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MY EXPERIENCES... MY LEARNINGS... MY THOUGHTS... MY OPINIONS... MY LIFE AS A STUDENT NURSE...

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Showing posts with label nursing thoughts. Show all posts
Showing posts with label nursing thoughts. Show all posts

Saturday, May 3, 2008

Psoriasis


You know what? It was really quite an amazing experience when I was able to encounter a patient with psoriasis. It's amazing because it's my first time to see a patient with that disorder and this kind of disorder is very rare and doesn't really occur with Filipinos.

Anyway, psoriasis is a "chronic, non-contagious disease characterized by inflamed lesions covered with silvery-white scabs of dead skin (www.answers.com)" just like the picture above.

At first I didn't really think that the disorder was contagious or something like that. I was reluctant to touch the patient and aid him in going down and up his bed because he had scaly white skin and lesions all over his body and he was obese, so he was very heavy to carry. But one of my colleague really had somatic effects. What I mean by somatic effects is that he had bodily manifestations of a psychological induced disorder or disease. He was thinking that psoriasis is highly contagious so he suddenly had pruritis or itchiness on his arms and they really formed bumps. This only proves how powerful the mind really is that it can even trick itself into manifesting false sugns and symptoms of a disease that the person never had in the first place.

Actually, I also felt very sorry for the patient because I could really see my self in his position. I know how painful it is to be shoved away because they are disgusted with you and you are considered an outcast because you are considered contagious and all. This is why we should really educate ourselves with these kinds of things and that we should always be sympathetic because it is not their wish to have such conditions.

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Tuesday, April 29, 2008

Full Patient Confidentiality

We all have secrets and secrets were meant to be hidden so that no one else would find out. we want to hide our secrets because of our great fear that people will judge us and will make fun of us for something that we have done or have that we are ashamed of.

It is this attitude that makes health problems worst. Some patients will refuse medical treatment because they fear that their doctors will betray them and their privacy will be trespassed upon. That is why it is good that there is 1stonlinepharmacy.com that is one, if not the first, to offer an online telemedicine. Here patients can fully disclose their signs and symptoms as they really are without their privacy and confidentiality be invaded.

One would also be free of judgemental eyes if one orders Valtrex online because there wouldn't be any nosy pharmacist who would give you that look when you buy that Valtrex medicine. For those who don't know what medicine this is, this med is used to treat people with Genital Herpes.

If you are uncomfortable to see a doctor you may have a consult with a doctor online and the doctor could give you a Valtrex prescription.

Technology is therefore making health care more accessible to everyone and this is really great.

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Nursing Doubts

I really hate it when I'm not doing anything and I just sit and do nothing because it's the perfect opportunity to re-examine one's life and I don't want to re-examine mine. But since I had no choice and had nothing better to do I looked at myself and where I am going to go now.

I know that I want to be a nurse but there is something within me that says that I could be anything I want since I'm starting all over again. But I have already begun nursing and it's a waste if I'm just going to let go of my nursing career when I already have started building knowledge, skills, and experience in nursing.

Maybe this is just a phase I'm going through because I don't have any nursing stuff to do. But when I start my studies again I'm sure that my nursing spirit will kick in! ^_^

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Sunday, April 20, 2008

Meet Tree Man


Meet Dede Koswara, a 35-year old Indonesian, more commonly known as "Tree Man". And if you have seen the video then you would have an idea of what why he's called as Tree Man. And in case you were wondering he is not half man and half tree. He is 100% man. The tree like growths on his digits and face are not plant in origin. They are actually over growth of warts caused by Human Papilloma Virus (HPV), the same virus that is a sexually transmitted disease (STD) that causes genital warts. Unfortunately for Dede's case, he has an abnormal genetic make-up that causes his immune system to be as weak as a person with AIDS that is why the HPV is successful in literally taking over his body.

Dede was left by his wife because of his appearance and his two children (an 18 year old boy and 16 year old girl) had to live with his other relatives because he was not able to take care of them anymore because he is incapable of working (since he can't grasp things with his root-like hands) and is forced to live in poverty. He is able to survive by some provisions given to him by his extended family and from being the center of attraction at their village's local "freak show".

Good enough for him an American Dermatologist promised to help him return to his normal life by performing several surgeries to prevent the warts from totally debilitating him and taking his life as these warts could become cancerous.

And here is a picture of him after his first surgery:

Not much change is seen but at least his hands and feet are already starting to look like hands. From being the local village freak-show I do hope that he could achieve his dream of getting a job and returning to a normal life and maybe even find love. Well, Dede, I wish you all the luck!

I really honor the courage that he has. If I was faced with the same affliction I might not have survived at all. I know that many people are disgusted at his sight and are making fun of him but once you place yourself in his position, you would be able to have some empathy for him and you would realize what a strong person he is.

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Saturday, April 19, 2008

Operation Tuli

I was quite shocked at first when my very conservative friend who happens to be a girl sent me an SMS yesterday saying that she was able to touch 30 or more penises in the span of 4 hours. And she was quite proud of herself and happy with the whole experience. At first I was quite scandalized by what she said and all sort of naughty thoughts came running into my head.

