Blowing Some Steam

[Lorenzo]

I dont understand why the attending gave that one patient Nifedipine to treat his Heart arrythmia. Yes, Nifedipine is a CCB (calcium channel blocker), but its a weak heart affector and focuses more on vascuar vessels.

A far more effective Cardiac affector would have been Verapamil and Diltiezam.

And when we told him about the lower affinity for dihydropyrodine in treating cardiac defects--he didn't even listen. Nicedipine was effective back in the early 90s, but now we have newer drugs--cardiac specific.

[Lorenzo]

We are 2nd Year medical students. I don't understand why some students have to cheat in exams. Or show notes during exams. During my exam someone tried to copy of my answers in the scan tron sheet. This had me reeling. I had to report this individual after the exam.


Preposterous! How can you be a medical student and try to copy from another medical student?

You passed Medical Legal Ethics last year, but you are copying ?
Where is the ethical notion? Where is your morals?

How can you be be a Physican-in-Training and have the audacity to copy and cheat in exams?


I have no sympathy for you. Absolutely absurd!

[Lorenzo]

'Oh what is an ACH and HTN again?'


How can you even ask that kind of question? First of all ACH is standard for acetylcholine--it is the basis for cholimimetics and cholinergic drugs. Its basic biochemistry and pharmacology. You would know this had you not cheated and copied on exams.

Pathetic.

What is HTN? You asked me this--are you serious?
HTN: Standard acronym for Hypertension.

This is all material from medical physiology and surgical neuroanatomy.
Last year's material..

[Lorenzo]

I saw you last night for Shalabh's birthday party. At Sunset Bar & Grill.

Damn baby. You were so fine. Your pink shirt, and heels. Holy shoot.

Baby you're so fine.


Lorenz,

[Lorenzo]

2:40 pm, eastern standard time.

Taking a break from that long, long, long pathology lecture.
Jeez, thanks alot Doc, but 120 slides just to explain nutritional deficiency was quite overwhelming!

So at 3:00pm we'll have Psychiatric Behavioral Science lecture.

Im pretty excited to try out these new psychoanalysis.
Since reading into psychoanalysis, ive been psychoanalyzing people as of late. The way they talk, the way they walk--their mannerisms. Its wierd because it becomes almost natural and one gets en sync to the procedure.

[Lorenzo]

And remember, Rupa, don't forget that when we are treating a patient with only hypertension, if that patient is below the age of 55 and not suffering any other ailments aside from hypertension,

The first action will inlcude treating that individual with ACE-inhibitors.
If that does not produce wanted outcome, we will add treatment with Calcium Channel Blockers.

And if that does not help, we will utilize a combined treatment of:
ACE-Inhibitors, Calcium channel blockers and Thiazide Diuretics.


Loving this 'stuff,
Lorenzo

[Lorenzo]

Dr. Balmek is probably one of the greatest doctors I have come to meet and learn from.
Sir, I salute you, and I love to learn from you, you explain clinical pharmacology so very well.

I have learned so much through you, and your clinical examples.

May the Lord God continue to bless you, and keep you, Sir! Dr. Balmek!

[Lorenzo]

By grace of God, was able to finish readings for pharmacology. now working on finishing up power point slides for microbiology.

Im taking my leave, folks.

Till next time. Break time or when im not busy.

Good night, folks.

Be good, Tubag Bohol!

[Lorenzo]

I miss my Mommy.
and my Daddy.

Mingaw ko ni Mommy Liza ug Daddy Rico.

Mommy! miss you mom! Love you mommmmm!

[Lorenzo]

Daddy mingaw ko nimo kaayo!

Daddy, Happy Father's Day~~

Wish i could be home to hug  you, Daddy Rico.


I love you and mommy very much.
Think about you two always ug si Angel, Don, ug Andre.


Ampo lang ko that LORD keeps you and mom in good health, and in good mind.
Till i see you two again,


BranBran

[Lorenzo]

Thanks so much for giving me a good week, here is a toast to loyal friends, and most of all, to the love of my family. I entrust everything to Jesus Christ, all my fears, my anxiety, my confidence, my work, my sacrifices, everything. The good and the bad things. All to Jesus Christ My Savior Lord. My Eternal Cup of Salvation.

For sustaining me in my studies, thanks so much.
For envigorating me in my reviews, my readings, etc.

For everything you have provided, thank you so much Lord!
For all that you have witheld and made me work hard for, Thank You Lord!

You're the best, big guy!

[Lorenzo]

Mommy, Mommy, ~

Mingaw ko nimo very much, Mommy!
Salamat kaayo for the kind and reassuring words always, Mommy.
For being there for me, for raising me the way you did. You and Dad are in my thoughts.

Love you very much, Mommy.

Hug and Kisses,
Ondoi Bran


PS. Tell dad gi mingaw ko niya. Mingaw  ko ni Daddy..

[Lorenzo]

Mom, today is July 1, 2009.

I turn 24 years old on the 23rd of July.
I thought about you and Dad today alot.
Contemplating the love of my parents. hehe.
This time, 24 years ago, I was still in your womb.
Rolling around, the same chubby baby. lol.
Pariho ang lawas sa iyang Amahan. hahahaha!
Dako ug dughan, pariho sa amahan. lol!
Unsaon man lagi, Junior man gud ko ni Daddy.

