Rain, rain, not so bad…

[Monday 21st August]

It’s always a good day out with birds.

Even when the day is one of the worst this winter.

It’s raining lightly but steadily, the temperature is heading from a freezing 4 degrees to a frosty maximum of 6 degrees for a chilly winter’s day, it’s slippery and slushy underfoot, I missed my bird watching group meet time by a few minutes but saw them crossing the road as I parked, then they disappeared on me while I was getting my stuff together!!

But with some of my new resilience I decide to power on. It sucks that I missed them, but I can’t find any fault with them at all. It was a typical Danika move.

Looking at the forecast the night before I wondered if I was up for the task of wandering around for 5 hours in not only the cold, which you can dress against, but the wet. I’ve gotten wet and cold on one bird watching outing recently, feet and legs mostly, and it wasn’t fun. But I can dress warmer this time and be prepared. About that wet though, do I really want to be walking around in it through thick undergrowth for 3 of the 5 hours, according to the forecast? I couldn’t decide. Originally I definitely wanted to go because this birding outing was one that I haven’t seen come up before, a walk through the Sherbrooke Forest and…ding ding ding…lyrebirds! I’ve glimpsed a couple in the wild, and seen one at Healesville Sanctuary in their awesome recent lyrebird exhibit, but I’d love a better look!

But that wet…and so I dithered all night, didn’t make a decision, looked up what time I’d need to leave by, couldn’t decide when I woke up in the morning, called the leader to confirm it was on, slept a bit more, thought I wouldn’t go, thought I would go, left it too late and took too much time putting on my two pairs of socks, three tops, packing my 3 jackets and so I had no time for breakfast before I had to jump in the car post-haste.

This is a big flaw for me that I’m trying to work on: skipping breakfast. Actually not skipping breakfast as such, because I can’t make it to 10am if I don’t eat in the morning. I’ve always felt nauseous and faint if I don’t eat breakfast. And taking a handful of tablets on an empty stomach doesn’t go well. But I’ve also never been a morning person since I was a baby. So it’s a tussle between getting up in time for a proper breakfast and getting up, full stop! Lately this has taken the form of skipping a sustaining breakfast like my standard 2 pieces of toast with spreads for getting out the door on time, then making a 2 minute stop at the local Coles Express for something less sustaining but at least food and drink. I reserve the right to tell you what kind of food or drink I would usually pick up!

Google maps told me when I left that I was going to be 3 minutes late, as in arrival time 10.03am. This is okay, most times you can make up this difference along the way and arrive on time. Although not properly on time, which is 5 minutes early as my husband will say. In this case probably 10 or 15 minutes early would be ideal for putting on jackets, unfolding umbrellas, getting the camera ready etc. So really I’m  way behind, but I’m telling myself that 10am is okay. But still, no breakfast yet and I can’t walk around in the forest for hours without breakfast, let alone without lunch that I haven’t accounted for, and the Dandenongs aren’t really ideal for ready to go food. But luckily I did find a quick mart type general store at Tremont just before Sherbrooke forest and got some Twisties and drinks; not ideal but it’ll keep me going. Forgot to get lunch but at least this is a start. Except…

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This doesn’t even show how deep the colour blue was on my tongue, fingers and lips!! What the heck?? Apparently although these Twisties look like Twisties, smell like Twisties, taste like Twisties, they are Blue Tongue Twisties! Well that’s new, and not necessarily great for me. Busted about eating Twisties though; hubby will be happy. Luckily after my afternoon nap the blue on my tongue had been digested by my mouth enzymes, but I had to scrub the life out of my lips to clear them up, and I’ve still got blue around my nails 2 days later!! Argh!

But I got myself going, and I got these:

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The charming Eastern Yellow Robin

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They are so skilled at gravity-defying grip onto trees

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A clearer shot finally: the rain really messes with clarity

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Murdering the “snake” by whipping it and mashing it and tearing it into bite sized pieces

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Nearly got its head off, now to…

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“Bang”!

 

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“Is it dead yet?”

