So we learned how to flip each other's eyelids inside out...

Another week come and gone. And just another week until we get our second Christmas break. I'm already ready for it, haha.

My exam on Tuesday for basic sciences went fairly well, especially considering how hard it was. We had to know all of the muscles of the hand, the forearm, the upper arm, and the back including 4 different things about each muscle: the origin, the insertion, what nerve it is innervated by, and its action. So for example:

The Deltoid Muscle
It originates (where it starts) on the spine of the scapula (shoulder blade), the acromion (a part of the shoulder blade), and the lateral third of the clavicle (collar bone). It inserts into the deltoid tuberosity of the humerus. It is innervated by the axillary nerve. And it's action is to extend, flex, or abduct (move outward) the arm.

That's for one of the muscles. Did I mention there was a total of 47 of them we had to know for this test? Oh, and that only accounted for a little over 1/3 of our test. We were lectured on other material besides this that we were also accountable for. I think it's safe to say the majority of us would have rather been shot in the foot than study and take and pass this exam. It was rough. But hey! I passed and did okay, so I'm not complaining. We just have to retain that material for the next exam as well...Ugh

And I know, I'm in optometry school, right? So why do have to learn so much extraneous information that has nothing to do with the eye? We've all been asking ourselves the same thing. While one part of our boards are based on basic sciences, they will not be testing us to this detail. So...right now we're all kind of having to endure it and stick it out. If anything, we stay sane by venting to each other about it :)

On a more optometry related portion of optometry school...

Our optics class is really starting to pick up. Because we only have 3 hours of lecture a week, we are kind of forced to move really fast through the material to ensure we cover it all. Unfortunately, this means going over concepts I'm not quite able to grasp in class because of how fast we're going. I find myself having to figure stuff out later at home, when I'm going at my own pace. We already have our first midterm on Thursday morning at 7 AM for that class. So lots of studying for me in the next week between our two exams.

Methods was slightly terrifying today (see: title of this post), but still somewhat fun. We were still working on the slit lamp, but learning how to examine all the parts of the eyes including the eyelids, eyelashes, sclera (white part of the eye), and the conjunctiva (stuff that lines the inside of the lids and part of the sclera). But in order to examine all, we have to look underneath the eyelids as well. Not such a big deal for the bottom lid...you just kind of pull it down and push up. But for the upper eyelid...it requires you to flip the lids inside out to really be able to see that part of the conjunctiva. Here - have a picture.

Sorry to those of you that are squeamish about eye stuff. It honestly doesn't hurt...it just feels really strange. I think I was more scared to do it on someone though. I did manage to do it on 2 different people. It involves pulling their eyelashes out and using a cotton swab to kind of push the lid down to flip back up and over.

Apparently my eyes are extremely easy to do this on because of 2 reasons: 1) I have really big eyes and 2) I have really long eyelashes (good for grasping). So hey, whatever works.

We also learned how to measure the palpebral aperture of the eye, which is just the widest portion of the eye going up and down. Apparently I got pretty big readings (surprise, surprise). Because we're so used to classifying tests being normal or abnormal, one of my partners asked "...so are your eyes not normal if they're way bigger than what they're supposed to be?" I laughed.

Anyways, that was about it for school stuff. The dean of the optometry college had a big Christmas party over at his house last Saturday, which was super fun. Every inch of their huge house was decorated in Christmas decorations and they had tons of good food (and deserts). Here's some pictures from that.

Our Dean dressed as Santa :)

This ferris wheel was moving on their coffee table. Their house was beautiful.

And we took a class picture this morning while we were all in our scrubs. I liked it so much, I set it as our cover photo on facebook, but here's the full thing :)

And that's about it. Until next week! I'm excited for our break...

Back in the saddle and Busier than EVER! :)

Hello all! So, as you probably noticed, I took a break from blogging while we were on Thanksgiving break, (which was since November 6th). We were out a whole 3 and a half weeks and we just started back this Monday. It's a new quarter, new schedule, and just new everything pretty much. Lots going on and I'll be plenty busy this quarter until mid February or so.