Mommmy, miss you and dad so much, uy!
For all the grey hairs i have caused you and dad, Bless you!
For all the comforts you and dad gave to me,
For reprimanding me, towards rightenousness, Bless You!
For teacing me and disciplining me to Fear God, Bless You!

I am nothing, no where, without you and dad.
Mommy, mingaw ki ninyo duha.

Hapit na ko mo turn 24, pero unsaon man lagi.
Pa mommy-mommy gihapon.
Bahala pood. Kai i do truly love You, Mommy! And Daddy!

hehehehe!

BranBran

[Lorenzo]

My friend Albert arrived on Sunday 4am.
Good to see an old friend, and a future 1st year matriculatee.
Sharing some good memories of our NYLF/MED experiences back in 2003.

The irony of the situation:

We both attended the National Youth Leadership Conference on Medicine, held at the prestigious Georgetown University in Washington D.C back in July 2003.

Now, its ironic and befitting, that we meet again, in July 2009.
In Medical School. lol!

Our paths meet again. God Is Good.

God is Indeed Good.

[MikeLigalig.com]

It was rather dusty outside today.
I wish it wasn't so dusty and hot this time of the year.

One can't help but to 'blow some steam' due to the heat outside.

What say you, Tubag Bolanons?

[Lorenzo]

Hi Blog,
Well, what can I say? Today was just another typical day, I guess. Work, and more work. Its 2:08am, still im not finished with microbio. Almost done notes for non-envoloped viruses tho. Lounge is silent and quiet. I can hear the ac blowing hard.

Should head out for home soon.

Mingaw ko ni mommy.

[Lorenzo]

Culture Night: A Review


On the 11th of July, I attended the IMSCS {Indian Medical Student's Cultural Show}
Had alot of spicy dances, spicy drinks, good people, relaxing pood. hehehe.
Good weekend, in review.



Tom, myself, Thiru. Taking a minute for a pose.


Smiling? lol


cute lagi.

[Lorenzo]

One thing I realize, Indian girls are not shy around Filipino men. hahaha.
Chalte Chalte hayhey~ Karahi hahey~

[Lorenzo]

Collegiate understanding and undergraduate works even master's work mean nothing, when it comes to medicine.

First, let that be made known.

In undergraduate college, I took 2 semesters worth of Microbiology and Virology, but the course Im taking right now in 2nd year Med : Medical Microbiology and Integrative Immunology is totally different from undergraduate schooling.
The focus is totally different. Undergraduate focused more on the genetic and molecular aspects, in medicine, we focus more on the clinical aspects, reading data and lab analysis, diagnostic testing, preventatives and treatment (if any).

My advice to all pre-med students and or students considering medicine is this:
--It's never too late or too early to start reading. Read journals, articles, read medical papers, read micro, read lab works, etc. Just get your hands on something and READ. Believe me, when you start medicine, you Won't even have time to do anything else but read assignments, or to finish a 500-600 paged textbook within 2-3 weeks time, and at the same time finish preqs in other classes. So Read, Read, Read.

There is no such thing as procrastination here. If you do, don't expect to do well. I'm telling you that right now. To your face, direct, honest, truth.

So start early. Be proactive.
But as the saying goes, "You do what you can with what you have, and with the time you have alotted to you. So work."

hehehe.
Hear, Learn, March On!



Always,
A. Lorenzo

[Lorenzo]

Hi Blog,
Today is Saturday, USA eastern standard time~ 11:51 AM

Im in my cubicle, reviewing, typing up err, writing down notes for mycology.
Frech vanilla flavored coffee w/ evaporated milk. one sugar cube. Oh so good, so great, so inspiring, on a sweet Saturday afternoon.

Work, work, 38 more days till the end of this semester. then our 3 week summer break.

[Lorenzo]

Mom, mommy!
24 years ago, this day, i was born. Thanks for putting up with me, mom. Labored for me for over 26 hours! What a mommy! And even now! Pasalamat ko sa GINOO SA LANGIT that HE gave me a loving mother and father to raise me.

I am nothing without GOD and the support of mom and dad.

Mommy, Daddy, am thinking of you two. I love you both. More than words can describe.


Glory be to GOD!

[Candijaynon]

Mom, mommy!
24 years ago, this day, i was born. Thanks for putting up with me, mom. Labored for me for over 26 hours! What a mommy! And even now! Pasalamat ko sa GINOO SA LANGIT that HE gave me a loving mother and father to raise me.

I am nothing without GOD and the support of mom and dad.

Mommy, Daddy, am thinking of you two. I love you both. More than words can describe.


Glory be to GOD!

Happy Bday Dong Bran! Wishing you more blessings and good health.

[Lorenzo]

Dear Blog Diary,

Today was an especially hard day at work and at school. Dealing with all this stress has been definately multifaceted and two-edged. 1) Understanding the perplexities of work and the infinite possibilities given to us in the medical profession. Stress incarnate.
2) Accepting and totally getting used to the beautiful struggles of life.

