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Author Topic: Blowing Some Steam  (Read 68915 times)

Lorenzo

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Re: Blowing Some Steam
« Reply #400 on: November 06, 2010, 11:03:40 AM »
On Chicago:

At first it was quite a dismay to move into this city, but after some time experiencing the places here, studies here, and work, the more I have grown to love the Windy Cty. Note: It really is quite windy here (and cold!) lol.

I could see myself practicing here, the city truly is eclectic. Diversity would best describe this city. Rich in opportunity, would be second.

I like it here. Tho I miss New Jersey, I feel that I could live here...


what a view!  8)

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Re: Blowing Some Steam
« Reply #401 on: November 07, 2010, 02:24:36 AM »
Kindness:

I am blessed with the kindness of an uncle who calls me when i drive 700 miles to make sure that i was okay. I am blessed with the graceful words of my father, who reminds me to stay on course. I am blessed with the kindness of my mother's love and encouragement. Her prayers. I am blessed with the adoration of my little brothers and sister, who continue to strengthen this man who is in the most crucial time of life. All of these are blessings, despite the trials and difficulties in life. A source of happiness, and comfort, gifts that have come down from Heaven's Grace.

I am ever understanding that I am unworthy of these, however, I give thanks to God who bestows me with grace. For without grace, there is no satisfaction, no completion of plans, nothing. Through Grace , all things flow forth. Through His Grace, we are able to accomplish all that we set and plan with Him.

To God, who reigns eternal , be Honor, Praise and Endless Majesty.
Thanks be to God...



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Lorenzo

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Re: Blowing Some Steam
« Reply #402 on: November 07, 2010, 02:42:31 AM »
Resilience:


     I'd say that there were and are times in my life that brought me down. However, one thing that I've learned from my parents, the lives of my grandparents, and also to some early saints is that faith brings resilience in any work. Faith perfects what is imperfect, and allows the individual to cast away nonchalance for resilience in action. In quaint reflection, I take no offenses on the negativities that came to my life, but have gradually to come to let it go. In fact, it is in letting it go and continuing on with the goal that makes everything worthy.

    Look at the apostle Paul. His resilience was manifested in his work, his tireless work. Even when he was imprisoned by the Romans in Rome for preaching the Word of God, he did not let the physical containment of the prison bars inhibit or stop his spirit. No, you see the spirit cannot be stopped unless you wish it to stop. Paul wrote, he wrote veraciously and most of the Letters to the Romans (Book of Romans) in the Bible are his correspondence from prison. That, in my point of view, is exemplary of Resilience.

   So, we should take action and heed to his example and follow. Trust in God, in all things, faith in Him, can truly move the 'mountains' in your life.

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Re: Blowing Some Steam
« Reply #403 on: November 19, 2010, 09:02:00 PM »
Ngano man jud ba nga naay may tao na ungrateful na kusog pa mupasakit?

Hmm. Maybe because you allow them?

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luckybelle

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Re: Blowing Some Steam
« Reply #404 on: November 19, 2010, 09:25:46 PM »
Hmm. Maybe because you allow them?

 :-X but not anymore

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Re: Blowing Some Steam
« Reply #405 on: November 20, 2010, 06:31:51 AM »
:-X but not anymore

Mustering the courage to say, Enough!--that's nothing short of a spiritual rebirth.

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Re: Blowing Some Steam
« Reply #406 on: November 20, 2010, 06:33:14 AM »
Often, one is overpowered at first by a sort of physical exhaustion, but the road to healing is certain.

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luckybelle

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Re: Blowing Some Steam
« Reply #407 on: November 20, 2010, 08:23:52 AM »
Often, one is overpowered at first by a sort of physical exhaustion, but the road to healing is certain.

True ;)

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Re: Blowing Some Steam
« Reply #408 on: November 23, 2010, 11:59:47 PM »
Hi blog,

I woke up this morning at 5:25 am (central standard time) to the sound of the trucks passing my apartment. it was rather dark outside, but i decided to dress in my biking attire and went out for a cycle. it was so cold outside, i think it was about 55 degrees Fahrenheit when i went out. Dressed only in my thin shorts, upper-body attire and my northface jacket. clipped my black helmet and my ipod on my ears. warrior on the prowl.

the sound of anberlin playing as i broke through the cold winds; the darkness of the park surrounding and the chilling wind pounding my body. it was refreshing! i did a quick 6 mile cycle before turning back.

there's nothing like a feeling of cold winds hitting your face as you go full speed on a 25 speed trail bike. the complete exhilaration of it all, the endorphins that set in, one can barely feel one's fingers because of the cold, but the intense sense of euphoric feeling through the cycle justifies it.

on the cycle back, i saw a lady jogging with spandex shorts (thin to the brim) and a simple upper body attire. was she not cold?  ;)

beautiful view. let us conquer the day.

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luckybelle

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Re: Blowing Some Steam
« Reply #409 on: November 24, 2010, 10:56:07 AM »
Hi blog,

I woke up this morning at 5:25 am (central standard time) to the sound of the trucks passing my apartment. it was rather dark outside, but i decided to dress in my biking attire and went out for a cycle. it was so cold outside, i think it was about 55 degrees Fahrenheit when i went out. Dressed only in my thin shorts, upper-body attire and my northface jacket. clipped my black helmet and my ipod on my ears. warrior on the prowl.

the sound of anberlin playing as i broke through the cold winds; the darkness of the park surrounding and the chilling wind pounding my body. it was refreshing! i did a quick 6 mile cycle before turning back.

there's nothing like a feeling of cold winds hitting your face as you go full speed on a 25 speed trail bike. the complete exhilaration of it all, the endorphins that set in, one can barely feel one's fingers because of the cold, but the intense sense of euphoric feeling through the cycle justifies it.

on the cycle back, i saw a lady jogging with spandex shorts (thin to the brim) and a simple upper body attire. was she not cold?  ;)

beautiful view. let us conquer the day.

Jajaja.....Bonus to tsa imo Dong Bran... Para gising na gising and ready to take the world;)

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Re: Blowing Some Steam
« Reply #410 on: November 24, 2010, 12:35:52 PM »
November 23, 2010
10:23 PM, central standard time (Chicago)


I left my apartment at 7:45 pm and began a long 2 hour jog on the city bike trail that stretches throughout the entire span of the city's lake front. I think i covered about 7 miles one way, and 7 miles back; all in all a 14 mile brisk jog. I was dressed in simple black jogging pants, my cycling shirt and my blue northface jacket. The sound of Anberlin played as I jogged. There is an unexplainable beauty in the silence of the night. As i trecked through the central district, i passed by this rather interesting native american statue , what made it more interesting and rather picturesque in my jogging eye (blurred by the effervescent hot air that mingled with the cold atmosphere) was that above the statue was the moon in full radiance.

As I jogged through, thoughts of my family, friends, and feelings of the heart was bellowing throughout my mind. I find this exercise a great way to relieve the stress accrued at work and in dealing with homesickness. Deep inside my mind i know that thanksgiving is coming, and knowing that i wont be home to celebrate it with my family is a painstaking reality. But this is a must. This is, i guess, a necessary sacrifice in the life of a Medical Intern.

