5.27.2008

All these sick people..




After almost a week of medication prescribed by my first doctor, my cough had worsen from a URTI (upper respiratory tract infection) to yet again (DAMN!) LRTI (lower respiratory tract infection).. I'm so sick of getting respi infections. Idk what's wrong with my immune system.

And so, I consulted a new doctor who is an internist and pulmonologist as well. My sister, he thinks, contracted the infection too, which is from his point of view, macrolide-resistant. Mine has gotten worse and her cough gave her fever and all but was prescribed a less stronger antibiotic which is Cefuroxime. Doctor gave me Levofloxacin for 7 days, and Erdosteine for 2 weeks. I just hope we'll both be well on Saturday.. or else we'll have to get chest x-ray.

Hope it's not a superbug or something.

5.21.2008

I'm just gonna pray I guess..

ang mahal tlga magkasakit.. huhu..

meron nanaman ako medications:
clarithromycin 250 mg x 14
desloratidine 5 mg x 14
ibuprofen..

ang mahal ng gamot. takte.. pero alam ko meron pang mas mahal.. sana nga allergy lng to.. kung hindi huhu.. di ko kakayanin ang magiging dx sakin.. either pulmo o GI ang punta ko.. e mas gusto ko na sa GI kesa sa pulmo.. ahuhu.. saklap.. nakaka paranoid! nak ng tokwa..

5.15.2008

just you wait and see.. believe me.

May 14, 2008 - One of the worst and best feelings ever! considering, ganito ako at ganun siya.

If I could change the world, I say I would be the sunlight in your universe
And you would think my love is really something good
Baby, if I could - change the world

There are so many ifs and what ifs even though it hurts to give even the least hope. But that is human nature, isn't it? They say, we shouldn't expect, but deep within us, we still do and it's inevitable. It's in our system already.. Why do we hope? Why do we expect? Because part of us know that we'd do more than that with such great pleasure, if only given the chance. Wow, parang text lang a. Haha...

As rational humans, we have endless questions, but as for me, I no longer seek for answers when it comes to love and relationships.. I guess it's not really the right time for this and that. Of course, I do have questions in mind but it's for me to figure out na lang..

I never talked through my mind like this before. It's like I've said all the right things (in my mind nga lang) at the right moment. It's not like me at all..

Ganito lagi ang flow ng sinasabi ko:

May kwento ako sa 'yo/ sa n'yo
Ano kaya? May something kaya?
Toss coin mode
Tambay kina Hope
Pota hindi na lang talaga siya
Wala na sa 'kin 'yun.
Parang walang nangyari. Ganun.
Pero tignan mo naman ginagawa sa 'kin.
Ayun, mahal ko na talaga siya.
Shit. It hurts talaga huhu.
Hindi na lang talaga siya!
Pota ito nanaman siya.
Mahal ko talaga siya. Pa'no gagawin?
Ano ba talaga ako?
At sino ka ba para gantuhin ako?
Ayun. Paulit-ulit-ulit-ulit lahat.

It's a cycle already.. Kaya ewan, sanay na yata ako. I now keep things to myself (ows?) haha. Pero unlike naman before, super drama sa text haha... Sawa na nga sina ace, pat, kesi, may, maan at rubz sa mga drama ko.. haha.

Aun. Mag aaral na ko ng---- orthopedic hardware! '^^



5.11.2008

back to reality

resume na uli ng duty bukas... pambihira! haha. natapos din ang 2 weeks na break. ok na din!

wala na kong maidugtong! haha!

magtatype ako ng letter for tool validation. di ko naman maiprint kasi di ko alam ang title!

bat ganun.. wla akong msbi ngaun. haha.

after ko mag ayos ng kwarto (as if) at mag ayos ng thesis files (tlga?!), manonood ako ng crank! di ko matapos tapos! kaso antok na ata ako? atsaka may duty na uli tomorrow. kmusta naman, 4-4:30 am ang call time. buti na lng ihahatid ako! aus.

mas madami pa atang nag text ng happy mother's day kesa sa happy birthday? hahaha.

ok next tym n nga lang!