One thing, blog, that I have come to terms and acceptance throughout the duration of my medical studies is this:
1. YOU CAN'T LEARN EVERYTHING.
    a) as much as I have put into the learning and understanding of the materials included: anatomy, physiology, histology, embryology, medical legal ethics, human genetics, clonal morphism, pharmacology, pathology, pathoimmunology, micro-immunology, pathophysiology, Psychiatric Medical Science, Neurology, Clinical Neurosurgery, etc.----there can never be a way to know everything.
I accept that now. There are times when earning a 85% on an examination or even a 90%+ is acceptable. There is no way we can always achieve that 100%.
Perhaps in college--yes, but in medical school---where I am amongst very learned and accomplished colleagues, I must admit that I pale in comparison. Normal amongst these learned individuals.

   b) GOD IS EVERYTHING.
      b1) Studies and stress and the tests that have come to challenge my resolve and my understanding has ONLY strengthened my faith. To know that MY LORD JESUS CHRIST is above all things. The writer and creator of this study: MEDICINE.
He is the eternal physician. The healer of all things. Spiritual and bodily.

    c) I AM NOTHING but DUST.
     c1) I accept the fact that I am nothing; nothing before the site of MY GOD. I am and will always be dust. Dust like all of us. But am justified, tho I am dust and ash, by MY LORD JESUS CHRIST to do what must be done, to finish what must be finished, to study what must be studied, to heal what must be healed, to infer what must be inferred upon, to correct what must be corrected--in this life that HE has given me. To use the MIND AND BODY that HE has GIVEN me.

   D) GLORIFY THE LORD GOD
and so I end this promt contemplation of these events in my life.
That so long as I have a breath in my body, so long as I am awakened every day by the rising of the sun and promted to sleep by the setting of the sun---I will give--and will always give GLORY and SHOUT OF THANKS to my LORD JESUS CHRIST.
Who is my COMPLETE and TOTAL justification in Life.
In pains, I give to Jesus.
In success, I thank Jesus,
In accomplishment, I sacrifice it all to Jesus.
In sadness, I seak HIS face
In testing times, I abide by HIS WORD
In times of greatness, I give everything, and all to JESUS.


I am nothing, but Dust.
But because my LORD loves me, I am a dust that recognizes my own sin and recognizes the POWER AND HONOR of my LORD JESUS CHRIST. GLORIFY HIM! LORD! AMEN be to YOUR GLORIOUS NAME!



A dust in CHRIST,
Bran Lorenzo

[Lorenzo]

Lord, I offer Unto You all my pleas, my requests, my aspirations, my goals in life, my sufferings, my longings, my passions, my sins, my all in all. Yours It is Yours.


In Daily evaluation,
I see the presence of God in the Sick,
In hearing the cries and lament of the sick, the dying,
I hear the groans of Christ being crucified in the Cross-
The bearing of Pain, which is the Sin of the World.

How can I forget the TOTAL Sacrifice of Christ Jesus?
Which is LIFE.

Today and this entire week has been a difficult week in studies, in reviews.
Constant mode na.
Salamat lang naay ko blog post to unleash and unload my stress.

Tho difficult ahong road, and filled with so many demands,
I can rest assured that my pains IS NOTHING compared to Christ's Crucifixion on the Cross, and His Death. And His GLORIOUS RESURRECTION.


Christ is Salvation.
Christ is THE WORD MADE FLESH.
Unto Salvation Is His Name.

So I justify myself.
Tho I am filled with stress,
Am justified in Christ Jesus.

Christ Justifies.
JESUS IS JUSTIFICATION.

[Lorenzo]

I GLORIFY HIS NAME ABOVE ALL NAMES!


Glory And Honor is The Lord's.
He Sits on the throne of Righteousness,
clothed in spleandor and GLORY
He who reigns From Everlasting to Everlasting.

I Glorify Your Name, Lord!
For all that you have done for Me!
Lo I stand on the palm of your Righteous Hand.
Lo, I am nothing without You!
But I can boldly declare that I can do all through He who  Strengthens Me!


Today ended our 1st semester of 2nd year.
By God's Grace and His Grace Alone,
I finished this term with flying colors.
I shout in Wonder for He has granted me VICTORY!

I GLORIFY GOD for This VICTORY!

There is No Impossibility for the LORD GOD.

[Lorenzo]

Today was such a stress-free day, Thanks be to GOD!

I slept so much today. Oh man it felt Gr8!

hahaha! Re-charged and rewound!

Glorious 12 hour sleep today. Then went out to the beach and chilled with some buds.

Semester Break rocks!

[grazie7y]

Dong, this is the first time I've seen you write a word in texting way:  gr8! 

[Lorenzo]

hahaha

Happy lang ko kaayo, 'te uy!

Te' kamusta naman ka? Hope all is well and Kuya Murage too!

Muah muah. Love you, big sis!

God Bless!!!

[grazie7y]

hahaha

Happy lang ko kaayo, 'te uy!

Te' kamusta naman ka? Hope all is well and Kuya Murage too!

Muah muah. Love you, big sis!

God Bless!!!

I am glad you are happy, Dong.  We are doing fine.  Garden produce is not as good as last year but we have enough for our own consumption.  Kamunggay, especially, is doing great.

Love you too, Dong.  Take it easy.  Be good! hahaha

God bless! 

[Lorenzo]

lol! am trying to be good, 'te. If bad ko, you can feel free to remind me ha. hehe!
i bet your summer produce is doing good!

