Posts Tagged ‘nursing student’

Operation TLUX

Saturday, October 10th, 2015

It was on one of my days at my praktikum I heard there would might be a patient who would receive a lungtransplant. Already at the beginning of my praktikum here at the ICU ward “9D Transplant” at AKH I told my supervisor it would be my higest wish to be watching an organ transplant. Though the lung-transplant (besides of the combination transplant heart-lung, which is not made that often anymore) is the biggest kind of transplant you can do compared to any other transplants.

So there I was, put to the operation. It took a while, because there are a lot of doors before I could reach the right operating-room and find the right operation-nurse who would take care of me. At first Dina took care of me, but they changed later and afterwards Brigitte was the operational-nurse who explained a lot to me. She was a wonderful woman who guided me through a lot of my questions and even had so much more information I would never find in a school-book.

So there they where: 2 big boxes containing a lot of ice and one lung each – of course packed in 3 plastic bags to contain steril. There where a lot of people in the operation-room. I counted at most 13 people: 2 operating surgeons, 1 surgeon-student who was assisting, 2 operation-nurses (one assisting at the surgery at the time, the other assisting the nurse who assisted the surgeons), one person watching the ECMO-machine (a mashine I already wrote about earlier), 2 foreign doctor-students, one other student (for a job where they sterilize probs for operations), 2 anasthesia-personnal (I think on nurse and one doctor) and med. So you can understand that it wasn’t so easy to take a look at the operation. I wasnät able to see everything, but I cpould see a lot. E.g. I could see how the cheast really looks like spare-ribs from the inside. I was even allowed to touch the new (through the plastic bag) and the old lung with gloves on, but I could feel the damage on the old lung.

The person who was operated on was a girl, 18 years old. She had lung-fybrosis which is a disease who gives the person not only a hard time to breath after some years, but it also gives the person problems with hormones. That means that this girl actually looked like she only was 12 years or younger. Now, the new lung was from a boy only 14 years old. The operation-nurse sayed the lung was really beautiful and it would be good for the girl to get such a beautiful lung!

I feel really gifted and happy for this opportunity, because to be part of and watch an organ-transplant was my greatest wish at my internship at AKH. They called this surgery school-book-example transplant becaause a lung-transplant often needs 8-10 hours of operation. Even the recovery of the girl went well and she could get from our traansplant-ICU to an ordinary ward within 2 days.

This transplant was a dubble-lung-transplant. Earlier years they mostely used to transplant only one lung, but it is now more common to transplant 2 lungs at the same time. In Vienna the lung-transplant is a really common transplant-procedure and approx one lung per 10 days is transplanted in Vienna. Acctually all lungs in Austria are transplanted at AKH in Vienna. But that doesn’t mean that it isn’t a complicated procedure. There are some risk to consider by having lungs transplanted in your body. E.g. is the approx life-time of the transplanted organs 10 years, which means that this girl might has to have another lung-transplant in some years. Of course not having a trannsplant wouldn’t have been an option in her case, though of her heriditated disease, but you should consider smoking or not wearing masks in certain working-enviironments – for the health of your lungs. Other complications by transplanting lungs ccan be infections, but there is a risk that the organ that is transplanted not is in a good condition. I have still not really understood why the AKH do transplant organs that are not fully fit for transplant (e.g. a lung that is from a smoker and not so much better thann the lung the person had before – this does not regard the young girl, but other patients I have seen). But I can think of 2 reasons why:

  1. There are not enough organs to choose between. Austria is indeed one out of 3 counttries in Europe where every human beeing automatically is a organ-giver (besides you write a will not to before you get sick/die), but they are also part of an organization ccalled “Eurotransplant”. This is a organization between 8 european countries which work together to distribute organs in these countries. But, they do still have a transplantt-list and people do have to wait for organs. So if there is a person in desperate need for an organ, the person will get it, even if it is not fully fit.
  2. Prestige of doctors – doctors who like to do surgeries and want to keep up a high rate of organ-transplant on their Curriculum or for the hospital. Or because people “buy iin” themselves for an organ. I have accutally heard that this was possible once, but I have no idea if it still does.
  3. There is procedure where you can put e.g. a lung in a glas cube to ventilate it before extransplant it.

WIT – Wiener Intensivmedizinische Tage, Vienna Intensive care medical days

Saturday, October 10th, 2015

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As I am about to write this I am sitting on an empty train, waiting for it to depart so I can get to work on what I think is going to be a beautiful morning (I feel that today is going to be a sunny day). As I am sitting here I saw a train pass through the station i Mödling where I stay at my mothers house. I often say that my mind is like a child and my patients have thought me that you never loose that child inside of you, no matter how old or sick you are or get. So I did what I always do when seeing a industrial-train: I count the waggons. This time: 36 empty car-waggons.

A week ago my supervisor said there is going to be big congress for hospital-staff, especially for intensive-care staff. He had three tickets for the staff in his hand and said “Oh, look at her, I can see how your eyes just sparkled!” Yes, of course they did! My brain is constantly telling me to want more information and knowledge, it is like a sponge that just won’t fill up till the end! I can only explain this phenomena for myself through the fact I was told when I was little: the human will never use it’s brains full potential, the human brain can just be used partly in life. By writing about that I am thinking about how science has found out that people who use their brain more in their life, e.g. through reading, learning and brain-excercises, tend to have a lower risk of getting dementia. So I can always say that this is my way of preventing dementia in the future.

Well, Wednesday came and the first day of the big convention started. The congress planned 2 Rookie-seminars: one for doctors, one for nurses. So I thought I go to that Rookie-seminar for nurses working in intensive-care. I went to the congress that morning but they told me at the counter that this seminar was not included in the ticket I got from my unit, it was an extra seminar that would coast an extra fee and besides of that it was sold out, the lady told me. At first I was sad and thought, why? I wanted to go to that seminar so badly! So I went up to the unit, sad and disappointed. There I thought about it and how in Vienna the way of thinking is more soft than in Sweden and Germany. So I asked a co-worker if I should try to sneek in instead – he agreed. So I went back. Now with my confidence in my pocket that I would get in as a paying member. It worked! Noone asked about an extra ticket or a booking-confirmation. Besides of that the lady must have meant that the Rookie-seminar for the doctors was sold out, because when I got to the seminar of the nurses, the room was only filled with about 75% of the people who would fit in.

About the seminar: There where especially 2 presentations that cought my interest. The first was about aromatherapy – something they use here at the ICU for their patients. This can be by putting essential oils (in a really small amount) into the rooms of the patiens or by massaging or washing/bathing the patient with a small amount of oil mixed with water. These eessential oils are acutally not used for therapy in the hospital, but they are used for nursing. It is important to know that diffrent oils are used for diffrent purposes. E.g. is peppermint used for cooling, while lavender is for warming but still, calming. It also depends on how you use the oil. E.g. in massage or to smell in the room. Did you know tthat smell is the only sense that goes right up to the brain without talking “extra sidetracks”? That means that the smell is the first sense the brain realizes. And did you know that the airport in Frankfurt, Germany uses lavender in tiny amounts in the air for calming and preventing flight-axienty? At least they told me that at the seminar. The amount of lavender used in the air is so small you can’t smell it, but the brain still can. This is acctually sientifically proven, the woman told us at the seminar. For me this information is especially interessting because I am studying a course about complementary and alternative medicin, or integrative medicin during my time in Vienna at Linneaus university, over the internet. In Sweden we learned a lot about diffrent integrative methods, but I didn’t hear about aromatherapy before that. So I am really going to take that with me as a future nurse and maybe I can be one of the nurses to start using aromatherapy at the hospitals in Sweden one day. Here in Austria this woman was one of the first to use it at her hospital and now they use aromatherapy at many different hospitals in Austria, even at the ICU where I had my praktikum.

The second seminar that cout my attention was about humor within nursing, means keeeping up the spirit at your workingplace with the other co-workers and with your patients. The semminar was so good so the audience laught the 60 minutes he was holding his lecturing. The man told us about how he often found empty boxes in the medicin-cabin, wondering who would ever put an empty box in it! That meant that he got angry about his collegues and this made his day negative. He told us then that he changed HIS attitude by thinking “where is the empty box”, “where are you?”, expecting it to come out and when he found it he got happy. I am acctually thinking right know that there is something I have had hard times to handle in my life. That one thing is everytime someone askes me where I am from. Especially in that small part of Sweden where I live now people tend often to ask me about my heritage. I am actually angry everytime they ask me, because I feel that they judge me asking about this. I don’t want to be “the german” or “the austrian”. The main problem is, though I have multiculture background people always seem to get it wrong where I am from. So maybe this is the time where I have to change that feeling into something good, to think and act like noone else expects me to. Wow, this was accutally a wonderful and fun seminar! He also told us about that there is laughing-yoga you can practise for more fun and happiness in life. And did you know that there is a laughing-institute in Germanny? The work with sientific research there. I find this so funny and I am thrilled to implement more humor and fun in my life. I am acctually already trying my best to be more fun and saying things people don’t exepct me to. Of course, I am not that fast of a thinker when it comes to humor, but I hope I soon will be able to live my life in a more positive and funny way!

Sunday, Monday and Tuesday – clinical training center, shopping, swimming and food

Wednesday, September 16th, 2015

Hi there far away and near!

Or whoever is reading my blogg. Sunday I spend with taking it easy at home with a lot of chatting with my roomates – the best girls I could find to stay with! Than in the evening Beth and I took a short drive to the mall and we found this funny thing, a fountain with a bible and a cross.

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Monday morning was my first day at school. My expectations where to found something like our clinical training center in Kalmar. I went to school in my scrubs I was allowed to borrow from the university. I have one set with dark-blue scrubs with the logo from the university, a lab-coat (when it turns cold in the classrooms they can use it there, the scrubs are for using at the clinical training center and when visiting at the hospital) and 2 polo-shirts for working in the community. This is me before walking to school:

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Here are some pictures from my 10 minute walk to the campus. This morning it was actually only 12’C, so a little chilli. But later on during the day it became nice and warm again.

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Here are some pictures from the day at the clinical training center. On the first picture you can see 2 students training with a teacher how to take a blood-sugar sample.

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In the second picture you can see another teacher take care of a decubitus-wound at stage 4 on a model.

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In the third picture you can see a doll with a stomach with four different ostomies. Besides the doll you can see the different intestines of the human body, but from another model.

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In this picture you can see a part of the university. The campus looks pretty much like this everywhere. After the clinical training (which was basically what we used to train in semester 2 and 4 at the nursing-program in Sweden, and I couldn’t find any difference between how they work and we), I had to go to the office for doing test on the computer for a hospital where I should go for some clinical training during my weeks in Georgia. It turned out to be a really big test and I felt totally overwhelmed – it was not what I had expected. The thing is here in the U.S you have to sign papers for everything you do and apparently do a lot of test on the internet too… I was about to start crying, because the first test out of 10 was over 100 questions, and even though I understand a lot of english and speak it pretty well too, I had hard times to understand some of it. Happily some of my new made nursing-friends from the clinical training center could help me out to do the first and biggest test. Man, what a day… I thought getting to the U.S was the biggest part, but no. Here it came again…

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After school I was able to borrow my roommates car and I drove for the first time a car in the united states on my own! It felt pretty weird, but I was so proud of myself that I did found my way to the mall and home again and could manage the traffic and signs I am normally not used to! After the afternoon in school I had to go shopping to cool down my depressed nerves.

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As I had to put gas in the car I realized for the first time HOW cheap the gas prizes are here! I put gas in the car for 10 dollars (which is less than 100kr) and half of the tank was full!

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It turned Monday and I gotten to the drug-screening part of my journey and leaving a blood-sample. A kind student from another nursing-cohort (=class) helped me to get there and we decided to go to a swim-class in the morning, though the clinic was in the same house as the fitness-center. While waiting to get to the nurse at the health-care clinic they have for students, another student came and talked to the girl who has drove me to the clinic. Her friend, a young man, came there apparently because he had been poisoned by poison-ivy – a common plant in the U.S I hd heard some of on different american tv-shows. In this picture you can see the poor guys rash after getting in contact with the oil of the plant “poison-ivy”. This rash shall never be scratched, though it itches a lot. The rash-bubbles can explode and they said they can be contagious. Poison-Ivy can get into your blood-stream too, and apparently this poos guy had had that too. If the Ivy gets into your blood-stream it can actually get really dangerous, so the Ivy is definitely a plant to be beware of!

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After giving away my blood and urine for the drug-screening (I even had to sign a paper (again!) that I was about to donate urine…………. In the next picture you can see a cabinet from the changing-room for the swimming-hall. As you can see there is a shower and in close connection a dressing-room. I post this especially regarding to the ongoing discussion about weather children in Swedens schools shall shower separately or together.

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In this picture you can see a machine that spins so your wet bathing-suit gets a little dryer before putting it into your bag. Funny invention!

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After the swim-class Bethany (the other one, also a nursing-student) took me to a place called Chick-filé-A. The Southern part of America (where I am at right now) is especially known for it´s fried food. I ate a classic burger with fried chicken and vegetables. As I got a menu I ate the funny potato-chips you can see in the picture here. To that I got a typical lemonade that tasted sweet and a little bit sour.

 

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As you maybe know from my earlier trip and clinical training in Austria I am all about the toilets in foreign countries 😉 Here I found a funny thing I would like at many other toilets: a machine that gives you free mounth-wash after the dinner.

 

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In the evening I went to do some shopping and I found these fun scrubs for nurses at Walmart: all kind of nice colors and styles like The lion king, the minions and Puh the bear.

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I was also surprised that you could my sleeping-pills without persecution for less than 1 Dollar…

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Here you can see the typically license-plate on a car in Georgia. My roommates told me that you can choose the sentence underneath “In god we trust”, but you can only have that or “The State of Georgia”. As many of you know there is a lot of Christians living in the United States. On the plate (which I have been editing on the computer, for confidentially reasons) you can see the Southern peach – the fruit of Georgia. I have already tried one too and I have marmalade with peach in my refrigerator.

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Well, have a good one! I am now going to visit a stable who take volunteers and they are allowed to ride to for volunteering in there stable.

Saturday – full of surprises

Sunday, September 13th, 2015

Yesterday my day started with and Bridal Shower. The story behind this is that I met a lady namned Kim on the Shuttle to Macon (in Macon Professor Eric from the university picked me up to get to Milledgeville to the hotel 2 days ago). Kim told me that she came to Milledgeville because of here niece who had an upcoming wedding and now it was time for here Bridal Shower. When Kim told me about the Shower I told here about how the Swedes celebrate their brides before their wedding, which the Swedes know as embarrassing and maybe even painful. Kim was so surprised and wanted me to have a look at a nice Bridal Shower, the american way, so she invited med to her niece Samanthas Bridal Shower which was yesterday (Saturday). So I putted on the wonderful summer-dress my mum made ages ago and gave me as a present this summer. Then Beth, who lives with me, got me a ride to the Inn (Bed & Breakfast) which is not so far away from my new home, where the Bridal Shower was.

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Here you can see Samantha unwrapping a present. Kim told me that a Bridal Shower is for “showering the bride with gifts”. Samantha got a lot of things like plates, glasses and silver for the kitchen but also frames and some lingerie. The guests of the Bridal Shower where invited to eat some snacks and drink the typical Southern sweetened tea and lemonade. The ice-tea they serve here is always sweetened with a lot of sugar. And Sallie already told me when I still was at home in Sweden that if I’d like to not have sugar in my tea I have to say that, because it is always sugar in it.

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Here you can see Samantha in the middle and Kim on the right.

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After the Shower everyone even got a little gift: a little bottle of hand-sanitizer that smelled so good 😀 So girls: I want to have an American Bridal Shower when I get married 🙂

After the Shower I went downtown to have a look at the city of Milledgeville. The thing is that I live pretty close to the city and I feel that I can walk to most of the places. People over here tend to take their cars everywhere and their are great distances between the most places, but as you could see on the picture, I was wearing my running-shoes, just so I could walk comfortable.

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This is how the crossing looks like. People who drive are really precautions about people who walk over the street (even though the red light is on and their not supposed to walk), probably because if you would run over a person by car you would end up in jail or at least court.

As I walked downtown I came to an antique store called Auntie Bells Antiques. The name Auntie Bell comes from the style which is usual in Milledgeville: Antebellum or Ante-bellum. Antebellum refers to the period before the civil war in the united States. Their is a background of slavery involved, but as I don’t know much about that yet I might come tell you more about that later.

However, I went to that antique shop where my heart skipped a beat – their where so many nice things and even a lot of horse-relates things. So I couldn’t stop smiling the whole time I was inside, though it was hot, because it is so humid here.

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In one of the shops I found this picture, which I find is so beautiful! Ok, I don’t think people should ride naked on their horses, but this picture shows you an Indian man riding a horse with nearly “no strings attached” and this is what I wish to accomplish with my horse Lovely one day – a communication build on trust and small, nearly transparent aids.

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After walking to two different antique-shops I walked home again. And here’s a picture of the house that I live in. In the front you can see my 3 roommates cars, everyone has one of their own.

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After talking with one of my roommates for a while I decided to go swim in a river that is nearby. This river has a strong stream so I didn’t swim far from the land, but it was just enough to cool down a little.

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After my swim I thought I try to find a shortcut home, looking at my google-maps that had been downloaded with help of the Wifi at home. But the map did not apply to the path I found. Every time I tried to find the road on the map I found the following sign:

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“Private property behind fence NO trespassing violators prosecuted” does the sign say. So imagine I got a little scared… I was lost. The good thing when you get lost is that you find a lot of new things on the way. While when you know where to go, you might not find all the wonderful things I could find.

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Peacan-nuts, which Sallie told me are about mature now, a nice tree…

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The river and the red soil, tiny little white mushrooms…

So even though I walked for a long while and got lost, I could hear birds sing, crickets play and the river flow. I did even see a little red bird, maybe a summer tanager.

Well, have a great day/night. I am going to met one of the former exchange students from Georgia today for “fika” who has visited Linneausuniversity and Växjö last semester.

The travel and my first days

Saturday, September 12th, 2015

After more than 20 hours of travel I arrived at Milledgeville, Georgia, USA. It was a long journey, but I tried not to sleep so it would be easier for me to come into the rhythm. At the hotel I jumped into the bathtub and right after into the bed. 10 hours later I had my first american breakfast: american pancakes, fruitloops, nice coffee and yoghurt. I didn’t realize that everything would be served on plastic plates and with plastic-silver – easy for the staff to take care of “the dishes”.

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After my breakfast I packed my bags again and Sallie Coke, my main contact in Georgia, picked me up and we drove to the university. Here she introduced me to everybody she knew and who I would have to know. I even got scrubs and the mandatory polo-shirt for working in the community. The students here wear scrubs at school in the clinical training center and at their clinical rotations at the hospital. They have a lab coat too, they can wear it when they sit in the classroom, over their scrubs when having lectures after/before training at the center. Because though the temperatures are warm and really humid outside, it can be cold inside because of the air-conditioning.

Sallie kindly showed me around in the clinical training center too, but I will tell you more about that with pictures when I get there, which will be on Monday.

I continued my day by getting picked up by my new roommate Anna. Anna is the person who so kindly answered to my add on the Facebook-group “Bobcats Exchange”, which is a group from students for students in Milly to sell and search for things. When I came to Annas house I met Jennie as well, who is the second out of three persons who live in this 4-room big house on one floor.

After I settled in the house and had talked to my wonderful boyfriend Emil on Skype, Anna had invited me to come with here and here friends and go eat at a place called Longhorn. Before entering the restaurant we went to a petstore where I found a newspaper just for bunnies (I am in loooove!) and this collar for dogs with a bottle-opener) –  I found that acctually really weird…

 

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At the restaurant I had a nice sallad, a really good soup, jalapeno-poppers and a bear. The girls told me that bear with oranges in it tastes really good, so I tried it and yes, indeed, I liked it! I had a really good time with the 5 girls who all where so nice and friendly to me. As they say: the Southern-manners are well known in this part of the country. As far as I have come everyone has been so nice to me and really openminded and happy to invite me into their lives, like I have been here for weeks. And at the restaurant I met my third roommate: Beth.

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After the visit at the restaurant I had to buy myself some food. I haven’t told you yet, but I have an own refrigerator in my room! That is awesome! So we went to Walmart. The famous Walmart I have seen on tv for so many times! And I can tell you that I got confused… there was just SO MUCH TO CHOOSE FROM! I had a real hard time to find what I want, because it is not always easy to see what’s in a product, especially not if it is a precooked product, e.g. a pizza. But finding fair-treaded meat from america was a hard nut to crack too. Not the fair-traded part (which I couldn’t find) but on the package they wrote produced in 5 different countries. So it was hard to find how and where the meat was produced, but instead it was much more easy to choose between different percentages of fat/meat, e.g.: 10/90, 15/85, 20/80, 30/70. And trying to find something simple as olive-oil was hard too… because their are 100 different brands and sizes! In the end I went for the organic coconut-oil to try something new. Because coconut-oil can be used for frying but also as a skin product 🙂

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Besides the collar vs. bottle-opener the americans seem to have a lot of cool inventions. This morning for instance I found this cooler in the kitchen of my roomies. I found this so cool! You could pull the cooler after you so you could take it to, say, a party!

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So, this was my breakfast this morning. I couldn’t find a cheese-grinder so I am probably going to stop by IKEA in Atlanta one day so I can get one real for my roomies. Right now I use a carrot-peeler. Some Swedish inventions are really good I think. And of course it is Starbucks-coffe from a machine we have here, for my breakfast. Besides the Starbuckscoffe I was also able to buy swedish coffee from “Gevalia” for the instant-coffemachine. But, surprise, it is not for me. I bought it as a gift for my roomies.

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So this is all from me right know. I hope you could get what I was trying to say, I still feel a little bit restricted in my English.

This weekend I am invited to a bridal-shower by a stranger I met on my journey and on sunday I am going to “fika” (in Sweden that means talking a coffee with something to eat, like a cake or sandwich) with Emily, a former exchange student from Linneaus-university in Växjö. She found me on the internet – what a wonderful place to met people!

Next week is going to start with visiting the clinical training center for the day and get drug-screened and leave blood-samples so I can start my clinical rotation.

Have a good one!