4.23.2008

issue on waiting

may issue ba tlga? haha.

instance 1: half of our duty group had their break for more than an hour.. then the next half which is us, only had our break for 30 minutes.. talk about waiting for them to come back..

instance 2: when I reached home, someone's pissed off claiming that people wasn't replying nor calling back at him. up to now, he doesn't talk to anyone. hehehe.

instance 3: his messages: "txt ka nlng, w8 kta." "txt ka na lang after." "bc?" "eist."
my messages: "sorry kausap ko kasi auntie ko sa voice chat." "sorry knina, gudnyt." and up to now, wala.

wala naman tlga dapat issue dun. ewan talaga.

4.03.2008

benign is the word

tama nga na minsan, gusto natin i-fast forward ang mga happenings sa life natin.. (pota hindi consistent) pero minsan din naman, gusto mo slow mo lahat ng pangyayari..

wala lang.. I don't have anything to say about what happened with the last few days of my dad's life because my close friends and relatives were there and they've witnessed it all. Anyway, I have my whole family that's left, that's why I can cope.

Super short hair na ko ngaun.. As in 7 inches cut off my hair! Aun.. I look like a boy daw. Waha.

Actually, inaantok na ko.. Gigising lang sana ako para kumain.. tapos tutulog na uli.. Evaluation exam bukas ng 1400 surgical ward duty namin.. I think this is the most benign duty I've ever had. Naks yabang.
Monday umabsent. Tuesday, 1 patient. Wednesday, ECG Room. Thursday, Team Leader. Friday, No duty. E well.. basta un na un.

E masaya pala ma-assign sa ECG. galing na namin ni poa mag-placing at mag-operate ng ECG machine wahaha. kami ng naka 15 na ECG. runong na kami mag- 15 lead ECG.. kaya naman.... may business na kami pag yumaman kami. laboratory and diagnostics. wahaha. sushal.

tutulog na tlaga me..

Kung kelan di mo tinetext, tsaka dun mag tetext! Ang galing galing galing! Pero I'm tired of playing games.. hahahahahahaha. Asaness!! Aun. I'm tired I'm tired I'm tired.

ii-sleep n tlga. gud luck sa evals bukas. kahit di ko lam pano mag aaral dun!!

3.21.2008

Biyernes Santo

today is my driving anniversary. hahaha. meron b nun? and I'm not allowed to drive cos it's the same day I 'kinda' hit a Pajero. O san ka? But I'll think I'll be driving my sister to Trece Martires! Actually, I got over it already but still, I think I shouldn't be driving. Maybe it's all in the mind, but I insist! I won't be driving until tomorrow?! Err.
I have an hour to decide.
Shit. My sister doesn't have a license nga pala! And nobody else would drive us there.
Well, kasama ko naman siya. E babaeng hustler un.
Aun. Epal wala man lang dalang pasalubong. Kundi Sony laptop which my mom will pay later on. At saka ung mga padala nina Kuya Ges at Ate Zel. At least, may Nine West kami na bag. Woo. Haha. Actually, masayang-masaya na 'ko kasi nakita ko na siya. She's still the same.. But here's the catch, andami na niyang alam sa computer at internet. Dati, ang corny corny ng mga pinaggagagawa.
Sayang. Nagmadali kasi siyang umuwi. Wuhuhu. Next time na lang ung mga pinabibili ko. At siguro kaya ko na naman bilhin yun. Graduate na ko sa susunod na umuwi sila. Xet. Antanda ko na. Waa.
Omg. Major omg. Patay ako sa kuya ko 'pag nakita ang kwarto ko. 'pag nakita ung mga binigay nya sa 'kin na super disorganized. 'pag may hiningi sa 'kin tapos naiwala ko pala. huhuhu. laki ng takot ko dun. mas takot pa ko dun kesa sa nanay ko. hmp!!!!!!! no matter how many times I organize my things, still, 'di pa rin pasado. nambugi talaga. hassle pala pag andito ang mga boss!! 'di ako makakilos ng maayos. hmp!!!!!!! 'di bale. papasipsip mode muna. har har.
'Pag ako nabangga ngayong araw na 'to.. Wala lang, e di bingo. Haha. Joke lang. Siguro naman hindi. Sabi ko nga, "hanggang 70 lang tayo a!!!"

3.20.2008

Is this what you wanted?

Sam: Sorry I'm late... took me forever to get here.
Josie: I know what you mean.

hahahaha. ang cheesy!!