Am glad to know that you guys are doing well. By God's Grace! Ampo ta that we all stay in good health, peace of mind.

Regards! Always,

[taga tigbao]

I've been having bad days since monday.

Just want to relax and enjoy pero dili jud ko kahimo. Pastilan.

[Lorenzo]

TT, what is up?
Cheer up lang, friend, it is almost a weekend.

Break out your magic mic and sing lang. Relieve the stress through karaoke. lol!

God is Great!
He who Justifies!
He who Validates!
He who Holds us in the Palm of His Hand!

[taga tigbao]

TT, what is up?
Cheer up lang, friend, it is almost a weekend.

Break out your magic mic and sing lang. Relieve the stress through karaoke. lol!

God is Great!
He who Justifies!
He who Validates!
He who Holds us in the Palm of His Hand!

ambot lagi bay lorenzo, daghang problema. Diay uyab gibuwagan na pud ko. Tinuod jud tong giingon ni Misty gahapon ba.

[Lorenzo]

Don't worry so much lang, friend. Keep your head up and think on the positives. You will find your love---it is in God's hands.

Go out and treat yourself out lang.

Be Good. Most of all.


Glorify His Name, friend, and all that you wish and plan for will come to pass.
By His DIVINE GRACE!

[taga tigbao]

Don't worry so much lang, friend. Keep your head up and think on the positives. You will find your love---it is in God's hands.

Go out and treat yourself out lang.

Be Good. Most of all.


Glorify His Name, friend, and all that you wish and plan for will come to pass.
By His DIVINE GRACE!

Salamat bay.

Mao lagi unta ang nakaapan lamang kay Better Said Than Done. Pero sa hinay hinay.

I'll be attending a CLP tomorrow (wednesday) para malingaw ug gamay.

Kung unsa may planu para naho sa labaw nga makagagahum, dawaton lamang gud.

[grazie7y]

Salamat bay.

Mao lagi unta ang nakaapan lamang kay Better Said Than Done. Pero sa hinay hinay.

I'll be attending a CLP tomorrow (wednesday) para malingaw ug gamay.

Kung unsa may planu para naho sa labaw nga makagagahum, dawaton lamang gud.

Vince, take it easy.  You'll be fine ra. 

[taga tigbao]

Vince, take it easy.  You'll be fine ra. 

Mao lahi te oi. Ahak bang puro ra man ta problema ani. Wa na gani naho atubanga sa ahong work kay di ko kahunahuna ug tarong.

[grazie7y]

Mao lahi te oi. Ahak bang puro ra man ta problema ani. Wa na gani naho atubanga sa ahong work kay di ko kahunahuna ug tarong.

here's for you vince. 

http://www.youtube.com/watch?v=_qFnmwYZXRc&feature=related

[taga tigbao]

Salamat te ha? Indeed, our world is wonderful!!

Hope to be alright the soonest possible time.

Bisan bug-at ang dughan, sige lamang.

[grazie7y]

Salamat te ha? Indeed, our world is wonderful!!

Hope to be alright the soonest possible time.

Bisan bug-at ang dughan, sige lamang.

vince, plz check this thread:

http://tubagbohol.mikeligalig.com/index.php?topic=21828.new#new

[Lorenzo]

Vince, if bug-at ang dughan, ampo lang,

Pray, pray. I attest to this fact, friend, when there were times during my 3rd semester when I t hought I could not do it, when a subject was too much, ampo lang ko gihapon.

Trust me, somehow, The Lord Jesus Christ will make a way. He always makes a way.

Just gotta have FAITH, bro!

[mistyeyed]

I've been having bad days since monday.

Just want to relax and enjoy pero dili jud ko kahimo. Pastilan.

Mo kanta nalang ka Tigs ug : Isang Linggong Pag ibig..or Kani nga kanta ay: Napakasakit Kuya Eddie,ang sinapit ng aking buhay..hahaha..

[Lorenzo]

Today I went to the medical collegium to try out my white coat.

The name "A. Lorenzo Lucino Jr, Medical Student"
was written on the right chest banner.
With the emblem of SJSOM on the left and right shoulder.

That white coat,
awakened me.

As I stood there looking at myself in the mirror,
as I was photographed with my stethoscope,
It hit me.
This is it.
This is the goal.
Chris Saves!

May I always have the fire of Christ in my heart.
I beg Eternal Providence to keep me in remembering the dying,
the needy, the poor, the impoverished.

As my colleagues were ecstatic in trying their white coats today,
I couldn't help but have a sense of urgency in praying.
Blessing God for the Grace he has given me to pass classes thus far,
and begging God to provide me the ability to complete the tasks required of me.

It was a humbling experience.
And I was honored, indeed.


Thought for the day.
August 25, 2009

[Lorenzo]

I was worried earlier that my medical kit would not arrive in time for the beginning of this coming 4th semester. But it came. hehe.

Thanks be to God!

My new Littman Cardiology Stethoscope, medical blood pressure kit, reflex hammer, orthoscope, medical tuning fork and a whole bag of 'goodies' lol.

PDI here I come! (patient diagnosis interxn)

[Lorenzo]

Today I talked to my clinical instructor for PDI. It appears that we will not only be giving injections to each other (saline), but will also be injecting ourselves, and learning how to draw blood and basics of phlebotomy.

whoa. injecting myself? hahaha!

