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Lorenzo

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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:
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My snowed-in ride:
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: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.

Lorenzo

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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 »

cold bitaw!

Lorenzo

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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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Lorenzo

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




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Cat blowing off some steam

Started by hubag bohol on Photos Unlimited

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Last post August 17, 2011, 01:45:24 PM
by hubag bohol
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Blowing in the wind

Started by Lorenzo on Music and Video

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Last post April 21, 2008, 04:17:03 AM
by Lorenzo
 

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