Category Archives: pharmacy

Am I worthless? Am I filthy? Am I too far gone for a remedy?

(We As Human – Take the Bullets Away)

 

I’ve been living with the intense pain of grief for a long time…and before that the abuse…and long long before that the bullying. I know rejection. I know being unwanted. And so many other hard things life has thrown in my path. I am familiar with pain, but it seems to follow me and want cuddles like a small naughty puppy that I can’t get rid of. It doesn’t feel like there is a way out. I tried to create a timeline of when I could get back to my dreams. It was good to try to create an end to work towards, but even on the more magical completely unrealistic timeline, I still will be fighting through this for another year…and if we’re being really honest, even if we pretend this timeline is practical (it’s not) I am not naïve enough to believe the pain will completely disappear upon starting a new path. Sure, it will likely be super helpful, but it won’t be like flipping a switch. It won’t remove the previous rejection and wipe the slate clean. The more realistic timeline is a minimum of two years. The idea of holding on that long is overwhelming.

 

It is hard not knowing why no one wants me. It is hard feeling so much rejection. It is confusing to be chosen for a big girl position even over people with experience when I was rejected from all the transition roles I tried to get, especially when the same organization didn’t even give me an on-site interview for the residency to which I applied. It is hard hearing people tell me how great I am and then rejecting me later. I’d rather you were just honest and said hey we don’t like you instead of leading me on just to let me be crushed later. I’d rather instead of being polite you told me what was wrong with me so that I could change and improve. Am I so worthless that I do not even deserve the respect of being told the truth? Am I really so lousy that there is nothing I could do to even be close to good enough? And why doesn’t God love me enough to finally just say yes to one of my prayers and let me leave this pain? It is hard to reconcile this pain and God’s power with the goodness all-knowingness of God.

 

I’ve heard that when a Christian woman wakes up in the morning the devil says “oh no, she’s up again.” It’s not just the devil thinking that when I get up. It’s me too. God doesn’t seem to ever want the same things that I want. I keep crying and praying that God will take me home because I can’t take this pain. I can’t keep living like this…and God keeps saying no. I know God cares and I know God loves me, but it is really hard to understand how it could really be love to leave me here. It hurts so much. Why won’t God take me to forever home where I don’t have to deal with this? I have already struggled so long and I don’t want to keep fighting. I want to go home. When the bravest thing you do every day is get up and keep going, it is hard to keep up with life. I FINALLY got my authorization to test from the Board of Pharmacy…and I know that just trying to make it day to day has drained so much of my energy that I really haven’t put nearly enough into studying…and since it took so long to get the authorization, I probably only have one chance before my job gets taken away. I feel like I am probably going to fail…then I’ll have nothing but an expensive apartment in a city where I don’t have any close friends…

 

But I keep fighting. I keep trying. I get home and my ears hurt from the multiple media sources at full volume to which I am listening as I drive to minimize the tears so I can see where I am going to get home…because I can pretend life is awesome or at least tolerable when I’m with people…but put me alone in a car and it is very possible I will struggle – time alone with my thoughts and emotions, kinda trapped there. So especially if I’ve been reminded of the pain I am pretending doesn’t exist prior to getting in, I am likely to have a hard time. Grief doesn’t have a calendar. Grief doesn’t know that it has been over three months and is time to give me a break. Grief doesn’t have empathy. Grief doesn’t know I am exhausted and just want to be able to move on and have this whole thing disappear.

 

How am I? I’m doing the best that I can. I know the basics of life enough to know what I need…and God has been doing good things even if he didn’t give me what I want. I usually burn practically just by thinking about going outside, but I didn’t wear sunscreen and biked to my friend’s house and back last week and the burns were pretty mild. Yesterday, I did put on a little sunscreen but was outside about 4 hours (biked around 40 miles) and didn’t reapply…lol, you can look at my hands and see exactly where there was zero sunscreen on though…but anyway, last night I knew I was on the border of being too dehydrated (vs just dehydrated enough to mute some of the pain and tears as long as there aren’t any reminders). So I gave myself two choices: water or ice cream…I didn’t want either, but the trying to be a good girl half of me was stubborn long enough to win, and I did eventually pick one of the options…picking nothing seemed so much easier, but that wasn’t one of the choices. Protip: ice cream is always the answer. No, ice cream didn’t solve my problems and I was too far gone for the sugar to help pull me back in, but at least it did kinda sorta make me feel a little better about myself because I was also getting calories in at the same time…

 

