Last night was fun. It actually lasted until 3:00 am this morning.
The cool gang from my previous work, actually none of us still works for that company, got together at a music joint called Music Bank on Morato Street for some videoke trip.
Alongside the belting is some belching due to unending flow of heart-friendly treats. We feasted on cholesterol-induced dishes that I started to feel paranoid about clogging my arteries. During the last hour of our vocal power exhaustion session, the receptionist came in with a platter of fruits. According to her it is a complimentary treat from them. A good way to have a colon cleanse.
Right now, I am trying to detoxify with a cup of brewed coffee. I hope it does the trick.

In the midst of the summer heat, I went out and braved the sun to run some errands. Had to get money from Western Union, went to pick up my professional license from PRC (Professional Regulations Commision) and renew my driver’s license at LTO (Land Trasportation Office). I was also able to buy a cell phone and ship it to Switzerland.
I was able to finish them by 4:00 pm. I just grabbed myself a grande iced caramel macchiato and headed home.
I changed into my uniform and hit the road again for my night duty.
It was the usualy shift for me. My co-staff nurse just recognize the my left eye was red and I just dismissed the comment by telling him that it’s just irritated by the contact lense.
At 4:00 am while I was dressing the wound of the patient who has undergone coronary artery bypass graft. When I was about to drain the syringe in the comfort room, I took a glance at the mirror and was shocked to see that my left eye was bloodshot.
I hurriely went to the nurse’s bathroom and flushed it with sterile water. I even asked the help of a fellow nurse to flush it but the bleeding won’t stop so we decided to head for the ER. There, they did not do anything. They just asked me to rest. It’s useless. I decided to go back to the ward to finish my task instead.
After my shift, I went to the infirmary to see a doctor. He ordered to run some tests on me: CBC or complete blood count, PTPA and aPTT (both will check on my bleeding parameters). They all turned out tobe normal. Thank God!
I was told that it was a subconjunctival hemorrhage that will resolve on its own.
According to wrongdiagnosis.com:

Bleeding from one of the tiny, almost invisible blood vessel under the conjunctiva (the clear lining covering the eyeball and the inside of the eyelid). The condition can cause the whites of the eye to develop red patches from the blood trapped under the conjunctiva. Although the condition looks serious, it is painless, doesn’t impair vision and requires no treatment as the blood will usually disappear within a few weeks. The condition may occur for no apparent reason or may result from such things as an injury, coughing and heavy lifting

Since I am not hypertensive and diabetic, I know that it was caused by straining too much lifting a patient.

I do not know if it comes with age but I see that older people suffer more from skin disorders that the younger ones. Maybe it is because of lack of mobility being confined to bed or a wheelchair or the integumentary and circulatory systems are as vulnerable as their other systems. Some suffer from skin infections that appear to be exzema or escema.

I have come across patients who have just undergone operations asking how to build muscle fast Their relatives too are eager to have knowledge about this and as part of our health teaching program I just tell them to get good amount of protein and they need to have regular exercise routine. I also informed them that protein also help make the wounds heal fast.

Good thing about working for a hospital is that, I could at least avail of the free diagnostic procedures. Well, I am really unsure if probationary employees are included in this package but the nurse at the infirmary just stamped the lab work up prescription from my doctor and when I presented it at the pathology department, they did not ask me to pay anything. They do not have the protein-creatinine test though which I had done at the National Kidney and Transplant Institute. Anyhow, it is still best if I had cheap insurance that would cover all my medical expenses. This is the only thing that makes me reconsider keeping my callcenter job.

I woke up this morning to the voice of my dad and nieces. It is the usual morning for them, screaming running around the house being chased by my dad. With the morbid thoughts running on my mind, I could say that I have got some decent sleep after all. I just noticed that my fingers are throbbing a bit, yet again. I have stopped taking Plaquenil which is among the best yet pricey rheumatoid arthritis treatments out there.

I learned from our HR department that being a probationary employee does not require me to contribute to government agencies like the Social Security System and Pag-ibig Fund. This kind of alarmed me as these two are vital to me. I was informed though that I could make voluntary contribution but I have to remit the payment myself. I really wanted to continue paying my share especially the SSS as this will cover my social security disability

Being a nurse does not just begin with vital signs taking and recording, patient assessment, medications and does not end with charting.
The nursing reponsibility involves knowing the disease process the medications, its mechanism of action, side effects and the precautions.
A female in her early 30s was admitted with complains of right upper abdominal pain. Tests revealed that she has cholelithiasis and cholecystitis.
According to medterms.com cholelithiasis is “the presence of stones in the gallbladder or common bile duct. The process of formation of such stones. From the Greek roots chole, bile + lithos, stone.”
On the other hand. cholecystitis refers to the “inflammation of the gallbladder, a complication of gallstones which are formed by cholesterol and pigment (bilirubin) in bile.”
Bile according to answers.com is a bitter, alkaline, brownish-yellow or greenish-yellow fluid that is secreted by the liver, stored in the gallbladder, and discharged into the duodenum and aids in the emulsification, digestion, and absorption of fats. Also called gall.
There are a few doctors who are thoughtful enough to share the diease process to the patients. So they (patients) end up at a loss as soon as the doctor steps out of the patient’s room. Most of the time, the nurses are the one being asked about for the information they need to know.
My patient was informed by her attending that she needs to undergo explore laparoscopy to remove the gallstones in order for the bile to have patent way to the colon. Otherwise, gallbladder will be filled with bile and sign and symptoms will worsen. Chronic gallstone disease may lead to fibrosis and loss of function of the gallbladder and predisposes to gallbladder cancer.

During my preemployment physical exam, the doctor asked if I were smoking and he was surprised to hear from me that I used to smoked. I told him that I quit in 2006 and I did not further discuss the reason behind it. I was not a chain smoker but I experienced smoking at least 10 sticks in a day. I only tried light cigarettes and I did not even try cigars much more the Acid cigars

Since my first ever out of the country trip was unplanned and was paid for by a good Samaritan, I did not have enough time to raise funds for it. I mean the plane ticket and accommodation were covered but the food and tour extra fees should come out of my own pocket. Being a foodie in a place where a peso is equivalent to 0.0297169 SGD, I need to think more than twice before sinking my teeth into something that is gastronomically appetizing. So in my stay in Singapore, I need to some sort of pop in some appetite suppressant just to make sure that I won’t be breaking my piggy bank.