It was a good thing though that she clarified what she told me and said that she just had the most wonderful experience in "Operation Tuli". Operation Tuli is an annual project of the Department of Health - Philippines to have young boys circumcised (Tuli in Tagalog) in their own towns and municipality. I'm kind of jealous because I too want to experience an Operation Tuli which I doubt would exist in Canada. In Operation Tuli, several young boys wait in line for their free circumcision.

Circumcision has been a ritual for many religions and culture. Circumcision paves the way into adulthood and manhood while it is also a ritual in the Judeo-Christian Tradition to strengthen the covenant with God. Medically speaking, circumcision (the removal of the foreskin of the penis) is for hygienic purposes as dirt and secretions tends to accumulate in the foreskin and will result to urinary tract infections (UTI).


In other countries though male circumcision is done 2-3 weeks after birth. And if you're wondering there is also a female circumcision which I will post about later since it deserves to be discussed further.

For more information on circumcision I recommend this very informative site, kidshealth.org.

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Cebu Operating Room Scandal


Disclaimer: This video is not the property of this blog's owner and the video is hosted externally.

Before anyone reacts I wanted to share this video for the sake of discussion and as a reference. If you are not open minded and is not willing to accept the thoughts and opinions of other people then please do not continue to read this post if you will only flame me in the end. If you want to know my opinion on this matter please read on.

To those who have no idea what this video is about this is a video taken from a camera of a student nurse at an operating room at Vicente Sotto Memorial Medical Center (VSMMC) at Cebu City, Philippines.

This video (that was spread on the internet like wild fire on Youtube, emails, and even cellphones) was of a 30 year old homosexual who had an Avon's Black Suede For Men Body Spray (thus the name Black Suede Scandal) allegedly inserted into his rectum when he had sex with a stranger.

What made the video so scandalous and caused such a sensation is when the doctors, nurses, and other operating room staff laughed and jeered at the patient's condition as seen in the video.

But here are are some of my reaction upon some comments of people online regarding the said topic:
  • On Medical Malpractice - As defined by Larry Curtis Law Firm is a form of negligence where an injury results from a medical professional’s or medical facility’s failure to exercise adequate care, skill or diligence in performing a duty. We should actually congratulate the doctors for a successful operation. No invasive procedures were done on such an extraordinary case. The operation was a success and there are no complications.
  • On Breach of Sterility - The people seen in the video were curious staff from other operating rooms within the operating room complex therefore they are considered sterile. They did not come from outside the operating room. And the people with no gloves were at least 12 inches away from the operating table so as stated by the sterile technique the operation is still considered sterile. Besides the people with out gloves did not perform the operation.
  • On Cameras in the Operating Room - Actually in my case, cameras are allowed inside the operating room and we student nurses are indeed allowed to take pictures for the sake of documentation which would be used for future case studies.
  • On Breach of Patient Confidentiality - When I reviewed the video footage the patient's identity was not at all exposed. The patient's face was not seen and no distinguishing body marks such as tattoos and birth marks were not captured on film. We wouldn't even know the sex and age of the patient if he hadn't exposed himself to media saying that he was a Florist, he was 30 year old, and he even divulged how that can arrived at his rectum. And yes his consent was asked and he did agree to have the operation filmed because as I reiterate this is a very unusual operation. So the video taking had the patient's consent.
  • On the Revocation of the Doctor's Licenses - I think that the people are overly reacting just like the way Filipinos over-reacted to Teri Hatcher's "some doctor from the Philippines" comment. It's not like the doctors killed someone or anything, I agree that sanctions may be imposed on their behavior but revoking their titles for laughing and cheering is way too harsh.
  • On the Operating Room Staff's Cheering & Laughing - To be fair to the patient, I would also be furious if I were in his position if I knew that a video of me was circulating on the internet but then I would realize that no one would know that it was me. It's also normal for people to be curious and have fun and joke around. In fairness the doctors and nurses were laughing at the situation not at the patient, that is a totally different context. It would be a normal reaction of a normal person to an extraordinary situation. No person was hurt, just a pride that was bruised. But now that we mention it isn't it the patient's fault that he was in this predicament because he had a one night stand with a complete stranger. He was lucky that he wasn't killed by his promiscuity. But that is a totally different issue and that is not my problem. The issue that I am concerned of is the outcome of the health care professionals who are being crucified for an issue that is overly exaggerated.
This issue had circulated and has been talked well enough and I think that this should already be wrapped up and more important issues were tackled like the improvement of the health care system in the Philippines and the improvement of nurse's wages and patient to nurse ratios.

I know that this post would gather a lot of negative reactions but let me again reiterate the blog's disclosure policy: The views and opinions expressed on this blog are purely my own, as this is a personal blog.

