isa pa.
weird tlga.
but there's really no such thing as random.. no such thing as chance.. every thing might happen. we're not just sure what will it be first..
ano daw?
aun.
kaninang umaga, papasok ako ng school ng 7:40 am sa relo ko.. naglalakad si _ _ _ _ _ _ _ (haba no? hehe) malamang papasok sa skul.. same school as mine! syempre.. pareho kami ng course hahahahaha.
aun.
isasabay ko na sana.. kasi naisip ko male-late na cya.. kasi maglalakad pa cya. sasakay ng jeep. at maglalakad pa uli sa wang. KASO naisip ko, wag na lang. at binilisan ko na lang ang patakbo. pero may humps e! kaya nag slow down din. takte. cguro napansin niya. cguro hindi nya napansin. ewan ko na..
umuwi ako ng 5:50 pm sa relo ko.. nag computer shop muna ako bago dumiretso sa bahay.. nag maneobra (maneuver?) pa ko.. pauwi na tapos.. sakto, same spot. ibang direksyon lang kasi pareho kaming pauwi. nakita ko nanaman cyang naglalakad. oo c _ _ _ _ _ _ _. ung type na type ko no'ng high school.. haha!!!
grabe weird talaga!
bottomline: Sana.... bumagyo na lang kanina = walang pasok = di ako pumasok = di rin cya pumasok
wahaha.
11.26.2007
11.24.2007
OR as an elective?
Today, I woke up with my 6 months old puppy, Laula, in my room chewing some pencil. good gracious!
Gawd. She can be stubborn!
I feel sad since last night because our OR duty had to end.. I guess it's where I enjoyed the most, of all the departments. I mean...in the ward, it's all nurse-patient interaction, and you've gotta deal with different sorts of personalities. There's the patient in agony.. There's the relative who won't trust a student.. There's them who wouldn't entertain you..
In the service ICU, the patients are obtunded..are unresponsive.. The feeling is ghastly, knowing that any moment, someone might die.
Gawd. She can be stubborn!
I feel sad since last night because our OR duty had to end.. I guess it's where I enjoyed the most, of all the departments. I mean...in the ward, it's all nurse-patient interaction, and you've gotta deal with different sorts of personalities. There's the patient in agony.. There's the relative who won't trust a student.. There's them who wouldn't entertain you..
In the service ICU, the patients are obtunded..are unresponsive.. The feeling is ghastly, knowing that any moment, someone might die.
In the community, well.. it bores us sometimes.. It's all about immunizations, pediatric profile, family assessments..
Life as a student nurse is like a routine you should be used to by the time you're in 4th year, I guess?
Okay.. So, in the OR, 'almost' everyone is jolly. There's the head nurse for a start who's very patient at our faults. There are the ortho docs which makes girls smile a lot. There's the sound of the first cries of the newborn babies during CS. There's the staff who seem content with their work. There are the students who 'nenoks' stuff hehe.. There's Poa and I who constantly kid about water-soluble lubricating jelly as a necessity in life's da works.. ;p
It's incomparable to others! But I really think I will not choose OR as an elective. I think that E.R. will be a very crazy experience! 'Cause in the OR, it's the company of others that makes the experience worthwile. In the ER, I'm still not sure what to 'really really' expect.. I have to figure it then. can't wait to be in the ER which is in our 4th year pa!
11.17.2007
the theatre duty 2nd week!
Nov. 14, WED
(You anxious?)
My dad's surgery is scheduled this day. I instructed Manang that my dad was on NPO (nothing per orem) from 12mn. The damn surgeon Dr. V, started the surgery around 2:30 pm the next day which is my shift! We were told that the surgery will start at 10 am. My anxiety level was on the roof the whole time I was there in the O.R. There's this "Extension Syndrome" that the O.R. nurses believe.. It means, although the patient is sedated, there's tension between the patient and the surgeons. And there's this belief of the surgeons that, when a relative is inside the O.R., the patient will bleed. So, I just scrubbed in for the minor surgery and made myself busy. After the surgery, I called my mom and asked for the prognosis. I couldn't believe how good I am at calming myself when everything's not right. It's like I've mastered the art of looking okay when I feel so bad. I'm actually thinking I could be a good actress! err. not me.
Anyway, I followed my dad at the R.R. (recovery room), and chatted with the clerk. He explained to me the procedure as he was there throughout the surgery. Intra-operatively, they did an x-ray with the use of dye, from the liver, it stopped at the CBD (common bile duct) which indicates an obstruction. Supposedly, it will flow until the duodenum. The prognosis was bad. Anyway, we can't do nothing about it. My dad's weak and all. The surgeons anastomosed two parts of the stomach as there was obstructions too. I'm just not so sure if they were stones or masses. Basicallly, the surgery was pallative.