House: Come on in brothers and sisters! Welcome to the house of the Lord! Brother, can you testify as to why this poor child's eyeball rolled back into his head?

ito ang favorite episode ko ng House. ever!!

[While Ana is taking a shower..Take note.. 3pm na!!]
ME: Ate, ano yang pinapanood mo?
ATE: Ano yan. Yung Ulingling.
ME: Aaaahh.... Okay. [balik sa paglalaro ng cellphone]
ATE: Ayan malalaman na nila na anak nga nila si... Sasalinan nila yan ng dugo, makita mo.
TV: Kailangan nya ng blood transfusion. AB ang blood type niya. Doc, AB po ang dugo naming mag-asawa. Magdo-donate po kami pareho.
ATE: O yan sabi ko na nga.
ATE JOYCE: Pwede ba yun parehong AB ang dugo?
ATE: Pwede.
TV: Hindi sapat na magkakapareho lang tayo ng blood type. Meron akong alam na paraan.
ME: [in my mind, my God. DNA!!!!!!]
TV: Magpa-DNA test tayo.

my first time to watch it. parang tanga lang. and yet, they were so intent in watching it.. ewan nakakatawang korni hehehe. so typical Pinoy story tsk2.. still, Pinoys can't get over it!

nangitlog na yung "cuckatail" nina Ana. haha wla lang. ewan talaga kung ano'ng specie un. I'm pretty sure it's not a cockatoo nor a cuckoo basta hindi cuckatail ang tawag dun.

na-delay ung flight ni ate.. foggy daw sa detroit. kaya mamaya pa ang dating niya. thank God she's coming home..

meron pala akong make-up duty! at sa 1300 pa. hmp!! ansakit naman..

I read a pocket book (?!) yesterday, Five Days in Palawan. lalang. cute. hehe. short but cute.

I wanted to buy 2 books. each costs 300. I bet I'd be able to buy them once summer duty starts! cos every time we have our duty, I always bring a car so that's minus the commuter's fee.. sometimes I pay for the parking fee but that's just 10 pesos. then in the ward, I don't get to eat during break time, so that's a minus also. In the operating room, I always bring packed food. aun. pero ayoko pa talagang mag-duty!

ang gulo. ang gulo ko lagi mag sulat! ^^

3.18.2008

sadomasochism

TUTAL blog ko naman to..

TO ABBA: p.i. ka. leche. wla kang magawang matino! go to hell! di ka pa nakuntento! ano pa bang gusto mo? masochist ka ba talaga? at akala mo kung sino ka para manakit! itsura mo naman!

TO RAPRAP: antanga mo! sige lang magpakatanga ka pa! sadist ka talaga! mukha ka ng abba!

sabi nga ni ruby, "ay xa. napakagulo ng life mo."

P.S. si abba ay isang pitbull at si raprap naman ay unknown breed.


--------------
excited na ko bukas. 10:55 pm. NAIA. ilang oras na lang...


--------------
pasado kami sa thesis colloquium! kami DAW ang pinaka-konting corrections. nakanang! ang galing ni josa hahahaha. pero andami kaya nun mali. err. at buti na lang, naalala ko un purposive sampling kundi...... wala lang. nakakahiya. matalino kasi ang panelists.. edi cla na lang mag thesis!!


3.16.2008

disoriented

I don't know how I was able to manage up to here--finishing 3rd year. Although, there's still the summer intensification duty starting on 24 which is part of the 3rd year, all the same I think I already have surpassed the biggest challenge of Nursing!

It's been one hell of a semester. But can't celebrate yet.. for personal reasons. :(

On Tuesday will be our thesis colloquium.. Our thesis title is, "A STUDY REGARDING WORK-RELATED STRESSORS AS PERCEIVED BY PSYCHIATRIC NURSES IN NATIONAL CENTER FOR MENTAL HEALTH IN MANDALUYONG", which is a quantitative study. Panel chairperson is Ma'am Tan. Wahaha da best. hope it'll be a breeze.

Couldn't wait for Mar. 25 or April 1 to come! Either of the two dates, I'm very glad and thankful. Gawd I hate waiting! '^^

There's so much to tell about what happened for the past days, yet, for the first time, I'd like to keep them to myself. Although, they are not secrets nor something very private, hmm.. wala lang. I'm just so lazy to put them in here.