I'm excited. yo. hardcore.

[Lorenzo]

September 1, 2009
11:38 AM, Eastern Standard Time

Isn't it amazing how classes begin on the 2nd of September but most of my friends wont come back till the 4th of 5th of Sept? lol!

Oh we few, we very happy few. We schoolaholics! lol.
har har har!

Come back guys, i already miss our study group. lol!

[Lorenzo]

The Glory, The Honor and all the Praise be unto The Lord God.
Lord of Lords
Who deposes kings and raises paupers unto thrones.
Who gives wisdom to the discerning!

Today was so exciting. Officially started my 4th semester.
Gi select ko to present on a surgical procedure (of my choice, he he he) on September 17th, 2009. So excited ko ana. So far i am thinking of doing a presentation on something related to cardiothoracic surgery; we'll see.

For the honor, thank you Lord.
For the challenges this semester, I Glorify Your Name, Father.
For You are my JUSTIFICATION.
You are MY unmovable Rock!
hehehe!

I Glorify Your Name, Lord!
Give me the strength to overcome!

Jesus! Lord!

[Lorenzo]

So remember folks, PDI is based on LIQOR-AA /or SIQOR-AA
(location/site of pain, intensity, quality of character of pain, onset and duration of pain, radiation of pain, aggravating factor and aleviating factors.

[Lorenzo]

Epidemiology really is math. lol!
Thought of the day.

[Lorenzo]

Feeling of Teaching.


Today was our first full Anatomy Lab Day.
I am the Teacher's Assistant in Medical Gross Human Anatomy I, and am in charge in teaching the human anatomy lab to 18 some students; part of Group A. 2 other anatomy TAs will cover group B, C.

So I want to let things out:

It feels different. I've TAd for undergraduate courses some 2 years ago, but this is totally different. You have total control in teaching the anatomy material; the ones i am covering tho is Upper Limb and Thoracic Anatomy.

Helping the students cut the cadaver, removing the superficial tissues, the skin, and the underlying adipose (fat) tissues. The feeling is good, knowing that you are helping your fellow student and professional colleagues. This is really what it means to be a doctor in training. To help and train your brother-in-arms. Its very humbling, this feeling.

I want to increase the confidence of my students. Many of them are worried about the material; too much material they say. I cannot make exceptions. I must cover everything. For their own benefit, and that of mine.

Every muscle, every vein, artery, bone, ligament, will be taught. I want them to know and retain the structure's name, function, innervation, blood supply, and clinical pathology. I want the best because I expect the best. 

God is Great!

[Lorenzo]

Pst! I think I like you, lady.

This feeling has overrun me.

[Lorenzo]

Today i did alot of BP checks, HR checks, pulse checks.

So many patients, so little time, so little medical providers.

My break is too short. My assignment too long.

God is my Strength. God is my Justification
God is my Rock in whom I stand Firm.

Glory be to God in the Highest,
and to HIM be all the glory, honor, and praise.

Blessed be the Name of the LORD.
Blessed be his Glorious Name!!

[Lorenzo]

The Lord Jesus Christ Saved Me.

The feeling of being saved in Christ,
is indescribable!

I talked to my friend Mercedes yesterday at church,
she is an old lady that has helped our church choir in organizing our song booklets,
and she saw me as I walked towards the Blessed Eucharist,

she whispered, "Lorenzo! Lorenzo!"

I turned around, and smiled!

It is as if the Holy Spirit was there waiting for me, through my friend Mercedes, GOD BLESS HER HEART!

Her words of encouragement to me, "Lorenzo, may the Lord bless you, will pray for you." really did vindicate me.

It was a feeling of personal re-affirmation.

That my prayer was heard.

LORD, is so GREAT!



So beautiful!

SO TRUSTWORTHY!

[Lorenzo]

For the Name of God is Marked on High.

For there is no comparison to the Name of the Blessed Lord God!

For HIS name rises above all names, seated in heights of spleandor,

Hark to HIS Divine Precepts, honor, mighty, justice, grace, and praise be unto HIS Name.


That the Lord My God was powerful enough to shed mercy to this undeserving student,
the grace to surpass the studies set before my feet.
That the LORD GOD WHO IS ABOVE ALL, has granted me victory over my exams.

I glorify His Name,
Honor, Sacrifice I give to him.
The VICTORY that HE has bestowed upon me, I give back to HIM.
HIS, all is HIS.


Lord, My Lord,
EMPOWER me always.
MOTIVATE me always.
PAVE my way always.
INSTILL within me wisdom that comes from you and you alone.


GOD IS GREAT!

[Lorenzo]

The Lord Is Exalted On High.

Had a long weekend,
completed alot of work, but just need to do more.
Dealing with homesickness and just generally missing my mom and dad.
Mo ampo na lang ko sa Ginoo.

[Lorenzo]

Clasped Hand,

Must we always be prudent?
Lady, there are times today that I wanted to break resolve.
Raise you with my powerful arms,
and smother you with kisses,
my affections ever present.

Composure, I tell myself.
Maintain composure.

These feelings of sentimentality and emotional ambiance
has taken hold of me.

You make me smile.
Dare not I kiss you in public.