Just right after the surgery, I went in the O.R. 3
LEI: Tatay...
Anesthesiologist: (Nakatingin lang sa 'kin.)
LEI to Anes.: Doktor, tatay ko po 'yan.
Anes.: Ano?
LEI to Anes.: Tatay ko po cya.
Anes.: Estudyante ka ba namin dito?
LEI: Opo.
Then they had to transfer him to the R.R. with an NGT (nasogastric tube) inserted intra-op for lavage purposes because the anastomoses have to heal first before he can eat, external biliary drain, and of course, IFC.
Nov. 15, THURS.
(The Ovum Forcep)
I played the role of circulating nurse throughout the shift! It's cool when your clinical instructor entrusts you to the... yknow... the works! :) The other half of the group had their duty at Fabella O.R. There's only six of us left in the UMC.
Nov. 16, FRI.
(Scrub kung scrub!)
Pinakapamatay sa lahat 'tong araw na 'to.
We're still six in the UMC O.R., so we're kinda toxic. Haha.
[4pm]
MA'AM GENUINO: Sino naka-assign na scrub sa CS?
LEI: Ma'am ako po.
MA'AM GENUINO: Mag-open ka na ng gloves mo tapos mag-scrub ka na.
LEI: Owki.
Syempre kampante ako, scrub 1 ba naman si Sir Elmer! E super bait nun. Andami tinuturo sa 'kin. At kabisado na nya ang CS. So chicken lang talaga para sa kanya.
----------------
[6:30pm, tapos na ang CS, at naghuhugas na 'ko ng instruments]
MA'AM GENUINO: Ms. Garcia, pagkatapos mo d'yan, yayain mo na si Ms. Eduardo sa R.R, mag-break na kayo.
LEI: Cge po, Ma'am.
MA'AM GENUINO: Ms. Garcia, may isa pang service CS, sayang e. Kunin n'yo na ni Mr. Llorca. Hindi naman ako uuwi. Dito lang ako sa O.R. Since, may sasakyan ka naman, kayong dalawa na lang ang mag-scrub. Okay lang ba sa'yo?
LEI: Cge Ma'am, okay lang po.
MA'AM GENUINO: Pero, sa palagay ko, alas-diyes pa magsisimula yun e.
----------------
[7pm]
LEI: Meryl, kain tau dun sa conference hall!
MERYL: Dun tau?
LEI: Oo, pwede sbi ni Ma'am!
LEI:(Kabubukas pa lang ng tupperware...)
MIKO: Lei, andyan na ung CS!
LEI: Andyan na?!
MIKO: Oo! Pero cge kumain ka muna.
Kumain ako ng sobrang bilis...mga 1 minute. Tunay.
LEI: Meryl, painom. Thank you. Babay!
MA'AM GENUINO: Ms. Garcia, magbukas ka na ng 2 gloves nyo ni Mr. Llorca. Mag-scrub na kayo.
LEI: Owki Ma'am... (Waaa.... Lintik na bata. Kelangan ilabas agad...)
----------------
MIKO: Lei, ikaw na scrub 1.
LEI: Ah. E ano ba ginagawa nun?
MIKO: Ikaw sa O.S. (operating sponge) count at instrument count.
LEI: (Waaaa....) Cge, bahala na. Experience na din!
Bottomline is... Tapos na kami ni Miko sa CS. Tig-dalawang case na kami ng CS. Yea!
[Okray Mode]
Si Doktora na OB, ung head part ng gown malapit na sa floor. Baliktad ung bukas nya. Syempre ang kapal ng mukha ko pero syempre kelangan sabihin.. Sabi ko, "Doktora, baliktad po." Aba, dinedma ako. Intern pa lang naman?! Dinaig pa ang mga residente na nagte-thank you sa amin! Batukan ko siya e! Mag-anesthesiology na lang siya kung gown pa lang, hindi na marunong. Wahaha.
Back to reality on Monday...
(You anxious?)
My dad's surgery is scheduled this day. I instructed Manang that my dad was on NPO (nothing per orem) from 12mn. The damn surgeon Dr. V, started the surgery around 2:30 pm the next day which is my shift! We were told that the surgery will start at 10 am. My anxiety level was on the roof the whole time I was there in the O.R. There's this "Extension Syndrome" that the O.R. nurses believe.. It means, although the patient is sedated, there's tension between the patient and the surgeons. And there's this belief of the surgeons that, when a relative is inside the O.R., the patient will bleed. So, I just scrubbed in for the minor surgery and made myself busy. After the surgery, I called my mom and asked for the prognosis. I couldn't believe how good I am at calming myself when everything's not right. It's like I've mastered the art of looking okay when I feel so bad. I'm actually thinking I could be a good actress! err. not me.
