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!

Canberra Day Sixteen

26th September, 2016

Another not-so-Canberra day. It was a bit of touch and go today actually, a bit of a struggle mood wise and energy wise. Today was an ACT public holiday so we’d gone away to NSW where it wasn’t a public holiday, and that plan went pretty well. There’d been a lot of people about on Sunday but it was quiet today. So quiet that the kitchen at the hotel was closed for breakfast, but there was a nice cafe up the road surprisingly so all good; it’s a pretty small town so we weren’t sure what to expect. This was all after I got up, which took several attempts. I’d set my alarm to 7am so I could go birding early while hubby was out on a bike ride. I managed to sit up and go through a bunch of local birding websites and pick out where I wanted to go before slumber forced my eyes shut. I lay down at 8am thinking I’d have another hour til hubby got back, but he got back early; good for him, a struggle for me to get my wits together and uncross my eyes and heave myself up out of bed!

So, no birding. I’d feel disappointed if I could convince myself that I would have actually gone. But I know that really, I liked the idea but wasn’t up for the reality. It was more of a sit-in-the-passenger-seat-and-admire-the-scenery type day. Which is more or less how it went, with the occasional magnificent sandstone cliff and huge Fitzroy waterfall thrown in for some tourist appeal! We drove out of Shoalhaven Heads through the cute tourist town of Berry, drove up and down Berry Mountain with beautiful rainforest scenery and steep roads at the top, and lush farmlands at the bottom.We stopped in Goulburn for lunch, admiring the old fashioned shop fronts and enjoying a nice cafe across from a brilliant display of tulips in the park. Then a quick stop to look out over Lake George, but it was chilly so back in the car for a nap on the way home, then back home for another nap and wait for the day to end. Hopefully a more energetic and inspired day tomorrow!

Of course my inclination is to go through the whys and wherefores, but I’m not sure that I’d get anywhere today. Could I have taken my tablets earlier and not been so hungover? Yes. Could I have gone to bed earlier and been less tired? Yes. Did having a fight with hubby last night drain my energy? Possibly. All probable cause and effect, but I can’t prove for sure what wore me out so its better to move on. I’ll aim to take my tabs and get to bed earlier, and sort out arguments earlier in the day. Good luck with that, me!

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Flighty Friday

[Written 22nd June, 2015]

Okay, now I get it!

It really is a big deal.

Actually I’m a bit exhilarated!

I finally found them! Well actually a really nice guy with his twins in a pram wearing a camera found them, and came and got me so that I could see them too. Many thanks to him for that, but what I mean is I finally got to see them!

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Several of the Swift parrots at Macleod station

The famous Macleod Station Swift Parrots!

Otherwise named by other birders as The Great Houdini! They have certainly nailed the vanishing act on the last three times I’ve gone looking for them! But to be fair, thanks to some advice from another birder, I’ve realised that I’ve been looking for the wrong thing.

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The belly of an upside down Swift parrot doing acrobatics

I’m used to rainbow lorikeets and musk lorikeets. You can tell where these birds are at all times of the day and night by the raucous racket that they make! So every time I’ve gone over the Macleod I’ve followed the noise. This has been an unfailing tactic in the past, so I went by history and experience. This did lead to a first in a lifetime sighting of a few Scaly-breasted Lorikeets mixing with the Musk and Rainbow Lorikeets, but no Swift Parrots.

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Just for variety, one of the Musk Lorikeets, the noisy ones!

So today was my ‘4th time is the charm’ visit! The plan: walk quietly around the station looking up into the eucalypt trees for sight of birds, rather than listening for their sound. And it was the perfect plan. Even without the kind gentleman I would have come across them, but sharing it with someone else was nice. The excitement and satisfaction is better shared, otherwise random shrieks of joy and jumping up and down clenching fists frightens nearby innocent strangers and inspires parents to gather their children and retreat to a safe distance!

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So many different colours! It’s hard to take it all in!

So, the Swift Parrot. This flock is estimated to be up to 30 birds, so I’ve heard. The word has spread like wildfire among birders around the country, and people have traveled serious distances to see these gorgeous creatures. Most days I see people posting photos to Facebook of their experience with finding these quiet, well camouflaged birds. And the sightings have been very reliable every day for several weeks. And now I’m a part of it!

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This Swift parrot climbing up the tree for more food

Why are we so excited and motivated to see those beauties? Well for a start they are just stunning! Pretty colours, graceful flight, acrobatic climbers and most significantly, they are endangered. These parrots breed only in Tasmania in the summer; during those months they can only be found in that state which is their home territory and the location of their nests in hollow trees. They migrate to south-eastern Australia, i.e. Victoria and maybe southern NSW, in the winter. They are considered nearly extinct in SA. Year old birds who won’t be breeding sometimes stay here for the summer while the majority of the population head back to Tassie.[1]

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I feel like I’ve met a celebrity in the Swift Parrot! I might never see them again, and here they are on the cover of Birdlife’s quarterly magazine!