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Another flick through the air and whack! against the root

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See how far around it can rotate its head? Somehow with such a large prey compared to its body it manages to get the right amount of acceleration then bang it against something hard

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See how its eye looks weird? Its called a nicitating membrane. It like a second eyelid but its see-through. Birds use it to protect their eye when they still need to see but are at risk of, for instance, having half a worm flick them in the eye

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Finally a bite sized piece! Yum yum, down the hatch

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“Get away from my snake!!”

 

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Uh oh. An invader. Territory wars over a juicy worm!

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Standing on it should keep it safe

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“Are you done yet?”

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Oops, spotted me!

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This is a fully zoomed out view of the little birdy. It was probably 3 metres away by my judgement, which isn’t the best. I love zoom!

A good day that came out of a shaky start; I love these days. Now home for a lovely nap.

 

 

Accidents happen: Part Two

Did I say “accidents happen” the other day??

What was I thinking?!

It’s like saying its q___t at work; never say the Q word!! It invites chaos and busyness and problem scripts one after another. But I said accidents happen, and so they did! Fate heard me, even though I don’t really believe in fate…oops, is that another invitation to the world to punish me?? Well punish is a bit dramatic, but you know what I mean.

So I’ve been recovering from accidents and errors ever since I wrote about accidents!! It wasn’t enough that I had my first ever minor car accident last Friday. On Wednesday, I had to go and fall down the stairs!! Like a really idiot!

I think it was sleep stupor, but to be honest I don’t really know. It was morning so sleep stupor could cover it; not much of a morning person, me. I took one step down leading with my right foot, another step down now with my left foot, another with my right and then I just slipped off the far edge of the next step with my left foot and I was gone. Our stairs go halfway straight down, turn 180 degrees then the other halfway straight down. Pretty standard. I slipped on almost the last stair before the turn. It might have to do with the stairs being shaped as wedges for the turn and I hit the tiny point of the wedge. I don’t really know how but somehow my left heel hit close to the edge of the stair and just slipped right out from under me and slipped over stair after stair after stair with no grip on any of them. My left leg was a useless slippery pointy thing sticking out in front of me causing nothing but trouble!!!

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Brain kicking into overdrive trying to figure out what to do, hoping to hit the wall at the bottom of the first half of the steps, grabbing the railing by instinct rather than thought, left leg useless sticking straight out front and can’t get a foot hold anywhere, getting half a grip on one stair after another but slipping over each and every one, poor right leg tucked underneath getting banged and scraped stair after stair after stair!!

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Luckily, and there is always an aspect of luck with me somehow, I was trailing my hand down the banister and managed to grab it! And even though my grasp slipped down the banister, it got caught on the post halfway down at the corner and I managed somehow to haul myself to a stop. I’ve seriously wrenched my neck and back and arm because of stopping myself but at least I didn’t go head over heels or something worse. And at least my hand was in contact with the banister when I fell; usually I don’t hold on at all! So it could have been much worse. Apparently its a workplace OH&S recommendation to have 3 points of contact with stairs at all times: 2 feet and 1 hand, or 1 foot and 2 hands if you are that person who just has to push the envelope! So maybe I need to put up some OH&S posters in my stairwell!

Panic as several steps went by and I missed the wall at the end, turning instead to start going down the next flight! Finally gripping the railing at the post as I slid to it and holding on for grim death!! Or is it life? Either way, I managed to stop on that poor banged up left hip with my useless left leg still sticking out in front, and the even more useless right leg underneath and my arm twisted backwards at some weird angle. So by the time my hand found a hold on the midway post, I was through the corner and heading down the next straight with my right leg tucked well under me getting cheese grated on each and every step where the carpet is bare and the strings are coming through. Basically I got a combination of carpet burn and grating right down my shin and a good few bumps on my left hip, which is swelling up nicely. I was feeling pretty shabby!!

So I was pretty stoked to have come to a stop, even if it was at the cost of the whole left side of my torso and arm. But how to get up?? I’m not a little thing, as most of you probably know. And unable to engage to use of either leg and one arm and side made getting up some kind of origami exercise! I actually can’t tell you how I got up, but there were a couple of bad moments where I started to slide again. But here I am to tell the tale!