There is a long road in front of me. Soon I will be moving a couple hours away and be even more alone. I am thankful that I make friends easily, but worried because I can’t exactly expect someone I just met to support me the way that the friends I have made over multiple years have…and I can’t expect to immediately be invited into other people’s circle of friends as the new girl. It is hard being new. Some people are willing to let you join their friend group, but other people are like the girls in my grade at the new church who never really let me join their clique. Sure, the moms sometimes tried to invite me, and sometimes I tried to push myself into their circle, but I wasn’t dumb, I knew that most of them really didn’t want me there and it was easier for them to preserve their little friend bubble by writing me off and keeping me out of the circle. I probably should have asked to join the girls in the grade above me who were a lot more welcoming and had already invited me in…but when I had the opportunity I was still in denial that I couldn’t just go back in time and make this whole nightmare end so besides the fear of using my words to ask or even of having someone ask for me, I denied that because I didn’t want to admit that I would be there long enough for it to matter. It wasn’t until almost my senior year when I finally let go and realized that this was for real and wasn’t changing any time soon…and by then the girls in the grade above me were graduating and moving on. They invited me to the grads group, but that didn’t solve the Sunday morning problem. (But the grads group was a lot better place for me than youth group ever was. Smaller and more inclusive was super helpful for me…no one cared that I was the farthest behind academically…it was awesome until the rest of my class joined and it gradually became more and more exclusive…a few years later I took my brother and he noted that every time he said anything it was as if he hadn’t said anything but the person next to him could say the exact same thing and people would respond. I hadn’t really noticed much because I didn’t talk much anyway, but it is definitely true. They would express excitement that someone new was there and then completely ignore whomever was not in their little friend group). Lol…all that to say that I appreciate however much my friends are willing to tolerate me while I am a lousy friend in return, and I do know how blessed I am and that having friends like this is nothing to be taken lightly.

couch

Speaking of my new place, last week I bought this couch (yes and the pillows in the picture)…might not have gotten the best deal of anything, but it is red and the place I am getting it from seemed to have a super flexible delivery plan which is helpful not immediately knowing when I’ll be available to receive the delivery…

I wanna go back

(Wanna go back – David Dunn)

 

I was rollerblading today and was thinking that I should be happy. I love my red skates, but they came in the mail shortly before the first match day. They became something I used for just a couple minutes during the day to induce enough motivation to get something in my mouth. Maybe all I’d end up with was a chicken strip, but it was more than the big fat nothing I was eating without that. It made it more of a chore than a fun activity even though the reason it probably worked is that I was having little fun…well, that and I found that if I could be in motion I could handle things better.

 

But I wasn’t happy. I was crying. No one can tell me what I did wrong in the residency search, so I don’t know that there is anything I could have done differently to make people like me, but I wish I could go back. It was really hard and stressful to do all those interviews, but at least then it seemed worth it. At least then there was some hope that this was simply a necessary hurdle on my way to achieving my dreams. I’ve had to jump over a lot of hurdles to continue running towards my dreams before my dreams disintegrated and the broken pieces were forced from my hands, the sharp edges cutting into my skin. The promise of my dreams in a few more years is what got me through the abuse and fallout throughout school and while I am now finally free of that, I am not free of the effects of being abused. Aside from that situation being raw in my mind when asked about difficult relationships and making interviews even harder than they should have had to be, it is also tied with this situation as it is a relationship in which I learned that I was never going to make it as a pharmacist and no one was going to want me and I wasn’t good enough and stuff like that. You can imagine that those beliefs about myself became more real when faced with the reality that it was true that no one wanted me.

 

It still hurts that no one wanted me. It especially hurts that the one place I had forever dreamed of working, and who had led me on as if they planned on selecting me said no. Sure, one place was finally willing to give me a chance, but I am still really grieving the loss of my dreams. All I’ve ever wanted was to do pediatric critical care in a dedicated pediatric institution, preferably one particular pediatric institution, and that dream had been narrowed to NICU or pediatric emergency care. Without a residency, it is difficult to get into pediatrics and is difficult to get into critical care. With a job I will likely have less flexibility to miss days to get to interviews. Also, with a job my contributions matter more, and missing days or leaving has a larger effect. I feel guilty thinking about trying again for residency next year. Also, I don’t know if I can handle going through the process and failing again.

 

So I have a basic idea of day to day life, but I don’t know where my life is going anymore. I felt like the only thing positive about me before was that I knew exactly what I wanted for a long time and was working solely toward that one thing. And I failed and now I don’t have that and there isn’t anything positive about me. If I couldn’t get a residency while I had something going for me, there isn’t really any chance now that I don’t really have anything special to offer. Why get me when you could get someone who isn’t such a failure, and who almost definitely has better communication skills than me? I don’t know if I should try again for residency immediately and feel disloyal or if I should stay a few years and get even further away from my dreams. I do know that I am pretty sure I won’t be satisfied long term having completely given up my dreams. I feel frustrated.

 

I want to go back to a few months ago before this pain, but I can’t. My only option is to continue to go forward. I still think the only satisfactory option would be for God to take me to forever home. It hurts so much to have to live this reality. If God can take me, but wait until after June 30, I won’t leave any holes in the schedule at my current job, and I won’t have yet started at my new job, so it’s not like they’d have lost that much on me. I wish I could just give up. I should be studying for the NAPLEX and MPJE, but the pain I still live with takes up so much of my energy and concentration that it still feels like too much to really study. I know it is very important, but important and having the mental ability to do it are certainly very different things.

