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Messages - C2H4

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Sir Ben, clearance price na gyud ni. Hahaha!

I have Balong's sex scandal video too, but someone actually paid me 5 pesos to NOT see it! Can you imagine? Hahahaha!

Joke lang na Sir Balong ha, dalang tinuod.

Hi Ethyl,

Many of us have taken refuge at TB in the occasional storms and depressions of our lives. I am sure many more will find comfort here, so let's keep TB a friendly, safe and trustworthy place.

Ms. Ethyl, after ages of silence, you're pleading the Fifth? Anyway, daghan pa man uban butang maitampo nato dire sa TB. Some thoughts are better left unsaid. It's better for us to adopt Rotary's Four-Way Test:
   1.  Is it the TRUTH?
   2. Is it FAIR to all concerned?
   3. Will it build GOODWILL and BETTER FRIENDSHIPS?
   4. Will it be BENEFICIAL to all concerned?


And in that respect, kung kinsay gusto makahibaw sa sex scandal ni swakee, make me your best offer. Bisan singko pesos, ok nako ana. And I have videos too!

Gudnyt friendships!!!!

Hala! Ka assuming nimo swakee, kinsay nagsulti nimo nga friendships ta? Gi friend lang gani tika kay gipadad-an ko nimo ug ZaniClean. Wala ka nakamatikod nga feeling close na pud ko nimo ron kay hapit na man gud mahurot akong ZaniClean, padad-e na pud ko ha. Perte nakong pang limpyo sa CR last week swaks, sus makatangtang gyud tinuod ang ZaniClean ug tough stains. My fave product ever! Pinaskuhan lang nako swaks ha? Ingna si DD nga ipadala na nako tong something blue kay dugay na to nakong saad. Hehehe!

Ms. Ethyl, ako ra ba'y nagpasimuno aning thread. Ikauwaw tang Stephen Covey ani, mura'g Lesson 2 pa lang hagbong na: "Begin with the end in mind." :)

Plain diversion ra man hinuon ni nga article bahin ni Yuri Fujikawa kay di man nato ni kaila. Pero di pud ko uyon nga mangunay ta'g pangdaot ug miyembro. I am sure your views here will level the seesaw of public opinion.

Sorry Sir, wala ko nakabantay nga ning reply man diay ka's akong post gabii. I have always said and I stand by this with all honesty: I am forever grateful to TB for what it has done for me at a dark point in my life. Because of that, I shall not make my views known. I will keep my mouth shut on this one, Sir Ben. I plead the fifth.

Ah ka kuyaw gud anang sagbota mura diay gi fertilizer, abot man gyud 6 inches? ngeks! Abot na na's imong hawak, swaks? Cute raba intawon ka kaayo, mura ka cute sa Travelocity gnome bwahahaha

Sige na oi trabaho na, ayaw lang nang tuwad2x kay mosakit imong likod ana, pungko pungko-e lang panagsa.

Sa sunod ha, kung ma S gani ka, ayaw pag yawyaw dire sa forum, ok? Adto i-release imong mga kayugot ug kaligutgot sa sagbot, ma tarong pa imong pagpa ngibot.

Night swaks! This is your friendly nocturnal botete sa sapa signing out, and I say to you in the words of my uncle, Allez Cuisine!


Long time no hear. Ethyl, ubay-ubay pud imong sabbatical. Ma-revive ra gyud diay ang imong combustible properties basta hot ang topic. Welcome back!

That's a pretty astute observation, Sir. What does that say about me as a person, when the thread I choose to post in has "sex scandal" in its title? LOL

I blame not m'self but swakee for that.

How are you, Sir? Still read Stephen Covey once in a while?

Sorry nalang ka swaks, akong gihangyo gi Asianfairy nga i-ban imong face sa iyang resort. Basta makit-an imong nawong, ipakaon ka's okoy.

Unsaon nako dili pagbalik ug post nga imo naman gi corrupt akong kalag? Swaks, kung sa sakit pa, ikaw mura ka'g Super Bacteria Multi-Drug Resistant Tuberculosis. Dili gyud TB nga Tubag Bohol, TB gyud nga orig!

Angkon nalang gud nga na S lang ka!