***
Sources:
Sun Star - Doctors may lose licenses over surgery scandal
Inquirer - Video scandal grips Cebu hospital
Inquirer - Black Suede scandal

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Wednesday, April 16, 2008

Nurstoons




(just click on the images to enlarge)

I just want to share these comic strips about student nurses from Nurstoon.com. They may be insanely funny but they somehow hold some truth. That what makes Nurstoon.com's comic strips very interesting.

As a student nurse I also had and will continue to have many bloopers and interesting experiences and I would really love to share all of them.

So to all of you student nurses never stop dreaming and believing in our selves. Someday we will be registered nurses, I just know it. And if ever we had made some stupid mistakes along the way let's just charge it to experience and try not to make the same mistakes twice. Remember, you never learn unless you make a mistake.

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Tuesday, April 15, 2008

Swimming Safety

Ok this post may not be related to nursing or health (well somehow it is) but it is related to life and death...

Accidents do happen and cases of drowning are the worst accident that could happen. You and your friends are having fun at the beach or in the pool when all of a sudden friend disappears and you find his/her dead body minutes later.

We all have had a near-drowning experience and it is very frightening. We all had tried swimming in deep waters and then our muscles give up or worst we get a cramp. So to prevent incidents of drowning here are some swimming tips:
  1. Always have a buddy system to always check if your partner is doing well and isn't drowning.
  2. Do not swim in deep waters if you do not know how to swim. Use flotation devices if you insist on swimming.
  3. Never swim in a pool without a life guard.
  4. Learn how to float! Floating is a vital skill every swimmer should have because if one has cramps or any muscle weakness one could just float and rest.
I'm no expert at swimming but these are just some tips based on experience that I could share. The floating part saved me from drowning countless of times.


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Tuesday, April 8, 2008

Nurse No-Duty

Oh boy! Good thing that I don't have to go to class this summer. I went to Xavier University to get my recommendation letter (which my CI did not give to me yet huhuhu, but it's ok ^_^) and I met some of my classmates and friends. They were just from duty and boy did they look so haggard and stress looking.

Imagine 4 days straight of duty and on two days of those days you have to sleep late into the night to finish requirements for the next day. So you get to sleep at around 1:00 am and you have to wake up at 5:30 am. I know because back when I was on duty I also experienced that.


Oh well, but it beats staying at home and being intellectually stagnant and bored.

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Sunday, April 6, 2008

Treat Your Acne Now!

Ever since I was in high school I seriously had some bad acne problems. I think I don't need to explain what acne is because I think everyone has had their own share of experience of having awful acne breakdowns! Yup having pimples or zits all over your face is quite depressing and you get to have a bad body image and you just want to have your face covered with a paper bag literally.

Without proper acne treatment and blemish treatment then one would not only suffer from acne scars and bad skin but tremendous emotional scars and severe low esteem problems as well.

Several teens and adults are afflicted with recurrent acne problems and they are in serious need of acne treatment. There are a lot of acne treatment products and websites on the internet but I only found one that is very comprehensive and very easy to understand. I highly recommend acne-treatment-answers.com as it gives you reviews on the top acne products most effective acne products as well as a thorough information about all the things you need to know about acne: what it is, how it is caused, and how it is treated. They also give out a thorough and unbiased review about existing acne treatment in the market. Their reviews are also based upon their visitors who have actually tried the effectiveness of these top acne products. Remember that you must be really careful when choosing an acne treatment for you as these are chemicals that may do more harm than good so getting the opinion of actual users is crucial.

Having a clear and smooth skin is not only for beauty reasons but for emotional reasons as well. Everyone wants to feel comfortable and at ease every time they are seen in public. That is why acne treatment is a need and not merely a want. And if you want your skin to be really perfect then you should try having a blemish treatment too.

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Bumrungrad International




If you're thinking that these are pictures of a famous 5-Star hotel located in a famous tourist destination then you are partly correct.

Bumrungrad (Thai meaning "care for the people") International
is an internationally accredited, multi-specialty hospital located in the heart of Bangkok, Thailand. It's the largest private hospital in Asia and well known for it's medical tourism. Millions of patients come every year to have their medical procedures because health care is cheaper in Thailand and the hospital is fully staffed (700+ nurses and 945 doctors, covering 55 sub-specialties) and has all the latest medical equipment and facilities. Red Cross gives Bumrungrad its top classification of "A" – defined as "a tertiary care center which should be able to provide quality care in all medical specialties including invasive cardiology, cardiac and neurosurgery."

And speaking of specialized doctors, Bumrungrad even has a golf doctor. Yes they have a golf course and an in-house ortophedic doctor/surgeon that not only cures golf-related injuries but help you improve your game! How cool is that.

And yes, Bumrungrad is a tourist destination/hospital that offers a shopping center, restaurants, and fully furnished private rooms. The room amenities include private bathrooms, cable TV, refrigerator, DVD players (available on request) and high-speed Internet connections. Suites also come with full kitchens as well as washing machines and dryers (available at one bedroom apartment up). The shared facilities include a swimming pool, Jacuzzi, sauna, steam room. And did I mention maid-service?

