conflicting information, restricting flexibility in a distance education unit, and then accusing the students of being stupid for raising issues of merit instead of admitting you stuffed up.
Really annoyed right now.
Here is an exact example:
".....final exams will be administered following completion of the module (i.e., "week 9"). The exam will be open from 1 am - 11 pm Pacific Time."
Um, hello. What day of the week of week 9? And isn't that part of the USA now in Pacific Daylight Time (I only know that from Googling Pacific Time as stupid me thought it might be the time Samoa is on seeing as Samoa is in the Pacific and where my med school is located)? And when did I have to start converting time from USA to my time when everything else is in Apia time (where the school is based in Samoa, rather than the curriculum coordinator in the US) or what about UTC on Greenwich meantime? There is only one US student in my class, one Kiwi, two Aussies, and four Samoans. But, no, we'll work off YOUR time seeing as you are in the centre of the known universe.
So after a bit of Sherlock Holmes work I believe I've deduced that (I think) my final term exam will be on Monday the 25th July from 6pm to 4pm the next day. Luckily, I have that day off. In the past terms we've had two weeks to book a session at the testing centre in the big (capital) city closest to our homes. Now it's to be online at home. Can anyone spell "loop-hole"?
When my presentation is is another story..... I thought it was next week (Week 7) but the website where everything is listed says it's Week 8. I'm going with week 7. I'm now reduced to relying on gut instinct.
Maybe from their point-of-view it's simple. But when you're thousands of miles (or should I say kilometres) apart from everyone else, information needs to be accurate, timely, and reliable.
Too much to ask?
Most probably.
Overheard
This is my new section "Overheard" where I hope to put up some funny/interesting things I see and hear in the ambulance, emergency departments, and on the job in general. This is my vain attempt at finding humour everyday in the job while working the on-call roster, and letting non-paramedics into the world of all the weird things our minds have to deal with on a daily basis.
I'm trying to write it like a script for dramatisation. Excuse me if it seems odd but I'm not a writer. Of course all identifying information has been altered or removed completely and is written in good faith and laughing with the patients, not at them.
I'm trying to write it like a script for dramatisation. Excuse me if it seems odd but I'm not a writer. Of course all identifying information has been altered or removed completely and is written in good faith and laughing with the patients, not at them.
Back
I'm back at work, back on the wagon, and back in the game. Killed my massive to-do list yesterday. Feeling good like I'm accomplishing things and am organised.
Today at work (between patients) my goal is to:
Today at work (between patients) my goal is to:
- Go through my emails
- Fill out and return the forms for income protection
- Find and send off the missing patient care record I've been contacted about
- Get everything ready for the accountant next week and the guy that's going to look over my home loan
- Fill out my current timesheet
- Check for my stores order and put it away if necessary
- Go through the osteoporosis case study again and read the given notes that come with it
- Cross-check it with First Aid for the USMLE Step 1
- Start tackling the case readings and make a game plan for the weekend to finish it off
- Finish my presentation on Paget's Disease
- Plan my two weeks out before the exam
- Finish those two missing questions on the PT assignment
- Plug into my Google calendar the term dates for the Masters subject and see if the unit materials are available yet
- Try to remain calm as I can feel anxiety brewing. Maybe try and meditate or watch the hypnosis dvd
Thursday, July 7, 2011
Diamonds
Second wind?
I am hoping my second-wind kicks in this weekend. I've effectively had about a week away from the books except meeting my mentor, working through the case study (easy) and doing the online lectures (easy) and a little bit of biochem/pharm reading (hard),which is nothing compared to what I'm supposed to do.
I also went these entire 3.5 days off work without being tempted to do any overtime.
I caught up with friends, slept in a bit, ate and drank and dropped out of Dry July in spectacular fashion.
Feeling good.
But enough rest I must keep going.
This is the last case study for the term - osteoporosis. Next week is the presentations (week 7) and then a revision week (week 8) before the end of term exam on the Tuesday of week 9. So, really, it's like 2 revision weeks. Which I'm going to need. So I'm happy that it's worked out that way and my rostered shifts are even favourable.