Surprised?
For sure. he he he

[Lorenzo]

Molded


I in you
You in me
Is it possible to be at peace?
Is it possible to be at home with another?

Darling,
When I am with you,
when I talk to you,
When I am near you,
I feel so at home with you.

The ambiance of your company,
the sound of your laugh,
Invites me to open up.
Loosened up
I cannot help to release my inhibitions.

I am free-at-home
when
I
Am
With
You.

I like You.
You're a Keeper.

[Lorenzo]

It is very humbling.
Today, my classmate Harvey referred to me as , "Dr. Lucino".
I responded, "Harvey, just Al, please."
He reiterated, "In 2 months, Dr., we will receive our white coats. Get used to it now."

It struck me. He is right. In 2 months, we will receive our white coats.
In 2 months, I shall go inside the prestigious Auditorium Medicinae to stand with my cohorts,
and be called each by name.
To receive our honored White Coat of the Physician.
To pave the way to our next 2 years as a Medical Intern.

It has come to me, that I have survived 2 exhausting, trying, demanding years of Medicine.
It was not my own ability that has provided for my success thus far, nay, it was GRACE OF GOD.
TO GOD BE THE GLORY
TO GOD BE THE HONOR
TO GOD BE THE MAJESTY
TO GOD BE THE PRAISE of PRAISES.

For HE has made this average student able to do what I was able to do.
BY GOD'S GRACE, and THROUGH HIS GRACE ALONE, I was able to achieve.

GOD IS GREAT!
WITH MY MOUTH AND MY HEART, I EXALT HIS NAME!
VICTORY IN JESUS CHRIST LORD!
VICTORY!
I CRY OUT VICTORY!


AMEN!
THANK YOU FOR THIS VICTORY, LORD!
VICTORY!

[Lorenzo]

Dear Blog,

So I am relieved to know that my mother and my sister got back home safely. My mother and my sister came to stay with me for a week from last Saturday to this past Saturday, staying with me in my apartment, though I had classes all week. I took them to the beaches, to the medical campus, shopping districts, to church, as well as saw the sights in the local atmosphere. My friends were introduced to my family, thanks to mommy's home-made pancit and adobo that we all ate with delectable appreciation.

Thanks so much Lord for allowing my mom to take a week vacation to visit me and check up on me, as I was homesick for a bit. But that is life, and the journey in this road of Medicine is not an easy road, but it does help to see, feel, and talk to one's family and loved ones through the journey. Thanks be to God.

It feels good to know that family is good back home, Thanks be to God.

Thanks be to God, who is wondrous in His Compassion.
Praise be to God!

[Lorenzo]

Dear Blog,

My day has been quite multi-faceted today. Work has not changed, the requirements of the day have increased, due to the culmination of patient care. I had a meeting with Ericka and Renee and Dr. Ash on our research presentation, which is a publication material for hyperbaric medicine regarding air embolism. We have finally collected medical data from the local hospital that stems from 2000 to 2008. Basic concept that was addressed with be the use of ANOVA in the statistical aspect of the project; as well as the use of regression analysis etc.

I am also counting the days till we receive our white coat and end this semester of 2nd year medicine. Countdown is 38 days.

The Lord is Kind. The Lord is Good.


In astute observation, and in mind,
Lorenzo Lucino

[Lorenzo]

Dearest Blog,

How are you? What is going on?
Life, as always, moves on. Let that be known.

My friend and our medical college's librarian assistant, Andalita K, passed away this Saturday.
I found out about this this morning from my clinical instructor. To my total astonishment.
I just saw her and talked to her on Friday, and I am so very sad to hear of her demise.
She was healthy, to my visual inspection from our last conversation, which was outside of the library's halls.
She was talking about visiting her family in Holland, and I, sharing my experiences and familial nostalgia.

She did ask me on Thursday Last, if I was going home for winter break, and I replied, "Yes, Andalita, I am."
With a smile on her face she said, "Thats good, Al. Family is always good."

It is in sad and grieving posture that I offer a hymn of praise to God in the Highest for His love,
and acceptance of what has happened as being the Will of the Most High.
He who knows each one's hour and demise, the time of death, and the manner of death.
To which all are destined to, as is written in the Book of Life.

God, Eternal Father, we pray for the life and the soul of the late Ms. Andalita K,
That thou woud'st grant her mercy and justice in the hour of her judgement.
Remember, O Lord, that mercy was never alien from you,
and that Grace and Pardon is filled in the heart of your Son, Jesus Christ.
Merciful Savior, judge the soul of Andalita, my friend, in accordance to your precepts and Law,
that despite her weaknesses, she did live a faithful and Good Life.
Vouchsafe for her, Lord, the acceptance into your Kingdom,
A Kingdom that shall never perish, and shall stand in unison before Your Glory.
In Glorious Praise we ask this in the name of Jesus Christ, Our Lord.

Amen.

[Lorenzo]

Victory Through Christ!
Who Is Lord!
Glorified!


Today I took my Clinical Medical PDI Exam, Block 3.
50 Clinical questions,
then a strict 30 minute live patient examination.
Covering Abdominal: spleen, liver, kidney, pancreas, appendix, stomach, bowel.
It was a hard exam. It was our midterm examination.

By Grace of God, I scored a 98%.


