Most of Filipino men are ashamed to discuss about the decline in their sexual desires. I had one patient who has been treated for his depression due to impotence also know as erectile dysfunction or ED. ED according to NKUDIC, ED is the repeated inability to get or keep an erection firm enough for sexual intercourse. The word “impotence” may also be used to describe other problems that interfere with sexual intercourse and reproduction, such as lack of sexual desire and problems with ejaculation or orgasm.
Damage to nerves, arteries, smooth muscles, and fibrous tissues, often as a result of disease, is the most common cause of ED. Diseases—such as diabetes, kidney disease, chronic alcoholism, multiple sclerosis, atherosclerosis, vascular disease, and neurologic disease—account for about 70 percent of ED cases. Between 35 and 50 percent of men with diabetes experience ED.
Oral drugs such as Viagra, Levitra, and Cialis are being used to treat ED. Some use oral testosterone booster that can reduce ED in some men with low levels of natural testosterone, but it is often ineffective and may cause liver damage.
The patient is taking drugs to address his depression but according to NKUDIC, anti depression drugs may actually cause ED.

My headnurse has tasked me and my colleague to come up with a presentation about the Coronary Artery Disease. She knows that we already have basic knowledge about it and she wants us to have thorough knowledge about it.
She requires a comprehensive discussion about it and we need to present it in our next unit meeting.
We sure can come up with what is expected of us. The problem is we do not have common day off to discuss what we are going to write.
She is giving us a run for our money and we need to work our rears off to meet her expectations
I will be posting here what we have come up soon.

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.

One thing (out of a million) I do not like about staying in the dorm is that it does not have entertainment room. I am a couch potato and I feel a bit jumpy when I do not have TV nearby. I just need to hear the sound of TV and it does not have to be my favourite TV show being shown.
We could bring our own TV sets in the room for a minimum fee but since we have limited space in the dorm, we need to maximize what is available.
I am now looking for tv stands that would fit my little space in the dorm. That way my reasons for not staying there will be lessened.

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.

I was the charge nurse that night.
We are preparing for her expiration as the doctor ordered to consume the ongoing dopamine drip. A part of her DNR (Do Not Resuscitate) order. Her family refused giving of medications, feeding via nasogastric tube and conduction of any other tests.
She was hooked to cardiac monitor to check on her cardiac rhythm.
Her dopamine drip was consumed.
At 10:00 pm the monitor showed widened QRS complex with cardiac rate spiking at 150s beats per minute and her blood pressure was 80 mmHg palpatory. Her pupils were dilated and non-reactive to light.
I was fighting my tears but I could not.
She totally lost pulse and heart rhythm became flat line.
At 11:06 p.m. she was pronounced dead due to multiple organ failure.
I began to sob when her son, an elderly doctor, told me: Your grandmother has left you already.
Mrs. C born on March 10, 1915 and died July 3, 2010 has lived her life to the fullest.
She was admitted on August 1, 2008 and has been in and out of the medical ICU.
We shall miss you Lola!

After the whole night of binging on unhealthy food, I am a bit jumpy thinking about my cholesterol level. I have stopped taking simvastatin and fish oil for more than a week now. I want to continue with the fish oil thing and I want to try on other stuff like the grape seed and all but I have to look also for some other supplement reviews to know that will best work for me.

I was having a chat with my bedside nurse and she commented that she is underweight. I told her that it is expected for her to weigh less than 50 kilograms since she is small I even joked about her taking hgh supplements. She said that she is not small and that she actually stands 5’4. I told her that I am actually 5’4 in height and that she is now way at the same height level as me. She asked me to stand up side by side with her and I was surprised to see that I am just half an inch taller that her.
Looks could be deceiving sometimes.

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.

For more than two months now, I am having 5mg steroids every Monday, Wednesday, Friday and Sunday. I have not gotten back to my doctor yet to adjust the roids dosage but I now that its effect is already wearing off. Ever since I gotten this anti-inflammatory full dose, I think for more than a year already, my sniffles have vanished. There were only very rare incidents that I sneezed. While the steroids were indicated to treat my other disease, its anti-inflammatory effect has extended to suppressing my allergic reaction to certain allergents.
Last week, I noticed that once in a while, I was having spells of sneezes. Yesterday was entirely different. I got up from bed already sneezing occasionally and I had sniffles until were had our endorsement in the ward.
Right after I made my rounds, the continuous sneezing became uncontrollable. It occurred to me that my allergic rhinitis has come back. The steroids has given way. I do not know if I will feel glad that my old self is back.
I just do not know.