 

It is very hard. The pain is a little better than it was, but is still very intense…but it has been long enough that the support ended. I need people, but I don’t have them. I’ve thought about planning a trip in the next few weeks when I have days off to the city where school is just to be able to see people even if not in the context of them being there for me. I think people wouldn’t want to see me though. At church they already turned off my access maybe like a week ago to the schedules and announcements. Being excluded hurts. I’ve been excluded a lot in life, and I’ve never liked it.

 

The book I was listening to today “The Night the Angels Came” by Cathy Glass mentioned that by talking about a hard situation, it starts getting easier…I think since for so long I’ve had so many things I wasn’t allowed to say, that I used writing in that way…but talking about it I feel like is probably so much better. (Oh, and if you are looking for books to read or listen to, I love the books that Cathy Glass writes. She writes stories about foster kids. Fostering and adoption are things that I would really like to do someday).

Rise above the hurt and listen to these words

(Beloved – Jordan Feliz)

 

Recently I have been re-listening to the awesome books “The Essence of Resilience” (Kathleen Parrish and Tanya Laurer) and “Resilient Grieving” (Lucy Hone). TBH mostly I’ve been re-listening because I needed something to occupy my brain during my breaks at work and I still had a few days left of those book downloads and don’t have any more downloads left until June, but they are really good.

 

There were a couple quotes from “Resilient Grieving” that I heard the other day while driving home (yes I was listening to a book and the radio at the same time in the car…if one thing is good, two is better).

 

“Let me not die while I am still alive”

The idea behind this quote being that while Trauma or grief events often completely change our lives making us a distinctly different person in the before than the after, it doesn’t have to mean that the rest of our life is not worth living. Although I do still believe that death would be better than this, it does lead to the next quote…

 

I have wanted one particular job and had one particular career path in mind since elementary school. The story I tell says 4th grade, but in reality I am pretty sure it was sooner than that, but the story was altered at some point because I was told it was more realistic that way. Anyway, the quote is:

“Option A is no longer an option, so let’s kick the s**t out of option B.”

I would say that I am a lot further along than option B. I think option B would have been getting a different residency in phase I (and we could probably break that down further to particular programs being B and others being other letters, but that get way complicated way fast)…Option C would be getting a pediatric PGY-1 in phase II. Option D would be getting any PGY-1 in phase II. Option E would be, well, there at least being a pediatric residency to which to apply in the scramble. Option F would be getting one of the residency programs to which I applied in the scramble…I don’t really know what letter I am on at this point, but like I mentioned previously, I am learning not to let go of my dream, but to let go of some of the pain. It is a very slow and non-linear process, but I know that someday this will not be the all-consuming factor in my life. I still remember the pain of changing churches on August 10th 2008, but I don’t think about it every day anymore. Most of the time if I do think about it, the thoughts do not lead me to feeling pain, and if they do the pain goes away quickly and most of it is more remembered pain than acute pain. I have to believe that someday that will be true of this situation and of my abuse…I think both of them are pretty well tied together right now, so they’ll have to be disentangled before one can be healed without the other.

 

After the first match, I wrote that I planned to get another residency and be the best resident they ever had and exceed expectations so well that other programs were jealous they didn’t have me. My mom saw it and wanted me to delete it, but I refused. Maybe that plan didn’t work out, but now I can be the best clinical pharmacist ever instead…there are some things I am giving up. Among other things, I am giving up staying close to my friends, I am giving up focusing on pediatric critical care, I am giving up teaching opportunities, and I am giving up being able to commit to leading my 0-3 year old VBS class. There is one thing that I gain though…I don’t have to do a residency project or a bunch of presentations this year. TBH, the residency project thing is the one part of a residency that does not sound at all appealing to me…well, that and some residency programs require going back to midyear, but it is possible that this job will also require that, so before I get too excited I’ll have to find out whether that is an expectation (or a strong suggestion…) or if I really do get to skip it.

 

Oh yeah, I wanted to wait until I’d actually been officially offered the position, because I unfortunately know that seeming promises of employment can fall through, but now I am ready to announce that I have accepted a full time pharmacist position. I was kinda hoping for a pediatric position (especially the NICU position to which I applied) and I was kinda hoping for a schedule with longer hours (like 7 on 7 off or 10-12 hour days) because I prefer having a lot of time off a few days than working a few hours every day, but I think I will like this position. I have very little adult experience, but that will make this a good growing experience, and my preceptor on my acute care (which I’ve been calling adult care) rotation at least got me to a point where caring for adults is still not my forte but isn’t so scary anymore. I know that I can, it might just take me a little longer to get to the right answer, and that is okay…and really, although it isn’t the path I wanted, I think getting adult experience will be good, because I definitely still do avoid checking prescriptions for kids who are starting to become adult sized. For NICU that is no problem at all, but for my other dream of emergency and because you can’t really only be competent in one area and make it as a pharmacist, it will be good for me to gain some confidence in treating adult sized patients.

 

And I have realized that while my heart is in pediatrics, I really do love pharmacy. Someone texted me yesterday with an adult pharmacy question, and I loved problem solving. It was a question that played well into my pediatric knowledge since it was a formulation question, but it was for an adult patient, so I guess maybe it also showed me that some of the things I love about pediatrics will make me a valuable resource in an adult setting.