Ikaw bitaw swakee, nganong ga sige man ka yawyaw diha? If I know, na S lang ka day. Pareho gud adtong na scandal si Hayden Kho-Katrina Halili, haskang dalia ra gyud nimo naka chikka nako, kay na S man pud ka adto. Nganong hilig man ka ma S swaks?

Naka post nalang hinuon ko ug ahat dah! LOL Balongon ever gyud kang bayhana ka!

PS. U know me, kung naay chismis, ma intriga dayon ko. Unsay chismis btaw aning politician oi? Guapa baya siya, in fairness.

Science and Research / Re: Medical Lecture and Lessons
« on: July 16, 2009, 07:04:57 AM »
Thanks for the post on fish oil, dong. I am getting ready for fish burps. LOL

I was intrigued by your question so I looked into our files and I was surprised actually with what I found out. We have a lot of patients on warfarin but only two were on antidepressants concomittantly. One is on prozac, the other on zoloft. Warfarin is metabolized thru CYP2C9, and prozac inhibits CYP2C9, so I was a little surprised about that. The doctor started with a really low dose though, and the warfarin dose was adjusted as well. Still, it's worrisome coz prozac has a really long half-life. Sertraline on the other hand works better w/ warfarin coz the former mostly inhibits CYP2D6 and it doesn't make that drastic of a change in PT and INR.
We don't have a lot of patients on Mirtazapine. It is not a commonly prescribed drug. That goes for nefazodone as well. Venlafaxine and Buproprion on the other hand are fast-moving drugs. Trazodone is a common prescription too, but not for depression. It's mostly used as a sleep aid. Duloxetine is popular too, for depression as well as for neuropathic pain and fibromyalgia. The SSRIs are still the most prescribed antidepressants. I believe a major factor is the price. They're really cheap, most are only $4 for a month's supply. I also think a big factor on doctor's choice of a med for a patient is what that patient's insurance would pay for. Insurance companies have a tier copay system where SSRIs have the lowest copay, then Buproprion is middle ground, Venlafaxine usually has the highest copays. A lot of companies won't pay for nefazodone or mirtazapine at all. Clozapine is very rarely dispensed, at least, in the retail setting. It is highly regulated, doctors, patients and pharmacies have to enroll and register with a national clozapine program, requiring lots of steps and paperwork, not to mention all the monitoring with bloodwork and everything. So clozapine is reserved for the really refractive cases.
As far as warfarin and antidepressants, they don't pose really severe interactions, thus they are not absolute contraindications. The doctor can prescribe any antidepressant he wants, as long as INR levels as closely monitored. But then, it also depends on what the patient is willing to pay for or what the insurance company would cover.
Hehehe, naglabad akong ulo kay nagamit nko akong utok ug gamay. I will hibernate for a while to recharge. My next post might not be for a while. Always take care, ok? Take it easy with the caffeine. mwah!

Anonymous Diary Blog / Re: An Open Letter To C2H4
« on: July 13, 2009, 11:27:55 AM »
I'm INFP, hubby is ISTJ.

I'm glad you get to enjoy and do stuff like that, dong. It helps to relax a bit, get away for a while from all the books. :-)

Do take care of yourself, ok.

Anonymous Diary Blog / Re: An Open Letter To C2H4
« on: July 13, 2009, 10:18:59 AM »
Hi Dong! How did the date go? What's her name? Naay picture? Hehehe!

I think of you too, dong, and pray for you always.

By the way, what personality type are you in the MBTI?


Science and Research / Re: Medical Lecture and Lessons
« on: July 12, 2009, 05:20:23 AM »
Keep up the good work, dodong. We are learning a lot from these medical lectures.

Science and Research / Re: Medical Lecture and Lessons
« on: July 12, 2009, 05:18:41 AM »
In regards to treating schizo patients, or patients with psychotic disorders, it is best to provide them with any anti-dopaminergic agonists/dopamine antagonists. Lithium salts would do well, but do watch out for extrapyramidal side effects.

I'll provide more about this in a video that will combine anti-psychotics/neuroleptic drug treatment.

Thanks for all the views, and the comments on my page. to those who messaged me on questions, I will provide more vids. I promise. :)

God bless,

The atypical anti-psychotics are considered 1st-line these days because they cause fewer extrapyramidal side effects than the older agents. Monitor carefully lang ta ani kay ga cause ni sila metabolic syndrome and less frequently, agranulocytosis (esp. with Olanzapine).