Thanks be to God!
Glorified is the LORD!


I am quite ecstatic today.
Quite.

[Lorenzo]

In the Year of Our Lord~ 2009.
In the month of November, on the 28th day of the month.

I am in silent contemplation right now.
The reason for this is that I am reviewing material as well as getting ready for tomorrow's Health Fair.
I am one of the group leaders of the Vitals Group, and am feeling nervous, anxious, excited. I must be in the medical campus by 7am tomorrow, as the Health Fair starts on 8am and shall end around 3-4pm. I will be there for 8 hours straight. We are estimating 600-1000 patients. So I will be seeing about that much, There are 15 of us in the Vitals group. and are expected to see at least 100 or so patients each.

I pray to God that He calms me, and make this smoothe.
That is how I am feeling right now.

I will leave for Church at 5pm my time, I pray that Church Mass will strengthen me and that the Eucharist will continue to uplift me. In His name, I pray.

Thanks for hearing me out, Blog.

Lor,

[Lorenzo]

I prefer not to deal with your drama again.
I apologize if I was moody today as you know I have a presentation tomorrow, as well had to finish cases.
I have my good days as well as my bad days, like any other person.

If you can't handle me in my worst, then you surely do not deserve to have me in my best.

Got it?

[Lorenzo]

Thought of the day:


Small people talk bad about other people; really wicked people take fun in putting down others for the sake of pure entertainment.

I pray for them. May the Love of Jesus Christ reign in their heart.

[taga tigbao]

Gikapoy ko karon kay kuwang ug tog gabii. Hehehehe

Nagmuog ahong ulo pero okay ra. SMile lamang gihapon ta ani. Last day of field work ron naho, mao nang okay na magsige ug dokdok.

Looking forward to a relaxing and blessed Xmas vacation.

For those who are here in Manila, may Xmas concert unja by Light of Jesus (Bo Sanchez) sa The Feast sa SM Manila Cinema 4. Free admission ni. Come and be blessed.

[Lorenzo]

I took my Final Examinations on Friday.

We received our grades today.

I passed them all. With flying colors.

THANKS BE TO GOD!

[Lorenzo]

Praise be to God, I have arrived home.
Safe and secured in the bosom of my family's home.
Surrounded by my brothers' love, and my sister's love.
Justified in the warmth of my beloved mother and father.
God is Good.

God is Glorious in HIS Promises!

Glory, Honor, Praise be to God, the Father of our Lord Jesus Christ.



Blessings and Peace to everyone.

[beyotch]

nag labad jud ako morning kay...i have the regular girl thing.....hay...when pa kaha ko mag menopause ui...heheheheh..
hope to have a happy day ahead....

[estaRiray]

Isn't it because you want to park your vehicle under a tree where their "bathroom" is located?

nyahahahaha!!!!

[Lorenzo]

^^ ha ha ha!

Jati lagi ning mga pigeons...he he he

[Lorenzo]

nag labad jud ako morning kay...i have the regular girl thing.....hay...when pa kaha ko mag menopause ui...heheheheh..
hope to have a happy day ahead....

ayaw pood ingon ana, friend. Hopefully di pa ka mo menopause uy. 30+ years pa till then! he he he!
Mao lagi na daghan jud ko'g mga respeto sa mga tinood nga badje. Kai they to go through th physiological demands of womanhood!

Menstrual cycles, pregnancy, motherhood, menopause, and (husbandry) ha ha ha!

[Lorenzo]

It snowed hardcore in South Jersey yesterday. I drove home for break and realized that even with 4L drive, my suv had to slow down during the snow bound roads of Southern New Jersey.

I LOVED it.

When I arrived, I could not help but play in the snow for a bit.
Memories of my childhood when i used to play in the snow with my sister and my old school friends replayed in my mind.

God is Good.

[Lorenzo]

Alas where can the mind go if sleep is deprived? How can a body operate if sleep has been deprived?
I have taken a new policy of sleeping at least 6-7 hours a day. I refuse to let my immune system be compromised due to lack of sleep.

That said, I cannot wait till the 3rd of April.

[Lorenzo]

Yesterday was my first time of seeing a patient with the rare  HA (hereditary angioedema). Patient cam eiwth stridor due to the obstruction of the larynx via laryngeal edema and also had  colic. The reason for this was because of a defieciency of C1 esterase inhibitors. The attending came. Asked what the MOA (mechanism of action) was; we dictated. He agreed.

Treatment was rather simple.  We ordered this patient be given  epsiolon aminocaproate. Which inhibits plasma activation of C1; and thus reduces the symptomology of frequent episodes.

In a couple of hours, patient's edema subsided.

EFFING AMAZING.

ha ha ha

[Lorenzo]

There is a rather beautiful medical resident in our floor. Dr. Patricia ________

A woman originally from South America. She is so beautiful and gorgeous. Intelligent as well.

She is exceptionally kind to me and our class.

How nice of her. She expressed her interest to visit Spain in the not too distant future.

Amazing. Spain.

[Lorenzo]

Ah. I have to get ready to get going to work. It's 7:03 AM over here. Newark Time.

Cheers everyone.

One Life. One Love.

[Scarb]

 gikafoy gamay ^â—‹^

[ms da binsi]

hapit jud ko mabuwasot sa enodoro kay wa gibalik ang seat! grrrr! im blowing a loooot of steam!