Anyway, I followed my dad at the R.R. (recovery room), and chatted with the clerk. He explained to me the procedure as he was there throughout the surgery. Intra-operatively, they did an x-ray with the use of dye, from the liver, it stopped at the CBD (common bile duct) which indicates an obstruction. Supposedly, it will flow until the duodenum. The prognosis was bad. Anyway, we can't do nothing about it. My dad's weak and all. The surgeons anastomosed two parts of the stomach as there was obstructions too. I'm just not so sure if they were stones or masses. Basicallly, the surgery was pallative.
Just right after the surgery, I went in the O.R. 3
LEI: Tatay...
Anesthesiologist: (Nakatingin lang sa 'kin.)
LEI to Anes.: Doktor, tatay ko po 'yan.
Anes.: Ano?
LEI to Anes.: Tatay ko po cya.
Anes.: Estudyante ka ba namin dito?
LEI: Opo.
Then they had to transfer him to the R.R. with an NGT (nasogastric tube) inserted intra-op for lavage purposes because the anastomoses have to heal first before he can eat, external biliary drain, and of course, IFC.
Nov. 15, THURS.
(The Ovum Forcep)
I played the role of circulating nurse throughout the shift! It's cool when your clinical instructor entrusts you to the... yknow... the works! :) The other half of the group had their duty at Fabella O.R. There's only six of us left in the UMC.
Nov. 16, FRI.
(Scrub kung scrub!)
Pinakapamatay sa lahat 'tong araw na 'to.
We're still six in the UMC O.R., so we're kinda toxic. Haha.
[4pm]
MA'AM GENUINO: Sino naka-assign na scrub sa CS?
LEI: Ma'am ako po.
MA'AM GENUINO: Mag-open ka na ng gloves mo tapos mag-scrub ka na.
LEI: Owki.
Syempre kampante ako, scrub 1 ba naman si Sir Elmer! E super bait nun. Andami tinuturo sa 'kin. At kabisado na nya ang CS. So chicken lang talaga para sa kanya.
----------------
[6:30pm, tapos na ang CS, at naghuhugas na 'ko ng instruments]
MA'AM GENUINO: Ms. Garcia, pagkatapos mo d'yan, yayain mo na si Ms. Eduardo sa R.R, mag-break na kayo.
LEI: Cge po, Ma'am.
MA'AM GENUINO: Ms. Garcia, may isa pang service CS, sayang e. Kunin n'yo na ni Mr. Llorca. Hindi naman ako uuwi. Dito lang ako sa O.R. Since, may sasakyan ka naman, kayong dalawa na lang ang mag-scrub. Okay lang ba sa'yo?
LEI: Cge Ma'am, okay lang po.
MA'AM GENUINO: Pero, sa palagay ko, alas-diyes pa magsisimula yun e.
----------------
[7pm]
LEI: Meryl, kain tau dun sa conference hall!
MERYL: Dun tau?
LEI: Oo, pwede sbi ni Ma'am!
LEI:(Kabubukas pa lang ng tupperware...)
MIKO: Lei, andyan na ung CS!
LEI: Andyan na?!
MIKO: Oo! Pero cge kumain ka muna.
Kumain ako ng sobrang bilis...mga 1 minute. Tunay.
LEI: Meryl, painom. Thank you. Babay!
MA'AM GENUINO: Ms. Garcia, magbukas ka na ng 2 gloves nyo ni Mr. Llorca. Mag-scrub na kayo.
LEI: Owki Ma'am... (Waaa.... Lintik na bata. Kelangan ilabas agad...)
----------------
MIKO: Lei, ikaw na scrub 1.
LEI: Ah. E ano ba ginagawa nun?
MIKO: Ikaw sa O.S. (operating sponge) count at instrument count.
LEI: (Waaaa....) Cge, bahala na. Experience na din!
Bottomline is... Tapos na kami ni Miko sa CS. Tig-dalawang case na kami ng CS. Yea!
[Okray Mode]
Si Doktora na OB, ung head part ng gown malapit na sa floor. Baliktad ung bukas nya. Syempre ang kapal ng mukha ko pero syempre kelangan sabihin.. Sabi ko, "Doktora, baliktad po." Aba, dinedma ako. Intern pa lang naman?! Dinaig pa ang mga residente na nagte-thank you sa amin! Batukan ko siya e! Mag-anesthesiology na lang siya kung gown pa lang, hindi na marunong. Wahaha.