I find myself justifying the years that have passed by, still a student, still not settled in a life observed in stability. I find it rather disheartening sometimes how many of my friends (who are not in the medical field) are already engaged, married, have children, have a fulltime job, earning a decent salary and living their dreams. building their futures. caring for their families. I find myself longing. At already 25. and engaged in this MD-Ph.D program, I find myself knowing the fact that i have never really cemented a committed relationship before. Perhaps it is the fear of being hurt, as i was before, perhaps it is the sense of guilt of hurting the women whom loved be before, perhaps. perhaps both. It is a reality that i must take and internalized. have internalized. and yet i find myself seeing the reality of it all. The reality that i will be in the 'late 20s' or 'early thirties' when i am finished with this prestigious program. But i cannot complain, really. Because i have goaled for this. i have yearned for this since i was but a college freshman; stolen myself away from commitments to the pure study of biology, medicine. but why do i find myself questioning now? perhaps its because many of my friends are now fathers. husbands. or fiances. where do i stand in this? a boyfriend. a medical intern.

the jog tonight allowed me to think. clear my mind. and blaze forward, unhindered by thoughts of family. i do pray to God that someday, someday, i will be blessed with a wife, children, and a family to call my own. pohon. all according to His Time.

So tonight was a good night. a good jog. a good exercise. i contemplated. and i reasoned it all out.

Such is the life of an intern.

My words, my thoughts. ~


Lorenzo.

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Re: Blowing Some Steam
« Reply #411 on: November 24, 2010, 12:40:17 PM »
Jajaja.....Bonus to tsa imo Dong Bran... Para gising na gising and ready to take the world;)

hehe, mao bitaw, Belle. Isug ning mga baji diri sa Chicago.

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Re: Blowing Some Steam
« Reply #412 on: November 24, 2010, 10:10:55 PM »
Getting ready to go to work. Just came back from another 2 hour jog. My hands are so cold that i have difficulty typing on this  keyboard. lol.

Today should be good. another rounds in the nephrology floor. i wonder what kind of cases we'll see today. more acidotic/alkalotic patients, perhaps.

Here's to a good day.

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Re: Blowing Some Steam
« Reply #413 on: November 25, 2010, 05:59:40 AM »
November 24, 2010
3:57 pm


I just got back from work. Packing my things. I'm driving home to New Jersey to spend Thanksgiving Day with family and friends.
I have missed my beloved mother, father, and my brothers. To see them again will bring joy to my heart, and to put new roses for
Senor Santo Nino in His Honor. Thank You God for the gift of family, a steady work, and a passion like no other.
Through you, there is no such thing as impossibility. For I can do all things through Him who strengthens me, Christ Jesus.


Happy Thanksgiving Day to everyone!


God Bless Us All.
 :)



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Re: Blowing Some Steam
« Reply #414 on: November 27, 2010, 12:40:31 AM »
Hi blog,

So i left chicago at about 6pm and drove from chicago to new jersey and took me about 16 hours to get home! lol.
I took 6 breaks in the high way, and 3 of them were 'sleeping' breaks. My goodness! I really don't know how truck drivers can drive for extended periods of time!

My GPS guided me home, but there were moments were i was a bit worried during my drive. It was raining (ice rain) throughout and was rather worried. I had to lower my speed multiple times for fear of hydroplaning.

By God's Grace i arrived home. I greeted my beloved mother and father in the traditional mano po manner. My mother and father prepared thanksgiving dinner and my brothers and our dog came downstairs as soon as i opened the door. And to my surprise they were so happy, as was I. Immediately i saw the fresh red roses in our altar for Senor Santo Nino hehehe. Pasalamat ko intawn ni Senyor Santo Nino, who guided me back home safely and protected me, and continues to protect me. Indeed , there is beauty in family.

Later that night we went to visit our uncle steve and auntie beth's house and had dinner with them and family and family friends. Thanks be to God!

God is so Good. God is so Loving. Thanks be to God for all that He has showered upon me, and for the blessings this year and for future blessings in years to come. Thanks be to God. Always and Forever.



I hope all of you bolanons who celebrated Thanksgiving had a great one! And to all bolanons in the world, blessings and peace be with you all!


Love,
Lorenzo


GOD IS GOOD. ALL THE TIME.

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Re: Blowing Some Steam
« Reply #415 on: December 01, 2010, 08:58:38 AM »
Back to Chicago. And already missing home.  :-\



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Re: Blowing Some Steam
« Reply #416 on: December 02, 2010, 12:51:44 AM »
It has begun to snow here in Chicago. Lake effect. Being so close to Uptown, Chicago, the lake front is literally 2 blocks down. I hope it doesn't get too 'bad' this winter.

Luckily i was able to purchase some new winter gloves.

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Re: Blowing Some Steam
« Reply #417 on: December 05, 2010, 02:27:48 PM »
December 5, 2010.


Today is Sunday Morning. I need to attend church mass today. Na mingaw na ko sa Eucharist. But I have not found a church to attend, I think I'm going to try this one Catholic Church close by Uptown, Chicago called Our Lady of the Lake Roman Catholic Church. I drove past it the other week , the architecture outside looks beautiful and its quite close to my apartment.

Mingaw ko sa ahong pamilya. God Bless my loved ones and friends and relatives. Amen.

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Re: Blowing Some Steam
« Reply #418 on: December 05, 2010, 02:31:34 PM »
Dearest,

It's been a snowy day today, truly, and despite the city's progressive desire to cleanse the streets of snow and ice, still there are areas that are filled with snow. We are expecting further snow fall today , and the rest of the week. The temperature outside is 25 degrees Fahrenheit outside, brrrr!

A view of the streets outside my apartment:


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luckybelle

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Re: Blowing Some Steam
« Reply #419 on: December 05, 2010, 04:00:35 PM »
Dearest,

It's been a snowy day today, truly, and despite the city's progressive desire to cleanse the streets of snow and ice, still there are areas that are filled with snow. We are expecting further snow fall today , and the rest of the week. The temperature outside is 25 degrees Fahrenheit outside, brrrr!

A view of the streets outside my apartment:




Grrrrr..... so cold...

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Re: Blowing Some Steam
« Reply #420 on: December 06, 2010, 12:19:07 AM »
December 5, 2010
10:08 AM.


Good Morning Everyone! I'm getting ready for Sunday Mass at 11:30 AM. The church that I'm going to attend today is St. Mary of the Lake Roman Catholic Church, which is a good 10-15 walk away from my apartment. This will be the first time I'm going to go to this church and the first church to attend here in Chicago.

So let me reiterate that I am really touched by this Christmas Season. Excited and ready! I haven't even started Christmas shopping yet, and I really need to start before I fly back home. But perhaps i can wait closer when the sales comes in, hehe

I miss my family, yet at the same time, excited to start work again this coming Monday. My only relent in their dress code is that we are supposed to wear formal attire, and preferably dress attire. They didn't say anything about not wearing jeans, so I'm going to wear jeans. Its that or I'll just wear medical scrubs everyday (lol). Im sure Dr. M and Dr. A wont mind. Well, I hope. :)

My attire right now:





My snowed-in ride:

:P




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Re: Blowing Some Steam
« Reply #421 on: December 06, 2010, 12:31:59 AM »
Heading out. This song has been playing in my stereo for the past 10 minutes. It's stuck in my head now. Great beat and a very lively jive to it, a mix between electronica, with spiritual worship, and alternative rock. I like it. Enjoy!