[Scarb]

hapit jud ko mabuwasot sa enodoro kay wa gibalik ang seat! grrrr! im blowing a loooot of steam!

[Lorenzo]

Today we had lunch after our psychiatric medical review. One thing I notice was that most of us in the medical field like to use technical terms ; a rationalization technique.

As I ate with my colleagues, could not help but refer to the terms that Dr. Fadem, Professor of Psychiatric Medicine in UMDNJ's Newark Campus, dictated in today's lecture. And as we walked back to the lecture hall, was amazed how I began to psychoanalyze individuals as we walked back.

An effect that not only I, but several of my colleagues, started doing. Fritz joked, "Lets psychoanalze each other."

Ha, already did.

[Lorenzo]

It's 3AM.

Getting ready to drive home today. Home sweet home!

I cannot wait to be home. To eat home cooked meals. And to see my Mommy and Daddy.

Miss you two!

Kisses,
Bran

[Lorenzo]

Today is the 31st of March, 2010.

I am now getting ready to celebrate Holy Thursday.
Easter Sunday is coming soon.

God Bless us all.

[taga tigbao]

Akoy naipit aning duha ka bato ron, pungot gamay. Hehehehehe

[Scarb]

Akoy naipit aning duha ka bato ron, pungot gamay. Hehehehehe

unZang batoha? Bato Balani?

[hubag bohol]

Akoy naipit aning duha ka bato ron, pungot gamay. Hehehehehe

Unsa, Bay Tigs, naipit ang imong duha ka bato? Bwahaha!

[taga tigbao]

Unsa, Bay Tigs, naipit ang imong duha ka bato? Bwahaha!

Wa Bay Hubs, giipit ko sa duha ka batong humok jamo. Nyahahahahaha.

[taga tigbao]

Unsa, Bay Tigs, naipit ang imong duha ka bato? Bwahaha!

Wa Bay Hubs, giipit ko sa duha ka batong humok jamo. Nyahahahahaha.

[hubag bohol]

Wa Bay Hubs, giipit ko sa duha ka batong humok jamo. Nyahahahahaha.

He he, kon mauhon, makahilak diay ka sa kapungot ani ron...

[Scarb]

He he, kon mauhon, makahilak diay ka sa kapungot ani ron...

makahilak ag tagok nga lagkot pa§ nangka wjehihahu !

[Lorenzo]

This is really interesting how we can use indomethacin to not only inhibit COX1 and COX2 but can also be used to treat acute gout and has effective regimen as compared to say, colchicine. For chronic gout: best to use allopurinol (moa: inhibitos xanthine oxidase; thus prevents uric acid from being formed) and probenicid (also used as adjuvant to antimicrobial therapy.

One thing i realize is that there are so many treatment indications for such drugs. But toxicity is already such a concern. Worrying about hematologic effects and then GI disorders too.

No wonder why residents and attending physicians are so strict; sharp memorization is necessary.

Dr. Barone, you rock.

[Lorenzo]

accounting. why are they even teaching us accounting principles in epidemiology? Assets and liabilities and equity is fine and dandy, but is this really necessary when treating a patient and etiology of disease? 
When did treatment protocol require the knowledge of subsidiary and general ledgers? ha ha ha.
o man!

[hubag bohol]

makahilak ag tagok nga lagkot pa§ nangka wjehihahu !

Dear Scarbs,
Where are you? We miss your barbs
And flashes of wit;
Now we are fed with the grit
Of stupid smiles
And horrid piles
Of garbled lectures,
And mushy gestures
Of self-serving friendship
That's not worth a rose or tulip.
There's nothing to it.
Yesterday I bit
My lips in despair
And pulled my hair
Knowing we are helpless
In our guiltless
Tomfoolery.
Respectfully,
Your friendly wag,
Hubag.

[Lorenzo]

Final lectures today for systemic path; then another lecture for nervous system. I cannot wait till vacation time.

[Lorenzo]

Dear Blog,

I am waiting patiently for the arrival of my 2 glasses. Come already.


L.

[Lorenzo]

Dearest Blog,

Why is it that when a man decides to smile, women have the tendency to look at the man or at the direction of his smile? I noticed that today as I came back from an errand.

Additionally, blog, why is it that women try so hard to contain a smirk. Containing something so beautiful as a woman smirking, is truly, the denial of a systemic truth.

Truly,

[luckybelle]

 

[luckybelle]

Ngano man jud ba nga naay may tao na ungrateful na kusog pa mupasakit?... Whew!!! Makaulbo jud ug kaspa  

[Scarb]

Dear Scarbs,
Where are you? We miss your barbs
And flashes of wit;
Now we are fed with the grit
Of stupid smiles
And horrid piles
Of garbled lectures,
And mushy gestures
Of self-serving friendship
That's not worth a rose or tulip.
There's nothing to it.
Yesterday I bit
My lips in despair
And pulled my hair
Knowing we are helpless
In our guiltless
Tomfoolery.
Respectfully,
Your friendly wag,
Hubag.

Wow na wow,now pa ko ani..tnx. dikit² to meh 

[hubag bohol]

Wow na wow,now pa ko ani..tnx. dikit² to meh