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.

I just wanted to share this unusual disease that I view recently in the net… :j  Please click the link below to see the video interview of Mr. Tree man.

bctid1305059663

Dede, now 35, baffled medical experts when warty “roots” began growing out of his arms and feet after he cut his knee in a teenage accident.

The welts spread across his body unchecked and soon he was left unable to carry out everyday household tasks.

Sacked from his job and deserted by his wife, Dede has been raising his two children - now in their late teens - in poverty, resigned to the fact that local doctors had no cure for his condition.

To make ends meet he even joined a local “freak show”, parading in front of a paying audience alongside victims of other peculiar diseases.

Although supported by his extended family, he was often a target of abuse and ridicule in his rural fishing village.

But now an American dermatology expert who flew out to Dede’s home village south of the capital Jakarta claims to have identified his condition, and proposed a treatment that could transform his life.

After testing samples of the lesions and Dede’s blood, Dr Anthony Gaspari of the University of Maryland concluded that his affliction is caused by the Human Papilloma Virus (HPV), a fairly common infection that usually causes small warts to develop on sufferers.

Dede’s problem is that he has a rare genetic fault that impedes his immune system, meaning his body is unable to contain the warts.

The virus was therefore able to “hijack the cellular machinery of his skin cells”, ordering them to produce massive amounts of the substance that caused the tree-like growths known as “cutaneous horns” on his hands and feet.

Dede’s counts of a key type of white blood cell are so low that Dr Gaspari initially suspected he may have the AIDS virus.

But tests showed he did not, and it became clear that Dede’s immune condition was something far rarer and more mysterious.

Warts aside, he had enjoyed remarkable good health throughout his life - which would not be expected of someone with a suppressed immune system - and neither his parents nor his siblings have shown signs of developing lesions.

“The likelihood of having his deficiency is less than one in a million,” Dr Gaspari told the Telegraph.

Dr Gaspari, who became involved in the case through a Discovery Channel documentary, believes that Dede’s condition can be largely cleared up by a daily doses of a synthetic form of Vitamin A, which has been shown to arrest the growth of warts in severe cases of HPV.

“He won’t have a perfectly normal body but the warts should reduce in size to the point where he could use his hands,” Dr Gaspari said.

“Over the course of three to six months the warts should be come smaller and fewer in number. He will be living a more normal life.”

The most resilient warts could then be frozen off and the growths on his hands and feet surgically removed.

Dr Gaspari hopes to get the necessary drugs free of charge from pharmaceutical firms. They would then be administered by Indonesian doctors under his supervision.

Still intrigued by the origins of Dede’s peculiar immune condition, the doctor would like to fly him to the United States for further examination, but fears the financial and bureaucratic barriers would prove too difficult to overcome.

“I would like to bring him to the US to run tests on where his immune condition has come from, but I would need funding and to get him a visa as well as someone to cover the costs of the tests,” he said.

source: http://www.telegraph.co.uk/news/worldnews/1569156/Tree-man-%27who-grew-roots%27-may-be-cured.html

Yesterday I received a bulletin from A Very Special Love (AVSL)’s fan profile. They announced that the title of the upcoming sequel of AVSL is “You Changed My Life in a Moment”,hmmp,,sounds good and I view this title very special.

If I’ve given a chance to say this (You changed my life in a moment to one person, I rather say this to my special someone, even though we’re only just a FRIEND. But you know, even he only treats me as a friend; I am contended and thankful because God allows me to know him. To know him is one of the greatest gift I received, he really influenced me. In fact, I’m planning to write a blog about him. I want to thank him for everything he did to my life. He changed my life just in a moment, and I am now enjoying the change that happens in my life. Before, I am searching for love, trying to fill the emptiness of my heart, but when he comes everything sails smoothly, his my angel, his my healer, he heals my wounded heart, he taught me different things, he inspired me through his deeds, he changed me a lot. He influenced my study; I am very motivated to learn. He changed my attitude regarding internship, that having a duty in the hospital is not a burden but a calling. He gives me a sense of direction. He pushed me back to the Lord… I simultaneously love them.. I love Jesus at the same time, I love him. He is the only one that makes a drastic change in my life, in ALL aspect. The love that I find is so much blessing. The change is very positive. Now I know, why they say that love is not falling for, I did not fall, I stand up. In everything I do, I put love, and the output is really impressive.