 

So with the exposure I was working on…it actually went okay. It was really hard, and definitely intensified the pain that I still feel every day, but by the end of Monday it wasn’t nearly as bad as it was Sunday morning to be walking around in a logo shirt. I could definitely feel how much extra emotional energy I was using to make it through the day, but it will be worth it if the end result is after the down-trending now that I will have a few days while the shirts are in the wash is better desensitization and numbing to the pain. It might exacerbate the pain for a little while, but if it works how I want it to, it will be worth it in the end, and right now I have enough distraction in my life to be able to handle a little bit of exacerbation and stay relatively safe. I slept nine hours last night without even waking up at 2am like I usually do to get a drink…it makes it a little harder to get up in the morning when that happens since I’m too dehydrated to feel totally awake, but sometimes I guess my body needs that sleep because the emotional energy leads to real exhaustion. Post-exposure, I am doing really well. I did cry today, but I also had some moments when the pain was less crushing than it has ever been since the first match failure. I am really thankful for that. Right now I am struggling, but even a few minutes of not feeling so bad is a good reminder that maybe eventually this won’t be so all-consuming. Someday this will just be the way it is and I’ll be able to talk about it as if it is no big deal (even though it kinda is).

 

One last thing from Resilient Grieving that I missed the first time and I think is really relevant here is about Post-Traumatic Growth (PTG). Growth doesn’t have to mean that you are a better person or that life improved after loss or trauma; The growth might simply mean that your path has changed and you are now going in a different direction. We are different people after grief has re-written our stories, but if all you know is PTSD you will live a self-fulfilling prophesy and your grief will spiral into PTSD. If you understand PTG or even if you have a spiritual background you are more likely to recover more quickly. The implication that loss could be beneficial is a painful thought, but the fact that it can change one’s direction is less threatening.

 

I liked that imagery, and agree that the idea of loss making me a better person is something that is like salt in fresh wounds. I like the idea that growth can occur but that it doesn’t make it okay that the pain happened. I don’t like when people try to minimize big losses with but look now you have this good thing…sure, but now you are essentially asking me to value whatever good you see that I have now over the good that I had before and value it as worth the pain it took to come to this place. I don’t like that. Given the choice, I don’t know that I would necessarily value these things more highly than what I had before or highly enough to suffer as much as I did for them. On the other side, it is undeniable that grief, trauma, and loss have changed not only who I am, but my direction in life…beyond the fact that there are still people who probably think I graduated from Drake University…To allow the concept of growth as a shifting of paths allows me to acknowledge that yes, I am growing without discounting that this isn’t what I wanted to happen and that the pain is still very real and very relevant. I am resilient and I am strong, but that doesn’t mean that I think being hurt is okay and it doesn’t mean that I never experience pain.

Better be Ready

(Written primarily during breaks in class…lol…that’s why we get potty breaks right? So we can skip them to write blog posts?)

 

(Believe what the lord says to you – FearNOT)

 

I feel like my brain is spinning in so many directions and I can’t keep up with any of them. So this post is probably going to be super disorganized and running in a million directions…Sorrynotsorry…

 

Life is all about balance…so for lunch on Wednesday I put my 7 pieces of pizza on two plates…yep, I ate almost an entire large Dominos pizza. I might have some meals that I still don’t do a great job on, but right now I am mostly balancing out to a level of calories that I think is going to get me where I want to be. It is certainly still frustrating when things aren’t going as well like last night when I gave away my drink tickets because I didn’t even want sprite, but it is really encouraging when things are going okay. It feels like maybe a tiny glimmer of hope when at least the physical symptoms are residing. I am so thankful for that.

 

Funny quote I heard this week: “People are just extended donuts.” Yeah, I don’t think I’ll ever look at a person the same way again…donuts are so yummy…I could totally go for a donut right now…I wanted a donut so bad yesterday and most times there are free donuts during finals week, but I couldn’t locate any donuts…sad day…

 

So, living in the res hall is wonderful in some ways. It solved my homelessness. It means I am never too far separated from any of my things so wanting or needing something different isn’t a huge deal. It is awesome to once again have access to water at any time of day. It is nice to not need to commute.

 

But there are also some things that are not so nice. I have never lived with other people in my same sleeping space before, and it is really intimidating and makes me feel like I can’t be me in my room, because I am afraid of bothering other people. It also means that I am constantly on campus. Despite the lack of major problems in a while, I am still always on alert to some extent while on campus. It is exhausting. I need time to turn off.

 

It is probably also why the germ issues have snuck back in a little bit. That’s what high levels of stress do. All of my things are in a corner to segregate them from anyone else’s germs. All of my things are in plastic bags before going in the community refrigerator. I cringed when one of my friends sat on my bed. I can’t explain it, but some people in my world seem dirty, and others don’t and this particular friend falls into the dirty category. Luckily, it was on the far side of my bed where my head doesn’t go, so I was able to continue to sleep on the bed each night. So far it hasn’t gotten out of hand, but it is frustrating to have worked through all of this same stuff so many times.