Passion Pit-Little Secrets (Manners)


Have a Great Sunday, everyone!


Love,
Lorenzo~

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Re: Blowing Some Steam
« Reply #422 on: December 06, 2010, 03:36:03 AM »
Just came back from Our Lady of the Lake Roman Catholic Church. The architecture outside is akin to Victorian-style buildings of the late 19th century, the interior is beautiful. Being inside and attending mass here reminded me of St. Aloysius Catholic Church back in New York City when I was younger. The pillars were blue and white marble, and the interior facade and paintings decked the entire church, ranging from hand painted stations of the cross, to the circular central tower where the tabernacle was at. The paintings in the ceiling were of the saints, the archangels and the Trinity. Beautiful!

The church is only a good 10 minute walk from my apartment and close to the local Border's Book Store, Starbucks, and shopping district. I really like the feel and atmosphere inside it, it retains the orthodoxy of Roman Catholic Church as it was in the 19th century. I think this is my new parish (my new church away from home).

The local parish priest was quite welcoming, and had a beautiful homily today. It was about St. John the Baptist, and his role in declaring the way for the Lord Jesus Christ.

Truly a blessed day!



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Re: Blowing Some Steam
« Reply #423 on: December 09, 2010, 10:08:12 AM »
December 8, 2010
7:40 PM


Dear blog, its been a while since I last posted, the reason why was because of my grand rounds at the hospital. We are still being introduced to introduction to clinical medicine and are given techniques to do physicals on patients. And I find it really helpful how our clinical directors are showing us proper ways to write and fill blue notes and H&P paper work (H & P = history and prognosis).

I find it rather hilarious how my handwriting is illegible. My clinical director, Dr. M, came to read my report , took it and said, "typical doctor's handwriting. i can't even read this!" hahaha. He is a great guy, a joker, and jack of all trades. He was helping me today in performing a physical for the three patients that I had. I'm really enjoying it here, despite the work and the hours, lack of sleep, I really like it.

Its odd , in a way, because i dont really mind the work now. I love it. From the moment i wake up, dressing up (dress shirt, dress pants, tie, black shoes) and then putting my white coat on. My pockets filled with medical books, lab charts, my stethoscpe around my neck, my otoscope and my opthalmoscope in my white coat pockets. Hardcore mode! lol!  ;D

Walking inside the hospital , i get this sense of satisfaction. The nurses, med techs, lab techs, nursing techs and the patients that see me all wave. Many of the techs nodd their heads at me. A sense of purpose. I get this sense of reward , that all this hard work has served its purpose, all the sacrifices really worth it.

To the patients that come to me , and just by the sight of my white coat, a sense of their pain dissipates. "How can I help you?"
That comes immediately. Then the sense of tripidation that they have at first melts away. The barrier is removed. They then reveal their pain, their cc (chief complaint) and I then begin my SOAP procedure (Subjective, objective, assessment, plan).

There is so much to learn, too, so many new cases we see everyday, so many procedures that i've never seen before (just read through theory) and now having the chance to see it being performed and actually performing it. It is liberating. I get to see the kind of doctor that I want to be. I have learned so much, different analytical skills, different treatment techniques just from associating with the attendings, the residents and the chief resident.

Just yesterday, when I was doing my rounds , I stopped by the Laboratory. I saw 3 filipino men there. I guess they were medical technicians. They were older (early to mid 50's, i assume). They looked at me, saw my white coat and my id-tag that said, "Jackson Park Hospital , Medical Intern". They smiled at me and one said, 'Kummusta!'. I guess he knew I was filipino. lol.
I nodded. Prim and proper, as they say, one has to be prim and proper.

Dr. M told us, "Carry yourself with respect and decorum. Remember that this lifestyle is what you will be living for the rest of your life..."
So it is. And I am loving it. Its stresses, its pains, its learning qualities, its interesting situations, and most of all, the constant new things to learn..daily."

That was my week in a nutshell. My view so far. And I end this with my thanks to God. To My Lord who Gives me the Strength to do what I do, bear what I must bear, and never leaves my side when I need Him Most. To God be all the glory, honor and praise....my shield and my staff, my rock in whom I stand firm....

AMEN.

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Re: Blowing Some Steam
« Reply #424 on: December 09, 2010, 10:12:52 AM »
This song is playing right now. Only because it described my state of being this past week. Grand rounds and being on call and doing post-call. I was on the floor for 12 hours for 3 days straight.  :P

Passion Pit- Sleepyhead (Lyrics in description)

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Re: Blowing Some Steam
« Reply #425 on: December 09, 2010, 10:14:55 AM »
To S, the hard-headed nurse, this song is for you:

Passion Pit - Better Things
 ;)
 :o



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Re: Blowing Some Steam
« Reply #426 on: December 09, 2010, 10:25:07 AM »


Grrrrr..... so cold...

cold bitaw!

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Re: Blowing Some Steam
« Reply #427 on: December 11, 2010, 11:00:31 AM »
Dear Blog,


So I got my December schedule and was vexed at seeing my schedule. I'm on call most of this month. Even on the days before and after Christmas. I guess I can't go home for Christmas and will just have to stick it out here in Chicago. We started our grand rounds earlier this month and am getting pounded on more and more responsibilities , things to accomplish.

Today my medical director had briefed me in how to 'break the bad news' to patients with terminal illnesses, and grouped me with another medical intern. Apparently the two of us will be on 'standard' 24 hour on call this week. This will be my first time to be on-call for 24 hours.

Apparently I'm told that I'll be based in the Family Medicine Ward, however, will be pooled around to ICU, OB/GYN, Surgery if needed. I have a feeling that I'll be drinking alot of coffee this week. lol :P

So that's what's going on in my end. So busy, and missing my family. I miss my mommy and daddy very much. My mommy especially.
I really wish I could go home for Christmas, but what can you do. These are the clinical years...




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Re: Blowing Some Steam
« Reply #428 on: December 11, 2010, 11:15:58 AM »
Some pictures taken today. A long day.



Driving back at 6 pm. Chicago skyline captured.


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Re: Blowing Some Steam
« Reply #429 on: December 11, 2010, 01:00:52 PM »
Dear Blog,

Someone who is dear and special to me, my precious beloved, just had her medical white coat ceremony today. Today she transitioned from a basic sciences medical student into a clinical student. How beautiful it is, truly, to see the eyes of someone dear to you glow with the shimmer of happiness and pride in one's hard work bearing fruitition.

I would like to extend a public congratulations to her and to ask all who reads this to continue to pray for her. May God Bless her from the crown of her head to the soles of her feet, to her studies, to her journeys, in the hospital floor, at home, at all that she does, may it be blessed with God's approving Grace. And through His Grace and His Grace alone...