Thank you for changing my life in a moment. Thank you for allowing me to know you. How I wish that we will be friends forever (but if God allows I want to be your lifetime partner.Ü). I like and love you not just because of your looks and intelligence, but because of your heart. I just wanted to say that thank you and I am grateful that I love you. (Nice pick ed! 3 in 1: looks, brain and heart.hehe)

The nights the sky was filled with clouds
My worried mind was filled with fears
I couldn’t count all the lonely hours
Spent with memories and tears

I never thought I would see the day
When I could throw all my sorrow away
But then you came and you showed me the way
You have made all those times disappear

You changed my life in a moment
And I’ll never be the same again
You changed my life in a moment
And it’s hard for me to understand
With a touch of your hand
In a moment of time
All my sorrow is gone

I never thought that I could change
Could change so much in so many ways
I’m still surprised when I look in my mirror
To see that I still look the same

You changed my life in a moment
And I’ll never be the same again
You changed my life in a moment
And it’s hard for me to understand
With a touch of your hand
In a moment of time
All my sorrow is gone

You changed my life
I’ll never be the same

You changed my life in a moment
And it’s hard for me to understand
With a touch of your hand
In a moment of time
All my sorrow is gone

Thank you choge! you change my life in a moment!..

P.S. I also wrote this blog for all the girls who are in love, that LOVE gives more than just a kilig factor, it brings positive change… :j

“Love leaves a legacy. how you treated other people, not your wealth or accomplishments, is the most enduring impact you can leave on earth.” -Rick Warren.

Last week I am busy making and compiling my group mates’ comprehensive study about moral principles for the subject professional adjustment. Actually this topic is only a review of what we tackled 3 years ago in Health Ethics but because of immaturity I don’t take it seriously. I just memorize it without comprehension and reflection.

Moral principle includes the principle of beneficence, nonmaleficence, autonomy, fidelity, veracity and confidentiality…In fact, this so many principles can only summarized in just a simple phrase, a common phrase that we usually heard, and that is “love God and love your neighbor”. This great commandment greatly impacts us nurses…As a health care provider let us view our patient us brothers and sisters. Love them, treat them with care. Actually, I did not regret that I took this course. Nurses are blessed because we have an opportunity to care people, who are in need. We must take our profession as a privilege, an opportunity, a calling rather than a mere obligation and responsibility. They are different, because when you say it is a privilege, opportunity and calling, you do your job with love, you treat it as a gift, you treasure it, and do your best for it. While taking this as obligation and responsibility, yes you do your job well but the passion in what you are doing is lacking, you do it because it is your duty to do so not because you have a heart in it Love is what they need, our patient needs your competence, but far more than that, they need you, they need healing from within, and it will only accomplish through expressing our real compassion to them.

“These three things continue forever: faith, hope and love. And the greatest of these is love.” 1Corinthians 13:13

Catapres is a drug that lowers blood pressure by decreasing the levels of certain chemicals in your blood. This allows your blood vessels (veins and arteries) to relax (widen)and your heart to beat more slowly and easily. Catapres is used to treat hypertension (high blood pressure).

On my way home, after my duty as a staff nurse in Fatima Medical Center, there is a woman who asked me if I can take the BP (blood pressure) of her aunt. I planned to refuse, but I remember my blog’s tagline, “to serve others through healing and caring”, so I said “sige po! San po ba sya?” (sure! where is the patient?). Upon getting her BP, I also collected her medical history. I found out that she already experienced a mild stroke. She also complained of headache and told me that she feels not so well. 150/90 is her BP. She also informed me, that she took Catapres ½ tab SL (sublingual) before lunch and asked me if she can take another Catapres to lower her BP. Honestly, I don’t know what to answer, I am familiar with the drug classification but other than that, like the dosage, onset, peak and duration of the med is totally unknown to me. Practicing nonmaleficence (to do no harm), I confessed that I don’t know if she is indicated to take Catapres, but I promised that I will asked a doctor regarding her condition. Upon getting home, I immediately open my computer, search the MIMS webpage and read the Catapres’ page. I also texted a doctor but it took 15 minutes after I received a reply. After studying the med I found out that Catapres is taken TID, it is for mild-moderate and severe hypertension, and you can safely repeated it up to 900 mcg in divided doses…It seems Catapres is safe for my patient. So, I texted her and advised her to take Catapres 75 mcg 1 tab SL. After only a few minutes after sending my msg to my patient, I received the doctor’s reply. He said that 150/90 is not enough to take Catapres, it must 160/100 or higher, taking the med with less than the indicated BP will abruptly lowers the BP of the pt (hypotension)…What should I do? I already said that she can take the med. What if my pt already take it? While my anxiety escalates (because I am responsible with it), I texted her not to take the drug (thanks to Chikka: Still the best way to send free text messages) and better to seek consultation to a physician…Thank God! She replied and told me that she didn’t take the med…My patient saved my life! Domo Arigato gozaimasu madam! Ü

