One of the good things about making rounds with the doctor is you get to peek on their brains. Well, not at all times that is why I am hands down to doctors who take time explaining things to the patient and their significant others the things they need to know about their condition and the things that may affect or might have caused the present condition.
The patient was an 80-year old man who was known hypertensive for 30 years. Few days prior to admission, his blood pressure (BP) shot up to 220 systolic. His left-sided body weakness occurred followed by slurring of speech. He was then brought to the institution and was diagnosed to have hemorrhagic stroke.
He was confined in the Neurology ICU on mechanical ventilator. After a weak of intensive care, his vitals have become stable and he was weaned from the ventilator hence the order to transfer to a regular room.
The patient is being trained by an occupational therapist to try on clear liquid to soft diet. His response to the program is very remarkable that his nasogastric tube has been ordered to be removed prior to his discharge.
Going back, as I joined the doctor in his rounds, the neurologist asked the daughter to continue assisting the patient in performing ankles pumps. This is to prevent formation of blood clots that may cause another stroke or worse pulmonary embolism.
It is interesting to know that pulmonary embolism is a known cause of death among passengers on economy flight. It is referred to as economy flight syndrome since the passengers have little leg room that they cannot move their legs to stretch. This lack of leg activity causes blood clot formation in the legs called thrombosis and the dislodgment and travel of the clot, called embolism, to the lungs (called pulmonary embolism) causes sudden shortness of breath and in seconds patient may die.
It is my first time to hear this fact and it is pretty informative.

There are different shapes of human in terms of body form. There are pear shapes, drumstick shape and what not but have you ever heard of apple bottom? It is something that is new to me. Apple bottom similar to round shape which means the heaviness is equally distributed from the thorax down to the bottom part of the body but in some definition it simply refers to the type of lingerie a famous brand carries.

I got a breakfast tray for my laptop. This way I would not have to strain my back, neck and hands when using my laptop while in bed. It has been with me for more than a year and I brought it to the dorm. My roomie has asked me where I got it because she badly needs one for her laptop also. I told her that I got it from an office furniture shop more than a year ago and then it only cost less than P300.

It was around 3:00 in the morning when Mrs. S’s condition has deteriorated.
We have just finished tranfusing another set of 6 units of platelet concentrate. She reported that she is having difficulty breathing and the pulmonary fellow on duty ordered for an IV push of Furosemide, a diuretic that was supposed to ease her pulmonary congestion.
She did not recover, the fellow ordered for an NIV or the Non-invasive ventilation but as the respiratory therapist was starting to set it up, it did not work immediately. While the RT was trying to jump start the machine, the fellow prompted us to prepare for an intubation. I wheeled in the crash cart in the patient’s room. Everything happened so fast. She crashed and so we called code blue.
Resuscitative measures brought her back and as we prepared for her to be brought down to the medical ICU, she crashed again. At that time, relatives have told the code team to stop. They want a DNR.
We let her go. I shook my head in disbelief.
She has just been diagnosed to have Idiopathic pulmonary fibrosis

I have been thinking about what the dressmaker has told me. Of course nothing beats the natural way of loosing weight like cutting on carbs, eating on moderation and getting up on my feet doing cardio workouts. Then again, with my erratic sked I came to considering popping some weight loss supplements to shed off some pounds.
I need to keep my shape in shape to fit in my clothes.

I have asked the hospital’s official dressmaker to sew me another set of uniforms. Unfortunately my old uniforms are close to not fitting me anymore. Even with my erratic hospital sked and the toxic shifts which do not allow me to eat on time, I still continue to put on some pounds.
I have been giving the dressmaker my detailed instruction on how I would like her to sew my uniform and she has just jokingly told me to try clinicallix. I was surprised that at her age, she knows about these stuff. She told me that her daughters abroad are so obsessed with it.

My headnurse and I sat down for the discussion of my 6th month exam. She voiced out how disappointed she were about the turnout of the said exam. I felt like I was a butter melting under the sun as she tackled each of the item in my revalida. Honestly, I was and still am ashamed that I have not grasped the concept of cardiac medicines and the procedure and diagnostics related to cardiac diseases.
I know that I still have so much to learn and I am willing to engage in a serious one-on-one lecture in order for me to learn more. I am serious about my profession and I shall do anything to keep me knowledgeable anything that has to do about the human heart.
I owe to myself and to the institution.

Speaking and in view of breakouts, I have been scouting for the best acne treatment that would instantly zap out those pesky zits. While it is true that to each his own in every aspect, it is good to hear from others what they might say about a certain product or service. Word of mouth is still the most powerful means of advertisement. I have heard of acneticin reviews and it seems that they are all coming in good.

At first I thought pimples or worse, acne are a thing for teenagers or people in their adolescent years. For some reason, it extends up to adulthood and I hate to admit it that I am among those who still suffer from occasional breakouts. I have to have an acne cream ready at bedside especially when I am lacking sleep.
Acne is a skin disease that actually cause pimples. Pimples start to form or what we call breakout when the hair follicles under our skin or pores being to get clogged. Breakouts can pop up on your face, neck, back or chest.
While stress does not cause acne, it can sure make it worse.
If you already have acne try to do these:
Clean your skin gently
Try not to touch the affected part
Avoid the sun
If you see that your pimples are getting worse, see a dermatologist before acne vulgaris happens.
(Source: Medline Plus)

Nah, this is not about the protection one wears during an intercourse. This has something to do about the recent needle stick injury I have sustained after giving an insulin dose to my patient.
Learning that things that I have to go through after reporting the incident, I begin to have regrets. I should have kept mum about it.
Hepatitis B blood panel is the type of blood test to determine hepatitis B. There are three tests that complete the panel to complete the diagnosis:

1. Hepatitis B surface antigen (HBsAg) tests for the presence of virus. A “positive” or “reactive” HBsAg test result means that the person is infected with the hepatitis B virus, which can be an “acute” or a “chronic” infection. Infected people can pass the virus on to others through their blood and infected bodily fluids.
2. Hepatitis B surface antibody (HBsAb or anti-HBs)- A “positive” or “reactive” HBsAb (or anti-HBs) test result indicates that a person has successfully responded to the hepatitis B vaccine or has recovered from an acute hepatitis B infection. This result means that you are immune to future hepatitis B infection and you are not contagious. This test is not routinely included in blood bank screenings.
3. What is the hepatitis B core antibody (HBcAb) is an antibody that is part of the virus- it does not provide protection. A “positive” or “reactive” HBcAb (or anti-HBc) test result indicates a past or present infection, but it could also be a false positive. The interpretation of this test result depends on the results of the other two tests. Its appearance with the protective surface antibody (positive HBsAb or anti-HBs) indicates prior infection and recovery. For chronically infected persons, it will usually appear with the virus (positive HBsAg)

Source hepb.org

Anyway as far as I can remember I was reactive to Anti-HBs with 56 level of titer. What worries me right now are the questioning I have to go through regarding the incident. Why do I feel that they are indifferent about me not taking extra precaution in handling needle sticks. The department head has questioned me saying that I should not be in that situation since the precaution is very basic and I am already 6 months in the ward. The supervisor on duty told me in an ironic manner to have my other nine fingers pricked also.
I have to face the wrath of my headnurse who already called in and voice out her frustration about the matter and I have to report to the Infection Control Office.
I should have kept it to myself.