So here we go! Here's a brief idea of what my schedule is like this quarter.

So...it's a little intense. We're taking about 25 credits this quarter and our BASI classes (all the blue ones) account for 15 of those alone. On top of that, I'm taking Ocular anatomy (lots of memorization), Geometric and Physical Optics (lots of math/physics), and our continued Clinical Service class and lab that I took last quarter. We also have more exams in these other classes and more practicals. The two weeks after we come back from Christmas break in a few weeks has four exams and two practicals alone. Which brings me to my next point.

We just started back, but we only have 2 more weeks until they let us off for Christmas and New Years, which is slightly exciting. We get the 21st of December off through the 2nd of January and then we have one day of class that Friday the 3rd before the weekend again. So if we can make it through these next few weeks, we get a short break again here soon. I'm more than okay with it.

This week definitely felt a little long (we have longer days now) and busy. We've already had an entire week of our BASI (basic science) lectures and have an exam this upcoming Tuesday again, as usual. We're starting to get into the anatomy systems more and more and actually Tuesday after our exam we have a 3 hour lab where we will be working on actual cadavers. This will be a first for me (I've only ever dissected a rabbit/frogs/etc. in college biology). I think I'll be okay, but it's more the smell of formaldehyde that bothers me and tends to give me a bad headache. So 3 hours of that should be great fun. 

This week we ended in our clinical services class and lab getting into the basics of the slit lamp (above). It's basically a glorified microscope that we can move around and see pretty minute details of the eye/lids/retina with a few different colored lights. My partner for lab today snapped this picture of my eye while she was practicing on me.

My iris up and close! 

We will be spending the next few weeks getting more familiar with this instrument since its a huge part of what we will be doing in the future, so for now we just barely got our feet wet today and learned what the different knobs and levers did and proper technique. The rest of the time today we spent doing full exams on our partners with the skills that we learned last quarter, so we can keep it fresh and because our instructor told us to. :)

And that was about it for this week. I rewarded myself with burger king chicken strips and a milkshake on my way home tonight after a long day/week at school (I know, healthy, right?) Which reminds me. Back a while ago I said I was going to be getting myself back into shape and working on losing some weight simultaneously (somewhere around mid September). Thus far I have lost a little over 12 pounds total, which I am pretty happy with considering I haven't done a whole lot different. That was just from running a few times a week and eating smaller portions of food. I stopped buying "junk" from the grocery store and stopped my soda drinking (almost entirely) and that's what's done it. I do occasionally allow myself a soda if I go out to eat with friends or family though, but that's about it. Before, I was drinking at least a couple every day.

So I'm happy with my progress AND I managed not to gain back anything while I was home over break and over Thanksgiving (which is an accomplishment...having all those good homemade meals that my Mom made :) ) And I'm still going at it, slowly but surely. Once I get into the swing of this quarter, I will probably work out a better exercise routine for myself so that I don't plateau at this weight  :P .

Until next week, that's about it! This weekend will be filled with studying and homework, and a little bit of extra sleep of course. I've slept probably around 12 hours total over the last 3 nights. Good times.

Hope you all have a wonderful next week!

P.S. Oh, and how could I forget? Here's my wonderful Christmas tree that is in my living room. :)

Decorating

Eyes a little crazy, but the tree is pretty at least! :)

Quarter in review

Friday afternoon! Oh where do I begin with the last couple weeks? Couple things went on that I didn't write about last week.

So my 5k was LAST Saturday that I ran. A few weeks prior I had seen that they were auditioning people to sing the national anthem for the event and thinking that sounded like fun, I recorded myself (I used to sing a lot for games back in high school) and I sent it in. Well about 3 days before Saturday, I got an e-mail back asking if I would sing. Haha, and so I did. It went pretty well. Although I hadn't done it in so long (and in front of a LOT of people) that I got pretty nervous. Then I ran the 5k.