But before you pack your bags to have a cheap cosmetic surgery and recuperate in a 5-star hotel suite you better think twice. Because Bumrungrad has some secrets behind it. Just like the death of 23 year old Josh Goldberg who died because of malpractice but Bumrungrad is protected from medical suits since it is a huge money earning company that brings a lot of income to the Thai government so it's natural to protect this gold mine from being exposed.

Bumrungrad has also been speculated to harvest organs from live patients that is why it's quite easy to get organ "donors" from Bumrungrad. But all of these are not proven because they are all perfectly covered up as said by bumrungraddeath.com.

But aside from these controversies Bumrungrad International is still such a wonderful place (for the filthy rich anyway). So if you plan on staying at Bumrungrad or any hospital for that matter please take note of these reminders/tips:
  • Always have a watcher with you at all times. You don't want to be a victim of organ theft or dying due to malpractice.
  • Always ask for explanations for all procedures and treatment, especially medications. Doctors might be blinded by greed and over treat a patient to get more pay from insurance.
  • Take note of all expenses and know the "hidden charges" are carefully tagged as miscellaneous fees and don't hesitate to ask what these fees are for even before checking in to any hospital.
  • Check the accreditation of the doctors and staff.
  • Refer to friends and relatives for feedback on their hospital stays so that you will be aware of what to expect.
Let us remember that health care is now a business (sadly). So let us not be victims of large greedy health corporations and let us protect our rights by always being informed.

***
Sources:
Bumrungrad International
Bumrungrad Death


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Friday, April 4, 2008

Harsh CI Love

As a student nurse I have encountered so many kinds of clinical instructors (CI's). There are CI's who are very friendly, there are CI's who you admire so much for their intelligence and skills, but the CI's that you might want to get away from are the "terror" CI's with matching tiger-looks hahaha!

Who are these "terror" CI's? They are the ones who will not hesitate to shout at you in public, fail you, and even throw heavy steel patient charts (you must evade to avoid serious injury hehehe). But I understand why CI's may sometimes be strict and uptight. This is because their hard-earned professional license is on the line. So if ever students become lax in the hospital student nurses might do more harm than care to patients. and who would suffer the consequences? Not the students but the CI's because what will you take away from student nurses they don't even have any license yet. So if you hate your CI go kill a patient, joke. ^_^

But if CI's are not strict with their students the clear line that marks authority is broken and student nurses won't show respect and won't follow the instructions of CI's. Plus if our CI's don't care about us then they would just leave us making a lot of mistakes. If CI's don't inform us of our mistakes then we would never learn.

But at the end of the duty or class CI's are more friendly because they don't have to be the authority after class hours, they are now our friends. I'm really going to miss my clinical instructors especially Ma'am Asne who has always been a mother figure to us. She has always been so generous with us in terms of time and food (hehehe). I will try to be like my clinical instructors and I will make them proud me, their student nurse who gave them trouble once in a while...

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I Hate Smokers!

Honestly I think smokers have a disgusting habit and I guess you would know what that is right? SMOKING!

I don't know what is it with them that they want to die that much! There are so many reasons to quit and one reason is good enough to quit! So what are these reasons? Here they are:


  • CANCER! What kind of cancer? Adult Acute Leukemia, Adult Chronic Leukemia, Cervical Cancer, Esophagus Cancer, Laryngeal Cancer, Lung Cancer,
    Kidney Cancer, Oropharyngeal Cancer, Pancreas Cancer, Stomach Cancer, Urinary Bladder
  • CARDIOVASCULAR DISEASES Stroke, aneurysms, high blood pressure, and other cardiovascular illnesses.

  • RESPIRATORY DISEASES Smoking is cited as a risk for dying of pneumonia, chronic bronchitis, or emphysema.

  • OTHER ILLNESSES:

    A report recently published in the American Journal of Epidemiology suggested that smoking increased the risk of developing non-insulin-dependent diabetes mellitus (NIDDM) by more than three times.

    Studies have pointed to smoking as a risk in vision loss among older people, mental impairment later in life, Alzheimer's disease and other forms of dementia.

  • EFFECT ON PREGNANCY Pregnant women who smoke can pass nicotine and carbon monoxide to their baby through the placenta leading to fetal injury, premature birth, or low birth weight.
Still not convinced? Here are some fast fact from the FDA Fact Sheet:

> Number of deaths per year attributed to tobacco in the United States: 400,000 *.

> Number of deaths per hour: 45.

> Number of deaths due to:
Cardiovascular disease: Almost 180,000. *
Obstructive lung disease (chronic bronchitis and emphysema: 65,000 *.

> Risk for a smoker dying of lung cancer, compared to a never-smoker:
Male: 22 times
Female: 12 times

> Number of scientific studies on the health effects of tobacco, approximate: 50,000.