Personally, ang akong nabantayan nga common side effect with people on anti-psychotics, dong, is tardive dyskinesia. It's barely noticeable on others, but on some people, very pronounced gyud. Mao nang usually, trial and error gyud to treat this. Most people don't do too well on monotherapy anymore.

Science and Research / Re: Medical Lecture and Lessons
« on: July 12, 2009, 05:13:53 AM »
Now remember, folks, beware of excessive intake of anti-depressants, as dose dependencies can occur. In anycase if any of you are depressants, I highly suggest SSRIs over TCAs or MAOInhibs or SNRIs.

More to come. :)

Dong, the SSRIs are the first-line agents for depression, not because they are more effective than the other drug classes but because they are generally safer, with fewer side effects. Most of the TCAs I see in practice right now are either used as 2nd-line agents for refractory cases, or as sleep aids. One can OD easily with TCAs though, thus the limited use in clinical practice. I almost never see anyone on MAOIs anymore. Out of the hundreds of patients on anti-depressants that I see, probably just one or two are on MAOIs. The SNRIs have pretty much the same safety profile as the SSRIs, with the added benefit of NOT causing as much weight gain as the latter. In fact, many patients lose weight on while on this med class. The last one is Wellbutrin, which acts on NE and Dopamine (and a little bit on serotonin as well), a lot of people prefer this coz it doesn't cause the sexual side effects that's typical with SSRIs. This can be used as an adjuvant also with SSRI therapy, to counteract the weight gain side effect.

Can you discuss fish oil, dong? Very promising pud siya sa depression.

Anonymous Diary Blog / Re: An Open Letter To C2H4
« on: June 29, 2009, 10:48:16 AM »
Dong, how sweet!

No one has EVER dedicated his/her poem to me before. I feel special. Hehehe.

I am getting ready to be a GATOR dong, with God's grace, of course. I am excited but fearful of student loans. But heck, we've only got one life to live, right? Carpe diem!

I am glad you are enjoying Pharmacology. It is fun, isn't it? I bet by now you know by heart all the different CYP450 pathways and substrates, all the thousands of inhibitors and inducers as well.

I miss you, dong! Mwah!

PS. Your poems are awesome. The ladies at med school are lucky.

Anonymous Diary Blog / Re: An Open Letter To C2H4
« on: June 07, 2009, 05:28:51 PM »
To my Dodong, the most dashing med student this side of the globe,

I may not post as much, but I often think of you. How can you even think that I have forgotten you? The horror! hahaha! How can one ever forget you, dong? No one who has crossed paths with you, whether for real or online, will ever forget you, and Jaja can attest to that. *wink*

Take Care always! Mwah!

PS. Miss you! You know where to find me, should you ever want to talk/chat or whatever.  ;)

Philippine History / Re: Happy Birthday Swakee!
« on: June 07, 2009, 05:23:52 PM »
hapay hapay, aw, happy happy birthday diay Swaks! Unsa'y hikay nato diha?

I wish you all the best and I support all your endeavors, even the newest one sa imong hapit na mahitabo nga pagka "hostess" ahahaha, dili na dautan nga klase sa hostess ha. But you know what I mean, jelly bean.

Swaks, never stop being a hi-ta-chi, because if you do, ako nalang magpabilin usa sa kalibutan. You are special!

Philippine History / Re: Happy Birthday, Ethylene aka C2H4!
« on: February 08, 2009, 04:19:05 AM »
My dearest TB friends,

It is time for me to go kay ning abot na si banana.

Ms Grace, Ginger, glacier...hold the fort. Glacier, hold the ig*t!

Fun times, fun times.

Thank you sa tanang ning greet. Ug kung naa pa'y mo greet, advance thank you!

Philippine History / Re: Happy Birthday, Ethylene aka C2H4!
« on: February 08, 2009, 04:18:27 AM »
My dearest TB friends,

It is time for me to go kay ning abot na si banana.

Ms Grace, Ginger, glacier...hold the fort. Glacier, hold the ig*t!

Fun times, fun times.

Facts and Trivia / Re: Life's Simple Pleasure
« on: February 08, 2009, 04:14:08 AM »
Mr Lindy: noodles. I-regards kong Amay.

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