It was a color run, so I got completely covered in colored corn-starch-based powder. While it was super fun, I don't think I will be doing any more. My lungs have been acting a little asthmatic lately to begin with and all that colored powder in the air aggravated everything. I was coughing the whole way driving home and still even when I got home, still found it a little hard to breathe! But it was still fun and I got to do it with a lot of my class mates.

Then this week was our last week of classes! Today we started with an in class lab exam where we had to watch around 11 different videos and analyze them and answer questions about each video. It was pretty tricky, especially since we could only watch each video twice with no repeats. The questions weren't exactly easy either, but I feel that it went OK for the most part.

Then our final lab proficiency was this afternoon. 10 of us come in at a time (we are assigned times) and are graded on how we perform each of the tests on a class mate that we had learned throughout the quarter. We had 20 minutes to do a case history on them, meaning introducing ourselves, asking them what they're seeing us for, their past medical history, blah blah blah. I didn't count, but I probably had around at least 30 different questions I had to remember to ask without having any paper to look off of.

I had to take the person's blood pressure (which is so great since we're all so nervous today and our BP is high), test their visual acuities (if they can see 20/20 or not) for far away and for up close. Then we had a special book with glasses that tests 3D vision, a few cover tests to determine how the person's eyes are aligned (which I think I described in my last post), a test to see how close we can bring a target to someone's face before it splits into two, testing the eye muscles and knowing what muscles are working where, testing visual fields (or the person's side vision), and finally testing pupils to look for appropriate constriction/dilation to light and no light and then measure the person's pupillary distance (or how far apart their eyes are). Alll of that in 20 minutes or less.

Mine actually went really well (my blood pressure was borderline Stage 1 hypertension because I was nervous today, haha). I'm almost positive I didn't miss any major points and was able to correctly identify almost everything. Such a relief to have it all done though!

So now! All that is left is 3 more finals next week: one Monday, one Tuesday, one Wednesday and then we are officially on break. I plan on heading back to Holbrook and spend some time with my parents as well as the dog and the cat :)

Last but not least, one of my classmates, who is now our historian, put this together for us. It has videos and pictures from the start of the quarter up until now of all of us. We all thought it was great! She only had it posted to facebook, so I screen captured it on my computer and added just a couple comments explaining some things in the video.

Enjoy!

Video: http://www.youtube.com/watch?v=cMdqiAhAoeU&feature=youtu.be 

Is it time for our break yet?

Not a whole lot went on this week at school. We're down to only about a week and a half left of classes before finals start kicking in. Compared to other finals weeks I've had at U of A, this quarter's finals week really doesn't look too bad :)

After our test on bacteria/viruses/antibiotics on Tuesday (which went pretty well), I was pretty dead tired and went to bed early that day. I woke up the next morning (Wednesday) and felt like I caught some type of stomach bug, so I spent the majority of the day resting in bed and sipping clear fluids (I had no appetite all day).

Then Wednesday late afternoon I had to go take a 3 hour CPR training and certification class (that I had signed up for a few months ago) for school. I managed to make it and felt okay through almost all of it. They did make us do 6 full minutes of chest compressions to the beat of "Another one bites the dust"... haha. So if anything, keeping that up was a little tiresome.

I'm feeling much better now, but still very tired. And unfortunately I'll have to do a bit more studying this weekend to make up for all the class I had to miss. I guess these things happen though.

We studied vital signs in my methods lab and practiced taking everyone's blood pressure. My blood pressure had been a tad high a few months ago, but I'm pretty sure all the running I've been doing lately has brought it down to a relatively normal level, so that's good to know I'm doing something right. The weight loss is still going pretty well also. I backtracked a little when family was in town a few weeks ago (we went out to eat quite a few times), but I managed to get back where I was and am down a total of 7 pounds, which I'm still pretty happy with considering everything I'm trying to keep up with :)

And speaking of running, my 5K is coming up and is next Saturday. I didn't get a lot of running done this week with being sick and all, but I'm still looking forward to next weekend. Should be pretty fun since quite a few of my class mates are doing it as well.