Narrative Report by edmer khrysall diaz

October 30,’08: Primi

It was the first time I saw the city hall of Meycauyan, it is far from the town proper but it is worth seeing for. I really much appreciated the beautiful sky (it is like a vast painting of a great painter) and also the large tree (its shades makes me wanna sleep underneath or just read my favorite book while breathing the fresh air).While waiting for the orientation, as usual, we make chit-chats with each other about our short vacation and many other stuffs. It is almost 9:00 AM, when a man approached us; he asked if we are the students who will be having a duty in Meycauyan. He introduced himself and said he is Dr. Abelardo Bordador, the CI. He orientated us and easily made a rapport with us. After an hour of orientation, we went to the community we are assigned to through an ambulance, another primi experience. It is exciting; I can’t stop my mind imagining an intubated patient lying in the ambulance bed. After we reached Bancal, we bid goodbye to our CI. We went to the Fatima, hoping God will shower miracle to the printers (this is it, the distribution of grades is now officially open). While in the bus, I’m so nervous; I’m experiencing DOB (difficulty of breathing).

October 31, 2008: Promise: I will also be an instrument of healing

“Whenever you served others in any way, you are actually serving God and fulfilling one of your purposes.”-Rick Warren

These past few weeks, I promised to God and to myself that I will serve others through my course. This is my last semester (hopefully). I want to give my best, learn and serve more. For the first time, I prayed early in the morning, before going to duty. I need a blessing and help to be an instrument of healing (somehow). I feel a great change in myself; I feel the energy and dedication in my work. Am I really this? Before, I am a student nurse who always in the sleepy mood. I am passive, lazy and sedated. I’d rather sit down, wait for the break, making countdown than seeing and checking my patient. But now I treat my patient more humane and caring. At the RHU (Rural Health Unit), I get the pt’s profile, their VS, medical history, chief complaints and sometimes doing health teaching. I sense a drastic change within. Even if we have a short duty hours this day, I am much fulfilled. I really feel good.

November 6, 2008: Rx: Laughter 3x a day

“Sorry I’m late.” that’s the only word I can say to my groupmates after waiting for me for more than 15 minutes. After few minutes of walking, we arrived at the RHU. The unit is full of patient waiting around. Because I now changed my old habits of sleeping while on duty, I urgently went to the patients. Some of them are pregnant who needs prenatal care, children with ARI (acute respiratory infection), elderly with HPN (hypertrension)and infants who are scheduled for immunization. So I did the usual/routine profile completion, VS recording and weighing…Speaking of weighing, this is the start of my dutyful blooper…I saw a pregnant woman sitting in the bench, I approached her and asked if she already weighted and she answered not yet; so I immediately weigh her. 72.1 kg is her weight. Her record is in the hand of the midwife which is standing beside my colleague. “72.1 kilo yung weight nung buntis.” (72.1 is the wt of the pregnant mom), I whispered to my colleague. Actually I don’t have the ‘art of whispering’, I whispered it loud. Unfortunately Ma’am Edith, the midwife, heard it and loudly says while laughing, “Bakit mo binubulong? Sikreto ba yan?”. And the other health worker said, “Baka daw kasi kopyahin mo.” And the whole RHU laughs at me, even the patients around. At that moment I want to dig a hole in the floor and hibernate there even for awhile. I was very ashamed.

P.S. My blooper has part 2 and 3 but due to lack of space. I can’t post it down.. All I can say is “Uy, Strike 2!”… On the other hand, we also finished our ocular survey and accomplished the survey form. We also talked about the appropriate livelihood program for our community.

November 7, 2008: Social Smile

This is the last day of my duty in CHN and sad to say Dr. Bordador is not around. Because the doctor is out, the midwife take over the prescription of medicine and other thing the doctor does, in a fast track mode. I made the routine recording and VS taking. A woman approached me, and said her son need to seek consultation. I took the child’s medical history and get his temperature. I was shocked to what the digital thermometer record, 40.2 ºC; so I get my traditional one, it is confirmed, the patient is having a high-grade fever, 39.4 º C! After seeing by the midwife, they were given Cotrimoxazole for the ARI and Paracetamol for the fever. While the mother is preparing to leave, I advised her to TSB her son because I was afraid that the patient’s condition become worse, it is a high-grade fever which can probably leads to convulsion or DHN.

