Showing posts with label Chinese medicine. Show all posts
Showing posts with label Chinese medicine. Show all posts

Saturday, October 1, 2011

P3 Year So Far

It's crazy to think that our class is already this far.  Seems like yesterday we were all meeting for the first time either at our interviews or at Welcome Week.  Every session we have I meet more of my class members and I am excited about that.  I feel sad when I think of the class members who are no longer in our class for whatever reason, but I know that life happens and our plans often get rearranged to suit a bigger purpose, even if it doesn't seem that way at the time. 

As for me, I keep plugging away.  The amount of work this year is even more than last year, however I find that I am enjoying, or have the capacity of enjoying, (there really isn't much time to consider enjoying) the classes more this year as they are more applicable to clinical practice and bringing all of the bits and pieces we've been gathering over the past two years, together.  I notice that our current therapeutics chapter on hypertension is written by Dr. Joseph Sasseen, from the pharmacy school at the University of Colorado.  He was my interviewer there.  He was very personable, enthusiastic, comfortable, open-minded, and seemed excited to hear more about my "interesting" background in Chinese Medicine.  He helped me feel that CU would be a good place for me, and I felt encouraged.  I was accepted there several weeks later, and was trying to figure out my life and my huge commute across town every day, etc., while I awaited the news from Creighton, which was offering a more flexible (and far more expensive, yet balanced) program.  I was wait-listed at Creighton, so CU was truly my most viable option at the time.  Oregon State U. and Regis University had also accepted me, however both offered their own challenges to attending.  OSU was out of state, and I still had my youngest son at home, and that would have been a difficult year away, for both of us, as much as I love Oregon and their little pharmacy school.  I would have been in Regis University's first graduating class, and a pharmacy school cannot gain accreditation until it graduates its first class, and the pharmacy boards cannot be taken until a student has graduated from an accredited PharmD program.  I'm sure that Regis U will have no problems getting accredited for their first class, but I so did not want to be a guinea pig after my experiences with Chinese Medicine school(s).  I knew I needed to be at an established program.  Creighton is the oldest pharmacy school in the country, and the only one that has an accredited Distance program.

I was finally accepted at Creighton and at that moment my whole life shifted into bigger and greater things.  My life is great with my new husband and having the ability to live in the mountains.  I am very grateful for the program at Creighton.  I sometimes wonder what my life would have been like had I ended up at CU.  I know I would be spending MUCH more time in my car commuting, and wouldn't have had the time and energy to commence and develop the most amazing relationship I've ever had. 

I diverge a bit from the topic of the P3 year, I guess I'm just astonished that it's going so quickly, and before we know it we're going to be on rotations.  I am looking forward to rotations, even though I don't know much of what to expect.  I look forward to getting out there and interacting with the 'in person' world of pharmacy and gaining more information so that I have a better idea of what I will do with all of this new knowledge.

This reminds me of an awareness I had earlier this week on the way to one of my exams.  I was listening to an NPR story about prescription medication addiction and the prevailing problem it is without apparent answers.  The day before this story aired, we had a lecture on Lifestyle Modification to help patients to learn how to better take care of themselves through diet and exercise and stress-relieving activities, in order to decrease their chances of developing chronic preventable diseases such as diabetes and hypertension.   My weird entreprenurial mind kicked in and I began envisioning a clinic where one focus is helping patients with their addiction to pain medication through Chinese herbal medicine and acupuncture, and other modalities, but also within the context of being a pharmacist with the knowledge of the medications and hopefully being able to work with doctors and other health care workers.  Dr. Chen, who was the L.Ac. and PharmD who taught a workshop I took over the summer, said that one of the biggest niches that an acupuncturist could work in would be in pain medication addiction.  I know, too, that if Lifestyle Management could also fall within the scope or realm of pharmacy, then that's another area to consider creating a clinic of focus utilizing the complementary medicine modalities I have in my toolbox, but also the drug knowledge I'm learning in pharmacy school.  On top of this it would be very cool, once I'm comfortable, to provide a compounding service to the local community.