And really...that's about it. Until next time, hope everyone has a good week! :)

Optometry Fact of the Week

Esophoria

In optometry, when we talk about "fusion", we're referring to how you just see one image even thought you're using two eyes. I'm sure most people have seen someone with a strabismus, or a "lazy eye", where one eye tends to turn in or out from the other, but there's also something called a "phoria" that most people have without realizing it (like me).

A phoria has to do with how our eye muscles work "naturally" and where our eyes naturally want to turn when they're not actively looking at something. Fusion is still possible (meaning anyone with a phoria won't see double), but when we just use one eye, the other eye will go to it's "happy place" and rest in its natural position. We detect this with an alternating "cover test" where we cover one eye and quickly uncover it and cover the other. In someone that has a phoria, the eye that was just uncovered will generally move either in or out a little bit to refocus on what they're looking at.



http://www.youtube.com/watch?v=yyIA-dl49Lg

This is a really good example of an "esophoria" (eso meaning inward). See how her eyes turn out a little whenever they're uncovered? Meaning her eyes naturally turn in when they are covered. (And actually, this girl has a tropia as well, meaning her left eye is like a "lazy eye")

Anyways! Esophoria is also what my eyes exhibit when only one of my eyes is covered. I'm only one of a few in my class. The rest are mostly exophoric (meaning their eyes naturally turn out) or they are orthophoric (meaning their eyes are aligned straight all the time). This isn't really a big deal or anything to be concerned about, but I find it interesting.

And I'm aware this is way more complex than what I usually talk about, but I find this stuff super interesting. And if I explain it out on here, it helps me study for my upcoming tests :)

White Coat Ceremony Shenanigans

Hey all, so I skipped blogging last week since my parents were in town and I was busy doing white coat ceremony stuff, but I am here now! And we only have 3 weeks left of this quarter before we get a little over 3 and a half weeks off for Thanksgiving!!! (Can you tell I'm excited?)

So yeah! Our white coat ceremony was a week ago today and what an awesome/fun experience it was. If you haven't heard of a white coat ceremony before, it's basically a small ceremony that schools will have for health-related professions to somewhat "signify" the student's transition into clinical practice (ya know, since lots of doctors wear white coats). So we all had our turn with our names being called to walk up on stage, have our coat put on us by the dean of the optometry college and some of the head faculty, and take lots of pictures with all of us wearing our snazzy white coats.

The entire Arizona College of Optometry Class of 2017

All of us getting our white coats!

So the picture above was put together by a brother of one my classmates who was kind enough to take pictures of ALL of us having our coats put on and then arrange it like this. We all thought (and still think) this is the coolest thing ever, especially since we're a relatively small class and are finally getting around to knowing everyone.

For my methods class, we had learned all about visual acuities and such (like if you can see 20/20 or not) and how to test for them. One of our assignments was to make our own visual acuity chart and bring them in the day of the white coat ceremony (we still had class that morning) so that we could hang them up in our lab so that all the parents/family could see them too. I decided on a music themed one, as seen below :)

"If music be the food of love play on" - William Shakespeare
20/20 (bottom) line: Do Re Mi Fa Sol La Ti Do

This was kind of a fun assignment, but I decided to make it hard on myself apparently and draw out all the letters myself. All of the sizes had to be accurate for a proper test distance (like 20 feet away), so I was literally using a straight edge ruler drawing out every single letter both to measure it, and to get the lines as straight as possible. So that took some time, plus doing all the math for the sizes of the letters and doing calculations to figure out the "critical detail" of each letter, which is optometry talk for "1/5" of the letter size (like the arms on the I are 1/5 as tall as the entire I itself). But I thought it still came out well.

My parents were able to come down as well and got to see some of our cool classrooms with all our equipment as well (which I have several pictures of up on facebook).