Last year I celebrated my medical white coat ceremony. She was there for me when my parents could not attend, and I remember it. So now it is my turn to support her during her momentous occasion.

Beloved, I am so proud of you, you are ever so close to becoming a doctor. A Physician/Surgeon. No doubt you will be awesome in all that you do...by HIS GRACE....




I love you.
Lorenzo

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Re: Blowing Some Steam
« Reply #430 on: December 13, 2010, 03:36:16 AM »
Dear Blog,

The Windy City of Chicago has turned into the Snowy City. And i thought the winters of Northwestern Pennsylvania was bad. Ay yay yay!

:P

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Re: Blowing Some Steam
« Reply #431 on: December 13, 2010, 04:26:00 AM »
Blog,

I just read the weather forecast, looks grim. We're supposed to be hit by a massive snow storm this weekend and this week. Santa Maria Madre de Dios!

I do hope that the city sweepers will be out and about to clear the driveways today and tomorrow.

 ???

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Re: Blowing Some Steam
« Reply #432 on: December 13, 2010, 07:35:13 AM »
Its so cold outside, luckily for me I'm warm inside, with my fireplace on high. My mug of coco so warm. Ah, its so cold outside, but its so warm inside! :)

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Re: Blowing Some Steam
« Reply #433 on: December 15, 2010, 02:21:42 PM »
Dear Blog,

Hi, and Hello. The time right now is 12:12 AM. I finally have some free time after being sent around 2nd, then to 3rd floor on patient rounds. The beautiful part of doing our rounds here at night is that it usually levels down by midnight, patients stabilized. Earlier today I had my first code blue in the E.R; patient came in with observable kussmal breathing, and was unconscious at first. At first I thought it was due to diabetic ketoacidosis, however, we were told to leave the room even before we could find the diagnosis. There were 4 of us medical interns there and the resident and attending wanted us out because of the procedure at hand.

Then after going back upstairs, i was able to discharge one schizoaffective patient who attempted drug overdose. This is insane how some of these psych patients are really 'over the top' , for lack of a better word. Then later i was the admitting intern for a 50 y/o AAM whose chief complaint was Hep. C-induced cirrhosis, and CHF (congestive heart failure). I took a total HPI on the patient as well as performed the preliminary physical before presenting it to the attending physician later on.

I also was able to meet a Filipina Nurse (an ilongga) here in the IM Ward. lol. She has begun to call me "Toto" :P

I love Filipinos in the floor, it makes the on-call hours more bearable.

Okay , thats it for now. Now another 8 more hours until I get to go home and SLEEP!!!

Love,
Lorenzo.

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Re: Blowing Some Steam
« Reply #434 on: December 19, 2010, 09:44:44 PM »
I love nurses.


During my first night of being on call, I was admitting patients on floor 2EAST, presenting 3 patients to the on-call Resident Physician that night. And one patient on the 3rd floor, a man who was admitted for hep-C induced cirrhosis as well as abdominal discomfort and in his own words, "I'm just not feeling so good, doc.." After taking his vitals, and finishing a thorough H&P, I was ready to present to the physician. But before doing so, I was taken to the side by Julie, the staff RN assigned to care for Mr. E.S that evening. She was a bit more cautious, as a veteran RN, and told me to make sure to ask the MD to order glycosylated hemoglobin on the patient.

As I talked to the patient, i noticed that he was a bit odd, showing some kind of oddity in mental status. I assumed an underlying psychotic behavior , but could not put my finger on what it was.

Then after talking to Julie, she was showing me where the water fountain/coffee machine was at (and i verily much needed caffeine at the time, lol) she also told me that Mr. E.S also was bipolar. Bingo! Truly, I admire and respect nurses for their quickness in diagnosing. I do learn alot just from talking to them and asking questions. One thing that I will implement early in my medical career is respect, and collboration with nurses. I believe that in order to become an effective physician, one needs to establish a healthy, working, mutually-beneficial relationship with the nurses.

Nurses Rock!!



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Re: Blowing Some Steam
« Reply #435 on: December 19, 2010, 10:00:35 PM »
It is hard being a medical intern at times. When i the hospital floor we are expected to show no emotionality and attachment to patients, and are 'expected' to be professionally neutral.

How can one expect to stay neutral when a patient is crying in front of you after hearing her long-time husband has passed on the operating table?

I guess it is new to me, being a freshman intern. Identifying these problems with patients, analyzing their whole bodies and mental status, the plethora of possible cases that comes at you, the stressful hours, it seems like an eternity of information. Day and night we are expected to diagnose, prognose, establish action plan for the patient. Two things come to mind when doing this: Pathology, Pharmacology.
What is the disease affecting the patient, and what drugs can we give to treat the disease.

How ironic. That as a medical provider, one cannot help himself from getting sick. Due to the hours at work, exposure to sick patients, the medical doctor, the medical intern cannot help but get sick himself. Oh the irony of the situation: one who is expected to treat the patient does not have enough time to treat himself because of the hours of work.

In my view, medical providers should take emphasis on their own health and well being. We are no different to the patients we treat, still susceptible to the diseases we adrently study, treat, and defeat (sometimes loose the battle to). It is hard sometimes because while one works at a patient, studies hours, in the attempt to treat a patient, one can get sick himself. Afterall, even a Doctor, Medical Intern can die. It is just hard sometimes in this profession because we think we are immune to some disease/ailments just because we know it from top to bottom, how to treat it etc. I guess, there is nothing wrong in 'taking it easy' from time to time.


Thought of the day.

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Re: Blowing Some Steam
« Reply #436 on: December 20, 2010, 12:06:51 AM »
Yesterday, as I was coming back from Church, which is actually only a couple of blocks away from my apartment, I saw this woman who was limping towards my direction. I'm assuming it was a mini stroke. When passing her, I blurted out, 'Good Morning!'. At that moment, that lady replied, 'Good Morning!', with a smile that covered cheek to cheek. She had the brightest blue eyes I've ever seen.

How inspiring! I guess, happiness is a mentality, a point of view and the acceptance of that particular viewpoint. It is one's ability to work within the frame of the situation, for the personal betterment. I was so touched by her quick reply, and her bright blue eyes.



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Re: Blowing Some Steam
« Reply #437 on: December 20, 2010, 12:14:17 AM »
Christmas Cleaning.


I figured since I can't be home for Christmas, I'll just make a Christmas Dinner here in my apartment. I'll invite some colleagues from work over and we can have our own little Christmas Celebration. This reminds me of a saying that an acquaintance told me, "You have to make the best of every and any situation." That saying holds true.

Perhaps, next Christmas I will be scheduled off so I can attend it and celebrate it at home.

Life is filled with unexpected hurdles, in this case, my being on-call the entire week.   :o
But, that is life. I just hope my parents can visit me in spring and especially my Mommy can cook my favorite: Bico Cake!

Ah, pohon pohon.


Thought of the day.
~

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Re: Blowing Some Steam
« Reply #438 on: December 20, 2010, 12:42:03 AM »
My Christmas Wish


My Christmas wish this year is a simple one. I'm not asking for any presents, nothing fancy, as much as I like to look at expensive things, all these are just mere visuals. These are not important to me, merely material that are of no value. What is of value to me, always has been, and always will be, is the unity of my family. Their health, and the sense of togetherness.