> Percentage of United States adults who smoked in 1993: 25 *

> Percentage in 1965: 42 *

> Number of years of life smoking costs the average smoker: 7 *

> Number of identified carcinogens in tobacco smoke: 43

> Estimated 1993 health care costs due to smoking, according to Centers for Disease Control and Prevention: total $50 billion. This figure includes:
$26.9 billion for hospital costs
$15.5 billion for doctors
$4.9 billion in nursing home costs
$1.8 billion for prescription drugs
$900 million for home-health care expenditures

But what do I care if these smokers die? They want to die then let them die. But what's so disgusting with these kind of people is when they drag other people down with them to their graves. Who do they kill with them? The non-smoking people! Smokers are so shameless! Non-smokers have a 20 percent greater chance of death from coronary heart disease when they become secondary smokers or when they inhale smoke from smokers. Also non-smokers have a greater risk to have respiratory diseases and lung cancer because smoke particles that are inhaled cannot be expelled again unlike smokers.

And another important fact to know is that smoking by parents following the birth of babies is linked to sudden infant death syndrome, or cot death, and higher rates of infant respiratory illness, such as bronchitis, colds, and pneumonia.

So smokers are only liabilities in society! Billion of dollars are wasted on health care for them when they caused their own illness. These people also don't have any conscience as they kill other people.

Whenever a smoker smokes in public like the public transportation i never hold back on showing my great disgust and annoyance. if you want to die do it alone don't drag non-smokers with you!

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Thursday, April 3, 2008

Please Honor the Milk Code!


It was in the OB Ward when I was on duty that I first heard of the "Milk Code". Executive Order No. 51 (Philippine Code of Marketing of Breastmilk Substitutes) or more commonly known as the "Milk Code" protects babies from dying by
barring milk companies (like Nestle) from promoting their product as a substitute for breastfeeding which of course is morally wrong!

The milk code clearly states that breast milk should exclusively be given to babies younger that the age of one and that milk substitutes is a big no-no! Why? Because failure to breastfeed leads to the deaths of 16,000 children in the Philippines each year and 1.5 million infants die around the world every year (from The Manila Times and Baby Milk Action).

So why is breastfeeding so important that taking it away may lead to the numerous deaths of infants around the world? Here are the reasons:
  1. The babies immune system is still inactive and they only get their protection from a great number of childhood diseases EXCLUSIVELY from breast milk, specifically from the colostrum. Antibodies are passively given from the mother to the baby. Without these antibodies babies could die!
  2. Breast milk is the ONLY COMPLETE source of nutrition. Artificial food supplements that Nestle and other milk companies could never be a substitute no matter how many minerals and vitamins they add to their formulas.
  3. Formula milk is NOT STERILE! It’s been proven that some infant formulas contain enterobacter sakazakii, a highly lethal pathogenic microorganism. Milk formula labels don’t have warnings on these (from UNICEF).
  4. ONLY breast milk contain necessary growth factors that help babies develop physically, mentally, and emotionally!
  5. Bottle feeding will confuse the baby and will prefer to be bottle fed than breast fed making it very difficult to return to breast feeding.
Aside from protecting the baby from dying from diarrhoeal diseases, breast feeding has countless benefits not only for the baby, but for the mother, and society as well. You don't only strengthen family ties with breast feeding, you also help the government save a lot of money! Don't believe me then visit MotheringFromtheHeart.com for the list of some of the numerous benefits of breast feeding!

So why is Nestle an INFANT MURDERER? It's because their
infant formula advertisements present artificial feeding as healthy and comparable to breastmilk therefore discourages mothers to breastfeed. Health claims such as “contains all the nutrition babies need for all-around visual, mental and psychomotor development” or “helps your baby fight against harmful free radicals of the environment” manipulate mothers. “Formula milk does not provide babies immunity from infection. It provides inadequate level of nutrition making babies susceptible to infection, malnutrition and death” stresses Sterken, a key player in the 20 country two-decade international boycott against Nestle & breast feeding advocate (from UNICEF). And with all said, Nestle even has the audacity to counter and challenge not only the Milk Code of the Philippines but of the codes of the World Health Organization (WHO) and United Nation's Children's Fund (UNICEF)!

Help protect our babies from greedy unethical companies like Nestle! Join the boycott and spread the word that breast milk has no substitute! For student nurses and nurses, or any medical professionals working in the hospital especially in the Philippines, always confiscate milk bottles from mothers! We are the empowered deputes who will enforce the Milk Code. If the mother says that she is only using the bottle but the milk is breast milk and not formula, inform her to use droppers or tablespoons instead because again, using baby bottles for infants below age confuses them and makes breast feeding difficult.

***
Breast Feeding Resources:

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Monday, March 31, 2008

My Morning Workout Nightmare

I'm quite proud of myself that I was able to partially complete my objectives for this day. After a month of procrastination and exhausting my scapegoats I finally did it! I went jogging early in the morning! I was quite amazed at my determination to lose weight hehehe. I woke up at 4:30 and started jogging at around 5:00 am on the highway. Yup the highway since of some reasons that I have posted here. The dawn was actually beautiful, it seemed as if it was still 12:00 am and the stars were still twinkling and the moon was still up. I told myself that this was a good day to jog. But the beautiful "evening like"-dawn turned to a scene taken out from a horror movie.


