10/20/09
Nothing much has been going on at the rotation site lately. Yesterday I was supposed to be in the anticoag clinic for 8 hours, but all the patients either didnt show up or were admitted to the hospital for other problems and were not going to visit, either that or they just didnt like me. Instead I did a lot of research on Crystal Meth for my final project, I have another 3 weeks until I present and the powerpoint is just about done, so im in pretty good shape for that. Today I made up for yesterday by seeing several patients in the clinic rather than just sitting around waiting for things to do. The anticoag clinic is pretty cool because we have a lot of leeway for adjusting coumadin doses based on INR. I even got my INR done and it is a healthy 1.2 (must be all the green veggies). There are 5 students from Creighton university (where the hell is creighton) shadowing in the pharmacy so things are pretty crowded.
Apparently this has been Halloween dress up week, monday was sports themed, yesterday was cross dresser themed, and today was 80s so things are pretty strange around here. I was surprised to find out that Halloween is the biggest holiday on the reservation. I was checking a patient's chart and found they had a Hemoglobin A1C (indicator of chronic uncontrolled diabetes) of 12.7 (goal is <7 or <6 if possible) and the pharmacist was not surprised. She said that they get people with A1Cs this high two or three times a week and it will only get worse once Halloween hits. I understand the rejection of some anglicized holidays like Christmas and Easter, and the rejection of some holidays (Columbus day), but Halloween doesnt seem like a huge holiday to me. I guess since it is a ritualistic representation of a pagan holiday it might have some draw, plus there is candy.
This weekend should be good. Im heading to Flagstaff on Friday night, possibly visiting the museum of northern arizona and then heading up to the Grand Canyon on Saturday. I am going to only be able to hit the south rim, but I hear that has the best views. On sunday I am going to try to check out Antelope Canyon and Lake Powell in Page, AZ. I also opened a webshots album at http://community.webshots.com/user/owenfoley where I have posted some of my pictures with more to come. I really appreciate all the calls and emails that I have gotten this week, Ill try to get back to you as soon as I can.
-O
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