nurse’s notes by edmer KHRYSall

I cannot help myself but to feel envy to those acquaintances who were already in the US. Seems like there American dream is so easy to reach, they no longer have to take a long, hardworking path like me.

I know that success as a nurse for me will not be just an effortless one. I had to go a long run towards it… I need working experience, passing the NCLEX and English proficiency exam and any other stuff. I hope the Lord will always guide and help me.

But I believe that my American dream will be fulfilled through hardship and patience. There’s nothing in this world you cannot get; just ask, seek and knock to God.

For I know the plans I had for you… Jeremiah 29 :11

“Only life lived for others is a life worthwhile.” –Albert Einstein

Maikli… yan ang buhay ng isang tao. Hindi mo nga alam kung hanggang kailan ka lang magtatagal. May mga taong maagang iniwan ang m

undo at may mga tao rin namang umaabot pa ng sentenaryo. Ngunit nasa haba o tagal ba ito ng panahon ng iyong pamamalagi? O kung nasa papaano mo ito ginamit?

Paano ba ang mabuhay? Sapat na bang ikaw ay nakakahinga, nakakakain? O ang buhay ng isang tao’y may malalim pang pakahulugan.

Naniniwala akong bawat bagay ay may kabuluhan. Ang simpleng plato nakakainan, itong lapis na gamit ko, napangsusulat at ang papel nasusulatan. Ang tao kaya?..para saan? Bakit kaya ako nabubuhay?

Simple lang naman akong tao, baka nga pagnawala ako, wala namang maghanap. Pero kahit na isa lamang akong pangkaraniwang nilalang, gusto kong mabuhay ng may kabuluhan. Gusto kong masabi sa sarili ko na naging makabuluhan ang aking buhay, may saysay, may kwenta.

Hindi ko alam kung hanggang kailan ako mabubuhay, hindi ko alam kung hanggang saan ako makakarating . Baka bukas, hindi naman natin alam. Pero sana, makita ko ang aking buhay na may kulay, ang buhay kong nakatulong sa iba.

OST: Incomplete by Sisqo

Ngayon lang talga ko nakapagpahinga,,kahit na walang gala o bakasyon sa probinsya, masaya naman ako kahit nandito lang sa bahay… Wala munang pagrereview, iwas muna sa mga libro, pagtetext as sa kung anu-anung kasentihan… ito ang gusto koSTRESS-FREE DAY…

Nakapasa na ko sa Qualifying Exam, simula sa Monday,aral na naman, walang tigil ng pagbabasa para sa bigateng exam, ang NLE..

Pero nagun habang sinusulat ko tong post ko,,. Sad na naman ako..ndi ko alam kung anu tong nararamdaman ko sa kanya,,nagseselos ba ko o naiinggit lng? Ndi ko nga alam kung gs2 ko xa eh..ang hirap i-admit…

Speaking of that,,mei gusto akong isulat eh, siguro ito na ang pagkakataon;about Intimacy vs Isolation ni Erik Erickson…Nararanasan to ng mga young adult tulad ko (eventhough madaming nagsasabi na mukha lng akong elementary o HS,,21 na po ako,,kea young adult na).. Niwei, Sinabi ni Lolo Erik sa kanyang psychosocial theory na ang mga tao sa ganitong yugto ng kanilang mga buhay ay kailangan makadama at makapagbigay ng pagmamahal, dahil kung hindi ilalayo nila ang kanilang sarili sa mundo, ung tipong feeling O.P. o out of place, kea isolation… Ang love naman dito ay ndi lang sa opposite sex, kasama na rin ang love for God and for other people.. Sa kaso ko,,cguro na-established ko na ung love sa mga huli kong nabanggit sa tulong ni kuya..pero ung sa una…processing pa rin… Naghihintay na lang ako ng gift from God…kaso minsan nalulungkot din ako… nakaka-inggit kasi ung ibang tao,,kasi merun na silang gift:; taz sana i-guard na rin ni Lord ung heart ko,,na sana ung magugus2han kong tao xa na nga talaga..Nakakadepress kasi kapag mei nagugus2han ako taz malalaman ko na mei girlfriend na pala..haizt..kakasad..taz mahal na mahal pa ung tipong talagang sau pa sinasabi ung love nila…kmzta naman ako?!panay rationalization na lng at iba pang mga defense mechanism para ndi masira ang ego…Haizt,, Makikita rin nila, kapag binigay n rin sa kin ung gift ko,,gagawa ako ng maraming slideshow ng mga picture namen at ipopost ko sa friendster (pangarap ko talaga un)..taz xa lng ung featured friend,,kea nga till now ndi ako gumagawa ng mga slideshow at ndi naglalagay ng featured frend kasi para sa kanya lang un.; talagang hinihintay ko xa at sobrang minamahal kahit na hindi  ko pa xa nakikilala. Sorry lang kung minsan nagkakagusto ko sa iba.