Back to reality on Monday...
11.10.2007
d maka-move on!
First week of second sem went very well, I guess. All the firsts were okay! First quiz for M.S., first IFC (indwelling foley cath.) insertion and the first case in the OR (operating room).
During our first day of duty in the OR, there were no cases left for our RLE group. Our time of duty is from 2-10pm. We're like, "Sino'ng may balat sa pwet?!" At that time there was only one of us who had a case from the past OR duty. Then after an hour, there were 3 emergency cases. Two of which are emergency CS (cesarean sec.) and one exlap. The exlap patient did not survive though!
The next day I am one of those SNs who will surely have a case. I was praying for the MRM (Modified Radical Mastectomy) but I was assigned to scrub in the ORIF (Open Reduction Internal Fixation) R femur and tibia. It was cool. Hehe. Dr. R was very noisy and claims himself to be the fastest in his field, maybe just a lil slower than Dr. C. Resident Dr. L will be a very good surgeon, I must say! I think the anesthesiologist is the owner of the handsome BMW parked in front of Lev. I wasn't really listening when they were talking about the cars they own. Dr. D (everyone's crush?! except me!) explained to me about the greater trochanter chorva. I've only seen the "greater trochanter" printed in books but not in real life. So, oo na lang ako. Anyway, the operation was very brutal. Hehe. I had to help in retracting and suctioning. My left arm was very fatigued after. How's that for a first case? I just have to figure out on how to make a pathophysiology for a vehicular accident! I only scrubbed in for the ORIF R femur. A new set scrubbed in for the ORIF R tibia.
'Yun pala! natalamsikan ako ng blood sa mask at sa eyelid. Buti talaga hindi sa mata kundi walk out siguro ako! Dapat sa mga ganung dirty case e naka-goggles! Sumenyas na lang sakin yung isang residente na "It's okay." Sana wala na akong ortho case! Hehe! Pero okay lang din kung meron.
Dameng requirements... As usual!
During our first day of duty in the OR, there were no cases left for our RLE group. Our time of duty is from 2-10pm. We're like, "Sino'ng may balat sa pwet?!" At that time there was only one of us who had a case from the past OR duty. Then after an hour, there were 3 emergency cases. Two of which are emergency CS (cesarean sec.) and one exlap. The exlap patient did not survive though!
The next day I am one of those SNs who will surely have a case. I was praying for the MRM (Modified Radical Mastectomy) but I was assigned to scrub in the ORIF (Open Reduction Internal Fixation) R femur and tibia. It was cool. Hehe. Dr. R was very noisy and claims himself to be the fastest in his field, maybe just a lil slower than Dr. C. Resident Dr. L will be a very good surgeon, I must say! I think the anesthesiologist is the owner of the handsome BMW parked in front of Lev. I wasn't really listening when they were talking about the cars they own. Dr. D (everyone's crush?! except me!) explained to me about the greater trochanter chorva. I've only seen the "greater trochanter" printed in books but not in real life. So, oo na lang ako. Anyway, the operation was very brutal. Hehe. I had to help in retracting and suctioning. My left arm was very fatigued after. How's that for a first case? I just have to figure out on how to make a pathophysiology for a vehicular accident! I only scrubbed in for the ORIF R femur. A new set scrubbed in for the ORIF R tibia.
'Yun pala! natalamsikan ako ng blood sa mask at sa eyelid. Buti talaga hindi sa mata kundi walk out siguro ako! Dapat sa mga ganung dirty case e naka-goggles! Sumenyas na lang sakin yung isang residente na "It's okay." Sana wala na akong ortho case! Hehe! Pero okay lang din kung meron.
Dameng requirements... As usual!
11.05.2007
Just a crumb of bread is Still a bread
Today we met our subject professors for the entire 2nd semester. We have four subjects: Two of which are way way major subjects, one pa-major subject but minor still, and the other one is minor also but is very important for our thesis!
I gulped as we discussed the syllabus for NURS 103 which is the course code that deals with alteraltion of normal human functioning, or simply, pathophysiology. Outline pa lang yun. Toughest semester, it seems... and as testified.
Something came up a week ago which stressed every inch of me. I'm feeling like I can't live life like a normal teenager should. Nevertheless, I am thankful for the people around me in bringing out the best in me. Though I have yet to learn lots of things, I'm taking it easy now. Break's over and I need to focus on my studies and especially on our nursing research which bothers me a lot!