A person, however whole he thinks he is, still, there's always something missing. Same with the fact that we are never contented. So, people may see me happy, satisfied and complete in a way, but un na nga.. It's so redundant already!

[Sa CHAT]
RUBY: gusto mo ba ng mga sagot sa katanungan mo?
LEI: huh? ano nanaman yan? jinojoketym mo nanaman ako.
RUBY: ndi! dali na.. o ano?
LEI: xempre naman..
RUBY: pumunta ka sa profile ko sa friendster. sa ilalim nun i-click mo lang, makukuha mo ang sagot mo!
LEI: [pumunta nga sa profile at ki-nlick yung nasa ibaba.]
RUBY: o ano sabi?
LEI: "Di lang yes! Super yes!" puro ka kalokohan!
RUBY: hahahahahaha. ano ba tinanong mo?
LEI: err.. wala
RUBY: ang tanga neto!
LEI: e sabi mo i-click ko!
RUBY: tanga mo talaga pondz! kaya nga may answer.. dapat may question ka muna!
LEI: tanga ka din! sabi mo kaya i-click ko..
RUBY: ay xa! ewan ko sau! ulitin mo!

3.01.2008

:(

11:06 pm

no dinner
(+) common cold w/ excessive secretions
(+) fever
crying
chatting with ruby
listening to, "Fix You" by Coldplay
bad news

11:08 pm
hmmm.... I hate what happened.... what has been said.... Although, I needed it.... It keeps on bothering me....

Ayun. Barok na grammar ko!

2.25.2008

malapit na... ang alin?!

andaming mangyayari. :( toxic na toxic na toxic na tlga.. pero aun.. chill pa rin grup namin.. ahaha.

  • thesis req'ts
  • colloquium
  • humanities
  • unit exam
  • nursing case study
  • case presentation
  • finals' exam week
  • comprehensive exam
  • summer enrollment
  • summer intensification duty

*sigh*

ung iba kukuha na ng NMAT (Nat'l Medical Admission Test).. lalang.. trip lang nung iba.. pero ung iba naman, magme-medicine talaga dito sa pinas.. hmm..

Xet. gus2 ko na mka-graduate! nakngsiopao!

2.16.2008

post valentine's post

If I could just lay idle for 10 hours.. with occasional binge eating and pees while watching my fave tv series..

If I could just forget about my homeworks and school..

If I could just forget as well about the mess I've done lately literally and figuratively..

Well actually.. I could. I really could. To think that I just woke up refreshed and in my very much rational state. My 'verdict'? I'll choose to just be lazy all day! hah! :)

I dozed off reading a pink book (sh*t I forgot the title) which cosmo has been promoting. It was supposed to be a gift for a friend last xmas 07 but we didn't get the chance to meet so I opened and read it instead. Filipina writer..and very good I must say.

I woke up to find that we have our internet connection back! :) Un lang, I now don't have any excuse anymore not to pass our thesis requirements. hehe. :)

For the past few days I already started watching Criminal Minds. I've always, always wanted to watch it since I first saw the trailer at studio 23. I just didn't have the time to watch it until thursday. I started watching it from 2 am til 6 am last thursday. 4 straight episodes just before our duty. hehe. :) It's as serious as hell..unlike my other fave, House M.D. which never fails to make me laugh big time. Nevertheless, Criminal Minds is terribly fascinating.

In fact, I took the profiler quiz and the result is:

27/30 "You seem to possess an innate understanding of just how unpredictable human nature is..blah blah."

I'm not sure if it's true nga lang!

Last Feb 14, ValentiMes day as most of the people pronounce it. We had our duty at the health center and 'fortunately' we spent it with the rest of the rural health team by giving vitamin A to grade school students and auscultating their heart for rheumatic heart disease screening. What a terrible day to spend valentine's day. Anyway, at the end of the day naman, ruby, may, tala, and I went to tagaytay to just eat, get runny nose and other cold-like symptoms. It's like 15 degrees out there but it was fun.

Well that's it for now. Haha. Wala na ko masabi..kundi, sana wag na magpakatanga ang mga tao sa paligid. Sabi ko nga at sabi nila, kung di talaga pwede wag pilitin. Di ba? Kung hindi ka na masaya at gabi-gabi na lang, umiiyak ka or nag-iisip, edi wag na lang. Un nga lang.. di nila alam kung ano ung difference ng love at pagiging isa't kalahating tanga kasi nga tanga cla. E bahala na cla. Basta masaya ako, masaya ung iba, masaya kami. Cla wala lang. Para hindi bitter ung dating ng post ko (haha), eto may pahabol ako..