Haay..I don’t want to be alone,,I believe that my gift will be send soon by my Heavenly Daddy. My life will be incomplete if I am always looking for the missing piece. Hope we will be together…I will wait…:j

Love is patient. Love is kind. Love isn’t jealous.It doesn’t sing its own praises. It isn’t arrogant.

1 Corinthians 13:4

Last week,,my week is totally a bang!!! I’m in the guidance office for the first time in my entire school life. I commited an offensesssss…

Yes!,,an offensessss..I’m not a perfect student, I have lots of kalokohan din naman.. But in this momemt,, Nahuli ako! malas!!Minsan na nga lang gumawa ng offense nahuli pa..Nonpro (not professional) kasi..

Hmmp..This is the story..

Monday: I attended my review class in PALM,, our reviewer Mr. R is a sedative (hehe.I’m not saying this just for fun what I’m trying to say is that I don’t like the way he teaches). Maybe there are people na talagang biniyayaan para maging isang reviewer. pero si sir ay hindi nabigyan nun,,mei mga bagay kasi na hindi mo naman makukuha,,ganun un,,para kailanganin mo rin ung ibang tao (mejo lumalayo na to’ ah..balik na ulit sa kwento). Eun nga,, I went home with a thought of not attending my next review and planning to attend another review class.

Tuesday: I am already finished with my PreNCLEX lesson,,so 5PM pa ko punta ng skul..Mejo tinatamad na nga kong pumasok, eh kasi naman papauwi na halos lahat ng student pero ako dun pa lng papasok..Pero dahil sa mabait nga ako,,pasok pa rin,,sayang naman!review din un..kay sir clemente pa!,,

Habang nasa jip nakasabay ko si sir francisco, ung topnotcher na reviewer rin sa MS..Nagtxt bigla ung mga kasamahan ko sa krimen, ang txt nanghuhuli daw si mam grace (secretary) ng mga student na nagsisit-in sa klase ni sir clemente. Wah! takot sila!hehe..kea hanap sila ng ibang masisit-inan (ayaw talaga naming pumasok kay sir)..Pero lam mo ba kung anu sabi ng bagong gupit na si gLenn,,”Eh di wag nateng suotin ung ID,taz kapag nanjan na si mam TAKBO na tau!” (kasama yatang nagupit ng barbero ung utak nya.haha) .Eun,,Nahanap nila MS-F..ok!ung nakasabay ko kanina sa jip,un ung reviewer namen.

Natapos na ung review maaga nya kameng dinismis,,8:30 PM..txt naman samen si ethambutol na umatend kay sir ruiz,,ban na daw sec4,nag-walkout ang lolo mo dahil sa ingay, taz dumating si sir vasquez,pinagalitan silang lahat at ang parusa,walang review sa OB at hindi rin pwedeng magsit-in. Ok lang sana ung walang review pero ung pagsisit-in hindi aus,,plano nanaman kasi nameng magsit-in kay sir v..

Feeling naman namen ang swerte2 nameng hindi umatend kay sir kasi hindi kame napagalitan.haha feeling lang namen un! Out of curiosity,pumunta kame dun para makibalita dahil sabi nga ni Dr. Jose Rizal, kung nasan ang panganib dun tau pumaroon..

Pero ang firefly na dumikit sa apoy ay nasunog!nakita ni sir v ung isa nameng kasamahan,, kasi naman noh!,,sisilip lng nasa gitna pa ng pinto!eh di nakita xa!

“Bilis!bilis!”sabi nya.. Eh di ako naman na ½ usi na nasa mei hagdan eh bumaba Napasama rin ung iba nameng kasamahan..Lumakad ng mabilis..tumakbo ng mabilis..Naririnig ko na si sir v na sumisigaw “Anung section nyo?,Why are you running?!!” Nakita yung registrar’s office, kumanlong sa dilim,, pero huli na ang lahat..Sir V is here…

“Anung section nyo?,Why are you running?!!,Bastusan ba ‘toh? Amina ung mga ID.Go to the Guidance office tomorrow morning.” , Haizt, ang mga kawawang gamu-gamu ay binigay ang kanilang mga ID,,hiyang-hiya,,alalang-alala sa mga susunod na mangyayari.

Dapat kasi hindi kayo tumakbo.Lahat sila un ung sinasabi..Hindi ba nila alam na kahit anung gawin nilang paninisi hindi na mababalik ung oras na un.. Hindi rin sila nakakatulong emotionally, mas lalo kameng nada-down. Depressed…

This is my first entry for this year,,,,hmmp..why did I say that..because last year I have lots of post,sobrang enjoy talaga ko sa paggawa ng post..,but now,,sorii!no time for blogging.