It's good to know that people who really care about you sense something's wrong. I appreciate friends who truly understand me when I myself seem to be lost everytime I try to open up. I'm eighteen and all I can say to myself is to hang on. There seems to be no solution to life's hardest problems.. especially ones that involves your immediate family. I actually hate myself for slowly picking up things I should know 'cos no one else would. I refuse to sleep until I think everything's okay. I am still young and I feel everyone's expecting me to stand out and be more responsible when I can't really force myself to know this and that. And when I get impatient, they think I'm a bad person. I had lots of criticisms lately and I'm under pressure. I just have no choice, I guess.
I have reasons for going to med school and for once in my life, I don't want to feel cheap.
Even though I'm just a crumb of bread, I'm still a bread.
I gulped as we discussed the syllabus for NURS 103 which is the course code that deals with alteraltion of normal human functioning, or simply, pathophysiology. Outline pa lang yun. Toughest semester, it seems... and as testified.
Something came up a week ago which stressed every inch of me. I'm feeling like I can't live life like a normal teenager should. Nevertheless, I am thankful for the people around me in bringing out the best in me. Though I have yet to learn lots of things, I'm taking it easy now. Break's over and I need to focus on my studies and especially on our nursing research which bothers me a lot!
It's good to know that people who really care about you sense something's wrong. I appreciate friends who truly understand me when I myself seem to be lost everytime I try to open up. I'm eighteen and all I can say to myself is to hang on. There seems to be no solution to life's hardest problems.. especially ones that involves your immediate family. I actually hate myself for slowly picking up things I should know 'cos no one else would. I refuse to sleep until I think everything's okay. I am still young and I feel everyone's expecting me to stand out and be more responsible when I can't really force myself to know this and that. And when I get impatient, they think I'm a bad person. I had lots of criticisms lately and I'm under pressure. I just have no choice, I guess.
I have reasons for going to med school and for once in my life, I don't want to feel cheap.
Even though I'm just a crumb of bread, I'm still a bread.
11.04.2007
Cheverlou Files I
In West Sussex, London... here is a conversation between a British pre-school teacher and a 4 year old Filipina, Drew Leslie.
TEACHER: Drew, what is your nationality?
DREW: I don't have a nationality.
TEACHER: I mean, are you a Filipino?
DREW: Oh, I don't think so!
In Chicago, Illinois... I asked Ajae, a 3 year old Filipina through voice chat...
LEI: Ajae, are you a Filipino?
AJAE: No!
AJAE's MOM: Anak, you're a Filipino.
AJAE: But we're in Chicago!
Here's a voice chat with Drew...
LEI: Drew, can you still speak Tagalog?
DREW: I only speak English!
A few minutes later...
DREW: Tita Ponds? Ano'ng ginagawa mo?
Here's a conversation between Ajae and her mom...
AJAE's MOM: Ajae, I can't give you a gum. You don't throw it after.
AJAE: *tantrums strike*
AJAE: Mommy, I'm a big girl na...
AJAE's MOM: Oo nga anak, you're a big girl na kaso nilulunok mo naman yung gum!
AJAE: I'm a big girl na... only... I'm little!
In Dasmariñas, Cavite... pinakamalala ang local...
LEI: Nik, kunan mo ng temperature si tatay.
NIKA: Hindi ako marunong magbasa nun!
LEI: Huwaaat?!
LEI: Nanay, si Nika hindi marunong magbasa ng thermometer. Hanubayun?
NANAY: Ako rin kaya!
LEI: o_o
TEACHER: Drew, what is your nationality?
DREW: I don't have a nationality.
TEACHER: I mean, are you a Filipino?
DREW: Oh, I don't think so!
In Chicago, Illinois... I asked Ajae, a 3 year old Filipina through voice chat...
LEI: Ajae, are you a Filipino?
AJAE: No!
AJAE's MOM: Anak, you're a Filipino.
AJAE: But we're in Chicago!
Here's a voice chat with Drew...
LEI: Drew, can you still speak Tagalog?
DREW: I only speak English!
A few minutes later...
DREW: Tita Ponds? Ano'ng ginagawa mo?
Here's a conversation between Ajae and her mom...
AJAE's MOM: Ajae, I can't give you a gum. You don't throw it after.
AJAE: *tantrums strike*
AJAE: Mommy, I'm a big girl na...
AJAE's MOM: Oo nga anak, you're a big girl na kaso nilulunok mo naman yung gum!
AJAE: I'm a big girl na... only... I'm little!
In Dasmariñas, Cavite... pinakamalala ang local...
LEI: Nik, kunan mo ng temperature si tatay.
NIKA: Hindi ako marunong magbasa nun!
LEI: Huwaaat?!
LEI: Nanay, si Nika hindi marunong magbasa ng thermometer. Hanubayun?
NANAY: Ako rin kaya!
LEI: o_o
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