So there I was jogging with my headset on and my workout playlist playing. I was running and occasionally slow down my pace when I see people passing by and I keep a safe distance (for all I know they could be dangerous and I couldn't see their faces). The wind was very refreshing but suddenly I realized that this part of the road was very dark and the branches of the trees were like reaching towards the road. This is where hell broke loose. I didn't stop and continued running as fast as I could making sure that I'm at the middle of the road because I don't want to be jumped by "anything" at the sides of the road that had very thick bushes and foliage. My feet were already aching when all of the sudden I see these glowing eyes jump out from the bushes! Damn did I get the scare of my life and I quickly evaded the tiny eyes just to discover more of them ahead. I'm pretty sure that it wasn't a cat because a cat's eyes don't glow in the dark. They only shine when there is light pointed toward their eyes. I still am not sure what those creatures I saw but I didn't want to stop and find out. I'm thinking that they were frogs because the body was small (but do frog's eyes glow in the dark?).

I was already running a kilometer or more when I suddenly felt dizzy. I immediately knew that this was it. I had to go home if I didn't want to collapse on the highway with those creatures around me. I felt like I was going to have a stroke but this must be because I didn't warm up and I was working my self too hard. This was when my fatigue took over. My music wasn't helping since I had a headache. I couldn't run too because I was so tired so I had to walk home. Geez, i was thinking that I'm such in a miserable state.

I was walking home when all of the sudden a dog walked across me to the other side of the street when *Bang*! a truck just passed by hitting the dog. I didn't even notice the truck as it was going real fast and it did not have bright lights. I was thinking that that dog could have been me if I suddenly crossed the road... the dog yelped in pain and I was guilty because I couldn't do anything for him. I can't bring him home because I'm still very far away and that he might be rabid and bite me and all. I had to be safe so I did what i could do, leave him behind. I'm still guilty up to now.

Upon arriving home I gave a sigh of relief but my doggie. Missy, was acting crazy and played with me by nibbling on my lower pants. But at least I'm home. I made sure that my heart beat slowed down a bit and I crashed into my bed with aching legs and an aching head. I arrived home at around 5:45 am and woke up at around 9:00 am.

With my bad experience I swore never to jog again that early in the morning. I'll just have to wait until we move in into our condo unit in Canada so that I could have the right exercise facility. It's safe and it's near my home so I have no problems about collapsing anywhere (but collapsing would be bad of course). I just have to let my body adjust to my exercise routine of course. Overworking my body will do more harm than good.

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My Workout Songs

I actually don't workout hahaha! But I plan to do some jogging and decided to create my workout playlist. It is undeniable that music affects our emotions, intelligence, and health. Even without words, music can make us joyful or depressed, energized or sleepy.

Listening to music that induces relaxation, before taking a test has been proven to temporarily enhance IQ and improve scores. Music also has unending benefits on our health.

With regards to health, it has been proven that music reduces blood pressure and music is also used as a form of therapy to pain and to calm patients in mental hospitals.

Mark Tramo, a neuroscientist at Harvard Medical School, commented on a study which "showed that the heart muscle of people exercising on treadmills didn't work as hard when people listened to music as it did when they exercised in silence."

That is why I spent some time creating my perfect workout playlist and here it is:
  1. Any songs from Britney Spear's Blackout (yup I love it!)
  2. Stronger - Kanye West
  3. Elevator - Flo Rida Feat Timbaland
  4. I Got It From My Mama - Will.I.Am
  5. Low - Flo Rida feat t-Pain
  6. Feedback - Janet Jackson
  7. pump it - Blackeyed Peas (or any songs from them actually)
  8. Sexy Back - Justin Timberlake
  9. Like This - Mims
  10. Dance Like There's No Tomorrow - Paula Abdul
  11. Easy - Paula DeAnda
  12. Aikoi - Kajiura Yuri
  13. In the Church - Kajiura Yuri
  14. 19 Sai - Suga Shikao
  15. I'm Coming - Rain (Bi)
  16. Fergilicious - Fergie
  17. Tokyo Drift - teriyaki Boyz
  18. Get It On the Floor - DMX
  19. Show Me The Money - ???
  20. Not Gonna Get Us - t.A.T.u.
  21. Any Song from Panic! At the Disco!
  22. Please Don't Stop the Music - Rihanna (or any other of her songs like Break it Off, etc)
  23. I'm A Scatman - Scatman Jack
  24. maria - Kim Ah Joong
  25. Outta My Head - ashlee Simpson
  26. Me & You - Cassie
  27. Die Another Day - Madonna
  28. Do It Well - Jeniffer Lopez
  29. Push It - Salt & Pepper
  30. Fighter - Christina Aguilera (or her other fast tempo songs)
So how do you choose songs for that incredible workout playlist? Here are some guidelines:
  • The song must have a fast tempo with a nice beat to it that would want you to move more
  • A song that you personally love (therefore don't just copy other people's workout playlist)
  • A song where you lose yourself making you forget your fatigue and make you go an extra mile.
Music is a great motivation to keep on going and it is fun to listen to music right? Happy workout guys!