Busy na nga siguro lahat ng tao ngayon,,kasi naman imbis na magsulat ka ng post,,eh itulog mo na lang,lumakas pa resistensya mo,,o kaya magreview ka na lng ng MS o kea ng funda para may future k naman sa TCAP!ganun na nga talaga siguro ang buhay kailangan mag-prioritized…Sabi nga ni sir clemente,,”PRAyoREte ERwE (priority airway), sabi ko naman “PRAyoreTE STAdE” (priority study)..

Ngayon nga gumagawa ako sa computer ng kung anung mga anik-anek regarding sa seminar namen bukas..lagi n lng mei problema,,ung pagkalaki-laking picture ng speaker namen,,ayaw pumuti!ndi q alam qng cnu mei problema, ung printer ba o ung kulay ng balat ng speaker namen..

Bakit kasi pinoproblema ung picture ng speaker!hayaan mo na nga lng..eh sa talaga namang ndi xa maputi eh..hehe.

haizt..alang kwentang post..ginawa ko lang toh kasi ala ng lumalabas na post dun sa may friendster profile koh.aun..pasensya na..sana next time mei kwenta naman.

sige log-out na ko…BA-BYE!!! antok na kasi…

It is almost 11 PM when a man with a lacerated wound in his right hand came in the ER. We get his personal information and took his VS: T: 37.5 ºC, PR: 95 bpm. When his wound is being cleaned, the woman who is in the accounting office immediately give the possible amount the patient will be paying if the wound will be sutured. For the seven stitches, the man is intended to pay Php 2 150.00. The woman who accompanied the patient was shocked! Two thousand for a wound?,, Even myself is surprised for that amount. Anyway, because of lack of money they refused to obtain health service (actually nagtawaran pa nga sila but the admin say no). The only thing that they can do is to clean the wound and give another option, and that is to transfer the patient to the nearest public hospital which is QCGH, where my first hospital duty took place.

Even it is cleaned, the wound is still bleeding but this patient doesn’t have any choice but to move to another hospital because he cannot afford the hospital bill.

I wonder how many patients is in this situation everyday, how if the case is more than a seven stitches, a life-threatening one, do they still refuse to admit? This is the reality! You will die early if you don’t have money. How poor is the poor…

If only all Filipinos can afford health services, no one will be suffering for this discrimination and they can say, “two thousand for seven stitches, so what?!”.

“Blessed are the poor in spirit, for theirs is the kingdom of heaven.” Matthew 5:3

I am taking analgesic for my odontalgia (toothache), when my imagination got wild…Hmmp.. I am just thinking, what if everything is just in a pill. Amazing! Possible? Why not!

I already heard that the astronauts do have a food pill when they are in the outer space. But I don’t know if this is out in the market and available for common people’s consumption. But what if this pill invasion happened?… People are always on the go, always on a rush, no time to eat? Then take the Food Pill (sounds like a commercial ad.hehe.). And also what if there is a chewable form that comes in different, delicious flavor like my all time favorite caldereta, sinigang and adobo. Here pa, and you are guaranteed that you get sufficient calories and nutrients that are based on your RDA (Recommended Daily Allowance). And this is much more surprising, because it is formulated; there are only few or just enough fats in it, so you can eat without having the fear of getting overweight.

And I also think of an Exercise Pill? It could be… more and more people become healthy and fit. Diseases like CAD (coronary artery disease) and hypertension, which is the reason why MI (heart attack) and CVA (stroke) develops, will eventually eradicate. Today, many of the illnesses are due to sedentary lifestyle. It is characterized by sitting or remaining inactive for most of the day (for example, in an office), with little or no exercise. It is believed to be a factor in obesity, and, as such, may contribute to other diseases, such as type II diabetes, heart disease, depression and even hemorrhoids. Do you know that lack of exercise also causes muscleatrophy, i.e. shrinking and weakening of the muscles and accordingly increases susceptibility to physical injury. So an Exercise Pill is very beneficial to people in all ages. So take it everyday for you to live a longer, satisfying and healthy life.

Haha. Adik?!

Today, in this rapidly changing and techy world everything is possible! This pill invasion, which is only in my imagination, will soon become a reality. May this concept help humanity to build a healthful world! Aja!

P.S. Naisip ko lang baka sa sobrang healthy ng mundo, mawalan naman ng work yung mga nasa medical field.haizt..hehe.

Sepsis is a severe illness in which the bloodstream is overwhelmed by bacteria. As soon as sepsis is suspected, “broad spectrum” (able to destroy a wide array of bacteria) intravenous antibiotic therapy is begun.

Yesterday my friend emailed me, bad news! Her bag was snatched. The worst scenario here is her money for her tuition fee which is Php 10 000.00 is inside that bag. Actually, this is the second time she experience this, the first one is the cell phone snatching incidence.