After few minutes of resting, I was asked by the BHW (baranggay health worker) to weigh this cute, chubby baby .She has a cute, round eyes, plump extremities and most of all, she has an adorable smile (so cute). She is scheduled for DPT and OPV immunization. I already imagining her reaction regarding the procedure, I asked myself if this baby still smile so sweetly after the vaccination (I think no). She is still smiling brightly without knowing the impending doom. When the injection punctures her vastus lateralis, her face turns red and cries out loud… But this baby girl is really strong, because only a few minutes after the immunization her warm smile goes back (even if she had a teary-eye). Her cute smile is really contagious…In fact, she reminded me a lot of things; she reminded me to smile even if you’re experiencing pain (which is right).. I really can’t believe that this little baby is my mentor today. Ü

Take Action to Protect Our Forest and Save Our Climate

Rampant deforestation in the world’s largest forested nations, like Indonesia and Brazil and ongoing logging in the Democratic Republic of Congo, is driving up greenhouse gas emissions and further fuelling the dangerous climate change that we are already witnessing.

Indonesia is currently losing its forests faster than any other major forested country. According to FAO (2006), Indonesia loses at least 1.8 million hectares of forest per year, making Indonesia the third largest greenhouse gas emitter in the world, after the United States and China. The main source of Indonesia’s emissions is deforestation and the drainage of carbon-rich peat land.

The main drivers of Indonesia’s fast rising deforestation are the aggressive expansion of palm oil and large-scale logging for pulp and paper and timber. Forest fires rage every year as more priceless forests are cleared. Floods, drought and changes in the climate pattern also further forest destruction in Indonesia and compromise food security.

A moratorium will not only help curb the country’s greenhouse gas emissions, but will also safeguard the wealth of tropical biodiversity and protect the livelihoods of forest dependent communities all across Indonesia.

Over 30,000 Indonesians have already signed up to become a part of Forest Defenders Indonesia (FDI). Please join them in urging Indonesia’s President to declare an immediate moratorium on deforestation.

Greenpeace showcases the solution to Indonesia’s rapid forest destruction and rising carbon emissions

Greenpeace this morning launched its Forests for Climate initiative, the pioneering solution to reduce deforestation, tackle climate change, preserve global biodiversity and protect the livelihoods of millions of forest people. Forests for Climate (FFC) is Greenpeace’s landmark proposal for an international mechanism to fund sustainable and lasting reductions of emissions from tropical deforestation in participating countries in order to meet commitments for the second phase of the Kyoto Protocol [post 2012].

Greenpeace showcases the solution to Indonesia’s rapid forest destruction and rising carbon emissions

Greenpeace launched its Forests for Climate initiative, the pioneering solution to reduce deforestation, tackle climate change, preserve global biodiversity and protect the livelihoods of millions of forest people. Forests for Climate (FFC) is Greenpeace’s landmark proposal for an international mechanism to fund sustainable and lasting reductions of emissions from tropical deforestation in participating countries in order to meet commitments for the second phase of the Kyoto Protocol.

from: Greenpeace

let us protect our planet in our own little way.. :j

Good day! this is my compilation of interesting questions about love, preparing to become good husband and wife, preserving oneself for your loveone,and having a God-centered relationship.The answer also came from the book (When God writes your lovestory by Eric and Leslie Ludy). No revision made,no opinion added..Hope this will guide us in our journey for our sweet lovestory..

Q1: How can we know that our God-written lovestory will last for a lifetime?

A: We know that our God-written lovestory will last for a lifetime if it lies in the kind of love upon which we choose to build a relationship. If we build it on the gushy stuff or base it on physical attraction, we most certainly are headed for divorce, because one day we may wake up and realize those feeling aren’t there anymore.

must based on a choice. A commitment that says “I will your highest good above my own. I will lay down my life for you.” We need to think of the gushy stuff as merely the icing on the cake..it’s what adds that extra dimension of flavor to relationship.But it’s not the ingredients that keeps a romance together. If we don’t have a LASTING LOVE and COMMITMENT for our spouse as the foundation of our relationship, we don’t have anything at all.

Q2: How can I love someone I’ve never met?

A: Keeping to abstinence for my future husband. How would your future husband feel, if he could see you giving everything you are to these relationships? If he could watch you freely giving your heart, your emotions and your purity; treasure that belongs to him.

The secret to heavenly romance is to begin practicing purity for a woman and cherishing her thoughts, action and words, long before you even met her.

Q3: What if I don’t get married?

A: It is not merely for our future marriage here on earth that we do these(staying pure) things, it is also an investment in our glorius future marriage in heaven with Jesus.

“I am already taken.”

Q4: What do men looks for in a woman?

A: (based on four godly young men)

• who guards his heart and isn’t easy to get.
• have high standards.
• focused on God and isn’t easily distracted by men.
• doesn’t throw herself, but allows to win her heart overtime.
• “princess of purity”

Q5: What is real man?