 

I went to IT yesterday because outlook won’t let my email account get set up. They couldn’t fix it. Their solution was that I should just delete all my emails and have people email me somewhere else so it wouldn’t matter. Umm, yeah. Deleting all my emails is not an appropriate solution to outlook not working. Yet this is what IT always does. However, it did give me the idea eventually that even though my email wasn’t working on my laptop that it does work in the library and I could therefore get my emails that way by utilizing the ones I did have saved (which was not all of them…good thing I didn’t rely on that TOO much). It also let me know that a lot of my emails that I thought were saved on my usb were not…good thing I was spot checking occasionally so I didn’t lose everything…I have no doubt that I lost a lot, and that is a bit unfortunate, and I’ll probably lose more later, but I am certainly happy to have whatever I can get.

 

I am overwhelmed. I don’t actually know if I have somewhere to live after tonight. I need to figure out how to register to take my board and law exams. I need to find a job. I need a lot of things…lol…I am so overwhelmed.

 

There are some times when I probably shouldn’t have been driving. Last night was one of those times. So, last night was an alumni association event that I figured I should probably go to. Despite knowing I should go, I was totally going to skip out anyway except for the promise of a drawing for $100. I went. It was immediately obvious upon arriving that it was not a good idea. On the way in there were a series of people and each one asked where I was going to be working next year and what my plans were. Ouch. Within the first 15 minutes I just wanted to yell EVERYBODY SHUT UP!! Even without that, I would have had a hard time…even if I weren’t struggling with grief it was an event with which I would have had a hard time. The venue would have been wonderful…if there were about a fifth as many people there. There were people and voices and movement everywhere. It was pretty much the entire space shoulder to shoulder. They originally said by like 6:20 we could leave…in reality the main program didn’t even start until 6:30…I was not a happy camper.

 

And then I went to church. I really thought that by going there I’d be able to calm down and recharge a little. I didn’t intentionally go so that I could be dangerous. I had a reasonably good time, but without really being surrounded by people I know, and by spending my time in an area that wasn’t as familiar to me, it didn’t really bring me to where I was hoping it would. Even if I had been with my favorite people and in a more familiar area, it might not have been enough anyway since I was so far gone after the ironically named event “Happy Hour.” Between exhaustion and the emotional pain I was in, I was definitely not a safe driver on the way home. My car and I made it in one piece, but TBH, I wasn’t because of anything I was doing. Like I got to school, walked around my car, and was relieved to note that there wasn’t any evidence of running into anything. I tried…All you can get from me is my best, and I did that.

 

Also, I have a lot of opinions…sometimes you learn to keep your mouth shut because if everyone is cheering about how excited they are about something you probably shouldn’t let them know how much you don’t like it…particularly since I am someone who would be thrilled to not go to the graduation ceremony anyway, so making it marginally better for me probably isn’t worth it…my opinions don’t matter that much.

 

Now that IT has re-imaged my computer, I can’t access the old wordpress anymore…I’m not really a fan of the new wordpress formats…so confusing. It takes forever to find what I’m looking for.

 

Everyone has been painting for hours and I finally was convinced to try it…so now I have two mini flower pots…so if you want one, let me know, because they are most likely not coming home with me…and no, I’m not quite sure what that white and red blob on the back of the one is…I accidentally got white paint on my hands that then got on the first pot I was painting and so I tried to make it look intentional but wasn’t quite sure what to make it into…

 

I have done my best but still I miss the mark

(unedited as being in survival mode for over a month now means minimal time for non-necessities and I already wasted too much time writing the post in the first place)

(Come Rest – Lindsey McCaul)

That lyric pretty much sums up how I feel about life. I do my best but all I do is fail.

I attended resident prep series classes.

I read two books about getting residencies.

I read the residency prep workbook.

I went to midyear.

I attended the residency showcase.

I applied to an insane number of jobs with well-researched personalized letters of intent.

I prepared for and completed a zillion interviews.

And I didn’t get a residency.

I did all the applying and interviewing stuff again.

And I didn’t get a residency.

I tried again.

I still don’t have a residency.

I try to force feed myself every day, but until this week my weight just kept dropping. I couldn’t keep up with the calories I was burning.

Now I’m eating but the things I am best at eating are skittles, cake, goldfish crackers, noodles, cookies, donuts…and so I continue to supplement with at least two multivitamins every day. On the positive side, I now rock at swallowing meds (at least the ones the size of the multivitamin anyway), but it doesn’t feel like enough. Sure, today’s lunch (which was 90% of yesterday’s lunch) had a reasonable number of calories and hit the fruit/veg and carbohydrate groups, and building off a breakfast with protein counted in my books as a real meal, I am already overwhelmed thinking about my next meals. Eating isn’t as big of a challenge as it was, but it definitely isn’t easy. If I had the funds to have someone assigned to ordering me dominos every day I think I could do it, but remember how this girl doesn’t have a job…yeah…daily pizza isn’t practical. Besides, where do you go to hire someone to order you daily pizza? The process of ordering and obtaining pizza is way too overwhelming at this point for me to be able to do that myself…it might not even have to be pizza…basically anything that is finger food is the most likely to be consumed if there isn’t a social factor to eating.