But yeah! We are literally down to only 3 weeks left, which means my "finals week" starts 3 weeks from today with my proficiency practical in my methods class (doing all the eye tests in front of someone) so over these next few weeks I will probably be spending some time in our lab practicing on people to make sure I have our skills down. I can't believe how fast this is going.

Classes are still going well! I've taken another 3 exams since my last post (2 basic science tests, 1 methods/theory test) and I did really well on all of them. I think I've finally gotten my study system down and know what works/what doesn't work for me. 

Until next week!

Optometry Fact

Snellen Eye Chart

This is the typical "eye chart" you probably see somewhere when your vision needs to be tested. Basically, the way it works is the lowest line you can read from a certain calibrated distance is your "visual acuity". So if FELOPZD is the lowest line you can read, you have a 20/25 visual acuity. In layman's terms, what you can see from 20 feet away, other people with normal vision can see from 25 feet away...indicating your vision might be just a little bit worse than normal.

This isn't the exact science definition of what 20/20 or 20/30 means, but generally is what makes the most sense to people when we explain it. If you're REALLY curious to what they mean, you can ask me and I can give you all kinds of definitions and words to explain the laws behind it. But....it might be kind of boring :)

Half Way Done

Today's post will probably be pretty short. Not a whole lot happening and I have 2 tests this upcoming Monday and Tuesday that I need to start studying for in about an hour and not stoping until both my tests are done on Tuesday morning :)

This weeks basic science test went really well. Had I not changed one of my answers going back through my test, I would have had an A on it. The test covered multiple lectures about cancer, pediatric diseases, multiple different types of inheritance, analyzing genotypes, and newborn screening. I did spend a lot of time studying last weekend, so I'm glad it paid off.

My theories and methods class today learned a lot about using prisms and how to diagnose different types of eye misalignments - and using prisms to correct the alignment. It was super interesting especially after a year at LensCrafters and knowing why we were putting prisms in peoples glasses and why I had to make sure they measured as the doctor's prescription ordered. Super interesting stuff and it made the 5 hours we were in lecture and lab fly by.

We all got to pick up our white coats on Wednesday and NEXT Friday is our white coat ceremony. If you've never heard of a white coat ceremony, it's basically become one of those things many medically affiliated schools do for their students that kind of officially marks our transition to the clinical health science side of things. We have to look nice and our names get called, we walk across a stage and one of the optometry faculty puts a white coat on us. Nothing too big, but it's one of those "one time things" that we get to do.

Last week, my sweet little betta fish, Zeta, passed away. I'd had him almost 2 years, so he did pretty well for a little fish. Over a week later, it made me sad walking past his empty tank, so I went and picked up a new friend.

His name is Delta. I've owned Betta fish for a loooong time now and I have this thing where I always name them after a greek letter (since Beta is a greek letter itself). Coincidentally, delta (looks like a triangle) is also the same symbol for prism in optometry speak. So it was very appropriate to get him this week as we were learning about them.

And my brief blip on my getting in shape/weight loss thing is that it is still going well! I lost another 2 pounds since last week (5 pounds total) and I'm still running. I'm up to 2 miles and am able to run the majority of it. Still walking a little, but I'm gettin' there. :) I've stopped drinking soda and am eating smaller portions of food, which I think is also contributing.

Aaaand now I'm off to study. My optometry fact of the week will have to be about optometry using prisms and that prism is represented by the greek letter delta. See, ya learned a little, right? :) Have a good week!

Week 4: Mixing it Up

So...not a WHOLE lot to report this week. I'm finally getting into the swing of things and am starting to get my time management worked out as far as how much I need to be spending on various things for school.