Tho I cannot be home this Winter Christmas, as much as it pains me so, I wish that all of my family enjoy each other's warmth, presence, and a healthy and merry, Christmas Feast. Because that is the importance of Christmas; the celebration of Christ's Birth, and in thus completing the Holy Family: Jesus, Mary and Joseph. Thus, a family together in Christmas Even/Morning is the manifestation of that physical togetherness, that Christ Jesus himself was part of with his earthly mother and earthly step-father.

My Christmas Wish is that God Most Merciful showers His Graces on my beloved family and friends this Christmas. From the crowns of their heads, to the soles of their feet, to the inner beatings of their hearts and minds, may His presence permeate and perculate in them. And I know that my family celebrating Christmas : my Mother, my Father, brothers, sister, uncles, aunt, cousins, family friends; I will be with them in spirit.

That is my Christmas Wish. A million embraces, a million kisses goes out to My Familia!~

Love,
Bran.

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Re: Blowing Some Steam
« Reply #439 on: December 22, 2010, 01:05:25 PM »
Huh!!! Patience Belle...................... :-\

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;)

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Re: Blowing Some Steam
« Reply #440 on: December 25, 2010, 07:57:51 AM »
I learned something interesting. The possibility of double majoring. Double-boarding, specifically.
It is possible to specialize in Psychiatry & Internal Medicine, one would merely have to take 2 boards: the Internal Medicine Boards and Psychiatry Boards. An additional 2 years of residency.

I am interested in this. Considering how both fields coalesce.

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Re: Blowing Some Steam
« Reply #441 on: December 26, 2010, 12:56:01 AM »
Just came back from Christmas Morning Mass!

Merry Christmas Everyone! God Bless Us All!



With Love Enduring,
Lorenz

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Re: Blowing Some Steam
« Reply #442 on: December 30, 2010, 09:37:30 AM »
On Call Lamentations
Dec. 29, 2010


A night ago during our on-call shifts, i was touched by the situation involving a Mr. N.J and a Mrs. T.W.
Despite the serious and non-expressive demeanor in my patient history taking, and presentation to the attending, I was really touched by the patients' situations. It is something that I must allow myself to become unphased by. Its always a bit hard to do so at first, I admit.



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Re: Blowing Some Steam
« Reply #443 on: January 06, 2011, 08:29:56 AM »
hello blog,

i want to buy a maxwell mini-booklet that i can put in my white coat. i also need to buy a new writing pad. taking all these patient histories and writing soap notes requires a firmer writing board.

i must say that doing my clinical rotations here in chicago is going great. there is always something new to see. and each new patient is as interesting as the last. the clinical years are enjoyable and its interesting--quite so! to see how all the theory and text-book material being applied in the actual hospital setting.

This week i performed my first stool sampling. i guess this is a necessary baptismal of fire (so to say) for all medical interns. lol. ive become quite good at it and has really shown to me the importance of a complete physical on patients. fine tuning my skills, as what the residents here say, is necessary for all medics.

so far, not so bad. i can't wait to start my surgical rotations. the head of surgery is a Filipino Surgeon. :)

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Re: Blowing Some Steam
« Reply #444 on: January 06, 2011, 08:40:54 AM »
Nurses and my experience(s) thus far.


Last week, i was on call with 4 other medics, with us were 2 resident physicians. so basically, we (the medic interns) were slaves for the night. then again i can't blame the residents for being annoyed and irritable. i would be too if i were on-call for 72 hours straight. :P

that night, i was able to meet 3 filipino male nurses and 2 other filipina nurses. 1 of them was from bicol, the others were from iloilo, mindanao and luzon.

there is something about filipinos that strike me. it is our ability to know when another filipino is in the room. our ability to identify each other is quite amazing. apparently i was able to identify filipino med-techs and nurses that my fellow medical interns (the indian ones) were amazed at it. lol.

that night, as i walked the halls of 2EAST, and taking patient histories, i was cornered by 2 filipinas. both of them much older, probably in their early 50s or late 40s.

They asked me, 'excuse me, Medical Student Lucino, where are you from?'
i, not expecting to be asked that question (since i was on my way to check the vitals for a dialysis patient that night), started a conversation with them. after revealing my 'new jerseyan roots' i also shared my being 'Bolanon'.

"Oh you are from Bohol??" said one.
i responded, "yes, originally, yes."

"Oh im from Iloilo!" said one
"And im from Manila" said the other.

They became my new 'titas' that night. the illonga would be the one referring to me as 'toto' that night. lol
so i developed an alliance with the filipino nursing staff. and most of all, their knowledge in the floor.

i guess it gives filipina nurses much pride to see a filipino medical student in the floor. much of all, it gives this medical student a great honor to be friends and working with such knowledgeable RNs!.



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Re: Blowing Some Steam
« Reply #445 on: January 06, 2011, 08:49:39 AM »
what is the difference between a medical intern, a resident, and an attending physician?

some medical intern answered: "The coats! medical students have shorter white coats. residents have long white coats as with the attending physicians. but residents tend to have pockets filled to the brim with notes , case books, and look like they're sleep deprived and underpaid. attendings are what we want to be. satisfied. and well paid!"


lol


(this heard today. chicago time. jan 5, 2011)



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Re: Blowing Some Steam
« Reply #446 on: January 07, 2011, 08:58:53 AM »
The hierarchy within the hospital setting


Here in the hospital, it seems to me that the medical student seems to be always looking up to the attending physicians or the residents. I find myself always doing the orders of the resident doctors, and the attendings. The environment in the hospital has relegated us medical students as 'cannon fodder' so to say for the residents. lol.

One thing that i do find relieving is the presence of nurses here. The nursing staff, tho are ordered around by the doctors , and at times even glossed over by uppity-uppity medical interns, are actually filled with knowledge and clinical experience that can supplement one's growing knowledge.

Developing a friendly and mutual relationship with the nurses, resulted in them saving me multiple times during 'inquisition' moments. lol.
When a resident asked me about the past sugar history of a particular patient, the nurse in the floor saved me by whispering to me, "tell him that he has been ordered for glycosylated hemoglobin already...". There are a plethora of examples.

Nurses, medical techs, physician assistants, therapists etc are all essential in this allied health care sytem that i work in. Thank goodness for the many nurses out there who are so receptive to lending a helping hand to us medical students. And all we have to do, in order to access their wealth of information, is merely ask for it....

I will always maintain this cordial, friendly, respectful relationship with the nurses. It is given, as my parents are both nurses, my aunts are nurses, and i have uncles that are nurses as well.

I guess it is true...if one asks, one will be given...

"Ask and it will be given to you; seek and you will find; knock and the door will be opened to you."
--Matthew 7:7

Thanks be to God!



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Re: Blowing Some Steam
« Reply #447 on: January 10, 2011, 09:45:57 AM »
Today, I went out on a lunch date to a Filipino restaurant here in Chicago called "Fishpond". I am surprised at how a certain Filipina can be so in love with Crispy Pata. lol. I had Sinigang in a bowl, a personal favorite.