A: A real man, the kind of man a woman wants to give her life to, is one who will respect her dignity, who will honor her like the valuable treasure she is. A real man will not attempt to rip her precious pearl from its protective shell or persuade her with charm to give away her treasure prematurely but he will wait patiently until she will willingly gives him the prize of her heart. A real man will cherish and care for that precious prize forever.

(unfinished)

Hypovolemic shock refers to a medical or surgical condition in which rapid fluid loss results in multiple organ failure due to inadequate circulating volume and subsequent inadequate perfusion. Most often, hypovolemic shock is secondary to rapid blood loss (hemorrhagic shock).

Acute external blood loss secondary to penetrating trauma and severe GI bleeding disorders are 2 common causes of hemorrhagic shock. Hemorrhagic shock can also result from significant acute internal blood loss into the thoracic and abdominal cavities.

I didn’t feel good today..and it is because of my fear of rejection..For this past few weeks, there is a guy who became very special to me, who accommodate me so well, (actually I am not expecting that..don’t know if he is just flirting with me or what)..but after revealing myself to him (finally)..I don’t know if he still treat me that way before. I know that I will not get all that I want but for the reason that I am hoping and dreaming that he is the man of my dream, the man that God gave, and knowing that we will not be more than friend makes my heart bleed.

I really like him(so much), that I did everything just to know him deeper.Is this love or just a deep infatuation? He seem so high, hard to reach and hard to get compare to me who is simple,very common,childish,boring and lazy girl, in other words: we are totally opposite.

Do I need to continue my raging feeling for him?..or all I need is to move on and keep a distance? I am now having hypovolemic shock (initial phase) but I am still surviving, thanks to my compensatory mechanism.

PS: sorry for the wrong grammars and spellings and also for the unorganized thought..all I need is to release my depression.. j:

Medical Trivia

Some interesting facts and figures from medical and first aid websites:

• In 2003, 2,500,000,000 Paracetamol tablets were sold over the counter in the UK.
• Around the world, about 1600 people are infected with HIV-AIDS every day.
• In the UK there was 100 times more research money spent on AIDS than on Prostate cancer last year, but 100 times more men died from Prostate cancer than from AIDS.
• The mosquito is the most dangerous animal in the world. 3000 people die each day from Malaria. World wide, 515 million people are infected.
• Properly performed, CPR delivers less than 30% of the hearts normal flow of oxygenated blood to the brain.
• Last year in the UK, 2500 people died in traffic accidents, 3000 died from hypothermia and cold related problems, mostly in their own home.
• A red blood cell can circumnavigate your whole body in 20 seconds.
• There are 2.5 trillion red blood cells in your body, which means about two and a half million new ones need to be produced every second by your bone marrow. That’s the same as reproducing the population of the city of Toronto every second. That’s 100 billion every day.
• If you look at all the cells and tissues in your body, about 25 million are reproduced every second, which is like reproducing almost the entire population of Canada every second!
• Nerve impulses travel at over 400 km/h. When we touch something, we send a message to our brain at 124 mph.
• In one square inch of our hand we have nine feet of blood vessels, 600 pain sensors, 9000 nerve endings, 625 sweat glands, 36 heat sensors and 75 pressure sensors.
• A sneeze explodes out of the body at 166 km/h.
• A cough travels at 100 km/h.
• The average heart beats at 100,000 times a day.
• Your blood is on a 600,000 mile journey.
• Your eyes can distinguish up to one million colour surfaces and take in more information than the largest telescope known to man.
• Our lungs inhale over two million litres of air every day, and if they were spread out, they are large enough to cover a tennis court.
• We exercise 30 muscles when we smile.
• Our bodies are about 70% water.
• We make 1 litre of saliva every day.
• Our nose filters impurities, cools hot air and warms cold air.
• We have copper, zinc, cobalt, calcium, manganese, phosphates, nickel and silicon in our bodies.
• The main purpose of eyebrows is to keep sweat out of the eyes.
• Over your lifetime, the average person will breathe in around 40 pounds of dust.
• There are more living organisms in one average human body than there are humans in the whole world!
• From 30 years old onwards we gradually shrink.
• We have enough iron in our bodies to make an iron stake big enough to hold our weight.
• We have enough carbon in our bodies to make 9,000 pencils.
• When we blush, our stomach lining goes red too.
• If we put together all the time we spend blinking, we would see blackness for 1.2 years.

http://www.ast-services.co.uk/medical-trivia.html

hope you like it friends…galing noh?!

:j