And you know how I don’t have a job? Well, that means I should probably apply for a job, right? Yeah, easier said than done. Every time I try the pain intensifies and I decide to do it later. I finally had to give in Sunday morning and just do it. It is currently past 5pm. The sleeves of my Despicable Me t-shirt are soaked in tears. I have one application submitted. TBH, the only option that sounds good at this point is death. It doesn’t seem like there is any way to fix this situation and make it okay. And that is another failure. I am not supposed to want to be dead. Clarification to keep me out of trouble: I have no intention of doing anything to end my life. I want to be dead, but I don’t want to kill myself. That would just mess more things up. I can’t do anything right. But I do like that real job applications don’t cost $40 each plus $150 for the privilege of applying at all…

And I’m pretty much the worst friend ever even though my best friend says that’s not true.

I don’t want to be a Debbie Downer…so let’s see, on the positive side, I think I am going to get an A on this rotation. Pretty sure it is basically a gift, because it sounds like my preceptor read my self-evaluations where I was honest about how I know my work kinda isn’t so good given the lack of sleep and other situations surrounding this rotation…but at least that is one less thing to worry about. Now if only there were some way to get breaks inserted into my day without seeming ungrateful or lazy or something…’cause I almost peed my pants on Friday because I had to be ready for my first thing by 7:30am and didn’t get any opportunities for even a 5 minute breather until like 2pm. Also positive: I did get to leave by 5pm on Friday which was awesome because I was starting to get frustrated with my work and the stuff I was doing is stuff that can only be done at school and there is no defined amount I have to get done so the time I leave does not impact my work load.

Why would he let it hurt so bad

(Don’t Worry Now – Britt Nicole)

Some days are not good. I’m supposed to have two projects mostly completed by Tuesday. I am barely any farther than I was Friday. It isn’t for lack of trying…it’s just that I’ve spent more time today crying than working…

…and when I was working I was really having trouble getting through the work. I am really worried about this rotation because the quality of my work is umm…decidedly not ideal…and at this point I’m having trouble having even just SOMETHING not even necessarily something good to turn in. Everyone said this rotation would be easy…I don’t think everyone knew A) how hard grieving and keeping up with school would be and B) that I would be engaged in meetings and classes from at the LATEST 9:30 until at LEAST 5 on some days and 6:30 other days in addition to new homework being added to my plate every day. It is starting to get to the point that I am not sure I will successfully complete this rotation, which is terrifying, because lack of success means delaying graduation which would be really hard to explain to a potential employer someday…at least it would give me longer to look for a job somewhere?

All I’ve eaten today was four chocolate chip pancakes, a granola bar, a couple ounces of orange juice, half a bottle of grape propel, and maybe a cup of water. I’m trying. I really am, but today was a hard day and without prompting I was really struggling to eat. I know if I was eating I might be able to focus better and I probably would be less emotional, but the pain of the grief was really heavy today. Today is also going to be my first Passover celebration. I am not sure how much food that involves…I just hope that no one expects me to drink wine, because this definitely is not a good time for my first alcoholic beverage.

I think the problem is that it is getting very close to the day I find out the results of phase II. I don’t think anyone is going to want me in phase II, and the closer the day comes, so too does the possibility of repeated failure. There is still a possibility of a miracle until Wednesday and the closer that day comes the more anxious I am becoming. It still hurts more than words can express.

I don’t know if I can take another failure to match. I clearly haven’t really recovered from phase I yet. I thought this pain was too much and I am getting closer to the possibility of even more.

Complicating the picture, Wednesday is also the second Wednesday of the month which means I will need a new place to park my car and will probably have a longer walk to school. My friend said I should park at IKEA. I need to figure out if the route from IKEA to school will put me on a safe path. Okay, if I am being super honest, I am afraid that if I don’t match Wednesday I will be thinking so poorly that I could make a bad choice and get myself killed. If there is a train crossing that is between school and IKEA I doubt I will be paying enough attention to keep myself safe. Intersections aren’t so bad because cars generally will stop for me if I am not paying enough attention and end up in the way, but trains aren’t supposed to be watching for that. I don’t want to hurt people by getting dead. As much as I would be thrilled to no longer hurt so bad, I don’t want to eternally feel guilty for hurting people either…(umm, actually I’m not sure you can feel guilt once you get to heaven…but it’s the principle of the matter…)

And that isn’t to mention that not matching in phase II further decreases my chances of getting ANY job.

I don’t know why God put me in this place. I don’t know why he won’t take me home. I don’t know why he lets me hurt so bad. But I know that God is good. I know that God exists and cares…I wish I could go to bed, wake up, and be in elementary school again and tell myself not to make too many plans so that I wouldn’t have plans and dreams that could be crushed. If my goal in life was just to work at McDonalds I could probably make that happen with not too much difficulty. And then I’d have free McDonalds! Yum!