This is a new year and I am intent on starting it fresh. A serious smile ;)



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Re: Blowing Some Steam
« Reply #448 on: January 15, 2011, 05:01:23 PM »
The Medical Team.

Yours truly posing with fellow iterns and our favorite General Surgeon, Dr. B.


 ;)

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Re: Blowing Some Steam
« Reply #449 on: January 21, 2011, 09:01:43 AM »
On call tonight in the ICU. I'm one of 5 medical students.

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Re: Blowing Some Steam
« Reply #450 on: January 21, 2011, 09:02:53 AM »
Today was interesting. i performed a Pick Line. :)
12 Hours on call today. I can't wait to go home in an hour. Ka tugun na jud ko.

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Re: Blowing Some Steam
« Reply #451 on: January 22, 2011, 01:42:59 AM »
Last night, after almost 16 hours of on-call duty, was able to show new interns how to do a fully neuro exam. i like teaching. our patient, a 86 year old AAF (african american female) was all too happy to take part of the teaching part. a good patient.

na kuratan ko kai she said, "doc, you have such a handsome beard..." hehehe.

my interns giggled. tsk tsk tsk.  :-[  :P

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Re: Blowing Some Steam
« Reply #452 on: January 22, 2011, 01:46:31 AM »
my shift, technically, ended at 8:00 pm last night. however, like any situation, new admissions come in. and when they do come in, its like flood waters of mount sinai, that pour and overfloweth. I was unable to get out of work till 9 pm last night. at least we were able to stabilize this 86 year old patient that came in due to 2 spinal fractures that led to sensory deficits at the level of the dermatomes between the wrist to the mid thigh. the profound neuro exam resulted in our referral to the attending neurologist that night. i do hope she is okay.

tomorrow, im on call again.

Praise be to God! Glory be to God, give me more strength, Lord....



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Lorenzo

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Re: Blowing Some Steam
« Reply #453 on: January 22, 2011, 07:32:26 AM »

Taken before leaving the hospital. Night shift. 16 hour on-call.

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Re: Blowing Some Steam
« Reply #454 on: January 22, 2011, 07:49:08 AM »
Yesterday, i had duty calls in ICU 2EAST and then after 8 hours there, was sent to the Family Medicine Clinic , which is connected to the hospital, to complete rounds there from 2pm till 5:30 pm. One thing i realized when I was doing rotation rounds in the FM Clinic is that how very relaxed the work setting is in there. Patient cc's range from RX refills, to lab tests, lab test result readings, referrals etc. Quite laid back. Boring.

As soon as duty was finished there, being rushed back to ICU 2EAST was refreshing. The rushing step-in admissions and step-down admissions, was just ecstatic for me. I love the action. Not only that but there are so many Filipino nurses in the ICU. haha. During the quiet hours (yes there are quiet hours in ICU, thank goodness) i was able to talk to them. Salamat kaayo naay daghang 'Titas' sa ICU. Mo share pood sila ilang kanonon namo.

Mo post kog pictures next time.

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Re: Blowing Some Steam
« Reply #455 on: January 27, 2011, 07:56:10 AM »
I just want to say that there are times that I don't express my love and affection to family and friends. I admit this. The reticent nature that is within my being makes sure of that, and it is something that I am trying to slowly change. I should be more forward in telling a person that I love them, especially family members.

So , for those whom I have not expressed love to in a while, know this:

That I do Love You.



Lorenzo

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Re: Blowing Some Steam
« Reply #456 on: January 27, 2011, 10:52:52 AM »
Just found out that my younger brother, Don Rico, went to a semi-formal dance. As always, very guapo. I'm liking the fact that he's following his kuya's curly hair look. haha. Seeing his pictures i was so sad because i was not there to see him get ready for his semi-formal. He is getting older and has become a man in my eyes. Don Rico is turning 18 this coming May.











spanish mestizo kaayo da!


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Re: Blowing Some Steam
« Reply #457 on: January 27, 2011, 01:18:50 PM »
Just found out that my younger brother, Don Rico, went to a semi-formal dance. As always, very guapo.



spanish mestizo kaayo da!



I agree!

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;)

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Re: Blowing Some Steam
« Reply #458 on: January 27, 2011, 01:40:14 PM »
hehe, serioso pero guapo ni si Don Rico. chic magnet raba ni sija. :)








 Valencianon jyud kai hilig ug guapa baji.. ;)

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Re: Blowing Some Steam
« Reply #459 on: January 27, 2011, 01:43:50 PM »
hehe, serioso pero guapo ni si Don Rico. chic magnet raba ni sija. :)


 Valencianon jyud kai hilig ug guapa baji.. ;)


 ;D

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Re: Blowing Some Steam
« Reply #460 on: February 02, 2011, 01:28:43 AM »
I just recently found out that my nephew was born this month. Im so happy. Am an Uncle.

The little boy's name is Roy Ethan. May God Bless my little nephew always. My cousin's son.

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Re: Blowing Some Steam
« Reply #461 on: February 03, 2011, 01:38:33 AM »
The biggest winter blizzard has hit Chicago , the biggest in almost 20+ years. We have snow piled outside reaching almost 4 feet. It's still snowing outside. I hope everyone is okay and that the Ambulances are able to get through and drive through the roadways...

God bless all those who are stuck without gas, electricity. Christ have Mercy.

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Re: Blowing Some Steam
« Reply #462 on: February 03, 2011, 04:17:08 AM »
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Re: Blowing Some Steam
« Reply #463 on: February 03, 2011, 04:18:20 AM »
Quite reminiscent of the blizzard that hit Chicago back in the 1970's.

  :-\



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Re: Blowing Some Steam
« Reply #464 on: February 12, 2011, 12:18:16 AM »
Today , today. Today is a stressful day here in the hospital. I'm currently taking some 'time off' as I sit down in the medical resident/ medical student office. It seems like free time is running scarce here in the hospital. Kalingaw man ta i-orderan da. Jati-a!

Unsa...well let me think. (so much happened yesterday and today)!

Work is work (usual). Pero its getting more intense everyday. I attended an ACLS (advanced cardiac life support) class yesterday with EKG competency followup. The attending physician/physician instructor is hardcore. She teaches well and really went over good EKGs.
I feel much more competent in reading and interpreting patient EKGs now, from basis of their rhythm, rate, axis, qrs, pr intervals, u or t wave inversions. To be honest, before the class, my understanding of EKG was subpar, as were most of us. Attending the class really opened my interest in cardiac interpretation. In mean, through the class we were able to read and interpret not only wheter a patient was right axis deviated, left axis deviated or extreme right axis deviated, interpreted whether if the patient had a history of left ventricular hypertrophy, right atrial atrophy, could see if this patient had a previous MI, to prognosis of a possible MI. Amazing. The professor was tough, disciplined, and really broke us in order to build us up again. I was appreciative.

Today, as we started work. We had a patient that coded. Luoy pood. Code Blue was initiated and we rushed down to see the intensive cardiac resuscitative measures. The patient had a pulmonary embolism. We could not bring him back. The very first time I saw a patient flat line. It was intense. Shocking. Luoy pood intawn. Yesterday i was talking to him. Karon, wala na.