[ON BIRTH CONTROL...]
Groupm8 Girl: Ayoko nga ng IUD (intrauterine device) pang-contraceptive.
Ako: Oo nga. Kahit na effective daw un, e foreign object pa rin un ipapasok mo sa sarili mo. E kung ma-displace pa un!
Groupm8 Girl: Isipin mo ipapasok un sa *ano* mo.
Ako: Haha. Basta ako transdermal patch na lang.
Groupm8 Girl: Wow. C Lei transdermal patch daw.
Groupm8 Boy: Mag-abstinence ka na lang.
Ako: Abstinence daw.
Groupm8 Girl: Abstinence? Di ko kaya yun! E ikaw mag-a-abstinence ka?
Groupm8 Boy: Mamatay ako nun!

2.05.2008

medicine

Yesterday, my aunt had several visitors at her house which is beside ours. What can I say.. They are all very rich but very down-to-earth people. There were 3 doctors and a retired judge from Pasay. Of course, I admire the doctors, of all people present last night. One is a pediatrician, another is an orthopedic surgeon, the other one--I don't know. haha. All working in the US! I am very much in envy. Well.. I heard they were scholars from UP college of medicine and that they are really bright.


Filipino doctors are as good as everyone else, contrary to the insult made by Desperate Housewives. In fact, Pinoys have lots of contributions in medicine already, like this one:

http://chrislagman.com/blog/2005/11/18/filipino-doctor-shines-in-us/

1.29.2008

ch0ng

"d pa"

shux! alam na!

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sbi ko na nga sa previous post ko e yari kami sa ECG. e talagang yari nga! cguro mga equivalent ng grade ko sa quiz aka term exam ni mam halley e 60%!!! Taena!!!

sabi nga ni garduks.. "daredevil na ang grade natin." kasi sa class record, alternate black at red ang grades.

------------
we all hate 'babe'! pota! too much stress lang katapat mo kala mo!

------------
case presentation na naman! nakngsiopao naman o! pero ganun talaga.. di bale.. kumpara naman sa manuscript namin the last time, e aus naman ung nagawa namin ngaun.. so bahala na..

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2 things I've learned lately which I learned the hard way..

1) You don't say, "Don't expect." Instead, "Never expect."
2) Living life is just a matter of perspective.

I just hope I've learned enough---enough to change.

1.26.2008

confused . .

shet marunong na ko maglaro ng minesweeper. achievement! kaso 3 minutes bago matapos ung intermediate level. haha. lang kwenta! slmat kay ibn at alan! haha. so happy!

gang level 8-4 lang ako sa zuma.. nkkasar ung game n un.. haha.

pinakamasayang nagawa ko e maglaro ng fotofishing! grbe.. mapapamura ka sa saya!

pinakaayaw kong gawin pero kailangan e gawin ang mga narrative sa NCS. history of present illness, past medical history, part ng functional assessment, progress notes, discharge plans, summary of last contact with patient. one and a half day dn un..

mlpit na mtapos ung nursing case study namin.. sana matapos na ni lantot!

libre pla ang fud today ni ida. spag, junk foods at pizza. happy birthday totoy ida!!

grbe andaming happenings sa ward from what I heard.. hmm.. at may namatay na kaming patient dahil sa severity ng sakit nya.. tsk3.. so sad tlga.. huling sabi ko pa naman dun, "cge po.. pagaling po kau.." wa.

yari kami sa exam sa ECG.. sobrang yari tlga..

pero thankful nman kami sa clinical instructor namin.. sobrang bait.. as in sobrang bait. isa pa. sobrang bait tlga.

I'll share something I overheard at the clerk and students' room inside the operating room. pero matagal n to. mga 2 months ago.

ingliserang clerk: "Last night, I had duty on the E.R., and you won't believe how toxic we were!"
pinay clerk: "Syempre. Nasa E.R. ka e!"

magaling magaling....