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Corazon Aquino & Colon Cancer


I was actually shocked to discover that the former Philippine president, Cory Aquino, was announced by her daughter, Kris Aquino, a famous celebrity, that Mrs. Aquino was diagnosed with colon cancer. We know Mrs. Aquino as a living symbol of democracy as she was swept into power by a peaceful EDSA I revolution to overthrow the then President, Ferdinand Marcos. She also was the one that helped bring the current President Gloria Macapagal Arroyo to power and is also ironically the one joining protests to bring President GMA down. But this time she faces a far more bigger battle, a battle for her life as she fights against colon cancer.

So what is colon cancer? To know that we must first define what cancer is.In a normal body function, rapid division and multiplication of cells are needed to regenerate and heal the body. But there are times when the growth is uncontrollable and spreads (metastasizes) into other parts of the organs where it continue to divides and replaces normally functioning cells with abnormal cells. Cancer cells multiply so fast that they may occlude blood vessels and steal blood flow by forming their own vasculature stealing normal organs their blood supply thus the organ dies. And for the people who are confused, tumors are abnormal proliferation of cells and there are two kinds of tumors, benign and malignant. Benign is non-cancerous and does not spread so it can be safely removed by surgery. The dangerous kind of tumor is a malignant tumor as it is cancerous. Even if the malignant tumor is removed, remaining cells could still multiply at a more rapid rate that is why chemotherapy (the use of medication to kill cancer cells) is also required to kill cancerous cells, but unfortunately it also kills normal cells but that would be a different topic.

I'm not sure if Mrs. Aquino's cancer is malignant or benign, but I'm guessing that it is malignant because she wouldn't have let the whole Philippines know that she had cancer. So let me share the some relevant information as to what causes colon cancer, signs and symptoms of colon cancer, what the treatment is, and what the preventions are. These are very important to know as this could save your life one day.

So what causes colon cancer? It's still unknown but it is believed that a high fat diet increases one's risk for colon cancer. Why? Breakdown of fat leads to the formation of carcinogens (cancer causing substances). Although cancer is not contagious, it is hereditary so if you have any relatives with any kind of cancer then you are at high risk for cancer.

Symptoms of colon cancer are numerous and nonspecific. They include fatigue, weakness, shortness of breath, change in bowel habits, narrow stools, diarrhea or constipation, red or dark blood in stool, weight loss, abdominal pain, cramps, or bloating. Other conditions such as irritable bowel syndrome (spastic colon), ulcerative colitis, Crohn's disease, diverticulosis, and peptic ulcer disease can have symptoms that mimic colorectal cancer (from medicinenet.com).

The treatment for colon cancer, like any other cancer is surgical removal to prevent the metastsis or spread of cancer cells to other organs. But treatment does not mean that you will be treated immediately. Factors as to how much the cancer had progressed plays an important role. This is why prevention is better than treatment because one only notices that one has cancer when it is already too late when the cancer has already grown and spread causing the signs and symptoms.

Preventing cancer entails a healthy lifestyle like eating healthy avoiding fatty foods, carcinogens like charred meat, drinking too much alcohol, etc. But the best prevention is early detection. It is recommended that all individuals over the age of 40 have yearly digital examinations of the rectum and their stool tested for hidden or "occult" blood (from medicinenet.com).In a digital rectal exam a doctor inserts his finger through your anus and feels for polyps (abnormal growth). For males, a digital rectal exam is like hitting two birds with one stone as the prostate gland can also be checked for prostate cancer at the same time.

Other early detection procedures are flexible sigmoidoscopy and colonoscopy. Here a video camera is inserted to see how your colon looks checking for abnormal growths and other anomalies.

For more information please visit this site: medicinenet.com

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Saturday, March 29, 2008

Deciphering the Doctor's Handwriting

We all heard about the Da Vinci Code right? But there is something more difficult to comprehend and very difficult to decipher: the doctor's handwriting... it's a great mystery why Doctor's handwriting is illegible. There is also this study conducted by the British Medical Journal to check if doctor's handwriting were legible. Guess what the result is? Doctors Fail Handwriting Test!

For years now I have always been told that my handwriting is like a doctor's. This is meant to be a joke of course, but can also be misunderstood for an insult. It is true that I had my own share of horror and eye strain from trying to read and make sense of the scribbles and marks written by doctor's on their Doctor's Order.
In fact I always have to team up with my other duty mates to help me break the secret of the doctor's handwriting. But we always end up making mistakes. It amazes us though that my clinical instructors are able to understand this foreign handwriting. We always ask our CI's in wonder how in the world do they understand those scribbles and doodles? Their answer? Lot's of experience with doctor's orders. But even the experienced staff nurse also makes mistakes because there are doctor's handwriting are so encrypted to the point that deciphering it is no use. Just a thought: Doctor's should get into the date security business.

But what is so important about doctor's having legible handwriting? Simple, a misunderstood order could lead to death of a patient. Don't believe me then take some time to read this article from BBC News: Health Doctor's Scrawl Blamed For Patient's Death. As the article shows a poorly written order or prescription could lead to a patient's death.