Well, can't stay and chat. I have a massive to-do list to tackle this afternoon before I go back on-call in two hours!
I also went these entire 3.5 days off work without being tempted to do any overtime.
I caught up with friends, slept in a bit, ate and drank and dropped out of Dry July in spectacular fashion.
Feeling good.
But enough rest I must keep going.
This is the last case study for the term - osteoporosis. Next week is the presentations (week 7) and then a revision week (week 8) before the end of term exam on the Tuesday of week 9. So, really, it's like 2 revision weeks. Which I'm going to need. So I'm happy that it's worked out that way and my rostered shifts are even favourable.
Well, can't stay and chat. I have a massive to-do list to tackle this afternoon before I go back on-call in two hours!
Tuesday, July 5, 2011
Lull in motivation
Well I'm not feeling all motivated and in love with medicine atm. Not at all. I'm feeling the next 2 weeks of case study plus the final revision week is going to be too long!
I'm hoping it is just a combination of tiredness and hormones (female handicap) and am so happy I now have, after just doing a lecture online now, the rest of today off. The weather today is puuuuuurfect for watching movies. This storm better not take out my satellite! I can't imagine going to the video shop!
Hoping today will be enough as I lost yesterday to MoH duties (and catching up with my friend that moved to London bout 4 years ago!), and the weekend to work/fatigue/sleep deprivation/working with blow-ins.* Not matter how I feel tomorrow, I will be studying ALL day.
Actually, catching up with my friend was really good because she is a paramedic in London and was telling me all about the UK recession, job cuts, the crap ambulance system over there etc. It put things in perspective that we've actually got it pretty good here. Mind you, I see some obvious wasted funds in that in the UK you get a helicopter with a trauma doctor on it for the most minor injuries/accidents. Plus, you can drive the whole length of the country in about 4 hours. It kind of seems ridiculous from my point of view especially as chopper are so expensive to run.
Anyway, movies time for me it is. R+R. Staying warm with my tea cup. Might even do my hair later if I can be bothered. And cook dinner from scratch without worrying about being interrupted. A whole day of being "insignificant" (as Dr Phil would put it).
Loving today.
*Blow-ins: Non-permanent staff members, ie people filling sick leave I don't normally work with me, don't normally work at my branch, and don't normally work the on-call roster, which always increases the amount of effort I need to put into my day (despite some blow-ins being lovely people and a breath of fresh air).
I'm hoping it is just a combination of tiredness and hormones (female handicap) and am so happy I now have, after just doing a lecture online now, the rest of today off. The weather today is puuuuuurfect for watching movies. This storm better not take out my satellite! I can't imagine going to the video shop!
Hoping today will be enough as I lost yesterday to MoH duties (and catching up with my friend that moved to London bout 4 years ago!), and the weekend to work/fatigue/sleep deprivation/working with blow-ins.* Not matter how I feel tomorrow, I will be studying ALL day.
Actually, catching up with my friend was really good because she is a paramedic in London and was telling me all about the UK recession, job cuts, the crap ambulance system over there etc. It put things in perspective that we've actually got it pretty good here. Mind you, I see some obvious wasted funds in that in the UK you get a helicopter with a trauma doctor on it for the most minor injuries/accidents. Plus, you can drive the whole length of the country in about 4 hours. It kind of seems ridiculous from my point of view especially as chopper are so expensive to run.
Anyway, movies time for me it is. R+R. Staying warm with my tea cup. Might even do my hair later if I can be bothered. And cook dinner from scratch without worrying about being interrupted. A whole day of being "insignificant" (as Dr Phil would put it).
Loving today.
*Blow-ins: Non-permanent staff members, ie people filling sick leave I don't normally work with me, don't normally work at my branch, and don't normally work the on-call roster, which always increases the amount of effort I need to put into my day (despite some blow-ins being lovely people and a breath of fresh air).