1.12.2008

abortion road

i want an asus eee laptop!! just because i saw one on tv.. haha :p i'm not really good in evaluating specs and other computer stuff.. that is why....... never mind! haha

potek todo laftrip sa van! sa van na lang kami nakapag-charades ng movies and songs kasi andaming buntis kahapon sa health center. ang sakit ng panga ko katatawa ke JM! haha! lahat kami sa van alam ung song, xa lang ang hindi! grabe giveaway na nga lang un.. ako kc ung gumawa ng bunutan! :)

charade category: song
eto hula ni JM:
-3 words?
-english?
-3rd word: you
-2nd word: the? of? Of.
-uh.. Because Of You?
-1st word: scared?
-Scared Of You?
-Monster?? Monster of You?
-Zombie?! Zombie Of You?
--time's up!--

answer: Ghost Of You. nacow jm!

pinag-Leopold's maneuver kami no'ng midwife kahapon.. ang hirap sobra! 1st tym ba naman namin.. dunung-dunungan kami dun haha! basta gento un..

dang galing ni pipay maghanap ng fetal heart tone (heart beat ng beybi).. minsan dn nman nakakatsamba kmi! waa... ayoko na talaga ng obstetrics!

grabe na tlga ang hirap ng buhay... (xet drama!)

may 2 patients kami kahapon na kung nasa UMC lang kami or any tertiary hospital, panigurado i-a-admit kagad.. at dahil wala silang pera, sa health center na lang sila.. magagaling naman ang mga barangay health workers dun.. un nga lang, hanggang assessment lang sila at paunang lunas katulad ng antibiotic for a week.. which is for free. cyempre kulang naman sila ng gamit dun at madalang lang bumisita ang rural health physician o ung doktor sa munisipyo nila. so, pag extreme cases, cyempre for referral ang mga tao.. pero un nga, ano nga naman ang magagawa kung pamasahe nga papunta sa ospital e wala sila?

kahapon no'ng dumating kaming mga "student" nurses bandang alas-nuwebe, ang sabi ba naman no'ng mga buntis, "O heto na'ng mga manggagamot." wla..nagkatinginan nalang kami.. well, kasama nga kami sa health care team, pero parang ang bigat nung dating nung term. :/

ung isa kabuwanan na niya.. ako nag-bp, gulat ako pumipitik na sa 180, tapos in-inflate ko pa.. ang bp: 190/130. tapos sbi ko ke JM, i-bp nya uli. ang kuha naman niya 180/120. ung midwife, nasa 200/120. buti na nga lang (-) for protein ung ihi nya.. pero may edema na o manas sa mga binti at paa niya.. meron na rin blurring of vision, at difficulty of breathing.

ung isa pang patient, 1 month old na baby, na no'ng pinanganak e kahit tetra eye drops wala. di namin malaman kung ano ung mass sa left upper quadrant ng abdomen, mga kasing laki ng stress ball na kasya sa kamay.. basta parang fluid daw.. hindi ko nga hinawakan kasi nasasaktan ung beybi.. napamura na lang ako.. pag ginalaw ung mass e tender, kasi sobrang iyak nung bata.

pinagalitan no'ng midwife at nurse ung nanay.. na kahit pamasahe pang pedicab na 5 pesos, wala. nakakahiya kasing magbigay.. pero dapat mgbibigay kami.. e ung midwife na lang ang nagbigay ng 20 pesos para magpakonsulta sa rural health physician..

ansaklap ansaklap!

pero si oprah, di daw cya guilty na napakayaman niya at ung iba, walang-wala.

onga.. kasalanan nya ba kung yumaman cya ng ganun?! ung tipong ang regalo na lang sa kanya e mga rolls-royce..

1.10.2008

imus-C

well3..

week's almost over! hah!

today was a lousy "duty" day... we vaccinated at a squatter's area, as our clinical instructor says..but I doubt that.. then we attended a health teaching on DHF (dengue hemorrhagic fever) given by the rural health physician. she was good actually! most of what she mentioned were not really new to us.. but of course, we were informed of recent DOH updates on the dengue sensitivity in cavite. they don't really refer to it as an outbreak or endemic..but rather Philippines as dengue-sensitive. i also learned about the indiscriminate fogging of affected areas.

anyway, we spent our rare free time, like 2.5 hours playing charades. I bet tomorrow will be just as fun! a little deprived of time for that because we'll be having our home visit for our family case study..


at the end of the day, it was fun playing silly games.. and being the game master?!

i'm never good in writing! sheesh