I ain’t like no one you met before

(Sold Out – Hawk Nelson)

So today I realized that I graduate in 92 days and my intern manual (required to get a pharmacist license) was lost again…if there were a prize for the most lost manual, I’d be the biggest loser and therefore the winner…on the positive side, it is found again…but I also forgot to get my hours form signed for this rotation…and I seem to have lost the precious few hours forms I actually did remember to save and therefore may still have some difficulty getting licensed…someday I will be a more responsible adult…
See, if my memory serves me correctly, I got my intern materials in the mail the summer my life was spinning out of control. I didn’t really have the brain space to read and process all the paperwork in that envelope and it all sat in the envelope it came in for months on the back burner. I got as far as remembering that the manual existed and that there were forms that needed to be signed. It wasn’t until this summer that I actually went through that paperwork and learned that I was supposed to have been saving a copy of each pre- and post- experience hours form.
I don’t have much of an excuse for my manual continuing to get lost aside from the fact that it is really hard to keep track of anything when you don’t consistently live in the same state and are constantly packing up and moving multiple times per year…
So I now have a half completed manual and two hours forms which add up to 400 hours…of the 1600 required hours…Yeah, we better hope the board of pharmacy keeps track of the forms too and really saving them is only suggested for disputes over hours…I admit that I shouldn’t have let that stuff stay on the back burner so long.
As for the form I forgot this rotation, I think that should be an easily excusable offense although it truly is idiotic from the outside. See, last Monday I had an interview and was out a little late getting home from that. I gave a case presentation on Friday and was mostly caught up on sleep then I flew out to another interview that took place on Monday. Sunday night I was up like 15 minutes late because I fail at telling time. Monday night I was up late because my flight got in a little late and so by the time I got home it was after midnight. I usually go to bed at 9pm. Tuesday I left my rotation a little a lot early to head back to the airport. That flight got in on time, but it was scheduled to arrive at 8:57pm so obviously by the time I was at my location for the night it was after bedtime and by the time I got to bed it was between 30 and 60 minutes past bedtime. Then Wednesday night I had a super tight connection. At the airport I started at I learned that the gate my connection was leaving vs the gate my first flight was arriving at were the two most distant points in the airport and my directions were to run, get on the moving sidewalks, and push people out of my way. That was before my flight landed (2-3 minutes) late. I ran like my life depended on it. It was like the mile run in school where there was no way of knowing how long you had been running but they threatened to fail anyone who couldn’t finish within 12 minutes and even though I knew they probably wouldn’t do it, I was terrified and ran my little heart out despite how much it hurt. So there I was, running full speed through the airport on the moving sidewalks, gently pushing people out of my way, heart and lungs burning so so badly. I made it to my gate with probably less than a minute to spare before doors closed and showed the dude my boarding pass (which at this point was a little crumpled and sweaty). He looked at me and I half asked/half demanded to board. The airline dude was like we aren’t currently boarding. Inside my head I was freaking out because I thought I missed my flight and was super frustrated, because control freak that I am, I was sure maybe I could have pushed just a little harder and gotten there a few seconds sooner and gotten on that plane. Luckily, while my brain was catching up and processing what to say to get my butt back home ASAP, the dude saw my confused look and asserted that nobody was boarding anywhere because the computer system went down.
Y’all, there are a lot of idiots and jerks in the airport, but there are also some really compassionate people. Some people offered me a seat and encouraged me that I worked really hard and didn’t miss my flight. Eventually I did board the plane and get home. When we arrived, the flight attendants made a very important announcement that this was the very last flight in for the night and therefore do not forget anything anywhere because everyone will be leaving behind you and no one will be available to help you retrieve lost items…hearing that I was super thankful that I was on that flight and not stranded in an airport far away. I may have been wearing a top that was just barely more than a tank top and the temperature may have been approximately 0 degrees, but luckily the towel in my backpack was clean, dry, and easily accessible, and became my cape to stay warm. I finally got home. Let’s just say that when I was already crashing on top of my computer before the first flight started that by this point I was so extremely sleep deprived that there was no hope of organized thoughtful processes occurring.
By the time I got home it was around 1:30am. I was getting read for bed when of course the sleep deprivation started sparking a level of anxiety I couldn’t ignore. See, my overactive imagination determined that someone might have thrown up on the last flight I was on and I was terrified and my fried brain couldn’t process that there really wasn’t any good evidence that had happened and that even if it had that there was a good chance it was just motion sickness and no more dangerous than the person coughing a row in front of me. I wanted Lysol and didn’t have any. Instead I had to compromise with myself and use a Clorox wipe on my hair and skin before I could go to bed. By the time I had done this, brushed my teeth, put on pajamas, I had about 3 hours before my mom woke me up (because of course I slept through my alarm). I raced through showering and throwing random food in the mini-lunch box I’d left on the table on Tuesday afternoon that had previously been used for a frozen dinner and apple and pepperoni on Tuesday when I was also in a rush trying to catch up on a few minutes of sleep. I got to rotation on Thursday and had a preceptor I didn’t click well with and was so frustrated that a couple times during the day I had to excuse myself to the bathroom to cry and calm down. I gave my journal club presentation, and as you can expect, it didn’t go super well when I had almost fallen asleep during the other student’s presentations. I also hadn’t remembered to bring handouts. That morning I’d been so tired that I had trouble leaving because I couldn’t remember where the door was (and my parents have lived here since I was in second grade)…I went to bed at like 6 or 7 on Thursday, but it wasn’t enough and even with more than one alarm set I managed to sleep through them and be in a rush again. And that is how after having a few pieces of pepperoni an orange, and some cheerios I was too tired to eat for lunch on Thursday, having the rest of the cheerios for dinner, then having skittles, pepperoni, rice, almost pudding (I didn’t have cow milk to make instant pudding appropriately), and a pecan pie flavored sucker for lunch, I failed to even remember that there was a form that existed that needed to be signed much less to actually ask to have said form signed…my lungs still hurt at that point from running through the airport, and I was still fighting to stay awake. Finally today my lungs and heart don’t hurt anymore!! (And this is why I will never ever ever have any interest in becoming a runner. I like my bike. I like swimming. I like rollerblading. I do not like running).
On the positive side, as I was getting ready to take a nap so that I could safely drive home without risking falling asleep, I realized that it was only legal to park where I was parked until 4pm and it was currently 3:40pm, and somehow that triggered me to remember to turn in my nametag before I left, because the original plan a week ago was to park not to sleep, but to have somewhere legal and free to put my car while I was turning in my tag. So I did at least turn that in so that I don’t automatically fail the rotation for failing to turn in my nametag!! Unfortunately that used up all 20 minutes of my legal nap time…so I came home, luckily with only almost running into other big iron things, and napped and it wasn’t until now that I realized I had other responsibilities that had not been performed.
And with that, I am going to sleep now, because I am still desperately short on sleep hours.
Maybe with some sleep it won’t feel anymore like no one is going to want me for a residency…I try really hard, but I am lousy at interviews and I know it. I feel no one is going to want to take a chance on me. Because of that fear, I also plan to rank every program I applied to even if I am not a super fan of the people there or the program. I am desperate to just get SOMETHING.