Sunday, July 3, 2011
House mate
Very exciting news - I've lined up a house mate! Yay! A good one too. She's the girl that normally house sits for me and she's about to finish high school and wants to move out anyway.
Excellent.
She knows how my house runs and about the idiosyncrasies of my pets (and doesn't mind sharing the couch with them).
Exciting, exciting, exciting.
I've been hanging out for the perfect house mate...
Work - is slowly killing me. Just an accumulative sleep deprivation. Had a patient that had some serious chronic fatigue issues after working as a fire fighter for years on shift work. Now his cortisol levels are all stuffed up and in reverse (high at night and low during the day). Not only that but he now has insulin resistance and cardiac issues. Made me think I need to be more strict on my sleep bank again. Luckily, I worked with some really good people the last few days and my morale has been rejuvenated at least.
Study - I'm taking a break. I'm so sleep deprived right now I feel drunk. I have a big day tomorrow full of social activities and MoH duties. Maybe I'll block out the whole day and try and do some exercise in the morning to get my metabolic processes working efficiently. Doing nothing medical tomorrow and being social with other human-beings which aren't medical (well, some of them are!) might help me get some quality study done for the rest of the week. I'm happy with what I achieved with this week's case study. I have a few days off this week so, again, not so stressed about it. In fact I'm still really motivated ot study medicine. I actually love studying medicine. Still.
Ok, that is all. I was disappointed to read on TripAdvisor last night that paragliding in Pokhara doesn't happen in the monsoon season when I'm there :( Might have to consider another adventurous activity. Taking suggestions (from my 4 followers).
Excellent.
She knows how my house runs and about the idiosyncrasies of my pets (and doesn't mind sharing the couch with them).
Exciting, exciting, exciting.
I've been hanging out for the perfect house mate...
Work - is slowly killing me. Just an accumulative sleep deprivation. Had a patient that had some serious chronic fatigue issues after working as a fire fighter for years on shift work. Now his cortisol levels are all stuffed up and in reverse (high at night and low during the day). Not only that but he now has insulin resistance and cardiac issues. Made me think I need to be more strict on my sleep bank again. Luckily, I worked with some really good people the last few days and my morale has been rejuvenated at least.
Study - I'm taking a break. I'm so sleep deprived right now I feel drunk. I have a big day tomorrow full of social activities and MoH duties. Maybe I'll block out the whole day and try and do some exercise in the morning to get my metabolic processes working efficiently. Doing nothing medical tomorrow and being social with other human-beings which aren't medical (well, some of them are!) might help me get some quality study done for the rest of the week. I'm happy with what I achieved with this week's case study. I have a few days off this week so, again, not so stressed about it. In fact I'm still really motivated ot study medicine. I actually love studying medicine. Still.
Ok, that is all. I was disappointed to read on TripAdvisor last night that paragliding in Pokhara doesn't happen in the monsoon season when I'm there :( Might have to consider another adventurous activity. Taking suggestions (from my 4 followers).
Saturday, July 2, 2011
Frustrations
Work is actually really starting to frustrate me atm. Unfortunately I can't really go into why incase someone from work actually reads this thing. Suffice to say, I am due for some annual leave.
No study today. Just so so need to stop the world turning for half a day. Luckily, this week's case study is easy, all bar the ridiculous amount of anatomy I need to download into my cerebrum. I generally just study until I need a day off and then take a day off. Today is the day BIG TIME!
Worked with someone yesterday that just got back from Nepal so I have all these exciting ideas for the Nepal portion of my trip. Excited once again. Her photos looked so cool! I'm thinking paragliding in Pokhara.
No study today. Just so so need to stop the world turning for half a day. Luckily, this week's case study is easy, all bar the ridiculous amount of anatomy I need to download into my cerebrum. I generally just study until I need a day off and then take a day off. Today is the day BIG TIME!
Worked with someone yesterday that just got back from Nepal so I have all these exciting ideas for the Nepal portion of my trip. Excited once again. Her photos looked so cool! I'm thinking paragliding in Pokhara.
Friday, July 1, 2011
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