The lesson i learn from this is twofold:

1. Life is fragile; you will never know when your time is up, even when everything seems alright,stable.
2. Cardiac and pulmonary check ups are necessary and should be done regularly. This patient did not take care of himself, medically and mentally.

As a medical student, i try my best to be the best. And with honest and true intent. Pero, as I am learning now, through the medical internship years, i realize that we cannot save everyone. That the Hand of God chooses to take those whom He calls. And when He calls us home, we deign to bow to His decree.


My thought for the day.
-Lorenzo




All Glory, Honor and Praise belongs to God In The Highest~.

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Re: Blowing Some Steam
« Reply #465 on: February 12, 2011, 12:22:37 AM »
As i write this, the speakers ushered, 'SECURE CODE BLUE'.

My break time is over. Back to work.

For those who read this, I do ask that you pray for me. Pray for me because the Medical Internship Years are truly the hardest years.

Thank You.



Always,
Lorenz

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Re: Blowing Some Steam
« Reply #466 on: February 12, 2011, 09:13:49 PM »
Pero, as I am learning now, through the medical internship years, i realize that we cannot save everyone. That the Hand of God chooses to take those whom He calls. And when He calls us home, we deign to bow to His decree.

Mao na ni ron. Kon and abogado mapildihan og kaso, ingnong bugo; kon ang doktor mamatyan og pasyente, ingnong pagbuot sa Ginoo.  :P 

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Re: Blowing Some Steam
« Reply #467 on: February 12, 2011, 11:49:57 PM »
Thank for reading my daily thoughts, Nong.

It is very hard to see a patient pass. This one particular patient was in the ICU for quite sometime, hanging on, but developed pulmonary embolism even despite intensive care by well trained nurses, respiratory therapists, doctors. Doctors are not God. We cannot save everyone, nor can we treat and cure every single ailment. All our measures and abilities is to try to prolong life/ delay death.

The Master of all Life is The Lord God. It is He who deigns when life will begin, and when it shall end.

Even a doctor/ medical intern bows before the Life-Giving and Life-Taking Power of God.

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Re: Blowing Some Steam
« Reply #468 on: February 13, 2011, 12:57:21 AM »
Today is the weekend.

My girlfriend and I are going to go take the day off. No hospital work or any medical-related stuff today. That's a Doctor's Order. lol.
Today we're going to go drive out of the city, some 40 miles north to look for leather briefcases and a leather shoulder bag for the both of us.
Something that is sturdy, classy, yet reticent at the same time. Then spend the rest of the day out and about.

I need this weekend to relax and just enjoy my youth.

I'm going to see if we can visit this one really nice wine bar up north by the Italian District of Chicago.

I am craving a nice glass of moscato.  :)

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Re: Blowing Some Steam
« Reply #469 on: February 14, 2011, 11:46:37 AM »
This weekend has been splendid. 2 new leather bags , both of them monogrammed with our initials. Truly, my lady is classy and refined.
We had our good friend Albert come over for dinner last night. A guest in our humble abode.

I must say that the chicken pot pie that my darling cooked was amazing. I prepared adobo, while Albert brought some Pancit Sotanghon.

The night was finished with a nice bottle of Moscato and Pinot Noir.

 :)

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Re: Blowing Some Steam
« Reply #470 on: February 14, 2011, 11:50:18 AM »
To my darling,

I adore you, respect you, and most incorruptible of all--I love you.
The support that we give one another--mental as well as physical support--has been a breath of fresh air.
Every day with you, I am growing ever so much attached and used to the idea of being with you for always.
I do love you. As i write this and read my notes, you are studying your notes in the desk.
My brown eyes caressing you with a gentle look.


For Always,
Love,
Lorenz


PS. Will you be my Valentine?   ;)

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Re: Blowing Some Steam
« Reply #471 on: February 14, 2011, 11:57:34 AM »
Blast from the Past

(December, 2009)

Take in the Caribbean.



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Re: Blowing Some Steam
« Reply #472 on: February 17, 2011, 03:23:37 AM »
Heart Murmur ACRONYMS:

MRS    ASS

Mrs = mitral regurg systole
Ass = atrial stenosis systole


;D



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Re: Blowing Some Steam
« Reply #473 on: February 17, 2011, 03:25:17 AM »
MSD   ARD

msd= mitral stensosis diastole
ard = atrial regurg diastole


--


TSD   PRD

tsd= tricuspid stenosis diastole
prd= pulmonic regurg diastole


--

TRS  PSS

trs = tricuspid regurg systole
pss = pulmonic stenosis systole

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Re: Blowing Some Steam
« Reply #474 on: February 17, 2011, 03:35:50 AM »
On Professional Flirtation, Is It Wrong?


Today, i found myself looking for more white paper for the printer in the medical lab. Beyond my control, there have been a plenitude of inconsiderate students and doctors who use the printer paper without refilling it for others. So today there was a paper crisis. Yes. I know it sounds funny but there really was.

So i took the helm to try to solve this technical difficulty, so i ended up going to the nurse's desk to ask the RNs there if they could help me out. Paper-wise, that is. I talked to 2 older nurses who were at first telling me 'we can't just give you med students what you want all the time. you need to solve that yourself'.

i was dismayed. but , i used the power of the 'professional smile'. so i did what came natural. i smiled. at them both.

in the end, after the end of a conversational tirade, they did acquiesce to my simple request: they gave me a stack of white printer paper. 300 pages worth.

so, was it ethical that i used the professional smile to get what i want?


Lorenz.  :)

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Re: Blowing Some Steam
« Reply #475 on: February 17, 2011, 12:39:24 PM »
On The Word of God



I tend to find myself reading passages from the bible and questioning the meanings, interpreting the meanings and then referring to catholic interpretation at the same time. No other book is as powerful and thought provoking, yet at the same time, so grace-filling and empowering as the Holy Bible.

During these times of trials and difficulties, we tend to put away reading the bible, the source of spirit, to focus on worldly pursuits.
i have allowed this to consume me this month. i need to go back to reading and searching scripture again.

to those who read this, open the bible, too. come, let us read from the WORD..


peace and blessings.

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Re: Blowing Some Steam
« Reply #476 on: February 19, 2011, 04:35:58 AM »
The status of our puzzle so far. Almost done.







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Re: Blowing Some Steam
« Reply #477 on: February 20, 2011, 12:54:40 AM »
A new charcoal sketch. A recent acquisition by Sam Karres.

Beautiful.







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Re: Blowing Some Steam
« Reply #478 on: March 05, 2011, 01:23:58 AM »
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Re: Blowing Some Steam
« Reply #479 on: March 09, 2011, 12:03:56 PM »
Today we had a code yellow. They declared a code as soon as i got into the hospital today. I drove 30 minutes to the hospital for nothing, why can't they (the adminisration) develop a better communication channel so that students can evade having to drive to a , "oh sorry, they have a code yellow, you can't go in today."

As I walked out of the hospital, I was met with 8 other medics who were told the same thing, "you guys can't go in."

Truly, we were vexed. Waking up at 6 AM and then being unable to go in to work. It's worse than performing a rectal exam.

