Update

Hey gang!

First off - I am officially a PharmD now! I had planned to put together a nice little graduation post for this page as a tribute to my pharmacy school experience, and maybe I will get around to it eventually, but it fell to the wayside in favor of other life stuff (I did make a graduation post on Instagram though!). I'm proud to have made it to the end of the program. I already miss my pharmily so much, but my closest friends aren't too far of a drive away and we all still keep in touch which is fantastic.

Anyway! I definitely have not been posting daily study updates/notes as I originally intended. As a result, this page is severely lacking and looks rather lazy.
I intend to fix this!

...eventually!

I originally made this website as a bit of a distraction from the sense of impending doom I felt (and still feel) about taking the NAPLEX. At my current pace of study, I anticipate I'll probably take the NAPLEX in late August. With a job offer already accepted, I can only hope my anxiety fueled ADHD fugue state has not delayed my licensure too far into to the future that my job takes issue with it! (and that's before I even think about the MPJE! 😭)

In any case, I am investing time into my success but hope to improve this website soon. In the meantime, here is a list of things I hope to finish/improve when I can eventually give time to this page again:

• While I still love the Frutiger Aero aestetic, I would like to rework my layout to resemble a Web 1.0 site with modern amenities. That would mean rewriting almost every page though, so I'd settle for making an "alternate homepage". To be honest, I might get my fix from just swapping out my current image backgrounds for era appropriate tileable gifs, though I've discovered lots of widgets and gifs/images that would function better in an entirely new layout.

• Proper integration of my WIP screensaver page.

• Proper integration of my WIP web-based CV.

• Consider depersonalizing this site so I'm not doxing myself so hard lol.

• Add more pharmacy based website content because so far very little on this website reflects my chosen profession!

• Rework this blog page to be thumbnails for lengthier posts that are stored in subpages of this blog page.

• Page showing off thie Clippy website buddy/music player I gerryrigged together w/ download for easy impliment if ever anyone else wanted to use it.

• Fan/Tribute pages? I have had ideas for my beloved childhood MMO Fusionfall and my oft beloathed pet (?) itemlabel "Peepy".

• Rework site-map so that it does not look like garbage.

• Mockup web storefront for Dr. Gette and my prospective supplement business.

• Join a web ring?????

• Proper credits page for assets I have used and very negligently not credited, like the sadgrl layout builder and lots of assets from the Frutiger Aero Archive page. Both of these pages have customs buttons I am meaning to link!

• ...and much more!


Wish me luck true believers! Ok I need to lock tf in.

ACS and I'm an ACMess

Today's Study Topic: ACS. MONA-GAP-BA! Morphine-Oxygen-Nitrates-Aspirin, GPIIB/IIIA-Anticoag-P2Y12, BetaBlockers-ACEi! Avoid PPIs with Plavix (300-600 load, 75 maint) because they inhibit 2C19 (Charley doesn't have that!) Effient (Pras) not safe for hx stroke/TIA, also really only for PCI! Also it is in it's original container only, super suceptible to moisture. Brilinta (tica) concurrent ASA *maintenance* dose should be less than 100mg! 90 mg bid 1 year then 60mg bid. Also potentially causes dypsnia? GPIIB/IIIA inhibs are kind of agressive and really only used acutely, they block a receptor preventing fibrinogen from binding. Also morphine is used for pain management in ACS because it vasodilates which is preferred here!

In STEMI PCI is preferred to fibrinolytics (optimally 90 min or less door-to-bloon time) but if you local hospital doesn't have a cath lab (can't get PCI within 120min), fibrinolysis is the next best thing (optimal time 30 min or less door-to-needle) They convert plasminogen to plasmin which binds to the fibrin mesh and degrades the clot. Time is brain MUSCLE (dying).

Secondary prevention DAPT for at least 12 months wether they had a PCI or not! NTG prn, HR 50-60 bpm target BB 3 years or indefinitely in HF (whech might be CAUSED by STEMI/NSTEMI, BP managment, statin (probably high intensity). If patient is on triple antiplatelet/coag, P2y12 is first to drop + add PPI within reason if hx gi bleed.

First Post!

This is the First Post!