I never expected that I will be in this situation again. I asked for the answers to my questions and I must not believe in signs. Signs are subject to one’s interpretations. I do not want to look like I am forcing things to happen. I have been waiting for the right time to come but it has been like forever. While everyone is savouring the sweet taste of victory, I am still left hanging and wishing that I were in their shoes. I have yet to claim my part of happiness in life both in my career and in love. I wanted to chill for a while and smell the flowers not thinking that I am not getting any younger but reality hits me big time as the younger people around me are acting as if they are in a race. I am still asking myself whether or not I should keep up with them. I still cannot get my head around the things that are or are not happening to my life.

I am thinking of getting a replacement for my hand-me-down cell phone. I am really loving its simplicity yet functionality. It has not given me any problems from the time it was given to me by my uncle, aside from getting the battery replacement. The only disadvantage of this cell phone is I do not get to enjoy the free WiFi at certain hotspots because it does not have WiFi feature. Come, November, when I am done with two of my deferred transactions on my credit card, I promised myself to get a new blackberry phone. I am considering BlackBerry curve. I hope it will also last me a lifetime.

I woke up and found myself watching the MTV VMA 2011. I was wondering if the female singer was just wearing leaves patched on her skin or they were attached to a lace bodystocking. It was puzzling me as the lights are hiding the details of the singer’s wardrobe. One thing is for sure though, she rocked the costume big time. She actually wowed the audience.

What I really like about the sprucing being made in our staff lounge are the new fixtures. I particularly love the hummer h1 custom floor mats that are really out of this world. I mean they are so beautiful that I am having second thoughts of wiping my shoes on them before I chill on the Italian leather sofa. This is the life of the rich and famous….oh well, almost.

It is a very long weekend and what is the best way to spend it during this rainy times? Curl up in bed while hopping on from channel to another. Glad that cable service remains uninterrupted.
Filling myself with Hollywood buzz,I stumbled upon ET Weekend’s take on Hollywood weight wars. From Oprah’s yoyo diet, to Kirstie Alley’s dance diets. Each of the stars has really worked their way to achieving a health bod that is like finding the best weight loss pills that work for you.

In line with the compliance to Accreditation Canada International, the management also need to provide for their hospital staff a lounge. So, our management has decided to convert our morgue-like pantry into a room with homey atmosphere. They commissioned an interior designer that will put our dream into reality. They started to put in sofa, a dining table and they have changed the wash tub into a single bowl undermount sink. It is lovely!

One has undergone transradial coronary angiography that revealed one-vessel disease of the left anterior descending artery (diagonal). As he was sent back to his room, the management to his disease was discussed.
The order says possible FFR (fractional flow reserve/transradial PCI or percutaneous coronary intervention.
According to ptca.org Fractional Flow Reserve, or FFR, is a guide wire-based procedure that can accurately measure blood pressure and flow through a specific part of the coronary artery. FFR is done through a standard diagnostic catheter at the time of a coronary angiogram (a.k.a. cardiac catheterization). The measurement of Fractional Flow Reserve has been shown useful in assessing whether or not to perform angioplasty or stenting on “intermediate” blockages.
Stenting is one of the interventions considered to open up a narrowed vessel to increase the blood flow that goes in and out of the heart.
The first instinct or consideration made is to stent a block that is more than 50% to give in the “oculo-stenotic reflex but if FFR is done, blood flow in the affected vessel could be determined and will further call for a more sound decision of whether or not to stent the vessel.
A stent would cost around P80,000 – P100,000 and additional fee for the FFR would not as expensive as that .
The special guide wire crosses the lesion and is able to measure the flow and pressure of the blood. Results are displayed on a special monitor (left) along with the “FFR value”. Studies have shown that an FFR value less than 0.75 or 0.80 corresponds to inducible ischemia, and most likely will require interventional treatment. Blockages that score above this threshold can be safely and adequately treated by medical therapy without the need for angioplasty. (ptca.org)
This has been existing along with the discovery of angiogplasty but due to size in circumference that will fit in a vessel it has somehow virtually died. Recent innovations though gave birth to devices that uses smaller Dopplers which does not need any balloons.
As mentioned, it is usually done during the coronary angiogram but for some reason, the interventionist has reserved it to be done after it and before considering transradial PCI.
I was the charge nurse one night and in my rounds I mentioned to the patient the preparation for the procedure including the needed downpayment. Although he is under an insurance company, he said that they are still to decide if they will be going for the procedure. That is what I endorsed to the incoming charge nurse and the next day that I came in, the patient has been discharged.
I hope that he made a very wise decision as his condition needs special attention.

I really love the sporty atmosphere in the ward. My colleagues are into maintaining a healthy lifestyle amidst the sticky situation in the hospital. Since it is raining, I did not have the luxury of time doing my routing run. I offered my water proof MP3 to my colleague who plans to run 21k in the next leg of the Unliab Run. He politely declined my offer and said that he just need to find water proof accessories for ipod so he could have has MP3 playing even in the rain.

The surveyors for the Accreditation Canada International are finally here in our institution. Our hospital is gearing for the Diamond category which is the highest grade the ACI gives. Last year we scored Gold which means that we have process that we apply. The Diamond standard means that we have the check and balance for the said process.
The surveyors have been to various department and wards in the hospital and I was so lucky that they did not drop by the ward yesterday in the midst of the chaos. I was picked to be the frontliner and I do not think that I could pull my acts together when I had so many things in my hands yesterday.
I heard that apart from the questions they actually get through the patient’s charts and check the document management. I just hope that they would not concentrate much on the appearance of our charts as they look very awful.

In our fall risk assessment form, voiding pattern is one of the categories. I do not exactly understand its relevance to the risk it poses to a patient but I think it has something to do with making a puddle on the floor that may pose as a risk in tripping. Just my theory. So it is advisable to turn into some helpful stuff like the incontinence products that may help the patients control their urges or just help them get by with their disorder.