So I grabbed on for dear life and managed to stop my fall. There was a moment of real horror thinking that the post might let go; I definitely felt it give. But when I went back afterwards it was as solid as ever. But as it turns out 120kg dangling by one arm is not only a threat to the wooden stair railing but to the muscles and soft tissue behind my shoulder blade. OUCH! Before too long I couldn’t turn my head to the left more than 20 degrees, behind my shoulder blade was singing and I was rapidly becoming frozen stiff. So a trip to the physio to get ironed out.

To look at you can’t even tell I’ve had an accident. Well not until I covered the grazes along my shin with white dressings that is, they kind of stand out on my tan! Not intentional but there you go. It saves me feeling like an attention seeker telling people about my accident; the bandages seek your attention on my behalf!! Is that the same thing?

Its amazing the pain and irritation such superficial scrapes create. Bed sheets, leggings, any clothing just rubs so I headed down to the pharmacy for some dressings so I can at least be a bit more comfortable. Now at least the stinging doesn’t keep getting set off again. But stretching the skin by moving it any way including walking is still aggravating. So here we are, another accident. What to make of this one? I really don’t know what went wrong so that I can avoid it again. Just one of those things? Or I should take more care?

So that was my fall. I thought that was enough, how about you?

But no. I get to work and start my usual Thursday; you know, all the packs and stuff that I wrote about recently. Then my boss brings one of the packs to me and says it has been brought back to the pharmacy over an error! That shoots straight through the heart. Especially right on the heels of having experienced a dispensing error and making (possibly) a big deal about it. As it turns out I hadn’t seen that there were 2 loratadine (you know, Claratyne the anti-histamine) tablets instead of one in Tuesday morning. It’s a robot error, but my job is to pick up that type of error, and I didn’t.

I could justify my omission by saying that its not that serious an error; in all likeliness there would be no side effects as loratadine generally has no more side effects than placebo (sugar pill). But the point is that I missed the error.

I could justify it by saying that the patient hadn’t taken it yet so it wasn’t so bad.

I could also justify the error with the conversations I’ve regularly had with other pharmacists checking packs discussing how extra tablets in packs is the hardest error to pick up, compared to other errors: broken tablets, missing tablets, wrong tablets. But I still missed the error. Not good. But it has made me further reconsider my response to the dispensing error that happened to me.

But wait, there’s more!! Unfortunately.

This, I suppose, is what happens when you only work twice a week. Short of them texting you about issues on your days off (it happens!) they save them up for next time you come in!

So, it seems that I dispensed a patient’s 500mg Epilim (valproate) correctly, then attached the labels to 200mg tablets. THIS is a problem. This is a big problem. I don’t know why the patient was taking Epilim but irrespective, taking this error over weeks to months WOULD have resulted in a relapse had the patient taken it: a relapse of epilepsy resulting in seizures, a relapse of bipolar resulting in depression, mania or suicide or worse. As someone who takes Epilim and dreads the probably inevitable day that I relapse, I can totally empathise with the patient in this scenario, as well as my position as pharmacist!!

I could justify this error by…nope, nothing!! I should have scanned the medication against the dispensing; this would have shown the error. I should have compared the original script to the box of tablets to reconcile the strength; this would have shown the error. I could have reviewed the history, but that’s an extra step. All I needed to do was the 2 steps mentioned; that would’ve prevented the error. Luckily the patient identified the error, brought the medication back and no harm, no foul.

Sound familiar?? My high horse is sinking through quicksand and I’m about to go down with it, unless I jump off and acknowledge that I just made an error as significant as that other pharmacist, and how do I want to be treated over this? What lessons do I need to learn? How would I feel about being reported to the pharmacy board? My boss knows, so that aspect can’t get worse, but he was very good about it actually.

Can I console myself with the errors that I did pick up today? 5 missing doses of magnesium in one pack, 2 missing dose of metformin (for diabetes) in another, a broken Panadol tablet making an underdose, a broken clonazepam tablet (for seizures or spasms) underdose, double the Efexor (antidepressant) dose in one slot, a random thyroxine (for underactive thyroid) tablet found in a pack where the patient doesn’t take that medication, and more. Does it make up for letting a more severe error pass through to the keeper? In short, no.

But it does make you think. Here I am, on a squared playing field, accepting that human error exists but there are systems to obey to minimise it, and ignoring the systems is just not on!