I was at my former office this afternoon to meet up with my former officemate when I noticed that people are starting to flock at the parking lot infront of the abandoned building. I found out that my former teammate’s back dashboard was completely broken by a makeshift chair which according to some bystanders just flew out of the window of the abandoned building. It was a windy day today due to the typhoon at the northern part of the Philippines.
The parking lot infront of the abandoned building has a park-at-your-own-risk policy and my former teammate did not appear to be worried about the situation although the damage is totally alarming. Luckily, she has gotten her car a 5th wheel warranty that will cover for all the damages this unfortunate accident has caused the poor automobile.

The rainy season is now intensifying. There is no day that it did not rain. I am loving this season as it gives me a very good time to relax and curl up in my bed during my day off. I am now unearthing my sweaters as the weather makes the atmosphere colder in the dorm. Comforters are not enough to keep me warm and I am really shaken to the core whenever I am in the dorm.

This is a case of 31-year-old sfemale, single who was admitted for management of stage IV breast cancer. The terminal stage. She has had left mastectomy (removal of the breast) in 2009. Her family refused to go for chemo therapy and decided to treat the presenting symptoms.
The patient came in with fever and unproductive cough. She has been bedridden since February this year due to pain she experiences when walking. She also complains of constipation, abdominal pain, neck pain and has had episodes of vomiting.
Her lack of appetite has prompted the doctor to place nasogastric tube to serve as an access for her osterized feeding to meet her daily caloric needs.
The cancer cells have metastatized to her bones that cause her excruciating pain especially in the leg. She has been referred to pain management specialist and the doctor gave her Oxynorm round the clock. Her pain was too severe that she needs to be given with Nubain via IV as rescue doses.
There are times that she’s okay and conversant but most of the times, she was disoriented mumbling incomprehensible words.
She’s all being managed for infection in the blood (sepsis). Her white blood count still shoots up despite the protective environment that she has been placed in. Her red blood cells, haemoglobin and hematocrit are all going down. No blood transfusion was made although warranted because their religion, Jehova’s Witness, forbids this.
The family members were primed about the impending loss in their family. Her vitals are all going down at 4:00 pm, she was pronounced dead.
In terminal cases, the medical staff can only offer palliative management and emotional support. Her battle with cancer was over and it is sad that she has lost to it.

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

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.

I feel so sad to learn through a Twit from a friend that one of her fellow bikers was hit by an unruly car driver. The woman who hit the victim told the police that she actually saw the biker wave his hand to signal that he is going to take the shoulder lane but she did not mind to slow down. The biker was not seriously injured but suffered some bruises. Good thing that he is a member of the roadside assistance club that helped me pull through this serious accident.

I was excited to report for work after hearing that we will be given with the sports allowance. Seeing that no one is in the ATM booth, I immediately tried checking my balance only to find out that I only have P300 in it. When I reached the ward, I learned that only regular employees were given with such an allowance. So I came to thinking where did that P300 come from? I did not avail of any : rv loans. Maybe it was a mistake.

One of my closest friends in the ward has just got married in June. I am so happy that she has found her better half. What also made me happy was the fact the I was one of the few who she trusted and told about her wedding. It think it was in January or February that she told me, along with the other juniors in the ward, that she’d be tying the knot.
We understood that might as she wanted, she chose not to invite any of her closest friends in the hospital to avoid hurting some people’s feelings.
Although we were uninvited, we were thinking of getting her wedding gifts at redenvelopewedding gifts at redenvelope. I am sure she would love them all.

I am really happy for my friend who is now in Edmonton, Canada. After the pain that he has gone through being deported from the US to the Philippines and having been separated from his wife right before their son was born. He put himself together and tried to make his life better. He found an opportunity to work abroad and he has been going to places except the US. I just saw his picture on Facebook riding horses in his killer riding boots so I teased him. I just miss our college days.

I stayed in the dorm right after my blood extraction so I could get catch a nap before going to work for my night shift.
I was able to fall asleep easily but a few minutes after, I was awakened by a very loud noise. I got up and went out of the room to see what it was. I was so dismayed to see that the engineering people are trying to place some stainless steel drum in the comfort room.