Shadows drip from my umbrella

(Endure – Plumb)

I graduate in 119 days!!

Look what I made at the library yesterday when I should have been doing homework!! I took pictures at an angle to hide the parts that are less photogenic, and it is definitely not solid enough to be functional even if it were big enough and made with material intended to be in contact with things for ingestion…but it’s cute…my original plan was that it would be big enough to be a cute mini candy bowl, but that was going to take almost two entire days, and I could only reserve the stuff for four hours…but now I have my own shopkins sized mortar and pestle…

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No Way I Can Get This Start Finished

(Procrastinating–Stellar Kart)

Umm…lol…wanna know why I am laying on the couch watching a video that isn’t even that interesting?

Well, because I know I am no good at interviewing, but I haven’t figured out how to fix that. Being a second year armed with a list of the potential questions I got through it memorizing the answers to each of the questions…I also had months to write and memorize said answers. And cultural heritage was over so it wasn’t like I actually had much of anything to study…(yay for repeating a zillion classes…thanks school…not complaining…but…it’d be really nice to have graduated last year…yes, I do know that promises mean nothing if they are verbal rather than written–just hadn’t figured it out at 18 years old–…not that a written promise will necessarily be honored at school either)

As a sixth year faced with residency interviews there isn’t a list of questions…I mean, I can totally find questions on the internet or whatevs, but there is basically no limit to what I could be asked…and on top of that I have to be able to come up with my own questions to ask.

Wanna know how I tend to handle being overwhelmed? By not knowing where to start and giving up until it feels like an emergency. Luckily being a chronically early person, the idea of emergency starts appearing in enough time that I can totally still get things done…but basically, I am watching a video so I don’t have to figure out how to get ready for an interview…

On the positive side, I pretty much have been promised an interview at two places that I would really really like to be!! On the negative side, it will be happening very soon and have I mentioned that I have absolutely no idea how to interview?? And how in the world am I supposed to have questions when I’ve been friends with a very high percentage of the residents at those two programs and have therefore already had a venue for my questions starting like 6 years ago…hashtag one of the previous residents has also co-precepted me…she’s the one who I will never forget because of what happened the first day I met her…she’s hilarious.

I did have an online interview…which I’m pretty sure that the program that was for gives to every candidate…but umm…it was a good wake-up call that ignoring interviews doesn’t make them go away or make me any better at it. Let’s just say that the computer said the interview would take about 65-80 minutes…I pressed the pause button so many times that it took me around 4 hours…and I almost gave up and made my answer to what is one thing you’d change about yourself that I’d be done with this interview…I was just so done…oh yeah, I started preparing for that interview the morning before I filmed it which was two days before it was due…yep, procrastination is totally my M.O. for a coping mechanism.