Up until this point I was mainly contemplating finding a pharmacy job after graduation to give my entrepreneur a rest (which she is a little bit while I'm in school).  It seems like a good idea to have a job, an income, etc., and not have the stress of starting and running another business.  However, if I were to work full time, I'd have little time for practicing acupuncture and Chinese herbs, which I love to do.  My wonderful husband suggests a happy medium:  Work part time in a pharmacy that I enjoy and that could support my entrepreneurial endeavors.  He's a smart man, and seems to know me well.  I also realized that I can create what I want to do with a PharmD, so that it's in complete alignment with my self. 

I have a dear friend who has just completed her degree in Chinese medicine and is in that wonderful waiting period post-graduation and pre-licensing.  I enjoyed this period, as it was a truly creative time as I explored and created my first clinic.  I am looking forward to this time, again, to have the time and freedom to explore the possibilities.

Right now, though, it's about succeeding in/passing these demanding classes, as this takes pretty much ALL of my time, and MOST of my energy.  I can pretty much, honestly, say, that this is my final degree.   I can see taking classes in the future that utilize the other side of my brain, like drawing, painting, or basket-weaving, but all just for fun and likely one at a time.

The end is in sight, and "they" promise that the 4th year is worth the wait and hard work.

Saturday, May 28, 2011

Compounding Possibilities

Dissolvable troches
I just completed a two day "boot camp" training at the Professional Compounding Centers of America (PCCA) in Houston, TX.  I really enjoyed this, because 1) it was well-taught and organized, 2) it provided lots of hands-on opportunities to create unique dosage forms in a lab.  I always enjoyed my general and organic chemistry laboratories during my undergraduate years, so this was a nice practical confluence of old and new.  Also, 3) it provided a spark of a thought of and idea of a possibility of where I might be able to utilize and combine my knowledge of Eastern and Western medicine. 
My lab station at PCCA

A few of the compounds made the first day of boot camp
Suddenly a vision of a compounding pharmacy appeared where I could provide not only unique and creative dosage forms for patients who are challenged by the manufactured pharmaceuticals, either through allergies to drug components, or not having the correct dose available in the traditional forms, but also I'd be able to proved Chinese herbal remedies, either in the traditional decocted tea formulations, or capsulized powders, or also utilizing the compounding methods I've just learned.  With this new awareness in mind I have done some research and have found another Chinese medicine practitioner who also has a PharmD (aside from Dr. John Chen who also has a PhD, OMD, etc. and writes some of the textbooks for Oriental Medicine - I'm taking a workshop from him in July).
Setting up to make lollipops

Part of the museum at PCCA

Throw back to when pharmacy was mostly botanicals

The woman I found in Edmonds, WA, offers compounded medications (such as bioidentical hormone replacement, pain relief, veterinarian needs, etc. with a physician's prescription) as well as herbal remedies, and combination of the two for the optimal therapy for each patient.  I really like this idea, especially the individualization of the dosage forms, and the aspect of direct patient care.  Check out her site: The Compounding Pharmacy
Me in the compounding pharmacy museum at PCCA
 
I will be doing more research, especially visiting local physicians and veterinarians and see how receptive they are to something unusual.  If I were to open my own pharmacy, this is the type it would be.  We have plenty of regular community pharmacies in our little town:  King Soopers, Safeway, Walgreens, and WalMart, and it seems it would be pretty silly for me to spend the money, time, and energy to set up something that isn't unique.  


The entrepreneur in me gets excited about these ideas, and I know that when it comes to starting whatever I'm going to start, I will be approaching it differently than I did when I began my Chinese medicine practice.  I have learned much in the last seven years in practice in Chinese medicine.  I still have a couple of years, at least, before I plunge into a new venture, so I have lots of time to explore possibilities and develop a business plan (or business plans) and tweak it as new knowledge is gleaned and life events happen that change and mold dreams.