Whatever.

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Re: Blowing Some Steam
« Reply #480 on: March 09, 2011, 12:10:48 PM »
March 7, 2011


Today i was caring for a patient who was in end-stage renal failure. As i was rotating with the head of surgery, Dr. B, i was selected to perform a rectal exam on the patient. Observed occult blood on the stool sample and had to consult the patient to agree to a colonoscopy.

Another medical student asked me, "why do we really have to ask him to consent to a colonoscopy when he's already going through renal failure?"

Before i could even answer, Dr. B, answered, "because it's protocol!"

I pray that I never become as arrogant as Dr. B in the future. aish!

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Re: Blowing Some Steam
« Reply #481 on: March 10, 2011, 02:27:21 AM »
Grumpy and strict. Or in the proverbial Binisaya, "Bongkinot".

I notice that medical students are guilty of being and exemplifying this trait. I know that i demonstrate it sometimes.

One wonders if this sense of being is the reason that people generalize medics as being 'arrogant' and 'rude'. But they should also understand that the work and experience makes one this way.

They say that in the first couple of years, medics are ideological and believe that 'they can do anything'. Fellowship and post-residency years takes that away from medics, so they say. Really? Is that true?

My daily vent. Back to work.

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Re: Blowing Some Steam
« Reply #482 on: March 12, 2011, 03:25:17 PM »
Just got back from watching the Chicago Bulls VS Atlanta Hawks.

Bulls win 94 to 76.

Im so tired! But had a great time.

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Re: Blowing Some Steam
« Reply #483 on: March 27, 2011, 10:23:01 AM »
Had a long day today. So I came back home today after visiting PAWS, an organization that helps to find parents to adopt animals. After my girlfriend and I visited , we both fell in love with a 5 month old German Shepherd. She's so beautiful. As I'm typing this down, she's sitting next to me by my feet and curled up in a ball sleeping. She's so precious and adorable! (she's snoring!!) :P

We've named her Maxine. Our little Maxine.

I'm so happy.

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Re: Blowing Some Steam
« Reply #484 on: March 27, 2011, 10:26:12 AM »
Today I joked around with babycakes. Since babycakes is half German, i always joke around with her how she's stricta like a Nazi. Bwahaha. It was so cute today when we were driving home with Maxine. I looked to my rear view mirror and I saw both of them. Our Maxine was sleeping and already cuddling.

She joked around, "Now you have two Germans...!" bwahahaha.

Truly, a puppy helps reduce stress and brings a huge smile to people's faces. She's 5 months old, but already 40+ pounds!



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Re: Blowing Some Steam
« Reply #485 on: April 11, 2011, 12:55:26 PM »
Outward and External stressors.

We tend to let external stressors affect us, and sometimes, it consumes our being and affects our health. This happens to all of us. This past week I talked to a good friend of mine, one whom I haven't talked to in a long while. A good friend from California.

As I called her, she answered the phone and introduced me to a friend of hers via 3-way phone call. A really good friend of hers; in all actuality, both of them are good friends to each other. Through thick or thin.

Anyways, to cut it to the main point, the friend that my Ate introduced me to is a cancer survivor. She had her breast tumor resected and is now undergoing chemotherapeutic regimen. All the while, she was telling me of her faith in God and in praying the rosary. The faith that she exhibited, truly, is a testament to living and healing faith. I was so very touched by talking to my ate on the phone and also being to meet her friend via 3-way phone call.

Her living testament tells me, and teaches me that faith and prayer strengthens us. When we are weak, we will be tempted, but it is in times of stress and dire need that our faith in God should be strengthened. He will provide, strengthen, and rescue-- always. Her experience in dealing with external stressors (the cancer) and fighting it not only through following medical regimen, but enlivening her spirituality and faith through sound prayer (and the prayer from friends).

God Bless these two women. These two women who taught me a valuable lesson (which i want to share with you all) in the importance of sticking up for each other, supporting a friend in need and in trouble. Additionally, they both taught me the power and beauty of Prayer.

Simple, Honest and Solemn Prayer.



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Lorenzo

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Re: Blowing Some Steam
« Reply #486 on: April 12, 2011, 09:37:30 AM »
Today was a good day. Hospital shift today was quite short. 10 am till 1 pm. Easy day today.

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Re: Blowing Some Steam
« Reply #487 on: April 12, 2011, 09:47:27 AM »
Separation in the Hospital System/ Hospital Setting


I notice that in the cafeteria and even in the communal areas, there is a separation between professionals. I notice that nurses stay with nurses, doctors and medical interns with their own, respiratory technicians with other allied field technicians etc etc.

I wonder why?

Today during lunch, I decided to sit with some of the Filipina nurses and converse with them while eating. The nurses in the hospital wear red - colored scrubs while doctors and medical interns wear blue or green (surgery) scrubs and then white coats over. I guess because i wore a white coat and my green scrubs, the nurses saw me and stopped their conversation when I came to sit with them.

I decided to sit with my good friend Lulu, and Kuya Jon (a really good pinoy nurse whom i am friends with; the guy is from Bicol, but he speaks cebuano/bol-anon).

I asked them ngano nang quiet quiet man ang nursing staff when i was sitting with them. Dili kono normal nga mo lingkod ang mga doctors / medical iterns with the nursing staff sa cafeteria daw. doctors sit with doctors ra daw. It was kinda akward at first. But eventually the nurses started to talk to me afterwards.

I felt that I was an intruder, seriously, and i was happy to see that they opened up to me. Well at least the Pinoy/ Pinay nurses were conversationally active with me. :)

I don't believe in separation and sitting apart. I say all medical professionals should sit with each other. None of this superiority point of view. I mean, we're all in this health industry. We are a team.

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Lorenzo

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Re: Blowing Some Steam
« Reply #488 on: April 14, 2011, 03:35:35 AM »
Medical Brother and Medical Sister


My sister came to visit me in Chicago. We went to get Vietnamese Pho for dinner with old-time college friends.
Lorraine, my sister, is finishing her 2nd year of Medical School. She is going to go into Pediatrics. :)




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Re: Blowing Some Steam
« Reply #489 on: April 18, 2011, 12:57:24 AM »
My medical director is hardcore. If he gets any more hardcore, I fear he might hit the floor.  :-\

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Re: Blowing Some Steam
« Reply #490 on: April 22, 2011, 12:32:45 AM »
Dear Tubag Bohol Family,


With the duties of internship and clinical instructorship on the side, there is very little time I can commit these days. Due to the weight of work, I will be taking a little break from Tubag Bohol for the mean time. I will come back from time to time to read the little funny queries here and there.

Keep smiling and keep praying everyone. To everyone here, I'm wishing you all have a Wonderful, Blessed Easter Holiday.

Peace and Blessings with you all,
Lorenzo

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Re: Blowing Some Steam
« Reply #491 on: April 22, 2011, 11:54:28 AM »
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Lorenzo

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Re: Blowing Some Steam
« Reply #492 on: June 06, 2011, 05:50:01 AM »
sometimes, there are just too many things to do in one day. maluuy ang Ginoo, maka human ta tanan sa atong obligasyon.

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