She lives in Metro Manila where all kind of people lives including the bad guys. This is the truth, Philippines is very much infected! Sepsis! The moral of these people are gone. Why? Because of poverty. Before they are normal flora but now they are pathogenic microorganism. They corrupt their selves because of poverty and now they are corrupting our society abruptly.

I feel very mad at him, what he did to my friend is very disgusting! Now, she doesn’t know where to find money for her tuition fee. That money is a fruit of labor. Many of us is experiencing financial crisis, so it is not a reason to do criminal act to anybody.

At this time, I am just trying to widen my understanding to this situation. May be and maybe, countless may be’s is crossing my mind.

Here and now I asked myself…Is there a safe place to live? Or the entire Philippines is in sepsis?

Am I a girl who is weak and always calling for help from others?

Last Friday, I emailed my friend for a help for our case study; I asked him to give a medical diagnosis and medical management for my patient who has a pneumothorax due to COPD (chronic obstructive pulmonary disease). At first, I am doubtful if I will email him or not, because I am also thinking that since we became friends I always asking for help. But because what I need is a medical diagnosis (fyi nurses are not intended to make medical diagnosis,what we do is a nursing diagnosis. They are far different from each other), which is in his expertise, I seek for help.

I waited bleakly for his response, because for the past few days he always snob my text messages and friendster comments. In fact, I told him that if he didn’t want it to do, just tell me about it immediately. But wah! He made a reply, so long nga eh. But sad to say,, this is what he told me.. “hi edmer!i hope u will not get me wrong pero gusto ko matutunan mo sya with minimal help from other people. kasi kung ako ang gagawa ng Dx at treatment, case study ko na sya hindi syo.hindi ako matatahimik pag tinuruan kitang dumipende sa iba at maging mahina at hindi tumayo sa sarili mong paa. But of course I could always help you.” (I want you to learn this with minimal help from other people,because if I’ll be the one to make the diagnosis and treatment, the case study will not be yours but mine, I will not be in peace if I will teach you to depend to others, be weak and be a person who cannot stand in her own feet.)

Dumipende sa iba at maging mahina at hindi tumayo sa sarili mong paa.?Huhu…At first I did not mind what he says, I focused to the clues he gave about the case. I am excited to solve the mystery (detective? :p) But when I read it again…The truth really hurts… Actually, I don’t get him wrong..I am so happy pa nga because he is trying to help me. But I don’t like that those words will come from him…I am so ashamed, I don’t want that he will label me as a parasite, a weak, or be a Miss Dependent (thank God he didn’t)

To cut this long sentiment short,,let me share to you what Dr Stockmann said, “I’ve made a great discovery…The fact is, you see, that the strongest man in the world is he who stands most alone.”

From now on, I will try to be self-sufficient to survive. I will seek minimal help from other people but I confessed this to you, there is one thing I can’t change in myself and that is being a full-time dependent child of God. ayt? :j

Everyday I ride a public utility jeep for me to go to school (OLFU), it takes 1 ½ hour (and I tell you that my everyday trip is tiring and boring!)…To fight my boredom and to make myself busy, I do a lot of things. While at the jeep here are my vices: reading my nursing books, reviewing my notes, sleeping and sometimes I make music video but just in my mind…just emoting. hehe. But now I have my new vice and that is correlating all the things I see on the road to nursing or medicine.

This is my last semester in college and I will have a lot of upcoming nursing exam that I need to pass like the comprehensive exam and board qualifying exam given by our university and the most dramatic of all, the Nursing BOARD EXAM… And one way of preparing myself, is to study in advance through reviewing whatever I do and wherever am I.

Last Monday, I saw a warning sign; it says, ROAD UNDER CONSTRUCTION, unconsciously I read it this way: Road under VASOCONSTRICTION…hmmp.. Am I freak?!hehe.Back to reality, medically speaking, vasocontriction is the narrowing of the blood vessels resulting from contraction of the muscular wall of the vessels, particularly the large arteries, arterioles and veins. The process is the opposite of vasodilation, the widening of blood vessels. When blood vessels constrict, the flow of blood is restricted or decreased, thus, retaining body heat or increasing vascular resistance…From that instance, I begin to career my vice I also now reviewing medical abbreviation through reading plate numbers…How? For example, I saw a car with a plate number of ARF 530, in medical-surgical nursing ARF stands for Acute Renal Failure. ARF is a rapid loss of renal function due to damage to the kidneys, resulting in retention of nitrogenous (urea and creatinine) and non-nitrogenous waste products that are normally excreted by the kidney.

Am I freak?…No I’m not! I just want to use my time productively. I don’t want to waste my time making music video or do reminiscing…hehe..minsan lng kapag hindi ko na kaya at kelengan mag-emote.