So they’re endangered, only here in the winter and they’ve set up shop right here in the city, in the square between a strip of shops, a kindergarten, a school and a train station of all things! Not exactly the distant, peaceful, undisturbed bush/forest that you would imagine.

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The annoying Noisy Miners trying to shoo off the Swift Parrots…eventually they won, for now

Which gives me an opportunity to grind one of my favourite axes!

I take issue with people favouring the country to the exclusion of the city.

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Well Hello there! Nice to see you

Of course you all have the right to your own opinion. And to be clear, I grew up in the country, moved to the city when I was eighteen to study instead of moving to another country city, moved back to the country for a job when I was twenty two because my city option fell through, and moved back to the city because trying to live in the country was killing us when I was twenty six.

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Just so pretty from every angle!!

I love the country. It really feeds me to find some green spaces. I love the city; my life is there and I love the energy and opportunities.

I don’t understand having a total block opinion of the city. It’s the greatest variety of types and cultures and one opinion can’t apply as a blanket. My husband came from the city, my pharmacist education came from the city, some of the best days of my life have been in the city. Of course growing up in the country was something I loved too.

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Territory wars are rife around Macleod, Noisy Miners vs. anything else! This Swfit parrot is telling Noisy to back off!

Having a narrow view of those “city people” and “city drivers” is not well thought out. Most “city people” don’t live in the city, as in the CBD. Not many people live in the actual city. We live in suburbs of the city, just like you live in suburbs of country; there is pretty much no difference between where I live and you live in most cases.

The majority of “country people” and “country drivers” don’t live in the country, as in open plains and wide spaces. Not many people live in the actual country. And as above, suburbs vs suburbs.

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A flock of Swift Parrots – if they sit still it’s pretty easy to miss them!

Those in the CBD and those out in the open country can debate the issue, but most people forget that for the rest of us, we’re actually living more or less the same life whether we’re in a town or city.

I can find undisturbed bush land where you can’t hear any traffic and feel like you’re in the middle of nowhere within a 10 minute drive or bike ride from my house in the middle eastern suburbs. Once there you would have no idea that there’s a freeway just the other side, that you’re surrounded by housing. And at the centre of a lot of towns you’ll find it hard to find a park, be walking past plate glass buildings and have all the fumes of the cars just like the city.

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Can’t forget a photo of the many Rainbow Lorikeets that rule the rest of the playground at Macleod

I think it’s time we agreed everything has it’s good and poor aspects, and stop being scared of what we don’t know. You never truly know until you go and experience the other side of life. So get out there, live on the other side.

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Another shot in bad light so it doesn’t do this bird justice, but what a pose!

It’s always pros and cons. If you didn’t have the city, you couldn’t live the life you enjoy. Without the country, you wouldn’t have many essentials that make up life as we know it.

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What a day! What an experience! I’m tempted to head back tomorrow…..

Point being, if a flock of an endangered species of bird that can migrate to anywhere they like choose the suburbs of the city instead of the country, can it really be that bad?

[1] Museum Victoria Field Guide to Victorian Fauna, free app

How to bird watch

Okay, for starters that is a pretty big statement!

I am an amateur at bird watching, having only started last year. I am no expert at it that’s for sure!

But I am passionate about it and enjoy it and want everyone else to have fun with it too.

I didn’t take any classes or get any instruction in bird watching so all that I can share is my personal journey with bird watching.

My approach is:

1) Listen for bird calls. A lot of birds sing constantly or use calls to check in with each other. If you can hear the song you can follow it to find the bird.

2) Walk around with your eyes open wherever you are. Look in the tops of trees especially dead trees for odd shapes that may be birds. Look for flying birds. Look into shrubs and bushes for movement. Look into trees as you pass by. Continuously scan your environment. Look into reeds and grasses on the edge of waterways. Watch the path in front of you. My best discoveries have been at random moments when I least expected them!

3) Go to a likely location. Choose parks and gardens and reserves. Go to wetlands, swamps, rivers, lakes, the beach. Find out where other bird watchers go and follow them.

4) Walk around slowly and steadily. Movements frighten birds away, even small movements if they are sudden. Walking slowly and making movements carefully gives you the best chance of seeing birds.

5) Be quiet. Noises scare birds away so treading quietly and making as little noise as possible gives you an advantage.

Well these are just my ideas.

I’m not an expert just an enthusiast. I’d love to see you out bird watching and finding the excitement and enjoyment in it that I do.

Have fun!