But let us not flame our doctors because it is not their fault too that they have such illegible handwriting. We also have to think that they have a lot of patients to take care of that is why they have to do their charting very quick. But how come nurses are able to have more legible handwriting when nurses are the ones who are with the patient 24/7 and are always documenting every procedure they do for every patient?

But there is nothing we can accomplish with complaining that we can't understand the doctor's handwriting. What we can do is look for a solution. The best solution with this problem is electronic orders or prescriptions. The orders and prescriptions are just flashed into the monitor with beautiful and neat computer generated text. This may be already true to First World Countries like USA, Canada, and the UK. But in the case of the Philippines? We can't do anything but pray that the doctor writes in print or we nag them to death to interpret their handwriting or our license is on the line. Wait, I don't have a license yet.

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Skipping a Meal Leads to Brain Death

Hypoglycemia is the medical term for a level of blood glucose (blood sugar) that is too low to meet immediate energy needs of the body. Glucose is a sugar that our bodies use for energy. A normal level of glucose in the blood is between 60-110 mg/dl . If you are hypoglycemic you will encounter the following symptoms: sweating, feeling warm, dizziness, difficulty speaking, inability to concentrate, hunger, drowsiness, anxiety, confusion, nausea, trembling and headaches.

There are two types of hypoglycemia. And these are:
  • Fasting hypoglycemia can occur when a person goes without food for eight or more hours. It can be caused by certain underlying diseases (tumors of the pancreas, severe liver disease, adrenal failure) that upsets the body's ability to balance glucose.
  • Reactive hypoglycemia is when blood glucose levels fall too low within a few hours after eating. This type rarely has a serious underlying cause. and is not easy to diagnose.
But I guess that the type of hypoglycemia that students are more associated with is Fasting Hypoglycemia. Nursing students are guilty of skipping breakfast especially if the duty is very early in the morning and don't expect them to eat lunch either. My duty mates said that they don't want to eat because they want to finish whatever they are doing first. But I wonder what makes them so busy that they don't eat lunch? But I can never go on if I don't eat lunch. I can skip breakfast (I'm used to it) but I can never skip lunch because if I do I'll just end up very grouchy because as shown in the symptoms above, I get a headache and my body weakens because there isn't enough energy being created because of a rapid decrease in blood sugar.

But skipping a meal is not the only cause of hypoglycemia. Other causes are: alcohol on an empty stomach, taking too much insulin, exercising hard without eating a snack first, eating excessive amounts of carbohydrate foods.

But if you think that hypoglycemia can only lead to headaches and body weakness, think again! Hypoglycemia an lead to the decrease supply of glucose as fuel to the brain, resulting in impairment of function (neuroglycopenia). Derangements of function can range from vaguely "feeling bad" to coma (rarely) permanent brain damage or death.

So never skip a meal guys! If you do skip meals because of uncontrollable circumstances then always bring food with you that are high in sugar like candy or chocolates so that you can have something to munch on even when you are on duty.

***
SOURCES:
University of Iowa
Wikipedia

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Friday, March 21, 2008

Nursing: Back To Basics

Today I have heard what I have feared the most... It's bad enough that I have to transfer to another school and lose my chance and my dream of graduating from Xavier University - Ateneo de Cagayan. But my fear had been realized. My mom has told me that I might have to take some 12th Year Subjects and then go back to 1st Year College just like what a friend's child had gone through...

I was at first at denial and I was rationalizing, a defense mechanism, that I would not actually have to go back to the very beginning because I already have an Associate in Health Science Education and I had already been capped and badged... but then I realized that the education system in Canada is different from the Philippines and that some of my subjects might not be credited at all.

It's sad but if you weigh the pros and cons, going back to first year in a new country and a new life might not be bad at all. Here are the pros and cons that I have thought of:

the CONS:
  • my batch mates will graduate ahead of me
  • I'll finish my Bachelor of Science in Nursing when I'm 23 or 24 years old
  • my 3 years of studying, hardship, and turmoil will be all for nothing
  • If I fail the challenge exam/placement exam I might go back to high school (darn I forgot my high school concepts already)
the PROS:
  • starting fresh will give me a chance to master the Nursing concepts and theories
  • I have an edge over my new fresh high school graduate classmates
  • better quality education and clinical exposure [I'm sorry XU, but studying at University of Alberta (hopefully, fingers crossed) is being in the real thing, the ideal nursing setting]
  • I can easily land a job in Alberta and I'll be prioritized over foreign nurses
  • I'll be with my family and will not be left alone in the Philippines
Oh my, I'm like a newly hatched chick that will have to go back to my egg shell and start the process of hatching all over again. But I have made my decision, I will study in Canada so that I can be with my family even if I have to go back to 1st year. The pros seems promising and when I graduate I won't really be that old.

Besides, I don't want to shift to another course because there is no other course that I would want to shift to. My dream and my goal is to be a Registered Nurse, and that is what I will become.


***
Photo belongs to cameradude

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My Nurse's Notes: