Mikala Monroe

Journal 13

4/1/24; 7:45 A.M. - 12:00 P.M.; 12:30 P.M. - 4:45 P.M. =

Today as well as Thursday and Friday, I wasn’t with anyone so I came to just work on some of

my assignments. I could’ve done school work at home but I always do better when I get out of

the house to do school work. I had to do that when I lived in Milledgeville as well. I would go to

the library and rent a study room since I get distracted so easily. I ‘ve always associated my

house with somewhere that I can relax and plus I have 2 cats that always try to lay on my laptop

when I’m on it.

4/2/24; 7:45 A.M. - 12:00 P.M.; 12:30 P.M. - 5:15 P.M.

Today I was with Brooke, and it was a pretty steady day. Brooke is now 6 months pregnant and

she’s starting to show a lot throughout the day so a lot of patients are asking her if she’s got

another one on the way. Since I only see her once or twice a week it’s been so cool to see her

stomach grow each week. Anyways, when we were doing a skin check on a patient, I noticed

that she had some fungus on the back of her neck, which I didn't know was common to get in a

spot like that since it’s open to the air and not between the folds of the skin. I think my favorite

part about skin checks is when I see places on the patient first and I get to guess what it is. But

the type of fungus this patient had was called tinea versicolor, which is described as a fungal

infection on the skin that causes small discolored patches along the skin. Kind of as a way to

practice, I’ve been doing skin checks on my family and naming what I see on them. Oddly

enough I found the same type of fungal infection on my dads chest that the patient had today. I

was surprised because he didn’t even know it was there since it doesn’t itch or anything. He most

likely got it from working in the yard last weekend, getting hot and sweaty and not taking a
Mikala Monroe

shower right when he got inside. There was also a patient who came in with something called

Schamberg’s disease on her lower leg. Brooke didn’t show a lot of concern about it so i don’t

think it’s anything that’s life threatening. It’s basically discoloration of the skin caused by

extravasation of the capillaries which allows the red blood cells to leak out into the skin. The red

blood cells then release iron and cause a rust like color to be visible on the skin.

4/3/24; 7:45 A.M. - 12:00 P.M.; 12:30 P.M. - 5:00 P.M.

Today I was with Brooke again, and it was a chill day. It was steady at some points and then we

had a period where there weren't many patients. The patient I remember the most from today was

a teenage girl who had plantar warts. She had already had them frozen and cut off but they were

very persistent and kept growing back. She had 3 of them, one on her big toe, one on her pinky

toe and one between her toes. It looked so uncomfortable because the one on her pinky toe stuck

out at least a quarter inch. Brooke said she wasn’t responding well to destructive methods so she

recommended they try an immunological approach. The one we use for warts is the MMR

vaccine that is injected directly in the wart 3 times, once a month. The way it works is by

injecting the vaccine which causes the immune system to recognize that there is a virus on the

skin that it has been letting stay there. So it promotes the immune system to recognize the virus

and fight it from the inside out. Since the warts are in the same area of the body, you only need

to inject one of them and the rest will follow. I remembered this patient more because when she

got the injection in her toe, she screamed so loud that her mom had to cover her mouth. I'm glad

we didn’t have any more patients back at the time because they probably would’ve been scared. I

don’t blame her for yelling though because the bottom of the foot is a very sensitive spot,

especially in the toes and it looked like it hurt a lot.

4/4/24; 8:00 A.M. - 12:00 P.M.; 12:30 P.M. - 3:00 P.M.

Mikala Monroe

Today I was by myself again just doing school work. The room I usually sit in is quiet so there's

not much noise which helps me a lot. Up in the front there is the closet with all the samples we

get and when they get more samples in they just sit it in the closet instead of emptying them out

so I did that to take a little break from my school work. I like to do that cause I get to look at all

the products, and if I’m interested in any of them I get to take some home to try out so I’ve done

that pretty often. I ended up leaving a little early though because I had a stomach ache.

4/5/24; 7:45 A.M. - 12:30 P.M.

Today I was by myself again, so I finished my journal, and worked on my reflection paper. One

of Brooke’s medical assistants works here on Fridays in the same room as me since Brooke only

works Monday - Thursday. She works in biologics so she works a half day to catch up on

paperwork and gets all the supplies ready for monday when they are in Warner Robins. We

talked about our plans for the weekend and I told her about my job at TJ MAXX and what we

did during covid. I talked to her about applying here as well and she went and talked to one of

the assistant office managers to see if they have any positions open because I wanted to make

sure there were openings before I asked. The assistant office manager said she would talk to the

office manager since she isn’t sure what positions they have open, but she also said they should

be able to stick me somewhere while I get my prerequisites so hopefully I hear from them soon.

I usually leave at 3 on Fridays because Christine is the only one that has patients till 3, but since

she is out and everyone else leaves between 12-1 so I tried to finish some work before I left.
Mikala Monroe

Day Time In Lunch Time Out Hours

Monday, April 7:45 A.M. 12:00 P.M. - 4:45 P.M. 8.30

1st 12:30 P.M.

Tuesday, April 7:45 A.M. 12:00 P.M. - 5:15 P.M. 9

2nd 12:30 P.M.

Wednesday, 7:45 A.M. 12:00 P.M. - 5:00 P.M. 8.45

April 3rd 12:30 P.M.

Thursday, April 8:00 A.M. 12:00 P.M. - 3:00 P.M. 6.30

4th 12:30 P.M.

Friday, April 7:45 A.M. 12:30 P.M. 4.45

5th

Total Weekly 37.30

Hours

Hours In Total 417.15