So last weekend I was in Tucson and had soo so much fun. I stayed with one of my previous coworkers from LensCrafters Friday night. We ate food and watched movies and woke up a little early to go have breakfast at IHOP before she had to go to work. I spent a few hours at the Starbucks studying and enjoying my first pumpkin spice latte of the season and then went to visit some of my old coworkers, which was super fun seeing and talking to them all again. Then, Saturday night, about 15 U of A alumni joined the Symphonic Choir (my old choir) and sang the national anthem at the football game that night. I didn't stay for the game, but we did end up winning.

I stayed the night with one of my friends from choir that I had a ton of my undergrad classes with. We were up until the late hours of the night singing/guitar playing/ukulele playing and making videos. Here was one of them.

http://www.youtube.com/watch?v=2jTu80_OCWk

(I can't get the small video to embed here, so here's the link)

So...yeah, I had so much fun and it was honestly just a nice break. I probably didn't get as much studying in as I would have liked to, but it was most definitely worth it.

In the realm of our Basic Science classes, we have officially finished course 1501 and are onto 1502, so we've already gotten one of our final grades for the first course and from now on, any other grades won't be factored into that score. It's kind of nice to start with a fresh slate again. Still lots of material though. 

Today in our methods lecture/lab, we learned about eye movements, the eyes working together, and how your eyes accomodate  (which is what people start having trouble with once they hit about 40 :) and they need reading glasses). So we practice on each other, getting their visual accuities (like if they can see 20/20 or not), moving objects around and watching their eyes move, etc. and we had to practice documenting everything as well. Eventually, at the end of the quarter, we will have a practical where we will have to perform all of these things in front of professors on someone and will receive a grade, so at least we are getting plenty of people to practice on now. 

Oh, and another un-optometry related note (because I feel like if I put it here and people can read about it, I'll be more likely to stick with it), I am officially back into working on getting into shape and losing some weight at the same time. Right now I am trying to run at least 5 nights a week (I registered to do a 5K run at the end of October) and while I am still in my first week back to running, I can tell it won't take too long to get back to a point of feeling like I'm not going to die while doing so :) I even picked up a fancy schmancy(?) heart monitor watch that keeps track of my heart rate while exercising and calculates how many calories I've burned (based on age, weight, height) and my average heart rate over the entire workout. I had it up to 196 beats per minute last night on my run and supposedly my max is supposed to be 198 (220 - your age). 

Below are my "weight" jars. An idea I found on pinterest. Each pound represents a pebble. So once you've lost a pound, you can move a pebble from the "Pounds Left" to "Pounds Lost" jar. I thought it would be a neat visual for myself to see how much I've accomplished as well as be a reminder to keep going :)

I figure losing weight and getting into shape is never going to get easier, so I don't know why I've put it off for so long. So I'm going to do it the long way and do it right by eating better and exercising a little more. Slow and steady wins the race, right? Maybe every 3 weeks or so, I'll post a brief blip of how I'm doing and how much weight I've lost. My goal is to get back to at LEAST my pre-college weight (haha) and then a little more, so right now my total goal is to lose 40 pounds and I've lost 3 so far this week. So...so far so good. 

And as another (minor) incentive, I've decided once I've hit 20 pounds lost (half way), I'll get my hair cut. It's very very super long at the moment and probably needs something to be done with it soon. Here's some pictures in case you haven't seen me recently. 

 It's long, right?

ANYWAYS...that's it for now. Cue the optometry fact of the week.

OPTOMETRY FACT

Your eye is controlled by 6 muscles (SIX!) all attached to the eye. The names (if you care) of these muscles are the Superior Rectus, the Inferior Rectus, the Lateral Rectus, the Medial Rectus, the Superior oblique, and the Inferior Oblique. All of these muscles work together to produce different movements like moving the eye up or down, from side to side, or when they rotate in or out. 

We made "eye models" of the attached muscles today in lab. How cool are these? Haha. The pieces of tape represent all of the muscles. The fuzzy fiber sticking out of the back in the picture on the left is the optic nerve. The toothpicks just allow us to "grab" the eye and pull on one of the muscles to see what its action is (if it moves it up or down or to the side)